Medicine
oracknows | January 16, 2015
It looks like this year's going to be a bad flu season.
Hard as it is for me to believe, it was only five weeks ago when I discussed an announcement by the CDC that this year's flu vaccine would likely be less effective because it isn't a good match for the influenza strains in circulation this year. Those familiar with how the flu vaccine is developed every year know that the composition of the vaccine depends on the WHO's choice of the three or four strains that its experts deem most likely to cause significant human suffering and death in the coming flu season. Basically, the WHO has to…
cmonforton | January 15, 2015One of the country’s biggest poultry processing companies provides an in-house nursing station to treat work-related injuries, but the clinic may be in violation of state licensing standards. In a letter to Wayne Farms’ plant in Jack, Alabama, OSHA indicates that practices and policies of the company’s medical management program are “out-of-date and contrary to good medical practice.” The nurses’ station is staffed by licensed practical nurses (LPNs) who are supervised by a compliance manager who is trained as an emergency medical technician (EMT). When I checked, the Alabama Board of Nursing…
oracknows | January 9, 2015
You wanted it. You've been pestering me about it for days now. So now you've got it. You might be surprised at what I say about it though.
I realize that I've written time and time again about children with cancer who refuse chemotherapy in favor of quackery. It's been one of the recurring story types that I've blogged about because, depressingly, such stories are not uncommon. It began with Katie Wernecke and Abraham Cherrix several years ago, the latter of whom is still around but was continuing to battle recurrences of his Hodgkin's lymphoma when last we revisited his case nearly two…
oracknows | January 8, 2015
So here it is, already a week into 2015. Truth be told, I'm still finding myself having a hard time believing that it's already 2015, but then I say that about every year in early January. Be that as it may, I've already seen one hopeful sign that it could be a decent year when it comes to science refuting claims of the antivaccine movement. In fact, there's already been a study that once again fails to find even a hint of a whiff of a whisper of evidence for a link between vaccines and autism. It comes in the form of a study from Japan published online in Vaccine on January 3 (which, oddly…
oracknows | January 5, 2015
NOTE: There is a follow up to this post.
The holidays are over. Time to start dishing out fresh Insolence, Respectful and, as appropriate, not-so-Respectful for 2015.
I do, however, feel obligated to deal with one painfully inappropriate action by a major science journal left over from 2014. It happened in an issue that came out just before Christmas, and, with all the festivities, being on call last week, and having houseguests; so, unfortunately, I just didn't get around to addressing it, either here or on my not-so-super-secret other blog (where I might crosspost this later in the week).…
oracknows | January 2, 2015
Seven years ago I returned to Michigan, where I was born and spent the first quarter century of my life, after an absence of more than 20 years. In the interim, I had done my surgical residency and earned my PhD in Cleveland, a surgical oncology fellowship in Chicago, and worked in New Jersey at my first academic job for eight and a half years. Then I was lured back with a job in Detroit. One of the odd things about this return after such a long absence was the culture shock, how much I had forgotten about the Detroit area. One of those things that I had forgotten is just how crazy about…
cmonforton | December 30, 2014While we take a breather during this holiday season, we’re re-posting content from earlier in the year. This post was originally published on January 6, 2014.
by Liz Borkowski, MPH
Now that it’s 2014, millions more people in the US have health insurance coverage (either Medicaid or private insurance), thanks to the Affordable Care Act. In the weeks ahead, many of the newly insured will be visiting healthcare providers to address ongoing health concerns. The Washington Post’s Sandhya Somashekhar and Karen Tumulty highlighted one person with a pent-up demand for healthcare, Sharon Kelly of…
oracknows | December 10, 2014
One aspect of my life that's kind of strange is how I've basically ended up back where I started. I was born and raised in southeast Michigan (born in the city of Detroit, actually, although my parents moved to the suburbs when I was 10). After going to college and medical school at the University of Michigan, I matched at a residency in Cleveland (regular readers know that it was Case Western Reserve University), and then did a fellowship in surgical oncology at the University of Chicago. Finally, I ended up taking my first "real" (i.e., faculty) job at the Cancer Institute of New Jersey…
oracknows | December 9, 2014
As I've said so many times before, this blog is my hobby. I write about what interests me for my own amusement. If it also interests you, that's awesome. Fortunately, I've found that several thousand people a day do like what I lay down on a daily basis, sometimes with occasional spikes to ridiculous levels of traffic (such as this Dr. Oz post, which for some reason broke all traffic records for this blog since the very beginning, and not by a little bit) and, more recently, this post about how the CDC did not apologize and "admit" that the flu vaccine this year doesn't work, which got…
oracknows | December 9, 2014
After having written about how the Society for Integrative Oncology (SIO) has promoted guidelines for cancer patients that are—shall we say?—less than scientifically rigorous, I was immediately confronted with just what we face in academic medicine when it comes to the infiltration of quackery, or, as I like to call it, quackademic medicine. It came in the form of an e-mail containing a Christmas message to the readers of the newsletter for the GW Center for Integrative Medicine (GW CIM), which is affiliated with George Washington University Medical Center.
All I can say is: Ugh.
Obviously…
oracknows | December 1, 2014
Every so often there's an article that starts making the rounds on social media, in particular Facebook and Twitter, that cries out for a treatment by yours truly. Actually, there are more such articles that are constantly circulating on social media that I could work full time blogging and still not cover them all. So I'm stuck picking and choosing ones that either (1) particularly pique my interest; (2) irritate me enough to goad me into action; or (3) reach a level of ubiquity that I can no longer ignore them. I don't think this one's hit #3 yet, but it certainly scores on #1 and #2.…
oracknows | December 1, 2014It should come as a surprise to no one that I'm not exactly a fan of "integrative oncology"—or integrative medicine, or "complementary and alternative medicine" (CAM), or whatever its proponents want to call it these days. After all, I've spent nearly ten years writing this blog and nearly seven years running another blog dedicated to promoting the scientific basis of medicine, and just this year managed to publish a lengthy commentary in a high impact journal criticizing the very concept of integrative oncology. Unfortunately, it seems to be the equivalent of the proverbial pissing in the…
oracknows | November 25, 2014
I realize that I risk getting repetitive by writing about this again, but it's a rich vein that just keeps on producing and producing. It also demonstrates that, for every tragedy as huge as the ongoing Ebola outbreak that has killed over 5,000 people in West Africa thus far, there always exist well-meaning people who are into such utter quackery that they can't help but risk making things worse. In my talk at Skepticon on Saturday I discussed how The Secret's Law of Attraction is, to my mind, the Central Dogma of Alternative Medicine, the idea that, if you want something bad enough and…
oracknows | November 17, 2014A few weeks ago, Steve Novella invited me on his podcast, The Skeptics’ Guide to the Universe, to discuss a cancer case that has been in the news for several months now. The case was about an 11-year-old girl with leukemia who is a member of Canada’s largest aboriginal community. Steve wrote about this case nearly a month ago. Basically, the girl’s parents have been fighting for the right to use “natural healing” on their daughter after they stopped her chemotherapy in August because of side effects. It is a profoundly disturbing case, just as all the other cases I’ve discussed in which…
oracknows | November 14, 2014
It’s been a long and entertaining week. Well, at least part of the week was entertaining. After all, it was hard not to be mightily amused at what happened when Dr. Mehmet Oz, known to the world as America’s Doctor but to skeptics as America’s Quack, asked his Twitter followers to ask him anything under the hashtag #OzsInBox. It was, to put it mildly, a train wreck, but to skeptics it was an enormously entertaining train wreck. It seems fitting to finish it off with yet another example that provides compelling evidence of just how quacky naturopathy is. Why? Because it’s a point that can’t…
carlyo | November 13, 2014The ‘Nifty Fifty (times 4)’, a program of Science Spark, presented by InfoComm International, are a group of 200 noted science and engineering professionals who will fan out across the Washington, D.C. area in the 2014-2015 school year to speak about their work and careers at various middle and high schools.
Meet Nifty Fifty Speaker Dr. Jordan Green
As a researcher, Jordan Green, Ph.D. is on the front lines of creating innovative technologies and therapeutics that can directly benefit human health.
Specifically, this involves employing techniques in cellular engineering and nanobiotechnology…
oracknows | November 13, 2014
Of the many lies and myths about vaccines that stubbornly persist despite all evidence showing them not only to be untrue but to be risibly, pseudoscientifically untrue, among whose number are myths that vaccines cause autism, sudden infant death syndrome, and a syndrome that so resembles shaken baby syndrome (more correctly called abusive head trauma) that shaken baby syndrome is a misdiagnosis for vaccine injury, the lie that vaccines are being used for population control is one of the most persistent. In this myth, vaccines are not designed to protect the populations of impoverished…
oracknows | November 11, 2014
Sigh.
Just a week ago, I deconstructed an awful article touting how the mass of prescientific quackery known as traditional Chinese medicine (TCM) as somehow being “validated” by modern science. Specifically, some truly misguided scientists were attempting to use modern systems biology techniques to look for biomarkers associated with TCM diagnoses such as “hot” or “cold” syndromes, specifically with respect to rheumatoid arthritis. The article is an example of just how the false narrative of TCM has taken hold. Although the article acknowledged that there was little evidence to support…
oracknows | November 4, 2014
I was a bit angry yesterday. I’m never happy when I see the overarching narrative that prescientific and pseudoscientific beliefs are equivalent and worth doing clinical trials on them. But the irritation I feel when I see examples of journalists credulously swallowing that narrative whole and regurgitating it in mainstream publications like the Wall Street Journal is nothing compared to the anger that is provoked when I see one of the worst antivaccine lies of all being promulgated by a person known for promoting it.
The person is Christina England. The tactic is trying to blame the…
oracknows | November 3, 2014
They are winning.
I’ve spent nearly ten years on this blog and nearly seven years at my not-so-super secret other blog (where I will likely crosspost this over the weekend) discussing the infiltration of quackery into medicine, both in academic medical centers and, increasingly, even in community medical centers. There’s a term that I wish I had coined but do frequently use to describe this infiltration: Quackademic medicine. Over the last 30 years or so, what was once quackery, rightly dismissed in a famous 1983 editorial in the New England Journal of Medicine as a “pabulum of common…