clinical trials

Respectful Insolence

Tag archives for clinical trials

There’s a point I feel that I have have to make briefly as I begin this post. Basically, this might look familiar, but given that I was at TAM Wednesday through Sunday, I didn’t have time to produce two separate posts, and this is important enough to be distributed as widely as possible. In any…

Our regularly scheduled post will go live later this morning. In the meantime, this is a public service announcement…with GUITAR! (Oh, wait.) As you recall, last week, the FDA inexplicably decided to lift the partial clinical hold on Stanislaw Burzynski’s bogus clinical trials of antineoplastons, which he’s used since the 1990s as a pretext to…

Placebo effects in surgery

Although I’m a translational researcher, I’m also a surgeon. That was my first and primary training and only later did I decide to get my PhD during my residency, when the opportunity to do so with a decent stipend presented itself. From my perspective, clinical research in surgery is difficult, arguably more difficult than it…

Over the years, the criticism of “evidence-based medicine” (EBM) that I have repeated here and that I and others have repeated at my not-so-super-secret other blog is that its levels of evidence relegate basic science considerations to the lowest level evidence and elevate randomized clinical trial evidence to the highest rung, in essence fetishizing it…

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…

The last couple of weeks, I’ve made allusions to the “Bat Signal” (or, as I called it, the “Cancer Signal,” although that’s a horrible name and I need to think of a better one). Basically, when Bat Cancer Signal goes up (hey, I like that one better, but do bats get cancer?), it means that…

I don’t know if it’s a sign that I’ve arrived as being a bit more influential than just a blogger or just dumb luck when reporters start sending me things, but I’ll take it. It’s like blog fodder being served to me on the proverbial silver platter. Unfortunately, as a result of receiving a press…

There are certain things that can happen that are the equivalent of the Bat Signal to me; that is, if you can swallow the idea of me being in any way like Bruce Wayne. Call them the Cancer Signal, if you will. When I see the Cancer Signal, I know that I have to head…

I was very pleased last Friday, very pleased indeed. Given the normal subject matter of this blog, in which we face a seemingly unrelenting infiltration of pseudoscience and quackery into even the most hallowed halls of academic medicine, against which we seem to be fighting a mostly losing battle, having an opportunity to see such…

It’s been a while since I’ve written about Stanislaw Burzynski, the Houston cancer doctor who inexplicably has been permitted to continue to administer an unproven cancer treatment to children with deadly brain cancers for nearly 37 years now. Beginning in 1977, when he left Baylor College of Medicine and opened up the Burzynski Clinic, Burzynski…

Eric Merola alternates between offending me and making me laugh at his antics. Since it’s been a couple weeks since I’ve written anything about the Houston doctor who claims to be able to do so much better against many forms of cancer than conventional medicine, I have to express a bit of gratitude to Mr.…

As I write this, I’m winging my way home from TAM, crammed uncomfortably—very uncomfortably—in a window seat in steerage—I mean, coach). I had thought of simply recounting the adventures of the contingent of skeptics with whom I’m associated who did make it out to TAM to give talks at workshops and the main stage and…

If there’s one thing that a certain subset of people who view themselves as reasonable and science-based don’t like, it’s harshness: Harshness in criticism, harshness in discussion, or—horror of horrors!—anything they view as “incivility.” That’s all well and good as far as it goes, but the problem is that sometimes there are things that demand…

It’s been a while since I’ve written about Brian Berman. We first met him when he somehow managed to insinuate a “case report” of chronic low back pain into The New England Journal of Medicine in which he recommended acupuncture for this patient. Dr. Berman also happens to be a founder of quackademic medicine on…

Here we go again. Every time I think I can get away from this topic for a while, I get sucked back in. Indeed, it seems that hardly a week can go by when I don’t find myself pulled inexorably back to this horrible, horrible clinic and what I consider to be the abuses of…

The weekend was busy, and I was working on grants, which meant that I could only come up with one post of Orac-style length and depth. Sadly, it wasn’t for this blog. Fortunately, C0nc0rdance came to the rescue with a must-watch video about our old friend Stanislaw Burzynski. He’s the guy who claims to treat…

More credulous reporting on placebo effects

Now that Trine Tsouderos no longer works for the Chicago Tribune, there aren’t that many reliable generalist medical/science reporters around any more. For example, here in the U.S. there’s Marilyn Marchionne at the AP, Gina Kolata of the New York Times, and then there’s Sharon Begley, who used to be at Newsweek but is now…

About a year and a half ago, I applied a heapin’ helpin’ of not-so-Respectful Insolence to a a clueless article about the the “triumph” of New Age medicine. The article channeled the worst fallacies of apologists for alternative medicine. Basically, its whole idea appeared to be that, even if most of “complementary and alternative medicine”…

I sometimes think that Stanislaw Burzynski is a lot like the Bloody Mary of folklore, or perhaps Candyman of the famous horror movie—or perhaps like a number of other legends and horror stories—in that all it seems to take for him to show up in the blogosphere again is for me to recite his hame…

Our pharma overlords will be displeased…

There’s an oft-quoted saying that’s become a bit of a cliché among skeptics that goes something like this: There are two kinds of medicine: medicine that’s been proven scientifically to work, and medicine that hasn’t. This is then often followed up with a rhetorical question and its answer: What do call “alternative medicine” that’s been…

It’s been a long time, been a long time, been a long lonely, lonely, lonely, lonely time. Well, not really, although it has been a while since I’ve discussed Dr. Stanislaw Burzynski. Specifically, I last dedicated a post to him following the death of one of his famous patients, Billie Bainbridge, who incidentally had become…

Dying of cancer can be a horrible way to go, but as a cancer specialist I sometimes forget that there are diseases that are equally, if not more, horrible. One that always comes to mind is amyotropic lateral sclerosis (ALS), more commonly known as Lou Gehrig’s disease. It is a motor neuron disease whose clinical…

I’ve pointed out before that pover the last couple of years I’ve become a bit of a fan of old time radio, having discovered Radio Classics on Sirius XM Radio. I don’t remember how I discovered it, but I rapidly became hooked on shows like Suspense, Yours Truly, Johnny Dollar, The Whistler, Gunsmoke, Dragnet, The…

Late last week, a crank I hadn’t heard from in a while showed up in my comments. I’m referring to DaveScot, who normally was known for promoting anti-evolution rhetoric in the service of the pseudoscience known as “intelligent design” creationism. This is what he said: Hi Orac, terrasig suggested you do a followup article on…

I’d like to start this post by thanking a commenter named Paul Grenville. He provided me with this blogging material and, indeed, may have supplied me with material for two blog posts. He did it by showing up in an old post about a homoepath named Jeremy Sherr, who has been bringing woo to the…