After a busy day yesterday and falling asleep early on the couch, I only have time for a quick take today. So file this under "only in America": A 23-year-old Metro Detroit man robbed a South Lyon credit union earlier this month for his daughter, he told investigators according to South Lyon Police Lt. Chris Sovik. Brian Randolph, who is currently jailed on a $500,000 bond and facing up to life in prison for robbery of a banking institution, told detectives he recently lost insurance coverage necessary to pay for cancer treatment his daughter required, Sovic said. Randolph said his daughter…
It's always disappointing to see a good journal fall for bad medicine, particularly when it's in your field. For example, the Journal of Clinical Oncology (affectionately referred to by its abbreviation JCO) is the official journal of the American Society of Clinical Oncology (ASCO) and probably the most read clinical journal by those involved in the clinical care of cancer patients. Just as most oncologists, surgeons, and radiation oncologists who specialize in the care of cancer patients belong to ASCO, most of them also at least peruse JCO on a regular basis because major results of large…
I don't review books that often. The reason is simple. My posts for this blog sometimes take as much as a several hours to write (particularly my more "epic" ones that surpass 5,000 words), and I usually don't have the time to add several more hours to the task by reading an entire book. Also, by the time I've read a book I might want to review, weeks—or even months—have often passed, and a review is no longer of much interest to our readers anyway. Today, I'm making an exception for a book hot off the presses. The main reason is curiosity, because the book is about a topic that I've blogged…
As hard as it is to believe after over ten years of existence and over 5,000 posts on SBM, every so often, something reminds me that I've missed paper that cries out for some not-so-Respectful Insolence. So it was a couple of weeks ago, when I saw a familiar name in a news story that wasn't about vaccines. You might recall a news story last month when a shadowy group with ties to radical antiabortion groups, the Center for Medical Progress, led by a man named David Daleiden, ran a highly questionable "sting" operation (complete with fake IDs) to "prove" that Planned Parenthood was selling…
I've written more times than I can remember about the phenomenon of overdiagnosis and the phenomenon that is linked at the hip with it, overtreatment. Overdiagnosis is a problem that arises when large populations of asymptomatic, apparently healthy people are screened for a disease or a condition, the idea being that catching the disease at an earlier stage in its progression will allow for more successful treatment. Two prominent examples include—of course—screening for breast cancer with mammography and screening for prostate cancer with prostate-specific antigen (PSA) testing, and I've…
Acupuncture is a theatrical placebo, but it's hard not to grudgingly admire just how—shall we say?—malleable or adaptable a placebo it is. What I mean by this is that, if you believe its practitioners and adherents, acupuncture can treat almost literally any disease or health problem. Any! Pain? Acupuncture. Allergies? Acupuncture. Biliary colic? Acupuncture. Infertility? Acupuncture. Menstrual problems? Acupuncture. Prostate problems? Acupuncture. Asthma? Acupuncture. Well, maybe not asthma, but that doesn't stop acupuncturists from claiming that acupuncture can treat it. Oh, and if you're a…
Readers of this blog of a certain age and above are likely to remember a U.S. Senator from Wisconsin named William Proxmire. Sen. Proxmire made a name for himself in the late 1970s and throughout much of the 1980s by issuing what he dubbed "The Golden Fleece Award," which was meant to "honor" public officials who, in Proxmire's view, egregiously wasted taxpayer money. It was a popular and often headline-grabbing device to highlight wasteful spending. There was one big problem with the award, though, that I increasingly appreciated as time went on, to the point where I've referred to the…
A recurring topic on this blog involves my discussion of stories about children with cancer whose parents refuse chemotherapy, thus endangering the children's lives. These stories usually take this general form: The child is diagnosed with a deadly, but treatable cancer that has a high probability of cure with proper chemotherapy. The child receives the first round of chemotherapy. The parents can't deal with the side effects. If they are woo-prone, they make the decision to use "natural healing" or some form of alternative medicine. Sometimes it's in response to the child's request.…
The approval of new drugs and medical devices is a process fraught with scientific, political, and ethical landmines. Inherent in any such process is an unavoidable conflict between rigorous science and safety on the one side, which tend to slow the process down by requiring large randomized clinical trials that can take years, versus forces that demand faster approval. For example, patients suffering from deadly diseases demand faster approval of drugs that might give them the hope of surviving their disease, or at least of surviving considerably longer. This is a powerful force for reform,…
File this one under the category: You can't make stuff like this up. (At least, I can't.) Let's say you're a die hard all-conspiracy conspiracy theorist and alternative medicine believer (a not uncommon combination). You love Alex Jones and Mike Adams and agree with their rants that there is a New World Order trying to suppress your rights. You strongly believe that vaccines not only cause autism, sudden infant death syndrome, a shaken baby-like syndrome, autoimmune diseases, sudden ovarian failure, and even outright death but are a depopulation plot hatched by Bill Gates and the Illuminati…
There's a delightful meme going around Facebook right now, featured above, that portrays five African women, fists raised, all wearing aprons proclaiming "Kick out polio!" Accompanying the meme is a message from the American Academy of Pediatrics celebrating that yesterday marked one full year since the last case of polio was recorded on the continent of Africa and praising African leadership in executing successful vaccination campaigns against this dread disease, in particular recent declarations in support of eradication from the African Union Heads of State Summit and the Organization of…
Alright, alright already! I get the message. Over the course of the day yesterday I was bombarded by e-mails with a link to a New York Times article that shows a rather shocking lack of understanding of the science—more specifically, the lack of science—behind alternative medicine. Whenever something like this happens and I get so many requests to address a specific article, I'm always torn between my natural contrariness, which tempted me not to touch this article with the proverbial ten foot cattle prod (although something about this needs a cattle prod applied to it) and my desire to give…
I learned over the weekend that a historic figure in science-based medicine has died. If you know anything about the history of the Food and Drug Administration (FDA), you will know this woman's name, Frances O. Kelsey, MD, PhD. It turns out that Dr. Kelsey died on Friday at the age of 101. Somehow I missed the news on Friday, but once the story showed up in my news feeds over the weekend, I knew I had to make her today's topic. Here's the short version: The sedative was Kevadon, and the application to market it in America reached the new medical officer at the Food and Drug Administration…
Listicles. I hate Listicles. I don't do them. Yet, as much as I hate them, I can't deny that in this brave new world of click bait, listicles bring the clicks, which is why so many blogs and websites post them. Indeed, there's a website, Thrillist, that is dedicated to pretty much nothing but listicles. Not surprisingly, quacks and cranks love listicles as well, because they can go viral, getting passed around through the fevered swamp of antivaccine and quack Facebook pages and Twitter feeds like measles through a Waldorf School. So it was that I came across yet another one of these annoying…
When I first started writing about the claims made for medical marijuana and the cannabis oil derived from it, it didn't take long for me to characterize medical claims for cannabis as the "new herbalism," as opposed to pharmacognosy, the branch of pharmacology devoted to the study of natural products. The reason is simple. Although I support legalization of marijuana for recreational use, when I look at how medical marijuana has been promoted as a "foot-in-the-door" prelude to legalization, I see testimonials and flimsy evidence ruling over all. I see all the hallmarks of alternative…
Here we go yet again. I'm half tempted to use a YouTube clip of Al Pacino as Michael Corleone in The Godfather, Part 3, where he says, "Just when I thought I was out...they pull me back in." I'll restrain myself this time. Instead, I'll just tell you what I'm talking about, which is the manufactured scandal known as the "CDC whistleblower." It's an antivaccine conspiracy theory that I've written about many times before, most recently less than a week ago. The long version of the explanation is in the links, but the short version is that a CDC psychologist named William Thompson, who was…
About a month ago, a number of news stories were published reporting that the University of Toronto had offered a course in alternative medicine taught by a homeopath named Beth Laundau-Halpern that presented a segment that was clearly highly biased towards antivaccine pseudoscience. It was worse than that, though, because this homeopathy just happened to be married to a dean at the university named Rick Halpern. The whole thing blew up into an embarrassing fiasco that demanded a response from the University. Unfortunately, this came in the form of a weaselly report, in which Vivek Goel,…
Homeopathy is The One Quackery To Rule Them All. There, I've started off this post the way I start off most posts about homeopathy, with a statement of just how enormous a pile of pseudoscientific (or rather prescientific) quackery that it is. You'd think that in 2015 no one would believe that diluting a substance (with vigorous shaking between each serial dilution step, of course, in order to "potentize" it) makes its effects stronger or that water has some sort of mystical "memory" that remembers the therapeutic substance but forgets all the other impurities, chemicals, and urine with which…
I frequently discuss a disturbing phenomenon known as "quackademic medicine." Basically, quackademic medicine is a phenomenon that has taken hold over the last two decades in medical academia in which once ostensibly science-based medical schools and academic medical centers embrace quackery. This embrace was once called "complementary and alternative medicine" (CAM) but among quackademics the preferred term is now "integrative medicine." Of course, when looked at objectively, integrative medicine is far more a brand than a specialty. Specifically, it's a combination of rebranding some…
A couple of weeks ago, I first took note of a new conspiracy theory that's been brewing in the antivaccine crankosphere, namely the claim that big pharma has been systematically murdering alternative medical doctors, starting with autism quack Jeff Bradstreet, who committed suicide the day after the FDA raided his office. Of course, it didn't take long for various supporters of quackery to conclude that it was a hit job. Heck, just yesterday, Julie Wilson, a staff writer working for uber-crank Mike Adams, posted a whopper of a conspiracy theory in which Bradstreet and other alternative docs…