homeopathy

Living and practicing surgery in Michigan, it’s not surprising that I am very concerned about a bill being considered in the Michigan House of Representatives. The bill, HB 4531, would license naturopaths as health care providers. In fact, it would give them a very broad scope of practice, defined by a newly created board of naturopathic medicine. Basically, HB 4531 would give naturopaths a scope of practice almost as broad as that of primary care providers, like internists, family practitioners, and pediatricians. The only difference, if HB 4531 passes, would be that naturopaths would not be…
We in Michigan are dealing with yet another effort on the part of NDs, which stands for “naturopathic doctors” but more appropriately should mean “not a doctor, to achieve licensure in the form of Michigan HB 4531. As I mentioned when I first learned that HB 4531 was passed by the House Committee on Health Policy and sent to the full House for consideration, it’s a scary, scary bill. Moreover, it’s supported by the Michigan Association of Naturopathic Physicians (MANP), who are taking money from the supplement industry to lobby for this bill’s passage. It’s a bill that would grant NDs a wide…
With a bill to license naturopaths (HB 4531) wending its way through the Michigan legislature supported by supplement manufacturers, its current status being in consideration by the full House of Representatives, periodically I feel the need to provide ammunition to the bill’s opponents, because we need to protect the patients in the state of Michigan from the naturopathic quackery that would be unleashed if this bill were to be passed into law. If there is one area that naturopaths have been invading with a vengeance and even gaining enough seeming legitimacy to propose what they risibly…
Over the years, I’ve taken care of women with locally advanced breast cancer so advanced that it’s eroded through the skin, forming huge, nasty ulcers filled with stinky dead cancer tissue that’s outgrown its blood supply, leaving the patient in chronic pain. If the patient is fortunate, her cancer has not metastasized beyond her axillary lymph nodes (the lymph nodes under her arm), and her life might still be saved by a combination of chemotherapy, radical surgery, and radiation. If the patient is not fortunate, either the cancer has metastasized and she is doomed or hasn’t metastasized yet…
After yesterday’s epic mid-week rant about a man who thinks he knows what skepticism is but clearly doesn’t, it’s time to get back to business. The best way to do that is to go back to an article that came out the other day and that I had meant to blog about but temporarily shelved in favor of yesterday’s rant. It’s a topic that’s very relevant to me right now given that the Michigan legislature is considering a bill (House Bill 4531) that would give naturopaths a broad scope of practice almost the equal of that of primary care physicians, the only difference being that naturopaths wouldn’t…
Contrary to what some of my detractors think, I don’t mind criticism of my viewpoints. After all, if I never encounter criticism, how will I ever improve? On the other hand, there are forms of criticism that are what I would call less than constructive. One form this sort of criticism takes is obsessive repetition of points that have already been addressed and failure to pay attention to how they were addressed. This is the sort of criticism that will eventually provoke an exasperated shrug of the shoulders or even an angry—dare I say Insolent?—retort. Another way criticism can get on one’s…
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…
And now for something completely different. Yes, it's about time for that, isn't it? I've probably beat the Tribeca Film Festival story into the ground, even for me, having spent the last week blogging about it. Scratch that. There's no "probably" about it. I frequently write at length about the quackery that is homeopathy. One reason I do this is because it is one of the most perfect forms fo quackery there is. There is about as close to no chance that it could work as there can be, and the only reason I don't call homeopathy completely impossible is because I have a hard time calling…
I write about homeopathy fairly regularly on this blog because there is no quackery that is (1) so obviously quackery and (2) such a perfect topic to use to illustrate a lot of issues relevant to medical science, such as issues in clinical trials resulting in false positives and, of course, placebo effects. Basically, homeopathy is an excellent quackery to use to illustrate just how it is that a treatment that, in most cases, is nothing but water can give the appearance of being effective when in fact it is not. Make no mistake, either. Homeopathy is quackery. It is a modality cooked up over…
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…
Naturopathy is quackery. That can't be said often enough. After all, any "discipline" that not only incorporates homeopathy as a major part of its training but also requires that its graduates pass a test with a section on homeopathy certainly can't be considered science-based. Actually, to be more accurate, naturopathy is probably at least 80% quackery and 20% science-based modalities like diet, exercise, and lifestyle changes rebranded and infused with woo. Moreover, whenever naturopaths are misguided enough not to know their limitations, leading them to treat real diseases (rather than…
I like to say that homeopathy is The One Quackery To Rule Them All (although of late I've debated whether homeopathy or reiki is the most properly referred to as that). It's a strange beast, homeopathy. Its two main "Laws" are so clearly pseudoscience that you'd think that no one could ever fall for something that dumb, but, well over 200 years after Samuel Hahnemann pulled those two Laws out of his nether regions, not only is homeopathy still popular in large swaths of the developed world, but there are actual physicians who use it. Just consider homeopathy's laws. The first is the Law of…
It always irritates me when I discover a new antivaccine crank in my state; so you can imagine how irritated I become when I discover one right in my very city (OK, metropolitan area). When that happens, it becomes a bit more personal than my usual mission to refute antivaccine misinformation. So I was most alarmed when I discovered just such a beast because a former ScienceBlogs colleague now writing for Forbes, Dr. Peter Lipson, took the time to deconstruct a very ill-informed piece of antivaccine propaganda. The offending post appeared on the blog of a "holistic" physician named Dr. David…
I've been blogging for nearly eleven years now—and continuously at that, with only brief breaks for vacations or when the vagaries of life and career (particularly grant deadlines) interfered with the writing impulse. It's true that I've slowed down a bit. I rarely post on weekends any more and not infrequently miss a weekday, but I tend to think that's a good thing, as it decreases the frequency of posts in which I'm clearly forcing it, where I'm "phoning it in," so to speak. Or at least I like to think so. One major challenge over the years, however, has been the inevitable problem that…
I didn't think I'd be discussing Dr. David Katz again so soon after the last time. In fact, when blog bud Mark Crislip (who clearly hates me and wants me to pop an aneurysm or have a heart attack, given how often he sends me links to articles as infuriating as this) sent me a link to Dr. Katz's latest article, "Cleaning the House of Medicine", published—where else?—in The Huffington Post, that home for "reputable" quack-friendly bloviation since 2005, when I first read the article, my first reaction was that Katz must surely be trolling supporters of science-based medicine. At first, I wasn't…
It's no secret that I'm not a big fan of naturopathy. It is, as my good bud Kimball Atwood has said, a prescientific system of medicine rooted in vitalism, the idea that there is a "life energy" and a "healing power of nature." Naturopaths invoke very simplistic concepts to explain the cause of disease, such as "toxins," widespread food allergies, gluten, imbalances in qi (the life force energy), and many other pseudoscientific principles. To give you an idea of the kind of pseudoscientific quackery naturopathy encompasses, consider this: You can't have naturopathy without homeopathy, which…
David Katz doesn't much like skeptics, particularly those of us who question the value of "integrative medicine." In fairness, I can't say that I much blame him. We have been very critical of his writings and talks over the years to my criticism of his statement advocating a "more fluid concept of evidence" more than once, to my pointing out that his arguments frequently boil down to a false dichotomy of either abandoning science or abandoning patients. Last week, my friend Jann Bellamy discussed an unfortunate special supplement of the American Journal of Preventative Medicine (AJPM)…
Naturopathy is quackery. I like to start most, if not all, posts about naturopathy with that simple statement. The reasons are simple. First, it's true. Second, most people—including doctors—are unaware of this simple fact. Finally, it irritates naturopaths and their fans. It also has the benefit of setting the tone I want to convey whenever I hear about naturopathy being granted the appearance of academic legitimacy by being embraced by a real academic medical institution. Such were my thoughts when I was made aware of this press release entitled SCNM Offers Dual-Degree Program for Master's…
Our military veterans deserve the best medical care our nation can offer. Actually, I'd say they're owed it, actually. After all, many of them put themselves in harm's way for this country. Others have suffered grievous injury with permanent sequelae. Still others have paid the ultimate price. For those who served, the least we as a nation should be expected to provide, to me at least, is high quality medical care, particularly for service-related injuries and illnesses. Unfortunately, besides the usual problems of inadequate resources devoted to veteran care, other forces are conspiring to…
Homeopathy is a frequent topic on this blog, for reasons that regular readers no doubt understand all too well by now. Homeopathy is, as I like to call it, again borrowing from Tolkien, The One Quackery To Rule Them All. When it comes to quackery, few can even come close to homeopathy for the sheer ridiculousness of its precepts. Whether it is the Law of Similars, which claims that to cure a disease you need to use a substance that cause's that diseases symptoms in healthy people, a "law" that has no basis in science, or the Law of Infinitesimals, which postulates that serially diluting a…