oracknows

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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

September 12, 2015
NOTE: Orac is on vacation recharging his Tarial cells and interacting with ion channel scientists, as a good computer should. In the meantime, he is rerunning oldies but goodies, classics, even. (OK, let's not get carried away.) Here's one from all the way back in 2007. Notice how, the more things…
September 10, 2015
NOTE: Orac is on vacation recharging his Tarial cells and interacting with ion channel scientists, as a good computer should. In the meantime, he is rerunning oldies but goodies, classics, even. (OK, let's not get carried away. Here's one from all the way back in 2008 in response to Dr. Offit's…
September 9, 2015
Orac's vacation continues apace. Well, not quite. The main reason I'm in London right now is because I was invited to give an actual scientific (as opposed to skeptical) talk at a conference about—of all things—ion channels in cancer. That's where I am right now, at the Sir Alexander Fleming…
September 8, 2015
I am fortunate to have become a physician in a time of great scientific progress. Back when I was in college and medical school, the thought that we would one day be able to sequence the human genome (and now sequence hundreds of cancer genomes), to measure the expression of every gene in the…
September 6, 2015
This is a public service announcement—with skepticism. Orac needs a recharge: Some of you might have seen it alluded to in the comments that I am on vacation this week. It is true, although it's not entirely a vacation. Basically, I was invited by a collaborator to give a talk at a two-day…
September 4, 2015
It's not a secret to anyone who reads this blog that I have an incredibly low opinion of celebrity pediatricians who are, if not outright antivaccine, antivaccine-sympathetic or leaning antivaccine and use their authority as physicians to sow fear, uncertainty, and doubt (FUD) about vaccines.…
September 3, 2015
You'd think that after all these years combatting quackery and blogging about science in medicine (and, unfortunately, pseudoscience in medicine) it would take a lot to shock me. You'd be right. On the other hand, Even now, 15 years after I discovered quackery in a big way on Usenet and ten years…
August 31, 2015
I didn't think I'd be writing about acupuncture again so soon after deconstructing another "bait and switch" acupuncture study less than a week ago. True, the quackery that is acupuncture and the seemingly unending varieties of low quality studies published to make it seem as though there is…
August 30, 2015
If there's one thing that is true of the antivaccine movement, it's that its members are rarely willing to admit that they are, in fact, antivaccine. Sure, there are uncommon exceptions who say it loud that they are antivaccine and proud and through their refreshing honesty and lack of self-…
August 28, 2015
I must admit that I'm surprised. Pleasantly surprised, but quite surprised. The reason is that yesterday the Department of Licensing and Regulatory Affairs Director Mike Zimmer rejected the recommendation of the Michigan Medical Marijuana Review Panel to add autism to the list of qualifying…
August 27, 2015
After a busy day yesterday and falling asleep early on the couch, I only have time for a quick take today. So file this under "only in America": A 23-year-old Metro Detroit man robbed a South Lyon credit union earlier this month for his daughter, he told investigators according to South Lyon…
August 26, 2015
It's always disappointing to see a good journal fall for bad medicine, particularly when it's in your field. For example, the Journal of Clinical Oncology (affectionately referred to by its abbreviation JCO) is the official journal of the American Society of Clinical Oncology (ASCO) and probably…
August 24, 2015
I don't review books that often. The reason is simple. My posts for this blog sometimes take as much as a several hours to write (particularly my more "epic" ones that surpass 5,000 words), and I usually don't have the time to add several more hours to the task by reading an entire book. Also, by…
August 23, 2015
As hard as it is to believe after over ten years of existence and over 5,000 posts on SBM, every so often, something reminds me that I've missed paper that cries out for some not-so-Respectful Insolence. So it was a couple of weeks ago, when I saw a familiar name in a news story that wasn't about…
August 21, 2015
I've written more times than I can remember about the phenomenon of overdiagnosis and the phenomenon that is linked at the hip with it, overtreatment. Overdiagnosis is a problem that arises when large populations of asymptomatic, apparently healthy people are screened for a disease or a condition,…
August 20, 2015
Acupuncture is a theatrical placebo, but it's hard not to grudgingly admire just how—shall we say?—malleable or adaptable a placebo it is. What I mean by this is that, if you believe its practitioners and adherents, acupuncture can treat almost literally any disease or health problem. Any! Pain?…
August 19, 2015
Readers of this blog of a certain age and above are likely to remember a U.S. Senator from Wisconsin named William Proxmire. Sen. Proxmire made a name for himself in the late 1970s and throughout much of the 1980s by issuing what he dubbed "The Golden Fleece Award," which was meant to "honor"…
August 17, 2015
A recurring topic on this blog involves my discussion of stories about children with cancer whose parents refuse chemotherapy, thus endangering the children's lives. These stories usually take this general form: The child is diagnosed with a deadly, but treatable cancer that has a high probability…
August 16, 2015
The approval of new drugs and medical devices is a process fraught with scientific, political, and ethical landmines. Inherent in any such process is an unavoidable conflict between rigorous science and safety on the one side, which tend to slow the process down by requiring large randomized…
August 14, 2015
File this one under the category: You can't make stuff like this up. (At least, I can't.) Let's say you're a die hard all-conspiracy conspiracy theorist and alternative medicine believer (a not uncommon combination). You love Alex Jones and Mike Adams and agree with their rants that there is a New…
August 11, 2015
There's a delightful meme going around Facebook right now, featured above, that portrays five African women, fists raised, all wearing aprons proclaiming "Kick out polio!" Accompanying the meme is a message from the American Academy of Pediatrics celebrating that yesterday marked one full year…
August 10, 2015
Alright, alright already! I get the message. Over the course of the day yesterday I was bombarded by e-mails with a link to a New York Times article that shows a rather shocking lack of understanding of the science—more specifically, the lack of science—behind alternative medicine. Whenever…
August 9, 2015
I learned over the weekend that a historic figure in science-based medicine has died. If you know anything about the history of the Food and Drug Administration (FDA), you will know this woman's name, Frances O. Kelsey, MD, PhD. It turns out that Dr. Kelsey died on Friday at the age of 101. Somehow…
August 7, 2015
Listicles. I hate Listicles. I don't do them. Yet, as much as I hate them, I can't deny that in this brave new world of click bait, listicles bring the clicks, which is why so many blogs and websites post them. Indeed, there's a website, Thrillist, that is dedicated to pretty much nothing but…
August 6, 2015
When I first started writing about the claims made for medical marijuana and the cannabis oil derived from it, it didn't take long for me to characterize medical claims for cannabis as the "new herbalism," as opposed to pharmacognosy, the branch of pharmacology devoted to the study of natural…
August 5, 2015
Here we go yet again. I'm half tempted to use a YouTube clip of Al Pacino as Michael Corleone in The Godfather, Part 3, where he says, "Just when I thought I was out...they pull me back in." I'll restrain myself this time. Instead, I'll just tell you what I'm talking about, which is the…
August 4, 2015
About a month ago, a number of news stories were published reporting that the University of Toronto had offered a course in alternative medicine taught by a homeopath named Beth Laundau-Halpern that presented a segment that was clearly highly biased towards antivaccine pseudoscience. It was worse…
August 2, 2015
Homeopathy is The One Quackery To Rule Them All. There, I've started off this post the way I start off most posts about homeopathy, with a statement of just how enormous a pile of pseudoscientific (or rather prescientific) quackery that it is. You'd think that in 2015 no one would believe that…
July 31, 2015
I frequently discuss a disturbing phenomenon known as "quackademic medicine." Basically, quackademic medicine is a phenomenon that has taken hold over the last two decades in medical academia in which once ostensibly science-based medical schools and academic medical centers embrace quackery. This…
July 29, 2015
A couple of weeks ago, I first took note of a new conspiracy theory that's been brewing in the antivaccine crankosphere, namely the claim that big pharma has been systematically murdering alternative medical doctors, starting with autism quack Jeff Bradstreet, who committed suicide the day after…