oracknows | August 22, 2012Houston, we have a problem.
Oh, wait. I'm not talking about Stanislaw Burzynski this time. But we do still have a problem, and it's a problem that resembles the Burzynski problem I recently discussed. Specifically, it's a problem of unethical clinical trials somehow winning approval from institutional review boards (IRBs). In academia, IRBs are basically ethics boards whose purpose is to protect the human subjects who agree to take part in clinical trials and other research from harm and from being subjected to experimental therapies in which the risk-benefit ratio isn't sufficiently…
oracknows | August 22, 2012Since I seem to be on a roll the last few days discussing cancer quackery, I thought I'd just go with it at least one more day. Frequently, when I get on these rolls laying down the Insolence, both Respectful and not-so-Respectful, over antivaccine quackery I start whining about how I need to change topics, but not this time around, not this topic. It takes a lot more than what I've posted lately to make me feel as though I need a change of pace. Besides, for whatever reason, the blog fodder is flying at me fast and furious, whether it be the dubious testimonial I discussed yesterday, yet…
oracknows | August 21, 2012...that's right. It'll soon be time to get your flu shot. Listen to ZDoggMD:
I think I'll ask for the thimerosol-containing version of the vaccine again this year.
oracknows | August 20, 2012[NOTE: Please be sure to read the addendum!]
I hate cancer quackery.
I know, I know, regular readers probably figured that out by now, and even new readers rarely take more than a couple of weeks to figure it out. That's because cancer quackery is a frequent topic on this blog. One of the most powerful tools of persuasion that cancer quacks employ in promoting their quackery is something I call the cancer cure testimonial. Basically, a cancer cure testimonial is a story of a patient using alternative medicine and "curing" himself of cancer. Such testimonials come from both practitioners and…
oracknows | August 19, 2012If there's one thing that goes back to the very beginning of this blog (or at least it started in the first year), it's having a bit of fun with Deepak Chopra. I realize that to some it might seem like shooting the proverbial fish in a barrel. With a rocket launcher. On the other hand, I like to look at it this way. Deepak Chopra has a multimillion dollar alternative medicine and "quantum consciousness" empire milking the credulous to buy attend his lectures, buy his DVDs and books, and even to buy his video games. He's on television all the time, including appearances on Dr. Oz's show and on…
oracknows | August 17, 2012A couple of days ago, I did one of my usual bits of pontification about alternative medicine, this time around pointing out how religion facilitates the magical thinking that undergirds so much pseudoscientific medicine and how the belief systems that underlie so so much of alternative medicine resembel the belief systems that underlie religion. However, in retrospect, I suspect that I might have gone a little too far. Although the two share many aspects, alternative medicine is not in general a religion (with the possible exception of reiki, which, for all intents and purposes, is faith…
oracknows | August 15, 2012It's been a long time, been a long time, been a long lonely, lonely, lonely, lonely time.
Well, not really, although it has been a while since I've discussed Dr. Stanislaw Burzynski. Specifically, I last dedicated a post to him following the death of one of his famous patients, Billie Bainbridge, who incidentally had become famous because her family had managed to raise hundreds of thousands of pounds with the help of some U.K. celebrities. Burzynski, as regular readers will recall, became a frequent topic on this blog last fall after one of his lackeys decided to issue vacuous legal threats…
oracknows | August 14, 2012Over the years, I've often likened non-science-based medical belief systems to religion. It's not a hard argument to make. Religion involves believing in things that can't be proven scientifically; indeed, religion makes a virtue out of ignoring the evidence and accepting various beliefs on faith alone. Similarly, alternative medicine frequently tells you that you have to believe in the therapy, dedicate yourself completely to it, in order for it to work. Of course, as I've also mentioned before, it is that insistence on belief and total commitment shared by religion and alternative medicine…
oracknows | August 13, 2012Well, I'm back.
It's always a bit weird to try to get back into the swing of things after even just a week off and even when during that week I didn't actually stop blogging but merely slowed down a lot and succeeded (mostly) in restricting what little blogging I did to brief posts. (Yes, I know there was one exception.) Even so, I did ignore a fair number of things that normally would have been either the subject of one of my scintillating detailed scientific analyses or the target of a heapin' helpin' of not-so-Respectful Insolence. Usually when I get back from a vacation I like to ease…
oracknows | August 12, 2012One issue that keeps coming up time and time again for me is the issue of screening for cancer. Because I'm primarily a breast cancer surgeon in my clinical life, that means mammography, although many of the same issues come up time and time again in discussions of using prostate-specific antigen (PSA) screening for prostate cancer. Over time, my position regarding how to screen and when to screen has vacillated—er, um, evolved, yeah, that's it—in response to new evidence, although the core, including my conclusion that women should definitely be screened beginning at age 50 and that it's…
oracknows | August 10, 2012As the last full weekday of my vacation passes, I thought about whether I'd bother to post anything or not, given that I happen to be traveling. After yesterday's post, the subject of which was profoundly depressing to me because I hate it when quacks take cynical advantage of a grieving family to promote their antivaccine agenda, I thought I'd post something a bit more positive.
Nearly a month ago, I attended TAM, presenting there at one of the workshops and taking part in a panel discussion of "integrative medicine" (i.e., "integrating" quackery with real medicine). Leaving aside the…
oracknows | August 8, 2012I must admit, I've been enjoying my vacation thus far and have hardly paid attention to the blog, other than a couple of quick posts. For me, this is quite amazing. Still, every so often there pops up a story that I can't resist commenting on, particularly given that I'm just sitting around watching the Olympics, and I'm deadly tired of beach volleyball. (As an aside, notice how it's always women's beach volleyball that NBC shows, not men's, no doubt because the powers that be think that toned young women in bikinis playing volleyball translate into big ratings. Unfortunately, they seem to be…
oracknows | August 7, 2012One of the consistent themes I've maintained on this blog over the years is to combat in my own small way in my own small corner of the Internet, the influx into medical academia of medicine based not on science, but on prescientific notions of disease, vitalism, and magic, such as homeopathy (which is sympathetic magic), reiki (which is faith healing), and the like. In general, we expect professional societies to maintain and support the scientific basis of medicine. Unfortunately, increasingly, medical societies have been failing us.
Here's just a short reminder of yet another example. This…
oracknows | August 6, 2012Ah, vacation. It's time to relax and unwind. Of course, blogging is one way that I relax and unwind; so my being on vacation this week doesn't necessarily mean that I'll stop my usual blogging, but it does mean I'll wind down. One way that I'll slow down is that I'll try to keep my logorrheic tendencies in check. I'll also probably miss a day (or two, or three) of new material, although in its place I'll probably post a couple "greatest hits." (At least, I hope they're "greatest hits" and hope they're as interesting now as they were then—or at least not so uninteresting that no one bothers to…
oracknows | August 4, 2012I tell ya, sometimes I think you guys think I'm a journalist or a 24 hour news source. I'm not, of course. I'm just a humble blogger, and I do what I can within the constraints of my every day "real life." What? I have a real life? You mean I'm not really a supercomputer who can link with any other computer in the galaxy to mine all known data, all contained within a Plexiglass box of multicolored blinking lights? I'm not saying, but I am saying that I do need some down time.
Unfortunately, sometimes big things happen during those down times, stuff I really like to blog about. In the past, I…
oracknows | August 3, 2012Let's travel back in time fifteen years.
It's a time that, for me, at times seems as though it were just yesterday while at other times it seems like truly ancient history. Back then, certainly, I wasn't the blogging powerhouse that I am today. I didn't even know what blogging was because it was so much in its infancy that few people knew what it was. In fact, it was only around 14 years ago that I first discovered Usenet, that vast, sprawling, brawling assortment of discussion groups where I cut my skeptical teeth, so to speak, discovering, as I did, alt.revisionism (often abbrievated a.r.…
oracknows | August 1, 2012Dying of cancer can be a horrible way to go, but as a cancer specialist I sometimes forget that there are diseases that are equally, if not more, horrible. One that always comes to mind is amyotropic lateral sclerosis (ALS), more commonly known as Lou Gehrig's disease. It is a motor neuron disease whose clinical course is characterized by progressive weakness, muscle atrophy and spasticity, with ultimate progression to respiratory muscles leading to difficulty breathing and speaking (dysarthria) and to the muscles controlling swallowing. The rate of clinical course is variable, often…
oracknows | July 31, 2012I must admit. No matter how long I've been dealing with the antivaccine movement, in particular the pseudoscience, misinformation, and sometimes outright lies they use to demonize vaccines, I can never quite understand the profound persecution complex that so many of them have. After all, they lash out with so much vehemence and outright nastiness at their perceived enemies, trying to harass them at their jobs and get them fired, for instance, and launching Internet smear campaigns against them. That is why I find it disingenuous in the extreme when they then turn around and clutch at the…
oracknows | July 30, 2012Joe Mercola is antivaccine, through and through, and, unfortunately, his website is one of the largest repositories of antivaccine quackery on the Internet. While it's true that, unlike the antivaccine crank blog Age of Autism, Mercola doesn't limit his advocacy of quackery to just antivaccine quackery, he has recently teamed up with Barbara Loe Fisher, founder of the Orwellian-named National Vaccine Information Center (NVIC) and the grande dame of the antivaccine movement. Indeed, Mike Adams has got nothing on Joe Mercola when Joe decides he wants to go on an antivaccine tear, which he did…
oracknows | July 30, 2012C. difficile is an enormous clinical problem to which, unfortunately, we physicians can contribute, as ZDoggMD tells us in Dawn of the C. Diff:
You go to the doctor to talk ‘em in
To givin’ antibiotics for your coughin’ thing
They explain that the pain in your throat’s a virus
“Antibiotics are not desirous!”
But you ain’t hearing this, you get all in they face
“Why, this is malpractice, a total disgrace!
I’m not leaving this place without a script, my man!”
Frustrated and berated, doc throws up his hands
The result? Well, let this video tell the tale: