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Snake Oil Medicine

Written by Lee Schneider,  founder of DocuCinema

marathon_DSC_0076I was training for a marathon but my left knee wasn’t along for the ride. It filed a complaint with the rest of my body. There was a long line at the somatic complaint window that day, so by mile 11 nobody in authority was listening to the knee.

KNEE: Hey, brain! Can’t you stop this jerk from running?

BRAIN: Relax, babe. Who’s that, the left knee?

KNEE: Paying attention is supposed to be your job.

BRAIN: Babe, coupla miles, this thing’s over. Focus on that.

KNEE: Hey, you focus on me, babe, because when I quit, you are just a piece of meat. You are a piece of meat on a stick, sitting in a chair, watching TiVO.

BRAIN: You’re being rude. I will now ignore you.

KNEE: Oh, yeah? I am going to mess you up!

Actually, the knee didn’t say that. It said something unprintable here. (Sometimes children read this blog.) But it made its move – it decided to stop working. Suddenly, I was limping. The training run was over and I limped right into three months of physical therapy. I got the ice packs, the weight training, the electrical stimulation, the whole deal.

I didn’t like feeling sick and weak, so I turned to acupuncture. Having somebody stick needles in you – and paying them for it – can sound nuts. I felt at home, however, with the idea of moving qi around and showing my knee how it might heal. It worked. I’m running well again.

There are lots of respectable doctors lining up to say that acupuncture is a sham.

One doc, writing in his Respectful Insolence blog, cites a research study demonstrating that when practitioners faked doing acupuncture it “worked” just as well as the real thing. Doing fake acupuncture meant using specially designed needles that retracted into the needle hub before hitting the skin.

Could acupuncture be nothing more, than “an elaborate and fancy placebo”?

David Gorski, writing in Science-Based Medicine, slammed the methods of one study that suggested acupuncture resulted in changes in the brain but didn’t make pain patients feel better. Harriet Hall, also writing for Science-Based Medicine, pointed out flaws in a study examining acupuncture to treat heartburn. If people felt better, she wrote, it was because they believed in acupuncture, not because the medicine of acupuncture was doing anything.

“It doesn’t matter what you do to the patient; all that matters is what the patient believes you did.”

- Harriet Hall

I get the sense that some of these docs are sorta pissed off. R.W. Donnell, writing in his blog Notes from Dr. RW, refers to researchers’ efforts to understand alternative and integrative medicine as “academic medical woo” and “quackademic medicine.” His terms are catchy, but he references Wikipedia as a source and also quotes a report originally published in 1910. Wikipedia is often wrong; things have changed a tad since 1910.

Nevertheless, all these folks are right to get tough. Why? Anything labeled “therapeutic” had better work and better not harm anybody.

VioxxMerck had to withdraw the “therapeutic” painkiller Vioxx following reports that it increased rates of strokes and heart attacks.  We want people looking at treatments closely. This benefits everyone.

Acupuncture doesn’t hurt anybody. Many believe that it works. While “believe” might be the operative word there, the evidence to satisfy the skeptics isn’t here yet. Still, their criticism makes the research better.

Have you tried any “alternative” medicine? How’d it work for you?

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Heal Yourself

Written by Lee Schneider, founder of DocuCinema

Ear ExamIf your ear gets clogged does it mean that you are trying to avoid hearing something that you don’t want to hear? If you have a cough that won’t quit, could it be that you are “barking” for the world to pay attention?

Everybody knows that illnesses come from “germs” that we “catch.” You fly on a plane with a hundred other people and breathe their exhaust. airplane_rainYou hang around a kid with green stuff coming out of his nose and soon you have green stuff coming out of your nose. But then, strangely enough, one day you go for a run in the rain, jump on a plane and later stop to wipe a few runny noses of strangers in the airport and come through just fine. What’s going on? Why do illnesses show up at certain times and not at others?

Could be that your mind is playing a role in the illness drama.

The term psychosomatic was coined in 1860 to define a disorder having physical symptoms, but originating from mental or emotional causes. This sounds like the illness I used to stay home from school. The symptoms included sore throat, dizziness and dementia and the cause was usually an upcoming test.

Can the same be said of a “real” illness? Can you heal with a shift in attitude? Consider this: If you think the same thought again and again it becomes a feedback loop in your mind. What if that feedback loop was not limited to your mind? What if you are programming your body as well without realizing it?

Louise_HayLouise Hay, a writer and lecturer, believes we’re programming ourselves to be ill or well. We have a choice. She claims to have cured her own cervical cancer by using affirmations and concluded that the cause of the cancer was her unwillingness to let go of resentment over a tragic childhood.

Hang on, before I lose you here, we need to track back to where Hay originally got her ideas. She read metaphysical essays by 1920s-era authors like Frances Scovel Shinn, who said that positive thinking could change people’s outward world. She also read the founder of the Religious Science movement, Ernest Holmes, who taught that positive thinking could heal the body.

At the time of these writings doctors were still administering whiskey as a painkiller. Medicine has changed a lot since then. But people haven’t evolved much. (Whiskey still works as a painkiller.) It’s intriguing to consider what attitudes Hay says contribute to illness. A sampling:

  • Abdominal cramps, she says, are about fear, and “stopping the process.”
  • Knee troubles are expressions of pride and ego.
  • Post-nasal drip represents “Inner crying. Childish tears. Victim.”
  • Stiff neck is the expression of unbending bullheadedness.

She even says that you might catch poison ivy when feeling defenseless and open to attack. My personal “BS” meter hits the red zone on that one, but I have to admit that Hay is giving us a tool to take control of our own wellness. She and others like medical intuitive Dr. Mona Lisa do not offer cures, but they suggest that the ability to heal has a lot to do with the way your mind interacts with your body.  Could it be that the metaphysical religious thinkers of the 1920s may have pointed to a healthier future for everyone?


Backlash

needlesmallrThis week’s Newsweek cover article is a slap at Oprah Winfrey for crazy talk about complementary and integrative medicine. Oprah does cover some fringe stuff that is wacky and sometimes wrong. But I think she’s right to do it. Here’s why.

The history of medicine is smeared with snake oil. It was once believed that drinking oil – not olive oil, but the black stuff that comes out of the ground – had healthy properties. Even today, some swear that drinking apple cider vinegar helps digestion and whacks infections, but it may actually damage tooth enamel and sear the esophagus.

Newsweek slaps Oprah for going out on a slippery snake oil limb, promoting people like Suzanne Somers and her aggressive program of hormone replacement therapy. Somers, 62, takes 60 vitamins and supplements and also gives herself a shot of estrogen directly into her vagina. Newsweek portrays her as laughable, but I agree with Oprah – Somers might be a pioneer. Self-experimenters have often advanced science. newtonAt the age of 22, Sir Isaac Newton nearly blinded himself by staring at the sun in a mirror because he wanted to study the after-images it left on his retinas. barryAustralian physician Barry James Marshall swallowed some foul-smelling bacterial crud to show that Helicobacter pylori caused ulcers. Sir Issac ended up with marks on his eyelids; but Marshall ended up with a 2005 Nobel Prize for linking the bacterial crud, H. pylori, to ulcers. I’m not saying Suzanne Somers is going to surprise us with a treatise on gravity, but she has courage.

“Everyone was against me, but I knew I was right.” — Barry James Marshall

The line between courage and dumbness, however, can be slim. Jenny McCarthy, another frequent Oprah guest, believes that her son Evan contracted autism because he received a measles, mumps and rubella (MMR) vaccination. So far researchers haven’t found a link between vaccinations and autism. We do know, as Newsweek points out, that the vaccinations have saved the lives of thousands of children who otherwise might have died.

Facts like that don’t seem to change McCarthy’s belief. “My science is named Evan, and he’s at home. That’s my science.”

Speaking of belief, look at “The Secret.” Oprah led the charge for it, and it has some good stuff, reminding us that we are all fields of energy in a larger field of energy. But it also stated that all diseases can be cured by the power of thought alone. That’s going too far. Even super-Secret supporter Oprah had to caution a guest on her show who had breast cancer and who was thinking of forgoing surgery against the advice of her doctors. Said Oprah, “I don’t think that you should ignore all of the advantages of medical science, and try to, through your own mind now because you saw a Secret tape, heal yourself.”

Yet Oprah knows people can heal themselves with Qi Gong, meditation, yoga, acupuncture. She’s not afraid to promote this “new” medicine, a medicine that is actually old, embracing the best of East and West.

Newsweek is going backward, contributing to the backlash against new medicine. Oprah is going forward by supporting medical pioneers. While looking into the sun, drinking crud or shooting up in the vagina may not seem so brilliant, breakthroughs come from acts of courage or folly and sometimes both.


What is Healing, Anyway?

hand_v4_3167

Written by Lee Schneider, founder of DocuCinema.

Healing is hard to quantify. Does it mean, “My back has stopped hurting by a factor of 45 percent?” Does it mean, “I don’t wake up at night because of those nightmares of being chased by thousands of cats. I only wake up now because I dream of 50 cats?” Does it simply mean, “I feel better?”

Not all healing involves ripping off the band aid and seeing the healing with your own eyes. It can be invisible.

istock_000008697553xsmallSome have experienced the invisible kind of healing using a technique called Reiki. Reiki involves moving the hands over the patient or lightly touching them. Afterward people have reported feeling balanced energetically or feeling more centered. But how does it work?

“Medicine doesn’t understand how Reiki works.” said Pamela Miles, founding director of the Institute for the Advancement of Complementary Therapies, when I recently interviewed her about Reiki. I’m working on a project about integrative and complementary therapies. As a science-oriented guy I’ve been curious about these therapies because often science can’t explain how they work but they seem to help people a lot. I’ve seen yoga reduce my stress levels. My mother stopped smoking after acupuncture treatments. There’s a mystery here and I want to know more about it.

“When I place hands on someone it’s like feeling an orchestra in my palms – I feel many different notes and qualities of vibration and it keeps changing,” says Miles.

What is science supposed to do with that? What is she transmitting through her hands? Life force energy? Mind energy? It might involve electromagnetic forces. Using a magnetometer to measure electromagnetism, some researchers claim to have seen the energy of Reiki moving from practitioner to patient. (Others say they have no idea what they’re measuring.) But even more interesting is the belief system involved for Reiki to work: you don’t need one. It works anyway, regardless of your belief system or even lack of one.

Scientists, being the take-measure types they are, have taken a shot at trying to understand the success of Reiki. One study suggested that Reiki can speed the healing of skin wounds. Another at Memorial Sloan Kettering Center in New York City looked at how Reiki and meditation might reduce anxiety, fatigue and pain in cancer patients. During the study, the intensity of those symptoms dropped by half. Results like that have encouraged mainstream health care providers to offer Reiki treatments as part of a hospital program. New York’s Memorial Sloan Kettering, Boston’s Dana Farber/Harvard Cancer Institute and Yale-New Haven Hospital are all in.

Nobody knows why, but Reiki seems to help the body engage in self healing. “With Reiki,” Miles says, “patients get a chance to participate actively in their health care and regain a sense of control.” They become partners in their own care, and that, most doctors would say, is a key reason why this form of invisible healing seems to be so effective. I wonder how science will develop the tools to measure something like that. For me, it’s a mystery worth investigating.

Stay curious and see you next Thursday.