complementary and alternative medicine

They're here, they're there, they're everywhere! Sorry. I couldn't resist. I also couldn't resist revisiting the topic of nanoparticles one last time. You remember nanoparticles? They're the contaminant that poisons everything, at least if you believe two Italians, Antonietta Gatti and Stefano Montanari, who published a paper that purported to show that vaccines were hopelessly contaminated with heavy metal nanoparticles. (Hey, that would make a great name for a band.) Unfortunately for them, the study was a hopeless botch that lacked anything resembling proper controls, experimental design,…
I wasn't planning on revisiting this topic, but sometimes a blogger's gotta do what a blogger's gotta do. You'll see what I mean in a minute. But before you do, I'll just provide a bit of background. Last week, I came across one of those truly awful antivaccine studies that gets the old Insolence flowing, this time a mix of the Respectful and not-so-Respectful. I'm referring, of course, to a paper that I came across as I was spending some time delving into the deeper darker parts of antivaccine social media. It was a study by Antonietta Gatti and Stefano Montanari in the International Journal…
"You need to detox." How many times have you heard or read this? Maybe a friend of yours suggested it for the New Year. Maybe you saw it on a website, in a magazine, or as part of an ad. I like to say sometimes, "Toujours les toxines," because in many branches of alternative medicine the overarching idea behind the interventions used is that vague, unnamed "toxins" are somehow poisoning you and that the only way to fix what's wrong with you is to "detoxify." These "detox" interventions can take many forms, ranging from the relatively (but not completely) benign, such as "juice cleanses," to…
Being as involved as I have been refuting antivaccine pseudoscience as I've been over the last 12 years, I frequently forget that antivaccine views are not the mainstream. It's an easy thing to do. If you were to immerse yourself in the antivaccine echo chamber as much as I do, you too would start to think that enormous swaths of the country, if not an outright majority, think that vaccines cause autism, sudden infant death syndrome, asthma, a wide variety of neurological disorders, and basically every autoimmune disease under the sun. I know that that's not true, but often it doesn't feel…
I've frequently written about what I like to refer to as the "toxins gambit" with respect to vaccines. Basically, in the hard core (and even soft core) antivaccine crowd, vaccines are feared as being loaded with all sorts of "toxins," such as aluminum, formaldehyde, mercury, and various chemicals that are dangerous enough separately, but, when combined, "poison" young babies, resulting in their becoming autistic, acquiring asthma and autoimmune diseases, or even dying of sudden infant death syndrome. Of course, many of the scary-sounding chemicals to which antivaccinationists point actually…
I must admit that the last couple of weeks have been rather grim here on the old blog. Betweemn Donald Trump's White House spewing , an unfortunate patient embracing quackery, pseudoscience at the VA, and more. So it is that I feel as though it might not be a bad idea to step back for a day, to look into an acupuncture "study" that's been making the rounds in the media. Oddly enough, I remember it showing up a week ago and meant to discuss it then. So I'm glad that I saw a new news story on it in —where else?—The Daily Mail in the form of an article entitled Forget Viagra - acupuncture could…
Most of my regular readers probably haven't been following this blog long enough to know it, but early in its history this blog was more of a general skeptical blog. True, it always had a heavy emphasis on medical science and pseudoscience, but I also used to write about evolution and other topics from a skeptic perspective. Back then, dating back to the very earliest days after I discovered blogging, Holocaust denial was a frequent topic on this blog because it was a big interest of mine. It still is, even though I haven't had much opportunity to write about it over the last few years. It…
I get e-mail. Often, the e-mail I get consists largely of rants from various cranks about how I am a "pharma shill" and whether I feel any regret over the babies I'm supposedly turning autistic by my advocacy for vaccines. Much less often, I get e-mails praising me for my work. Sometimes, I even get e-mails that tell me that my blogging was the reason someone turned away from the dark side of antivaccine quackery or other pseudoscience. Those e-mails make my day. I also sometimes get e-mails like this: I'm in the VA healthcare system in Los Angeles. I had previously read your article about…
Longtime readers of this blog are familiar with one major kind of blog post that I've done periodically ever since the very beginning of this blog, and that's the alternative medicine cancer cure testimonial, particularly breast cancer cure testimonials, but also testimonials for a wide variety of cancers allegedly "cured" by a wide variety of quacks. It started with Suzanne Somers and Lorraine Day, whose stories I deconstructed and showed not to be indicative of a cancer cure due to the quackery they were pursuing and continues to this day. Another, related category of post are early…
One of the core beliefs of the antivaccine movement is that there is an "autism epidemic." The observation that autism prevalence has been climbing for the last two to three decades led some parents with autistic children to look for a cause, specifically an environmental cause, for autism. Because several vaccines are given in the age range when children are typically diagnosed with autism, they fell victim to the all-too-human tendency to confuse correlation with causation and latch on to vaccines as the main cause of their child's autism. Then, when these parents banded together, they…
[Note: The proprietor of the website has responded by e-mail. See Comment #37.] Now that the unreal has become real, I was just thinking how weird it is that I've never actually blogged about a phenomenon that directly contributed to the election of Donald Trump. I'm referring to the phenomenon known now as "fake news." Now, by "fake news," I do not mean sloppy reporting. I do not mean biased reporting. I do not even mean a type of article that many crank websites publish in which a real news story (often with other news stories) is used as jumping-off point for pseudoscience and conspiracy…
Of all the forms of unproven and disproven alternative medicine being enthusiastically "integrated" into science-based medicine by proponents of "integrative medicine" (formerly—and sometimes still—known as "complementary and alternative medicine," or CAM), so-called "traditional Chinese medicine" (TCM) is clearly among the most popular and seemingly the most accepted. After all, acupuncture, the most famous modality in the TCM armamentarium, is offered in dozens of academic medical centers and hundreds of medical centers in the US, but it goes beyond that. It doesn't matter that the totality…
In a (very) few short hours, Donald Trump will take the oath of office and become the 45th President of the United States. I realize that I don't normally blog about politics, at least other than that related to medicine, but I make no bones about it. I'm dreading 12 Noon ET on January 20, 2017. There is more than enough reason for dread given the likely effect on medical science, at the very least. Also, Donald Trump is antivaccine. He's shown it through meetings with Andrew Wakefield and Robert F. Kennedy, Jr, the former of whom spoke a year ago on a "Conspira-Sea Cruise" and the latter of…
So I was distracted yesterday from what I had intended to write about by an irresistible target provided me courtesy of Toby Cosgrove, MD, CEO of The Cleveland Clinic, who bemoaned all those nasty pro-science advocates who had had the temerity to link the antivaccine rant by the director of the Clinic's Wellness Institute to the quackery practiced there of whose affinity for antivaccine quackery Cosgrove appears to be oblivious. So I took care of that target, and now I'm back to the topic I had wanted to apply some Insolence to. Yes, there was no way I was going to allow this pseudoscientific…
I've been pretty hard on The Cleveland Clinic over the years, but justifiably so. After all, The Cleveland Clinic is one of the leading centers of quackademic medicine in the US; i.e., an academic medical center that studies and uses quackery as though it were legitimate medicine. Of course, this is a problem that is not in any way limited to The Cleveland Clinic. A decade ago, I tried to keep track of which academic medical centers had "complementary and alternative medicine" (CAM) or "integrative medicine" programs that integrated quackery like acupuncture, chiropractic, naturopathy, reiki…
I've written quite a bit about how our soon-to-be President Donald Trump has consistently expressed antivaccine views over the years, such as his oft-stated (on Twitter and elsewhere) beliefs that it's a "monster" shot that causes autism and infants get "too many" vaccines "too soon." I've heard Trump supporters who are pro-vaccine pooh-pooh these statements and claim that Trump won't be doing anything about vaccine policy because it's not a priority, an observation I counter by pointing out that Trump met with two of the biggest antivaccine "icons" there are: Andrew Wakefield and, just last…
This week hasn't been a particularly good week for science. It started out on Monday with news of the social media storm from over the weekend over a blatantly antivaccine screed published the Friday before by the director of The Cleveland Clinic Wellness Clinic. Then, towards the middle of the week, we learned that our President-Elect, Donald Trump, had met with an antivaccine loon of the worst variety, someone whose misinformation I've been dealing with since 2005, in order to discuss some sort of commission on vaccine safety—or autism (it's not clear which). Whatever it was, there's no way…
I was busy last night doing something other than actually blogging. Perhaps I was recovering from the one-two punch of the antivaccine rant penned by the director of the Cleveland Clinic Wellness Institute followed by Donald Trump's meeting with antivaccine crank Robert F. Kennedy, Jr. Whatever the case I crashed early. However, I can't help but note still more bad news. I woke up this morning to this headline Naturopaths get their own licensing board in Mass.: Governor Charlie Baker on Wednesday signed into law a bill that creates a licensing board to regulate naturopaths, alternative…
I remember when I first heard on Twitter yesterday afternoon that our President-Elect, Donald Trump, was going to meet with longtime antivaccine crank Robert F. Kennedy, Jr. Remembering how Trump had met with antivaccine "hero" Andrew Wakefield before the election and how after the election antivaccine activists were practically salivating over the thought of what Trump might do with respect to the CDC and vaccines, I was reminded of just how much I fear for medical science policy under the Trump administration. I got a sinking feeling in the pit of my stomach. For a moment, I actually…
The fallout from the social media firestorm from the antivaccine rant written by the Medical Director of the Cleveland Clinic Wellness Institute and published by Cleveland.com last Friday has abated but far from faded away. The offending physician, Dr. Daniel Neides, was forced to issue an apology, which was one of the least convincing apologies I've ever seen, and The Cleveland Clinic issued a statement announcing its commitment to vaccines and that Dr. Niedes would suffer some as yet undetermined "disciplinary action." Reactions outside of The Cleveland Clinic ranged from the suitably…