Medicine
oracknows | September 11, 2013
The Internet has produced a revolution with respect to information. Now, people anywhere, any time, can find almost any information that they want, as long as they have a connection to the global network and aren't unfortunate enough to live in a country that heavily censors the Internet connections coming in. In addition, anyone any time can put his or her opinion out on the Internet and it might be read by people on the other side of the planet. For example, it continually amazes me that my blatherings here are read by people in Australia and New Zealand, as well as Europe and pretty…
oracknows | September 8, 2013It occurs to me that it's been a while since I've written anything about Dr. Stanislaw Burzynski. Truth be told, I had been hoping not to write about him for a while, and I had been actually succeeding. The last time I took notice of him was about a month ago, when his propagandist Eric Merola whined about how Dr. Hidaeki Tsuda, the Japanese anesthesiologist who was featured in the second movie that Merola made about Burzynski, had seen his latest manuscript rapidly rejected by The Lancet Oncology. In Tsuda's segment in the movie he claimed to have done a clinical trial showing that the…
lborkowski | September 4, 2013A regular contributor to The Pump Handle, Anthony Robbins, MD, MPA, and his co-editor Phyllis Freeman wrote the following editorial which is available at the Journal of Public Health Policy.
In early July 2013, James R. Clapper, Jr, United States Director of National Intelligence apologized to the Chairwoman of the Senate Select Committee on Intelligence for ‘clearly erroneous’ statements made during public testimony before the committee in March.1 In his testimony, he denied that the National Security Agency collected private data on millions of American citizens. In a television interview,…
oracknows | August 27, 2013If there's one thing antivaccinationists hate having pointed out to them, it's that they are antivaccine. If you really want to drive an antivaccinationist up the wall, point out that they are antivaccine. Sure, there are a few antivaccinationists who openly self-identify as antivaccine and are even proud of it, but most of them realize that society frowns upon them—as well it should given how antivaccinationists are responsible for outbreaks of vaccine-preventable disease. Moreover, most antivaccine activists really believe that vaccines are harmful. They're wrong, of course, but that doesn'…
oracknows | August 26, 2013I've written a lot about Stanislaw Burzynski and what I consider to be his unethical use and abuse of institutional review boards and clinical trials. Before that, I used to regularly write about Mark and David Geier and their unethical use and abuse of IRBs and clinical trials. In both cases, I lamented how they could use their own IRBs stacked with their own cronies to rubberstamp scientifically and ethically dubious studies. Mark and David Geier got away with it for years. Stanislaw Burzynski got away with it for decades and, apparently, is still getting away with it to some extent. (His…
cmonforton | August 23, 2013After more than 900 days of "review" by the White House's Office of Information and Regulatory Affairs (OIRA), OSHA announced it was publishing a proposed rule to protect workers who are exposed to respirable crystalline silica. It's a workplace hazard that causes the irreversible and progressive lung disease silicosis, and is also associated with lung cancer, autoimmune disorders and kidney disease. About 2.2 million workers are exposed to the fine dust in their jobs, many of which are employed in the construction industry. I've been writing here for about two years on the need for a…
oracknows | August 21, 2013Chiropractic is supposed to be the "respectable" face of "complementary and alternative medicine" (CAM). At least, that's what chiropractors want you to think. After all, chiropractors are licensed in all 50 states and thus their specialty has the imprimatur of the state to make it appear legitimate. Unfortunately, chiropractors are, as I have said so many times before, physical therapists with delusions of grandeur—and poorly trained as physical therapists at that. They just can't restrict themselves to the musculoskeletal system and can't resist pontificating about and treating systemic…
oracknows | August 20, 2013Recently, I got an e-mail from someone who had just discovered my blog that made me think a bit, which is usually a good thing. At least, in this case it was. Basically, this reader asked me a question I hadn't been asked in a very long time and hadn't thought about in a very long time, specifically: If I had to pick just one and only one, what is the single most characteristic difference between alternative medicine quackery and science-based medicine? True, there are several key differences, and I'm sure many of you could tick off a list of five to ten characteristic differences without…
oracknows | August 12, 2013I've spent a lot of time on this blog discussing failures of the medical system. Usually, such discussions occur in the context of how unscientific practices and even outright quackery have managed to infiltrate what should be science=based medicine (SBM) in the form of so-called "complementary and alternative medicine" (CAM) or "integrative medicine," in which the quackery of alternative medicine is "integrated" with SBM. However, as big a problem as the infiltration of unscientific CAM practices into medicine is, there is a threat at least as grave here in the U.S. (and, I presume, in many…
oracknows | August 11, 2013Eric 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. Merola for giving me today's topic for blogging. Mr. Merola, as you recall, produced two incredibly bad and deceptive movies lionizing that very same Houston cancer doctor as a brave maverick genius who's been kept down by The Man (i.e., the Texas Medical Board, the FDA, the National Cancer…
oracknows | August 8, 2013Whenever I take a day off from blogging, as I did yesterday because I was too busy going out with my wife on Wednesday night to celebrate my birthday, I not infrequently find an embarrassment of riches to blog about the next day. Sometimes it's downright difficult to decide what to write about. So it was as I sat down last night to do a bit of blogging. I briefly considered writing about Suzanne Somers leaping into the fray to defend Stanislaw Burzynski, and maybe I still will. On the other hand, it's standard boilerplate Burzynski apologetics, not even very interesting; so maybe I won't.…
oracknows | August 2, 2013"Alternative medicine," so-called "complementary and alternative medicine" (CAM), or, as it's become fashionable to call it, "integrative medicine" is a set of medical practices that are far more based on belief than science. As my good bud and collaborator Mark Crislip so pointedly reminded us last week, CAM is far more akin to religion than science-based medicine (SBM). However, as I've discussed more times than I can remember over the years, both here and at my not-so-super-secret-other blog, CAM practitioners and advocates, despite practicing what is in reality mostly pseudoscience-based…
oracknows | July 26, 2013Like yesterday's post, this will be a post that references our favorite dubious cancer doctor Stanislaw Burzynski but is not primarily about him. However, given the nature of the subject matter, it is impossible not to think of Burzynski, as comparisons are inevitable. Whereas yesterday all we were dealing with was a rather amusing "award" that Stanislaw Burzynski was awarded by a quack who had somehow conned a prominent Cardinal to give the Church's imprimatur on a Catholic medical order he wanted to resurrect to get other quacks to join, this week we're dealing with a serious subject:…
oracknows | July 24, 2013This is a post that is about Stanislaw Burzynski but not about Stanislaw Burzynski. Obviously, regular readers are more than aware who Stanislaw Burzynski is, but even though I just blogged about him a few days ago, I still feel obligated to recount briefly who he is, for the benefit of readers who might have arrived here through Google searches or other means. Stanislaw Burzynski is a famous "cancer doctor" (I use scare quotes because he is not an oncologist and has no clinical training in medical oncology yet practices as a medical oncologist) who discovered something he called "…
oracknows | July 24, 2013It's hard to believe that it's been nearly two years since I first noticed that a board certification in quackery was in the works and appeared to be nearly ready to go. I'm referring, of course, to Andrew Weil's effort to create a board certification in so-called "integrative medicine," better known to those of us on the science-based side of medicine as integrating quackery and pseudoscience with real medicine. Since it's been so long since I last addressed this issue, it's probably worth a brief recap. Basically, back in 2011, Andrew Weil and his Arizona Center for Integrative Medicine (…
sgorman | July 17, 2013 Since 1994, when a Nigerian woman and her two daughters were granted asylum in the U.S. based on fear of female genital mutilation (FGM) in their native country, the legal community has been avidly debating the question of whether FGM should be considered grounds for asylum. A 1996 case, in re Kasinga, established a precedent for granting asylum to women based on a well-found fear of persecution in the form of FGM.
Today, the question is still, however, controversial. There is no standard definition of “persecution,” a fear of which is required for asylum seekers to gain asylum, and even…
oracknows | July 7, 2013Since I've been on a bit of a roll with respect to acupuncture over the last week or so, I thought I'd just round out the trilogy with one more post. One myth that acupuncture apologists like to promote relentlessly is that acupuncture is completely harmless, that it almost never causes complications or problems. While it's true that acupuncture is relatively safe, it still involves sticking needles into the skin, and, given that, it would be delusional to think that there couldn't be injury caused by that. Rarely, however, have I seen a story like this from Canada reported in the National…
oracknows | July 4, 2013TAM is fast approaching, which means one thing (at least this year). I need to get my Plexiglass blinky posterior in gear in order to have my talks together in time. I spent part of yesterday doing that, but, unfortunately, I have to work today in order to help to make up for the clinic I'll be missing next week; so you'll forgive me if this post might look familiar to a subset of you who know where you might have seen some of this discussion before elsewhere. Those of you who haven't, you're in for some good blogging, if I do say so myself. Whichever group you belong to, we'll get back to…
oracknows | July 2, 2013Lymphedema is a complication of breast cancer surgery that all surgeons who do breast surgery detest. Patients, of course, detest it even more. The limb swelling that is the primary symptom of lymphedema comes about because surgery on the axillary lymph nodes (the lymph nodes under the arm) that is part and parcel of surgery for breast cancer can interrupt lymph vessels and cause backup of lymph fluid in the affected arm. This backup has consequences, including skin changes, a tendency towards infections, and, in extreme cases, elephantiasis (which is, fortunately, rarely seen these days as a…
oracknows | June 24, 2013Every so often, real life intrudes on blogging, preventing the creation of fresh Insolence, at least Insolence of the quality that you've come to expect. This is one of those times, thanks to three grant deadlines. So enjoy this bit of Classic Insolence from back in November 2010 and be assured that I'll be back tomorrow. Remember, if you've been reading less than three and a half years, it's new to you, and, even if you have been reading more than two and a half years, it's fun to see how posts like this have aged.
Every so often, the reality of trying to maintain a career in science-based…