quackery

Perhaps the #1 reason I started this blog was to distinguish therapeutic natural products (i.e., single chemical entities derived from plants, microorganisms, etc.) from questionably-marketed herbal and non-herbal dietary supplements. After doing research and teaching in this area for at least 13 or so years, I have found that patients with cancer and HIV/AIDS are most often preyed upon by unscrupulous marketers. Hence, I was delighted to see this action from the US FDA today. I can add nothing more to their press release other than my thanks and encouragement to do more in this regard:…
My blog posts seem to run in themes - sort of like when after you buy a car, you see other people driving that model all over the place. Yesterday we posted about homicide charges being leveled against an unlicensed California chiropractor operating a clinic out of his garage. That post garnered a large number of hits from a related story in the Canadian National Post, where our blog was linked under "More from the Web." An Alberta woman has launched a $529-million class-action lawsuit against provincial chiropractors after a neck adjustment allegedly left her paralyzed. Sandra Gay Nette, of…
This is not at all funny but I guess ironic might be a better word. The science blogosphere has been alight this past week with the recognition of naturopathy by the state of Minnesota as well as other aspects of alternative medicine. As if the risks of going to an alternative practitioner are not enough, here is an alarming case from Sacramento, CA, of a patient dying at the hands of someone posing as a chiropractor: Authorities said Antonio Arellano, 76, was taken into custody on suspicion of homicide after operating his clinic in the 4000 block of Washington Avenue. On Tuesday, a 66-year-…
I'm even later to the game on this story than my blogging colleague, Orac: ERV, Pharyngula, and denialism blog have each given their takes on the Minnesota's plan to authorize NDs, doctors of naturopathy, to use the title of "Doctor." For two views on what naturopathy is, here is one from the American Association of Naturopathic Physicians and another from Quackwatch. We link - you decide. As I read the story, it sounds as though the new legislation allows naturopaths to practice without being prosecuted for practicing medicine without a license. No word yet on whether they can be sued…
Sorry to get to this so late but I wanted to weigh on an excellent post from my cancer blogging colleague, Orac, the other day on the investigation of CAM therapies in cancer. The post covers a lot of ground, as expected from any of Orac's exhaustive missives, but I wanted to focus on the comparison and contracts between NIH's National Center for Complementary and Alternative Medicine (NCCAM) and the Office of Cancer Complementary and Alternative Medicine within the National Cancer Institute (NCI-OCCAM). I am on record as a strong critic of NCCAM but a supporter of NCI's OCCAM in that the…
I did not know this: In the spirit of our recent hosting of the Tar Heel Tavern blog carnival and our general posts on debunking alternative medicine, I learned today about the source of these two words with ties to the homeland. Miss Cellania's always informative posts at mental_floss blog linked today to Neatorama's, 10 Insulting Words You Should Know. The outstanding list, which you should read in its entirety, includes the origin of the word, "bunkum," which is derived from Buncombe County, NC: In 1819, a North Carolina congressman, the Honorable Felix Walker, was giving a rambling…
Dr Kimball Atwood IV at Science-Based Medicine and my long-time blogging colleague Orac have spilled oceans of e-ink on the institutionalization of alternative or integrative medicine in North America's top academic medical centers. Complementary and alternative medicine (CAM) is now often called "integrative medicine" to intellectually justify the incorporation of evidence-free, anecdotal practices into the business of academic medicine. Of course, integrative medicine does co-opt a few areas of conventional medicine, like nutritional and psychological counseling, supported by an evidence…
No, it's not a song by Foreigner - these are the names of two products "promoted and sold over the Internet for the treatment of erectile dysfunction (ED) and for sexual enhancement." In yet another instance of a trend that would be comical if not so serious, the US FDA has announced that "Blue Steel" and "Hero" supplements contain chemical relatives of sildenafil, the active constituent of the prescription medication Viagra. "Because these products are labeled as 'all natural dietary supplements,' consumers may assume that they are harmless and pose no health risk," said Janet Woodcock, M.…
Just a hypothesis here. A vibrant, 55-year-old Denver-area furniture executive, Lesile Fishbein, is possibly near death according to The Denver Post: The bubbly Fishbein, one of the most recognizable faces in the metro area because of her television ads for her company, Kacey Fine Furniture, was admitted to Presbyterian/St. Luke's Hospital for emergency treatment on Tuesday. She had been given an injection for chronic back pain and suffered a serious reaction, the friends said. She was later placed on life-support, which was removed Friday evening. [emphasis mine] The natural product and…
"There's no credible evidence that what's in Airborne can prevent colds or protect you from a germy environment," said CSPI senior nutritionist David Schardt, who reviewed Airborne's claims. "Airborne is basically an overpriced, run-of-the-mill vitamin pill that's been cleverly, but deceptively, marketed." One really needn't go any further than this money quote from yesterday's press release out of the Center for Science in the Public Interest (CSPI). With continuing investigations from the Federal Trade Commission and 24 State Attorneys General, the walls are crumbling down on the makers of…
[Note: I originally posted this last Thursday under another title but it got lost in other events of that day. As I find it ironic that Mr Comarow has been attacked by an alternative medicine practitioner and advocate, I find this story worthy of reposting.] A few weeks ago the skeptical blogosphere was up in arms about an article in US News & World Report by Avery Comarow on alternative medicine services in US academic medical centers. Mr Comarow is a senior medical writer for USN&WR and best known as editor for the last 18 years of the magazine's annual feature, America's Best…
There are responsible ways to present medical information and irresponsible ways. I will say at the outset that I have no ethical issues with discussing complementary and alternative medicine (CAM) with cancer patients, as long as the information presented is based in fact. So it was no surprise to me and actually quite alarming to read a recent report suggesting that while only 1 in 20 breast cancer websites offer incorrect information, CAM-focused websites were 15 times more likely to contain inaccurate or incorrect information. The study to which I refer will appear in the 15 March issue…
If you read nothing else: Men with prostate cancer should avoid any dietary supplement containing testosterone (or anything that sounds like it) or that offers claims of increased virility, sexual performance, or increased muscle mass. Consumption of a herbal/hormone dietary supplement has been linked to two cases of aggressive prostate cancer as reported in a paper in the 15 January issue of Clinical Cancer Research (abstract free; full paper paywalled) . The observations and follow-up studies were conducted by urologists at the University of Texas Southwestern Medical School and Baylor…
Yesterday, the FDA released a warning statement on an increasingly common mistake in the medically-unsupported practice of "chelation therapy" for autism: FDA notified healthcare professionals and patients about important safety information concerning Edetate Disodium. There have been cases where children and adults have died when they were mistakenly given Edetate Disodium instead of Edetate Calcium Disodium (Calcium Disodium Versenate) or when Edetate Disodium was used for "chelation therapies" and other uses that are not approved by the FDA. Edetate Disodium was approved as an emergency…
I'm very excited to announce to Terra Sig readers the kickoff of a new group blog called Science Based Medicine. Yes, it may sound odd that one would need to preface "Medicine" with the qualifier, "Science-Based," but therein lies the goal of this new resource from its mission statement: Safe and effective health care is critical to to everyone's quality of life; so much so that it is generally considered a basic human right. The best method for determining which interventions and health products are safe and effective is, without question, good science. Therefore it is in everyone's best…
Things to notice in this video: The scientific sounding languge. The cool 3D graphics The guy bloating up because he has not eaten his SKRMs yet. Then he eats the SKRMs and gets better.
Orac's recent post, A Real Death By Homeopathy, led me to dig through the archives at my old blog and reprint one of my first posts, this one from 6 January 2006. As a natural products researcher, I often see homeopathy associated with herbal medicines, the latter of which has often been the source of beneficial pharmaceuticals. In sharp contrast, homeopathy is based on a faulty 19th century principle that is the direct opposite of dose-response pharmacology and I intended to comment briefly on the distinction, as stimulated by a misleading picture on the cover of one of my favorite print…
Here's a quick note that might belong best in Orac's weekly feature, Your Friday Dose of Woo. The Scientist reports today on a report released by the UK-based group of scientists called Sense About Science. The group has been challenging dietary supplement manufacturers about their scientific-sounding advertising claims by calling the companies up and questioning their "science." Their statement of intent stays away from the fact that companies are making money on these products but, instead, focuses on the two standards for science that seem to operate in our societies: We are fed up with…
Posting will be light over the next week or so but there is plenty of great science blogging out there to feed your soul. One of yesterday's more interesting posts, and pertinent to this blog, was by Mark Hoofnagle at denialism blog on the marketing of Head-On®, a homeopathic remedy whose sales are challenging external analgesic rubs that actually contain medicinal agents.
This is just heart-wrenchingly sad: A [Pittsburgh area] doctor was charged with involuntary manslaughter Wednesday for administering a chemical treatment that state police say killed a 5-year-old autistic boy. The child, Abubakar Tariq Nadama, went into cardiac arrest at Dr. Roy E. Kerry's office immediately after undergoing chelation therapy on Aug. 23, 2005. Chelation removes heavy metals from the body and is approved by the Food and Drug Administration for treating acute heavy metal poisoning, but not for treating autism. Some people who believe autism is caused by a mercury-containing…