More Dying Patients Being Denied Access to Dr. Burzynski’s Life-Saving Treatment

Thus screams the headline at the website of the Alliance for Natural Health, a group who would normally hates pharmaceutical companies but for some inexplicable reason seems inclined to give Burzynski a free pass.

The Alliance for Natural Health is of course pimping its Action Alert round the quackosphere. They want their followers to write to their representatives demanding that Stanislaw Burzynski is allowed continued access to dying people.

Obviously that’s not quite how they present it: instead they plead for dying patients to be allowed access to Burzynski’s “lifesaving” treatment.

One small problem: there is no credible evidence it saves lives. Diligent investigation has failed to find a single person whose survival is beyond the limits of expectation of either an indolent tumour, prior treatment (surgery, radio and chemotherapy), or the natural course of the disease.

Burzynski begs to differ. He has registered 61 clinical trials, of which one was completed and has never been fully published. Cherry picked results are released through zero impact and predatory open-access journals. An “Independent” study from Japan (conducted by a research collaborator, so not independent) reportedly confirms the effect. Or rather, it doesn’t confirm it.

Overall survival was not statistically improved (p=0.105) in the AN arm (n=32).

But all is not lost!

Antineoplastons (A10 Injection and AS2-1) might be useful as adjunctive therapy in addition to HAI after hepatectomy in colorectal metastases to the liver.

Based on what? The fact that it doesn’t kill the patients but doesn’t cure them either, is a null result.

So why do the ANH support this pharmaceutical manufacturer in making his specious claims ? Actually the reason’s not that hard to see: Burzynski portrays himself as supplying a “natural” treatment (even though, as a synthesised analogue of a compound found in urine, it is no more or less natural than aspirin) – and of course he’s being oppressed by The Man.

Why oh why does the FDA hound Burzynski so? What has he ever done to deserve it? Other than selling an unproven treatment as if it was proven, setting up fake “clinical trials” in order to keep doing so, failing to report life-threatening adverse events for years at a time, changing the rules on a whim with the approval of an institutional review board run by someone with a vested interest in the clinic, employing unlicensed doctors, using propaganda in lieu of evidence, destroying vital original medical records, telling patients that progression is the cancer “dying form the inside”?

Oh, and and blaming parents for the deaths of children when they finally discontinue the toxic treatment in the last weeks of life to give the kid less misery at the end. What a prince.

Stanislaw Burzynski had an idea four decades ago. At the time, nobody knew if it was right or wrong. Convinced he was right, he was determined not to share the glory (and the money) so he set up in business on his own despite having no training in oncology and not even being board certified in internal medicine.

He started selling his treatment as safe and effective; after many years he was stopped from making this illegal claim, and forced to administer it only under clinical trials. His lawyer freely admits the trials were an artifice designed to allow business as usual.

Three times the FDA inspected his institutional review board and found a litany of ethical violations.

Eventually a boy died, and the scam was shut down for a while. And now it’s grinding its way through the Administrative Courts with the Texas Medical Board.

The easiest way out of all of this would be a bit of legislative alchemy: passing a law that says the treatment works, thereby exempting Burzynski from all the tiresome business of evidence and science that he clearly has no intention of pursuing.

And the ANH want to help. Because ideology is vastly more important than protecting vulnerable people from charlatans.

On glutenbollocks

I have coeliac disease. I have always had coeliac disease, but I was only diagnosed a couple of years ago. The diagnosis is the best thing my holistic healer (i.e. my GP) ever did for me: suddenly my health history makes sense, and since diagnosis I am free of IBS, migraine and a load of other symptoms.

Coeliac disease is no big deal these days: gluten free food is widely available. But there’s a sting in that particular tale. Consider, for example, Reading’s gluten-free coffee shop, Nibsy’s. Yes, everything is gluten fee, including the flapjack. I did not need to go into the usual rigmarole about cross-contamination, there is no gluten in the place. I asked if the proprietor was coeliac, and was instead presented with a copy of Wheat Belly (aka Wheat Bollocks) by William Davis. I felt almost guilty pointing out that virtually everything in the book is misrepresented, mis-quoted or plain wrong.

I was chatting to a restauranteur about this, and he expressed great irritation that people would come in, loudly demand gluten free, and then eat a gluten-laden pudding because while they are “a bit gluten sensitive” it’s OK to eat some gluten. For a coeliac, even a stray crouton dropped in the soup vat can lead to a day of misery.

I don’t know any coeliac who loudly demands anything. Most will ask detailed questions to assess awareness of cross-contamination and the difference between “no gluten containing ingredients” and gluten free.

Some places are really good: Pizza Express and Carluccio’s are on my completely safe list. So is the Flowing Spring,  a local pub that caters for all kinds of dietary problems, and also serves fantastic music events as a sideline. Top choice for special outings.

Others, not so much. The canteen at my last contract: the chef made a soup containing sausage, and did not realise that most sausage contains gluten. Lovely lady, tried so hard to be helpful, but was not properly trained up (thankfully the food labelling regulations help here).

There’s another problem: places populated by self-diagnosed “gluten sensitive” hipsters who aren’t, where lax kitchen practices are simply never put to the test – until and actual coeliac  has the misfortune to cross the threshold.

Non-coeliac gluten sensitivity may or may not exist. Coeliac is under-diagnosed and pretty common, so it is difficult to say what proportion of people who feel relief after switching to a GF diet are, in fact, coeliac. But the majority of diagnoses of gluten sensitivity other than by TTGA blood test and/or duodenal biopsy, are questionable.

To quacks and charlatans (e.g. hair analysis peddlers), gluten sensitivity is basically a free pass. Gluten is always evil, therefore diagnosing sensitivity is never a problem. People will switch to a GF diet, which means being more careful about what they eat, and will usually enjoy at least short-term improvements through the usual grab-bag of placebo and nocebo mechanisms. And that’s the real evil: persuading people to adopt a restrictive diet, which is more expensive and may well lack key nutritional components such as folate fortification of bread flour, for no purpose other than ideology.

I benefit from the wider availability and higher profile of gluten free food. I am massively annoyed by glutenbollocks. I am, in short, conflicted.

The Faculty of Homeopathy – evidence for homeopathy, seasonal allergic rhinitis

The Faculty of Homeopathy have a page summarising the evidence on homeopathy. Astoundingly, it finds that homeopathy is effective for some conditions. It has been noticed that their analysis of the evidence is, to put it charitably, upbeat.

I thought I’d have a quick look at the page on randomised controlled trials. The results were predictable, but it’s actually quite remarkable how open they were about the poor quality of evidence overall. They have had their pick of the cherries, and most of them turn out to have maggots in them. Continue reading The Faculty of Homeopathy – evidence for homeopathy, seasonal allergic rhinitis

A Skeptical Critic Answers A Homeopath Answers To Skeptical Critics

Oh how I love a softball interview of one quack by another. In A Homeopath Answers To Skeptical Critics, a webshite littered with non-words like “wellness” interviews the head confectioner at Boiron, makers of the canonical quack remedy.

Debunking?  It would be rude not to. Continue reading A Skeptical Critic Answers A Homeopath Answers To Skeptical Critics

Homeopaths to Jimmy Wales: please rewrite reality to make us not wrong

Hot half-dressed woman. Therefore homeopathy.
Homeopathy: at least as effective as painting flowers on your leg. Probably.

Most quacks hate Wikipedia, and homeopaths hate it with a passion.  Homeopathy is the second most contested article on Wikipedia, after Jesus, and this spreads across multiple language versions of Wikipedia.

The root of their hatred is that Wikipedia has policies that favour science and rationalism. It’s not that Wikipedia is biased against homeopathy,  but that science finds it preposterous.

Here’s what a group of homeopathy shills under the umbrella of “Homeopathy Works For Me”  had to say for themselves:

Due to the public response of Jimmy Wales, founder of Wikipedia, to over 8000 signatures on a petition asking him to allow the Wikipedia page on Homeopathy to be edited in a more neutral and objective way we distance ourselves from the information presented therein. We find Jimmy Wales’ comments about homeopathy and his blatant prejudice against complementary and alternative medicine to be unjustified.

If you wanted to win the World Cup, would you turn up with a hockey stick and then complain that the rules are skewed against you?

What response? There is a petition about homeopathy, but the one where we have a record of Jimmy responding to 8,000 quacks was in respect of “energy psychology”.

The problem in any case is reality, not what is written about reality in an online encyclopaedia. This is genuinely not Wikipedia’s problem to fix. As Jimmy said in his memorable diatribe against the “lunatic charlatans“:

Every single person who signed this petition needs to go back to check their premises and think harder about what it means to be honest, factual, truthful.

Wikipedia’s policies around this kind of thing are exactly spot-on and correct. If you can get your work published in respectable scientific journals – that is to say, if you can produce evidence through replicable scientific experiments, then Wikipedia will cover it appropriately.

What we won’t do is pretend that the work of lunatic charlatans is the equivalent of “true scientific discourse”. It isn’t.

It’s no a coincidence that homeopathy and Jesus are similarly contended. Throughout Wikipedia’s history, the longest and most bruising battles have been fought between groups of non-Wikipedians deeply vested in an ideology, and the reality-based community within Wikipedia’s own ranks. Creationism, climate change, alternatives-to-medicine, Gamergate – in every case a group of ideologues, often collaborating externally, has made it their mission to “fix” Wikipedia’s “bias”.

They fail not because Wikipedia is biased, but because Wikipedia reflects the real world and in the end the real world always tends to recognise bullshit. Nature can’t be fooled. The quacks state:

It is our position that patients, prospective patients and other interested parties view the Wikipedia page on homeopathy to be inaccurate and heavily biased: it is not currently a credible source of information

Well, they might very well think that. And the thing about Wikipedia is that if they come along to the Talk page and they can provide a credible argument with good sources, then the article will change.

They don’t. They advance the same endless litany of refuted nonsense. And very often they become so incandescent with wrongteous anger that they get themselves banned. This is further hailed as evidence of Wikipedia’s bias, but as the fate of the “five horsemen” targeted by Gamergate trolls demonstrates, Wikipedia does not show favour in this respect.

Homeopathy Science
hwfm science

Homeopathy vs. science: spot the difference.

To be blunt, Wikipedia does not care one way or the  other: Wikipedia has no vested interest in homeopathy, energy psychology, the age of the earth or anything else very much. This is not a conflict between opposing extremes, as the quacks portray it, it’s a conflict between dogma and reality. Science has a complete, coherent, internally and externally consistent explanation for all the observed facts, homeopaths don’t like it but they have nothing to stand in its place other than statements of doctrine.

seahorse-argument-invalid
Example of the success of redefining terminology in order to appear right when you are in fact wrong.

The reason homeopaths fail on Wikipedia is interesting in itself, and is related to the core issues with the notorious Swizz Report. They dispute the result because they are not playing the same game. Their view of a good study is how well it supports their beliefs and practices, ours view is based on how well it controls for bias and confounding.

Consider: if you wanted to win the World Cup, would you turn up with a hockey stick and then complain that the rules are skewed against you? Your arguments failed, quacks, we won’t change the rules, so you need to bring better arguments.

As Feynman pointed out, it doesn’t matter how beautiful your theory is, it doesn’t matter how smart you are. If it doesn’t agree with experiment, it’s wrong. And homeopathy disagrees with experiment, at least when the experiment is competently conducted and honestly reported.

Wikipedia’s coverage of quackery is hated by quacks precisely because it is accurate, unbiased and credible, It is not promotional. It is dispassionate. Not all the people who edit the article are dispassionate, and that’s true of every Wikipedia article, but the structures mean that most of the time, over most subjects, the content develops towards something which is agreed by all parties to be accurate and neutral. In the long term, reasoned argument and good quality sources works, hysterical accusations of bias and malfeasance simply get you shown the door.

Regu late than never

In April 2014 a complaint was upheld by the ASA against Dr. Philips Idahosa and his “www.mobilepsychiatricclinic.co.uk” website (now shut down). The complaint was by Stephen Barrett, MD., of Quackwatch.

Back in December 2012 I compiled a complaint to the GMC on the grounds that Idahosa was advertising chelation and orthomoleculaer treatment (code for megadoses of vitamins) for conditions including:

  • Personality disorders
  • Learning disabilities
  • Bipolar affective disorder
  • Autistic spectrum disorders
  • Substance misuse
  • Cancer
  • Preventive heart treatment
  • Down’s syndrome
  • Sickle cell disease
  • Dementia

There is no evidence that either therapy is effective for any of these complaints.

Evidence submitted by Idahosa in defence included the NIH press release from the execrable TACT trial, a page from cardiorenew-europe, a blog post from an American “integrative” medicine provider, an advertorial from an American contender for the hotly contested “most misleading health website” crown, and the TACT trial itself.

Although he was promoting chelation for autism, none of the sources he provided showed any benefit for autism.

The TACT trial was deeply flawed (I can’t think of many other trials whose experimenters included people with convictions for dishonesty), and it provided weak evidence for heart disease only through p-hacking. Chelation is not part of the standard of care for heart disease in the UK and is unlikely ever to be so.

After more than two years – the complaint was accepted in January 2013 – the GMC has consented to voluntary erasure from the medical register. As of 16 June 2015, Idahosa’s record on the GMC register of practitioners, reference no. 4685553, shows status of: “Not Registered – Having relinquished registration”.

It’s a sad story on several levels.

How many vulnerable people were scammed in the two and a half years it took to stop Idahosa?

What a shame that Idahosa chose to throw his toys out of the pram rather than comply with standard of care. A waste of his time, effort, education and experience.

What a pity the GMC don’t proactively monitor these things.

But, most of all, the terrifying truth: if the zombie corpse of the Saatchi Bill is reanimated by the Doctor Frankenstein of British political intrigue, the public would have no such protection. Idahosa would need only to have found one or two other doctors (among something like 240,000) who would support him, and he’d be protected.

Think about that.

A man who proposes a risky procedure approved only for acute heavy metal poisoning, to treat autism, on the entirely bogus grounds that the tiny trace of mercury that is no longer included in vaccines and hasn’t been for some years, is the root cause of the condition, even though a massive body of evidence shows this to be complete bollocks. And the Saatchi bill would allow him to carry on peddling his delusions to the vulnerable.

Chilling.

Proud member of the reality-based community

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