MD, PhD, MAE, FMedSci, FRSB, FRCP, FRCPEd.

malpractice

Homeopathic remedies are highly diluted formulations without proven clinical benefits, traditionally believed not to cause adverse events. Nonetheless, published literature reveals severe local and non–liver-related systemic side effects. Here is the first series on homeopathy-related severe drug-induced liver injury (DILI) from a single center.

A retrospective review of records from January 2019 to February 2022 identified 9 patients with liver injury attributed to homeopathic formulations. Competing causes were comprehensively excluded. Chemical analysis was performed on retrieved formulations using triple quadrupole gas chromatography-mass spectrometry and inductively coupled plasma atomic emission spectroscopy.

Males predominated with a median age of 54 years. The most typical clinical presentation was acute hepatitis, followed by acute or chronic liver failure. All patients developed jaundice, and ascites were notable in one-third of the patients. Five patients had underlying chronic liver disease. COVID-19 prevention was the most common indication for homeopathic use. Probable DILI was seen in 77.8%, and hepatocellular injury predominated (66.7%). Four (44.4%) patients died (3 with chronic liver disease) at a median follow-up of 194 days. Liver histopathology showed necrosis, portal and lobular neutrophilic inflammation, and eosinophilic infiltration with cholestasis. A total of 29 remedies were consumed between 9 patients, and 15 formulations were analyzed. Toxicology revealed industrial solvents, corticosteroids, antibiotics, sedatives, synthetic opioids, heavy metals, and toxic phyto-compounds, even in ‘supposed’ ultra-dilute formulations.

The authors concluded that homeopathic remedies potentially result in severe liver injury, leading to death in those with underlying liver disease. The use of mother tinctures, insufficient dilution, poor manufacturing practices, adulteration and contamination, and the presence of direct hepatotoxic herbals were the reasons for toxicity. Physicians, the public, and patients must realize that Homeopathic drugs are not ‘gentle placebos.’

The authors also cite our own work on this subject:

A detailed systematic review of homeopathic remedies-induced adverse events from published case reports and case series by Posadzski and colleagues showed that severe side effects, some leading to fatality, are possible with classic and unspecified homeopathic formulations. The total number of patients included was 1159, of which 1142 suffered adverse events directly related to homeopathy. The direct adverse events had acute pancreatitis, severe allergic reactions, arsenical keratosis, bullous pemphigoid, neurocognitive disorders, sudden cardiac arrest and coma, severe dyselectrolytemia, interstitial nephritis, kidney injury, thallium poisoning, syncopal attacks, and focal neurological deficits as well as movement disorders. Fatal events involved advanced renal failure requiring dialysis, toxic polyneuropathy, and quadriparesis. The duration of adverse events ranged from a few hours to 7 months, and 4 patients died. The authors state that in most cases, the mechanism of action for side effects of homeopathy involved allergic reactions or the presence of toxic substances—the use of strong mother tinctures, drug contaminants, adulterants, or poor manufacturing (incorrect dilutions).

When we published our paper back in 2012, it led to a seies of angry responses from defenders of homeopathy who claimed that one cannot ‘have the cake and eat it’; either homeopathic remedies are placebos and thus harmless, or they have effects and thus also side-effects, they claimed. As the new publication by Indian researchers yet again shows, they were mistaken. In fact, homeopathy is dangerous in more than one way:

  • the homeopathic remedies can do harm if not diluted or wrongly manufactured;
  • the homeopaths can do harm through their often wrong advice in health matters;
  • homeopathy erodes rational thinking (as, for instance, the resopnses to our 2012 paper demonstrated).

Many community pharmacies in Switzerland provide so-called alternative medicine (SCAM) approaches in addition to providing biomedical services, and a few pharmacies specialise in SCAM. A common perception is that SCAM providers are sceptical towards, or opposed to, vaccination.

The key  objectives of this study were to examine the potential roles of biomedically oriented and SCAM-specialised pharmacists regarding vaccine counselling and to better understand the association between vaccine hesitancy and SCAM. The researchers thus conducted semistructured, qualitative interviews. Transcripts were coded and analysed using thematic analysis. Interview questions were related to:

  • type of pharmaceutical care practised,
  • views on SCAM and biomedicine,
  • perspectives on vaccination,
  • descriptions of vaccination consultations in community pharmacies,
  • and views on vaccination rates.

Qualitative interviews in three language regions of Switzerland (German, French and Italian). A total of 18 pharmacists (N=11 biomedically oriented, N=7  SCAM specialised) were invited.

Pharmacist participants expressed generally positive attitudes towards vaccination. Biomedically oriented pharmacists mainly advised customers to follow official vaccination recommendations but rarely counselled vaccine-hesitant customers. SCAM-specialised pharmacists were not as enthusiastic advocates of the Swiss vaccination recommendations as the biomedically oriented pharmacists. Rather, they considered that each customer should receive individualised, nuanced vaccination advice so that customers can reach their own decisions. SCAM-specialised pharmacists described how mothers in particular preferred getting a second opinion when they felt insufficiently advised by biomedically oriented paediatricians.

The authors concluded that vaccination counselling in community pharmacies represents an additional option to customers who have unmet vaccination consultation needs and who seek reassurance from healthcare professionals (HCPs) other than physicians. By providing individualised vaccination counselling to vaccine-hesitant customers, SCAM-specialised pharmacists are likely meeting specific needs of vaccine-hesitant customers. As such, research and implementation efforts should more systematically involve pharmacists as important actors in vaccination provision. SCAM-specialised pharmacists particularly should not be neglected as they are important HCPs who counsel vaccine-hesitant customers.

I must say that I find these conclusions odd, perhaps even wrong. Here are my reasons:

  • Pharmacists are well-trained healthcare professionals.
  • As such, they have ethical obligations towards their customers.
  • These obligations include behaving in a way that is optimal for the health of their customers and follows the rules of evidence-based practice.
  • This includes explaining to vaccine-hesitant customers why the recommended vaccinations make sense and advising them to follow the official vaccination guidelines.
  • SCAM-specialised pharmacist should ask themselves whether offering SCAM is in line with their ethical obligation to provide optimal care and advice to their customers.

I fear that this paper suggests that SCAM-specialised pharmacists might be a danger to the health of their customers. If that is confirmed, they should consider re-training, in my view.

The objectives of this randomized double-blind placebo-controlled clinical trial were to determine if there:

  • (a) is an overall effect of homeopathic treatment (homeopathic medicines plus consultation) in the treatment of ADHD;
  • (b) are any specific effects the homeopathic consultation alone in the treatment of ADHD;
  • (c) are any specific effects of homeopathic medicines in the treatment of ADHD.

Children aged 6–16 years diagnosed with ADHD were randomized to one of three arms:

  • Arm 1 (Remedy and Consultation);
  • Arm 2 (Placebo and Consultation);
  • Arm 3 (Usual Care).

The primary outcome measure was the change of the Conner 3 Global Index-Parent T-score (CGI-P T score) between baseline and 28 weeks.

The results showed an improvement in ADHD symptoms as measured by the CGI-P T score in the two groups (Arms 1 and 2) that received consultations with a homeopathic practitioner when compared with the usual care control group (Arm 3). Parents of the children in the study who received homeopathic consultations (Arms 1 and 2) also reported greater coping efficacy compared with those receiving usual care (Arm 3). There was no difference in adverse events among the three study arms.

The authors concluded that, in this study, homeopathic consultations provided over 8 months with the use of homeopathic remedy was associated with a decrease in ADHD symptoms in children aging 6–16 years when compared with usual treatment alone. Children treated with homeopathic consultations and placebo experienced a similar decrease in ADHD symptoms; however, this finding did not reach statistical significance when correcting for multiple comparisons. Homeopathic remedies in and of themselves were not associated with any change in ADHD symptoms.

In the discussion section, the authors make their findings a little clearer: “The findings are generally consistent with a recent meta-analysis that concluded that (i)ndividualized homeopathy showed a clinically relevant and statistically robust effect in the treatment of ADHD. Similar to the meta-analysis, the authors found individualized homeopathy (consultation plus remedy) resulted in improvement in ADHD symptoms. However, the data suggest that this effect is not due to the remedy component of the intervention.”

The authors do not cite the (to the best of my knowledge) only study that had a very similar aim, namely differentiating between the effects of the homeopathic remedy and the homeopathic consultation. It was conducted by the late George Lweith who certainly was not against homeopathy. The conclusions of this trial were as follows: Homeopathic consultations but not homeopathic remedies are associated with clinically relevant benefits for patients with active but relatively stable rheumatoid arthritis.

Both trials confirm what rational thinkers have been saying for many years: the effects that many people experience after homeopathic therapy are not due to the homeopathic remedy but to the usually long and empathetic therapeutic encounter, the placebo effect, and other non-specific effects. To put it bluntly homeopathy is a kind of amateur psychotherapy.

Before someone now claims that this means homeopathy is fine, let me tell you this: no, it is not fine! If someone needs psychotherapy, he/she should see not an amateur but a professional, i.e. a psychologist who is properly trained in what she can and cannot do.

Swedish researchers examined the relationship between cognitive ability and prompt COVID-19 vaccination using individual-level data on more than 700,000 individuals in Sweden.

The analyses were based on individual-level data from several administrative registers in Sweden. The study population consisted of all men and women who enlisted for military service in Sweden between 1979 and 1997. During this period, enlistment was mandatory for men the year they turned 18 or 19. Women could not enlist for military service before 1980 but were then allowed to do so on a voluntary basis.

The study population thus covered almost the entire population of Swedish men born between 1962 and 1979, in total 750,381, as well as the sample of women who enlisted during the period of 1980–1997, in total 2703. In addressing the role of confounders, the researchers analyzed the sub-sample of 6750 twin brothers (3375 twin-pairs) in the enlistment records (identified by shared biological mother and year and month of birth).

The results show a strong positive association between cognitive ability and swift vaccination, which remained even after controlling for confounding variables with a twin-design. Consistent with this, the researchers showed that simplifying the vaccination decision through pre-booked vaccination appointments alleviates almost all of the inequality in vaccination behavior.

The authors concluded that the complexity of the vaccination decision may make it difficult for individuals with lower cognitive abilities to understand the benefits of vaccination.

On this blog, we have repeatedly discussed similar or related findings, e.g.:

I know, it would be politically incorrect, unkind, unhelpful, etc. but is anyone not tempted to simplify the issue by assuming that people who are against (COVID) vaccinations are intellectually challenged?

The American Chiropractic Association Council on Chiropractic Pediatrics (CCP) announced a new diplomate education program focused on pediatric care. The program will include 300 hours of education covering topics such as pediatric development from birth to age 16, adjusting techniques, working diagnosis, clinical application, integrated care and more…

Development of the diplomate education program has been in the works for several years, with contributions from many members of the CCP, including council president Jennifer Brocker, DC, DICCP. At the helm of course development for this education program are Mary Beth Minser, DC, CACCP, and Kris Tohtz, DC, LAc, educational coordinators for CCP. They agreed that the goal of the new program is to provide education that furthers knowledge of chiropractic pediatrics in an evidence-based, integrative way. “We wanted to make sure that we had something that aligned with ACA’s core principles,” Dr. Tohtz said. “Chiropractic-forward, yes, but scientifically focused.”

Dr. Brocker added, “There was a need for more evidence-informed education [in pediatrics]. I felt like the Council was well positioned to take this on because we had the opportunity to build it from scratch, making it what students and practicing doctors need.” …

Drs. Minser and Tohtz are excited that the diplomate program will also include a research component. “There is some lacking information when it comes to pediatric chiropractic,” Dr. Minser explained. She recently participated in the COURSE Study, an international study seeking to fill knowledge gaps in research relating to pediatric chiropractic treatment. “It was a very easy project to do, and pretty exciting to be involved,” she said. “But you have to know how to treat pediatric patients in order to be involved in those research projects. We want doctors and students [in this program] to be able to go through a case study, to be able to extract information for their clinical application from that case study or from research, or, if they would like, to write up case studies so we can get more published.”

“We feel we could really push pediatric chiropractic to a whole new level having doctors that have this type of knowledge base,” Dr. Minser said. “We just want to be the best pediatric chiropractors that we can be, and this diplomate [education] program helps [us] do that.”

____________________________________

“There is some lacking information when it comes to pediatric chiropractic.”

Really?

I think the evidence is quite clear: chiropractic has nothing to offer for ill children that other, properly trained healthcare professionals would not do better.

“We feel we could really push pediatric chiropractic to a whole new level.”

Why?

“We just want to be the best pediatric chiropractors that we can be.”

In this case, please study the evidence and you will inevitably arrive at the following conclusion:

THE BEST A CHIROPRACTOR CAN DO FOR A SICK CHILD IS TO REFER IT TO A COMPETENT DOCTOR  – A DOCTOR OF MEDICINE, NOT CHIROPRACTIC!

 

As I mentioned before: it’s the season for awards and prizes:

It goes all the way back to 1982 when the Australian Skeptics instituted an award to be presented annually at the National Convention to individuals or organisations who made the most outrageous claim of a paranormal or pseudoscientific nature in the preceding year. After conferring with leading American Skeptic and illusionist, James Randi, who had earlier instituted a Bent Spoon award, it was decided that the Australian version would also commemorate one of the less useful, though widely acclaimed, alleged paranormal claims; the psychic ability to distort items of cutlery. So was born the Australian Bent Spoon Award. Some years later, in a masterpiece of alliteration, it was decided that the preamble to the award should read “presented to the perpetrator of the most preposterous piece of paranormal or pseudoscientific piffle”.

For a nomination to be accepted it should include the following details:The Bent Spoon Award on its Plinth

  • The name and contact details of the nominator (only the name will be listed on the website)
  • The name of the person or organisation being nominated
  • The reason for the nomination, including a clear explanation of the link to the paranormal or to pseudo-science

The ‘Bent Spoon’ is reserved for people who do their woo in Australia. The organisers also reserve the right to reject nominations that are deemed inappropriate. In particular, defamatory or frivolous nominations will not be accepted.

If you feel like nominating you favourite Australian anti-hero, use this link to email your nomination for 2023.

Click here to see the list of all current nominations.

And here is the fascinating list of former winners that reads like a ‘WHO IS WHO IN AUSTRALIAN QUACKERY’:

  • 2022: Maria Carmela Pau, for selling useless COVID vaccination exemption certificates, and claiming medical qualifications she did not have.
  • 2021: Craig Kelly MP, for spreading misinformation about COVID and vaccinations, and offering dubious cures and conspiracy theories.
  • 2020: Pete Evans for the promotion of the pseudoscientific non-medical BioCharger and continuing his anti-vaccination position.
  • 2019: SBS-TV program “Medicine or Myth” for promoting certain alternative medical treatments as if they had scientific credibility as opposed to placebo effectiveness.
  • 2018: Sarah Stevenson/Sarah’s Day for the promotion of questionable natural health remedies via her vast network of followers.
  • 2017: National Institute of Complementary Medicine and the University of Western Sydney for the continued promotion of disproved and unproved alternative medicine practices.
  • 2016: Judy Wilyman, Brian Martin, and the University of Wollongong for awarding Wilyman a doctorate on the basis of a PhD thesis riddled with errors, misstatements, poor and unsupported ‘evidence’ and conspiratorial thinking.
  • 2015: Pete Evans, chef, for his diet promotions, campaigns against fluoridation and support of anti-vaccinationists.
  • 2014: Dr Larry Marshall, Chief Executive, CSIRO for his support of water divining.
  • 2013: Chiropractors’ Association of Australia and the Chiropractic Board of Australia for failing to ensure their own members – including some committee members – adhere to their policy announcements.
  • 2012: Fran Sheffield of Homeopathy Plus! for advocating the use of magical sugar and water in place of tried and true vaccination for many deadly diseases, most notably Whooping Cough.
  • 2011: RMIT University “for having a fundamentalist chiropractic education program – if the word education can be used in this way – and for endorsing the practice by targeting children and infants in their on-campus paediatric chiropractic clinics”
  • 2010: the Australian Curriculum and Reporting Authority (ACARA) for its draft science curriculum.
  • 2009: Meryl Dorey and the deceptively named Australian Vaccination Network, who spread fear and misinformation about vaccines
  • 2008: Prof Kerryn Phelps
  • 2007: Marena Manzoufas, Head of Programming at the ABC for her sterling work in authorising the television show Psychic Investigators, made worse by putting it to air in the Catalyst timeslot
  • 2006: The pharmacists of Australia, who manage to forget their scientific training long enough to sell quackery and snake oil (such as Homoeopathy and ear candles) in places where consumers should expect to get real medical supplies and advice. Video of award here.
  • 2005: The ABC television program Second Opinion for the uncritical presentation of many forms of quackery.
  • 2004: The producers of the ABC television show The New Inventors, principally for giving consideration to an obvious piece of pseudoscience, the AntiBio water water conditioning system
  • 2003: The Complementary Healthcare Council
  • 2002: Gentle Heal Pty Ltd for the selling of fake (Homoeopathic) vaccine.
  • 2001: The Lutec “Free Energy Generator”
  • 2000: Jasmuheen who claims one can live without food and water.
  • 1999: Mike Willesee for the ‘documentary’ Signs From God.
  • 1998: Southern Cross University for offering a degree course in naturopathy, while also claiming to be conducting research into whether there was actually any validity to naturopathy.
  • 1997: Dr. Viera Scheibner – Anti-immunisation advocate
  • 1996: Marlo Morgan – American new age author who claimed in her book Mutant Message Downunder, that Australian Aborigines could levitate.
  • 1995: Tim McCartney-Snape for his promotion of the Foundation for the Adulthood of Mankind.
  • 1994: Commonwealth Attorney General for an enterprise agreement with its 2,400 employees that included a clause so any employee, who had taken sick leave, need not provide a medical certificate signed by a medical practitioner, but could provide one signed by a naturopath, herbalist, iridologist, chiropractor or one of assorted other “alternative” practitioners.
  • 1993: Steve Vizard’s Tonight Live programme (Channel 7).
  • 1992: Allen S Roberts, archaeological research consultant for a search for Noah’s Ark.
  • 1991: Woman’s Day magazine for its coverage and support of the paranormal, in particular astrology.
  • 1990: Mafu, multilifed entity, channelled by Penny Torres Rubin and who, despite millennia of experience, was remarkable for the banality of his/her pronouncements.
  • 1989: Diane McCann who wrote that Adelaide was built on one of the temples of Atlantis.
  • 1988: None
  • 1987: Anne Dankbaar, Adelaide “psychic”, whose discovery of the Colossus of Rhodes created something of a media stir until it was shown to be modern builders rubble.
  • 1986: Peter Brock, prominent racing driver, whose highly touted “energy polariser” generated more heat in the motoring media than it did energy in his car.
  • 1985: The Findhorn Festival Group, which sponsored the visit to Australia of American “psychic dentist” Willard Fuller. “Brother” Willard left town just ahead of some injunctions from real dentists.
  • 1984: Melbourne Metropolitan Board of Works for its payment of $1,823 to US “psychic archaeologist” Karen Hunt to use divining rods to detect an alleged “Electromagnetic Photo Field”
  • 1983: Dennis Hassel, “medium” whose chief trick was to make his hand disappear.
  • 1982: Tom Wards, self proclaimed “psychic”, whose predictions in the popular press were renowned for their inaccuracy.

The KFF provides reliable, accurate, and non-partisan information to help inform health policy in the US. The KFF has just released its ‘Health Misinformation Tracking Poll Pilot‘ examining the public’s media use and trust in sources of health information and measuring the reach of specific false and inaccurate claims surrounding three health-related topics: COVID-19 and vaccines, reproductive health, and gun violence. It makes grimm reading indeed. Here are but a few excerpts pertaining to health/vaccination:

Health misinformation is widespread in the US with 96% of adults saying they have heard at least one of the ten items of health-related misinformation asked about in the survey. The most widespread misinformation items included in the survey were related to COVID-19 and vaccines, including that the COVID-19 vaccines have caused thousands of deaths in otherwise healthy people (65% say they have heard or read this) and that the MMR vaccines have been proven to cause autism in children (65%).

Regardless of whether they have heard or read specific items of misinformation, the survey also asked people whether they think each claim is definitely true, probably true, probably false, or definitely false. For most of the misinformation items included in the survey, between one-fifth and one-third of the public say they are “definitely” or “probably true.” The most frequently heard claims are related to COVID-19 and vaccines.

Uncertainty is high when it comes to health misinformation. While fewer than one in five adults say each of the misinformation claims examined in the survey are “definitely true,” larger shares are open to believing them, saying they are “probably true.” Many lean towards the correct answer but also express uncertainty, saying each claim is “probably false.” Fewer tend to be certain that each claim is false, with the exception of the claim that more people have died from the COVID-19 vaccines than from the virus itself, which nearly half the public (47%) recognizes as definitely false.

Across the five COVID-19 and vaccine related misinformation items, adults without a college degree are more likely than college graduates to say these claims are definitely or probably true. Notably, Black adults are at least ten percentage points more likely than White adults to believe some items of vaccine misinformation, including that the COVID-19 vaccines have caused thousands of sudden deaths in otherwise healthy people, and that the MMR vaccines have been proven to cause autism in children. Black (29%) and Hispanic (24%) adults are both more likely than White adults (17%) to say that the false claim that “more people have died from the COVID-19 vaccine than have died from the COVID-19 virus” is definitely or probably true. Those who identify as Republicans or lean towards the Republican Party and pure independents stand out as being more likely than Democratic leaning adults to say each of these items is probably or definitely true. Across community types, rural residents are more likely than their urban and suburban counterparts to say that some false claims related to COVID vaccines are probably or definitely true, including that the vaccines have been proven to cause infertility and that more people have died from the vaccine than from the virus.

Educational attainment appears to play a particularly important role when it comes to susceptibility to COVID-19 and vaccine misinformation. Six in ten adults with college degrees say none of the five false COVID-19 and vaccine claims are probably or definitely true, compared to less than four in ten adults without a degree. Concerningly, about one in five rural residents (19%), adults with a high school education or less (18%), Black adults (18%), Republicans (20%), and independents (18%) say four or five of the false COVID-19 and vaccine misinformation items included in the survey are probably or definitely true.

________________________________

If you have followed some of the comments on this blog, you might find it hard to be surprised!

I do encourage you to read the full article.

The autum seems to be the season for awards. I recently mentioned the ‘Gloden Plank‘ and now The Skeptic announced the Ockham Awards the annual awards celebrating the very best work from within the skeptical community. The awards draw attention to people who work hard to promote skepticism. The Ockhams honour outstanding campaigns, activism, blogs, podcasts, and other contributors to the skeptical cause.

Nominations for the 2023 Ockham Awards are now open! Simply complete the nomination form to submit your nominations.

A photograph of the Rusty Razor award: a rusty classic style straight razor encased in plastic with "The Rusty Razor" etched at the bottom.

The Rusty Razor is an entirely different award. It recognises individuals or organisations who have been prominent promoters of unscientific ideas within the last year. Last year’s Rusty Razor went to the Global Warming Policy Foundation, set up in 2009 by climate change denier Nigel Lawson. The Foundation has published several reports downplaying the threat of climate change.

Previous Rusty Razor winners included

  • Dr Mike Yeadon for his anti-vaccination BS,
  • Dr Didier Raoult for his promotion of hydroxychloroquine as a treatment for COVID-19,
  • Andrew Wakefield for his ongoing promotion of anti-vaxx misinformation,
  • Gwyneth Paltrow for her pseudoscience-peddling wellness empire, Goop.

The awards are, as always, based on the nominations received from the skeptical community. This is your chance to see your skeptic hero and your most prolific charlatan regognised.

So, what are you waiting for? Submit your nominations now!

Nominations will close on September 9th. Winners will be chosen by the editorial board of THE SKEPTIC, and the winners will be announced at QED in Manchester on September 23rd.

The “Golden Plank in Front of the Head” is a satirical negative prize awarded since many years by the Vienna Sceptics. It is given to people and organisations who seek money, fame or influence with scientifically refuted theories, although they should have known better long ago. From miracle healers to divining rods – the world of esoteric nonsense is large and wide. At the “Golden Plank” award ceremony, the year’s highlights are presented and the most outstanding of them is chosen.

It is goof fun – I remember that once even Charles Windsor had been nominated – and have reported about this award before; e.g.:

An Austrian paper just reported the good news that, after the interruption due to the pandemic, the previously yearly event is happening again:

The years of the pandemic and Russia’s war of aggression against Ukraine have led to even the most nonsensical counterfactual and anti-scientific theories finding an audience. Often enough, these claims themselves came along in the white cloak of science – but in doing so, they twisted the findings of scientific studies or referred to those that were highly questionable.

The list of possible candidates is correspondingly long … some of the masterminds of the anti-vaccination and anti-pandemic movement such as the doctor Maria Hubmer-Mogg, her colleague Andreas Sönnichsen, who called the Covid vaccinations “the biggest medical scandal of all time”, and the psychiatrist Raphael Bonelli.

Political scientist Ulrike Guérot qualified as a candidate on several occasions – both with her claims during the pandemic and on the Russian war against Ukraine (“thus it becomes clear that Ukraine was given the role of starting a war with Russia on behalf of the West”).

But also former science journalists like Peter F. Mayer, who continues to twist scientific studies at will on a daily basis with his tkp blog, and Bert Ehgartner have made their sweary contributions to vaccination scepticism in Austria, which now also affects many other life-saving vaccinations. The role of some media and their representatives in the recent dissemination of anti-scientific nonsense and conspiracy ideologies, which are sometimes themselves more or less cleverly disguised as satire, should not be underestimated.

Finally, in recent months, one or the other politician – keyword: “Science is one thing, facts are another” – has manoeuvred himself into a promising position. Among the parties, the MFG, which has made anti-science part of its programme, comes to the fore. But the climate change small talkers of the ÖVP and FPÖ would also deserve a censuring mention – as well as that Austrian ruling party that has its own anti-nuclear spokesperson.

We don’t want to prejudge your favourites here, however, and look forward to receiving as many suggestions and reasons as possible. There is a separate page to officially nominate them. From all online submissions, a jury will select three finalists and finally this year’s winner. In addition, as is tradition, a “Golden Board for Lifetime Achievement” will also be awarded.

The awards ceremony will take place on 5 October 2023 in the Vienna Stadtsaal. This year, for the first time, there will also be an audience award, which will be decided live by the guests. Martin Puntigam from the Science Busters and Andre Wolf from Mimikama will host the evening. The laudations will be given by medical historian Daniela Angetter-Pfeiffer, psychiatrist and neurologist Heidi Kastner and health scientist and epidemiologist Gerald Gartlehner. According to the organisers, it will be an evening to learn, to laugh and to shake one’s head.

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If you want to nominate someone of your choice (I believe they consider international charlatans as well), you can do it here: Das Goldene Brett 2023 – Der Negativpreis 🏆 (goldenesbrett.guru)

My ‘ALTERNATIVE MEDICINE HALL OF FAME‘ (the group of people who have managed to publish nothing but positive findings about a dubious therapy) currently consists of 20 members (unless I have forgotten somone, which is possible, of course):

  1. Jorge Vas (acupuncture, Spain)
  2. Wane Jonas (homeopathy, US)
  3. Harald Walach (various SCAMs, Germany)
  4. Andreas Michalsen ( various SCAMs, Germany)
  5. Jennifer Jacobs (homeopath, US)
  6. Jenise Pellow (homeopath, South Africa)
  7. Adrian White (acupuncturist, UK)
  8. Michael Frass (homeopath, Austria)
  9. Jens Behnke (research officer, Germany)
  10. John Weeks (editor of JCAM, US)
  11. Deepak Chopra (entrepreneur, US)
  12. Cheryl Hawk (US chiropractor)
  13. David Peters (osteopathy, homeopathy, UK)
  14. Nicola Robinson (TCM, UK)
  15. Peter Fisher (homeopathy, UK)
  16. Simon Mills (herbal medicine, UK)
  17. Gustav Dobos (various SCAMs, Germany)
  18. Claudia Witt (homeopathy, Germany/Switzerland)
  19. George Lewith (acupuncture, UK)
  20. John Licciardone (osteopathy, US)

Today, it is time to add the 21st member. My last post was about a weird study co-authored by someone who struck me as truly remarkable. Terry Oleson is employed by the Department of Traditional Oriental Medicine, Emperor’s College of Traditional Oriental Medicine, Santa Monica, CA, USA. On ‘research gate‘, he describes his expertise as follows:

  • Cognitive Psychology
  • Clinical Psychology
  • Biological Psychology
  • Clinical Trials
  • Addiction Medicine
  • Allied Health Science

Oleson received his BA in Biology from the University of California, Santa Barbara, in 1967, his MA in Psychology from California State University at Long Beach in 1971, and his PhD from UC Irvine in 1973. He went on to conduct a postdoctoral scholarship at UCLA at that time, where he conducted pioneering research in auricular diagnosis and auriculotherapy. Since many years, Oleson has published on auricular acupuncture and acupressure, at least one book and the papers listed below. This is an oddly dubious and biologically implausible so-called alternative medicine (SCAM). Terry Oleson – whom I never knowingly met in person – and his research are all the more remarkable: in his hands auricular therapy seems to work of just about everything:

  1. Effect of auricular acupressure on postpartum blues: A randomized sham controlled trial. Alimoradi Z, Asgari S, Barghamadi S, Hajnasiri H, Oleson T, Griffiths MD.Complement Ther Clin Pract. 2023 Aug;52:101762. doi: 10.1016/j.ctcp.2023.101762. Epub 2023 Apr 10.PMID: 37060791
  2. Auriculotherapy stimulation for neuro-rehabilitation.  Oleson T.NeuroRehabilitation. 2002;17(1):49-62.PMID: 12016347
  3. Acupuncture: the search for biologic evidence with functional magnetic resonance imaging and positron emission tomography techniques. Cho ZH, Oleson TD, Alimi D, Niemtzow RC.J Altern Complement Med. 2002 Aug;8(4):399-401. doi: 10.1089/107555302760253577.PMID: 12230898
  4. Commentary on auricular acupuncture for cocaine abuse. Oleson TD.J Altern Complement Med. 2002 Apr;8(2):123-5. doi: 10.1089/107555302317371406.PMID: 12013511
  5. Clinical Commentary on an Auricular Marker Associated with COVID-19. Oleson T, Niemtzow RC, Pock A.Med Acupunct. 2020 Aug 1;32(4):176-177. doi: 10.1089/acu.2020.29152.com. Epub 2020 Aug 13.PMID: 32913483
  6. Comparison of Auricular Therapy with Sham in Children with Attention Deficit/Hyperactivity Disorder: A Randomized Controlled Trial. Binesh M, Daghighi MR, Shirazi E, Oleson T, Hashem-Dabaghian F.J Altern Complement Med. 2020 Jun;26(6):515-520. doi: 10.1089/acm.2019.0477. Epub 2020 May 20.PMID: 32434376
  7.  Application of Polyvagal Theory to Auricular Acupuncture.Oleson T.Med Acupunct. 2018 Jun 1;30(3):123-125. doi: 10.1089/acu.2018.29085.tol.PMID: 29937963
  8. The effect of ear acupressure (auriculotherapy) on sexual function of lactating women: protocol of a randomized sham controlled trial. Barghamadi S, Alimoardi Z, Oleson T, Bahrami N.Trials. 2020 Aug 20;21(1):729. doi: 10.1186/s13063-020-04663-x.PMID: 32819441
  9.  Randomized controlled study of premenstrual symptoms treated with ear, hand, and foot reflexology. Oleson T, Flocco W.Obstet Gynecol. 1993 Dec;82(6):906-11.PMID: 8233263
  10. Auricular electrical stimulation and dental pain threshold. Simmons MS, Oleson TD.Anesth Prog. 1993;40(1):14-9.PMID: 8185085
  11. Rapid narcotic detoxification in chronic pain patients treated with auricular electroacupuncture and naloxone. Kroening RJ, Oleson TD.Int J Addict. 1985 Sep;20(9):1347-60. doi: 10.3109/10826088509047771.PMID: 2867052
  12. Investigation of the effects of naloxone upon acupuncture analgesia. Oleson TD.Pain. 1984 Jun;19(2):201-4. doi: 10.1016/0304-3959(84)90872-8.PMID: 6462730
  13.  Electroacupuncture & auricular electrial stimulation. Oleson TD, Kroening RJ.IEEE Eng Med Biol Mag. 1983;2(4):22-6. doi: 10.1109/MEMB.1983.5005987.PMID: 19493718
  14. An experimental evaluation of auricular diagnosis: the somatotopic mapping or musculoskeletal pain at ear acupuncture points. Oleson TD, Kroening RJ, Bresler DE.Pain. 1980 Apr;8(2):217-229. doi: 10.1016/0304-3959(88)90009-7.PMID: 7402685

14 papers about a dodgy SCAM without the hint of a negative finding! I hope we can all agree that this achievement makes Terry a worthy member of my ‘HALL OF FAME’, a group of people who, like Terry, have been able to publish nothing but positive findings about the most dubious SCAMs.

Welcome Terry!

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