Believe it or not, sometimes I rather miss Jenny McCarthy and Jim Carrey. Although McCarthy is still nominally the head of the anti-vaccine group Generation Rescue, she's really faded to a rather low profile over the last year or so. Indeed, the last time I even remember her spouting off about vaccines was way back in January when she defended Andrew Wakefield and, even more amazingly, during Autism Awareness Month (April) this year I don't recall seeing her on the major media anywhere. It used to be an annual thing that she'd show up on Larry King Live! or some other TV show. True, it's…
Ever since starting my blog nearly seven (!) years ago, I've concentrated mainly on skepticism in medicine, in particular examining various implausible medical claims that proliferate on the Internet and in our media like so much kudzu choking out science and reason. The reasons are two-fold. First, it's what I'm interested in. Second, it was at the time an "underserved" blogging niche that allowed me to align my skeptical interests with a niche that allowed me to establish myself as a blogger. Ultimately, I became interested in the anti-vaccine movement and somehow found myself becoming one…
Fridays are usually a bad time for blogging for me, but it's a choice, not due to any circumstances. Usually, on Friday nights, I consciously make an effort to stay away from the computer and the blog. Frequently, I'm tired, and not infrequently I'll crash on the couch, only to wake up after midnight and wander upstairs to bed. Consequently, when something happens on Friday afternoon or evening, I often don't find out about it until Saturday morning, which means I probably won't blog about it before Monday because I've intentionally been trying not to post anything on the weekends. As hard as…
About a month ago, I discussed a rather disturbing development, namely the initiative by Dr. Andrew Weil to set up something he was going to call the American Board of Integrative Medicine, all for the purpose of creating a system of board certification for physicians practicing "integrative medicine" (IM), or, as I prefer to call them, physicians who like to integrate pseudoscience with their science, quackery with their medicine. At the time, I referred to it as a board certification in woo. Was I harsh? Yes. Accurate? Also yes. Unfortunately, many medical centers, both academic and…
I must admit, I'm rather happy that October is over, as that means that the local news stations doing all sorts of brain dead fluff stories about the paranormal. On the other hand, if I were still living in Cleveland, I'd miss out on awesome pareidolia like this: Here's what they're talking about: And here's more of a close-up: I have to admit, I can see the resemblance. I can also see that it's almost certainly nothing more than a reflection off of the camera lens. Also remember that this picture was taken with what looks like a cheap cell phone camera. It is, however, fantastic…
The nearest major airport to me happens to be a Delta Airlines hub. Consequently, nine times out of ten, whenever I have to fly anywhere I'm usually stuck using Delta Airlines. It's actually not too bad, as major airlines go, better than some but about the same as most. Unfortunately, during the month of November, Delta's in-flight entertainment will leave much to be desired. The reason? Apparently, not satisfied with renting the CBS JumboTron in Times Square last year, this year the highly Orwellian-named National Vaccine Information Center (NVIC) somehow slithered their way into the in…
The whole concept of "complementary and alternative medicine" (CAM) and "integrative medicine" (IM), the former of which "complements" science-based medicine with quackery and the latter of which "integrates" pseudoscience-based with science-based medicine. The reason I start out by saying this is to emphasize that CAM/IM is all about using language to persuade that pseudoscience is actually science-based. It's far more about marketing than accurately communicating concepts. In CAM, everything is "holistic," and doctors "care for the whole patient," while "Western medicine" is "reductionistic…
I've been blogging about alternative medicine for nearly seven years and writing about it, either on Usenet or in other forums for several years before. As a result, there are times when I start to think that maybe I've seen it all. And almost every time I start thinking that, I come across something that leaves me scratching my head and either joking about learning something new every day or just scratching my head. This case will be the latter. Regular readers all know Mike Adams, a.k.a. The Health Ranger. Adams created NewsTarget.com which later evolved into NaturalNews.com, one of the…
I've written quite a bit about Steve Jobs' battle with pancreatic cancer over the years and, more recently, in the wake of his death nearly four weeks ago. The reason, of course, is that the course of his cancer was of intense interest after it became public knowledge that he had cancer. In particular, what I most considered to be worth discussing was whether the nine month delay between Jobs' diagnosis and his undergoing surgery for his pancreatic insulinoma might have been what did him in. I've made my position very clear on the issue, namely that, although Jobs certainly did himself no…
Despite having found my niche long ago in the medical blogosphere as a skeptic and supporter of science-based medicine, not to mention a scourge of quacks and anti-vaccine activists (no little ego mine!), I rarely, if ever, write about obstetrics. It's always been one area of medicine that I've felt least comfortable with. True, there are some areas of O.B. woo, such as home birth ideology that directly contributes to the deaths of babies, and perhaps I should mention such incidence more often. They are, after all, just as egregious an example of ideology triumphing over science and harming…
It's a wonder no one ever thought of this before (at least, not to my knowledge), but Todd over at Harpocrates Speaks has. Over there today, what do we find? A Quacktion Figureâ¢: Ever wanted to enjoy the adoration of tens of others? Had an idea for a new product to patent, but had pesky competitors that needed discrediting? Have you ever dreamed of creating a controversy where there was none? Have you thought that violating research ethics would be a quick way to accomplish all this, but never had the narcissistic chutzpah to pull it off? Well, now you can. You'll have to click through to…
Oh, geez. Mike Adams is at it again. I know, I know, saying that Mike Adams has just laid down yet another hunk of napalm-grade--nay, hydrogen-bomb grade--burning stupid is akin to saying that the sun rises in the east and sets in the west, that water is wet, that we need oxygen to survive, or that the moon goes around the earth. It's part of nature and a well-established fact. Even so, sometimes Adams surpasses even himself. Sometimes, when doing so, he even gives me an opportunity to discuss a scientific study and thus look as though I'm actually blogging about peer-reviewed research…
As hard as it is to believe, I've been a physician for 23 years now and a fully trained surgeon for over 15 years. If there's one thing I've learned in that time, it's most doctors really, really don't like to be told what to do. I don't know if part of it comes from all the long years of medical school and residency, with fellowship tacked on for many, during which we're relentlessly told what to do by more senior residents, fellows, and attendings or if it has something to do with the personality traits that lead young people to go into medicine, particularly surgery. It's probably a little…
I usually don't do requests, at least not very often. As selfish as it might sound, I do this blog mainly to amuse myself, which means that I choose whatever topics interest me and write about them. Believe it or not, I'd probably still be doing this even if my readership were 1/100 of what it is. After all, I did it seven years ago before anyone had ever caught on to the glory (and ego) that is Orac. I've just been fortunate in that, for the most part, the topics that interest me enough to write about them are generally interesting enough to a bunch of people every day to read them. That…
There's a disturbance in the Force. Well, in the Dark Side of the Force, as in the Quack Side of Medicine. Basically, there's a rumble in the quackosphere that reached me through three different quack mailing lists that I'm on for the purpose of gathering material for blogging, including--you guessed it--the mailing list of that One Crank To Rule Them All, Mike Adams. This disturbance? The Healing Cancer World Summit. The promise? In this unique program you'll discover... The therapies these doctors and experts are using that they say can prevent and even treat cancers naturally. The cancer…
As I've said before recently, I have mixed emotions regarding Breast Cancer Awareness Month. On the one hand, I look forward to it because it provides us with a pretext to get out science-based messages about breast cancer and to highlight a lot of the cool science that we do at our cancer center. On the other hand, the quacks see an opportunity in Breast Cancer Awareness Month to spread their message too. That message, not surprisingly, generally involves attacking science-based modalities for the detection and treatment of breast cancer and promoting their "alternative" methods. For example…
A couple of weeks ago, in the immediate aftermath of Steve Jobs' death, I took issue with the claims of a skeptic that "alternative medicine killed Steve Jobs." At the time, I pointed out that, although it was very clear that Steve Jobs did himself no favors by delaying his initial surgery for nine months after his initial diagnosis, we do not have sufficient information to know what his clinical situation was and therefore how much, if at all, he decreased his odds of survival by not undergoing surgery expeditiously. To recap: Did Steve Jobs harm himself by trying diet and alternative…
Yesterday, I congratulated that bane of anti-vaccine movement and great vaccine scientist, Dr. Paul Offit, for having been accepted into the Institute of Medicine. It's a huge honor, and one well-deserved. At the time, I contrasted Dr. Offit, who has ascended to the highest heights of his profession through good science, with Dr. Andrew Wakefield, architect (or at least the most important architect) of the anti-MMR hysteria that gripped the U.K. in the late 1990s that's only now starting to abate, who is reduced to speaking in front of crank physician groups, being feted at anti-vaccine…
Congratulations are in order. Earlier this week, someone whom I admire has received a well-deserved honor: The IOM announced the names of 65 new members and five foreign associates today in conjunction with its 41st annual meeting. Election to the IOM is considered one of the highest honors in the fields of health and medicine and recognizes individuals who have demonstrated outstanding professional achievement and commitment to service. "It is a great pleasure to welcome these distinguished and accomplished individuals to the Institute of Medicine," said IOM President Harvey V. Fineberg…
Normally, these days I greet the month of October with a mixture of anticipation and dread. The anticipation stems from October's position as Breast Cancer Awareness Month. Now that somehow I've managed to have a variety of responsibilities with respect to how breast cancer is managed at our cancer institute, suddenly I find that I'm sometimes called upon to do media appearances, and Breast Cancer Awareness Month is one time we can use to get our message out about breast health and breast cancer detection and treatment, not to mention to highlight for the local media some of the cool research…