Homeopathy
oracknows | February 5, 2017"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…
oracknows | January 18, 2017I'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…
oracknows | January 9, 2017The 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…
oracknows | January 5, 2017If there's one thing that proponents of "integrative medicine" (or, as it's been called in the past, "complementary and alternative medicine," or CAM) take great pains to emphasize whenever defending their integration of prescientific and pseudoscientific medicine into medicine, it's that they do not recommend using "alternative medicine" instead of real medicine but in addition to real medicine. Indeed, even the "gods" of integrative medicine, such as Barrie Cassileth at Memorial Sloan-Kettering Cancer Center, not only emphasize that but actually often take umbrage when it is suggested that…
oracknows | December 16, 2016There are times when I wonder: How on earth did I miss this?
Usually, I pride myself on being pretty timely in my blogging, writing about new stuff that’s fairly fresh. Sure, barring a fortuitous confluence of events and timing, I’m rarely the “firstest with the mostest” on a topic. I do, after all, have a demanding day job and generally don’t mix blogging with my work if I can avoid it (although cranks seem to want to make that impossible with their latest tactic of infiltrating my cancer center’s Facebook page to post rants about how evil I am). There’s no way I can compete with bloggers…
oracknows | December 11, 2016Old fart that I am, I’ve been a fan of The Rolling Stones since the mid-1970s, when I was in junior high school. Over the years, I’ve accumulated pretty close to all of their studio albums—and even bought multiple remastered versions of classics like Exile on Main Street and Beggar’s Banquet—and got access to the rest when I discovered the joy of streaming through Apple Music. Granted, the Stones went through a rough patch, creatively speaking, in the 1980s (the less said about Under Cover and Dirty Work, for instance, the better) and nothing they’ve done since the late 1970s has lived up to…
oracknows | November 15, 2016Whenever I write about homeopathy, I almost always refer to it at least once as “The One Quackery To Rule Them All.” It’s a phrase I’ve used to describe homeopathy for several years now, and for good reason. Of all the quackery out there, with the possible exception of reiki, homeopathy is the one that is most obviously quackery. Its two main “Laws” are so clearly pseudoscience that you’d think it incredibly unlikely that anyone would fall for such nonsense, but fall for it they do.
I’ll briefly show you what I mean. That I can do so this briefly should show those unfamiliar with homeopathy…
oracknows | October 25, 2016Here we go again.
Naturopaths crave legitimacy for their brand of pseudoscientific medicine. Basically, they delude themselves into thinking that they are real doctors and can function as primary care providers, despite abundant evidence that they cannot. they One (of several) ways they seek to acquire that legitimacy for naturopathy and themselves is through promoting the passage of laws in states licensing them as health care providers, as they have been repeatedly doing (and, fortunately, thus far failing to achieve) in my home state of Michigan and continuing to attempt in Massachusetts…
oracknows | October 20, 2016There are many myths that undergird antivaccine beliefs, such as the myth that vaccines cause autism, autoimmune diseases, diabetes, sudden infant death syndrome, and basically anything antivaccinationists like to blame on them. Basically, if you believe antivaccinationists, there’s nothing bad thta vaccines can’t do to children. The flip side of this myth is perhaps the central myth of the antivaccine movement, which is that unvaccinated children are somehow so much healthier than vaccinated children and that fewer vaccines equates to better health. This one pops up time after time after…
oracknows | October 10, 2016As hard as it is for me to believe, I’ve been writing about homeopathy for more than a decade now. Regular readers, of course, know that homeopathy is quackery, utter pseudoscience based on prescientific vitalism based on two “laws”: the Law of Similars and the Law of Infinitesimals. The former states that, to relieve a symptom, you use a substance that causes that symptom in healthy people. There is, of course, no science or logic to support this as a general principle other than sympathetic magic. The latter Law states that to make a remedy stronger, you must dilute it. That in itself is…
oracknows | September 27, 2016It’s been nearly three weeks since we learned that the Medical Board of California had initiated disciplinary proceedings against the most famous antivaccine physician not named Andrew Wakefield. I’m referring, of course, to “Dr. Bob” Sears, author of The Vaccine Book: Making the Right Decision for Your Child and creator of an “alternate” vaccine schedule that “spreads out the vaccines.” Unfortunately, it’s a book that’s been very influential, in particular promoting the idea of “too many too soon” and claiming that delaying vaccines will reduce a child’s risk of autism. Basically, the…
oracknows | September 20, 2016One of the most pernicious changes in medicine that’s occurred over the last 25 years or so is the infiltration of what I like to refer to as “quackademic medicine.” It’s a term that was, as far as I know, coined by Dr. Robert W. Donnell in 2009 to describe the infiltration of pseudoscience and quackery into medical schools and academic medical centers under the mantle of “complementary and alternative medicine” (CAM), now more commonly referred to as “integrative medicine. However, over the years, I’ve embraced the term to describe the “integration” of quackery and pseudoscience into…
oracknows | August 15, 2016In the early days of 2016, my attention was drawn to a local antivaccine doctor of whom I’d heard before but never really paid much attention to. What caught my eye was a blog exchange between this “holistic” family practitioner and former Scienceblogs blogger, friend, and local internist Peter Lipson over this physician’s blog posts attacking a local Jewish summer camp for children for its new requirement that campers must be up to date on their vaccinations as a requirement for attending. Not surprisingly, Dr. Lipson took the side of science and refuted the antivaccine nonsense that had…
oracknows | July 26, 2016I’ve frequently referred to “integrative medicine” as the “integration” of quackery with conventional, science-based medicine for the very good reason that that’s what it really is. However, advocates of medicine not based in science are nothing if not masters of marketing, which is how, over the course of three decades or so, “alternative medicine” morphed into “complementary and alternative medicine” (CAM), which ultimately morphed into its most recent incarnation, “integrative medicine.” The term “integrative medicine” is fantastic from a marketing perspective because it implies (and is…
oracknows | July 11, 2016Welcome once again to Sh*t Naturopaths Say, my periodic look at what naturopaths say behind closed doors (metaphorically speaking). At least, it’s a look at what they say when they are discussing patient management with their peers. It is a series to which I can add new entires from time to time, thanks to Naturopathic Chat (NatChat, for short), a discussion forum with hundreds of naturopaths as members that also includes someone who goes by the ‘nym Naturowhat and occasionally leaks the content of the forum to a Pastbin. Also, it never hurts to remind my readers of the quackery that is…
oracknows | July 1, 2016There are so many ridiculous alternative medicine treatments being “integrated” via “integrative” medicine into medicine, no matter how ridiculous they are, that it’s not only hard to believe, but it’s hard to keep track. Homeopathy is, of course, the most ridiculous, although “energy medicine” definitely gives homeopathy a run for its money in the Department of Stupid. The depressing thing is that most physicians, even “integrative medicine” physicians, know that homeopathy is bunk (at least when they even know what homeopathy is—most think it’s just herbal medicine). However, those same…
oracknows | June 20, 2016Living and practicing surgery in Michigan, it’s not surprising that I am very concerned about a bill being considered in the Michigan House of Representatives. The bill, HB 4531, would license naturopaths as health care providers. In fact, it would give them a very broad scope of practice, defined by a newly created board of naturopathic medicine. Basically, HB 4531 would give naturopaths a scope of practice almost as broad as that of primary care providers, like internists, family practitioners, and pediatricians. The only difference, if HB 4531 passes, would be that naturopaths would not be…
oracknows | June 15, 2016We in Michigan are dealing with yet another effort on the part of NDs, which stands for “naturopathic doctors” but more appropriately should mean “not a doctor, to achieve licensure in the form of Michigan HB 4531. As I mentioned when I first learned that HB 4531 was passed by the House Committee on Health Policy and sent to the full House for consideration, it’s a scary, scary bill. Moreover, it’s supported by the Michigan Association of Naturopathic Physicians (MANP), who are taking money from the supplement industry to lobby for this bill’s passage. It’s a bill that would grant NDs a wide…
oracknows | June 6, 2016One major thing that differentiated science-based medicine (SBM) from alternative medicine and quackery is that in SBM there is a generally accepted standard of care. This was even the case back in the days before the proliferation of evidence-based guidelines, in which professional societies and expert panels try their best to synthesize what is often an unwieldy mass of sometimes conflicting studies into guidelines on best care practices for different conditions. True, back then there was wider latitude because each physician was largely left to fend for himself in applying the medical…
oracknows | June 3, 2016After over 11 years at this blogging thing, I periodically start to fear that I’m becoming jaded. In particular, after following the infiltration of quackery in the form of “complementary and alternative medicine” (CAM), now more commonly known as “integrative medicine,” because it integrates CAM with evidence-based medicine. Of course, in reality, what “integrative medicine” really does is to integrate prescientific, pseudoscientific, and antiscientific quackery with real medicine, and that’s what I mean. I thought I had seen it all in academic medical centers and medical schools: the faith…