Skepticism/Critical Thinking
oracknows | March 27, 2014Note: I was busy doing something last night that left me no time to compose any fresh Insolence, which will become apparent by this weekend. In the meantime, however, I'm betting quite a few of you haven't seen this before, and those who have might want to discuss it further in a different environment.
Quackademic medicine.
I love that term, because it succinctly describes the infiltration of pseudoscientific medicine into medical academia. As I've said many times, I wish I had been the one to coin the phrase, but I wasn't. To the best of my ability to determine, I first picked it up from Dr…
oracknows | March 16, 2014I'm sure that a lot of you, like me, are watching the rebooted version of Cosmos: A Spacetime Odyssey, with Neil deGrasse Tyson taking over the hosting duties originally handled so ably over 30 years ago by Carl Sagan. I definitely enjoyed the first episode and am looking forward to additional episodes. The only thing that annoys me is that Cosmos is on at the same time as The Walking Dead, but that's what DVRs were made for. The first episode, which is all I've seen thus far at this writing, was quite impressive, and the segment at the end in which Neil deGrasse Tyson talks about the time he…
oracknows | February 27, 2014I've written about conflicts of interest (COIs) a lot over the years. COIs are important in medicine and science because, as much as physicians and scientists like to think that they are immune to such things, we are as human as anyone else. We are just as prone to unconsciously (or consciously) being influenced by self-interest related to our COIs. Most of the time, for purposes of science, COIs are considered to be mostly financial in nature: employment or payments from a drug company, a financial interest in a treatment being studied, and the like. Andrew Wakefield is a classic example in…
oracknows | February 25, 2014I'm home.
Oh, wait. No. Well, I'm back.
Yes, the grant has been submitted, and I'm ready to get back to my hobby of science, skepticism, and, when necessary, laying down some Insolence, both Respectful and not-so-Respectful. And, it figures, too. While I was distracted with meatspace concerns, such as trying to keep my lab from running out of money, a task that's a lot more difficult today than it was ten years ago, the quacks and cranks have been out to play. True, they probably would have been out to play regardless of whether I was available to do what I do best. It just feels as though…
oracknows | February 21, 2014Back in December, I was excited. The reason I was excited was because everybody's favorite über-Libertarian, New World Order conspiracy theorist quack, Mike Adams, a.k.a. The Health Ranger, had made an announcement. That announcement was that on January 6, 2014 Adams would announce astonishing "scientific findings" about food that would "revolutionize" nutrition and health. Given Adams' past history of doing hilariously off-base things with scientific instruments, such as putting Chicken McNuggets under a microscope and being amazed that things look a lot different when highly magnified,…
oracknows | February 9, 2014There are certain things that can happen that are the equivalent of the Bat Signal to me; that is, if you can swallow the idea of me being in any way like Bruce Wayne. Call them the Cancer Signal, if you will. When I see the Cancer Signal, I know that I have to head down to the Cancer Cave—wait a minute, that doesn't sound right. Scratch that. In any caes, there are certain studies or stories that basically demand my attention and say, "Blog me, Orac! Blog me right now!!!" Either that, or they're studies that capture my readers' attention, leading them to e-mail me or Tweet at me plaintive…
oracknows | February 5, 2014Contrary to what you might think, the longer I do this blogging thing, it doesn't necessarily get easier. The reason, of course, is that after more than nine years of near daily posts there are days when it's really hard to come up with something that really gets me fired up to do the hard work it takes to write. I'd be lying if I said there weren't days when the thought going through my head goes something like, "Another bit of idiocy by antivaccinationists? How many times have I seen this before." But sometimes, as much as I sometimes think I've seen it all with respect to quackery, there…
oracknows | February 4, 2014I had originally planned on writing about a different topic today, but, as is so often the case in blogging, something came up that caught my attention, much as the errant thought of a squirrel distracts Dug the Dog. Well, actually, I had to go to an evening meeting for work last night and by the time I came home even the Plexiglass box of blinking lights didn't have enough of a charge left to deliver up fresh Insolence. Fortunately, there's some almost fresh Insolence from the other day that can be repurposed, something that seems imperative since one of the targets of today's Insolence is…
oracknows | January 29, 2014As I've discussed from time to time, the three most reviled vaccines among the antivaccine movement are the HPV vaccine (Gardasil and Cervarix), the hepatitis B vaccine, and the influenza vaccine. The first two tend to be demonized because of moralistic associations with sexual activity, given that HPV is most commonly spread by sexual activity and hepatitis is similarly often spread through bodily fluids exchanged during sex. This leads to what I've referred to as "slut-shaming" the HPV vaccine, given that it is recommended to be given before girls become sexually active by inferring (and…
sa smith | January 27, 2014If you pay taxes in the US (and many other countries), you are helping fund HIV/AIDS research, including the development of HIV vaccines. This includes my research project, so, YAY! Thank you!
What happens, is, we pay taxes. Part of that cash goes to various government agencies to dole out to researchers. When researchers think they have a cool idea, they write up their cool idea, explain it, add preliminary data and previous publications showing they know what they are doing. Then other scientists read those proposals and go 'Hey, that looks like a good idea! I think they can pull it off!'…
oracknows | January 24, 2014After a digression yesterday, it's time to get back to business. Don't get me wrong. Yesterday's post was business. It was definitely something important (to me) that needed to be said, in my not-so-humble pseudonymous opinion. It just wasn't the usual business I engage in on this blog.
I've often referred to what I (and others) refer to as the "arrogance of ignorance." This particular not-so-desirable trait consists basically of people without any special training in a field or who are otherwise unqualified in a field coming to believe that they understand the field better than experts who…
oracknows | January 22, 2014And now for something completely different.
There was a time when, as a blogger, I would have been instantly aware of an incident like the one I'm about to discuss, instantly aware of it and all over it within a day. That it's been a few days since this happened, and I remained blissfully unaware of it until yesterday tells me how much I've changed as a blogger since my early days. Sure, some things haven't changed much, as anyone who reads my first post cum manifesto can see if he goes back and reads it, such as the subject matter of this blog and my commitment to science and science-based…
oracknows | January 15, 2014Here we go again. In the wake of study after study that fails to find activity of various "complementary and alternative medicine" (CAM) beyond that of placebo, the campaign to a "rebrand" CAM as "working" through the "power of placebo" continues apace, in the wake of the successful campaign to "rebrand" various needle-based medical modalities as "acupuncture." Personally, I've argued that in reality this new focus on placebo effects as the "mechanism" through which CAM "works" is in reality more a manifestation of the common fantasy that wishing makes it so. Meanwhile I've argued that this…
oracknows | January 8, 2014Well, that didn't take long. I knew it had been too quiet on the Burzynski front. In retrospect, that was almost certainly because of the holidays, but the holidays are over, and real life is here again.
Yes, the year 2014 is only a little more than a week old, and here comes Stanislaw Burzynski again, hurt but not defeated in the wake of all the negative publicity he received late last year, thanks to Liz Szabo's USA TODAY expose. Actually, in a way it might have been a good thing that I was delayed in addressing this a day by my little bit of weakness Tuesday night that led mere exhaustion…
oracknows | January 5, 2014Believe it or not, even your ever-lovin' box of colored blinking lights can malfunction, and it happened to me over the weekend. Actually, sometime around New Years, I caught some sort of crud, and have been battling it since. There's nothing like hacking up a lung and not being able to sleep well for days to put one in a perfect mood to be particularly Insolent. And so it would have been, until my part of the country managed to be buried in snow all day and night Sunday, necessitating multiple rounds of going out to use the snow blower in spite of my condition and having to get up super…
oracknows | December 30, 2013NOTE: Because I've been (kind of) relaxing over this holiday period, this is not an entirely new post. It is, however, a significantly expanded and reworked version of a post from nearly four years ago. So if you haven't been reading four years, it's new to you, and if you have you might or might not remember it.(Who remembers a blog post four years later? I'm not that good—usually.)
Those who know me and/or follow me on various social media know that I'm a big Doctor Who fan. I have been since the 1980s. So the last two big events of the year, the 50th anniversary special in November and the…
oracknows | December 24, 2013It's Christmas Eve, and the blogging is light. I was going to have some fun with a truly ridiculous—is there ever any other kind?—segment on Dr. Oz's show in which he actually combined a quack and a psychic with some EEGs to become a "100% believer" in psychic scammer "Long Island Medium" Theresa Caputo. However, Steve Novella got to it before I did; so there isn't much left, and with Christmas tomorrow my blogging schedule will become a lot more intermittent for the next few days. By the time I get back into the regular groove, other quackery will likely have popped up, and Oz's latest…
oracknows | December 22, 2013It was a couple of weeks ago that I last provided an update on the case of Sarah Hershberger, the 11-year-old Amish girl from Medina County, Ohio with lymphoblastic lymphoma whose parents decided to stop her chemotherapy because of how sick it was making her. As I explained early on and on multiple occasions afterward, Sarah had about an 85% chance of long term survival with the chemotherapy regimen she was undergoing but a close to zero percent chance of surviving without it. In other words, her parents, Andy and Anna Hershberger, are committing gross medical neglect of their child. I…
oracknows | December 20, 2013One of the frequent topics on this blog is, unsurprisingly, cancer quackery. Be it the Gerson therapy and its propensity for encouraging patients to take hundreds of supplements and to shoot copious amounts of coffee where it really doesn't belong (where the sun don't shine), the Gonzalez protocol, homeopathy, naturopathy, or various other nonsensical and dangerous cancer therapies with no scientific basis, I take them on because, as a cancer surgeon, I can't stand seeing cancer patients abused this way. If they're curable, I hate seeing them seduced into throwing away their chance for cure,…
oracknows | December 6, 2013Well, wouldn't you know it? Mike Adams thinks he's an actual scientist!
Regular readers are all too familiar with Mike Adams, a.k.a. The Health Ranger, arguably the most quacktastic site on the Internet. Sure, Joe Mercola is probably the most trafficked quackery site on the Internet, but, being number two (or number three or four, I'm not sure), Mike Adams definitely tries harder. In addition, Joe Mercola steers mostly clear of politics and non-medical pseudoscience. Sure, he promotes just as much quackery as Mike Adams does, if not more, but he doesn't delve into Tea Party-drenched New World…