Quackery
oracknows | October 11, 2017QEDCon is fast approaching (indeed, I can't believe I have to leave for Manchester tomorrow night), and because my talk there will be about the phenomenon of "integrative medicine," I've been thinking a lot about it. As I put together my slides, I can't help but see my talk evolving to encompass both "integrative" medicine and what I like to refer to as quackademic medicine, but that's not surprising. The two phenomenon are related, and it's hard to determine which has a more pernicious effect on science in medicine.
One aspect of quackademic medicine that I probably don't write about as much…
oracknows | October 9, 2017I've written on quite a few occasions about a pair of scientists beloved by the antivaccine movement. I'm referring, of course, to Christopher Shaw and Lucija Tomljenovic. Whether it is their publishing dubious "evidence" that HPV vaccines cause premature ovarian failure or even death or demonizing aluminum as a vaccine adjuvant, Shaw and Tomljenovic publish nothing but antivaccine pseudoscience that antivaxers love to cite whenever they dump some turd of a study on the medical literature.
Just last month, they dumped their latest turd of a study, in which they basically tortured mice in the…
oracknows | October 6, 2017Naturopathy and naturopaths are a fairly frequent topic on this blog—and for very good reason. If there is an example of a pseudomedical "discipline" that has been gaining undeserved "respectability," it's naturopathy. It's licensed in all too many states, and physicians who have fallen under the spell of so-called "integrative medicine," a specialty that rebrands science-based lifestyle medical interventions as somehow "alternative" or "integrative" and uses them as a vessel to "integrate" quackery into medicine, seem to have a special affinity for naturopaths. Indeed, so common has the…
oracknows | October 1, 2017Last week, I wrote about Rigvir, a highly dubious cancer therapy developed in Latvia. Rigvir is an oncolytic virus, and its proponents claim that it targets only cancer cells for destruction, leaving normal tissue alone. Its history and how it came to be approved in Latvia in 2004 and added to the Latvian Health Ministry's list of reimbursable medications in 2011 remain rather mysterious, but how it is being marketed does not. For example, Rigvir has become a new favorite treatment at a number of quack clinics, such as the Hope4Cancer Institute in Mexico, where Rigvir is offered along with…
oracknows | September 29, 2017John Weeks has long been an activist for what is now known as "integrative medicine," earlier known as "complementary and alternative medicine"(CAM). Basically, for many years Mr. Weeks has been at the forefront of encouraging the "integration" of quackery with real medicine and promoting what I like to refer to as "quackademic medicine," a perfect term to describe the increasing encroachment of pseudoscience and quackery in medical academia in the form of—you guessed it—integrative medicine.
Despite his having zero background in scientific research or the design and execution of experiments…
oracknows | September 28, 2017Two years ago, I wrote about a study that demonstrated how the antivaccine movement had learned to use Twitter to amplify their antiscience message. At the time, I noted how in 2014, when the whole "CDC whistleblower" conspiracy theory was first hatched, antivaxers were so bad at Twitter, so obvious, so naive. The Tweeted inane claims at government officials, scientists, legislators, and whoever else might have influence on vaccine policy, using hashtags like #CDCwhistleblower and #hearmewell. (These hashtags are still in use, but much less active.) However they did get better, to the point…
oracknows | September 27, 2017Last week, an antivaxer "challenged" me to look over a paper purporting to show that aluminum adjuvants in vaccines cause inflammation of the brain and therefore contribute to autism, a paper that she would be "citing frequently." Being someone who lives by the motto, "be careful what you wish for," I looked it over in detail. Not surprisingly, my conclusion was that the experiments were poorly done using obsolete and not very quantitative methodology and that the results do not support the conclusions made by the authors. I was not alone in this conclusion. Skeptical Raptor was, if anything…
oracknows | September 26, 2017Last week, the University of California, Irvine (UCI) announced that Susan and Henry Samueli were donating $200 million for it to set up a massive new integrative medicine initiative. The plan would basically transform biomedical sciences and medical education at UCI—and not in a good way.
Remember what "integrative medicine" is. What is being "integrated" into medicine is, of course, quackery. Oh, sure, integrative medicine also emphasizes lifestyle modification, such as diet and exercise, but that is part of "conventional medicine" already.
There is no good scientific or medical rationale…
oracknows | September 24, 2017This blog is based in the United States, and I'm an American. Unfortunately, this produces a difficult-to-avoid baked-in bias towards medicine as it is practiced in the US and, to a lesser extent, as it is practiced in the English-speaking world, because English is my language and I can read accounts coming out of English-speaking countries. The same bias exists with respect to pseudo-medicine, with our concentration having been primarily on either quackery that is practiced in the US, UK, Canada, or Australia (and sometimes New Zealand). It's not because I'm not interested in medicine and…
oracknows | September 22, 2017Back in the day I used to do a weekly feature every Friday that I used to call Your Friday Dose of Woo. For purposes of the bit, woo consisted of particularly ridiculous or silly bits of pseudoscience, quackery, or mysticism, such as the Quantum Xrroid Consciousness Interface. Amazingly, I managed to keep that up for a couple of years, but over time I started sensing that I was getting a bit too repetitive. The same bits of pseudoscience kept recurring. Over time I had to dig more and more to find suitable bits of woo that amused me enough to inspire me to ever more over-the-top heights of…
oracknows | September 19, 2017It's not infrequently that, whenever I complain about the increasing infiltration of quackery and pseudoscience into medicine, I sometimes lament that skeptics and supporters of science-based medicine are massively outgunned, because we are. Thus, we have the continued growth of what I like to refer to as "quackademic medicine," the infiltration of pseudoscience into medical academia in the form of whole divisions, departments, and institutes dedicated to studying fairy dust like acupuncture, naturopathy, and other "unconventional" treatments that are then "integrated" into medicine. It's not…
oracknows | September 10, 2017A week ago, I wrote about a naturopath in Utah named Harry Adelson, who was advertising his use stem cells to treat lumbar and cervical disk problems, including degenerated and dehydrated disks. That alone was bad enough, but what elevated "Not-a-Dr." (my preferred translation of the "ND" that naturopaths like to use after their names to confuse patients because it's so close to "MD") Adelson above and beyond the usual naturopathic quackery is his cosplay of an interventional radiologist, in which he purchased a C-arm to use fluoroscopy to inject his "stem cells" right into the intervertebral…
oracknows | September 7, 2017Regular readers know that, as a cancer surgeon, I become particularly worked up about stories of naturopaths taking care of cancer patients, which all too often end in disaster for the patient. I've lost count of how many naturopaths I've seen, either on their websites, in talks, or in published literature, claiming that they can cure cancer "naturally," using any of a number of unproven methods, an example being the Gerson protocol, a form of quackery involving 13 larges glasses of raw vegetable and fruit juice, around 150 supplements, and five coffee enemas a day, each and every day. Others…
oracknows | September 6, 2017I've frequently distinguished between those who are vaccine-averse and the true, hard core antivaxers. The vaccine-averse tend to fear vaccines because of what they've heard about their supposed adverse effects, while it is the hard core antivaxers who are really originating and spreading the misinformation claiming that vaccines cause autism, autoimmune diseases, chronic disease, neurologic damage, and sudden infant death syndrome (SIDS), just to name some. There are even those who claim that shaken baby syndrome is a "misdiagnosis" for vaccine injury. To them, it is, above all, always all…
oracknows | September 4, 2017I write frequently about naturopathy here because, of all the dubious pseudoscientific medical "disciplines" out there, naturopathy (along with chiropractic) has achieved the most "respectability." Indeed, as I like to point out in my own specialty (breast cancer), the Society for Integrative Oncology (SIO) even admits naturopaths as members. Indeed, the immediate past president of SIO is a naturopath (and, depressingly, faculty at my medical alma mater, the University of Michigan), as was the SIO president in 2014. So entrenched are naturopaths in SIO that they have been prominent co-authors…
oracknows | August 31, 2017There are many ways to combat antivaccine pseudoscience. Personally, I've chosen my favored methods, namely blogging, giving talks, and generally combatting pseudoscience on social media wherever I find it. That's not all I do (for example, I do have a couple of papers in the peer-reviewed medical literature designed to combat the infiltration of pseudoscience into academia), but it is where I put most of my effort. For one thing, I'm good at it. For another thing, it's fun. Also, it's something I can work into my busy schedule more easily. It even brings me a bit of notoriety now and then,…
oracknows | August 27, 2017In the early 1980s in the wake of reports, publicized by a news report and later a book by Harris Coulter and Barbara Loe Fisher (DPT: A Shot in the Dark), that the whole cell DPT vaccine was linked to encephalitis and brain damage, a flood of product liability lawsuits was on the verge of bringing the US vaccine program to its knees. Later studies exonerated the DPT, especially a large case-control study, but those studies did not come until the 1990s. Even though existing evidence at the time did not clearly support a link, it did not clearly rule one out. As a result vaccine manufacturers…
oracknows | August 24, 2017Acupuncture is nothing more than a theatrical placebo.
I wish I could take credit for the term "theatrical placebo" to describe acupuncture, just as I wish I could take credit for coining the term "quackademic medicine" to describe the unfortunately increasing infiltration of quackery into academic medical centers and medical schools and as I wish I could take credit for the term "Tooth Fairy science" to describe doing scientific studies on a phenomenon that has not been proven to exist, but alas I cannot. I can, however, use the terms as I see fit, even if it might annoy some believers in…
oracknows | August 23, 2017I've written several posts about a tragic phenomenon in Minnesota. Specifically, there's been a major measles outbreak among the Somali immigrant community in the Minneapolis area, the largest group of Somali immigrants in the country. Actually, this outbreak is not the first outbreak among this community. There was another, smaller one in 2012. Both involved primarily children in the Somali immigrant community who were not vaccinated. The last recorded case of measles in Minnesota was on July 13 in a white child who was also unvaccinated, but officials need to wait at least 42 days (two full…
oracknows | August 21, 2017Poor Robert F. Kennedy, Jr. He went from admired environmental activist to reviled antivaccine campaigner so quickly. It began when he outed himself in 2005 with his infamous conspiracy mongering screed about thimerosal in Salon.com and Rolling Stone. Basically, RFK Jr. is a member of what we used to call the mercury militia, a branch of the antivaccine movement that believes, more than anything else, that it is the mercury-containing preservative thimerosal that used to be in several childhood vaccines until 2002 drove an "epidemic" of autism. He's still a member, too, having recently…