Quackery

Being a cancer surgeon, I realize that my tendency is to view my blogging material through the prism of cancer, particularly breast cancer, my specialty. it's easy to forget that there are diseases every bit as horrible, some arguably even more so than the worst cancer. When I think of such diseases, it's not surprising that amyotropic lateral sclerosis (ALS), commonly known as Lou Gehrig's disease after its most famous victim. It's a progressive degenerative neurologic disease that affects the motor neurons, resulting in progressive muscle weakness throughout the body. Eventually, victims…
Of all the clueless antivaccinationist out there, one stands out as being particularly dangerous to public health. That person is the antivaccine reporter whom I've periodically been forced to castigate ever since around 2007 when she laid down such a seethingly hot bit of napalm-grade antivaccine stupid that she grabbed my attention with her combination of ignorance and arrogance (a.k.a., the arrogance of ignorance or the Dunning-Kruger effect), Sharyl Attkisson. Since then, Attkisson has managed to get on my radar through her sucking up to Andrew Wakefield, playing footsie with the…
Regular readers might be wondering why my output was—shall we say?—less extensive last week than it usually is. I even skipped a weekday and then followed it up with a recycled post from my not-so-super-secret other blog, altered to be a bit more, yes, Insolent. The answer is a single word: Grants. I had a grant deadline. That's basically past now. However, today is a holiday, and, besides taking some time to pay tribute to those who have made the ultimate sacrifice for our country, I also plan on taking a day off from full-scale blogging as well. Fortunately, there are a couple of links to…
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…
Well, it snuck up on me again, the way it has a tendency to do every year. Maybe it's because Memorial Day is so early this year. Maybe it's because there's just so much work to do this week given the multiple grant deadlines. Whatever the case, it just dawned on my last night that today is the first day of the yearly autism quackfest known as AutismOne (AO), which is being held at the Intercontinental O'Hare Hotel near Chicago. Of course, things are different this year. Given the schism between team Crosby and pretty much everyone else in the antivaccine movement, it's unclear what the deal…
I hadn't really planned on writing again about everyone's favorite conspiracy theorist and promoter of quackery, Mike Adams, at least not so soon after the last time I did it, which was only last week after Adams appeared on Dr. Oz's daytime television show to push his "laboratory." Adams, as you might recall, goes by the Internet moniker the "Health Ranger" (which would really more appropriately be "Health Danger") and is the man responsible for one of the quackiest sites on the Internet, NaturalNews.com, a repository for nearly every form of medical pseudoscience known to humans, mixed in…
Over the years, the criticism of "evidence-based medicine" (EBM) that I have repeated here and that I and others have repeated at my not-so-super-secret other blog is that its levels of evidence relegate basic science considerations to the lowest level evidence and elevate randomized clinical trial evidence to the highest rung, in essence fetishizing it above all, a form of thinking that I like to call methodolatry. Now, when EBM works correctly, this is not an entirely unreasonable way to look at things. After all, we just want to know what works in patients. Basically, when EBM is working…
Sometimes, when you're blogging, serendipity strikes. Sometimes this takes the form of having something appear related to something you just blogged about. Yesterday, I discussed one of the biggest supporters of quackery on the Internet, Mike Adams, a.k.a. the Health Ranger, proprietor of NaturalNews.com, one of the quackiest, if not the quackiest site, on the Internet, NaturalNews.com. This time around, I was simply using one of Adams' wonderfully incoherent defenses of alternative medicine thinking to demonstrate how much magical thinking exists at the core of alternative medicine and how…
Over the years, I've often likened alternative medicine to a religion—or even a cult. Basically, it requires belief in a set of precepts that have at best little and more commonly no evidence to support them that is often accompanied by magical thinking that a god-substitute, be it nature, one's body, or, of course, the magically mysterious "quantum," possesses magical powers that will protect one from all harm if one simply believes and acts on that belief. The belief systems that undergird various forms of alternative medicine are every bit as ridiculous from a scientific viewpoint as the…
There's a certain category of posts that I like to call (to myself, anyway) "taking care of business" posts. Usually, it's a post about something that I missed the first time around but has, for some reason, reappeared on my radar screen or something that I wish I had written about when it first showed up but didn't to the point that I don't care that the material is over a week old, which, let's face it, might as well be a year old in blogging time. On the other hand, there's still no time like the present, so let's take care of some business. There is the added benefit that taking care…
One 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…
If there's a story I neglected to mention last week that I should have, it's that Andrew Wakefield is being a bully again, trying to use legal intimidation to silence his critics, namely Forbes.com blogger Emily Willingham. Of course, Wakefield has done this so many times that the fact that he's done it once again is hardly newsworthy, but that never stopped me before, because it's important to document the pattern of legal harassment. The timing was bad. The antivaccine crank blog Age of Autism posted a copy of Wakefield's letter after I had already finished Friday's post, and by the time…
Dr. David L. Katz is apparently unhappy with me. You remember Dr. Katz, don't you? If you don't, I'll remind you momentarily. If you do, you won't be surprised. Let me explain a bit first how Dr. Katz recently became aware of me again. A couple of weeks ago, I posted a short (for me) piece about something that disturbed both Steve Novella and myself, namely An herbal medicine clinic at the Cleveland Clinic: Quackademia triumphant Steve had blogged about it as well a couple of days earlier. To my surprise, Maithri Vengala over at The Healthcare Blog noticed the blog post and asked me if I…
I've often written of "black holes of stupid" that threaten to rupture the fabric of the space-time continuum, so dense and full of stupid are they. Such black holes tend to come from places like the wretched hive of scum and antivaccine quackery known as Age of Autism, the wretched hive of scum and conspiracy quackery known as NaturalNews.com, and various other sites loaded with pseudoscience throughout the web. I've often also joked about some post or other from such people "frying my irony meter." Usually such comments are deserved when particularly clueless quacks write something that is…
Yesterday, the CDC held a Twitter party for National Infant Immunization Week, which is, conveniently enough, this week. Our old "friend" Ginger Taylor tried to call in her squadron of flying antivaccine monkeys to fling poo at what should have been a celebration of the success of vaccines; so I sent up the Bat Signal, the better to attract some voices of reason to the sliming of the #CDCvax hashtag used for the Twitter party to counter the antivaccine quacks. P.Z. Myers picked up the call too, and the rest is history. I almost felt sorry for Ginger and her fellow antivaccine loons, as they…
And now for something completely different (sort of). Somehow, I totally forgot that the week of April 26 to May 3 is National Infant Immunization Week (NIIW), an annual observance to highlight the importance of protecting infants from vaccine-preventable diseases and celebrate the achievements of immunization programs and their partners in promoting healthy communities. In fact, it's the 20th anniversary of the NIIW. If any medical intervention in existence deserves such a week, it's vaccination. Unlike travesties such as Naturopathic Medicine Week (or, as I liked to call it, Quackery Week…
Naturopathy is a pseudodiscipline that resembles a Chinese menu of quackery, in which naturopaths select one from column A and two from column B, with each column containing a list of modalities ranging from pure quackery like homeopathy and traditional Chinese medicine to mundane modalities that naturopaths embrace, "rebrand" as "alternative," and woo-ify and oversell in the process, such as nutrition and lifestyle interventions like exercise. Despite this, naturopaths are deluded enough to believe themselves qualified to be primary care practitioners. Worse, they've been having some success…
I was torn about what to blog about today. There were lots of things floating around that caught my eye and appear worthy of of a little taste of Insolence, either Respectful or not-so-Respectful, so much so that I couldn't decide. None of them really stuck out. Then I saw this news story pop up in my Google Alerts, Houston-area doctor grateful for time spent with Pope John Paul II: My first thought was that Stanislaw Burzynski must have one hell of a publicist. Either that, or he has a good buddy at KHOU in Houston. My second thought was of a bill that was recently…
I 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…
This might look somewhat familiar to people, but I have a good excuse. Yesterday was Easter, and, although by no stretch of the imagination can I be accused of being particularly religious, we still did have family to visit. Add to that the fact that I have a two talks to give today that as of Friday night I hadn't even started working on (OK, two versions of the same talk, which makes it perhaps 1.5 talks), and a little—shall we say?—creative recycling is in order. Even so, if you don't follow the other locales where my written meanderings may be found, it'll still be new to you. It all…