The false idea that vaccines somehow cause or contribute to autism has been a common theme on this blog, and I've spent considerable verbiage discussing why anyone would think that vaccines are in any way associated with autism when the science is quite clear that they are not. If there's one thing I've been consistent in saying is that it's not because antivaccinationists are stupid (well, at least not most of them; some are spectacularly stupid). It's because they suffer from the same cognitive biases that all humans suffer from that lead us to confuse correlation with causation, jump to…
There's a phenomenon known as off-label prescribing. Basically, to prescribe something off-label is to prescribe it for an indication that is not FDA-approved but that is supported by considerable evidence. For example, it could involve using an FDA-approved drug for an indication that is not within its approval, for an unapproved age range (such as children), or at an unapproved dose or in an unapproved form. Although the FDA has the power to approve drugs for specific indications, it doesn't actually have the power to regulate the practice of medicine, which means that physicians can use…
Here we go again. Because he's been in the news lately, I've been writing a lot about the "brave maverick doctor" known as Stanislaw Burzynski who claims to have spectacular results treating normally incurable cancers using something he calls antineoplastons. Unfortunately, the reason Burzynski has featured prominently in the skeptical blogosphere over the last two weeks is because, unfortunately, the Texas Medical Board (TMB) dropped its case against him. Basically, Burzynski got off on a technicality. For purposes of this post, I don't want to dwell on this case, because I've already pretty…
Last Wednesday, I took note of an "old friend" and (thankfully) soon-to-be ex-Representative from Indiana's 5th Congressional District, organized quackery's best friend in the U.S. House of Representatives, Dan Burton. Specifically, I noted that Rep. Burton appeared to be having his one last antivaccine hurrah in the form of a hearing about the "autism epidemic" in which it was clear that vaccines were going to feature prominently. Fortunately, this quackfest took place a mere five weeks before his long and dismal tenure in Congress. I also noted how antivaccine groups, in particular the…
Sometimes when a study comes out that I'm very interested in blogging about, I don't get around to it right away. In the blogging biz, this sort of delay is often considered a bad thing, because blogging tends to be very immediate, about being the firstest with the mostest, and the moment to strike and be heard about major studies is brief. Of course, there's also real life as well. That this particular study came out in the New England Journal of Medicine (NEJM) didn't help. So, here it is, a week and a half later, and I'm finally getting around to it. There is, however, an advantage to this…
If there's one thing that's difficult about writing about Stanislaw Burzynski, his highly dubious (nay, bogus) antineoplaston cancer therapy, his "personalized gene-targeted cancer therapy for dummies," and his shameless rebranding of an orphan drug as a miracle cure for cancer, it's trying to balance a righteous anger at what he does to desperate cancer patients with a knowledge of the effect that my words will have on some of those same desperate cancer patients. Most regular readers of this blog know who Stanislaw Burzynski is, but, even if I've just written about him a few days ago (this…
If there's one thing that antivaccine cranks tell us that has a grain of truth in it, it's to be wary of pharmaceutical companies and their influence. Their mission is, of course, to make profits, and sometimes the search for profits can lead them to do things that are less than savory. Of course, antivaccine cranks take reasonable skepticism and wariness of pharmaceutical company influence and amp it up to ridiculous heights, in much the same way that they take concerns about potential side effects of vaccines and amp them up to even more ridiculous heights. It's what they do. In any case, I…
Antivaccinationists just love the Vaccine Adverse Event Reporting (VAERS) database. As in love it to death. As in "can't get enough of it." The reason, of course, is that VAERS is a lot like an unmoderated discussion forum or, at best, a minimally moderated forum. Anyone can say anything they like. The reason is that it is a database to which anyone can add an entry, and there is only minimal effort to determine whether a given purported adverse reaction to vaccines being entered is actually the least bit likely to be even related to vaccines. Indeed, it took a man claiming that his child was…
Reflexology is quackery. It's based on magical thinking that views every major organ in the body as somehow mappable to specific points on the soles of the feet or the palms of the hands and posits that somehow massaging these areas can have therapeutic effects on the organs in question. Claims regularly made for reflexology include that it can "detoxify" the body, increase circulation, assist in weight loss, and improve the health of organs. Other conditions for which quacks claim reflexology is efficacious include earaches, anemia, bedwetting, bronchitis, convulsions in an infant,…
NOTE: Special thanks to Jann Bellamy for advising me regarding the legal aspects of this post. There are times when I fear that I'm writing about the same topic too many times in too brief a period of time. Most commonly, I notice this concern when writing about the lunacy of the anti-vaccine movement. In fact, it's fairly rare that I feel it for any other topic. There is, however, one topic other than antivaccinationist assaults against science and reason that will sometimes obligate me to go on a roll such that I might write multiple posts in a short period of time. I'm referring, of course…
Whenever I blog about atrocities against science like the National Center for Complementary and Alternative Medicine (NCCAM), I'm frequently asked how just such an edifice designed to promote pseudoscience could have come to be as a full-fledged center in the National Institutes of Health. The answer is simple and boils down to woo-loving legislators. In the case of NCCAM, the primary driving force to create it, promote it from an office (originally the Office of Unconventional Medicine and then later renamed the Office of Alternative Medicine) to a full center, and protect it from all…
I've made no secret of my opinion of a certain "alternative" cancer doctor named Stanislaw Burzynski, MD, PhD, of the infamous Burzynski Clinic. When last we left Burzynski, his propagandist lapdog bootlicker documentary film maker Eric Merola was most unhappy with bloggers like me for having the temerity to tell it like it is when it comes to his film subject's activities. Merola, you might recall, was responsible for Burzynski the Movie – Cancer Is a Serious Business, which I characterized as pure propaganda so incompetently made that it would make Leni Riefenstahl blush. After a couple of…
As I looked over the ol' blog last night, I was shocked to realize that I haven't blogged about the antivaccine movement and its offenses against science in nearly three weeks. That's right! The last time I did a vaccine post was when I examined a particularly egregiously bad paper from a couple of scientists who have drunk deeply of the antivaccine Kool Aid and as a result are trying to blame the HPV vaccine Gardasil for the death of an 18-year-old woman in Australia and a 14-year-old girl in Quebec. It's amazing but true. Rarely do I go that long without antivaccine pseudoscience attracting…
One of the great benefits of having been a blogger for nearly eight years now is that I now have a rich history of thousands of posts. True, there are the occasional posts that I wish I hadn't written and even the occasional post that I consider to be not particularly good, but for the most part I'm proud of my work and would put my blog posts up against nearly anyone else's. Another benefit of having such a long history is that, from time to time, I get the opportunity to revisit really old posts. Having written about these issues for so long, I find it really gratifying when I can revisit a…
One characteristic of cranks, quacks, and pseudoscience boosters is a love-hate relationship with science. They desperately crave the respectability and validation that science confers. In the case of medicine, they want to be seen as evidence- and science-based. On the other hand, they hate science because it just won't given them what they want: Confirmation and validation. The reasons, of course, are obvious; their preferred ideas about disease and modalities to treat it are not rooted in science. Rather, they're usually based in either prescientific concepts of how the human body works…
It wasn't so long ago (less than a week, actually), that I noticed what I referred to as a paean to the quackery known as naturopathy. It appeared—where else?—on that wretched hive of scum and quackery known at The Huffington Post. It was even entitled My Love Affair with Naturopathy. Not unexpectedly, this very article revealed just what quacks naturopaths are, as it told the story of a woman with vague symptoms, "messed up menstrual cycles," and other complaints who went to a naturopath and was blown away by the "personalized" attention and even more happy that this particular naturopath…
Regular readers probably know that I'm into more than just science, skepticism, and promoting science-based medicine (SBM). (If they're regular readers of my other, not-so-super-secret other project, they might also realize that they've seen this post before elsewhere. I had to stay out late for a work-related event and decided to tart it up and recycle. So sue me.) I'm also into science fiction (hence the very name of this blog, not to mention the pseudonym I use), computers, and baseball, not to mention politics (at least more than average). That's why our recent election, coming as it did…
"Holistic." How often do we hear that word bandied about by practitioners of "complementary and alternative medicine" (CAM) or, as it's increasingly called, "integrative medicine" (IM)? Lots. The reason is that CAM/IM practitioners seem to think they own the word. They've so utterly co-opted it that it has become meaningless, in the process perverting it. No longer does it mean "taking care of the whole person." Not really, at least not anymore. Thanks to quacks having taken possession of it as their own, "holistic" now has a connotation of woo, in which it is said to be impossible to be a…
I'm a scientist, but I'm also a surgeon, which means I've spent quite a bit of time in operating rooms. In the OR, teamwork is critical, and each member of the team should be using science- and evidence-based medicine to inform their judgment regarding what to do. If there's one kind of practitioner in the OR that relies heavily on SBM, it should be the anesthesiologist. Surgery is a combination of science and technical skill, and sometimes deciding what to do in the operating room is more a matter of judgment based on experience than science. For instance, if I encounter bleeding, what I do…
As our great Lord Draconis Zeneca promises, besides the fantasies of filthy lucre in the minds of our opponents, there are other rewards to being one of his shills and minions besides getting to blog to my heart's content about the pseudoscience and quackery that is "alternative" medicine. One of them is that sometimes I find out that my victim target subject notices me. So it was, when I became aware on Facebook that Eric Merola noticed me. Merola, as you might recall, is the producer of that paean to Stanislaw Burzynski, entitled, unimaginatively and awkwardly enough, Burzynski the Movie -…