complementary and alternative medicine
oracknows | May 13, 2007I don't know where EoR finds this stuff, but I like the way Deborah Ross thinks when she discusses offering alternative medical practitioners alternative methods of payment. Not surprisingly, they aren't interested:
There has been much fuss this week about the 'scientific status' of homeopathy, just as there is always a fuss about 'alternative' treatments generally. Personally, I have no patience with the dismissive and often contemptuous attitude these therapies can attract, as there are many useful treatments and products on offer out there. These include:
THE ALTERNATIVE CREDIT CARD (…
oracknows | May 10, 2007A common refrain among practitioners and advocates of alternative medicine is that the reason randomized clinical trials frequently fail to find any objective evidence of clinical efficacy for their favorite woo is because, in essence, science is not the right tool to evaluate whether it works. In essence, they either appeal to other ways of knowing, invoke postmodernist nonsense claiming that science is just one way of knowing that is not any better than any other ways, or both. The most outrageously absurd example of postmodernist silliness in this regard that I've ever seen was the…
oracknows | May 8, 2007Via Kevin, MD, here's a piece that almost could have been written by me:
CAM exists in an alternate universe from real medicine. It wants to be legitimate but manages to avoid the responsibilities and liability of real medical practice. As most CAM treats nebulous symptoms with equally nebulous modalities, there is no measurable standard for efficacy of any of the treatments. Acupuncturists, for example, diagnose perturbations of "qi," a mystical life force which apart from serving as the basis for Star Wars has no physiological equivalent and cannot be measured in any way except through…
oracknows | May 4, 2007Everybody (well, mostly everybody) learns in science and physics class the Three Laws of Thermodynamics:
Energy cannot be created or destroyed, meaning that the increase in the internal energy of a thermodynamic system is equal to the amount of heat energy added to the system minus the work done by the system on the surroundings.
The entropy of an isolated system not in equilibrium will tend to increase over time, approaching a maximum value at equilibrium.
As temperature approaches absolute zero, the entropy of a system approaches a constant.
These three laws pretty much describe the…
oracknows | May 3, 2007You may remember how, almost in passing as part of a longer post, I mentioned how much cranks can't stand critics of theirs who write under a pseudonym and try to out them at every opportunity. Indeed, one of the biggest cranks of all, J.B. Handley, the man whose mantra used to be that autism is nothing more than a misdiagnosis for mercury poisoning but who is now backpedaling furiously to blame "live viruses" and "toxic loads," tried to do just that the other day in the comments of this post (as if I'd let that happen on my own blog).
Not all outing is always bad. Kevin Leitch, in fact, has…
oracknows | May 2, 2007Dr. Steven Novella, an academic neurologist, President of the New England Skeptical Society, and organizer of what's become my favorite skeptical podcast, The Skeptics' Guide to the Universe, took the time to weigh in on the Nature Neuroscience article that I discussed the other day and that engendered dozens of comments, as posts about antivaccination irrationality tend to do around here.
Besides my being interested in what a neurologist has to say about these issues, the reason that I want to bring your attention to his article is because he issues a clarion call to arms for those who…
oracknows | May 2, 2007One amusing little tidbit that came out of my recent post about how the mercury militia tries to intimidate scientists who are willing to speak out against the antivaccination wingnuttery is that the Generation Rescue website, home of J. B. Handley and his merry band of mercury militia chelation junkies, has undergone a makeover. Gone is the dogmatic site that proclaimed that autism and autism spectrum disorders are all "misdiagnoses" for mercury poisoning. Here now is a kinder, gentler Generation Rescue site, although it's still chock full of the same looniness that you've come to expect…
oracknows | May 2, 2007I had come across a rather amusing mea culpa by GruntDoc in which, while discussing an amazingly inappropriate notice regarding guidelines for emergency room chiropractic reimbursement, he admits to having in the past referred our best and bravest to chiropractors. I can understand why he did it, given the circumstances he described. However, what bothered me was this statement:
In my six-plus years of being on-call in the hospital emergency department (ED), I have seen numerous ED physicians gain familiarity with the indications for chiropractic consultation. I have enjoyed seeing the…
oracknows | April 30, 2007As a male, this bit of woo from Serbia causes me pain just to contemplate it. I'm not sure if it's true or not because--well--I have a hard time believing that anybody can be this stupid. It has the whiff of urban legend about it. However, one underestimates the stupidity of men in their quest to solve sexual problems; so it's possible that this is true. Just don't tell Bora; I don't know if he could stand that this happened in Serbia, if it actually happened:
A Serbian man who went to a witchdoctor in search of a cure for premature ejaculation rather foolishly took the shaman's advice, viz:…
oracknows | April 30, 2007Now here's something you don't see every day. Nature Neuroscience has weighed in about the pseudoscience that claims that mercury causes autism. Based on British experience with animal rights activists, it points out a parallel that I hadn't considered before:
The idea that autism is caused by vaccination is influencing public policy, even though rigorous studies do not support this hypothesis. Legislators are right to take into account the concerns of parent groups and others directly affected by autism, but policy decisions should be based on hard evidence rather than anxiety. More…
oracknows | April 27, 2007I've said it once before, but this week's woo compels me to say it again: I happen to love gadgets.
I've been a bit of a technogeek since very early on in my life, with a lot of the things that go along with it, including a major interest in science fiction, awkwardness around the opposite sex, When at their best, gadgets can do things that need to be done and, if well designed, can do them with panache, making drudgery almost fun Then of course, there's the almost Dilbert-like joy males into technogeekery have in one-upping each other, almost like the surgeons I described yesterday one-…
oracknows | April 26, 2007Just when I start to think that maybe, just maybe, I could stop worrying and learn to love the National Center for Complementary and Alternative Medicine (NCCAM, with apologies to Stanley Kubrick and Peter Sellers), damn if it doesn't go and do something that renews my cynicism about the entire Center. This time around, Dr. RW has turned me on to a proposed project that leaves me scratching my head, Omics and Variable Responses to CAM: Secondary Analysis of CAM Clinical Trials.
Given the nature of the woo to be studied, my first inclination was to start making light of the whole "oooommmmm"-…
oracknows | April 21, 2007I hadn't planned on writing again about the horrific massacre at Virginia Tech. After all, what more could I say that hasn't been said before in the blogospheric chatter that's erupted in the five days since the killings? Despicably, everyone's blaming their favorite cause. Fundamentalists are blaming atheism, secularism, and even Charles Darwin for the rampage. We have people making the ridiculous claim that more liberal concealed carry gun laws would have stopped the rampage before so many people died. Never mind that the price over the years for maybe--just maybe--stopping a rare homicidal…
oracknows | April 19, 2007Earlier this month, a "mercury mom" named Christine Heeren posted a most disturbing video to YouTube. Not long after, Kevin Leitch became aware of it and wrote about it, shortly after which the video was made a "private video" that only those given permission could view. Fortunately, Kevin had also downloaded the video and has made it available here.
It's a disturbing video on many levels, portraying, as it does, Ms. Heeren's autistic son being subjected to chelation therapy with EDTA, a therapy based on a failed hypothesis (that the mercury in thimerosal in vaccines "causes" or "contributes…
oracknows | April 13, 2007
Believe it or not, it's been almost nine months since, almost on a whim, I first started this little indulgence of mine known as Your Friday Dose of Woo, with some truly fine woo known as quantum homeopathy. Before you know it, we'll be celebrating a full year of woo. (Yes, I know that woo is eternal, and my little project represents a mere grain of sand on all the beaches of, for instance, California. If I'm going to be overwhelmed with woo and unreason, though, I might as well have a few laughs along the way.)
One thing I've noticed over these months is that there are definitely recurring…
oracknows | April 12, 2007If you ever want to wonder why I'm sometimes of the mind that the National Center for Complementary and Alternative Medicine should be disbanded and its functions distributed among the other Institutes of the NIH, you just have to consider the sorts of woo-filled studies (like the Gonzalez protocol) funded by NCCAM mixed in among the more reasonable studies of herbal remedies and other modalities that have at least a modicum of scientific plausibility. With that in mind, I came across a study that seems to be getting a fair amount of play in the press, at least around here. The study purports…
oracknows | April 12, 2007I sometimes wonder if those doctors who do health segments for various TV news outlets are "real" doctors, given the sorts of things they actually say. Oh, Dr. Dean Edell is a pretty evidence-based guy most of the time (one of his finest moments being his takedown of Dr. Lorraine Day on the air), but for all too many of these other docs, their brains shut down when the TV lights shine on them. Sadly, there were a couple of doozies of examples this week.
First up is Val Wadas-Willingham, producer for CNN's medical news on Paging Dr. Gupta:
My husband's best friend, Hans, was supposed to be in…
oracknows | April 10, 2007Today, in case you didn't remember, is World Homeopathy Day, a day for the credulous to celebrate the woo that is homeopathy by celebrating the birthday of the originator of homeopathy, Samuel Hahnemann. I had thought of making a "homeopathic" mention of this great event (in other words, no mention, just like there's no active ingredient in a homeopathically diluted and succussated remedy), but then I remembered that, according to the principles of homeopathy, the more you dilute something, the stronger it is. Thus, by homeopathic "reasoning," not mentioning World Homeopathy Day would be even…
oracknows | April 7, 2007Via Terra Sigilatta (who beat me to this one, as I saw the press release yesterday but never got around to blogging about it), we find yet another case of heavy metal contamination of a popular supplement, this time herbal kelp supplements. This discovery was prompted by the investigation of a case of woman who suffered real harm from these supplements:
The new study, published in this month's issue of Environmental Health Perspectives - available online at www.ehponline.org - was prompted by the case of a 54-year-old woman who was seen at the UCD Occupational Medicine Clinic following a two-…
oracknows | April 6, 2007In perusing my Folder of Woo, which is becoming every more crammed with potential targets begging for the tender mercies of Orac in their very own Your Friday Dose of Woo installments, I was wondering which one to pick. After all, it's an embarrassment of riches (if you can call it "riches") in there, with so much woo and so little time. I needed something different after last week's installment, which, sadly, appeared to have grossed some people out. I don't know why it might have grossed more people out than previous posts on colon cleanses and liver flushes, but for some reason it did. But…