oracknows | July 29, 2015Antivaccine activists amuse me.
Obviously, I think they are a major risk to public health. Their relentless demonization of vaccines as causing autism, autoimmune diseases, "shaken baby syndrome," and even sudden infant death syndrome (SIDS) serves no purpose other than to frighten parents and discourage them from vaccinating. As despicable as some of their antics are—for instance, blaming vaccines for SIDS and shaken baby syndrome or comparing the vaccine program to the Holocaust because it's a "mass poisoning program" (I'm talking to you, Jake Crosby)—some are just as entertaining as others…
oracknows | July 28, 2015I hate stories like this, but what I hate even more is the way stories like this are all too commonly reported. Readers have been sending me links to stories about a woman named Alex Wynn that have been published over the last few days, in particular this story about her in the Daily Mail (better known as the Daily Fail when it comes to medical stories). As is the Fail's wont, the headline blares Newlywed shuns chemotherapy for CARROTS as she vows to beat cancer with alternative therapies while trying for a baby - even though doctors warn there's 'no evidence' they work, with a picture of an…
oracknows | July 26, 2015Many are the lies and epic is the misinformation spread by the antivaccine movement. For instance, they claim that vaccines cause autism, autoimmune diseases, sudden infant death syndrome (SIDS), cancer, and a wide variety of other conditions and diseases when there is no credible evidence that they do and lots of evidence that they don't. One particularly pernicious myth, designed to appeal (if you can call it that) to religious fundamentalists, is the claim that vaccines are made using fetal parts. This particular claim reared its ugly head again in the context of a propaganda campaign…
oracknows | July 24, 2015The conspiracy deepens.
What conspiracy? You ask. Haven't you heard? Big pharma is out killing alternative medicine doctors! Or at least that's what you'll be told if you venture towards the deep dark underbelly of quack websites. Up until now, the most prominent "victim" was autism quack, Jeff Bradstreet, who, according to police, committed suicide by shooting himself in the chest in the woods of North Carolina but who, according to antivaccine advocates and "autism biomed" quacks, must have been assassinated by a big pharma black ops team. Or something. After all, as we know, the FDA had…
oracknows | July 23, 2015Back when I started this blog, I hadn't yet become aware of the phenomenon known as quackademic medicine. This phenomenon, as you recall, is the infiltration of academic medical institutions that should be bastions of science- and evidence-based medicine by outright quackery. In quackademic medicine, we see Very Respectable Academic Physicians and Scientists wasting their time studying faith healing like healing touch and reiki, prescientific medicine based on primitive vitalism such as traditional Chinese medicine and (of course) acupuncture, and even sympathetic magic like homeopathy. It's…
oracknows | July 22, 2015My topic yesterday was When doctors betray their profession. In my post, I talked about some very unethical doctors representing tobacco companies in lawsuits against them seeking compensation for death and injury due to smoking, as well as to doctors and scientists peddling pseudoscience and quackery representing claimants in the Autism Omnibus action several years ago, in essence supporting the scientifically unsupported idea that vaccines cause autism. The reason I brought this up was to show doctors behaving badly in "conventional" and not-so-conventional medical-legal situations.…
oracknows | July 20, 2015And now for something completely different...but depressingly the same in some ways.
Longtime readers—and I do mean longtime—might remember from several years ago a certain case adjudicated before the Vaccine Court. I'm referring, of course, to the Autism Omnibus. In Autism Omnibus, some 4,800 claimants were bringing action seeking compensation for "vaccine injury" characterized by autism. Basically, it was a large number of parents who thought vaccines had caused their children's autism seeking compensation from the Vaccine Court, and they implicated the MMR and thimerosal-containing…
oracknows | July 19, 2015Mammography is a topic that, as a breast surgeon, I can't get away from. It's a useful tool that those of us who treat breast cancer patients have used for over 30 years to detect breast cancer in asymptomatic women and thus (or so we hope) decrease their risk of dying of breast cancer through early intervention. We have always known, however, that mammography is an imperfect tool. Oddly enough, its imperfections come from two different directions. On the one hand, in women with dense breasts its sensitivity can be maddeningly low, leading it to miss breast cancers camouflaged by the…
oracknows | July 17, 2015Three weeks ago, I did a post about how prone the antivaccine movement is to conspiracy theories. At that time, one example that I used was the then-very recent death of an autism quack and antivaccinationist (but I repeat myself) who's been big in the "autism biomed" movement for a long time and a regular fixture at autism quackfests like Autism ONE for many years. I'm referring, of course, to Jeff Bradstreet, whose body was found in a river on June 19, dead from a gunshot wound to the chest that appeared to have been self-inflicted. It didn't take long (less than a week) for the antivaccine…
oracknows | July 16, 2015I frequently call homeopathy The One Quackery to Rule Them All, but there are times when I am not so sure that that's the case. You see, there is...another. I'm referring, of course, to what is referred to as "energy medicine." What energy medicine modalities have in common is that they postulate that there is some sort "energy field" around humans that can be manipulated for therapeutic intent or that somehow practitioners can channel "healing energy" from elsewhere. For example, as I've discussed many times before, reiki is based on the concept that reiki masters can channel this…
oracknows | July 14, 2015Homeopathy is quackery.
There, I've said it for the hundredth or even thousandth time, but I don't care if it's repetitive because it can't be emphasized enough times that homeopathy is The One Quackery To Rule Them All, with the possible exception of reiki and other "energy therapies." I also find it useful to make it clear right where I'm coming from right off the bat. If you're a homeopath and are offended, quite frankly, I don't care. Any "medicine" whose very precepts break multiple laws of physics and chemistry, laws that wouuld have to be proven not just wrong but spectacularly wrong…
oracknows | July 14, 2015Ever since SB 277 became law, I didn't think I'd be writing about it much anymore. Actually, I probably won't be writing about it much any more, because it's now a done deal. It's the law of the land in California. Beginning in 2016, non-medical exemptions (i.e., religious exemptions and personal belief exemptions) to school vaccine mandates will go away. Only medical exemptions will be permitted, which is as it should be. Sure, implementation will be a big deal, and I'll probably have something to say about it as news of how it will happen filters out. However, right now, not much is going…
oracknows | July 13, 2015I sometimes catch flak for repeating this, but there was a time when I thought there might be something to acupuncture. I don't care, because, as a blogger, when I write a post I assume that a significant fraction of people reading it have never seen this blog before and therefore aren't even the least bit familiar with what I've written before on the subject. That makes them a blank slate, as far as this blog is concerned, and obliges me to explain everything. That time was about nine or ten years ago, and my rationale was, not surprisingly, that, unlike many other alternative medicine…
oracknows | July 10, 2015Naturopathy is a cornucopia of quackery with a patina of plausibility applied in the form of some seemingly reasonable recommendations about diet and exercise. Under the patina, however, lies virtually every form of quackery known to humankind. Be it homeopathy, traditional Chinese medicine, applied kinesiology, iridology, bogus diagnostic testing, reflexology, craniosacral therapy, or even organ repositioning (nonsurgical, I hasten to point out), no form of pseudoscientific medicine is rejected by naturopaths based on science. This is not surprising, given that naturopathy is based on…
oracknows | July 9, 2015As much as I write about the foibles, pseudoscience, and misadventures of cranks and quacks that endanger patients. However, never let it be said that I don't also pay attention to the foibles and misadventures of real doctors that endanger patients. Sometimes that occurs due to incompetence. Sometimes it's due to the persistent use of invasive modalities that have been shown not to work far longer than they should have been abandoned (e.g., vertebroplasty). Sometimes it's poor judgment. Of course, because I'm a surgeon, I tend to gravitate towards discussions of surgery when I leave my usual…
oracknows | July 7, 2015One of my favorite quotes from classic literature comes from Lewis Carroll's Through the Looking Glass, when Alice encounters a rather strange character named Humpty Dumpty. Humpty Dumpty, as you will likely recall, was a giant egg with whom Alice got into an argument about the meaning of words:
And only ONE for birthday presents, you know. There's glory for you!'
'I don't know what you mean by "glory,"' Alice said.
Humpty Dumpty smiled contemptuously. 'Of course you don't—till I tell you. I meant "there's a nice knock-down argument for you!"'
'But "glory" doesn't mean "a nice knock-down…
oracknows | July 6, 2015Aside from deconstructing the misinformation and pseudoscience of the antivaccine movement, another of the top three or so topics I routinely discuss here is the infiltration of pseudoscience into medicine. In particular, I've found and discussed more examples than I can possibly remember of what I like to call quackademic medicine, defined as the infiltration of quackery into academic medicine. This quackery mainly insinuates its way into medical schools and academic medical centers through the emerging specialty known as "integrative medicine," which used to be called "complementary and…
oracknows | July 5, 2015There can be no doubt that, when it comes to medicine, The Atlantic has an enormous blind spot. Under the guise of being seemingly "skeptical," the magazine has, over the last few years, published some truly atrocious articles about medicine. I first noticed this during the H1N1 pandemic, when The Atlantic published an article lionizing flu vaccine "skeptic" Tom Jefferson, who, unfortunately, happens to be head of the Vaccines Field at the Cochrane Collaboration, entitled "Does the Vaccine Matter?" It was so bad that Mark Crislip did a paragraph-by-paragraph fisking of the article, while…
oracknows | July 2, 2015Dammit.
I had planned on posting something else tomorrow that, because it had been posted elsewhere, would be minimal work. The reason, of course, is because it's the 4th of July weekend and today is a federal holiday. Unfortunately, sometimes things happen that I cannot ignore, even though all sorts of other bloggers are writing about the same thing, because, well, it's something that goes to the very core of what this blog stands for. As you know, one of the most frequently addressed topics (certainly in the top three, if not number one) is the antivaccine movement, its pseudoscience, and…
oracknows | July 2, 2015In the wake of the passage of SB 277 into law in California, the antivaccine contingent went full mental jacket. SB 277, as you might recall, eliminates non-medical exemptions (i.e., religious and personal belief exemptions) to school vaccine mandates. One thing watching the crazy was good for, at least for me, was to note how various antivaccinationists behaved. For instance, Jim Carrey, former paramour of the celebrity queen of the antivaccine movement, Jenny McCarthy, issued a series of Tweets in response:
Greed trumps reason again as Gov Brown moves closer to signing vaccine law in Cali…