medicine
oracknows | June 23, 2015If there's one message that I've been trying to promote, regardless of whether it's on this blog or my not-so-super-secret other blog, it's the concept that there should be one standard of evidence—one scientific standard of evidence—for evaluating health claims and medical treatments. It doesn't matter if it's the latest drug from big pharma, the latest operation from a hot shot surgeon with a lot of creativity and not necessarily the most rigorous dedication to science- and evidence-based medicine, the woo-filled claims of alternative medicine practitioners, or the seemingly "evidence-based…
oracknows | June 21, 2015Last Thursday I took note of a rather fascinating confluence of cranks who have come together to oppose SB 277 in California. For those not familiar with SB 277, it is a bill currently under consideration in the California Assembly that would eliminate nonmedical exemptions to school vaccine mandates. It was passed by the Senate last month, and a couple of weeks ago it cleared its first hurdle in the Assembly, having been passed by the Assembly Health Committee on a 12-6 vote. So now it's in the full Assembly to be debated, and it shouldn't be too long before it comes to a vote. As I've said…
oracknows | June 19, 2015Even if you're a relative newbie to this blog, you probably wouldn't be particularly surprised to learn that I don't much like Dr. Mehmet Oz, a.k.a. "America's Doctor." Of course, I refer to him as something slightly different, namely "America's Quack," for a whole host of reasons, including his featuring psychic mediums like John Edward and Theresa Caputo, faith healers, Ayurveda, homeopaths, dubious dietary supplements, and even antivaccine loons like Robert F. Kennedy, Jr. Indeed, when about a year ago Senator Claire McCaskill (D-MO) hauled him in front of her Senate committee over his…
oracknows | June 18, 2015The saga of SB 277 just keeps getting stranger and stranger as its end game comes into view.
SB 277 is, of course, a big deal. If it's passed by the California Assembly and signed into law by Governor Jerry Brown, it would eliminate nonmedical exemptions to school vaccine mandates, making the largest state in the union only the third state that only allows medical exemptions. Since its passage by the California Senate last month and its clearing the Assembly Health Committee last week on a 12-6 vote, SB 277 has taken on the air of inevitability. Sure, it could still stall or be hopelessly…
oracknows | June 17, 2015Antivaccinationists like Holocaust analogies. I've described this particularly loathsome phenomenon more times than I can remember, most recently when Robert F. Kennedy, Jr. compared the "vaccine-induced autism epidemic" (vaccine-induced only in RFK, Jr.'s imagination and that of antivaccinationists) to the Holocaust. True, even he was forced to apologize, although it was a classic "notpology":
"I want to apologize to all whom I offended by my use of the word holocaust to describe the autism epidemic," Kennedy said in a statement. "I employed the term during an impromptu speech as I struggled…
oracknows | June 16, 2015A common question, rhetorical or otherwise, that skeptics are asked about alternative medicine is, "What's the harm?" It's seemingly an effective ploy for some modalities, so much so that years ago Tim Farley felt obligated to try to answer the question on a website (whatstheharm.net) that catalogues examples of the harm alternative medicine, supernatural and paranormal beliefs, and other pseudoscience do. After all, most homeopathy (at least anything diluted greater than around 12C, at least) is water, without any remaining remedy, effective or otherwise. On the other hand, some homeopathic…
oracknows | June 14, 2015Over the years, I've written a lot about the intersection between the law and science in medicine. Sometimes, I support a particular bill, such as SB 277. Sometimes I oppose a bill, such as right-to-try or laws licensing naturopaths. The case I will discuss here is unusual in that it is a case of the law getting ahead of what the science says in a manner that will likely do little, if any, good for patients, cause a lot of confusion until the science is worked out better, and end up costing patients money for little or no benefit. I am referring to laws mandating the reporting of high-breast-…
oracknows | June 12, 2015Regular readers might have wondered why there was no post yesterday. The answer's simple: A combination of work and having to fly out to Buffalo for the CFI Reason for Change conference, where I'll be on a panel on (of course!) alternative medicine later today. That same combination means that this post will be uncharacteristically brief. I know, I know. When I say "uncharacteristically brief," usually what happens is that I manage to keep things under 2,000 words for a chance, but that's just how I roll.
However, as busy as I am at the moment, I just have to take note of a most happy…
oracknows | June 10, 2015I bet antivaccinationists would be annoyed if they knew what I was up to yesterday. This week, our department had a visiting professor for Grand Rounds, and that professor was a Nobel laureate. Of course, it's not every day that we have a Nobel laureate visiting us (actually, it's rare). This time around the Nobel laureat visiting us was Harald zur Hausen. He won a Nobel Prize in Physiology or Medicine in 2008 for a discovery he made decades ago, namely his discovery of the role of papilloma viruses in causing human cervical cancer. Yes, antivaxers, not only did I meet the man whose science…
oracknows | June 8, 2015Before 2005, I did pay attention to the antivaccine movement, but it wasn't one of my biggest priorities when it comes to promoting science-based medicine. That all changed when Robert F. Kennedy published his incredibly conspiracy-packed black whole of antivaccine pseudoscience entitled Deadly Immunity. Sadly, almost exactly ten years later, Robert F. Kennedy, Jr. hasn't changed. He's still spewing the same antivaccine pseudoscience and conspiracy theories that he was spewing a decade ago, with no sign of letting up.
One thing that has changed over the last decade is the social media…
oracknows | June 8, 2015Let food be thy medicine and medicine be thy food.
- attributed to Hippocrates
Who said anything about medicine? Let's eat!
- attributed to one of Hippocrates forgotten (and skeptical) students
Who hasn't seen or heard Hippocrates' famous quote about letting food be your medicine and your medicine your food? If you have Facebook friends who are the least bit into "natural" medicine or living, you've almost certainly come across it in your feed, and if you're a skeptic who pays the least bit of attention to what's going on in the quackosphere you will almost certainly have seen it plastered…
oracknows | June 5, 2015One of the odd things about having been a blogger as long as I have been is that, occasionally, posts that I wrote years ago rise up to bite me long after I've forgotten that I even wrote them. Actually, that's usually not the right way to put it. Blogging is a very short term activity in that most posts are very ephemeral. They're usually (but not always) about something immediate, of the moment. Don't get me wrong. There are quite a few posts that I've written that aren't so ephemeral and could be read now without reference to the events or news that inspired them and be just as good now as…
oracknows | June 4, 2015I've been paying attention to the antivaccine movement a long time. Indeed, it's been just under a decade since I made what was my first big splash in the blogosphere, namely my particularly "Insolent" takedown of Robert F. Kennedy, Jr.'s conspiracy-laden, pseudoscience-spewing super-concentrated antivaccine nonsense known as Deadly Immunity. So here it is, almost ten years later, and RFK, Jr. is still around, spewing the same nonsense that he did ten years ago, except that this time he's using Holocaust analogies to describe the vaccination program. Unfortunately, some things never seem to…
oracknows | June 3, 2015As depressing as the litany of quackery and patient harm that I follow nearly every day can become, occasionally I am heartened to learn of a victory for science-based medicine and, more importantly, for the patients being victimized by pseudoscientific treatments. One of the most simultaneously ridiculous and vile of these treatments is a solution known as the "Miracle Mineral Solution" or "Miracle Mineral Supplement" (MMS). MMS is the "discovery" of a man named Jim Humble who, for reasons only understood by antivaccinationists, HIV/AIDS denialists, quacks, and cranks, decided that ingesting…
oracknows | June 1, 2015I've been following Mike Adams a long time, going back to 2007 and even before. It's difficult to find anyone who can pack more pseudoscience, conspiracy mongering, and outright hateful bile into an article when he has a mind to do so. I've documented this tendency many times, so many times that, each time I write about one of his rants, I tell myself it'll be the last time. But it never is, because Adams is so vile and I cannot abide the way he spits on the grave of people who died of cancer, people like Tony Snow, Patrick Swayze, Elizabeth Edwards, and Farrah Fawcett. Every time, his MO is…
oracknows | May 31, 2015I have some sad news for my readers today. It's even sadder given that it's only been two and a half weeks since I last had to mourn the passing of one of our own, a champion of science-based medicine, a regular commenter of five years, lilady. Unfortunately, this time around, it is my sad duty to inform you that Dr. Wallace Sampson has passed away at the age of 85. I knew about it late last week, but I wanted to wait until official obituaries were published, such as this one in the Mercury News.
I first encountered Wally (as his friends called him) through his writings deconstructing various…
oracknows | May 29, 2015I've frequently written about the "arrogance of ignorance," a phenomenon that anyone who's paid attention to what quacks, cranks, or antivaccine activists (but I repeat myself) write and say beyond a certain period of time will have encountered. Basically, it's the belief found in such people—and amplified in groups—that somehow they can master a subject as well or better than experts who have spent their entire professional lives studying the subject on their own, often just through the use of Google University and the echo chamber discussion forums that they frequent with their fellow…
oracknows | May 28, 2015I've been at this skeptical blogging thing for over a decade now. I realize that I periodically remind you, my readers, of this and that perhaps I do it too often, but my reminders generally serve a purpose. Specifically, they serve to put an exclamation point on my surprise when I discover a new purveyor of pseudoscience and/or quackery that I had never heard of before but who is apparently fairly well known in the quackosphere. Such is what happened this week, when I learned of a man who appears to be challenging Deepak Chopra and Bruce Lipton for the title of most annoying mystical quack…
oracknows | May 27, 2015When it comes to the use of what is sometimes called "complementary and alternative medicine" (CAM) or, increasingly, "integrative medicine," there is a certain narrative. It's a narrative promoted by CAM proponents that does its best to convince the public that there is nothing unusual, untoward, or odd about CAM use, even though much of CAM consists of treatments that are based on prescientific concepts of human physiology and pathology, such as traditional Chinese medicine or homeopathy. In other words, it's a narrative designed to "normalize" CAM usage (and therefore CAM practice), making…
oracknows | May 25, 2015When I wrote yesterday about the cruel sham that is "right-to-try," , one criticism (among many) that I made of these misguided, profoundly patient-unfriendly laws was that I have as yet been unable to find a single example of a patient who has managed to obtain access to an experimental therapeutic through such a law, much less been helped by it. So-called "right-to-try" laws, of course, claim to provide a mechanism by which patients with terminal illnesses can obtain access to experimental therapeutics not yet approved by the FDA but still in clinical trials. They are, as I've pointed out,…