integrative medicine

I take back all those nice things I used to say about Nancy Snyderman. There's no doubt that she "gets it" about vaccines and, for the most part, even though she does occasionally go overboard, and her understanding of the issues involved in the use of various vaccines is anything but nuanced. I used to think that she "got it" with respect to SBM, but then I saw her recent segment on "complementary" medicine on NBC News the other night. Here's part one, which aired Monday night: Visit NBCNews.com for breaking news, world news, and news about the economy The very introduction made me groan,…
Since I seem to be on a roll the last few days discussing cancer quackery, I thought I'd just go with it at least one more day. Frequently, when I get on these rolls laying down the Insolence, both Respectful and not-so-Respectful, over antivaccine quackery I start whining about how I need to change topics, but not this time around, not this topic. It takes a lot more than what I've posted lately to make me feel as though I need a change of pace. Besides, for whatever reason, the blog fodder is flying at me fast and furious, whether it be the dubious testimonial I discussed yesterday, yet…
One of the consistent themes I've maintained on this blog over the years is to combat in my own small way in my own small corner of the Internet, the influx into medical academia of medicine based not on science, but on prescientific notions of disease, vitalism, and magic, such as homeopathy (which is sympathetic magic), reiki (which is faith healing), and the like. In general, we expect professional societies to maintain and support the scientific basis of medicine. Unfortunately, increasingly, medical societies have been failing us. Here's just a short reminder of yet another example. This…
Oh, goody. I don't know how I've missed this, given that it's been in existence now for over a month now, but I have. Regular readers (and even fairly recent readers, given that I write about this topic relatively frequently) know that I'm not a big fan of the National Center for Complementary and Alternative Medicine (NCCAM). Just search this blog for "NCCAM" if you don't believe me. I've explained the reasons many times, but the CliffsNotes version is that NCCAM is an enormous waste of taxpayer money, dedicated as it is to the study of modalities that are at best highly implausible and at…
Yesterday, the real-life mailbox brought the Pharmboy household the Fall 2009 issue of DukeMedicine connect, a biannual publication on current news from the Duke University Health System. Produced by DUHS Marketing and Creative Services, it "strives to offer current news about health topics of interest" to its readers. This issue is not yet online but you can see the Spring 2009 issue here. What caught my eye was a cover teaser titled "Detox Delusion" and an article on detoxification diets focusing on an interview with Beth Reardon a nutritionist with Duke Integrative Medicine. (Note added…
I 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…
The seemingly never-ending quest of advocates of unscientific medicine, the so-called "complementary and alternative medicine" (CAM) movement is to convince policy makers, patients, and physicians that, really and truly, it no longer deserves the qualifier of "alternative," that it is in fact mainstream and even "scientific." That very search for respectability without accountability is the very reason why "alternative" medicine originally morphed into CAM in order to soften the "alternative" label a decade or two ago. Increasingly, however, advocates of such highly implausible medical…