Medicine
oracknows | August 19, 2012If there's one thing that goes back to the very beginning of this blog (or at least it started in the first year), it's having a bit of fun with Deepak Chopra. I realize that to some it might seem like shooting the proverbial fish in a barrel. With a rocket launcher. On the other hand, I like to look at it this way. Deepak Chopra has a multimillion dollar alternative medicine and "quantum consciousness" empire milking the credulous to buy attend his lectures, buy his DVDs and books, and even to buy his video games. He's on television all the time, including appearances on Dr. Oz's show and on…
oracknows | August 15, 2012It'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 famous because her family had managed to raise hundreds of thousands of pounds with the help of some U.K. celebrities. Burzynski, as regular readers will recall, became a frequent topic on this blog last fall after one of his lackeys decided to issue vacuous legal threats…
oracknows | August 14, 2012Over the years, I've often likened non-science-based medical belief systems to religion. It's not a hard argument to make. Religion involves believing in things that can't be proven scientifically; indeed, religion makes a virtue out of ignoring the evidence and accepting various beliefs on faith alone. Similarly, alternative medicine frequently tells you that you have to believe in the therapy, dedicate yourself completely to it, in order for it to work. Of course, as I've also mentioned before, it is that insistence on belief and total commitment shared by religion and alternative medicine…
lborkowski | August 10, 2012In order to meet the healthcare needs of populations at the local, national, and global levels, we're going to need to think carefully about which providers can do which kinds of tasks. Pieces in Washington Post and New York Times blogs this week highlight projects that reconsider what kinds of providers patients need to see to get care for particular conditions.
In the Washington Post's Wonkblog, Sarah Kliff describes efforts by Albuquerque physician Sanjeev Arora to make Hepatitis C treatment available to patients across New Mexico. Arora is one of a small number of Hepatitis C specialists…
lborkowski | August 9, 2012Millions of people will gain insurance under the Affordable Care Act, but will they be able to get appointments with healthcare providers? Coverage doesn't automatically translate into access, and some newly insured individuals will struggle to find physician practices that will take them on as patients. In particular, states that adopt the (now optional) Affordable Care Act Medicaid expansion, which extends eligibility to adults up to 133% of the poverty level, may encounter a severe shortage of providers willing to accept new Medicaid patients. Although Medicaid reimbursement levels vary…
oracknows | August 8, 2012I must admit, I've been enjoying my vacation thus far and have hardly paid attention to the blog, other than a couple of quick posts. For me, this is quite amazing. Still, every so often there pops up a story that I can't resist commenting on, particularly given that I'm just sitting around watching the Olympics, and I'm deadly tired of beach volleyball. (As an aside, notice how it's always women's beach volleyball that NBC shows, not men's, no doubt because the powers that be think that toned young women in bikinis playing volleyball translate into big ratings. Unfortunately, they seem to be…
lborkowski | August 3, 2012by Kim Krisberg
To the long list of hard-to-pronounce bacteria and viruses that threaten people's health can now be added one more threat: sequestration. Except sequestration isn't a disease — well, unless you'd call Congress' chronic inability to deal with the national debt in a fair and balanced way a disease.
Of course, if sequestration were a real disease, the public health system might actually be immune to such budget-slashing illnesses by now, considering its near-constant exposure rate. But come this January, if Congress doesn't act, the public health system will absorb another round…
tfk | July 30, 2012A conservative columnist writes at Townhall: Bloomberg to New Mothers: You Really Should Be Breastfeeding, You Know:
Apparently, carrying a baby for nine months just isn't hard enough. Don't you think new mothers deserve a lecture about how to feed their baby.....just hours after they endure hard labor and are still in the hospital? New York City Mayor Mike Bloomberg has moved from his sugary drink ban onto the breasts of new mothers. That's right, Michael Nanny Bloomberg is now asking hospitals to lock up and strictly regulate baby formula. He wants nurses and doctors to give mothers who ask…
oracknows | July 27, 2012It's known as "targeted" therapy, and it's the holy grail of cancer research these days. If you listen to its most vocal proponents, it's the path towards "personalized medicine" that improves survival with much lower toxicity, in which, instead of using the hammer that is chemotherapy, precisely targets specific molecular abnormalities that drive cancer growth. With the advent of the revolution in genomics that has transformed cancer research over the last decade, including the petabytes of sequence and gene expression data that pour out of universities and research institutes, the promise…
oracknows | July 25, 2012Medical therapies should be based upon science. That is a recurrent theme, indeed, the major theme, of this blog. Based on that simple thesis, I've spent the last decade examining "unconventional" treatments and evaluating the scientific basis (or, much more usually, the lack of a scientific basis) for various treatments. Yes, I've looked at other issues, including general skeptical issues, the occasional political rant, Holocaust denial, and, of course the odd self-indulgent bit of twaddle that every blogger engages in every now and then, but I always come back to the question of the…
oracknows | July 23, 2012Many are the forms of quackery to which autistic children are subjected to. It's amazing just how many dubious and dangerous treatments (dubbed "biomedical treatments" or "autism biomed") parents will try in an effort to "recover" their children. Perhaps the most shocking of this quackery that I've recently covered is something called "miracle mineral solution" (MMS), which is in reality nothing more than a powerful bleach. Parents make their autistic children drink diluted MMS, bathe in it, and even take bleach as an enema. They try to claim that what they are using is no more powerful than…
oracknows | July 20, 2012A couple of weeks ago, I had a bit of fun with a rather clueless chiropractor by the name of J.C. Smith (JCS), who decided to take a swipe at an organization with which I'm associated, namely the Institute for Science in Medicine (ISM). It was such an inept attack, filled with misinformation, pseudoscience, and logical fallacies, that it was what I like to call a "teachable moment" when it comes to chiropractors and chiropractic. Even more amusingly, JCS promised at the end of his post lambasting ISM as a new "medical mafia" that he would be writing a followup post. I could hardly wait. The…
gregladen | July 19, 2012The Washington Post has an article out (an "exclusive") about three drugs used to treat anemia that their investigative reporting seems to show are less effective and more dangerous than people thought. Here's the dramatic intro from the WP's article:
On the day Jim Lenox got his last injection, the frail 54-year-old cancer patient was waiting to be discharged from the Baltimore Washington Medical Center.... a nurse said he needed another dose of anemia drugs.
His wife, Sherry, thought that seemed odd, because his blood readings had been close to normal, but Lenox trusted the doctors. After…
oracknows | July 17, 2012Things are getting back to normal here at Casa Orac. it's always a come down after going to TAM and being able to mingle, argue, and party with people who share my skeptical world view. Yesterday was back to reality, though, at least as much as jet lag and sleep deprivation allowed. Fortunately, Monday is a lab day, and I don't have an scheduled patient care responsibilities, and now I'm pretty much back to normal. Even so, I can't do epics like yesterday's post every day even under the best circumstances; so today I'll take a look at a little wafer thin mint to cleanse the palate.
I've…
lborkowski | July 13, 2012by Kim Krisberg
Hunger in America can be hard to see. It doesn't look like the image of hunger we usually see on our TVs: the wrenching impoverishment and emaciation. Talking about American hunger is hard because, well, there's food all around us. Everywhere you look, there's food — people eating food, people selling food, people advertising food, people wasting food, people dying of eating too much food. The obesity epidemic alone is getting so big that it's slowly swallowing the health care system in billions of dollars of care.
We have a food problem.
But food cost money. So for some…
oracknows | July 10, 2012About a week and a half ago, I took note of a rather unhinged rant by comedian Rob Schneider about vaccines in which he trotted out an antivaccine movement's greatest hits compendium of pseudoscience, misinformation, and logical fallacies, all in the service of opposing California Bill AB 2109. Antivaccine activists hate this piece of legislation in particular, the reason being that it would make it just a little more difficult for parents to obtain philosophical exemptions from school mandates. Right now in California, parents basically just have to sign a form, no questions asked, no other…
lborkowski | July 9, 2012by Kim Krisberg
Last month, more than 70 ironworkers walked off an ExxonMobil construction site near Houston, Texas. The workers, known as rodbusters in the industry, weren't members of a union or backed by powerful organizers; they decided amongst themselves to unite in protest of unsafe working conditions in a state that has the highest construction worker fatality rate in the country.
The workers reported multiple problems with the ExxonMobil subcontractor who hired them, including not being paid on time, not having enough water on site and no access to medical care in the event of an…
oracknows | July 2, 2012Every so often I come across a post by quacks or supporters of quackery that make me wish that we as skeptics and supporters of science-based medicine actually had the abilities and powers attributed to us. I mean, what's the good of being accused of running a conspiracy to crush any sort of "unconventional" or "alternative" medicine if we don't actually have the power to crush unconventional and alternative medicine? Then, sometimes, there are posts that make me really wish that my bloggy skeptic friends and the skeptic organizations to which I belong actually had the power to do the things…
oracknows | June 29, 2012Remember California Bill AB 2109? I've written about it at least a couple of times before. In fact, for some reason, the comment section of this post on AB 2109 suddenly come alive again a couple of days ago, with antivaccinationists infiltrating it, much to the annoyance of my regular commenters. It turns out that the reason was that a couple of days ago AB 2109 came up for discussion in the California Senate Health Committee (and passed to be sent out to the full Senate for a vote), after having passed the California House a couple of months ago. I also now know why antivaccinationists…
denialism | June 28, 2012It's good news that the Supreme Court split 5-4 with Roberts (and not Kennedy?!?) as the deciding vote, to uphold the affordable care act. It's interesting that this was controversial, and certainly Roberts led the court to a very safe middle ground making the issue about taxation and saying the commerce clause could not apply. If anything, I wonder if this weakens the previous commerce powers of Congress as defined by Wickard v. Filburn, I'd love to hear what a lawyer thinks.
What does this mean?
Well in the short term not a whole lot, this healthcare bill requires a very slow roll-out…