quackademic medicine
oracknows | July 2, 2015Sometimes, I think advocates of "integrative" medicine are trolling me. Of course, unlike antivaccine advocates, I realize it (usually) isn't about me at all and they're just writing what they believe and have (usually in the vast majority of cases) never encountered me and (usually in the vast majority of cases) aren't considering me at all. Even so, it's hard, when coming across an article like The Power of Integrative Medicine When All Else Fails by Emma M. Seppälä over on Psychology Today, not to think that I'm being trolled, so blatant are the alternative medicine propaganda and apologia…
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 | April 16, 2015Once again, repeat after me: Homeopathy is quackery. In fact, it's what I like to refer to as The One Quackery To Rule Them All. You would think that, in a modern world and given the incredible advancements in our scientific understanding of biology, physiology, chemistry, and physics over the course of the over 200 years since Samuel Hahnemann pulled the concepts behind homeopathy out of his nether regions, it never ceases to depress me that there are large numbers of people who think that homeopathy could ever work. But they do.
A couple of weeks ago, I took notice of a, well, notice from…
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…
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 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 11, 2014
Sigh.
Just a week ago, I deconstructed an awful article touting how the mass of prescientific quackery known as traditional Chinese medicine (TCM) as somehow being “validated” by modern science. Specifically, some truly misguided scientists were attempting to use modern systems biology techniques to look for biomarkers associated with TCM diagnoses such as “hot” or “cold” syndromes, specifically with respect to rheumatoid arthritis. The article is an example of just how the false narrative of TCM has taken hold. Although the article acknowledged that there was little evidence to support…
oracknows | October 14, 2014
A common topic that I’ve written about since the very beginning of this blog is the infiltration of quackery into what were formerly bastions of science-based medicine. Most recently, I lamented just how far this process has progressed at the Cleveland Clinic, as evidenced by its recent opening of a clinic devoted to the quackery that is functional medicine and, not long before that, its opening a clinic run by a dubious naturopath practicing traditional Chinese medicine. That’s not even counting its long-standing credulous promotion of the faith healing known as reiki and the use of…
oracknows | October 8, 2014
Quackery has been steadily infiltrating academic medicine for at least two decades now in the form of what was once called “complementary and alternative medicine” but is now more commonly referred to as “integrative medicine.” Of course, as I’ve written many times before, what “integrative medicine” really means is the “integration” of quackery with science- and evidence-based medicine, to the detriment of SBM. As my good bud Mark Crislip once put it, “integrating” cow pie with apple pie does not improve the apple pie. Yet that is what’s going on in medical academia these days—with a…
oracknows | September 22, 2014
Quackery has been steadily infiltrating academic medicine for at least two decades now in the form of what was once called “complementary and alternative medicine” but is now more commonly referred to as “integrative medicine.” Of course, as I’ve written many times before, what “integrative medicine” really means is the “integration” of quackery with science- and evidence-based medicine, to the detriment of SBM. As my good bud Mark Crislip once put it, “integrating” cow pie with apple pie does not make the apple pie better. Yet that is what’s going on in medical academia these days—witha…
oracknows | June 30, 2014One of the most depressing things I regularly write about is, of course, the antivaccine movement. However, nearly as depressing to me is to watch the steady march of what I view as medical pseudoscience or even outright quackery into what should be bastions of science-based medicine, namely academic medical centers. As I’ve discussed many times before, it’s gotten to the point where a medical school, in order to remain accredited, has to teach a certain amount of so-called “complementary and alternative medicine” (CAM), or, as it’s increasingly called, “integrative medicine” (or, as I like…
oracknows | June 10, 2014
As if yesterday's post weren't depressing enough, last weekend I attended the annual meeting of the American Society of Clinical Oncology (ASCO) meeting in Chicago, which is part of the reason I didn't produce much in the way of posts about a week ago. Last Sunday, while aimlessly wandering from session to session and checking Twitter and e-mail between sessions, I noticed that a lot of people, including the official ASCO Twitter feed @ASCO, were Tweeting and re-Tweeting a link to this official story from ASCO, "Integrative Oncology Can Add Benefit to Traditional Cancer Treatments." It was…
oracknows | May 22, 2014
Pretty much everyone who's gotten through junior high recognizes the line from the William Shakespeare play Romeo and Juliet, when Juliet says, "What's in a name? that which we call a rose by any other name would smell as sweet. So Romeo would, were he not Romeo call'd, retain that dear perfection which he owes without that title." It's a succinct contemplation of how much a name means, which, according to Juliet, isn't that much. She (and Shakespeare) were right then, and the same thing is still true. In particular, it's true when referring to things perhaps less appealing than young love…
oracknows | May 8, 2014One of the themes of this blog since the very beginning of this blog is the threat to scientific medicine represented by a phenomenon that I like to call quackademic medicine. Although I did not coin the term, I frequently use the term and have done my best to popularize it among skeptics to describe the infiltration of pseudoscience into academic medicine, be it in the form of fellowships, research and clinical trials studying prescientific magic like homeopathy or "energy medicine," or even the offering of such services under the auspices of an academic medical center, thus putting the…
oracknows | April 23, 2014I don't recall if I've ever mentioned my connection with the Cleveland Clinic Foundation (CCF). I probably have, but just don't remember it. Longtime readers might recall that I did my general surgery training at Case Western Reserve University at University Hospitals of Cleveland. Indeed, I did my PhD there as well in the Department of Physiology and Biophysics. Up the road less than a mile from UH is the Cleveland Clinic. As it turns out, during my stint in Physiology and Biophysics at CWRU, I happened to do a research rotation in a lab at the CCF, which lasted a few months. OK, so it's not…
oracknows | April 11, 2014When I'm trying to demonstrate the utter implausibility and mystical pseudoscience behind so much of "complementary and alternative medicine" (CAM), which is now more commonly referred to (by its advocates, at least) as "integrative medicine," I like to point to two examples in particular of modalities that are so utterly ridiculous in concept that anyone can understand what I'm talking about. For example, as much as I might deconstruct the nonsense that is acupuncture, discussing how "meridians" don't exist, the "life force" known as qi whose flow acupuncture needles are claimed to redirect…
oracknows | March 27, 2014Note: I was busy doing something last night that left me no time to compose any fresh Insolence, which will become apparent by this weekend. In the meantime, however, I'm betting quite a few of you haven't seen this before, and those who have might want to discuss it further in a different environment.
Quackademic medicine.
I love that term, because it succinctly describes the infiltration of pseudoscientific medicine into medical academia. As I've said many times, I wish I had been the one to coin the phrase, but I wasn't. To the best of my ability to determine, I first picked it up from Dr…
oracknows | March 10, 2014Every so often I wonder what the status is regarding the infiltration of pseudoscience into medicine. It's something I've been writing about on a regular basis for nine years now, a phenomenon known as "quackademic medicine." It's simultaneously a depressing and energizing topic, energizing because it's something I'm passionate about, but depressing because at times it seems like an unwinnable battle.
Times like now.
What depressed me this time was article that popped up in my feed on Medscape entitled, Do Clinicians Base CAM Recommendations to Patients on Evidence of Efficacy? Since "…
oracknows | February 9, 2014There are certain things that can happen that are the equivalent of the Bat Signal to me; that is, if you can swallow the idea of me being in any way like Bruce Wayne. Call them the Cancer Signal, if you will. When I see the Cancer Signal, I know that I have to head down to the Cancer Cave—wait a minute, that doesn't sound right. Scratch that. In any caes, there are certain studies or stories that basically demand my attention and say, "Blog me, Orac! Blog me right now!!!" Either that, or they're studies that capture my readers' attention, leading them to e-mail me or Tweet at me plaintive…
oracknows | July 2, 2013Lymphedema is a complication of breast cancer surgery that all surgeons who do breast surgery detest. Patients, of course, detest it even more. The limb swelling that is the primary symptom of lymphedema comes about because surgery on the axillary lymph nodes (the lymph nodes under the arm) that is part and parcel of surgery for breast cancer can interrupt lymph vessels and cause backup of lymph fluid in the affected arm. This backup has consequences, including skin changes, a tendency towards infections, and, in extreme cases, elephantiasis (which is, fortunately, rarely seen these days as a…