Quackery
oracknows | January 16, 2017I've written quite a bit about how our soon-to-be President Donald Trump has consistently expressed antivaccine views over the years, such as his oft-stated (on Twitter and elsewhere) beliefs that it's a "monster" shot that causes autism and infants get "too many" vaccines "too soon." I've heard Trump supporters who are pro-vaccine pooh-pooh these statements and claim that Trump won't be doing anything about vaccine policy because it's not a priority, an observation I counter by pointing out that Trump met with two of the biggest antivaccine "icons" there are: Andrew Wakefield and, just last…
oracknows | January 13, 2017This week hasn't been a particularly good week for science. It started out on Monday with news of the social media storm from over the weekend over a blatantly antivaccine screed published the Friday before by the director of The Cleveland Clinic Wellness Clinic. Then, towards the middle of the week, we learned that our President-Elect, Donald Trump, had met with an antivaccine loon of the worst variety, someone whose misinformation I've been dealing with since 2005, in order to discuss some sort of commission on vaccine safety—or autism (it's not clear which). Whatever it was, there's no way…
oracknows | January 12, 2017I was busy last night doing something other than actually blogging. Perhaps I was recovering from the one-two punch of the antivaccine rant penned by the director of the Cleveland Clinic Wellness Institute followed by Donald Trump's meeting with antivaccine crank Robert F. Kennedy, Jr. Whatever the case I crashed early. However, I can't help but note still more bad news.
I woke up this morning to this headline Naturopaths get their own licensing board in Mass.:
Governor Charlie Baker on Wednesday signed into law a bill that creates a licensing board to regulate naturopaths, alternative…
oracknows | January 10, 2017I remember when I first heard on Twitter yesterday afternoon that our President-Elect, Donald Trump, was going to meet with longtime antivaccine crank Robert F. Kennedy, Jr. Remembering how Trump had met with antivaccine "hero" Andrew Wakefield before the election and how after the election antivaccine activists were practically salivating over the thought of what Trump might do with respect to the CDC and vaccines, I was reminded of just how much I fear for medical science policy under the Trump administration. I got a sinking feeling in the pit of my stomach. For a moment, I actually…
oracknows | January 9, 2017The fallout from the social media firestorm from the antivaccine rant written by the Medical Director of the Cleveland Clinic Wellness Institute and published by Cleveland.com last Friday has abated but far from faded away. The offending physician, Dr. Daniel Neides, was forced to issue an apology, which was one of the least convincing apologies I've ever seen, and The Cleveland Clinic issued a statement announcing its commitment to vaccines and that Dr. Niedes would suffer some as yet undetermined "disciplinary action." Reactions outside of The Cleveland Clinic ranged from the suitably…
oracknows | January 8, 2017Over the weekend, a most unusual social media firestorm erupted in response to a blog post by Daniel Neides, MD, MBA, Acting Medical Director of the Tanya I. Edwards Center for Integrative Medicine, Vice Chair and Chief Operating Officer of Cleveland Clinic Wellness, as well as the Associate Director of Clinical Education for The Cleveland Clinic Lerner College of Medicine (CCLCM), where he oversees all clinical activities during years three through five of the medical school. The reason for the social media uproar was that Dr Neides' post, entitled Make 2017 the year to avoid toxins (good…
Massachusetts passes legislation licensing naturopathic quackery. Only the governor can stop it now.
oracknows | January 6, 2017In a perverse way, one almost has to admire naturopaths. If there's anything that characterizes naturopaths in their pursuit of legitimacy and licensure, it's an amazing relentlessness. In this, they are not unlike The Terminator. As Kyle Reese described him in the first Terminator movie, the Terminator "can't be bargained with. It can't be reasoned with. It doesn't feel pity, or remorse, or fear. And it absolutely will not stop... ever, until you are dead!" The difference is that naturopaths won't stop until they are licensed in all 50 states and science-based medicine is, for all intents…
oracknows | January 5, 2017If there's one thing that proponents of "integrative medicine" (or, as it's been called in the past, "complementary and alternative medicine," or CAM) take great pains to emphasize whenever defending their integration of prescientific and pseudoscientific medicine into medicine, it's that they do not recommend using "alternative medicine" instead of real medicine but in addition to real medicine. Indeed, even the "gods" of integrative medicine, such as Barrie Cassileth at Memorial Sloan-Kettering Cancer Center, not only emphasize that but actually often take umbrage when it is suggested that…
oracknows | January 3, 2017Back in the day, quacks and cranks liked Wikipedia. Because anyone can become an editor on Wikipedia, they assumed that they could just sign up to edit Wikipedia pages and change them to reflect their views on alternative medicine or whatever other pseudoscientific topic they believed in. When Wikipedia first emerged on the scene, I had to admit that I didn't think very much of it for the very simple reason that anyone could edit, and I did from time to time come across entries that were clearly too woo-friendly. Not surprisingly, I was also concerned that there would be an asymmetry of…
oracknows | January 2, 2017Well, it's 2017. In a mere 17 days, unreality will become reality, as the most unlikely and terrifying President in my lifetime is sworn in. Consequently, as I was thinking about what I'd like to write about for my first post of the new year, only one thing came to mind. Only one thing that I routinely apply my Insolence, both Respectful and Not-So-Respectful, to achieves the level of unreality that our politics entered in November and will amplify in a little more than two weeks.
Yes, it's time for a reiki post.
OK, I admit it. A reader sent me a hilarious article about the mechanism of…
oracknows | December 30, 2016This will almost certainly be my last post of 2016. Unless something so amazing, terrible, or just plain interesting to me happens between now and tomorrow night, I probably won't be posting again until January 2 or 3. Many bloggers like to do "end of year roundup"-type posts that list their best or most popular post, trends noted in 2016 relevant to their area of blogging interest, or predictions for the coming year as their last post of the year, but that's never really been my style. I don't remember the last time I did a post like that, and I'm too lazy today to bother to go and look it…
oracknows | December 28, 2016Quackademic medicine. I didn't invent the term. (Dr. R. W. Donnell did—nearly nine years ago.) However, I sure use it a lot, because it perfectly describes a phenomenon that has proliferated and metastasized throughout the body of academic medicine like the cancer it is. I like to think that, in my own way, I've popularized the word to describe this particular phenomenon. But what it this phenomenon? It is nothing less than the degradation of the scientific basis of medicine through the infiltration of pseudoscience and quackery into medical academia, with academic physicians who otherwise…
oracknows | December 23, 2016As hard as it is to believe, I've been at this blogging thing for 12 years now. In fact, it's been so long that this year I didn't even remember to mention it when it happened nearly two weeks ago. Over that time period, I've dealt with a large number of conspiracy theories. Indeed, skeptics can't help but avoid it. After all, conspiracy theories are at the heart of a lot of pseudoscience, quackery, and crankery. For instance, the very first bit of pseudohistory that served as my "gateway drug" into skepticism, Holocaust denial, is based upon a massive conspiracy theory that the Jews made up…
oracknows | December 19, 2016Blogging is a funny thing. Sometimes the coincidence involved is epic. For instance, as I do on many Mondays, yesterday I crossposted a modified and updated version of a post from a week ago from my not-so-super-secret other blog. This time around, it just so happened to be a post about what I like to refer to as the placebo narrative. As is my wont, I described in the usual ridiculous level of detail why that narrative is so popular among promoters of pseudoscientific medical treatments and, more importantly, why that narrative is approaches black hole density bullshit. It’s something that…
oracknows | December 13, 2016I’ve seen it noted that our new President-Elect seems to be selecting his cabinet officers and directors of federal bureaucracies based on how much they oppose the mission of the department they are supposed to head. For instance, to head the Department of Health and Human Services, he picked an orthopedic surgeon who belongs to an organization utterly opposed to any role of the federal government in health care and who himself looks poised to dismantle as much of the Affordable Care Act as he can. For the Department of Energy, he picked Rick Perry, a man so dumb that when he was asked during…
oracknows | December 6, 2016If there’s one thing about the reporting of the 2016 election that irritated me, it was the massive underreporting of certain antiscience views held by the man who is now our President-Elect. Sure, there was coverage about his denial of anthropogenic climate change from time to time. Much less reported was his long history of antivaccine views, a history I’ve been documenting since 2007. I started documenting it again in September 2015, just before the first Republican Presidential Debate. Then, the vaccine issue came up during that debate, and the mainstream media took notice—briefly.…
oracknows | December 4, 2016I’ve frequently written about a form of medicine often practiced by those who bill themselves as practicing “complementary and alternative medicine” (CAM) or “integrative medicine” (or, as I like to refer to it, “integrating” quackery with medicine). I’m referring to something called “functional medicine” or, sometimes, “functional wellness.” Over the years, I’ve tried to explain why the term “functional medicine” (FM) is really a misnomer, how in reality it is a form of “personalized medicine” gone haywire, or, as I like to refer to it, as “making it up as you go along.” Unfortunately,…
oracknows | November 30, 2016A week and a half ago, a conference was held at the NYU Langone Medical Center, Confronting Vaccine Resistance: Strategies for Success. It featured speakers and panelists whom I admire quite a bit, including Paul Offit, the man who is to antivaccine loons Satan, Darth Vader, Voldemort, and Sauron all rolled up into one. Also featured were Richard Pan, the California state senator who co-sponsored SB 277, which passed and is now a law that bans nonmedical exemptions to school vaccine mandates; bioethicist Arthur Caplan, a strong advocate for vaccines; Dorit Reiss, a law school professor and…
oracknows | November 29, 2016I’m always hesitant to write about matters that are more political than scientific or medical, although sometimes the sorts of topics that I blog about inevitably require it (e.g., the 21st Century Cures Act, an act that buys into the myth that to bring "cures" to patients faster we have to neuter the FDA and a retooled version of which is still being considered). This is one of those times. Yesterday, I woke up to the news that President-Elect Donald Trump had chosen Rep. Tom Price (R-GA) as his new Secretary of Health and Human Services. The Department of Health and Human Services (DHHS),…
oracknows | November 28, 2016I don’t have many “rules” per se about blogging, but one informal rule that I do live by is that I never blog about a study if all I can access is the abstract. In general, I insist on having the complete study before I will blog it, because to me the abstract isn’t enough. Basically, if I’m going to blog a study, I generally want to do it right and be able to read the whole paper, because that’s the only way to properly analyze a paper. I find this rule particularly important when analyzing the latest bit of antivaccine pseudoscience, especially because most antivaccine activists don’t go…