cancer

Many are the cancer quacks—and just plain quacks—whom I have discussed over the years. Some of them, like Robert O. Young, have been truly horrendous, so bad that I’m left shaking my head and wondering how anyone can fall for their obvious misinformation and outright lies. For instance, Robert O Young claims that all cancer—not to mention all disease—is basically due to “excess acid.” You’d think that people would immediately become suspicious when a quack proclaims there to be only One True Cause of All Disease and offers the One True Treatment for All Disease, but, sadly, they don’t, even…
If there's one lesson that I like to emphasize while laying down my near-daily dose of Insolence, both Respectful and not-so-Respectful, it's that practicing medicine and surgery is complicated. Part of the reason that it's complicated is that for many diseases our understanding is incomplete, meaning that physicians have to apply existing science to their treatment as well as they can in the context of incomplete information and understanding. The biology of cancer, in particular, can be vexing. Some cancers appear to progress relentlessly, meaning that it's obvious that all of them must be…
I hate these stories, because they so seldom end well. Unfortunately, this one is more messy than even the usual messiness of the typical story of this type. The type of story I’m referring to, of course, is one that I’ve told from time to time ever since near the first year of this blog’s existence, that of the child or teen with cancer who, for whatever reason, refuses curative chemotherapy in favor of some sort of quackery. The litany of names depresses me to contemplate: Katie Wernecke, Abraham Cherrix, Sarah Hershberger, Daniel Hauser, Makayla Sault...the list goes on. In the vast…
During 1999-2000, reporter Andrew Schneider blew the lid off the asbestos disaster in Libby, Montana. Schneider’s original stories, published in the Seattle Post-Intelligencer, drew national attention to the public health catastrophe in the town. The culprit was the W.R. Grace Company, with supporting roles played by lax regulatory agencies and cowardly public officials. Schneider wrote dozens of articles for the Post-Intelligencer about the Libby disaster, including on the EPA’s eventual designation of parts of the town as a Superfund site (the most expensive in US history.) His reporting…
Arguably, one of the most popular forms of so-called "complementary and alternative medicine" (CAM) being "integrated" with real medicine by those who label their specialty "integrative medicine" is acupuncture. It's particularly popular in academic medical centers as a subject of what I like to refer to as "quackademic medicine"; that is, the study of pseudoscience and quackery as though it were real medicine. Consider this. It's very difficult to find academic medical centers that will proclaim that they offer, for example, The One Quackery To Rule Them All (homeopathy). True, a lot of…
It sucks to be diagnosed with cancer at any age, but it especially sucks to be young and diagnosed with cancer. The prompt application of science-based cancer treatment is important for anyone with cancer, but it’s especially important for young people with cancer, because they have the most life-years to lose if they dawdle or pursue quackery. That’s why I get particularly perturbed about young people with cancer whose parents choose (or who themselves choose) quackery over science-based medicine, and it’s why I become the most perturbed of all when I learn of stories of children being…
I often describe "integrative medicine" as integrating quackery with medicine because that's what this inadvertently appropriately named branch of medicine in essence does. The reason, as I've described time and time again, is to put that quackery on equal footing (or at least apparently equal footing) with science- and evidence-based medicine, a goal that is close to being achieved. Originally known as quackery, the modalities now being "integrated" with medicine then became "complementary and alternative medicine" (CAM), a term that is still often used. But that wasn't enough. The word "…
Of all the forms of quackery that have been “integrated” into medicine of late, arguably one of the most popular is acupuncture. It’s offered in fertility clinics. It’s offered in hospitals and medical clinics all over the place. The vast majority of academic medical centers that have embraced quackademic medicine offer acupuncture. (Quackademic medicine, for those not familiar with the term we reserve for the study of alternative medicine in academic medical centers that really should recognize it as quackery.) Hell, quite a few that haven’t embraced quackademic medicine offer acupuncture.…
Beware residents and workers in San Antonio, TX: Some companies in your town are chronic and willful violators of rules to protect people from asbestos. One Eighty Construction, Roscoe Properties, and Varco Renovations come to my attention just in time for Global Asbestos Awareness Week (April 1-7). They recently received citations from OSHA for failing to comply with measures designed to protect workers and communities from asbestos. Some of the violations they received are classified as willful and others are designated as repeat violations. During Global Awareness Asbestos Week, I think…
Over the last week or so, I've noticed (or had brought to my attention) a series of articles discussing a phenomenon related to alternative medicine that I don't believe that I've addressed before, at least not directly anyway. I had filed some of these in my folder of topics for blogging, but somehow never got around to them because I let so much time and blog verbiage be dominated by a discussion of how Andrew Wakefield infiltrated the Tribeca Film Festival, only to see Robert De Niro reverse his decision a few days later and yank his film from the festival, after a brief attempt to defend…
Last Thursday, OSHA announced a new standard to protect workers who are exposed to respirable crystalline silica. Here are some of my favorite quotes and remarks in response to OSHA's news: “Safety advocates worked for years to get this rule in place. Controlling silica dust is especially important to immigrant workers and other vulnerable groups, who are often assigned the dirtiest, most dangerous jobs on any worksite.” Javier Garcia Hernandez, a construction worker and former consultant for the Philadelphia Area Project on Occupational Safety and Health. (here) “[Obama] administration…
After a trilogy of posts on the lamentably bad decision on the part of the Tribeca Film Festival to screen a pseudoscience- and misinformation-filled documentary by hero to the antivaccine movement, Andrew Wakefield, that is basically one long conspiracy theory, I thought it was time for a change. I had briefly toyed with the idea of having some fun with the flying monkeys (a.k.a. antivaccine commenters) who've descended upon the Tribeca Film Festival entry for the documentary, but, as of this writing, the total number of comments is over 1,700 and it wouldn't surprise me if it were over 2,…
Medical research is a scientific enterprise, but, like most areas of science, nonscientific considerations have a great deal of influence over what sorts of research are funded. This is true regardless of who is funding the research. When it's the government, obviously it's impossible to avoid some degree of politics. (Indeed, politics is largely responsible for why the National Center for Complementary and Integrative Health, or NCCIH, even exists and has been studying quackademic medicine for over 20 years.) The same, however, is true when it comes to foundation funding. Some foundations…
Last week, I revisited a topic I first discussed in 2014 a couple of times. It is a topic that I find simultaneously amusing and depressing at the same time, specifically a private discussion forum known as Naturopathic Chat, or NatChat for short—or, as I like to say, Sh*t Naturopaths Say When They Think No One Is Listening. Except, of course, as we know now, someone is listening—and has been for nearly a year and a half. It was that person listening, who goes by the 'nym NaturoWhat, who originally allowed me a peak at the rank quackery regularly recommended by naturopaths for their patients…
Another day, another study on the potentially life-saving impact of vaccines. This time it’s a new study on the vaccine against human papillomavirus, or HPV, a sexually transmitted disease that can lead to cervical cancer. Earlier this week, researchers announced that since the vaccine came on the scene, rates of HPV among young women in the U.S. have plummeted. Published in the journal Pediatrics, the study used data from the National Health and Nutrition Examination Survey to analyze HPV prevalence among women ages 14 to 34 in the four years before the HPV vaccine was introduced in 2006 and…
I didn't think I'd be writing about Stanislaw Burzynski again so soon, but to my surprise a very good article in Newsweek describing cancer quack Stanislaw Burzynski popped up in my Google Alerts yesterday. I hadn't expected much in the way of news coverage about Burzynski for several months, given that the second half of Burzynski's trial before the Texas Medical Board had been delayed by his having suffered a heart attack and isn't expected to begin again for several months. Entitled Cancer "visionary" Stanislaw Burzynski stands trial for unprecedented medical malfeasance and by Tamar…
At In These Times, reporter Joseph Sorrentino writes about the heartbreaking plight of uranium miners and millers as well as the history of uranium mining oversight and regulation. He spent a week interviewing uranium workers and their families in New Mexico — workers who are among the thousands who began working in the mines after 1971 and who don’t qualify for federal compensation under the Radiation Exposure Compensation Act (RECA). Sorrentino writes: Cipriano Lucero worked in uranium mills from 1977 to 1982. He has pulmonary fibrosis, and one of his kidneys failed when he was 48,…
Ever since the beginning of this blog, there's one topic I've explored many, many times, mainly because of its direct relationship to my profession as a cancer surgeon. That topic is, of course, the question of why people fall for alternative medicine cancer "cures." It started with one of my very earliest posts and continued right up to deconstructing Presidential candidate Ben Carson's very own alternative medicine cancer cure testimonial last fall. It continues again now. Regular readers, particularly long time readers, have already come to recognize common themes in these alternative…
If there's one thing that's frustrating about the U.S. justice system, it's just how slow the wheels of justice grind. For example, it's hard to believe that it was over two years ago that "pH Miracle" quack Robert O. Young was arrested for fraud, grand theft, and practicing medicine without a license, producing one of my favorite images ever on this blog, that of Young in a blue prison jump suit. The only way it could have been better would have been if it had been an orange jumpsuit, but unfortunately a contact in San Diego tells me that San Diego County doesn't use orange jumpsuits for its…
I've been a big fan of David Bowie ever since high school. True, I didn't appreciate his less mainstream stuff as intensely as I do now until I had been in college a couple of years, but it's not an inaccurate to characterize the effect of David Bowie's art on my life as significant. Basically, I own pretty much everything he ever committed to CD or vinyl and have seen him in concert every time he's toured, starting with his Serious Moonlight Tour in 1983 and ending with his appearance at Madison Square Garden during his Reality Tour in December 2003. I saw him with Trent Reznor in 1995, and…