Oh, no! Orac the “Scientific Fundamentalist” has been too insolent!

The shorter rebuttal

This was his argument:

– Straw Man

– Orac’s rude, rude I tell you.

– Straw Man

– Appeal to ancient wisdom

– Science is sometimes wrong

– Straw Man / general name calling.

What a waste of a blog post.

Orac, I think he meant Zencookbook’s post was a waste, not yours…

Skeptico: if it wasn’t for straw men, some of these people would be entirely alone in the world.

Off topic:
Interesting choice of word in this sentence, “… (I may have to remedy that), skepticism and critical thinking, with a coterie of less frequent topics, such as evolution versus creationism.”

I’ve seen coterie used to describe a group of people with some common interest, (often used disparagingly), but never for a group of related topics. Did you mean to extend the definition, or were you really looking for another word?

Because belief is all that they understand.

self-limited nature of many illnesses

Interesting choice of words.

That’s why it became increasingly appreciated that the scientific method, with proper controls and blinding, is necessary to determine what really works better than a placebo.

That and a little bit of Rockefeller.

it is inherently self-correcting in that it ultimately throws out ideas that the evidence doesn’t support.

Science may, but people do not. Lest we forget, people actually apply the scientific method and people are subject to conflict.

It wasn’t alternative medicine that murdered Michael Jackson.

It certainly wasn’t science-based medicine.

When people abuse medications in ways that the label says not to, well, guess what?

It’s not the medication’s fault.

It wasn’t alternative medicine that murdered Michael Jackson.

Murdered?

How has that been determined? This is a possibility, but there is still a lot to learn about what happened. Maybe we will find out that he was taking a natural medicine that was responsible for his death.

Many proponents of scientific medicine has been very critical of the treatments that have been reported. I have only written 2 posts on the problems with his treatment. When Michael Jackson Is The Patient – A Call That Everyone Will Criticize and more recently in Michael Jackson and Diprivan (Propofol) I expect to write more.

I am just one person writing about this case of unconventional medicine.

Actually, this is alternative medicine. This is medicine that is not accepted by conventional medicine. What else was Michael Jackson receiving, but alternative medicine?

Whether your alternative medicine is murder in this case has yet to be determined.

In spite of his dismissal of homeopathy and reiki, the arguments he uses against your critique(s) of “straight” chiropractic can be applied unaltered against your critiques of homeopathy or reiki (or any other pseudoscience).

Own Up To Irrelevance,

This post has nothing to do with what you wrote. Nothing.

This is about science. If there are posts that are in any way related to what you wrote, that would be the time to attempt to make your irrelevant case.

Your post does have a major inaccuracy, though: He *is* claiming his granny’s cooking can cure cancer. See http://www.zencookbook.com/

Are surgeons the only medical people that aren’t “pitching woo?” In my experience and reading, their success rates are not all that crash hot either. They kill more people by direct action than all the faith healers kill by “wooing” someone into ignoring symptoms.

I think that’s also a numbers issue. There are about 20 million surgeries in the US a year. I’m not sure how many faith healings are done, but they aren’t tracked as well, obviously. Surgeries are inherently risky medical procedures. Faith healing can be risky, but not in a way that can be dramatically told in an anecdote.

The best way to ask the question is whether surgeries are routinely done which do not improve survival. For example, does gallbladder surgery improve survival? I read somewhere it might not.

Orac, give it to em with both barrels.
Damn the Woo-torpedoes full speed ahead !

Hmmm, well being called a Scientific Fundamentalist is maybe not such a bad thing. According to dictionary.com, fundamentalism is defined as “strict adherence to any set of basic ideas or principles.” As long as those principles are the scientific method, I would say that’s quite a compliment!

Or would you prefer to be called a Scientific Methodist?

ff topic: There’s a measles outbreak in Brooklyn. The majority of cases are in people who are…get ready for a big surprise…unvaccinated! Yes, I know you’re all gasping in shock but once again vaccination saves lives.

That’s a lie. Vaccines are totally ineffective. What really happened is that Big Pharma kidsnapped the children of some brave anti-vaxers and injected them with a genetically-engineered measles clone!

I realize this is off-topic, but I love Phoenix Woman’s argument here. “Health care costs are skyrocketing, so we need a single-payer system so that people will invariably choose the more expensive treatment.” WHAAAA??? That has to be the most inept defense of single-payer I’ve ever seen.

Also, as Orac and so many, many others constantly point out, “alternative” medicine is usually fantastically expensive, as one would expect from a scam. Refer again to the Homeopathic A&E vid for a succinct reminder- “a bottle of basically just water in one hand, and a huge invoice in the other.” And FYI: national health insurance abroad is notoriously woo-friendly. The UK and France (and many others) even cover…homeopathy.

Yeesh.

Funny how scientists say alternative medicine does not work. But then they have no problem stealing and using homeopathy strategies.

“Homeopathy is a form of alternative medicine… that treats patients with heavily diluted preparations which are thought to cause effects similar to the symptoms presented.”

“Doctors …..believe they can build up a child’s tolerance for a food that prompts an allergic reaction by exposing the child to tiny amounts of that food.”

Hmmmm. “Heavily diluted solutions to cause disease effects.” “Tiny amounts of food to cause tiny allergic effects.”

Looks similar to me.

@32: Yes, they look similar … if you ignore the fact that one method’s explanation has science backing it, and the other has magical thinking backing it.

And if you ignore that homeopathy often dilutes to the point where there is not one molecule of the substance left, vs the anti-allergy method which MUST have enough to have an effect, while balancing it to not be enough to provoke a (strong, anyway) allergic reaction.

And if you ignore that in one case, the effects the substance causes are considered beneficial, while in the other they’re considered harmful.

And, you know, just if you generally ignore any form of reality at all.

The recent recall of Zicam provided Orac an opportunity, again, to write entertainingly of his extreme antipathy toward homeopathy. I have never used a homeopathic product but it’s worth noting that:
1. Three clinical studies at Dartmouth and the Cleveland Clinic documented Zicam’s efficacy in 2000. But the FDA has received about 130 complaints alleging loss of smell after using one of these two Zicam products. There were, however, no cases of anosmia—loss of the sense of smell—in the clinical studies. Matrixx points out that sinusitis and rhinitis, which often accompany the colds and allergies for which Zicam is used, are themselves causes of the loss of smell.
2. Homeopathic remedies have been widely used in Europe for well over 150 years, clinical studies have been published in major medical journals, and the remedies have a long history of safety.

On the other hand conventional FDA-approved medicine does not have such a good record of safety:
1. An average of 195,000 people in the USA died due to potentially preventable, in-hospital medical errors in each of the years 2000, 2001 and 2002, according to a new study of 37 million patient records that was released today by HealthGrades, the healthcare quality company:
http://www.medicalnewstoday.com/articles/11856.php
2. In the period from 1969 to 2002, 75 drugs were recalled by the FDA because of safety concerns.
3. In 2008 the FDA received 526,000 adverse event reports related to drugs and biologic products. During that same year the FDA received only 1,080 adverse event reports related to dietary supplements.

Why do medical bloggers express so little outrage over these statistics?

“My grandma prescribed camomile tea for certain ailments, other herbs for others. Her knowledge was not learned in a University, it was passed down from one generation to the next -…”

and Orac replies:

“Those ancient healers also thought for hundreds of years that bleeding was a great treatment for what ails you.”

What a poor, misleading response. Bleeding was invented by patriarchal physicians who based their invented, non-intuitive treatment on the “science” of the time, the Four Humors representing the Four Elements in the human body, which they felt needed to be in balance to avoid disease etc.

These “ancient healers” were hardly the same people as the “ancient healers” referred to by your critic who at least collected empirical data and attempted to evaluate it and pass it on in a reasonable way.

I can’t figure out if you are being disingenuous or just ignorant, because your example seems to actually support your critic’s point of view about the “scientific” medical establishment.

Three clinical studies at Dartmouth and the Cleveland Clinic documented Zicam’s efficacy in 2000. But the FDA has received about 130 complaints alleging loss of smell after using one of these two Zicam products. There were, however, no cases of anosmia—loss of the sense of smell—in the clinical studies. Matrixx points out that sinusitis and rhinitis, which often accompany the colds and allergies for which Zicam is used, are themselves causes of the loss of smell.

And if those studies really were well-performed, of sufficient size, and properly controlled, then Matrixx will have no problem meeting the FDA’s demand that Matrixx establish safety and efficacy for Zicam. Remember, the FDA’s complaint about Zicam was not that it is dangerous–it is that Matrixx has been misusing the “homeopathic” label as a loophole to avoid submitting the documentation of safety and efficacy that is required for an pharmacological preparation intended to treat an illness.

In 2008 the FDA received 526,000 adverse event reports related to drugs and biologic products. During that same year the FDA received only 1,080 adverse event reports related to dietary supplements.

Why do medical bloggers express so little outrage over these statistics?

This really falls into the “Well, DUHHHH!” category. By this argument, doing nothing is always better than a real treatment, because real treatments invariable have real risks. People occasionally die of complications after having a broken limb set. Does that mean that we should not set broken limbs? Or maybe treat them with acupuncture or reiki?

The fallacies are obvious to anybody with even a rudimentary grasp of basic reasoning:

a) Counting total adverse event numbers rather than incidence. Did it ever occur to you that it might matter how many people are using these respective treatments?

b) Counting the risks of the treatment, without counting the risk of the illness. Let’s suppose that an illness has a 99% chance of killing you, and a treatment has a 90% chance of saving your life, and a 1% chance of killing you. Would you really rather have the disease or the treatment?

And why on earth is it a bad thing that the FDA has recalled drugs because of safety concerns? Virtually every industry occasionally has product recalls for safety reasons. People are fallible and not every risk can be anticipated. I’d worry more about an industry that does not have safety recalls. Does that mean that the people running the industry are infallible gods, who never accidentally place people at risk? Or just that they aren’t smart enough to know when their products were hurting people? Why did the FDA have to force ephedra of the market, when it was the source of more serious adverse event reports than all other “nutritional supplements” combined? Why wasn’t the nutritional supplement industry able to figure out that ephedra was a hazard, the way that Merck figured out that Vioxx was a hazard, and took it off the market on their own accord?

@Isabel
What makes you think those two are different ancient healers? And no, they did not use science at all to validate the humour theory at the time, so pointing out “the science at that time” is fallacious. So I don’t know what you are talking about when you tell us about them gathering empirical data.

Henry @30 is not, I think, comparing like with like. Try separating the two issues:
On the one hand, compare the cost of effective treatment against inneffective. Nomatter the sums involved, effective treatment is always better. At least real homeopathy (as opposed to alt drugs pretending homeopathy to dodge safety checks) has no side effects. It’s still worth nothing.
The second issue compares effective treatment against no treatment at all. Only in messed up, sick societies is this even seen as an option. And the secondary costs of lost work, destruction of families, etc, far outweighs the cost of treatment to all but the most venally heartless.
What is needed is a means by which no-one has to make that choice.

Oh please calm down people. I put scientific in quotes didn’t I? But it was based on Aristotle’s theories, accepted by learned men of the time, and certainly was a cure promoted by Greek physicians who were part of the medical establishment of the day. It was also arbitrary and fantastical and was not at all based on the accumulation of knowledge obtained through trial and error over many generations.

As a treatment it bears no relation at all to the folk medicine referred to, which was in fact often viewed as in opposition to patriarchal medical establishment, at times with disastrous results for the practitioners of folk medicine.

But that is an aside: the important distinction is as others have been pointing out, that bleeding is akin to hocus pocus snake-oil treatment, but indigenous knowledge of medicinal plants, obtained through accumulation of trial-and-error results over many generations, is an imperfect method which does however have some relation to modern science.

@Torby Renson:

1) When treating a food allergy with tiny doses of the food in question, this is done with a series of doses, with each does more concentrated than the last. That is, each dose is less diluted than the previous dose. Doesn’t sound much like homeopathy to me.

2) About “stealing” the idea from homeopathy, I don’t know the history of the treatment, but there are two plausible ways that it developed, neither having anything to do with homeopathy:

2a) The idea was “lets build up a tolerance to the allergen”, with that inspired by building up tolerance to certain poisons, something which predates homeopathy by many, many years.

2b) The fact that there’s multiple types of antibodies produced by the immune system, with the types involved in allergies not triggered by tiny amounts of the allergen, while a second type of antibodies is triggered by tiny amounts. (This is the actual mechanism behind the treatment)

trrll, I was trying to raise this question: Why is it that homeopathy drives some doctors into a frenzy of scorn and criticism? When one homeopathic product (Zicam) is recalled, it gets headline coverage and many posts at ScienceBlogs. Acetaminophen-containing pain relievers are the number one cause of liver failure in the US; Until recently this fact was ignored by the FDA, the news media, and the doctors at ScienceBlogs.

to Militant Agnostic: The whole purpose of the FDA’s mandatory Adverse Event Reporting system was to increase monitoring of the supplement industry. Many in the supplement industry cooperated willingly because they knew the numbers would be low, especially when compared to pharmaceuticals. Billions of bottles of dietary supplements are sold annually and the industry has an excellent track record of safety.

“You still don’t understand. Those anecdotal “trial and error results” were obtained in the same way the anecdotes for allopathic bleeding were obtained. There’s still no significant difference from our point of view.”

First, would you mind clarifying who “our” refers to? Thanks

And no, empirical knowledge (however faulty) of the effects of various plants and whole-cloth invention based on false (and totally unrelated to human health) beliefs are not the same thing. I don’t know how anyone can say they are equally unrelated to modern science.

First, would you mind clarifying who “our” refers to? Thanks

Skeptics. Scientists. People like that.

And no, empirical knowledge (however faulty) of the effects of various plants and whole-cloth invention based on false (and totally unrelated to human health) beliefs are not the same thing. I don’t know how anyone can say they are equally unrelated to modern science.

The problem with the typical naturopath/herbalist is that their “empirical knowledge” isn’t at all empirical. They collect anecdotes, allow their biases to fit their preconceived notions of how it works. That’s just like the allopaths who figured they had an idea about balancing humors, bled people who they thought were “too sanguine” or something, and only paid attention to the people who got good results while minimizing those who didn’t.

The so-called “empirical knowledge” collected by woos today and their herbalist ancestors is no different than the “empirical knowledge” gathered by bleeding allopaths over generations. When woo can consistently pass the same sort of tests modern pharmaceuticals have to, they’ll cease being “alternative”.

Until they can do that, it’s all just creatively interpreting anecdotes to justify ideas made up whole cloth.

The plural of anecdote is not data.

@Antipodian:

Zicam is NOT a homeopathic product. This is the point. If it were a homeopathic product it would by definition contain no zinc.

Actually, technically it is homeopathic. The master list of substances that are used in homeopathic preparations lists the minimum dilution of zinc as 1:10, and Zicam used 1:100. So, technically, it fits within the current law.

@John:

I was trying to raise this question: Why is it that homeopathy drives some doctors into a frenzy of scorn and criticism?

Because homeopathy violates everything we currently know about chemistry and physics. Physics has been wrong before (Newtonian gravity vs Relativity, classical mechanics vs quantum mechanics), but to accept that the current models are wrong will take a lot more than the poor and inconsistent clinical trials that have been done so far, and scientists simply aren’t going to accept the clinical experience of homeopaths and the anecdotal testimony of those taking homeopathic treatment as evidence that the current models of physics are wrong.

And note that there are ways to do a proper double-blind clinical trial with completely individualized homeopathic treatments, like the homeopath giving the treatment to a third party who then randomly either passes it straight along to the patient or replaces it with a placebo sugar pill or vial of water.

@Isabel:

I don’t know how anyone can say they are equally unrelated to modern science.

How does the theory of four humors have anything to do with science?

And no, empirical knowledge (however faulty) of the effects of various plants and whole-cloth invention based on false (and totally unrelated to human health) beliefs are not the same thing.

Treatment with herbs and treatment via blood-letting was passed down and refined because of clinical experience, which has been shown to not be that great at getting things right. Since herbal treatments started with clinical experience it’s possible for it to get things right (like willow bark for pain), but the clinical experience over the centuries of those herbal treatments being used aren’t a guarantee of them being any good, since if centuries of accumulated clinical experience did guarantee such, then clinical experience would also have made the practitioners of blood-letting realize that it didn’t work.

Bleeding was invented by patriarchal physicians who based their invented, non-intuitive treatment on the “science” of the time, the Four Humors representing the Four Elements in the human body, which they felt needed to be in balance to avoid disease etc.

1) Why should being non-intuitive matter?

2) Why should the physicians being patriarchal have any bearing on the discussion of the four humors theory? It would matter for treatments that have a different effects on men and women, or for the treatment of things that affect primarily or only women, but so far as I’m aware this doesn’t apply to the practice of blood-letting. Being patriarchal might have been a reason that male physicians of the time didn’t use herbal treatments, since it was something that women were doing, but I don’t see how that has a bearing on the development and use of blood-letting, unless your argument is that they would never have developed blood-letting if they had used herbal treatments, because if they’d used herbal treatments they would have never had any need to try to develop any further medical procedures.

“I don’t know how anyone can say they are equally unrelated to modern science.

How does the theory of four humors have anything to do with science?”

Matthew, Um it is not related at all? wasn’t that my point???But that experiementing with plants was a respectable precursor to modern science (clueing scientists in to some great medicinal plants, as you point out the example of willow bark)

“treatment via blood-letting was passed down and refined because of clinical experience, ”

oh really? JUST LIKE experimenting with the plants available in the environment? You make up a ludicrous story about balancing four humors and it’s the EXACT SAME THING? You actually can fine-tune that concept? Really? How? Yes I know by coincidental recovery etc – but that is not the same spirit as true exploration – they had a lot of vested interest in supporting Aristotle’s theories.

“but the clinical experience over the centuries of those herbal treatments being used aren’t a guarantee of them being any good, ”

agreed

“then clinical experience would also have made the practitioners of blood-letting realize that it didn’t work.”

I’m not sure those physicians were looking for results. That was a totally different situation – that was my original point.

“Being patriarchal might have been a reason that male physicians of the time didn’t use herbal treatments, since it was something that women were doing, but I don’t see how that has a bearing on the development and use of blood-letting,”

and women could not do, not being certified physicians…you might be on to something!

My point was bringing up the humors thing was a disingenuous way to cast aspersions on early herbalists.

I liked the part where he was in favor of scientific rationalism ‘in general.’

When and how, I wonder, does he determine the exceptions?

@antipodean:

Sorry, I can’t remember exactly where I read that. I think that it was on one of sciencebasedmedicine.org, Neurologica or BadScience.net, since those are the other science-type blogs that I read.

@Isabel:

But that experiementing with plants was a respectable precursor to modern science

Since it was based on nothing but clinical experience I don’t see how much it could be considered a precursor of modern science. Blood-letting, being something that went from theory to practice, is less similar to modern science than ancient herbalism, but that doesn’t make ancient herbalism a precursor to modern science, unless you want to consider all systems based on empirical experience to be precursors to modern science.

oh really? JUST LIKE experimenting with the plants available in the environment? You make up a ludicrous story about balancing four humors and it’s the EXACT SAME THING?

Sorry, I should have been more precise. They thought that their clinical experience was letting them validate and refine the practice of blood-letting, because clinical experience can be misleading like that.

they had a lot of vested interest in supporting Aristotle’s theories.

I could see why they’d have a vested interest in not discrediting the medical modalities they were currently using, but why would they have a vested interest in supporting Aristotle’s theories? Also, if clinical experience had repeatedly shown that blood-letting wasn’t working, and this was repeatedly covered up, I’d think there’d be some surviving evidence of it happening.

I’m not sure those physicians were looking for results.

Why wouldn’t they be looking for results? Wouldn’t that please their patrons?

Also, blood-letting wasn’t the only harmful treatment they had. They also had things like medicines containing mercury and arsenic. Were those modalities also somehow toeing the line of Aristotelian thought? Or was there some other reason for them to not care about the negative results those treatments actually caused? And if the preparations of mercury and arsenic weren’t an application of pure theory to practice, then their use must have been based on some form of empirical experience.

Isabel, you’re still missing out on the fundamental point: Allopathic bleeders and early herbalists both relied on “clinical experience” AKA “uncontrolled anecdotes subject to experimenter bias” to determine what “worked.” They both had strong incentives to believe they were right. The herbalists just got luckier: Science found that some herbs had useful effects, whereas bleeding did not. Of course, many herbs were and are useless, and others are harmful. Relying on anecdotes prevented the herbalists from figuring that out and doing any refinement. It was the scientific method, not interpreting uncontrolled anecdotes to fit tradition-based biases, that did the hard work.

If uncontrolled anecdotes were any good, bleeding and the underlying four humors nonsense would have never lasted so long. Useless herbs are still sold today under the same anecdote-worshiping haphazard “trial and error” rationale that allopaths used.

Oh, and you may not realize that there are plenty of Eastern herbalists who have a vested interest in interpreting anecdotes in terms of “Yin” and “Yang”. There’s also Ayurveda, which does diet and herbalism in terms of Air, Fire, and Water, IIRC. Just ask the recent troll Happeh about the former.

@antipodean:

Aha! Here, on sciencebasedmedicine.org, quoting the response Skeptico received from the makers of Zicam:

The HPUS [Homœopathic Pharmacopœia of the United States] dictates the maximum strength a compound can be for OTC use. In the case of zinc gluconate, it is a 1X dilution. This means that 1 part of zinc gluconate is diluted with 9 parts water. In Zicam we use a 2X dilution. This takes the above dilution and further dilutes it by adding 1 part of it to 9 parts water. This produces a final 1:100 dilution.

You could look up online the zinc gluconate entry in the pharmacopoeia, but it takes $29.00 (US) to get one day’s worth of access.

I thought that bloodletting is actually useful in some conditions – eg hemochromatosis (where there’s too much iron in the blood, the body starts storing it in organs, causing damage, drawing blood stops the organ storage, ending the damage). Furthermore, in Survival of the Sickest Dr Moalem speculates, based on various evidence, that the mutation that causees primary hemochromatosis was selected for by the plague (see Black Death), so blood-letting might have been particularly more likely to be useful in Europe in the 15th-18th centuries as the population with hemochromatosis would have been larger, as they and their descendents were the ones who survived the various outbreaks of plague.

There are other conditions where blood-letting could appear to be beneficial, eg if a patient was agitated then the weakness from extensive bloodletting would lead of course to them being less agitated, which could look like a temporary cure. This can happen with herbs too, eg opium from poppies waas used to “promote sleep” under the name laudanum.

So ancient “doctors” could plausibly have observed in their clinics occasional anecdotal evidence of patients improving after blood-letting, just as doctors prescribing herbs could occasionally see patients improving after the herbs.

So bloodletting could have gone from practice to theory.

The trouble with this trial-and-error approach for both blood-letting and herbalism is that without a proper study it’s very easy to deceive yourself that a treatment is beneficial based on some vivid anecdotes. It’s also far harder to identify the conditions for which a treatment is useful from the ones for which it’s a waste of time or actively harmful.

“The hazards of acetaminophen are old news, well documented in the literature and on the label, and have been for years, so they are not news.”

Not *all* the hazards are on the label. Evidence has been accumulating for many years about the increased risks of developing asthma and allergies, yet most people are not aware of this. Why is that?

I was trying to raise this question: Why is it that homeopathy drives some doctors into a frenzy of scorn and criticism?

Because it is stupid? And not just a little bit stupid, but mind-numbingly stupid, so stupid that it is hard to imagine how any person with even rudimentary knowledge of physics, mathematics, or biology could take it seriously?

Exactly. Take herbal medicine, which Isabel has been trying to defend in this thread. Now, I do think that for any given herbal remedy, if I assume that it is ineffective, I will be right at least 95% of the time, possibly more. But herbal remedies in theory can work, even though most of them don’t and even the ones that do there is a better alternative (e.g. willow bark is an effective analgesic, but I’ll just take some aspirin, please, thank you). The fact that they could in theory work makes me much less annoyed by them.

Homeopathy can’t work, or at least anything diluted over about 6X or so can’t really work. It’s one thing for you to try to sell me an herbal preparation that may or may not have a pharmacological effect; it’s quite another to have you try to sell me expensive water. The latter is quite worthy of the “frenzy of scorn and criticism” is inspires.

John: ” What I can’t understand is someone trained in evidence-based medicine claiming that supplements are worthless. There are studies coming out every week proving otherwise.”

John starts with a straw man (it is not claimed here or by evidence-based medicine advocates in general that all supplements are worthless, just that the vast majority have not been shown to provide the health benefits claimed for them). Also, touting two preliminary studies showing that something “may” have health benefits, plus yet another “miracle” compound that supposedly cures everything but for which hard evidence is lacking, hardly helps your case.

Seeing as how red wine and tomatoes are supposed to provide such fantastic health benefits, it’s amazing that Italians don’t live forever.

Once in awhile it’d be nice to see advocates of woo respond to criticism with something other than:

1) You’re a meanie!
2) Your science is a religion too!
3) Modern medicine kills billions!
4) Big Pharma Baaaad!
5) Unimaginative personal insults

Physics has been wrong before (Newtonian gravity vs Relativity, classical mechanics vs quantum mechanics)

AARRGGHH!!! Sorry, but I really, really, hate this gross mischaracterization. Neither Newtonian gravity nor classical mechanics are “wrong.” They are completely correct approximations of the more general theories, applicable in certain regimes. That’s a VERY long way from being “wrong.”

Epicycles were wrong. The ether was wrong. Newtonian gravity and classical mechanics are simply incomplete – there’s a HUGE difference. And an important one, too, since incomplete approximations are still hugely useful in the regime where they apply.

Evidence has been accumulating for many years about the increased risks of developing asthma and allergies, yet most people are not aware of this. Why is that?

For starters, because correlation does not equal causation?

AARRGGHH!!! Sorry, but I really, really, hate this gross mischaracterization. Neither Newtonian gravity nor classical mechanics are “wrong.” They are completely correct approximations of the more general theories, applicable in certain regimes. That’s a VERY long way from being “wrong.”

As normally understood, right and wrong are binary concepts. You can no more be a little bit wrong than a little bit pregnant. An approximation may be accurate enough for practical purposes, but if it is not exact, then it is still wrong. Newtonian mechanics says that infinite velocities are possible, and that is as wrong as epicycles.

However, I think that what you are getting at is a valid point, because thinking about right and wrong as absolutes can be very misleading. In science, we generally presume that everything we know is likely wrong. But one cannot then conclude that we know nothing, and that one answer is as good as another, or that it is reasonable to suppose, for example, that gravity might any day be replaced by a theory of “intelligent falling”, or that physics and thermodynamics will be revised so radically as to make homeopathy plausible. One scientific theory replaces another when its predictions are more accurate over a wider range of conditions than the previous theory. So while we never know whether our theories are perfectly right, there is a progression toward greater and greater ability to predict what happens in nature. When Newton’s theory was supplanted by Einstein’s, it did not change our expectation that man cannot fly by flapping his arms.

Isaac Asimov wrote cogently about this two decades ago, in an essay entitled “The Relativity of Wrong”, in which he argued that right and wrong should be fuzzy concepts rather than absolute, such that it would be reasonable to say that, while it is wrong to say that the earth is flat, and also wrong to say that it is a sphere, the flat earth is more wrong than the sphere.

Posted by: Isabel | July 6, 2009 10:48 AM

I see you elided the fact that ancient herbalists had a poor record of success, regardless of philosophy. This cannot be simpler– tell us what herbs have been proven to be effective on the basis of adequate tests.

Isabel “Why do you all love to repeat the same thing over and over? That all “ancient healers” were alike in how they came up with treatments – that is not true, and there are definitely distinctions that can and should be made.” Great- introduce us to the reliable literature that supports your claims (please, no wikipedia).

Isabel: “And both promoted by patriarchal male Physicians….”

Aw c’mon Isabel. Who’s your daddy? 🙂

“btw a 5% success rate is not bad considering the number of choices available!”

5% being about what you expect by applying the standard 5% false positive rate to your statistics.

Reminder: the plural of anecdote is anecdotes, not data.

And wtf is “alleopathic” anyway?

berlo_wills, try reading the error message.

@berko wills

You should read “Don’t Get Duped” by Larry Forness (MD). He says that when a patient asks him if she should use royal jelly he replies “sure, if you want to grow three times your normal size and lay millions of eggs.”

“alleopathic” medicine is a type of catch-all that fails to account for the fact that each individual’s metabolism and physiology is unique; a ‘quick and dirty fix’ if you like.

This is why antibiotics ‘work’ but make the immune system weaker on each usage, whereas a suitable herbal remedy aids the body’s natural ability to repair itself. It’s also why you can’t do a laboratory test on subjects and get a uniform or measurable result.

Not to puncture your balloon or anything

(you smoke cigarettes and never get chest ailments/colds. I find that VERY hard to believe)

@berko_wills #95:

This is why antibiotics ‘work’ but make the immune system weaker on each usage,…

This sounds odd. Do you have any evidence of that?

…whereas a suitable herbal remedy aids the body’s natural ability to repair itself.

Again, do tell; any evidence?

each individual’s metabolism and physiology is unique.

The fact that I am unique doesn’t make me dissimilar in every possible respect from every other member of the human species.

Again, how does a herbalist measure my metabolism and physiology so as to determine precisely what remedy is suitable? I’d wager quite a lot that conventional medical diagnostic techniques can establish my uniqueness with far greater precision than a herbalist can manage.

You understand immunity just about as well as you understand how to spell and know what “allopathy” means (in reality anything that is no homeopathy, so even “herbalism” is allopathy).

By the way, how do you know what are in the herbs you buy? How do you know they are not adulterated with real pharmaceuticals. From Chinese Herbal Medicines:

Most of the literature on the toxicity of Chinese herbal medicines consists of case reports describing the effects of using traditional medicinal agents adulterated with biomedical pharmaceuticals. In the United States, this has sometimes involved pharmaceutical agents that are no longer approved for human use. Adulteration with agents such as heavy metals may present the greatest risk to patients who use Chinese herbs.

You end your screed with “I’m living proof!” — You obviously did not understand why you were answered twice with words to these effect: The plural of anecdote is anecdotes, not data!

What evidence do you have that Orac wants to shut down the availability of herbal treatments?

All I see is an attempt at education. Something you seem to be slow at.

Okay, so you say “No longer anecdotal since I’ve agreed to the stringent controls of the test. No offence, but I’d dearly love to prove you all wrong.”

How many people will be in your study? What particular herbs will you be studying? What will be the effect? How will you test the effects? Will it involve blood draws or urine samples? How many people will be in the control group? How will you control for other substances ingested by both groups? How will you control the active ingredient in each herbal packet (herbal meds tend to vary in their makeup, sometimes it depends on where the plant was cultivated, how much rain there was, or if the seller was adulterating the mix). Who will monitor the health and test the subjects?

You were planning a real study,right? Because with just one person (yourself) is just an anecdote, not data.

Also, have you done a review of previous studies on PubMed? Do you know about the other Scienceblogs blogger who specializes in researching herbs? Have you been to his blog (and guess what, I’m not going to tell you… because if you are such an expert at herbal medicines you should know about him already!).

Robin, I didn’t change anything. You just misunderstood me. My contention is, to be very clear, that every usage of antibiotics weakens the immune system. They have their place, to be sure, but that is chiefly to overcome some malady which you already have. The trick is to prevent getting sick in the first place: whether by exercise, fresh veges, or natural medicine.
To reiterate: I am NOT talking about abuse of prescription drugs.

My further contention is that, once you have found a natural substance that works at bolstering your immune system and preventing illness, repeated dosage will not cause any weakening of the body’s defence against disease or illness. I welcome any evidence you can show me to the contrary.

Chris, point taken. I’m all anecdote, or I’m a superhuman alti with a very effective placebo. Either way, I’m as fit as a fiddle while all those around me are dropping like flies. Must be something in that.

@berko_wills #103&104:

My contention is, to be very clear, that every usage of antibiotics weakens the immune system.3,/blockquote>

Then produce some evidence to that effect. Misuse of antibiotics leading to the development of resistant strains is not a weakening of the immune system.

My further contention is that, once you have found a natural substance that works at bolstering your immune system and preventing illness, repeated dosage will not cause any weakening of the body’s defence against disease or illness. I welcome any evidence you can show me to the contrary.

Onus of proof , dear boy. You produce some evidence – or even a plausible mechanism – for this effect first.

Further: no, there’s no problem with buying natural products off the shelf. I don’t stop to ask the grocer about the jar of pickled beetroot if the ingredients are all known.

Nobody’s arguing about nutrition; the discussion is about substances with therapeutic properties. You reject pharmaceutical products whose ingredients are specified to the nth degree prescribed according to the patient’s individual ailment and other physical characteristics, in favour of royal jelly and herbal treatments (of whose ingredients you only have a vague idea) have as a cure-all. You then call the pharmaceutical product a quick and dirty fix because everybody’s different.

Robin, I didn’t change anything. You just misunderstood me. My contention is, to be very clear, that every usage of antibiotics weakens the immune system.

And when asked for evidence to support that contention, you replied with something that has nothing at all to do with the immune system. In other words, you either completely misunderstood the question, or deliberately evaded it.

They have their place, to be sure, but that is chiefly to overcome some malady which you already have. The trick is to prevent getting sick in the first place: whether by exercise, fresh veges, or natural medicine.

Please provide some actual EVIDENCE that said “natural medicine” actually helps with anything.

My further contention is that, once you have found a natural substance that works at bolstering your immune system and preventing illness, repeated dosage will not cause any weakening of the body’s defence against disease or illness. I welcome any evidence you can show me to the contrary.

Since you’re the one making the ludicrous assertion that there’s some fundamental difference between a molecule produced in a plant and a chemically identical molecule produced in a lab, the burden of proof is on YOU.

Chris, point taken. I’m all anecdote, or I’m a superhuman alti with a very effective placebo. Either way, I’m as fit as a fiddle while all those around me are dropping like flies. Must be something in that.

Good grief. You just don’t have the faintest clue about logic or science, do you? There is absolutely NO reason to suppose that there “must be something in that” when coincidence is an entirely plausible alternative explanation!

@berko_wills #106:

I’m sorry, but this:

.However, evidence indicates that people treated with antibiotics have more repeat infections than those who are not treated.

without more does not support the hypothesis of antibiotic damage to the immune system.

For example, those who suffer more infections are more likely to have antibiotics prescribed. Those who suffer more severe infections are likely to have more infections in general; and are more likely to take antibiotics.

In any event, this is simply a further assertion that evidence exists. Where is that evidence?

The page goes on to suggest that:

Vitamin A and C and the use of simple herbs such as echinacea and astragalus, for example, are much safer and often equally effective.

Any research evidence of the effectiveness of Vitamins A or C as antibiotics?

…and the man recommends the use of colloidal silver!

My argument is the complete opposite, actually, that the human body is different. One person’s peanut butter sandwich is another’s anaphylactic shock. Test substances by trying them on your skin, if it reddens, you’re allergic. But pharmaceuticals aren’t designed this way: they are made to cure symptoms rather than systems. This is why they are a ‘quick fix’. When you are already diagnosed with something nasty, it’s too late to grind some root in with some ginger and hope that will cure you. Do that beforehand as a preventative.

You should try listening to yourself: You said you found it extremely hard to believe that a person could smoke and not have trouble with colds or breathing-related troubles. That demonstrates an absolutist mindset, when it’s quite possible that, through either probability or some resistance factor, a guy could be just fine despite being a smoker. It is unlikely, but not unexpected to happen.

Oh, and wonderful straw men, there. Science keeps track of allergies, and is heavily into prevention. What do you think medical records are all about. The problem is that “alternative” “medicine” has not demonstrated any usefulness as a preventative. Also, scientific medicine DOES address systems as well as symptoms. Quacks only parrot that propaganda because they like to make up imaginary, supernatural causes like miasmas and blocked chi. Homeopathy, in particular, is based entirely on symptoms: Whereas doctors know that sometimes a disease manifests without all the symptoms, homeopathy was invented on the idea that you treat a person ill with some symptoms with something that causes those same symptoms.

My mother would be dead right now if doctors were like you said. Because she got a doctor who looked into the cause, he found an internal infection that didn’t produce a fever (a particular symptom) as would be expected. Thanks to the anti-biotic treatment, she’s still alive.

It’s also amazing that you think we’re the ones who believe in “quick fixes.” That’s typically the province of quacks.

It’s not hypocritical to state that a medicine can ward off illness while a cigarette cannot. Cigarettes kill more people than traffic accidents and heart disease combined. I imagine the number of people felled by bee pollen is considerably smaller! And, again anecdotal, the phlegmy spluttery behaviour of smokers around me suggests they are far more prone to respiratory ailments, not less.

And we all know that with great, great confidence because of statistical analysis performed under the scientific method. There are still outliers who live well thanks to dumb luck or built-in resistances. It’s not absolute that smoking will cause problems. Very few things in life are absolute. A person who only looked at the lucky/resistant smokers for testimonials really could fool himself into believing smoking is harmless or even beneficial.

The problem is that you don’t understand what the point of bringing the original joke was about: Anecdotes are pretty worthless for determining cause and effect because they’re inherently cherrypicking data. They can raise a question to do a more detailed analysis of, but that’s it.

Where’d he go?

http://www.netsci.org/Science/Special/feature11.html

pre-scientific humans also discovered cannabis, coffee and tea, alcohol, tobacco, coca leaf, as well as safe ways to preserve foods, spices, and many other useful things, even developed balanced diets all w/o the scientific method.

OF COURSE I agree trial and error is not perfect, many useless things get through because of coincidental effects or selective memory, and that the scientific method greatly speeds up progress.

With the possibility of many these species going extinct