Skepticism/Critical Thinking
oracknows | July 27, 2016Many are the times that I’ve discussed the issue of quack doctors. I’m not just referring to naturopaths, whose abbreviation ND stands to me for “not a doctor.” In fact, I’m referring to actual, real physicians, doctors with an “MD” or “DO” after their names, doctors who have graduated from reputable medical schools, completed residencies at reputable hospitals, done fellowships, and are respected members of their communities. I’m referring to MDs who have embraced quackery and thus made themselves indistinguishable from NDs. Actually, they are worse than NDs, because, as MDs and DOs, they…
oracknows | July 20, 2016I’ve frequently said that a tendency towards pseudoscience knows no political boundary. For example, antivaccine views, contrary to common belief, are not detectably more prevalent on the left than on the right, as I’ve discussed on more than one occasion. It’s just that for so many years, antivaccine beliefs were associated in the media with crunchy, back-to-nature lefties, and still are to some extent. (I’m talking to you Jill Stein.) However, last year the battle over SB 277, the new California law that eliminates nonmedical exemptions to school vaccine mandates, and the Republican…
oracknows | July 17, 2016Well, I've finally seen it. The things I do for my readers, the pain to which I subject myself by watching neuron-apotosing levels of pseudoscience, misinformation, and lies as antivaccine propaganda, in order to deconstruct them for your amusement and, I hope, education!
Yes, I've finally seen Andrew Wakefield and Del Bigtree's "documentary" VAXXED: From Cover-up to Catastrophe. Now, having watched Wakefield and Bigtree's "masterpiece," I can quite confidently say that it's every bit as accurate and balanced a picture of vaccine benefits and risks as Eric Merola's two movies about the quack…
oracknows | July 14, 2016As a cancer surgeon and physician, I can’t stand Ty Bollinger. I’m sure that comes as a surprise to absolutely none of my regular readers, given what a massive cancer quack he is. Most recently, he has become known for a series of deeply dishonest videos about cancer, chemotherapy, and alternative treatments for cancer called The Truth About Cancer. If there’s one rule I’ve learned in skepticism, be it about quackery or any other outlandish claims, it’s that any time I see a book, movie, or article called “The Truth About...” chances are at least 95% that the content is not the truth about…
oracknows | July 13, 2016One of the most insidious and oft-repeated myths of the antivaccine movement is that vaccines cause autism. Certainly, it is true that there was an antivaccine movement long before anyone thought of linking vaccines to autism. For example, in the the 1980s the DPT (diptheria-whole cell pertussis-tetanus) vaccine was linked to encephalitis and neurological damage, a scare that lead to a wave of lawsuits against vaccine manufacturers that threatened the US vaccine program. Congress replied by passing the National Childhood Vaccine Injury Act of 1986, a “no-fault” act in which vaccine…
oracknows | July 11, 2016Welcome once again to Sh*t Naturopaths Say, my periodic look at what naturopaths say behind closed doors (metaphorically speaking). At least, it’s a look at what they say when they are discussing patient management with their peers. It is a series to which I can add new entires from time to time, thanks to Naturopathic Chat (NatChat, for short), a discussion forum with hundreds of naturopaths as members that also includes someone who goes by the ‘nym Naturowhat and occasionally leaks the content of the forum to a Pastbin. Also, it never hurts to remind my readers of the quackery that is…
oracknows | July 7, 2016If you grew up, as I did, a child of the 1970s in the US (I graduated from high school in 1980), you probably couldn’t escape the influence of Kris Kristofferson. He was big, and he was at his biggest during the 1970s, pumping out country music and mainstream hits, appearing in movies, and generally rocking an awesome beard. Anyway, the 1980s came, and Kris Kristofferson’s career went. Well, it didn’t exactly disappear. Kristofferson continued to work and appear in movies, and his records still sold fairly well. However, he was never again as big as he was in the 1970s.
It turns out that…
oracknows | July 6, 2016There are reasons that I’m not a pediatrician. First, and foremost, I like surgery. Indeed, when I first entered medical school, my intent was to become an academic internist, but things didn’t quite work out that way. To my surprise, when I did my surgery rotation I liked it way more than I ever thought I would, even with the then 100+ hour weeks. (This was long before the time of work hour restrictions on residents or medical students.) Then, when I did my internal medicine rotation, I found it far less interesting than I thought I would. So when it came time to apply to residencies, I…
oracknows | June 27, 2016I’ve been writing about this topic so long—ever since the very beginning of this blog—that it seems as though I’ve always been doing it even though this blog has been in existence only 11 years and I didn’t really come to appreciate the problem until after I had started this blog. No, I’m not referring to the antivaccine movement, which is another longstanding concern of mine. This time, I’m referring to what I like to refer to as “quackademic medicine,” defined as the infiltration of unscientific and pseudoscientific medicine into medical academia. Indeed, there was a time when I tried to…
oracknows | June 26, 2016One of the most frequent complaints about evidence-based medicine (EBM), in contrast to science-based medicine (SBM), is its elevation of the randomized clinical trial as the be-all and end-all for clinical evidence for an intervention for a particular disease or condition. Unknown but enormous quantities of "digital ink" have been spilled explaining this distinction right here on this blog, and I tened to like to refer to this aspect of EBM as "methodolatry," a term I originally learned from another ScienceBlogs blogger (now moved on) and defined as profane worship of the randomized…
oracknows | June 23, 2016A week ago, I wrote about an example of one of the most common topics on this blog, the infiltration of pseudoscientific medicine and outright fantasy into academic medicine, a trend I like to refer to as quackademic medicine. The institution was George Washington University, and the dubious intervention was something called the MEND™ Protocol, which is sold as a treatment for Alzheimer’s disease by Muses Labs. As I described, it’s a protocol that appears to rely on a proprietary computer algorithm of some kind that, according to Muses Labs, produces a “personalized” treatment plan for…
oracknows | June 22, 2016Yesterday, I took note of a meeting of advocates and lawyers with Rep. Jason Chaffetz (R-UT), the chair of the House Committee on Oversight and Government Reform (OGR), which makes him a very powerful Congressman. The group that met with him included Del Bigtree, the producer of Andrew Wakefield’s antivaccine propagandafest of a “documentary” VAXXED: From Cover-up to Catastrophe; Levi Quackenboss, the pseudonymous blogger best known recently for getting into a fight over vaccine evidence with a 12-year-old and losing badly, leading her to try to dox the child and look even worse as a result;…
oracknows | June 19, 2016One of the most frequent complaints leveled at pro-science advocates who defend vaccines against antivaccine misinformation and pseudoscience is that we’re way too fast to label them as “antivaccine,” that we use the term as a convenient label to demonize their views. We’re not really antivaccine, they tell us. We’re vaccine safety advocates. Really. Now, I have no doubt that this is how most of these antivaccinationists masquerading as vaccine safety activists see themselves, to the point where sometimes I find it refreshing when I encounter an antivaccine activist who proudly labels herself…
oracknows | June 17, 2016A recurring theme of this blog is to shine a light on what I like to call “quackademic medicine.” I didn’t invent the term, but I’ve made it mine. Basically, quackademic medicine is a term that very aptly describes what’s going on in far too many academic medical centers these days, which is the infiltration of pseudoscientific medicine and outright quackery in the form of “complementary and alternative medicine” (CAM). Of course, the more recent term for CAM is now “integrative medicine,” which was coined to imply the “integration” of alternative medicine with science-based medicine as…
oracknows | June 15, 2016I sensed a disturbance in the antivaccine (i.e, the dark) side of the Force yesterday. No matter where I wandered online and on social media, I kept running into a new article, an article by Neil Z. Miller about vaccines. For example, the merry band of antivaccine propagandists over at Age of Autism seem to like Miller’s article very, very much. So did the vaccine truthers over at—where else?—VacTruth.org. I kept seeing it on Facebook and Twitter, too.
Even though the current vaccine schedule is safe and effective as well as evidence-based and the claim that we give too many vaccines too soon…
oracknows | June 13, 2016Last week, I noted with great approval how a 12-year-old boy named Marco Arturo made a pro-vaccine video that was short, simple, and effective. Even better, it was as Insolent as anything Orac could expect to manage, making it that much more delicious. Indeed, I can’t resist including it again for those of you who haven’t seen it yet:
This video went viral, and, not surprisingly, antivaccine activists, particularly one antivaccine blogger, were not pleased. Oh, no. Not pleased at all. In response to Arturo’s video, he received a fair amount of abuse online. One blogger in particular, the…
oracknows | June 12, 2016Most scientists I know get a chuckle out of the Journal of Irreproducible Results (JIR), a humor journal that often parodies scientific papers. Back in the day, we used to chuckle at articles like "Any Eye for an Eye for an Arm and a Leg: Applied Dysfunctional Measurement" and "A Double Blind Efficacy Trial of Placebos, Extra Strength Placebos and Generic Placebos." (What saddens me is that this is basically what research into so-called “complementary and alternative medicine,” now more frequently referred to as “integrative medicine” boils down to.) Unfortunately, these days, reporting on…
oracknows | June 10, 2016A couple of days ago, I told the tale of a really bright and justifiably snarky 12-year-old boy named Marco Arturo, who posted a video of himself on Facebook with the caption “Vaccines DO cause autism”:
I know I posted that video just two days ago, but it’s so epic that I can’t resist posting it again, particularly given how it went viral and how its going viral drove antivaccinationists out of their minds. They posted online attacks that included comments like:
“I want to punt Marco in the jugular though honestly. ?“ (As if the laughing emoticon makes up for expressing the desire to kick…
oracknows | June 8, 2016Those of us living in Michigan who support science-based medicine have been forced to deal with a bill that, if passed, would grant practitioners of unscientific “medicine” a wide scope of practice—almost as wide as that of primary care practitioners such as pediatricians, internists, and family practice doctors. I’m referring to HB 4531, a bill that would license naturopaths who graduated from “accredited” programs. If this bill were to pass, the only difference between the scope of practice of primary care physicians and naturopaths would be that naturopaths wouldn’t be allowed to prescribe…
oracknows | June 7, 2016If there’s one thing I’ve learned about the antivaccine movement, it’s that its members dislike being criticized. Oh, hell, let’s be honest. The really, really hate criticism and react very, very badly to it. Whereas you or I or other skeptics might react to criticism by trying to address it using facts, science, and reason, the first reaction of many antivaccine loons is to attack, attack, attack.
They use a variety of methods to attack. One of their very favorite methods of attack when faced with a pseudonymous blogger is to do everything they can to “out” him or her, revealing name and…