oracknows | April 18, 2012I thought that a solid basic understanding of basic and clinical science was a prerequisite to be a bioethicist. AFter all, the prefix "bio" is in the word "bioethicist," which implies to me that bioethicists study the ethics of biology and medicine, which, of course, they do. Some bioethicists are even physicians. After all, to be able to study the ethics of a medical issue, it's rather necessary to understand just what the medical and scientific issues that cause the ethical issues and dilemmas being studied. Unfortunately, as I found out yesterday, it doesn't always work out that way.…
oracknows | April 16, 2012Periodically, I like to make fun of homeopathy and homeopaths. I realize that to some that might seem like the proverbial shooting of fish in a barrel, but it is amusing and educational. However, it's not always amusing. For instance, I am not amused when I see The One Quackery To Rule Them All (my favored term for homeopathy these days) being used either in areas where a lack of treatment can result in great harm (and, given that homeopathy is nothing more than water shaken up a bit with a magic spell, that's what homeopathy is, a lack of treatment) or when I see homeopaths promising what…
oracknows | April 15, 2012If there's one difference between so-called "complementary and alternative medicine" (CAM) and science-based medicine (SBM), it's the role of anecdotes in each. CAM and SBM each take a very different view of anecdotes. In SBM, anecdotes are relegated to a very low rung on the evidence ladder. They are a starting point in that, if well-documented enough and convincing enough, they can serve as the basis to suggest that clinical research or clinical trials might be indicated. Sometimes, in the case of rare diseases where numbers of patients are so small that randomized clinical trials are not…
oracknows | April 13, 2012You know, I really, really hate the way quacks abuse molecular biology. I know, I know. I've said it before, but certain quacks have a way of willfully misunderstanding the latest advances in genomics, molecular biology, and biology in general. Of course, this isn't limited to just medicine, unfortunately. After all, we have Deepak Chopra and his quantum woo, which abuses physics and quantum theory in the name of "proving" mind-body dualism, a bastardized version of "intelligent design" creationism that is based on Eastern mysticism rather than Christianity, and, of course, a "conscious…
oracknows | April 12, 2012Proof. You keep using that word. I do not think it means what you think it means.
That thought kept running through my mind as I perused an article appearing on an antivaccine website. Another thought that rant through my mind is that this was clearly not a scientist of any sort speaking. In science, in general, we don't speak of "proof." We speak of evidence and experimentation. Lawyers speak of proof, as in "proof beyond a reasonable doubt." Scientists speak of evidence in shades of gray, because most evidence is on a continuum. Besides, the article asked the question, "Has 'science based…
oracknows | April 10, 2012Repeat after me one more time: Just because something is natural does not necessarily mean it's effective or, more importantly, safe. If there's one thing common among virtually all purveyors of "alternative" medicine, it's that they fetishize anything they consider "natural." To them, "natural" is always better. At the very least it's better than those evil big pharma-produced purified drugs that they so distrust. Of course, often forgotten in all of this is that any herbal remedy that does anything at all from a physiological standpoint to reverse disease or make you feel better does so…
oracknows | April 10, 2012Over the years, I've written a lot about overdiagnosis and overtreatment. Basically, overdiagnosis is the diagnosis of a condition that, if left untreated, would very likely never cause the patient harm. Because I'm a cancer surgeon, I've almost always written about overdiagnosis in the context of--you guessed it--cancer, particularly breast cancer. In breast cancer, for instance, it's been estimated that as many as one in three cancers diagnosed by screening mammography might represent overdiagnosis. Personally, I think that particular study overestimated the rate of overdiagnosis, but there…
oracknows | April 9, 2012As you might be aware, I'm (almost) always willing to help a blogger out, particularly when that blogger is a regular commenter here who's gotten down and dirty battling antivaccine pseudoscience in the trenches of the comments right here on this very blog. Regular readers might have noticed that I rarely comment much on my own posts. The reason is that it takes a lot of time and effort to produce these daily pearls of Insolence, both Respectful and not-so-Respectful. Similarly, it takes a lot of effort to swat away the turds of pseudoscience flung into the comments by the monkeys of woo. I…
oracknows | April 8, 2012About a year ago, I addressed what might seem to the average reader to be a very simple, albeit clichéd question: If we can put a man on the moon, why can't we cure cancer? As I pointed out at the time, it's a question that I sometimes even ask myself, particularly given that cancer has touched my life. Three years ago, my mother-in-law died of a particularly nasty form of breast cancer. Even though I am a breast cancer surgeon, I still wonder why there was nothing that could save her (and still is nothing that could have saved her if it existed then) from a decline over several months…
oracknows | April 6, 2012April 11 is a mere five days away.
What's the significance of April 11? Easy. April 11 is the date when the hearing before the Texas Medical Board to determine whether Stanislaw Burzynski will lose his license to practice medicine in Texas. Dr. Burzynski, as you recall, is the Texas doctor who has somehow managed to continue to treat cancer patients with something he calls antineoplastons, which he claims to have originally discovered in urine. More recently, he had a fawning "documentary" made about him by Eric Merola, an advertiser who now mostly produces infomercials, which is entirely…
oracknows | April 6, 2012Every so often, real life intrudes on blogging, preventing the creation of fresh Insolence, at least Insolence of the quality that you've come to expect. This is one of those times, and it doesn't help that it's a holiday week plus a week I was traveling. So I dug way back into the archives, back to five years ago, for a little gem that reminds me that I really should write about evolution more. As the AACR meeting showed me this year, it's actually highly relevant to cancer research. Besides, if you haven't been reading at least five years, it's almost certainly new to you!
Well, well, well…
oracknows | April 5, 2012I have a soft spot for pareidolia, as regular readers know. It amuses me to no end to see Jesus and Mary popping up on freeway underpasses, tacos, toast, pieces of sheet metal, Lava Lamps, and the like. I thought that I had seen it all--until now:
His image has been seen on rocks, windows - even a tortilla as recently as Ash Wednesday.
Now, in the days leading up to Easter Sunday, it appears yet another strange image of Jesus has emerged.
Erika Scheldt, 24, claims she photographed a stingray with a glistening depiction of Christ on its back after it washed ashore a South Carolina beach on…
oracknows | April 4, 2012Remember The Refusers?
They're the antivaccine band with the recycled classic rock sound lacking a shred of originality or chops that flooded the blogosphere with their crazy in the form of Clash wanna be songs like Vaccine Gestapo, which inspired Surly Amy to make me a Vaccine Gestapo pendant to wear at TAM a couple of years ago. (I still wear it to various skeptical events from time to time.) Particularly amusing and pathetic was the antivaccine sing-along The Refusers ran a couple of years ago at the demonstration at Age of Autism in Chicago, complete with Andrew Wakefield gamely playing…
oracknows | April 3, 2012Note: Today's a travel day. I'm driving home from the AACR. As a result, I decided to post something that appeared elsewhere, doing a quick edit to make it a bit more "insolent." I realize that since the show I discuss aired an episode during which he featured a psychic medium in a segment called Medium Vs. Medicine: Char Margolis Shares Afterlife Secrets. I meant to blog it, but somehow I missed my window of opportunity. Oh, well, maybe I still will. Or maybe not. It's too painful, and the window has passed. In the meantime, there's this blast from the recent past.
It's not a secret that I…
oracknows | April 3, 2012As I mentioned yesterday, I'm at the American Association for Cancer Research meeting imbibing the latest and greatest that science-based medicine has to offer against cancer. The AACR is mainly a basic science and translational meeting; so a lot of this stuff is seriously preclinical. That's what makes it interesting, though. In any case, my distraction aside, sometimes stuff happens that I still have to comment on and, better yet, sometimes it's the sort of stuff that I don't feel obligated to write an Orac-ian length screed about. In other words, it's perfect for keeping the blog active…
oracknows | April 2, 2012Blogging might be a little sketchy for the next couple of days, because I'm at the American Association for Cancer Research Meeting (AACR) in Chicago, all to to imbibe the latest and greatest in cancer research. I'm sure I'll manage to get a post or two in while I'm here, but I doubt there will be any Orac-ian epics before Wednesday (other than, perhaps, a recycled blast from the past) or Thursday because, well, there's just not a lot of time, and Internet access can be dicey at times while I'm traveling.
In the meantime, until I get a chance to post something later today or tomorrow, it's…
oracknows | March 30, 2012If there's one thing that I've learned that I can always--and I do mean always--rely on from the antivaccine movement, it's that its members will always be all over any new study regarding vaccines and/or autism in an effort to preemptively put their pseudoscientific spin on the results. It's much the same way that they frequently storm into discussion threads after stories and posts about vaccines and autism like the proverbial flying monkeys, dropping their antivaccine poo hither and yon all over science-based discussions. At the risk of sounding like a hopeless suck-up to my readers, I've…
oracknows | March 29, 2012Since when did Opposing Views become NaturalNews.com?
Anyone who's read this blog for a while knows that NaturalNews.com is one of the wretchedest hives of scum and quackery anywhere on the Internet, surpassing even The Huffington Post. Indeed, so full of misinformation, pseudoscience, quackery, and outright lies, all spiced up with a heapin' helpin' of pure New World Order, Alex Jones-style winguttery is NaturalNews.com that I'm hard-pressed to think of a website that is more of a black hole of utter nonsense. Whale.to, maybe.
So why do I compare Opposing Views to NaturalNews.com? Is that…
oracknows | March 27, 2012This week, the Supreme Court is hearing a case that can only be described as historic. Any of you out there (in the U.S. anyway; I realize that my readership is international) who have paid even a passing attention to the news can't help but avoid reporting, debate, and polemics related to the Patient Protection and Affordable Care Act (PPACA), which is often disparagingly referred to as "Obamacare." If the law is upheld, or even if most of the law is upheld, it will radically reshape health insurance in this country. Having spent 13 years in the trenches at cancer centers that see a high…
oracknows | March 26, 2012It would appear that Dr. Bob Sears, author of The Vaccine Book, is in the news again. Specifically, he's brought himself back into the spotlight by publishing in that wretched hive of scum and quackery, The Huffington Post, a fallacy-filled attack on a bill in California, AB 2109, designed to tighten up the process for obtaining philosophical exemptions from vaccination requirements for school entry and improving the process of informed consent for parents seeking such exemptions. In this, Dr. Sears has solidly aligned himself with the worst elements of the antivaccine movement. Sadly, it is…