oracknows | September 25, 2015Yesterday, I wrote about how pediatric neurosurgeon turned presidential candidate Ben Carson is an excellent example demonstrating how the vast majority of physicians and surgeons, even highly accomplished ones admired as being at the top of their professions, are not scientists and how many of them are disturbingly prone to buying into pseudoscience. In Dr. Carson's case, that tendency to believe in pseudoscience derives from his fundamentalist religion that led him to reject evolution and accept arguments against evolution every bit as ignorant as the ones Kent Hovind or Ken Ham serves up…
oracknows | September 24, 2015Early in the history of this blog, I had a running gag that I'd use every now and then. Basically, it involved humorously extravagant descriptions of how I wanted to hide my face behind a paper bag in sheer embarrassment at the antics of fellow physicians, particularly fellow surgeons. Over time, the gag evolved to my expressing a mock desire to hide my visage behind a metal Doctor Doom-style mask, again, over sheer embarrassment over the idiocy of my colleagues about a scientific issue, again, usually evolution. Sadly, creationist physicians are a very common source of such embarrassment,…
oracknows | September 23, 2015Our military veterans deserve the best medical care our nation can offer. Actually, I'd say they're owed it, actually. After all, many of them put themselves in harm's way for this country. Others have suffered grievous injury with permanent sequelae. Still others have paid the ultimate price. For those who served, the least we as a nation should be expected to provide, to me at least, is high quality medical care, particularly for service-related injuries and illnesses. Unfortunately, besides the usual problems of inadequate resources devoted to veteran care, other forces are conspiring to…
oracknows | September 22, 2015Antivaccine quackery is arguably one of the worst forms of quackery. First, the pseudoscientific beliefs undergirding such quackery are based on the fear and demonization of one of the greatest medical advances in the history of the human race, the result of which are children left unprotected against preventable diseases that routinely used to populate cemeteries with little bodies. Almost as bad, one of those beliefs, namely the scientifically discredited belief that vaccines cause autism, has led to a cottage industry of quack "treatments" based on the idea that autism is a manifestation…
oracknows | September 20, 2015Ever since late June, I've been intermittently taking note of a new conspiracy theory in the alternative medicine world. It began when notorious autism quack Jeff Bradstreet, one of the longest practicing, most prominent purveyors of the scientifically discredited notion that vaccines cause autism, was found dead in a North Carolina river on June 19. The police rapidly concluded that he had died of a self-inflicted gunshot wound to the chest. It was impossible not to note that the FDA had raided his clinic a few days before, and it later came out that it was due to his use of and unproven…
oracknows | September 18, 2015Homeopathy is a frequent topic on this blog, for reasons that regular readers no doubt understand all too well by now. Homeopathy is, as I like to call it, again borrowing from Tolkien, The One Quackery To Rule Them All. When it comes to quackery, few can even come close to homeopathy for the sheer ridiculousness of its precepts. Whether it is the Law of Similars, which claims that to cure a disease you need to use a substance that cause's that diseases symptoms in healthy people, a "law" that has no basis in science, or the Law of Infinitesimals, which postulates that serially diluting a…
oracknows | September 17, 2015It just occurred to me that Breast Cancer Awareness Month is fast approaching, not the least of which because I did a Komen event last night as one of the breast cancer experts. I sometimes wonder if I suffer from a bit of the imposter syndrome, because sixteen years on I still sometimes can't believe that I'm considered some sort of "expert" in breast cancer, much less anything else. It's not that different than when, as a freshly minted faculty member, I was sent out to our cancer center's affiliates to attend their tumor boards as the "expert" from the mother ship.
In any case, in my…
oracknows | September 16, 2015Regular readers of this blog will find it no surprise that I don't think much of Dr. Mehmet Oz. The reason, of course, is that his daily television show, The Dr. Oz Show, has been a font of misinformation about medicine almost since it began airing six years ago. It's not for nothing that I long ago labeled him "America's Quack." Simply searching for the name Mehmet Oz on this blog will quickly produce examples of the many times when he's credulously promoted quackery and pseudoscience such as homeopathy (The One Quackery To Rule Them All), faith healing, fear mongering about GMOs, and…
oracknows | September 14, 2015Note added 9/17/2015: I knew it. The vaccine issue came up during the second debate and Donald Trump repeated basically the same nonsensical antivaccine tropes that he's been repeating for at least eight years. It rather puts the lie to his claim that he listens to experts and changes his opinion based on what they tell him. Hilariously, Mike Adams is painting it as an attempt by CNN to "destroy" Donald Trump using the vaccine issue. Depressingly, Ben Carson, while defending vaccines, fell into the "too many, too soon," trope, something a pediatric neurosurgeon should know better than to say…
oracknows | September 14, 2015[Note: My flight home from London was delayed until quite late; so unfortunately another "rerun" is in order. This one's from three years ago, and I actually consider it one of my "classics." It was also originally published at my not-so-super-secret other blog and represents the first time I tried to put together my concept of a "central dogma" of alternative medicine into a semi-coherent form. Ultimately, this lead to my talk The Central Dogma of Alternative Medicine, given at Skepticon last year. If you've been reading less than three years, it's new to you. If you haven't, you really…
oracknows | September 12, 2015NOTE: Orac is on vacation recharging his Tarial cells and interacting with ion channel scientists, as a good computer should. In the meantime, he is rerunning oldies but goodies, classics, even. (OK, let's not get carried away.) Here's one from all the way back in 2007. Notice how, the more things change, the more they stay the same.
Evidence-based medicine is not perfect.
There, I've said it. Like anything else humans do in science or any other endeavor, evidence-based medicine (EBM) has its strengths and its weaknesses. On the whole, I consider it to be potentially vastly superior to the…
oracknows | September 10, 2015NOTE: Orac is on vacation recharging his Tarial cells and interacting with ion channel scientists, as a good computer should. In the meantime, he is rerunning oldies but goodies, classics, even. (OK, let's not get carried away. Here's one from all the way back in 2008 in response to Dr. Offit's excellent book Autism's False Prophets. Notice how, the more things change, the more they stay the same.
One of the major points made by Dr. Offit in Autism's False Prophets is how badly the media deals with scientific issues and stories in which science is a major component. Indeed, he devotes two…
oracknows | September 9, 2015Orac's vacation continues apace.
Well, not quite. The main reason I'm in London right now is because I was invited to give an actual scientific (as opposed to skeptical) talk at a conference about—of all things—ion channels in cancer. That's where I am right now, at the Sir Alexander Fleming Building at Imperial College London, and that's where I'll be all day today and much of tomorrow. Having been invited, I decided to make a vacation of it. Basically, it's a big science sandwich, with two science days in the middle of two slices of vacation bread. I would also be lying if I didn't admit to…
oracknows | September 8, 2015I am fortunate to have become a physician in a time of great scientific progress. Back when I was in college and medical school, the thought that we would one day be able to sequence the human genome (and now sequence hundreds of cancer genomes), to measure the expression of every gene in the genome simultaneously on a single "gene chip," and to assess the relative abundance of every RNA transcript, coding and noncoding (such as microRNAs) simultaneously through next generation sequencing (NGS) techniques was considered, if not science fiction, so far off in the future as to be unlikely to…
oracknows | September 6, 2015This is a public service announcement—with skepticism. Orac needs a recharge:
Some of you might have seen it alluded to in the comments that I am on vacation this week. It is true, although it's not entirely a vacation. Basically, I was invited by a collaborator to give a talk at a two-day conference at Imperial College London, and my wife and I decided to make a vacation of it. What this means is that, depending upon my mood and the amount of time I have, there might or might not be new material this week. Worst case scenario, there will be reruns. Of course, if you're relatively new to…
oracknows | September 4, 2015It's not a secret to anyone who reads this blog that I have an incredibly low opinion of celebrity pediatricians who are, if not outright antivaccine, antivaccine-sympathetic or leaning antivaccine and use their authority as physicians to sow fear, uncertainty, and doubt (FUD) about vaccines. Without a doubt, chief among these pediatricians in this country right now is "Dr. Bob" Sears, author of The Vaccine Book: Making the Right Decision for Your Child. His book is a veritable object lesson in how to pander to the fears of vaccine-averse parents and make them feel special and superior for "…
oracknows | September 3, 2015You'd think that after all these years combatting quackery and blogging about science in medicine (and, unfortunately, pseudoscience in medicine) it would take a lot to shock me. You'd be right. On the other hand, Even now, 15 years after I discovered quackery in a big way on Usenet and ten years after the inception of this blog, I still have enough hope in humanity that even when I come across men like Jerry Sargeant, a.k.a. The Facilitator I am still capable of utter wonder that someone would advertise something as reprehensible and/or deluded as this. I half wondered if it were performance…
oracknows | August 31, 2015I didn't think I'd be writing about acupuncture again so soon after deconstructing another "bait and switch" acupuncture study less than a week ago. True, the quackery that is acupuncture and the seemingly unending varieties of low quality studies published to make it seem as though there is anything more than nonspecific placebo effects invoked by sticking needles into the skin against an even more unending variety of diseases, conditions, and complaints. Basically, according to its adherents, acupuncture can treat almost anything. Particularly galling to me as a cancer surgeon is the…
oracknows | August 30, 2015If there's one thing that is true of the antivaccine movement, it's that its members are rarely willing to admit that they are, in fact, antivaccine. Sure, there are uncommon exceptions who say it loud that they are antivaccine and proud and through their refreshing honesty and lack of self-delusion cause no end of problems for the more "reasonable" and "moderate" antivaccine activists determined to convince the world that they are "not antivaccine" but "pro-safe vaccine," "pro-vaccine safety," or "vaccine safety activists." The less deluded antivaccine activists are, after all, masters of…
oracknows | August 28, 2015I must admit that I'm surprised. Pleasantly surprised, but quite surprised. The reason is that yesterday the Department of Licensing and Regulatory Affairs Director Mike Zimmer rejected the recommendation of the Michigan Medical Marijuana Review Panel to add autism to the list of qualifying conditions for which cannabis can be prescribed in the state of Michigan. I didn't expect this outcome, but I am pleased.
Although I've changed my mind over past stands and am now in favor of legalizing marijuana for recreational use, I have been harshly critical of the "medical marijuana" movement. Indeed…