oracknows | January 19, 2014The flu season continues apace around my part of the country. I wrote about it about a week and a half ago, in particular how people don't get their flu shots because they don't think they need them, because they don't think the flu is a serious disease. Two more stories illustrate this disconnect. For instance, here's a story about three people in their 20s who died of the flu in Michigan. The key heart-wrenching passage is this:
Ashley McCormick was 23 years old when she died December 27.
"We were like, 'This is the flu. How can this happen? It's just the flu.' I mean, everybody gets the…
oracknows | January 17, 2014Everyone hates health insurance companies. At least, so it seems. Personally, I've had my issues with such companies myself, particularly when having to deal with them when they refuse to cover certain medical tests for my patients. Fortunately for me, surgical oncology is a specialty that doesn't have a lot of tests or treatments that are frequently not covered, particularly for breast cancer surgery, which means that I don't have to deal with insurance companies that much. It's a wonderful thing for a doctor.
Still, for all the complaining about insurance companies, if there's one good…
oracknows | January 16, 2014Practitioners of "complementary and alternative medicine" (CAM) have a love-hate relationship with randomized clinical trials (RCTs). Actually, it's mostly hate, but they do crave the validation that only randomized clinical trials can provide within the paradigm of evidence-based medicine (EBM). Yes, I intentionally said EBM, rather than science-based medicine (SBM), because, as I've described so many times before, the two are not the same thing. EBM fetishizes clinical trials, a fixation that I sometimes call "methodolatry," defined by a blog bud of mine from long ago as the "profane…
oracknows | January 15, 2014Here we go again. In the wake of study after study that fails to find activity of various "complementary and alternative medicine" (CAM) beyond that of placebo, the campaign to a "rebrand" CAM as "working" through the "power of placebo" continues apace, in the wake of the successful campaign to "rebrand" various needle-based medical modalities as "acupuncture." Personally, I've argued that in reality this new focus on placebo effects as the "mechanism" through which CAM "works" is in reality more a manifestation of the common fantasy that wishing makes it so. Meanwhile I've argued that this…
oracknows | January 13, 2014One aspect of science-based medicine (SBM) that I perhaps don't spend enough time and effort on is the intersection of law and medicine for areas in medicine other than the infiltration of pseudomedicine like "complementary and alternative medicine" (CAM) into academia and the never-ending quest of quacks like naturopaths to gain state licensure in states where such pseudomedicine is not licensed and to expand their scope of practice in states where it is. Instead, Instead, I'll look at something going on in my state, namely an effort to expand the scope of practice of a group of medical…
oracknows | January 12, 2014There was a time when I used to blog about Jenny McCarthy a lot. The reason, of course, is that a few years ago, beginning in around 2007, she seized the title of face of the antivaccine movement in America through her "advocacy" for her son Evan, whom she described as having been made autistic by the MMR vaccine. She even described his diagnosis thusly to Oprah Winfrey in 2007:
Right before his MMR shot, I said to the doctor, I have a very bad feeling about this shot. This is the autism shot, isn’t it? And he said, “No, that is ridiculous. It is a mother’s desperate attempt to blame…
oracknows | January 10, 2014I realize that everyone, is looking forward to my deconstruction of Mike Adams' quacktacular attempt at being a real scientist (well, some of you, anyway). I must confess, though. I was a bit disappointed. And, being like Dug the Dog (a comparison I so frequently make), my attention was easily distracted. I'm sure I'll get back to Mikey eventually, but he really did show such a lack of imagination in his "big announcement" that I'm actually having a hard time motivating myself to apply any "Insolence" to it. It just doesn't seem worthy of the effort it would take, at least not right now.
In…
oracknows | January 8, 2014Well, that didn't take long. I knew it had been too quiet on the Burzynski front. In retrospect, that was almost certainly because of the holidays, but the holidays are over, and real life is here again.
Yes, the year 2014 is only a little more than a week old, and here comes Stanislaw Burzynski again, hurt but not defeated in the wake of all the negative publicity he received late last year, thanks to Liz Szabo's USA TODAY expose. Actually, in a way it might have been a good thing that I was delayed in addressing this a day by my little bit of weakness Tuesday night that led mere exhaustion…
oracknows | January 8, 2014Long day in the OR yesterday. By the time I got home, believe it or not, I was too beat to deliver one of my characteristic rants full of Insolence and science that my readers all know and love (well, mostly love). Consequently, today's a perfect day for a quickie. (No, not that kind of quickie; get your minds out of the gutter!) I'm referring to an observation that a reader sent in the other day about the upcoming yearly autism "biomed" quackfest known as Autism One. It's a little ditty I'd like to call Bleach Enema Karaoke:
It’s Kalcker’s Kerrioke Lounge hosted by the CD Community at…
oracknows | January 6, 2014Because of my involvement in this organization, I am hijacking my own blog for one day for my own nefarious purposes. To that end, I am republishing an announcement that originally appeared yesterday at a blog that a significant fraction of you are familiar with, but nowhere near all of you. And I want all of you to know about this, because I hope that some of you will join our cause.
I'm also going to add a few words of my own, because I can't help it. (As Hans Solo once said, "Hey, it's me.") The reason this new organization, the Society for Science-Based Medicine, is so needed is because,…
oracknows | January 5, 2014Believe it or not, even your ever-lovin' box of colored blinking lights can malfunction, and it happened to me over the weekend. Actually, sometime around New Years, I caught some sort of crud, and have been battling it since. There's nothing like hacking up a lung and not being able to sleep well for days to put one in a perfect mood to be particularly Insolent. And so it would have been, until my part of the country managed to be buried in snow all day and night Sunday, necessitating multiple rounds of going out to use the snow blower in spite of my condition and having to get up super…
oracknows | January 3, 2014One of the more bizarre bits of cancer quackery that I've come across is that of an Italian doctor (who, like many cancer quacks, appears not to be a board-certified oncologist) named Tullio Simoncini, who claims that cancer is really a fungus and has even written a book about it, entitled, appropriately enough for this particular quackery, Cancer Is A Fungus. The first time I encountered Simoncini, about five years ago, I was floored by his arguments, not because of how bizarre they were (although that was part of it) because of their sheer stupidity. Seriously, Simoncini's reasoning—if "…
oracknows | January 1, 2014This is not what I wanted to write about for my first post of 2014, but unfortunately it's necessary—so necessary, in fact, that I felt the obligation to crosspost it to my not-so-super-secret other blog in order to get this information out to as wide a readership as possible.
I've always had a bit of a love-hate relationship with Facebook. On the one hand, I like easily how it lets me stay in contact with family and friends across the country, people whom I would rarely see more than once or twice a year, if even that. On the other hand, I have the same privacy concerns that many other…
oracknows | December 31, 2013As I write this, 2013 is drawing to a close, with only a little more than 12 hours to go before the crowds now gathering at Times Square and elsewhere ring in 2014. For some of you, 2014 has already arrived or will arrive many hours before it does for me. I'm not normally one to do much navel gazing, but 2013 has been a mixed year. As far as this blog goes, for instance, readership is up, with over 3.5 million page views for the year, although that's still a little below the blog's height before the whole "Pepsigate" thing. (It's really hard to believe that was almost three and a half years…
oracknows | December 30, 2013NOTE: Because I've been (kind of) relaxing over this holiday period, this is not an entirely new post. It is, however, a significantly expanded and reworked version of a post from nearly four years ago. So if you haven't been reading four years, it's new to you, and if you have you might or might not remember it.(Who remembers a blog post four years later? I'm not that good—usually.)
Those who know me and/or follow me on various social media know that I'm a big Doctor Who fan. I have been since the 1980s. So the last two big events of the year, the 50th anniversary special in November and the…
oracknows | December 26, 2013And now for something completely different...
Unfortunately, it's all too easy to find new woo-filled claims or dangerous, evidence-lacking trends to write about. Heck, I did it just last week. Examining certain other health-related issues from a science-based perspective is more difficult, but I feel obligated to do it from time to time, not just for a change of pace but to stimulate the synapses and educate myself—and, I hope, you as well—about areas outside of my usual expertise. As much as I enjoy bringing a science-based perspective to topics like cancer quackery, vaccines, and all…
oracknows | December 24, 2013It's Christmas Eve, and the blogging is light. I was going to have some fun with a truly ridiculous—is there ever any other kind?—segment on Dr. Oz's show in which he actually combined a quack and a psychic with some EEGs to become a "100% believer" in psychic scammer "Long Island Medium" Theresa Caputo. However, Steve Novella got to it before I did; so there isn't much left, and with Christmas tomorrow my blogging schedule will become a lot more intermittent for the next few days. By the time I get back into the regular groove, other quackery will likely have popped up, and Oz's latest…
oracknows | December 22, 2013It was a couple of weeks ago that I last provided an update on the case of Sarah Hershberger, the 11-year-old Amish girl from Medina County, Ohio with lymphoblastic lymphoma whose parents decided to stop her chemotherapy because of how sick it was making her. As I explained early on and on multiple occasions afterward, Sarah had about an 85% chance of long term survival with the chemotherapy regimen she was undergoing but a close to zero percent chance of surviving without it. In other words, her parents, Andy and Anna Hershberger, are committing gross medical neglect of their child. I…
oracknows | December 20, 2013One of the frequent topics on this blog is, unsurprisingly, cancer quackery. Be it the Gerson therapy and its propensity for encouraging patients to take hundreds of supplements and to shoot copious amounts of coffee where it really doesn't belong (where the sun don't shine), the Gonzalez protocol, homeopathy, naturopathy, or various other nonsensical and dangerous cancer therapies with no scientific basis, I take them on because, as a cancer surgeon, I can't stand seeing cancer patients abused this way. If they're curable, I hate seeing them seduced into throwing away their chance for cure,…
oracknows | December 19, 2013I remember during medical school that more than one of my faculty used to have a regularly repeated crack that the only thing that taking vitamin supplements could do for you was to produce expensive pee. My first year in medical school was nearly thirty years ago now; so it's been a long time. During the nearly three decades since I first entered medical school, I have yet to see any evidence to persuade me otherwise. If you eat a well-rounded diet, you don't need vitamin supplementation. Of course, none of that stops the supplement manufacturers from trying to convince us that taking…