medicine

Of course, the best way to decide such questions is to vote, right? I know, I know, I've complained about poll-crashing before, but, if you can't beat 'em, join 'em.
Mark Crislip has a nice piece up at Science-Based Medicine about the battle against the medical "de-lightenment". In his post, he looks at some data about what sorts of criteria anti-vaccinationists use in their propaganda. Not surprisingly, appeals to emotion and to pre-existing beliefs are much more common than actual facts. The question then becomes, "Why bother?" We on the side of science-based medical humanism tend to believe that education is the best solution to problems such as implausible health claims, but since these things function more as belief systems than as opinions…
My first big splash in the blogosphere will have occurred five years ago in June, when I first discovered the utter wingnuttery that is Robert F. Kennedy, Jr. It was then that I wrote a little bit of that not-so-Respectful Insolence that you've come to know and love entitled Salon.com flushes its credibility down the toilet, a perfect description of an article by RFK, Jr. published in Salon.com and simultaneously in Rolling Stone entitled Deadly Immunity. As I look back, I realize that, as widely linked to and discussed as it was at the time, that post, arguably more than any other, was the…
These days, I'm having a love-hate relationship with Elsevier. On the one hand, there are lots of reasons to hate Elsevier. For example, Elsevier took payments from Merck, Sharp & Dohme in order to publish in essence a fake journal designed to promote its products, and then got caught doing it again. On the other hand, Elsevier owns both The Lancet and NeuroToxicology. The former recently retracted Andrew Wakefield's original 1998 Lancet paper that launched the latest iteration of the anti-vaccine movement in the U.K., as well as a thousand quacks, to be followed by the latter, which…
Helen Branswell, ace flu reporter, delivers the goodsl: TORONTO A landmark study looking at how to limit the spread of influenza has shown what experts have long believed but hadn't until now proved: Giving flu shots to kids helps protect everyone in a community from the virus. The study, led by Dr. Mark Loeb of McMaster University in Hamilton, Ont., showed the risk of catching the flu was lowered by nearly 60 per cent in communities where a substantial portion of kids aged three to 15 got flu shots. That level of indirect protection is nearly as good as what healthy adults might expect…
Well, that didn't take long. Remember when the grande dame of the anti-vaccine movement, Barbara Loe Fisher, decided that she would try to harass, intimidate, and silence Paul Offit through the filing of a frivolous libel suit against Dr. Offit, Amy Wallace (the journalist who interviewed Offit for an excellent article last year), and Condé Nast, the publisher of WIRED, which ran the article? Well, the judge has ruled, and that ruling is...dismissed! The text of the ruling can be found here. There are some awesomely awesome passages in this ruling, which is a slapdown that, while not as epic…
A few months ago, attorney Ames Grawert and I wrote about a defamation case filed by noted anti-vaccine crank Barbara Loe Fisher against respected journalist Amy Wallace, vaccine expert Dr. Paul Offit, and Conde Nast. The suit arose from a statement by Offit in an excellent article by Wallace. At one point in the lengthy article, Offit is quoted as saying, regarding Loe Fisher, "She lies." Loe Fisher launched the defamation suit based on these two words, claiming they made her appear "odious, infamous, and ridiculous." Anyone who has read Loe Fisher's writing at her National Vaccine…
Orac knows all. Orac sees all. Orac discovers all. Anti-vaccine loons, know this and tremble, as Teresa Conrick over at J.B. Handley's--excuse me, Jenny McCarthy's--home for happy anti-vaccine propagandists has: While googling to find the Tribune article, I instead found Orac's site. Who is Orac? Well, suffice to say that he has some mysterious desire to want autism to be only a genetic disorder. He gets upset if you discuss vaccines or the environment as causative factors. The usual suspects of the neurodiverse world and the assorted anonymous Wackosphere characters were hanging out at…
The other day I told you about a doctor promoting a dietary supplement for the treatment of HIV, despite the lack of any significant data to support his claims. If there's anything medical bloggers have found over the years is that woo rarely walks alone. In my post I expressed some incredulity at the fact that Kaiser promotes himself as an internist and HIV expert despite any of the usual formal education required for these designations. Examination of his website reveals that he is also an expert in "longevity", cancer, chronic fatigue, autoimmune disease, and intestinal parasites.…
I was pleased to see that Dr. Kaiser responded to post from earlier this week. If you'll recall, Dr. Jon Kaiser is a doctor in California who is promoting a nutritional supplement to help treat HIV disease. I was hoping his response would be substantive, containing references to data I had missed in my research of the story. In this I was disappointed. Dr. Lipson, I was surprised when I read your recent blog about my career, expertise and perspective on HIV treatment. Facts and science can be manipulated to support any opinion, so it is a fruitless exercise to engage in a point by point…
tags: Obama Now Experiencing Presidential Puberty, cultural observation, social commentary, news report, health care reform, parody, satire, humor, fucking hilarious, television, Colbert Report, Stephen Colbert, Ezra Klein, streaming video Stephen Colbert interviews Ezra Klein, who explains the reconciliation process that Democrats need to pass health care reform and what Republicans can do to drag it out indefinitely. The Colbert Report Mon - Thurs 11:30pm / 10:30c Action Center - Health Care Bill - Ezra Klein www.colbertnation.com Colbert Report Full Episodes Political…
Way back on May 25, 2005, I first noticed something about a certain political group blog. It was something unsavory, something vile, something pseudoscientific. It was the fetid stench of quackery, but not just any quackery. It was anti-vaccine quackery, and the blog was Arianna Huffington's Huffington Post, where a mere 16 days after its being unleashed upon an unsuspecting world I characterized the situation as Antivaccination rhetoric running rampant on The Huffington Post. It was the start of a long running series that rapidly resulted in parts 2, 3, 4, 5, and 6 in the course of a mere…
I have a hard time arguing against the proposition that this is the perfect metaphor for homeopathy. Well, not exactly. The homeopath and homeopathy user are both far too rational in this example.
I haven't written much about this before, at least not in this context, but vaccine scares are nothing new, nor is execrably fear mongering journalism about vaccines. Those of you who read Paul Offit's Autism's False Prophets or Arthur Allen's Vaccine probably know about a particularly egregious example of both that occurred in the early 1980s and concerned the DTP (diptheria-pertussis-tetanus) vaccine. In 1982, the local NBC affiliate in Washington, DC aired a special report entitled DPT: Vaccine Roulette. Indeed, Vaccine Roulette was the prototype of the muck-raking, sensationalistic sort…
If there's one law that (most) supporters of science-based medicine detest and would love to see repealed, it's the Dietary Supplement and Health Act of 1994 (DSHEA). The reason is that this law, arguably more than almost anything else, allowed for the proliferation of supplements and claims made for these supplements that aren't based in science. In essence, the DSHEA created a new class of regulated entity called dietary supplements. At the same time, it liberalized the rules for information and claims that the supplement manufacturers can transmit to the public and while at the same time…
I get all sorts of mail. I get mail from whining Scientologists, suffering patients, angry quacks---and I get lots of promotional material. I get letters from publishers wanting me to review books, letters from pseudo-bloggers wanting me to plug their advertiblog---really, just about anything you can imagine. Most of the time I just hit "delete"; it's obvious that they've never read my blog and they're just casting a wide net for some link love. But a recent email from a PR firm piqued my interest: (it's a long letter, and I won't be offended if you simply reference it rather than read the…
I have mentioned before the current fad in vitamin D related papers in the medical literature. It's also broken into the pop culture Zeitgeist as well, I regularly get forwards on the topic. Here is a Google Trends chart for the United States: The history of medicine is, unfortunately, rather similar to the history of astrology. In fact for much of history doctors are likely to have increased, rather than decreased, mortality, thanks to an ignorance of germ theory and false paradigms such as Humorism. The demand-side pressures for cures & prevention seems to still exert a powerful push…
Things have been rather busy at Pal's place. For whatever reason, the complexity of patients has been pretty high lately, so I haven't had a chance to get in my usual once or twice a day post. I'm told that "back in the day" internal medicine patients were a bit less complicated. These days, to get admitted to the hospital, you have to be pretty damned sick. The hospital has to be able to justify your admission based on "severity of illness" and "intensity of service". In simple terms, you have to be sick enough to need care that cannot be provided elsewhere. The days of being admitted…
From the American Scientist: Our American Scientist pizza lunch talk falls later than usual this month to accommodate our magazine's May-June issue deadline. Keep open the noon hour on March 30 and come hear Geoff Ginsburg, director of the Center for Genomic Medicine at Duke University, discuss genomic and personalized medicine. To keep you on your toes, we'll convene at a different spot: the easy-to-get-to headquarters of the NC Biotechnology Center here in RTP. Actually, as many of you know, there would be no pizza lunch this year without the support of the Biotech Center. In addition to…
Now that's what I'm talking about! This is what we need to see more of! A father whose child underwent the quackery that is the Defeat Autism Now! (DAN!) protocol is suing the doctors who administered it for malpractice: The father of a 7-year-old Chicago boy who was diagnosed as a toddler with autism has sued the Naperville and Florida doctors who treated his son, alleging they harmed the child with "dangerous and unnecessary experimental treatments." James Coman and his son were featured last year in "Dubious Medicine," a Tribune series that examined risky, unproven treatments for autism…