complementary and alternative medicine
oracknows | September 23, 2010Naturopathy is a strange beast in the "alternative medicine" world. From what I've been able to tell, it's a wastebasket specialty with no overarching philosophical underpinnings, as traditional Chinese medicine underpins acupuncture or sympathetic magic underpins homeopathy. Basically, if it's woo, naturopaths will use it. Acupuncture, TCM, homeopathy, herbalism, nutritional woo, detox, it doesn't matter. To naturopaths, it's all good, as long as it isn't "conventional medicine." Wait. Not quite. After all naturopaths have been fighting for (and in some cases getting) prescribing authority…
oracknows | September 22, 2010I've expounded on the principle of crank magnetism. Basically, crank magnetism is the tendency of cranks not to mind the crankery of other cranks, even if the two forms of crankery are mutually exclusive. But it's more than that. It's the tendency of a single crank to be attracted to several forms of crankery. We've seen it in creationists who are also attracted to "alternative medicine," in anti-vaccine loons who are also attracted to alternative medicine and various conspiracy theories, including "9/11 Truth." I've seen it in Holocaust deniers who are also attracted to both "alternative"…
oracknows | September 20, 2010This guy would appear to be screwed:
The rat running by the acupuncturist's door is a nice touch, too. And so appropriate.
oracknows | September 15, 2010I'm a cancer surgeon.
I started out as a general surgeon, but my passion and scientific interest goaded me into specializing in cancer. Ultimately, I ended up subspecializing even more, ultimately becoming a breast cancer surgeon, but through it all cancer, not just breast cancer, has remained my clinical and scientific passion. So has science-based medicine. Developed as a response to the concept of "evidence-based medicine" (EBM), SBM postulates that clinical care should be based on the best science available, including the consideration of basic sciences and prior probability. EBM…
oracknows | September 12, 2010THE PAST IS PROLOGUE
Location: Central New Jersey, deep within the brick and steel of a secret pharma base.
Year: 1999.
A shadowy figure dressed in gray, bald, and stroking a white cat enters a nondescript room in the middle of which sits a massive conference table. More than a dozen men and women leap to their feet at attention and wait until the man pauses at the head of the table and then very deliberately sits in high-backed leather chair.
Shadowy figure: Have they arrived?
Lackey #1: Yes, Leader.
Shadowy figure: Let them wait a few minutes. First, we have pressing business. You have…
oracknows | September 10, 2010I 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…
oracknows | September 8, 2010I must admit that, after having taken it easy over the last few days, when the time came to sit down and get back into the swing of things, I had a bit of a hard time. No, it's not just blogging. That's actually a rather minor component of the whole malaise that descended upon me like a shroud. Rather, it's the simple fact that the Labor Day weekend in the U.S. represents the unofficial end of the summer season. After that, it's all back to school, back to work, back to the grind.
Back to real life after summer.
This reluctance, not surprisingly, seeped out of real life and started to permeat…
oracknows | September 7, 2010After chilling out for part of the weekend, yesterday I became so engrossed in writing my part of a training grant for my postdoc that, before I knew it, it was way too late to provide you with the Insolence you crave for today. Oh, well. Tomorrow for sure; there's a lot that has been waiting for my attention. Besides, I haven't even really taken a vacation this summer; so I deserve a day or two (or three) off from time to time. In the meantime, I'll post a couple of bits of "classic" (if you can call it that) Insolence. This particular bit of insolence dates back nearly four years, all the…
oracknows | September 6, 2010After chilling out for part of the weekend, yesterday I became so engrossed in writing my part of a training grant for my postdoc that, before I knew it, it was way too late to provide you with the Insolence you crave. Oh, well. Tomorrow for sure. In the meantime, I'll post a couple of bits of "classic" (if you can call it that) Insolence. This particular bit of insolence dates back nearly four years, all the way back to November 2006. Remember, if you haven't been reading at least four years, it's new to you! Besides, it's always fun (or disturbing) to me to see how well some of my older…
oracknows | September 5, 2010In case you hadn't guessed, because of the holiday weekend, blogging's been rather slow. This is in general a good thing, a chance to rest and rethink, but occasionally, even while chilling out, I see things that I can't resist mentioning briefly. Things like this.
If there's one thing about "complementary and alternative medicine" (CAM) that has always puzzled me, it's that, at least here in the "West," there seems to be an inordinate fascination with ancient "Eastern" medical systems. These include, of course, traditional Chinese medicine (TCM) and Indian Ayruvedic medicine, both of which…
oracknows | September 2, 2010Nearly a month ago, I expressed my dismay and displeasure at the infiltration fo quackademic medicine into what is arguably the premier medical journal in the world, The New England Journal of Medicine (NEJM) in the form of a highly credulous review on the use of acupuncture for low back pain that brought eternal shame on the hallowed pages of a once-great journal. As Mark Crislip put it, trust, once damaged or lost, is very hard to restore, and I definitely lost a lot of trust for the NEJM compared to what I had for it a month ago. Since then, I've been keeping my eyes out for other examples…
oracknows | August 31, 2010I love it when my fans notice me.
After all, of what use is my having taken so many hours over so many years laying down on a nearly daily basis if my words don't have an impact? Surely I couldn't be so egotistical that I'd do it anyway even if my readership was what it was when I first started out and had not increased to the point where I'm the (alleged) force that I've become in the medical and skeptical blogosphere, would I?
Wait, on second thought, don't answer that.
In any case, back in the day I'd write my best snarky skeptical deconstruction of some bit of pseudoscience or another and…
oracknows | August 25, 2010What the hell is going on with The New York Times' health reporting?
I've had my share of disagreements with the way that the NYT has covered various health issues over the years that I've been blogging, but I don't recall ever having seen it embrace pseudoscience. I can recall being a bit miffed at some of the articles that the NYT has published about biomedical research and its various perceived failings. On the other hand, I've also praised the NYT reporting on various issues, such as medical radiation and the risks it can pose. But lately, it seems, the NYT has gone into the crapper with…
oracknows | August 24, 2010I tell ya, I go away for a few days and something always seems to happen that I'd be all over if I were at home and blogging normally. Either something major happens in the anti-vaccine movement or there's a new study being touted by woos or womthing else big happens. In the old days, I'd try to cover it anyway, but lately I've learned just to let it go until I get back home. If I'm still interested in it, the end result will usually be better, and if I'm not still interested in it then it's probably better that I never bothered writing about it anyway. This particular bit of blog material…
oracknows | August 23, 2010
One of the main topics that I've covered over the last four or five of laying down a swath of not-so-Respectful Insolence directed at pseudoscience is the relatively rapid, seemingly relentless infiltration of pseudoscience into what should be bastions of science-based medicine (SBM), namely medical schools and academic medical centers promoted by academics who should, but apparently don't, know better. This infiltration has been facilitated by a variety of factors, including changes in the culture of medical academia and our own culture in general, not to mention a dedicated cadre of…
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oracknows | August 20, 2010Here we go again.
Apparently, trying to bounce back from the humiliation of having had its plan to do a music and comedy fundraiser with Jill Sobule as one of the headliners shot down when Sobule found out that Generation Rescue is an "autism organization" that supports anti-vaccine pseudoscience like that of Andrew Wakefield and Mark and David Geier and quite correctly decided to withdraw, Generation Rescue is at it again with an event it's calling Comedy for Kids with Autism.
According to the mass e-mail I received:
Join us Saturday, September 11th at the Third Annual "Comedy for Kids with…
oracknows | August 19, 2010At the risk of once again irritating long time readers who've hear me say this before, I can't resist pointing out that, of all the various forms of "alternative medicine" other than herbal medicines (many of which are drugs, just adulterated, impure drugs), acupuncture was the one treatment that, or so I thought, might actually have a real therapeutic effect. Don't get me wrong; I never bought magical mystical mumbo-jumbo about "meridians" and "unblocking the flow of qi" (that magical mystical life energy that can't be detected by scientists but that practitioners of woo claim to be able to…
oracknows | August 18, 2010There's so much horrible reporting on vaccines and the whole manufactroversy that promulgates the myth that vaccines somehow cause autism through a combination of confusing correlation with causation, bad science, quackery, and misrepresenting autism that it's gotten harder for me to be sufficiently irritated to write about it. When I see yet another another example of credulous reporting, it has to be either truly egregious to the point of catching my attention above the baseline noise of stories presenting anti-vaccine pseudoscience as though there were any truth to it or somehow illustrate…
oracknows | August 17, 2010...you might want to check out this talk by a certain "friend" of this blog, as well as the reception to follow (although why anyone would want to pay any money to hang out with him, I have no idea). A little birdie tells me it'll be pretty good.