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David Gorski

Orac is the nom de blog of a humble surgeon/scientist who has an ego just big enough to delude himself that someone, somewhere might actually give a rodent's posterior about his copious verbal meanderings, but just barely small enough to admit to himself that few probably will. That surgeon is otherwise known as David Gorski. That Orac has chosen his nom de blog based on a rather cranky and arrogant computer shaped like a clear box of blinking lights that he originally encountered when he became a fan of a 30 year old British SF television show whose special effects were renowned for their BBC/Doctor Who-style low budget look, but whose stories nonetheless resulted in some of the best, most innovative science fiction ever televised, should tell you nearly all that you need to know about Orac. (That, and the length of the preceding sentence.)

DISCLAIMER: The various written meanderings here are the opinions of Orac and Orac alone, written on his own time. They should never be construed as representing the opinions of any other person or entity, especially Orac's cancer center, department of surgery, medical school, or university. Also note that Orac is nonpartisan; he is more than willing to criticize the statements of anyone, regardless of of political leanings, if that anyone advocates pseudoscience or quackery. Finally, medical commentary is not to be construed in any way as medical advice.

To contact Orac: oracknows@gmail.com

Posts by this author

July 11, 2016
Welcome once again to Sh*t Naturopaths Say, my periodic look at what naturopaths say behind closed doors (metaphorically speaking). At least, it’s a look at what they say when they are discussing patient management with their peers. It is a series to which I can add new entires from time to time,…
July 10, 2016
Last week, I wrote about a man named Jim Gass, a former chief legal counsel for Sylvania, who had suffered a debilitating stroke in 2009 that left him without the use of his left arm, and weak left leg. He could still walk with a cane, but was understandably desperate to try anything to be able to…
July 7, 2016
If you grew up, as I did, a child of the 1970s in the US (I graduated from high school in 1980), you probably couldn’t escape the influence of Kris Kristofferson. He was big, and he was at his biggest during the 1970s, pumping out country music and mainstream hits, appearing in movies, and…
July 6, 2016
There are reasons that I’m not a pediatrician. First, and foremost, I like surgery. Indeed, when I first entered medical school, my intent was to become an academic internist, but things didn’t quite work out that way. To my surprise, when I did my surgery rotation I liked it way more than I ever…
July 5, 2016
This weekend was the 4th of July, Independence Day. It’s the most patriotic holiday of all, at least for Americans. We celebrated it in the usual way, with parades, fireworks, the odd lost digit or two, and barbecues. Unfortunately, there’s another thing that the 4th of July inevitably brings on as…
July 4, 2016
It's been over three weeks now since hockey legend Gordie Howe died at the age of 88. Detroit, as I've pointed out elsewhere, is a serious hockey town, as hockey-crazy as any town in Canada (just look at the fancy new hockey arena being built downtown only a mile from where I work), and it…
July 1, 2016
There are so many ridiculous alternative medicine treatments being “integrated” via “integrative” medicine into medicine, no matter how ridiculous they are, that it’s not only hard to believe, but it’s hard to keep track. Homeopathy is, of course, the most ridiculous, although “energy medicine”…
June 29, 2016
One of the most reliable indicators of a quack clinic that I know of (besides its offering homeopathy and reiki) is the inclusion of “detox foot bath” treatments on its roster of services. Detox foot baths, whatever the brand, are of a piece with other “detoxification” pseudoscience involving the…
June 28, 2016
Forgive me, dear readers. Ever since Mike Adams, the crank who runs and “alternative health” empire and a website with as much traffic as the NIH website, started targeting me two months ago with a series of libelous posts, I haven’t mentioned him much, for the simple reason that I don’t want to…
June 27, 2016
I’ve been writing about this topic so long—ever since the very beginning of this blog—that it seems as though I’ve always been doing it even though this blog has been in existence only 11 years and I didn’t really come to appreciate the problem until after I had started this blog. No, I’m not…
June 26, 2016
One of the most frequent complaints about evidence-based medicine (EBM), in contrast to science-based medicine (SBM), is its elevation of the randomized clinical trial as the be-all and end-all for clinical evidence for an intervention for a particular disease or condition. Unknown but enormous…
June 23, 2016
A week ago, I wrote about an example of one of the most common topics on this blog, the infiltration of pseudoscientific medicine and outright fantasy into academic medicine, a trend I like to refer to as quackademic medicine. The institution was George Washington University, and the dubious…
June 22, 2016
Yesterday, I took note of a meeting of advocates and lawyers with Rep. Jason Chaffetz (R-UT), the chair of the House Committee on Oversight and Government Reform (OGR), which makes him a very powerful Congressman. The group that met with him included Del Bigtree, the producer of Andrew Wakefield’s…
June 21, 2016
I sense a disturbance in the antivaccine force. I had meant to write about it the other day, but other things intervened. Really, there’s so much pseudoscience out there at times that on some days it’s hard to decide what to tackle, and sometimes I feel as though I’m writing about vaccines too much…
June 20, 2016
Living and practicing surgery in Michigan, it’s not surprising that I am very concerned about a bill being considered in the Michigan House of Representatives. The bill, HB 4531, would license naturopaths as health care providers. In fact, it would give them a very broad scope of practice, defined…
June 19, 2016
One of the most frequent complaints leveled at pro-science advocates who defend vaccines against antivaccine misinformation and pseudoscience is that we’re way too fast to label them as “antivaccine,” that we use the term as a convenient label to demonize their views. We’re not really antivaccine,…
June 17, 2016
A recurring theme of this blog is to shine a light on what I like to call “quackademic medicine.” I didn’t invent the term, but I’ve made it mine. Basically, quackademic medicine is a term that very aptly describes what’s going on in far too many academic medical centers these days, which is the…
June 15, 2016
I sensed a disturbance in the antivaccine (i.e, the dark) side of the Force yesterday. No matter where I wandered online and on social media, I kept running into a new article, an article by Neil Z. Miller about vaccines. For example, the merry band of antivaccine propagandists over at Age of…
June 15, 2016
We in Michigan are dealing with yet another effort on the part of NDs, which stands for “naturopathic doctors” but more appropriately should mean “not a doctor, to achieve licensure in the form of Michigan HB 4531. As I mentioned when I first learned that HB 4531 was passed by the House Committee…
June 13, 2016
Last week, I noted with great approval how a 12-year-old boy named Marco Arturo made a pro-vaccine video that was short, simple, and effective. Even better, it was as Insolent as anything Orac could expect to manage, making it that much more delicious. Indeed, I can’t resist including it again for…
June 12, 2016
Most scientists I know get a chuckle out of the Journal of Irreproducible Results (JIR), a humor journal that often parodies scientific papers. Back in the day, we used to chuckle at articles like "Any Eye for an Eye for an Arm and a Leg: Applied Dysfunctional Measurement" and "A Double Blind…
June 10, 2016
A couple of days ago, I told the tale of a really bright and justifiably snarky 12-year-old boy named Marco Arturo, who posted a video of himself on Facebook with the caption “Vaccines DO cause autism”: I know I posted that video just two days ago, but it’s so epic that I can’t resist posting it…
June 8, 2016
Those of us living in Michigan who support science-based medicine have been forced to deal with a bill that, if passed, would grant practitioners of unscientific “medicine” a wide scope of practice—almost as wide as that of primary care practitioners such as pediatricians, internists, and family…
June 7, 2016
If there’s one thing I’ve learned about the antivaccine movement, it’s that its members dislike being criticized. Oh, hell, let’s be honest. The really, really hate criticism and react very, very badly to it. Whereas you or I or other skeptics might react to criticism by trying to address it using…
June 6, 2016
One major thing that differentiated science-based medicine (SBM) from alternative medicine and quackery is that in SBM there is a generally accepted standard of care. This was even the case back in the days before the proliferation of evidence-based guidelines, in which professional societies and…
June 5, 2016
There are certain myths that are frustratingly resistant to evidence, science, and reason. Some of these are basically medical conspiracy theories, where someone (industry and/or big pharma and/or physicians and/or the government) has slam-dunk evidence for harm but conspires to keep it from you,…
June 3, 2016
After over 11 years at this blogging thing, I periodically start to fear that I’m becoming jaded. In particular, after following the infiltration of quackery in the form of “complementary and alternative medicine” (CAM), now more commonly known as “integrative medicine,” because it integrates CAM…
June 2, 2016
One common theme that has been revisited time and time again on this blog since its very founding is the problem of how science and medicine are reported. For example, back when I first started blogging, one thing that used to drive me absolutely bonkers was the tendency of the press to include in…
June 1, 2016
With a bill to license naturopaths (HB 4531) wending its way through the Michigan legislature supported by supplement manufacturers, its current status being in consideration by the full House of Representatives, periodically I feel the need to provide ammunition to the bill’s opponents, because we…
May 30, 2016
Andrew Wakefield, his claims to the contrary, is antivaccine to the core. To be honest, I’m not sure if he was always antivaccine. After all, around 20 years ago when he was doing his “research” into whether the MMR vaccine causes autism, he was being generously funded by a barrister seeking to sue…