medicine
oracknows | December 15, 2015Even though I've taken on the 'nym of a fictional computer in a 35-year-old British science fiction series whose key traits were an arrogant and condescending manner and the ability to tap into every computer of the galactic federation any time he wanted to, in reality I am just one person. That means, try as I might, I can't keep up with everything that might interest me enough to blog, much less blog it all. What that means is that occasionally something catches my attention, even though it's three months old. So it was with this article in—of all places—Elle magazine. It's about a favorite…
oracknows | December 13, 2015We have a problem with antivaccinationists here in Michigan. It's a problem that's been going on a long time that I first started paying attention to in a big way a few years ago when we started seeing pertussis outbreaks again due to low vaccine uptake. It's a problem that's persisted as last year we suffered from outbreaks of pertussis and measles, again because of pockets of low vaccine uptake. And what is the reason for these pockets of low vaccine uptake? Well, consistent with what we already know, namely that the risk of pertussis outbreaks is elevated in states where exemptions to…
oracknows | December 11, 2015Although I don't write about him as much as I used to, there was a time a couple of years ago when Houston cancer quack Stanislaw Burzynski was a frequent topic of this blog. His story, detailed in many posts on this blog and in an article I wrote for Skeptical Inquirer, is one that involves many facets, including an abysmal failure of the normal government agencies designed to protect patients from abuses like his to actually do their jobs and—oh, you know—protect patients. If you want an idea of how utterly impotent our regulatory agencies are, the Burzynski case is as good an example as…
oracknows | December 10, 2015Many are the "alternative" medicine therapies that I've examined with a skeptical eye over the years. The vast majority of them rest on concepts that range from pre-scientific to religious to outright pseudoscientific to—let's face it—the utterly ridiculous. Examples abound: Reflexology, reiki, tongue diagnosis, homeopathy, ear candling, cupping, crystal healing, urine drinking, detoxifying foot pads, "detox foot baths," and the like. The list goes on.
Of these, one of the most amazingly silly and ridiculous alternative therapies of them all, if not the most ridiculous—although, to be fair,…
oracknows | December 9, 2015Et tu, Scientific American?
A few of you seem to know what will catch my attention and push my buttons, because over the past couple of days a few of you sent me an article published in Scientific America by an internal medicine resident named Allison Bond entitled Sometimes It's Okay to Give Patients a Treatment with No Proved Medical Benefits. Yes, a title like that is akin to waving the proverbial cape in front of a bull. Of course, I doubt that Bond herself came up with that title; editors usually come up with such titles. Still, the title is a fairly accurate summation of what is being…
oracknows | December 7, 2015The blog post of mine that arguably "put me on the map" in the skeptical blogosphere was my very Insolent, very sarcastic deconstruction of Robert F. Kennedy, Jr.'s deceptive pseudoscience-ridden bit of fear mongering that he called Deadly Immunity. It was originally jointly published both by Salon.com and Rolling Stone, a blot that neither publication will ever overcome. At least Salon.com retracted the article over five years later. Rolling Stone never did, although the article is now available only to its paid subscribers.
The reason I mention this "past glory" (if you can call it that) is…
oracknows | December 6, 2015To say that the relationship that antivaccine activists have with science and fact is a tenuous, twisted one is a major understatement. Despite mountains of science that says otherwise, antivaccinationists still cling to the three core tenets of their faith, namely that (1) vaccines are ineffective (or at least nowhere near as effective as health officials claim; (2) vaccines are dangerous, causing autism, autoimmune disease, neurodevelopmental disorders, diabetes, sudden infant death syndrome, and a syndrome that is misdiagnosed as shaken baby syndrome; and, of course, (3) the Truth (capital…
oracknows | December 4, 2015Blog topics seem to come in waves, where I'll be stuck on more deeply examining a topic for days, only to have that topic dry up. Sometimes, you, my readers, make me aware of a topic. This is an example of the latter case. It's something I had been debating about whether to blog about because I just wasn't sure what to make of it, and it's also a very, very depressing—even tragic—story. But the drip, drip, drip of people pointing me to the story reminded me that with great power comes great responsibility. (OK, with middling blog power comes a modicum of responsibility.) So I thought I'd try…
kkrisberg | December 3, 2015In 2011, a group of researchers embarked on a national study to measure burnout among physicians. They found that 45 percent of U.S. doctors met the criteria for burnout, which manifests as emotional exhaustion, a loss of meaning in one’s work, feelings of ineffectiveness, and a tendency to see people as objects rather than fellow humans. Less than a handful of years later, the problem has gotten significantly worse.
In a study published this month in Mayo Clinic Proceedings, researchers report that more than half of U.S. doctors were struggling with professional burnout in 2014. More…
oracknows | December 3, 2015I originally wasn't going to write about this particular post, but the mass shooting in San Bernardino yesterday led me to change my mind. For those of you who either aren't in the US or were somehow cut off from media for the last 18 hours or so, yesterday a heavily armed man and woman dressed in body armor, who turned out to be a married couple, entered a conference center at Inland Regional Center, a sprawling facility that provides services for thousands of people with disabilities. There, at an annual holiday party for the San Bernardino County Public Health Department, Syed Rizwan…
oracknows | December 1, 2015Of all the slick woo peddlers out there, one of the most famous (and most annoying) is Deepak Chopra. Indeed, he first attracted a bit of not-so-Respectful Insolence a mere 10 months after this blog started, when Chopra produced the first of many rants against nasty "skeptics" like me that I've deconstructed over the years. Eventually, the nonsensical nature of his pseudo-profound blatherings inspired me to coin a term to describe it: Choprawoo. Unfortunately, far too many people find Deepak Chopra's combination of mystical sounding pseudo-profundity, his invocation of "cosmic consciousness"…
oracknows | December 1, 2015When it comes to blogging, sometime's it's feast or famine. Some days there are more topics and stories that I'd like to blog about than I could ever get to, given that I generally only do one post per weekday, while other days I seriously think about skipping a day because there's just nothing out there that interests me. This is one of the former kinds of days.
Seriously, there was an embarrassment of riches last night, so much so that I had a hard time making up my mind what story to write about. The one that I ultimately chose only just edged out the second place choice, and then only at…
oracknows | November 30, 2015I've been blogging for nearly eleven years now—and continuously at that, with only brief breaks for vacations or when the vagaries of life and career (particularly grant deadlines) interfered with the writing impulse. It's true that I've slowed down a bit. I rarely post on weekends any more and not infrequently miss a weekday, but I tend to think that's a good thing, as it decreases the frequency of posts in which I'm clearly forcing it, where I'm "phoning it in," so to speak. Or at least I like to think so. One major challenge over the years, however, has been the inevitable problem that…
oracknows | November 27, 2015Bullying. You keep saying that word. I do not think it means what you think it means.
Yes, I do so love to co-opt that famous line from The Princess Bride for my own nefarious purposes, but it's so perfect for this particular topic, which comes up every so often when I'm writing about the pseudoscience behind the antivaccine movement. It usually takes the form of an emotional screed by some antivaccine parent or other complaining about how she's being "bullied" by us nasty, evil, insensitive pro-vaccine, well, bullies. (They frequently repeat the word many times throughout the course of their…
oracknows | November 25, 2015If there's one thing I've learned about the antivaccine movement over the decade-plus that I've been following and commenting on it, it's that there are many flavors of antivaccine beliefs. These range from the "loud and proud" (and, invariably, incredibly stupid) antivaccine activists who aren't afraid of the label. They'll tell you that they're antivaccine and back that assertion up by demonizing vaccines as not just ineffective but downright toxic and deadly. On the other end of the spectrum are what I like to refer to as "vaccine averse," parents who have heard the message of the…
oracknows | November 24, 2015It is an article of faith among the antivaccine movement that vaccines are degrading the health of our children, such that vaccines cause autism, asthma, diabetes, and a number of other chronic diseases. You won't have to look far on most antivaccine websites to find claims that today's children are the sickest in history and insinuations, if not outright statements, that vaccines are at least part ofthe cause. If you've been following the antivaccine movement as long as I have (more than a decade) or even if you've only been following it one tenth as long, you are probably aware that one of…
oracknows | November 23, 2015As a surgeon and skeptic, I find neurosurgeon turned presidential candidate Ben Carson to be particularly troubling. I realize that I've said this before, but it's hard for me not to revisit his strange case given that the New York Times just ran a rather revealing profile of him over the weekend, part of which included Dr. Carson answering criticism for the really dumb things he's said about vaccines, evolution, and the like. People like Ben Carson are useful examples of how highly intelligent people who are incredibly competent in one area can also demonstrate unbelievable ignorance in…
oracknows | November 20, 2015One of the key principles of skepticism, particularly in medicine, is that correlation does not necessarily equal causation. I emphasize the word "necessarily" because sometimes skeptics go a bit too far and say that correlation does not equal causation. I myself used to phrase it that way for a long time. However, sometimes correlation does equal causation. However, much, if not most, of the time it does not. So how do we tell the difference between when correlation might well equal causation and when it does not? Science, of course, and critical thinking. Science is the main reason that we…
oracknows | November 19, 2015I didn't think I'd be discussing Dr. David Katz again so soon after the last time. In fact, when blog bud Mark Crislip (who clearly hates me and wants me to pop an aneurysm or have a heart attack, given how often he sends me links to articles as infuriating as this) sent me a link to Dr. Katz's latest article, "Cleaning the House of Medicine", published—where else?—in The Huffington Post, that home for "reputable" quack-friendly bloviation since 2005, when I first read the article, my first reaction was that Katz must surely be trolling supporters of science-based medicine. At first, I wasn't…
oracknows | November 17, 2015Now that's what I'm talking about! Yesterday, the Justice Department announced criminal charges and lawsuits against the sellers of several supplements! This is the ort of thing that is long overdue—incredibly so, in fact. Before I get to this specific case, let's discuss a little background.
One of the regular topics I write about, both on this blog and at my not-so-super-secret other group blog, is how supplement manufacturers take advantage of the lax regulation of dietary supplements in this country. It's a problem in our laws that we've had since the supplement industry and its lapdogs…