alternative medicine
terrasig | May 4, 2009My clinical counterpart, surgical oncologist Dr David Gorski, has an excellent post up today at Science-Based Medicine on the irresponsible and misleading information being provided at The Huffington Post during the current H5N1/2009 influenza ("swine flu") outbreak. "The Huffington Post's War on Medical Science: A Brief History" provides a cautionary tale for us in embracing web-based news sources as our excellent print newspapers are going by the wayside.
Within the post, Dr Gorski shows that he is even more familiar with my writing than myself by citing a post at the old Terra Sig on the…
palmd | April 22, 2009Yes, that's right, the Huffington Post, that broadsheet of blarney, that tabloid of medical trumpery has done it. Not content to risk our mental health by lending legitimacy to all kinds of pseudoscientific charlatans, they just let Jim Carrey write a piece on vaccines and autism. Yes, the boyfriend of uber-fukwit Jenny McCarthy has drunk her Kool Aid, but that's no surprise. I'll leave a good fisking to others, because a few of the commenters showed signs of higher cortical function, and this deserves some coverage.
Take this one for example:
I think Jim and Jenny McCarthy are instilling…
palmd | April 22, 2009Just when you think the Huffington Post can't get any more inane and idiotic, just when you think your synapses might be starting to heal, they come out with another post that simply makes your ears bleed.
Sure, HuffPo regularly comes down on the side of superstition, for example in the vaccine manufactroversy; and sure, they sometimes veer into the lane of deceptive medical infomercials. But I sort of held out hope that they wouldn't resort to hosting potential fraud.
Fraud, you say? Well, not clearly. But, just as we in the Midwest know that when the sky turns that certain shade of…
palmd | April 21, 2009Overheard from the 210th annual emergency meeting of the Society for Evidence-Free Healing.
Chair: The meeting will come to order.
Some Dude: Seconded.
Chair: Um, I'm the Chair. I don't need a "second".
Some Other Dude: That sounds like an oppressive application of the dominant paradigm.
Chair: Fine, fine. Would anyone object coming to order? No? Thank you very much.
While it may seem to many of you that we have made great strides in having our ancient, holistic healing methods given an official stamp of approval (and perhaps Medicare reimbursement) we have some very troubling…
palmd | April 20, 2009A colleague of mine asked a great question: if you have one question to ask a booster of so-called alternative medicine in a public forum, what should it be? I'll give you my answer below the fold, then open the thread to see what you think.
My answer: "Can you please give specific examples of alternative medicine theories and modalities that have been abandoned because they have been found to be ineffective?"
I have information that some other skeptical doctor-bloggers seem to agree with this. Why? Why not ask, "can you give me specific evidence of a proven alternative theory/modality…
palmd | April 19, 2009My regular readers know that I hold the Huffington Post in the lowest possible regard when it comes to its medical writing. HuffPo offers a daily platform for the worst pseudo-science and infectious disease promotion. Apparently that was getting to hard, because now I think their down to phoning it in. Last week's post by a "body cleanse expert" reads like a late-night infomercial, and is about as accurate.
The article, with the fanciful title of, "Antibiotics Cause Cancer?" is written by Kim Evans whose medical qualifications are apparently limited to selling books on how to cleanse your…
revere | April 19, 2009A kind reader (h/t geodef) has passed on to me a really juicy item from the National Catholic Reporter about Reiki. Since I'm not much interested in alternative medicine I don't really know what Reiki is, other than it involves using a Reiki therapist's hands to pass some kind of "life energy" into an ailing part. You can imagine why I wouldn't be interested. But can you imagine why the U.S. bishops’ Committee on Doctrine would be? At first glance, the answer is truly hilarious:
A declaration by the U.S. bishops’ Committee on Doctrine that Reiki is based on superstition and incompatible with…
palmd | April 15, 2009First, I'd like to thank everyone who participated in the naturopaty primary care challenge. It was far more successful than I could have hoped. A number of naturopaths and their supporters responded, most of them quite rationally. It takes guts to walk into the fire.
It also takes fanaticism.
I have always rather assumed that most naturopaths and other "alternative" healers are, on the whole, motivated by good. After reading all the comments, I still hold that assumption---most "alternative" healers probably mean well. That does not, however, divorce them from an ethical…
palmd | April 13, 2009One of the common themes in biology and medicine is the feeling that somehow there must be more. Creationist cults simply know that life must be more than matter, and mind-body dualists (which includes most alternative medicine advocates) are certain that humans are more than an "ugly bag of mostly water" (sorry for the geek reference). If you can stick with me here, I'll explain to you a bit of the history surrounding this fallacy.
Most of us intuitively feel that we are both a body and a person. In every day life, it makes a certain operational sense to think of our "mind" as being…
terrasig | April 13, 2009An interesting question arose the other day when we discussed the Key West acupuncturist who was diverting prescription drugs for personal use as well as in her practice. While we are not certain that the defendant put the cited muscle relaxants and anxiolytics in remedies doled out at her practice, we doubt that the demographic she targeted would be too impressed if she were to hand out prescription drugs.
This scenario led our scientific and blogging colleague, DrugMonkey, to ask how common it might be for alternative practitioners to dope their herbs with prescription drugs exhibiting…
palmd | April 11, 2009Yesterday's piece about naturopathy lead to a nice conversation, but I realized we're missing something. We don't actually have a naturopath to defend the profession.
You see, if, for example, you are curious what your primary care physician might recommend to you, you can go to the American College of Physicians website, or the US Preventative Services Task Force to get an idea of what the standard of care and evidence is for screening, prevention, and treatment. What isn't clear to me is what a naturopathic primary care provider has to offer.
Here's my question, and I encourage any and…
palmd | April 10, 2009I'm a primary care physician. What I, other internists, pediatricians, and family medicine docs do is prevent and treat common diseases. When we get to diseases that require more specialized care, we refer to our specialist colleagues. There is a movement afoot to broaden the role of naturopaths to make them primary care doctors. The big difference between naturopaths and real primary care physicians (PCPs) is that naturopaths haven't gone to medical school, completed a post-graduate residency program, and taken their specialty boards. Why is this important? If a naturopath wants to be…
terrasig | April 9, 2009
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…
oracknows | April 8, 2009I really need to rein myself in sometimes.
Yesterday, all pleased as punch with myself for my mad Google skillz and for thinking I figured out just what "alternative" therapy it was that Farrah Fawcett had undergone that had resulted in what sounded for all the world like a rectus sheath hematoma, I wrote about how I thought that Fawcett had been undergoing galvanotherapy in Bad Weissee in southern Germany. Either my mad Google skillz failed me, or I was just too lazy to scroll through a sufficient number of screens to find additional information that would have brought the most likely answer…
oracknows | April 7, 2009Note the followup post to this one, in which Orac admits error. You just have to read it, given how rarely Orac messes up when speculating...
Our cancer center has a large, open area interspersed with patient waiting areas, one of which is the clinic where I see patients, that I frequently must traverse to get to the elevators that will take me to my lab. In each patient area is a large-screen television to help patients pass the time during the inevitable wait to be seen by their doctors. As I happened to be wandering through that area on the way to my lab and office, I noticed on one of…
palmd | April 3, 2009Well, HuffPo does it again. No other mainstream news outlet brings the stupid on health news like Arianna. Take today's vapid article on vitamin supplementation.
Let me remind all of you amateur biologists that vitamins, discovered over a hundred years ago, were found to be "vital" to health. What made them different from macronutrients such as fats, proteins, sugars, etc., is that they were only required in very small quantities. There has always been a fascination with vitamins, and even during this time of nutritional excess, people like their supplements.
Thankfully there are…
palmd | March 30, 2009This 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…
palmd | March 25, 2009Whatever you think of its political reporting, no other mainstream media outlet can bring the stupid like the Huffington Post, especially with regards to medical reporting. Its most famous contributors include antivaccinationists like David Kirby and Robert Kennedy, Jr., and kumbaya therapy wackaloon Deepak Chopra.
Now they bring us an article by some dude I've never heard of with a title that should have him laughed out of any legitimate scientific institution: "The Science of Distant Healing". This is one stupid article.
First of all, who the hell is this guy? According to his bio:
Dr.…
amillikan | March 21, 2009
ScienceBloggers Peter Lipson, AKA Dr. Pal from White Coat Underground, and Janet Stemwedel, AKA Dr. Free-Ride from Adventures in Ethics and Science, return for another episode of BhTV's Science Saturday this week. They discuss Senator Tom Harkin's worrisome crusade to "validate" alternative medicine, debate whether scientists should bother to rigorously investigate popular junk science, explain why doctors should exhibit humility in the face of disease, and issue a call for scientists to get political.
Related ScienceBlogs Posts:
Peter on Tom Harkin's war on science
Janet on conventional…
terrasig | March 18, 2009I just had a chance to check in on a triad of posts by Prof Janet Stemwedel at Adventures in Ethics and Science (1, 2, 3) on the ethical issues of the conduct of studies, particularly clinical trials, supported by the US NIH's National Center for Complementary and Alternative Medicine (NCCAM).
For background, NCCAM was originally established for political, not scientific reasons, as the NIH Office of Alternative Medicine in October 1991. It received a token budget of $2 million at the time. They still only get $120-ish million; modest by NIH standards as compared, say, with the 2007 NCI…