medicine
oracknows | March 20, 2017[Orac note: A combination of power outages, travel to Seattle, and trying to write something for my not-so-super-secret other blog conspired to leave me with nothing for this morning. So I thought I'd resurrect this old gem, which hasn't been reposted in at least four years. I actually did try to remove the dead links (this post dates back nearly 12 years in some form or another), but I probably missed a couple. I also changed the post a little, just to remove clearly outdated stuff. In the mean time, be assured that, with no more travel planned and our power restored, things should get back…
oracknows | March 17, 2017Among quacks, epigenetics is the new quantum theory.
I know I've said that before, but it's worth saying again in response to a new quack I've just discovered, courtesy of an article in The Daily Mail Fail by one Dr. Sara Gottfried pimping her books and health empire, From taking a sauna to drinking pinot noir, a fascinating book by a hormone doctor reveals how to... switch off your bad genes and live longer.
Epigenetics. She's talking about epigenetics. Of course, she keeps using that word. I do not think it means what she thinks it means. Indeed, if what's in this article is a taste of what…
oracknows | March 15, 2017Some of you might have been wondering just WTF has been going on here on the old blog, given the relative paucity of posts over the last week and the "reruns" from the distant past that I've been posting. I address this question because I realize that not everyone reads the comments and it's quite possible some of you might have missed it, but here in Michigan we had an enormous windstorm last Wednesday that knocked out power to 800,000+ people. Unfortunately, Orac was one of them. True, we did get the power back over the weekend, but then, in a cruel twist of fate, we lot power again on…
oracknows | March 14, 2017It seems hard to believe that the Disneyland measles outbreak occurred more than two years ago. It was during the Christmas holiday of 2014 that an measles outbreak occurred centered at—of course—Disneyland, thanks primarily to unvaccinated children facilitating the spread of the highly contagious disease at the "Happiest Place on Earth." What made this particular outbreak so important, though, was that it provided the impetus Senator Dr. Richard Pan and Senator Ben Allen to introduce a bill (SB 277) into the California legislature for consideration. What made SB 277 unique and its…
oracknows | March 10, 2017[NOTE: As I mentioned yesterday, our power outage continues, and, thanks to having to decamp to a hotel last night, I didn't have time to produce new Insolence. So I thought I'd repost a "classic" from 11 years ago that I don't believe I've ever reposted before during vacation or otherwise. It represents a sort of blogging that I haven't done for years, just a personal story with nothing to do with my usual topics, such as pseudoscience, quackery, clinical trials, and basic science. This story is based on a real patient encounter from around 25 years ago, but details have been changed.]
I don…
oracknows | March 9, 2017In case anyone's interested, the reason that there was no post today is because we had a rather massive windstorm here in the Detroit area that left 800,000 without power. Unfortunately, that number included my wife and me. I valiantly tried to take care of my blogging addiction last night, as the temperature in the house plunged to the 50s. With nothing but residual battery on my laptop and mobile hotspot from my phone I ended up giving up in order to save battery charge, particularly on the phone. Given that the power is still out and I'll be surprised if we get it back before tomorrow or…
oracknows | March 8, 2017I've been writing about a phenomenon that I like to refer to as "quackademic medicine," defined as the infiltration into academic medical centers and medical school of unscientific and pseudoscientific treatment modalities that are unproven or disproven. I didn't coin the term. To the best of my knowledge, Dr. Robert W. Donnell did nine years ago. However, I adopted it with a vengeance, so much so that a lot of people think I coined the term. In any case, I first began sounding the alarm about the infiltration of quackery like acupuncture, "energy medicine," naturopathy, homeopathy,…
oracknows | March 7, 2017Massive is the misinformation promulgated by the antivaccine movement, and many are its lies. For example, antivaxers claim that, in some way or other, vaccines cause autism, autoimmune diseases, sudden infant death syndrome (SIDS), cancer, and a wide variety of other conditions and diseases when there is no credible evidence that they do and lots of evidence that they don’t. One of the favorite tropes used by antivaxers to frighten parents out of vaccinating their children is known as the "toxins" gambit, in which antivaxers cite lists of scary-sounding ingredients in vaccines like…
oracknows | March 6, 2017I've been blogging fairly regularly about Houston cancer quack Dr. Stanislaw Burzynski since 2011, and now the story is over...sort of. Unfortunately, as you will see, the ending is far from ideal. It is, however, somewhat better than I had feared it might be. What I'm referring to, of course, is the final ruling of the Texas Medical Board regarding Dr. Burzynski, the Houston cancer doctor who has been a frequent topic of this blog because of his practices of charging desperate cancer patient tens (or even hundreds) of thousands of dollars for his "antineoplastons" (ANPs) and, later, what he…
oracknows | March 3, 2017The impetus for the creation of this blog, lo these 12+ years ago, was growing alarm at the rising tide of pseudoscience then, such as quackery, antivaccine misinformation, creationism, Holocaust denial, and many other forms of attacks on science, history, and reality itself. I had cut my teeth on deconstructing such antiscience and pseudoscience on Usenet, that vast, unfiltered, poorly organized mass of discussion forums that had been big in the 1990s but were dying by 12 years ago, having turned into a mass of spam, trolls, and incoherence. So I wanted to do my little part (and I'm under no…
oracknows | March 2, 2017I've never been a huge fan of the We The People (WTP) website, which was set up during the Obama administration to allow people to petition the White House and, if they receive a sufficient number of signatures on their petition, receive an official response from the White House. While I applauded the sentiment of wanting to provide people an online means of petitioning the administration and like that a petition receiving 100,000 signatures in 30 days would receive a response, I was disappointed by the results. For one thing, although 321 of the 323 petitions that reached the threshold have…
oracknows | February 28, 2017That the Cleveland Clinic has become one of the leading institutions, if not the leading institution, in embracing quackademic medicine is now indisputable. Indeed, 2017 greeted me with a reminder of just how low the Clinic has gone when the director of its Wellness Institute published a blatantly antivaccine article for a local publication, which led to a firestorm of publicity in the medical blogosphere, social media, and conventional media to the point where the Cleveland Clinic's CEO Dr. Toby Cosgrove had to respond. Dr. Cosgrove was—shall we say?—not particularly convincing. Indeed, even…
oracknows | February 26, 2017Way back in the early days of my blogging career, I remember coming across a "challenge" by a man named Jock Doubleday. I didn't know it at the time, but Doubleday had achieved some notoriety before his "vaccine challenge" as the director or Natural Woman, Natural Man, Inc. and the author of such amazing works as The Burning Time (Stories of the Modern-day Persecution of Midwives) and Lolita Shrugged (THE MYTH OF AGE-SPECIFIC MATURITY). His "challenge" was in the same vein as his previous work, only more so and full-on antivaccine. The reason I'm bringing up Doubleday again after all these…
oracknows | February 22, 2017Regular readers here are probably familiar with Mike Adams and his website NaturalNews.com. Forget the antivaccine crank blog Age of Autism, when it comes to wretched hives of scum and quackery on the Internet, NaturalNews is the wretchedest, scummiest, and quackiest. Not surprisingly, Adams got his start in wingnuttery selling Y2K scams nearly 18 years ago. Now, besides presiding over a scammy online publishing empire that racks in considerable green by publishing articles laced with quackery, antivaccine pseudoscience, character assassination, and thuggery, both legal and getting a bit too…
oracknows | February 21, 2017Back in December, I took note of the vaccine situation in Texas. First, I pointed out how a new article by Peter Hotez, MD, a pediatrician at Baylor University, had sounded the alarm that the number of schoolchildren with nonmedical exemptions to the Texas school vaccine mandate had skyrocketed by 19-fold over the last 13 or 14 years. As if that weren't alarming enough, I discussed the resident antivaccine groups in Texas, who had become quite active. I thought that that was probably all I would write about Texas for a while. Silly me. Texas is fast turning into a series of its own, much as I…
oracknows | February 21, 2017One of the most frequent talking points used by the antivaccine movement is that its members are "not anti-vaccine," but rather "pro-safe vaccine" or "vaccine safety activists." I first encountered that talking point over ten years ago, when I first heard Jenny McCarthy say it. Since then, I've heard any number of antivaccine activists use variations on the talking point over many years and in many circumstances. It's understandable in a way. Antivaxers know that society frowns on antivaccine views—and quite rightly so, given the danger such views pose to public health; so they have to…
oracknows | February 19, 2017]As hard as it is to believe, I've been dealing with the antivaccine movement since at least the early 2000s. Back then, I didn't have a blog, either this one or my not-so-super-secret other blog, and most of my online activities were restricted to Usenet. For those of you who don't remember Usenet, which has largely become the province of trolls and spam these days, it is a massive set of online discussion boards on literally thousands of topics. Indeed, I first encountered antivaccine advocates on Usenet and started to learn the sorts of pseudoscientific arguments they make, so that when I…
oracknows | February 15, 2017I must admit, Robert F. Kennedy, Jr., environmentalist and, unfortunately, antivaccine crank of the thimerosal fear mongering variety, has been rather busy lately. After having gone mostly silent on vaccine issues compared to his original flurry of misinformation and conspiracy mongering back that began back in 2005, several years past with almost nary a word from the lesser scion of a great American family on vaccines. This was a very good thing. Then, in 2014, he decided to reappear, co-authoring an antivaccine book with functional medicine quack Mark Hyman, a book with mouthful of a title…
oracknows | February 13, 2017One of the overarching themes of this blog, if not the overarching theme, is to expose and combat the infiltration of quackery into medicine. What I'm referring to, of course, is the phenomenon that's risen over the last 25 years or so in which various pseudoscientific alternative medicine therapies (but I repeat myself) have found increasing acceptance, thanks largely to a major lack of critical thinking skills among both patients and, worse, the physicians who have embraced modalities such as acupuncture, naturopathy, chiropractic, and the like. In fairness, it's not just a lack of critical…
What if, rather than being too stringent about drug approval, the FDA is not being stringent enough?
oracknows | February 12, 2017There is a belief that is very prevalent among policymakers right now, particularly Republican policymakers, that the key impediment to drug development is the Food and Drug Administration. According to this narrative, the FDA is an overly strict, overly bureaucratic, and rigid organization that is the main barrier keeping fantastic cures to all sorts of deadly and debilitating diseases from flowing to the people at a reasonable price. The basic idea, as I've discussed many times, is that, if only the FDA would get out of the way, universities and pharma would be free to open the floodgates…