Quackery
oracknows | September 14, 2011Oh goody.
Goody, goody, goody, goody, goody.
As I sat down to lay down a bit of the old ultrainsolence on a hapless bit of psuedoscience, I was near despair. For whatever reason, there didn't appear to be anything new out there for me to sink my teeth into. True, when this has happened in the past, I've often delved deep into the Folder of Woo in search of tasty tidbits of quackery saved for just this eventuality, but I really hate to do that. After all, it might be good to apply science, critical thinking, and reason to a particularly nonsensical bit of pseudoscience (which is fun) or to a…
oracknows | September 13, 2011I don't often blog about politics anymore. As I've said on more than one occasion, political bloggers are a dime a dozen. Rare is the one that interests me much. However, sometimes things happen that lead me to make an exception, except that this time it's not really an exception because it has to do with two of the main topics that this blog is all about: science and the anti-vaccine movement. Those of you who watched the Republican debate the other day or saw the news reports about it yesterday probably know where this is going, but I'll go there anyway. First, I can't help but express my…
oracknows | September 13, 2011Unfortunately, I don't get to see very many movies these days. My wife and I both lead very busy lives, and with periodic spasms of grant writing, plus several new administrative responsibilities, it's just hard. Last weekend, however, a movie that I'd rather like to see came out. Unfortunately, I haven't seen it yet; so I can't give you a definitive review, but the movie caught my interest because it shows at least one thing that I don't recall ever having seen in a movie before. The movie is Contagion, and here's its trailer:
It's not so much the storyline that interests me. After all,…
oracknows | September 11, 2011If there's one thing about anti-vaccine activists that is virtually their sine qua non, it's an utter lack of understanding of science. Actually, a more accurate description would be that it's a highly selective understanding of science. Nowhere do I find this to be the case as much as when I see anti-vaccine loons pulling what I like to call the "toxins gambit," or, as I've put it before, "Why are we injecting TOXINS into our babies?" It's a gambit that anti-vaccine activists seemingly never tire of, and it comes in a wide variety of forms, but they all have one of two things in common.…
oracknows | September 9, 2011ORAC NOTE: Work kept me out late last night going out to dinner with a visiting professor. Fortunately, it was actually pretty fun. Unfortunately, it kept me from cooking up a heapin' helpin' of the Insolence, either Respectful or not-so-Respectful, that my readers crave. So instead, here's a repost from elsewhere. I didn't think I could use it because the deadline for the survey I discuss was originally September 1. Fortunately, the College of Physicians and Surgeons of Ontario (CPSO) extended the deadline to September 16, making this post relevant for exactly one more week. Enjoy! And go…
oracknows | September 7, 2011One aspect of "complementary and alternative medicine" (CAM) is the resurgence of practice of what has frequently been called "traditional Chinese medicine" (TCM). I've pointed out before that TCM is a prescientific system of medicine based largely on superstition and vitalism. Indeed, where ancient Greek and European medical systems believed that disease is due to imbalances in the four humors, TCM postulates disease to be due to imbalances in the five elements: Water, wood, fire, earth, and metal. These elements are thought to be related by cycles known as the Shen or Nourishing Cycle and…
oracknows | September 5, 2011This happens to be a holiday weekend. Believe it or not, sometimes even Orac needs a break from life, the universe, and every blog, particularly this one. I'll be back tomorrow. In the meantime, I realize that I've posted videos like this before (in fact, I'm sure that at some point or another I've linked to this one, but, hey, it's a holiday). However, this one is amazingly prescient, given that it dates back to the early 1990s.
Have fun commenting, and Orac will return on Tuesday--or even possibly before that....
oracknows | August 31, 2011It's one of those things that can't be repeated too many times, but homeopathy is ridiculous. In fact, so ridiculous is homeopathy that I don't usually write about it all that often. The reason is that, like homeopathic dilutions, a bit of skeptical blogging about homeopathy goes a long, long way (although I'm not sure whether diluting the blogging makes it stronger). True, anti-vaccine ideas are often just as ridiculous, but they're also dangerous to children, which is why I'll sometimes write about nothing but anti-vaccine nonsense for several days in a row. Homeopathy, on the other hand,…
oracknows | August 30, 2011Sometimes I feel a little bit guilty when I'm writing a post deconstructing anti-vaccine nonsense, "alternative medicine" quackery, or some other form of pseudoscience. This guilt usually derives when I end up picking a target that's just too easy, a study that's just so mind-numbingly, brain-meltingly awful that it's not much of a challenge, even though at the time I perceive that it needs to be done. I suppose it's like the feeling that a professional sports team might feel if it were ever paired with a high school team--or even a junior high--team for a game. In fact, I was half-tempted…
oracknows | August 29, 2011I detest the term "integrative medicine," which is what promoters of "alternative medicine" pivoted to call "complementary and alternative medicine" (CAM) when they decided that they needed to lose the word "alternative" altogether. After all, no longer were CAM practitioners content to have their favorite quackery be "complementary" to real medicine because "complementary" implied a subsidiary position and they wanted to be co-equals with physicians and science- and evidence-based medicine. The term "integrative medicine" (IM) served their purpose perfectly, and "integrative medicine"…
oracknows | August 25, 2011A couple of days ago, I couldn't resist discussing a recent article in the New York Times about recent discoveries in cancer research. I considered the article to be a mix of the good, the bad, and the ugly. While the article did a pretty good job of describing recent discoveries about how noncoding RNA, the tumor microenvironment, and even microbes are involved in the pathogenesis of cancer, it had an annoying spin that portrayed some of these discoveries as being much shinier and newer than they actually are. At the time, I noted that quacks would certainly use this article as a jumping-off…
oracknows | August 24, 2011One of the things that distinguishes evidence-based medicine (EBM) and science-based medicine (SBM) is how the latter takes into account prior probability that a therapy is likely to work when considering clinical trials. My favorite example to demonstrate this difference, because it's so stark and obvious, is homeopathy. Homeopathy, as regular readers of this blog no doubt know by now, is a mystical, magical system of medicine based on two principles. The first is the law of similars, commonly phrased as "like cures like"; i.e., the way to treat symptoms is to use a smaller amount of…
oracknows | August 22, 2011Chiropractic has origins in mysticism and vitalistic thinking. Given its popularity and seeming mainstream acceptance, it's easy to forget that these days. Fortunately, Daryl Cunningham reminds us of the history of chiropractic, including its philosophical underpinnings and potential complications:
oracknows | August 18, 2011I don't know if I should thank Peter Lipson or condemn him.
What am I talking about? Yesterday, Peter sent me a brain-meltingly bad study in so-called "complementary and alternative medicine" that shows me just how bad a study can be and be accepted into what I used to consider a reasonably good journal. I say "used to consider," because the fact that this journal accepted a study this ludicrously bad indicates to me that peer review at the journal is so broken that I now wonder about what else I've read at that journal that I should now discount as being so unreliable as to be not worth…
oracknows | August 18, 2011It's always frightening when lawyers delve into the realm of medicine. It's even worse when pre-law students and political science majors do the same.
Such was the thought running through my mind when I came across the most recent issue of the Yale Journal of Medicine & Law. The result is what I would most accurately characterize as--shall we say?--uneven. Even though the authors try to don the mantle of skepticism, for the most part they fail. Perhaps the best example of this failure is this particular article entitled Chiropractic Medicine: "Quackery's" Struggle for Fair Practice.…
oracknows | August 17, 2011Many have been the times that I've pointed out that many forms of "alternative" medicine are in reality based far more on mystical, religious, or "spiritual" beliefs than on any science. Indeed, one amusing event that provided me the opening to launch into one of my characteristic (and fun) Orac-ian outbursts occurred a couple of years ago, when the U.S. Catholic bishops declared that reiki is not compatible with Catholic teachings and shouldn't be offered in Catholic hospitals. Then, earlier this year, the fundamentalists weighed in, when a preacher from the Poconos named Kevin Garman…
"Integrative medicine" further evolves into "evidence-based complementary medicine." Nothing changes
oracknows | August 16, 2011One of these days I'm going to end up getting myself in trouble.
The reason, as I've only half-joked before, is that, even though I'm not even 50 yet, I'm already feeling like a dinosaur when it comes to "complementary and alternative medicine" (CAM) or, as it's called more frequently now, "integrative medicine" (IM). These days, we now have the National Center for Complementary and Alternative Medicine (NCCAM), the Bravewell Collaborative, and a number of other forces are conspiring to "integrate" quackery with real medicine. As part of that task, it's been necessary to rebrand quackery, a…
oracknows | August 11, 2011The infiltration of quackademic medicine continues apace, except that it's not just quackademic medicine. Now, it goes way, way beyond that to encompass not just academic medical centers but community hospitals, hospitals of all sizes, large private hospitals, and health care institutions of all shapes and sizes. Frequently, proponents of quackademic medicine try to portray those of us who oppose the infiltration of pseudoscience into medicine as being behind the times, as futilely resisting the wave of the future. They portray so-called "complementary and alternative medicine" (CAM) as the…
oracknows | August 9, 2011It came as a shock to me to find out yesterday that former director of the American Red Cross and former director of the NIH Bernadine Healy died. Chalk it up to my simply being ignorant of the fact, but I didn't know, or had forgotten, that she had brain cancer. Interestingly, she had had this glioma and survived 13 years. Compare that to David Servan-Schreiber, who survived his brain tumor for 20 years and attributed much of it not just to medical science, but to all the woo he came to believe in and practice.
For purposes of this blog, the reason her death is even worth noting briefly is…
oracknows | August 8, 2011Over the years that I've been following the anti-vaccine movement, I've become familiar with typical narratives that reporters use when reporting on the vaccine fears stirred up by anti-vaccine activists. One narrative is the "brave maverick doctor" narrative, in which an iconoclastic quack (such as Mark Geier or Andrew Wakefield, for example) is portrayed fighting a lonely battle against the scientific orthodoxy. This particular narrative is extremely popular because it feeds into the story of the "underdog," coupled with a healthy disrespect of the powers that be, particularly the…