Naturopathy
oracknows | May 10, 2013I hate to end the week on a bit of a downer, but sometimes I just have to. At least, it's depressing to anyone who is a proponent of science-based cancer care as the strategy most likely to decrease the death rate from cancer and improve quality of life for cancer patients. Unfortunately, in enough ways to disturb me, oncology is actually going in the exact opposite direction. I'm referring, of course, to the phenomenon of "integrative oncology," a form of quackademic medicine that is proliferating and insinuating itself in academic medical programs like so much kudzu. The concept behind "…
oracknows | April 28, 2013Every so often, our "friends" on the other side of the science aisle (i.e., the supporters of "complementary and alternative medicine"—otherwise known as CAM or "integrative medicine") give me a present when I'm looking for a topic for my weekly bit of brain droppings about medicine, science, and/or why CAM is neither. It's also been a while since I've written about this particular subject; so it's a win-win for all sides! I get a topic. A certain CAM journal gets extra traffic. And you get the benefit of my usually brilliant deconstruction of dubious science. What could go wrong?
In any case…
oracknows | April 15, 2013It's been a while since I've done this, but somehow now seems to be the right time, particularly after doing such a long post yesterday on the intellectually dishonest promotion of "brave maverick" cancer doctor Stanislaw Burzynski. Unfortunately, dubious clinics like the Burzynski Clinic are not the only place where I find highly questionable medicine. Sadly, as I've discussed many times, there is a phenomenon known as "quackademic medicine," in which quackery is administered and studied in actual academic medical centers. Indeed, it's hard for me to believe that it was nearly years ago that…
oracknows | March 27, 2013When I wrote about the Trial to Assess Chelation Therapy (TACT) trial last week, little did I suspect that I would be revisiting the topic again so soon. For those of you not familiar with TACT, it was a trial designed to test a favorite quack treatment for cardiovascular disease, chelation therapy. It is, as I have described many times in the past, an incredibly implausible therapy based on a hugely simplistic concept that because calcium accumulates in atherosclerotic lesions, then using chelation therapy could remove the calcium and reduce the lesions. Chelation therapy is a favorite…
oracknows | March 7, 2013I'm not a big fan of Cancer Treatment Centers of America (CTCA). That I don't much like CTCA should come as no surprise, given that this particular hospital chain distinguishes itself from other hospital chains by advertising its full body embrace of quackery, in particular "naturopathic oncology." At the same time as it's advertising its "integrative cancer care." It all sounds great on the surface, but anyone who understands exactly what "integrative medicine" is and how it basically represents the evolution of quackery will also understand that when you "integrate" quackery and…
oracknows | March 1, 2013I really hate to write this post, but I feel compelled. The reason I hate to write it is because someone I admire screwed up. The reason I feel compelled is because of my longstanding interest in World War II and Holocaust history, not to mention my longtime interest in refuting the lies of Holocaust deniers. I had meant to write about it the first time I came across it, but for some reason did not. I don't remember the reason, although it might very well be because of how much I respect the person who wrote it. Again, I don't remember, and today it really doesn't matter why. Whatever the…
oracknows | February 28, 2013Yesterday, I expressed my dismay at learning that what used to be a bastion of science-based medicine, the Cleveland Clinic Foundation, is now peddling the quackery known as acupuncture to children, or, as I put it, "integrating" nonsense with science. Sadly, as I've written about all too often because I keep seeing it again and again, it's an all too common trend. Hospitals are increasingly embracing pseudoscience and quackery, laboring under the misguided belief that by doing so they are somehow "cutting edge"; that the patients really, really want it; and as a marketing tool. Although I…
oracknows | February 21, 2013Is it just me, or are medical propaganda films becoming the preferred media for "brave maverick doctors, dubious doctors, and quacks to promote their wares? I just pointed out how everybody's favorite "brave maverick doctor," he of the therapy for cancer for which there is no compelling evidence but that he keeps administering anyway, using the clinical trial process to avoid pesky rules about administering unapproved drugs and that is nothing more at its core than an orphan drug without compelling evidence for efficacy and of the "personalized gene-targeted therapy for dummies" based on…
oracknows | January 29, 2013On Monday of this week, Michael Specter published an article in The New Yorker entitled THE OPERATOR: Is the most trusted doctor in America doing more harm than good? In the article, Specter expended considerable verbiage that, as I explained yesterday, was beautiful in how it let Oz reveal through his own words that (1) he is no longer a scientist and (2) how he views science-based medicine as apparently religion and just another way of knowing. Indeed, so off the wall were Oz's utterances in this article that Jeff Bercovici boiled it down, summarizing it as Dr. Oz's Five Wackiest Medical…
oracknows | December 14, 2012Note: Orac is away somewhere warm recharging his Tarial cells for further science and skepticism. In the meantime, he is rerunning some of his favorite posts. Because it's vacation, he thought he'd rerun a fun post. He needs it; vacation is almost over, and it's back to work on Monday. So, here's one from 2007, which means that if you haven't been reading at least that long it's new to you—unless, of course, I reran it once and forgot about it. Besides, it's the post that introduced me to the woo-tastic wonder that is "Professor" Bill Nelson.
I admit it.
I'm a gadget freak. I sometimes think…
oracknows | November 15, 2012One characteristic of cranks, quacks, and pseudoscience boosters is a love-hate relationship with science. They desperately crave the respectability and validation that science confers. In the case of medicine, they want to be seen as evidence- and science-based. On the other hand, they hate science because it just won't given them what they want: Confirmation and validation. The reasons, of course, are obvious; their preferred ideas about disease and modalities to treat it are not rooted in science. Rather, they're usually based in either prescientific concepts of how the human body works…
oracknows | November 14, 2012It wasn't so long ago (less than a week, actually), that I noticed what I referred to as a paean to the quackery known as naturopathy. It appeared—where else?—on that wretched hive of scum and quackery known at The Huffington Post. It was even entitled My Love Affair with Naturopathy. Not unexpectedly, this very article revealed just what quacks naturopaths are, as it told the story of a woman with vague symptoms, "messed up menstrual cycles," and other complaints who went to a naturopath and was blown away by the "personalized" attention and even more happy that this particular naturopath…
oracknows | November 12, 2012"Holistic."
How often do we hear that word bandied about by practitioners of "complementary and alternative medicine" (CAM) or, as it's increasingly called, "integrative medicine" (IM)? Lots. The reason is that CAM/IM practitioners seem to think they own the word. They've so utterly co-opted it that it has become meaningless, in the process perverting it. No longer does it mean "taking care of the whole person." Not really, at least not anymore. Thanks to quacks having taken possession of it as their own, "holistic" now has a connotation of woo, in which it is said to be impossible to be a…
oracknows | November 9, 2012If you're a skeptic and supporter of science-based medicine (SBM), as I am, no doubt there are times when you ask yourself in exasperation, frustration, or curiosity just what the appeal of quackery is to so many people. Why do people fall for this stuff? you no doubt ask yourself at times. Certainly I do sometimes, and even though I know a lot about the cognitive shortcomings that we humans all share that lead to confirmation bias, confusing correlation with causation, mistaking placebo effects and regression to the mean for real therapeutic effects, and poor observational skills, sometimes…
oracknows | October 29, 2012There's a saying in medicine that we frequently hear when a newer, more effective therapy supplants an older therapy or an existing therapy is shown not to be as efficacious as was once thought, and it has to do about how long it takes for the use of that therapy to decline. The saying basically says that the therapy won't die out until the current generation of established physicians retire and are replaced by the new generation coming up through medical schools. From my perspective, it's a bit of an exaggeration, because in the mere 13 years that I've been a real doctor (i.e., an attending…
oracknows | August 29, 2012As a cancer surgeon specializing in breast cancer, I have a particular contempt for cancer quacks. In particular, that contempt smolders and occasionally bursts in to flames right here on this very blog and, to a lesser degree, elsewhere, when I see instances of such quackery applied to women with breast cancer. They are, after all, the type of patients I spend all my clinical time taking care of and to whose disease my research has been directed for the last 13 years or so. That's why I keep revisiting the topic time and time again. Unfortunately, over the years, when it comes to this topic…
oracknows | August 28, 2012If there's one thing that practitioners of pseudoscientific medicine crave more than anything else, it's respectability. Believing that science-based medicine is corrupt and that their woo is as good or better, they delude themselves into thinking that they can function as well or better than primary care doctors practice and therefore should be given the same privileges that physicians are granted. To them, it makes sense. On any objective basis, however, it does not. The reason is simple. The two most common "disciplines" that seek the same scope of practice as primary care doctors are…
oracknows | August 13, 2012Well, I'm back.
It's always a bit weird to try to get back into the swing of things after even just a week off and even when during that week I didn't actually stop blogging but merely slowed down a lot and succeeded (mostly) in restricting what little blogging I did to brief posts. (Yes, I know there was one exception.) Even so, I did ignore a fair number of things that normally would have been either the subject of one of my scintillating detailed scientific analyses or the target of a heapin' helpin' of not-so-Respectful Insolence. Usually when I get back from a vacation I like to ease…
oracknows | August 3, 2012Let's travel back in time fifteen years.
It's a time that, for me, at times seems as though it were just yesterday while at other times it seems like truly ancient history. Back then, certainly, I wasn't the blogging powerhouse that I am today. I didn't even know what blogging was because it was so much in its infancy that few people knew what it was. In fact, it was only around 14 years ago that I first discovered Usenet, that vast, sprawling, brawling assortment of discussion groups where I cut my skeptical teeth, so to speak, discovering, as I did, alt.revisionism (often abbrievated a.r.…
oracknows | July 25, 2012Medical therapies should be based upon science. That is a recurrent theme, indeed, the major theme, of this blog. Based on that simple thesis, I've spent the last decade examining "unconventional" treatments and evaluating the scientific basis (or, much more usually, the lack of a scientific basis) for various treatments. Yes, I've looked at other issues, including general skeptical issues, the occasional political rant, Holocaust denial, and, of course the odd self-indulgent bit of twaddle that every blogger engages in every now and then, but I always come back to the question of the…