medicine
oracknows | March 20, 2015Yesterday, I laid a heapin' helpin' of not-so-Respectful Insolence on a hapless—not to mention clueless—tech writer who for some reason wrote an article for the New York Times Styles section. The writer, Nick Bilton, surely deserved it. His article served up a massive pile of fear, uncertainty, and doubt (FUD) about radiation from cell phones as a cause of cancer. His twist was to take advantage of the current hype over the recently announced Apple Watch to turn that FUD onto the Apple Watch and other gadgets that fall under the title of "wearable tech" using misinterpretations of studies…
oracknows | March 18, 2015The New York Times Styles Section giveth. The New York Times Styles Section taketh away.
Last week, The NYT Styles Section published an excellent deconstruction of the pseudoscientific activities of Vani Hari, a.k.a. The Food Babe, by Courtney Rubin. Although skeptics might think that it was a tad too "balanced" (as did I), by and large we understand that this was the NYT Style section, and seeing a full-throated skeptical deconstruction of The Food Babe's antics in such a venue is just not in the cards. That's what I'm there for (not to mention other skeptics like Steve Novella), such as…
oracknows | March 17, 2015To put it mildly, I'm not a big fan of Vani Hari, who has achieved Internet notoriety as a highly misguided "food activist" better known as The Food Babe. As The Food Babe, Hari has improbably become a minor celebrity by attacking food companies over various ingredients their products and, unfortunately, seems poised for more. Indeed, given how media- and social media-savvy she has become, it's not inconceivable that she could become the Dr. Oz of food. The problem with that, of course, is that what she pushes is not good information but rather misinformation. Indeed, she appears to live by…
oracknows | March 16, 2015I've been writing a lot of posts on what I like to call the "antivaccine dogwhistle." In politics, a "dog whistle" refers to rhetoric that sounds to the average person to be reasonable and even admirable but, like the way that a dog whistle can't be heard by humans because the frequency of its tone is higher than the range that humans can hear, most people don't "hear" the real message. However, the intended audience does hear the real message. The way the "dog whistle" works in politics is through the use of coded language recognizable to the intended audience but to which most other people…
oracknows | March 13, 2015Naturopathy is 80% quackery, 19% science-based modalities like diet, exercise, and lifestyle changes rebranded and infused with woo, and maybe 1% valid medicine. Yes, I know I'm probably being generous given that naturopathy is based on a vitalistic, prescientific worldview and originated in the 19th century German "natural living" movement, but I'm in a generous mood right now. The reason I'm in a generous mood is not because naturopathy has suddenly become less quackery than it was. Just view a few of my posts on naturopathy if you think my opinion's changed. I still believe that…
oracknows | March 12, 2015How quickly things change.
If there's one thing I always feel obligated to warn my fellow pro-science advocates about vaccines and the antivaccine movement, it's that we can never rest on our laurels or assume that the tide is turning in our direction. The reason is simple: Antivaccinationism is a powerful belief system, every bit as powerful as religion and political ideology. It's powerful not just among antivaccinationists, but also because it taps into belief systems that are very much part and parcel of being an American. In fact, depressingly, yesterday I learned of a perfect example of…
oracknows | March 10, 2015The human mind is amazing in its ability to compartmentalize. Many are the times when I've come across people who seem reasonable in every other way but who cling tightly to one form of pseudoscience or another. On the other hand, as I've noticed time and time again, people whose minds have a proclivity for pseudoscience tend not to limit themselves to just one form of pseudoscience. Indeed, my surgical and skeptical bud Mark Hoofnagle coined a term for this latter phenomenon, namely "crank magnetism." It's basically a pithy term to describe how people who are into one form of pseudoscience…
oracknows | March 9, 2015Quite to my surprise, apparently I've become fairly well known as a critic of so-called "integrative medicine," that which used to be called "complementary and alternative medicine" (CAM) but whose name was changed because its practitioners didn't want to be "complementary" to anything. Rather they wanted their woo to be co-equal with science-based medicine (SBM). Before that, what is now "integrative medicine" after having been CAM was known as "alternative medicine." (The wag in me can't resist further pointing out that before that it was mostly known as quackery.) As I like to say, the…
oracknows | March 4, 2015I hadn't planned on discussing the death of Jess Ainscough again, figuring two posts in a row were enough for now, barring new information. Besides, I was getting a little tired of the seemingly unending stream of her fans castigating me for being "insensitive" and saying it was "too soon" to discuss her death and wasn't sure I wanted to reawaken that discussion, which is only now finally dying down. This was a young Australian woman who was unfortunate enough to be diagnosed with a rare form of sarcoma at age 22 for which the only known treatment with a reasonable chance of providing her…
oracknows | March 3, 2015The last couple of days have been unrelentingly serious and depressing, with posts on the (probably) preventable death of a young Australian woman named Jess Ainscough of a rare cancer because she made the mistake of choosing the quackery that is the Gerson protocol rather than conventional medicine. Unfortunately, the "natural health community" will almost certainly learn nothing from her story, in which Ainscough, facing the very unpleasant prospect of a radical amputation, instead chose Gerson therapy and became an evangelist for that particular form of cancer quackery and "natural healing…
oracknows | March 2, 2015It's been a rather...interesting...weekend.
Friday, I noted the death of Jess Ainscough, a.k.a. "The Wellness Warrior," a young Australian woman who was unfortunate enough to develop epithelioid sarcoma, a rare cancer, at the age of 22. I've been blogging about her because after her doctors tried isolated limb perfusion with chemotherapy in an attempt to avoid an amputation of her left arm at the shoulder, her tumor recurred, after which she chose not to undergo amputation and instead to embrace the quackery known as Gerson therapy, which she did for over two years. By the time she finished…
oracknows | February 27, 2015Two months ago, I took note of a somewhat cryptic blog post by a young woman named Jess Ainscough. In Australia and much of the world, Ainscough was known as the Wellness Warrior. She was a young woman who developed an epithelioid sarcoma in 2008 and ended up choosing "natural healing" to treat her cancer. Among the "natural healing" modalities touted by the Wellness Warrior included that quackery of quackeries, the Gerson protocol, complete with coffee enemas and everything. She even did videos explaining how to administer coffee enemas and posted them on YouTube, although that video is now…
oracknows | February 26, 2015Poor Andy Wakefield.
Beginning in the late 1990s until around six years ago, Andy was the premiere "vaccine skeptic" in the world. His 1998 case series published in The Lancet linking bowel problems in autistic children to the measles vaccine, the one where in the paper itself he was careful not to blame the MMR vaccine for autism but elsewhere was not so shy, launched a campaign of fear and loathing for the MMR vaccine that continues to this day. In his heyday, Wakefield was quite the figure, showing up on the media everywhere, treated with undeserved respect by much of the tabloid press and…
oracknows | February 25, 2015Every so often, it's good to post some heartening news regarding quackery. After all, after a decade of blogging about this, preceded by five years in the trenches of Usenet battling quackery and Holocaust denial, sometimes it's hard for me not to become depressed. After all, there are times when it really does feel as though we're fighting a hopeless battle for rationality and science against unreason and harmful quackery. It's a battle worth fighting, but I'm not laboring under any delusions that it will be won in my life time or even in the lifetimes of anyone currently alive. The various…
oracknows | February 24, 2015With the Disneyland measles outbreak still going strong and striking far more unvaccinated than vaccinated, it's not surprising that a discussion has begun in some states about lax policies that permit religious and/or philosophical exemptions. In Oregon, for example, the legislature is considering SB442, a bill apparently originally intended to provide a technical fix to the process for obtaining philosophical exemptions to vaccine mandates by giving parents deadlines to submit the required documentation for non-medical exemptions, but the antivaccine troops became totally riled up when the…
oracknows | February 22, 2015Oh, goody. Here's something we didn't need here in the US. While Australian skeptics have successfully been rallying to put a stop to a series of lectures from American antivaccine activist Sherri Tenpenny, we're going to have to put up with a far bigger name in quackery showing up right here in the good ol' U. S. of A. I'm referring to His Royal Highness, the Quacktitioner Royal, Prince Charles, the next King of England. Yes, in March he and Camilla will be here on a four day tour that will include a trip to Louisville to give the keynote address to a symposium on health and nature on March…
oracknows | February 20, 2015
You remember Dr. Bob, don't you?
I'm referring, of course, to Robert "Dr. Bob" Sears, the Capistrano Beach, CA pediatrician who's arguably the most famous of the antivaccine pediatricians who have been spreading fear, uncertainty, and doubt (FUD) about vaccines. (Sorry, Dr. Jay, but, regardless of your being Jenny McCarthy's son's pediatrician, I'd bet that more people have heard of Dr. Bob than have heard of you.) Dr. Bob has achieved this fame/notoriety based on his book, The Vaccine Book: Making the Right Decision for your Child, which is chock full of exaggerations about the dangers of…
oracknows | February 18, 2015
Ever since the Disneyland measles outbreak hit high gear last month and permeated the national consciousness, the antivaccine movement has, justifiably, been on the defensive. We've been treated to the spectacle of a truly despicable cardiologist spewing antivaccine nonsense with an added dollop of contempt for parents of children with cancer who are worried about the degradation of herd immunity by non-vaccinating parents driving vaccine rates down, leading to pockets of low vaccine uptake. We've had antivaccinationists likening vaccine mandates to human trafficking and rape. Then, of…
oracknows | February 18, 2015
It often comes as a surprise to proponents of alternative medicine and critics of big pharma that I'm a big fan of John Ioannidis. Evidence of this can easily be found right here on this very blog just by entering Ioannidis' name into the search box. Indeed, my first post about an Ioannidis paper is nearly a decade old now. These posts were about one of Ioannidis' most famous papers, this one published in JAMA and entitled Contradicted and Initially Stronger Effects in Highly Cited Clinical Research. It was a study that suggested that at least 1/3 of highly cited clinical trials may either…
oracknows | February 16, 2015
If there's one thing that's become clear to me over the years about acupuncture, it's that it's nothing more than a theatrical placebo. Many are the times that I've asked: Can we finally just say that acupuncture is nothing more than an elaborate placebo? Most recently, I asked this question in 2012. What science-based medicine answers is yes. However, there's a large contingent of physicians under the sway of practitioners of traditional Chinese medicine (TCM) who have fallen under the spell of that theatrical placebo, leading to a whole subdiscipline of quackademic medicine in which…