Science

Respectful Insolence

Category archives for Science

Quackery has been steadily infiltrating academic medicine for at least two decades now in the form of what was once called “complementary and alternative medicine” but is now more commonly referred to as “integrative medicine.” Of course, as I’ve written many times before, what “integrative medicine” really means is the “integration” of quackery with science-…

ORAC NOTE: I’ve added the links to the video segments, which are now up at the Dr. Oz website. I also did a screen grab of a certain really stupid thing that I noticed when I watched the segment but, because I was watching it on DVR, didn’t have the ability to show you. It’s…

There are some myths, bits of misinformation, or lies about medicine that I like to refer to zombie quackery. The reasons are obvious. Like at the end of a horror movie, just when you think the myth is finally dead, its rotting hand rises out of the dirt to grab your leg and drag you…

As I happened to be out last night at a function for my department, I didn’t have the time necessary to lay out a 2,000 word bit of Insolence. I did, however, have time to note that yet another practitioner unhappy with being criticized over his scientifically questionable treatment, in this case, Dr. Frank Arguello,…

A lot of medical specialties have throwaway newspapers/magazines that are supported by advertising and somehow mysteriously managed to show up for free in the mailboxes of their practitioners. In my case, I’ve found myself on the subscription list for such papers about oncology, but, given that I trained as a general surgeon. I’m Board-certified as…

There are times when supporting science-based health policy and opposing health policies that sound compassionate but are not are easily portrayed as though I’m opposing mom, apple pie, and the American flag. One such type of misguided policy that I’ve opposed is a category of bills that have been finding their way into state legislatures…

I come across antivaccine editorials all the time. Usually, some editor ignorant of the issues involved is duped by antivaccine arguments or succumbs to the annoying journalistic fallacy (with respect to science) of “telling both sides.” Either that, or the editor has antivaccine proclivities himself. Either way, the result is an op-ed by someone like…

One of the most annoying phenomena when it comes to “complementary and alternative medicine” (CAM), which its advocates are more and more insistent on calling “integrative medicine” is how little the average doctor cares that pseudoscience is infiltrating medicine. The reason, of course, is that CAM advocates don’t like the “alternative” part of the term…

Not infrequently, I’m asked why it is that I do what I do. Why do I spend so many hours of my free time, both here and at my not-so-super-secret other blog (NSSSOB), to write my detailed analyses of various forms of quackery, analyses of scientific studies, and expressions of my dismay at the infiltration…

We all seek immortality in some way. Death has been a terror of nearly all since humans first started realizing that everybody dies. After all, no one wants to face the end of everything that one has been, is, and will be, so much so that a key feature of many religions is a belief…

I came so close. Yes, when I read the latest target subject of this piece of Insolence to be bestowed upon you today, I came so close to resurrecting a certain undead Fuhrer who used to roam this blog on a regular basis chomping brains and inspiring horrible Nazi analogies. Indeed, it’s been at least…

And they say I’m in it for the money?

One of the most common criticisms launched at defenders of science-based medicine by believers in pseudoscience and quackery is that we are “pharma shills.” The assumption, or so it would seem, is that no one would defend science, reason, and medicine unless he were paid off by pharmaceutical, chemical, and/or agricultural companies. The further assumption…

Three months ago, I wrote about how the Cleveland Clinic had recently opened a clinic that dispensed herbal medicine according to traditional Chinese medicine (TCM) practice. As regular readers might expect, I was not particularly impressed or approving of this particular bit of infiltration of quackademic medicine into a major, generally well-respected academic medical center,…

Over the years I’ve been studying science versus pseudoscience, medicine vs. quackery, reason versus crankery, I’ve noticed one thing. The cranks, pseudoscientists, and quacks of the world have a hard time dealing with legitimate criticism. Now, I know I sometimes get a bit—shall we say?—frisky with my criticisms. OK, obnoxious. I have, however, mellowed considerably…

If there’s one thing that antivaccine activists share in common, it’s the passionate (and as yet unproven) belief that “something” out there in the environment caused the “autism epidemic.” Usually, that “something” thought to be vaccines, but with the utter failure of the vaccine-autism hypothesis to the point where it is considered soundly refuted, antivaccinationists…

If this looks a bit familiar to some of you, let’s just say that it’s grant crunch time again. This should be over after today. I hope. In the meantime, one of the difficult things about science-based medicine is determining what is and isn’t quackery. While it is quite obvious that modalities such as homeopathy,…

I’ll admit it: I’m a bit of a beer snob. I make no bones about it, I like my beer, but I also like it to be good beer, and, let’s face it, beer brewed by large industrial breweries seldom fits the bill. To me, most of the beer out being sold in the U.S.,…

Deepak Chopra isn’t very happy right now. In fact, he appears downright pissed off right now, particularly at skeptics, so much so that he’s issued a hilariously fatuous “challenge” to James Randi (a.k.a.) The Amazing Randi on You Tube entitled Deepak Chopra’s One Million Dollar Challenge to Skeptics: Yes, apparently with The Amazing Meeting (a.k.a.…

Being a cancer surgeon, I realize that my tendency is to view my blogging material through the prism of cancer, particularly breast cancer, my specialty. it’s easy to forget that there are diseases every bit as horrible, some arguably even more so than the worst cancer. When I think of such diseases, it’s not surprising…

Well, it snuck up on me again, the way it has a tendency to do every year. Maybe it’s because Memorial Day is so early this year. Maybe it’s because there’s just so much work to do this week given the multiple grant deadlines. Whatever the case, it just dawned on my last night that…

Alternative medicine as religion, again

Over the years, I’ve often likened alternative medicine to a religion—or even a cult. Basically, it requires belief in a set of precepts that have at best little and more commonly no evidence to support them that is often accompanied by magical thinking that a god-substitute, be it nature, one’s body, or, of course, the…

Besides yesterday being Mothers’ Day yesterday, I had a lot of grant stuff to do, which means that this one will be a quickie. On Saturday, a reader sent me a link to one of the most useful sites I’ve ever encountered. I realize that over the weekend it’s spread around the skeptical blogosphere like…

I’m sure that a lot of you, like me, are watching the rebooted version of Cosmos: A Spacetime Odyssey, with Neil deGrasse Tyson taking over the hosting duties originally handled so ably over 30 years ago by Carl Sagan. I definitely enjoyed the first episode and am looking forward to additional episodes. The only thing…

I’ve written about conflicts of interest (COIs) a lot over the years. COIs are important in medicine and science because, as much as physicians and scientists like to think that they are immune to such things, we are as human as anyone else. We are just as prone to unconsciously (or consciously) being influenced by…

Rare is the occasion when I disagree significantly with my collaborator Steve Novella, but this is one of those times. It’s a measure of how much we agree on most things that, even in this case, I don’t completely disagree with him. But, hey, it happens. I’m referring to Steve’s post yesterday in which he…