medicine
sb admin | November 19, 2008So, America is changing. We have an African American president. The Latino population continues to grow. How can the alternative medicine community adjust to this demographic shift? What are they to do?
I'm glad you asked! It turns out that immigrants are palomas ripe for the plucking. Now, we've talked about the ethics of alternative medicine, and how "meaning well" is not exculpatory. If you promote quackery, it's wrong, even if you believe your own drivel.
One of the worst types of drivel is naturopathy. This "specialty" advertises itself as "medicine-plus", but really it's "healing-…
oracknows | November 19, 2008Busy, busy, busy.
Between work and getting ready to for the 100th Meeting of the Skeptics' Circle on Thursday as I mentioned on Monday, I'm afraid I don't have time for my usual sterling gems of skeptically insolent prose or an analysis of a scientific paper that a couple of my readers have sent me. If too many science or medical bloggers haven't totally deconstructed it by then, maybe I'll take it on either on Friday or Monday. Until then, if you haven't gotten me an entry to the Skeptics' Circle yet, you still have about 12 hours left until the deadline at 6 PM EST.
In the meantime, that…
sb admin | November 18, 2008I'm trying a new thing. I think it would be nice to have a place where medical professionals, and those who wish to see how those professionals are thinking, can have frank discussions about medicine, altmed, etc. In support of this, I've created a new forum. The idea is to enhance discussions about medicine, medical ethics, and related issues, and enable people to start their own topic that might not have shown up on the blogs.
I'm hoping that the discussion can compliment what is already happening right here.
The catch is that I'm going to have a more aggressive moderation policy than I…
oracknows | November 18, 2008I was in a bit of a crappy mood last night.
There were a number of reasons for this, including frustration at work trying to put together two grants, trying to revise a manuscript to resubmit it, dealing with collaborators and various other headaches. Indeed I had a splitting headache by the end of the day when I finally hit the road for the commute home. Things were so bad that I seriously considered actually going to bed and not bothering at all with the blog. I know, I know, such a thing has seldom happened in the nearly four years I've been doing this blog. It must be my obsessive…
oracknows | November 17, 2008Everyone knows that the quackery-friendly, antivaccine blog Age of Autism has a rather--shall we say?--hypocritical stance when it comes to free speech. For one thing, for all their complaints about censorship and not being heard by the government, its denizens frequently confuse freedom of speech with freedom from criticism. For another thing, they also ruthlessly censor comments that they do not like on their blog itself. Worst of all, they tacitly support the "outing" of pseudonymous commenters if such commenters annoy them enough.
Someone's finally gotten tired of it. Indeed, someone has…
oracknows | November 17, 2008I almost feel sorry for acupuncturists these days. Almost.
Well, not exactly. Clearly, given the infiltration of woo into academic medicine, acupuncturists are in demand even in the most allegedly "science-based" of academic medical centers. After all, acupuncture is what I like to refer to as "gateway woo," an unscientific placebo-based therapy that has somehow come to be viewed as seemingly respectable, as though there's something to it. It's not hard to see why acupuncture has achieved this status. Indeed, there was a time when I, the arch-skeptic, the guy who has built up one of the top…
sb admin | November 14, 2008
Last week's New England Journal of Medicine gave us some remarkable news, via the JUPITER Trial, adding additional evidence to the pile of articles on the cardioprotective effects of statins. This article is getting lots of press, which is great, but I'd hate to see this week's edition of the Journal get lost. Specifically, there's a huge population-based study on obesity and mortality. We've explored previously the dangers of obesity, and we've been fought the whole way by various denialists.
Earlier studies have shown associations between excess body weight (as measured by body mass…
oracknows | November 14, 2008I realize that I made perhaps the biggest splash I've made on this blog in a very, very long time when I wrote about the news reports and rumors that Robert F. Kennedy, Jr. was being seriously considered for a high ranking post in the new Obama Administration. Fortunately, this is not yet another post about RFK, Jr. There's only so much antivaccinationist and pseudoscientific lunacy I can take. Unfortunately, however, it's another touch of woo associated with the new administration. Even though I don't think it means much, chiropractors seem to be interpreting it as a nod of support:
I am…
oracknows | November 13, 2008Yesterday, I wrote about the sad case of Motl Brody, a 12-year-old Orthodox Jew whose brain tumor had rendered him brain dead and whose parents are fighting the efforts of the hospital to disconnect him from the ventilator and to stop all the powerful cardiac drugs that are keeping his heart beating and his blood pressure high enough because their religion tells them that death is defined by cessation of heartbeat and breathing. They do not accept the concept of brain death, even though they do accept that their child will never recover.
Yale neurologist and all-around skeptical guru Steve…
oracknows | November 13, 2008
The things I do for my readers.
I'm referring to a movie entitled The Beautiful Truth, links to whose website and trailers several of you have e-mailed to me over the last couple of weeks. Maybe it's because the movie is only showing in New York and Los Angeles and hasn't made it out of the media enclaves of those cities out to the rest of us in flyover country, or maybe its release is so limited that I just hadn't heard of it. Certainly that appears to be the case, as the schedule shown at the website lists it as beginning an engagement in New York tomorrow and running through November 20…
sb admin | November 12, 2008NB: Believe it or not, I actually had to close comments, the first time I've ever had to do it. They had become so offensive without any useful content that it's no longer worthwhile to keep it going. Sorry.
I have repeatedly vowed to stay away from this topic, but in defense of my colleague, I must speak out. Harriet Hall, from sciencebasedmedicine.com wrote a brief piece examining the medical literature regarding male circumcision. As part of the discussion, she mentioned having performed many of these procedures during an earlier part of her career. In response to her interesting…
oracknows | November 12, 2008I realize that the title of this post might sound as though I'm equating brain death and fundamentalist religion. As tempting as it is sometimes to do so, I'm not. What I'm more interested in is a story I came across by way of ScienceBlogs Big Kahuna blogger P.Z. Myers last night, mainly because it brings up some serious ethical issues, aside from any religious issues. P.Z. tackled the story as he usually does tackle stories involving religion, with all the subtlety of a jack hammer in a glass factory.
I'm not saying that I'll necessarily be subtle, but I do have some actual, hands-on…
oracknows | November 10, 2008One whole year of antivaccinationist lunacy, that is.
Sorry, that's one birthday I won't be sending good wishes over. No other blog brings home the stupid when it comes to vaccines with such regularity. It's a veritable black hole of intellect there, from which no science and reason is ever seen to escape.
moleculeoftheday | November 10, 2008Metformin is about as simple as a drug gets:
It's an antidiabetic drug that diminishes the amount of glucose generated in the liver. There aren't many oral antidiabetic drugs, and there are loads and loads of diabetics out there, so Americans use it by the bucket.
oracknows | November 10, 2008I had been planning on taking on a couple of articles about breast cancer to start out the week. However, between having to deal with a tsunami of leaves before Monday, when the giant trucks come along to pick them up today and a number of other issues, I didn't have time. As much as I love taking a recent study and doing an in-depth analysis, such posts take probably twice as much time for me to do as the average post. Unfortunately, various issues this weekend prevented that, at least for today.
Fortunately, there's always homeopathy.
Yes, homeopathy is always there for the easy post. Even…
oracknows | November 8, 2008Seen on the discussion boards of that other repository of antivaccinationist wingnuttery (other than The Huffington Post), Mothering.com, a commenter by the 'nym of naupakamama exults over the possible appointment of antivaccine wingnut Robert F. Kennedy, Jr. to run the Environmental Protection Agency:
We could have a strong anti-vaccine voice leading the EPA! I am so excited!
If anyone doubts that the antivaccine fringe views RFK, Jr. as one of their own, the rejoicing going on in antivaccine circles should put those doubts to rest. In more reality-based circles, including very liberal ones…
jstemwedel | November 7, 2008It turns out that the session on electronic scholarship I mentioned didn't really get into the defining characteristics of electronic scholarship, nor how it might differ from "digital media". (Part of this had to do with trying to fit spiels from nine speakers into a 75 minute session while still allowing time for discussion. You do the math.)
Anyway, one of the panelists, Stephen Greenberg, is from the National Library of Medicine, and he gave us a peek at some digital materials that warm my old-timey, hide-bound heart. Specifically, I am ga-ga for the Turning The Pages project.
Take…
denialism | November 7, 2008I would beg everyone who reads the scienceblogs and cares about science to contact the transition team in the Obama administration as Orac has requested.
It should be clear by now to readers of this blog that pseudoscience is not a problem of just the right. The left wing areas of pseudoscience are just as cranky, just as wrong-headed about science, just as likely to use the tactics of denialism to advance a non-scientific agenda. We have been dealing with the denialism of the right more because they've been in control. Now is the time to nip the denialism of the left in the bud so it…
oracknows | November 7, 2008As I've said before many times, herbal or plant-based medicines are about the only kind of "alternative" medicine that has significant prior scientific plausibility based on what we know about science. That's because plants often contain biologically active molecules; i.e., they often contain drugs. Of course, the problem with plant-based medicines is that they are, in essence, highly contaminated drugs, the predictability of whose responses is variable because the amount of active ingredient can vary widely.
There's also a problem when claims for a plant-based compound become grandiose. It…
sb admin | November 7, 2008When reporting on science, reporters and editors like sexy stories. Since most science isn't particularly sexy, there's usually a hook. If you can squeeze "risk" and "cancer" into a headline, an editor sees good headline. What I usually see is a sensationalist article that is going to get it very wrong.
One of the questions most often asked in the medical literature is "what is the risk of x?" It's a pretty important question. I'd like to be able to tell my patient with high blood pressure what their risk of heart attack is, both with and without treatment. And risk is a sexy topic---the…