medicine
oracknows | December 22, 2014
One of the depressing things about having dedicated over a decade of one's life to combatting pseudoscience and quackery is that, no matter how much I think I've come to be familiar with all the woo that can be out there and all the players promoting that woo, there are always new people popping up. It's impossible for one person to keep track of them all. Sometimes, however, there are, for example, antivaccine activists that I haven't heard of before whom I really think I should have heard of sooner than this. Such is the case with Kate Tietje, who blogs at Modern Alternative Mama.…
oracknows | December 18, 2014
With the way our dysfunctional federal government works, it's not uncommon for the end of a fiscal year to come and go without there being a budget for the next fiscal year in place. This phenomenon is particularly common during election years, and this year was no different. September 30 came and went, followed by the beginning of FY2015 on October 1 with no budget in place, just a continuing resolution. Finally, this week, Congress acted and passed a budget, but, as is often the case given that the President does not have line item veto power, the omnibus spending bill funding the…
oracknows | December 16, 2014
Not being Australian and, for some reason, never having encountered her promotion of "natural health" online before, I first encountered Jessica Ainscough, also known as "The Wellness Warrior" over a year ago when I learned that her mother Sharyn Ainscough had died of breast cancer. Her mother, it turns out, had rejected conventional treatment for her breast cancer and chosen instead the quackery known as Gerson therapy. It's a treatment regimen based on long-discredited view of how cancer forms and that requires the consumption of boatloads of supplements and the administration multiple…
oracknows | December 12, 2014
After yesterday's post on the depressingly high (and increasing, apparently) rate of personal belief exemptions to vaccination requirements for entering school in the state of Michigan, I felt the need to pontificate a bit further. The reason is that MLive.com has posted some followup stories. Also, I didn't have a lot of time last night to write because I had the pleasure of attending the CFI-Michigan Solstice dinner to hang out with fellow skeptics and heathens. Unfortunately, the topic of the high exemption levels in Michigan came up.
First up on the follow up story parade is one…
oracknows | December 10, 2014
One aspect of my life that's kind of strange is how I've basically ended up back where I started. I was born and raised in southeast Michigan (born in the city of Detroit, actually, although my parents moved to the suburbs when I was 10). After going to college and medical school at the University of Michigan, I matched at a residency in Cleveland (regular readers know that it was Case Western Reserve University), and then did a fellowship in surgical oncology at the University of Chicago. Finally, I ended up taking my first "real" (i.e., faculty) job at the Cancer Institute of New Jersey…
oracknows | December 9, 2014
As I've said so many times before, this blog is my hobby. I write about what interests me for my own amusement. If it also interests you, that's awesome. Fortunately, I've found that several thousand people a day do like what I lay down on a daily basis, sometimes with occasional spikes to ridiculous levels of traffic (such as this Dr. Oz post, which for some reason broke all traffic records for this blog since the very beginning, and not by a little bit) and, more recently, this post about how the CDC did not apologize and "admit" that the flu vaccine this year doesn't work, which got…
oracknows | December 9, 2014
After having written about how the Society for Integrative Oncology (SIO) has promoted guidelines for cancer patients that are—shall we say?—less than scientifically rigorous, I was immediately confronted with just what we face in academic medicine when it comes to the infiltration of quackery, or, as I like to call it, quackademic medicine. It came in the form of an e-mail containing a Christmas message to the readers of the newsletter for the GW Center for Integrative Medicine (GW CIM), which is affiliated with George Washington University Medical Center.
All I can say is: Ugh.
Obviously…
oracknows | December 7, 2014
Last week, I discussed a monograph published in the Journal of the National Cancer Institute Monographs entitled Clinical Practice Guidelines on the Use of Integrative Therapies as Supportive Care in Patients Treated for Breast Cancer. As you might remember, I was completely unimpressed. However, those guidelines were not the only thing in that particular JNCI monograph. There were lots of other articles, and, given that some of them show just how deeply quackery has insinuated itself into oncology in the form of "integrative oncology," I thought it was worth revisiting one more time.…
oracknows | December 5, 2014
If there's one thing about having a demanding day job, it's that the cranks usually have the advantage. They can almost always hit first when a news story comes out that they can spin to attack their detested science. On the other hand, it usually ensures that by the time I get home, have dinner, and settle down in front of the TV with my laptop to discusse the latest bit of science, there's some tasty crankery to deconstruct.
Oddly enough, tonight appears not to be one of those times. Heck, as of this writing, even that wretched hive of antivaccine scum and quackery, Age of Autism,, doesn…
oracknows | December 4, 2014
Cancer cure testimonials due to alternative medicine have been a staple of this blog since its very inception. Unfortunately, another staple of this blog since very early on has included stories of children with cancer whose lives have been endangered when their their parents refuse effective cancer therapy for their cancer, in particular chemotherapy. The most recent such story is a particularly depressing one that cropped up last month in Canada. It was the story of an 11-year-old First Nations girl whose parents opted for what they called "traditional" medicine instead of effective…
oracknows | December 2, 2014I happened to have a busy day yesterday, and in addition today's a deadline to submit a letter of intent for a grant application, as well as to write a response to some criticism in a letter to the editor of my recent Nature Reviews Cancer article. (Trust me, it's fun.) Never one to let such an opportunity pass, I decided to take advantage in order to do a little shameless self promotion.
A week and a half ago, I gave a talk at Skepticon 7 in Springfield, MO entitled The Central Dogma of Alternative Medicine. It's now been posted on YouTube.
Because some of the sound didn't come through as…
oracknows | December 1, 2014
Every so often there's an article that starts making the rounds on social media, in particular Facebook and Twitter, that cries out for a treatment by yours truly. Actually, there are more such articles that are constantly circulating on social media that I could work full time blogging and still not cover them all. So I'm stuck picking and choosing ones that either (1) particularly pique my interest; (2) irritate me enough to goad me into action; or (3) reach a level of ubiquity that I can no longer ignore them. I don't think this one's hit #3 yet, but it certainly scores on #1 and #2.…
oracknows | December 1, 2014It should come as a surprise to no one that I'm not exactly a fan of "integrative oncology"—or integrative medicine, or "complementary and alternative medicine" (CAM), or whatever its proponents want to call it these days. After all, I've spent nearly ten years writing this blog and nearly seven years running another blog dedicated to promoting the scientific basis of medicine, and just this year managed to publish a lengthy commentary in a high impact journal criticizing the very concept of integrative oncology. Unfortunately, it seems to be the equivalent of the proverbial pissing in the…
oracknows | November 26, 2014
I don't think I mentioned this, but I'm on a bit of a staycation this week. I figured, what the heck? After coming home from Skepticon I could do with a little R&R. Of course, fool that I am, I still can't resist blogging a bit. On the other hand, the day before Thanksgiving I realize I should dial it back a bit and keep it brief. Everyone in the US (which, sorry, international readers, still make up the vast majority of my readers) is generally busy getting ready and might not have time for checking in with their favorite blogs, particularly blogs of bloggers known for their logorrhea…
oracknows | November 25, 2014
I realize that I risk getting repetitive by writing about this again, but it's a rich vein that just keeps on producing and producing. It also demonstrates that, for every tragedy as huge as the ongoing Ebola outbreak that has killed over 5,000 people in West Africa thus far, there always exist well-meaning people who are into such utter quackery that they can't help but risk making things worse. In my talk at Skepticon on Saturday I discussed how The Secret's Law of Attraction is, to my mind, the Central Dogma of Alternative Medicine, the idea that, if you want something bad enough and…
oracknows | November 21, 2014As this goes live I’ll be heading to the airport, my purpose being to wing my way to Skepticon 7, where I’ll be speaking tomorrow on a little ditty I like to call The Central Dogma of Alternative Medicine. It’ll be fun, and I’m looking forward to it. However, in true Orac fashion, I haven’t finished the slides and outline for my talk yet, something I hope to do on the planes (there are no direct flights to Springfield, MO from here) and the 3+ hour layover I have to look forward to in Chicago.
What this means is that I was busily tweaking my talk and making some slides last night instead of…
oracknows | November 20, 2014
Here we go yet again.
I’ve been interested in the Ebola outbreak that’s been going on for months in west Africa for a number of reasons. First, it’s a bad disease, and this is the largest outbreak in history. over 5,000 people have died. Second, there’s been a lot of unreasonable fear mongering about the disease here in the US far beyond its actual threat level to the country. Third, of course, and perhaps most pertinent given the usual subject matter of this blog, is that the Ebola outbreak in Africa has been a godsend for quacks, cranks, and conspiracy theorists. There is no quackery or…
oracknows | November 19, 2014
It was a long day in the operating room again, albeit unexpectedly so as a case that I had expected to be fairly straightforward turned out to anything but. Let’s just say, when I’m peeling tumor off of a major blood vessel, my anal sphincter tone is such that if someone were to stick a lump of coal up there it would come out a diamond. Fortunately, everything turned out fine (damn, if I don’t sometimes know what I’m doing), but that, plus the other cases, drained. This seems to be happening more and more often these days, which means that I’d better get my lab funded quick before I’m…
pharyngula | November 18, 2014Every year in my intro biology course, I try to do one discussion of bioethics. One lecture is not much, but this is a course where we try to introduce students to the history and philosophy of science, and I think it's an important issue, so I try to squeeze in a little bit. So we spend one day talking about eugenics and the Tuskegee syphilis study, and I have them read Gould's Carrie Buck's Daughter, and I try to provoke them into arguing with me, or at least questioning a few default assumptions.
This semester, though, I'm going to have them read something with some subtler concerns. I'm…
oracknows | November 18, 2014
I figured that yesterday’s post about the First Nations girl in Ontario with lymphoblastic leukemia whose parents stopped her chemotherapy in favor of “traditional” medicine would stir up a bit of controversy, and so it did, albeit much more at my not-so-super-secret other blog, which featured an expanded version of this post. Don’t worry, you didn’t miss anything. It was expanded in order to have a more in-depth discussion of the quack in Florida who’s treating this girl, something I’ve already discussed here and could just link to. Efficiency!
Before I launch into this, let me make one…