acupuncture

Thanks to a winter storm that dumped a heapin' helpin' of heavy wet snow on us last night, we lost power before this post even got going. However, I did have a bit of time this morning to finish it up as a quickie (by my standards) before my laptop battery indicator started expressing its displeasure. Since it's a topic that doesn't really necessitate a long post anyway, it's a perfect fit for today, and I'll just put off what I was going to write about today until tomorrow. Or the day after if nothing else comes up between now and then that interests me more. You see, the power company is…
As much as I write about the infiltration of quackademic medicine into medical academia, there is one particular area that is being increasingly invaded by such quackery. It's an area that you wouldn't necessarily expect, although anyone who's read The Men Who Stare at Goats might not be so shocked. Yes, I'm referring to the military, and, as I've documented time and time again, increasingly our men and women in uniform are being subjected to abject quackery. What they need and deserve is the very best science-based medicine that we as a nation have to offer. Instead, what more and more of…
I sense a disturbance in the skeptical blogosphere. It is something that I half-expected, but, even so, it nonetheless somewhat surprised me when it arrived in the form of comments on my blog and e-mails from readers, fellow supporters of science-based medicine, and others asking me what I thought. In a way, it makes me glad that I didn't blog about this back on Monday, when the study that is the focus of this disturbance was published. Had I written about it then, all I would have had as fodder was the study itself. However, waiting a couple of days has allowed me to see the reaction of the…
One of the overarching issues, if not the overarching issue that makes so-called "complementary and alternative medicine" (CAM)—or, as it's now more commonly called, "integrative medicine"—so problematic is prior plausibility. It's also one of the most difficult to explain to the lay public, because to someone not trained in science it can sound like not being open-minded. I like to joke about this whole concept by saying that it's good to be open-minded but not so open-minded that your brains fall out. In other words, the main difference between science-based medicine (SBM) and evidence-…
Acupuncture has been a frequent topic on this blog because, of all the "complementary and alternative medicine" (CAM) modalities out there, it's arguably the one that most people accept as potentially having some validity. The rationale behind acupuncture is, as we have explained many times before, little different than the rationale behind any "energy healing" method (like reiki, for example) in that it claims to redirect the flow of "life energy" (the ever-invoked qi). The only difference is that acupuncturists claim to bring this therapeutic qi rearrangement about by sticking thin needles…
I hate to do this to Bora again. I really do. I'm also getting tired of blogging all these crappy acupuncture studies. I really am. However, sometimes a skeptic's gotta do what a skeptic's gotta do, and this is one of those times. As you may recall, a mere week ago I was disturbed to have discovered the publication of a truly horrifically bad acupuncture study in PLoS ONE. It had all the hallmarks of quackademic medicine: an implausible hypothesis, trying to correlate mystical concepts of meridians and qi to anatomy and failing miserably, and dubious statistical modeling. That PLoS ONE…
A biological basis for acupuncture, or more evidence for a placebo effect? Ed Yong ponders acupuncture, placebos, and context. This I like, and there's a nice meta dimension here as well: placebos being all about context. Abel Pharmboy reports on Marking the magnificient memory of Henrietta Lacks. A nice account of what sounds like a lovely ceremony. Among other things, testifies to the potential power of the book. Much ado about links and where they best belong. Starting points: Rough Type: Nicholas Carr's Blog: Experiments in delinkification, which gets examined by ReadWriteWeb in The…
Of all the "alternative" therapies out there, arguably the most studied is the modality known as acupuncture. Perhaps the reason is that, unlike homeopathy, which based on physics, chemistry, and biology alone is so implausible that, for it to "work," huge swaths of well-established physics and chemistry would have to be shown to be not just wrong but extravagantly and outrageously wrong (making homeopathy far more akin to magic than science), or reiki, which, when you come right down to it, is nothing more than faith healing based on Eastern mysticism rather than Christianity, acupuncture…
I realize that there are two huge target-rich articles out there that my readers have been clamoring for me to comment on. First, there's a particularly silly and simplistic article by Nicholas Kristof about how it's supposedly the "toxins" causing autism (an article in which he apparently doesn't realize that Current Opinions in Pediatrics is not really a peer-reviewed journal but rather publishes review articles by invitation), and then there's a fawning TIME Magazine article bout Jenny McCarthy. When two such--shall we say?--target-rich articles appear on the same day, I'd be falling all…
Almost two years ago, I discovered something that disturbed me greatly. Basically, I learned the story of an Air Force officer named Col. Richard Niemtzow, MD, PhD. Col. Niemtzow is a radiation oncologist who has over the last decade fallen deeply into woo. Specifically, he has become known for a technique that he has dubbed "battlefield acupuncture," a technique that he has promoted energetically (word choice intentional) and ceaselessly, to the point where, sadly, the military is starting to take it seriously even though the evidence Col Niemtzow has presented in favor of the technique is…
While I lack the intestinal fortitude of my colleague, Orac, who actively seeks out the most impressive examples of pseudoscience and quackery, examples come to me without even looking for them. This week's case is in the form of a book announcement press release from a Denver-based "practitioner" who specializes in cosmetic acupuncture. Yes, the needle without the Botox®. Martha Lucas, Ph.D., L.Ac., Denver-based acupuncturist and practitioner of Traditional Chinese Medicine (TCM), has authored "Vanity Calamity: Your Guide to Cosmetic Acupuncture for Anti-aging." The announcement is made by…
Yet another hat tip this morning to anjou, a regular reader, commenter, and human RSS feed on all things cancer and alternative medicine (not to mention turning me on to Vanessa Hidary, the "Hebrew Mamita" spoken-word artist). Last night anjou brought to me a superb AP Impact article, Alternative medicine goes mainstream, from medical writer Marilynn Marchione. I know that AP has been skewered as of late by various science bloggers but this particular article by Marchione is one of the best treatments I have seen in the last two years regarding the truth behind the alternative medicine…
A recent business sojourn to Key West, FL, gave your intrepid blogger (who still has yet to set up his own CafePress swag shop) an opportunity to revisit a story we first discussed in February of an acupuncturist being arrested on three felony charges for obtaining controlled substances by forgery. Commenter ebohlman noted at the time the address of the acupuncturist's practice: Duck Avenue? Is that where all the quacks have their practices? While I expressed some sympathy for the practitioner if she were addicted to narcotics, I also feared that she might have used some of the drugs to…
This war taking place in our nation's medical schools and academic medical centers. Orac at Respectful Insolence has been tracking this trend, as have those of us writing at Science-Based Medicine. It is a war between those who feel that medicine should continue to be based on science and those who want to integrate faith-based practices. The model for this war is not that of pedagogical disputes or funding scuffles. More than anything else, it resembles a religious war. The basic story goes like this: medical schools are in charge of educating future doctors. Individual hospitals are…
I've at times been asked where I come up with my blogging material. Since I've become fairly popular, one major source has been readers sending me stories. I often don't have time to respond, and most of them don't interest me enough to be motivated to write, but there are enough that do that I consider my readers to be a major source of material. Then there are medical and surgical journals, as well as sources like EurekaAlert! Then there are my numerous RSS feeds that I peruse on a daily or every-other-day basis in the evening or early in the morning. Then, of course, there are the various…
I could write a post every other week, at minimum, on dietary supplements adulterated with prescription drugs - against federal law, but easy to do with bulk pharmaceuticals available from overseas and no independent product purity oversight. But here's a new one from the Key West Citizen: Acupuncturist arrestedAn acupuncturist who operates a business on Duck Avenue was arrested Thursday on three felony charges. Ashley Hoyt, 45, was charged with fraud/impersonation and two counts of obtaining a controlled substance through forgery. Hoyt operates her business Ashley Hoyt Inc. at 3420 Duck Ave…
It's hard to hide severe back pain. When I stand up, I look like a question mark. The visibility of the problem, combined with the general goodness of my fellow human beings, leads to lots of unsolicited advice. Folks have given me great advice (take some NSAIDs, stretch, and don't lay in bed) and some questionable advice (go to the chiropractor, get some acupuncture). My colleagues and I have written a lot about acupuncture. It's sort of a "gateway CAM", in that it has a patina of plausibility. But the evidence of its efficacy has pointed toward it being an elaborate placebo. To help…
It's true that words matter, and that we who practice real medicine have often let cult medicine practitioners get the linguistic high ground. We've let them get away with calling non-science-based practices "alternative" and "complementary", without really asking, "alternative to what?" or "does it really "complement, or just distract?" We've often ignored language, and when we don't, we are accused of being pedantic, of focusing on "rhetoric" rather than "real" issues. Language is powerful. There is no such thing as "it's just a word". Language is even more important in the fight…
Several months ago, I wrote a post about the experimentation with acupuncture by an Air Force physician, Col. Robert Niemtzow. In the post, I started with an admittedly exaggerated vignette--a story, if you will--of a soldier whose leg was shredded by a mortar in battle. When the medic came to treat his wounds and get him ready for transport, this soldier was in for a surprise, because after applying a tourniquet to his leg, this medic offered him not morphine for his pain but acupuncture. At the time, the military acupuncture program spearheaded by Col. Niemtzow was not proposing anything…