Dr. Oz Gets What He Deserves

This news is almost too easy to comment on:

Dr. Mehmet Oz, host of "The Dr. Oz Show," was grilled Tuesday by senators on Capitol Hill about the promotion of weight loss products on his show.

Senators grill Dr. Oz about 'miracle' weight loss claims

Yes... he is a peddler of nonsense and just pure crap. Whether he is just a "cheerleader" for his crowd (see above), or he really believes in what he preaches, is irrelevant. As a doctor, he should know better how to tell real science from woo-woo.

Do I think he really believes in all he "sells"? I dare to say, probably not, as evidenced in this short bit from his interview a while ago:

Oz sighed. “Medicine is a very religious experience,” he said. “I have my religion and you have yours. It becomes difficult for us to agree on what we think works, since so much of it is in the eye of the beholder. Data is rarely clean.” All facts come with a point of view. But his spin on it—that one can simply choose those which make sense, rather than data that happen to be true—was chilling. “You find the arguments that support your data,” he said, “and it’s my fact versus your fact.”

I wrote about it here...

What's the Harm? - Part 2

So, after a brief hiatus on my part, with too many projects to complete to count, I have time to brows the news from time to time again.

And, after my last post, I have another depressing news item to share from the "what's the harm?" department.

There are news links in Polish here and here (sorry, I could not find an English version).

To summarize:

A six moth old girl was found dead a few weeks ago in the town of Brzezna in the south of Poland, while in care of her parents. It was determined that she had died as a result of malnutrition. After some initial investigation, it was also determined that the parents started using a "natural" approach for the baby's care, including refusal of any vaccines, lack of medical care and a whole bunch of holistic feeding techniques. They attempted to follow advice from a faith healer, who allegedly told the parents to use skim milk and herbs as the baby's diet staple. The healer, called "God's Man" in the area, is well known for advocating abandoning regular medical care and using herbs, fasting and prayer as remedies for any ailments (including cancer!!!).

This case is not the first one for the supposedly "godly" man. A few years ago it was alleged that he had caused a death of a five year old boy, who had kidney problems. After initial, positive reactions to the standard, hospital medical care, the mother took the boy to the healer and believed in his "miraculous" approach, which ultimately resulted in boy's death.

Those two cases are clear answers to the argument for the alternative medicine that I hear very often: "what's the harm?". The answer is very simple, the harm is in believing that unproven, often completely nonsensical treatments can and do work. When someone abandons reason and critical thinking in small cases, it is easy to do the same in cases that can cause harm, death and destruction. Belief in miracles, prayer, alternative medicine (like homeopathy, chiropractic, acupuncture, etc) when your life, or life of your loved ones, is at stake, can really be deadly.

What's the Harm?

What's the harm?
That's a question I hear a lot when discussing alternative medicine and all the included disciplines, like chiropractic, homeopathy, naturopathy, traditional "medicine" (including Chinese medicine), acupuncture, and many others.

I always point out that the harm comes from two sides. One side is the actual lack of medicinal and therapeutic value in all those alt-med offshoots. The other side is the fact that when we suspend our critical thinking in one area, we tend to stop using our brains across the board, and that can lead to more problems with rational decision making.

From time to time I catch a news on the interwebs, that illustrates the first issue so clearly, it is hard to read.

The original link is here (in Polish):
6-latka operowana po "leczeniu" u bioenergoterapeuty
which means: "A six year old undergoes a surgery after being treated by a naturopath" (I'm not sure if there is a better word in English than naturopath).

Let me explain...

In the town of Toruń, in central Poland, a local court ordered a naturopath to close down his "bioenergy" therapy business and pay a fine, after he treated a six-year old for a cold. After the initial session, in which he diagnosed the child with pneumonia, he continued to treat her for a month and a half, prescribing strong steroids (which he's not allowed to do) and treating her fever over the phone. When the parents noticed a large lump between the girl's ribs, they finally took her to a hospital, where she had to have a major surgery to treat her deteriorated lungs and where she spent more than five weeks, some of it in the intensive care unit.

The judge also said that she is planning to bring the case against the parents for failing to provide adequate care to their daughter, which seems to be reasonable, as they refused to take the child to a real doctor for weeks and almost killed their daughter in the process.

Unfortunately, one thing that bothers me is the fact that the naturopath is only required to close down his business for three years! Since the article mentions that he's been doing it for 20 years and that his mother was also a "famous" healer, I bet he'll be back treating people with magic and woo in no time.

Another point that stands out from this article is the fact that the guy has a "bioenergy healer" license. There is a lot of discussion in various states in the US about licensing alt-med "doctors". The opposition usually brings up one great point: any kind of license, legitimizes the profession, which, in case of alt-med is based on magic, wishful thinking and general woo-woo. For a lay person, a license makes the potential therapy look real and puts it on the same level as evidence-based medicine. Licensing alt-med scams might be a way to earn some extra tax dollars, but it creates a false sense of security for the general public.

Herbal Supplements - Not What You Think!

An interesting paper has been published recently in the BMC Medicine journal:

"DNA barcoding detects contamination and substitution in North American herbal products"

The idea sounds complex, and it is, but the general results of this study are pretty scary, especially if you, like many Americans, use a number of very popular herbal remedies for all kinds of ailments.
The idea that herbal remedies are not as harmless as they are advertised to be, has been known in a skeptical community for a long time, but it is something that filters to a general public very slowly. That's because the supplement industry has been selling herbs as miracle cures that can treat anything and are harmless and side-effect-free, which is not true, of course.

Ayurvedic Medicine - Same Crap, Different Name

If you are looking for an "ancient" wisdom (as in, from the times when people had no idea how the world worked, and made up thinks as they went along), an alternative way of thinking about health, and a new (old) way of treating your ills... look no further... try ayurvedic medicine!

Ayurvedic medicine, in my view, is just a step up from homeopathy, since it actually utilizes "active" ingredients (unlike most of the homeopathic drugs, which are either pure water or sugar), like herbs and various chemicals contained in them. It also focuses on proper diet, which, of course is probably a good idea in any healthy lifestyle.
The first problem with ayurverdic medicine is the fact that it uses magic made up body types for diagnostics, and those types are governed by three "doshas": air/space, fire/water and earth/water. Sounds like nonsense? It, probably is!

The second issue with ayurvedic treatments is that a lot of them contain dangerous substances, and sometimes, just plain poisons. Since, they are mostly classified as supplements in the U.S., they are not in any way controlled, nor regulated. So, buyer beware!

More on the topic can be found in the Skeptic Dictionary (Ayurvedic medicine) and on the Rational Wiki.

So, the next time, someone attempts to sell you this newest fad, just say no. It'll save you a lot of money, and maybe your health too.

Now... That's Funny!!!

Here, laugh away!!!

Do You Believe In Magic?

You do, if you use homeopathy, acupuncture, chiropractic, Reiki, some kind of faith healing, and countless other alternative medicine modalities that have absolutely no roots in modern science, reality and critical thinking. Most of them are just ways of "wishing away" the problem, and while some might "work" as a placebo, the might have some dangers associated with their use, and, when used instead of real medical interventions, all of them can be deadly (see here, here, and here).

So, why do we do it? Because we want miracles? Because we don't know any better? Because science is complex and, sometimes, difficult to understand? Probably, all of the above.

It is good to know that we can count on a few brave authors, who do the research, dig out the details and present it in a nice fashion, digestible by the regular folks like us. Among them is Paul Offit, a medical doctor, a researcher, and a strong proponent of reality-based medicine, including vaccines. His previous books, "Autism False Prophets: Bad Science, Risky Medicine and the Search For a Cure", and "Deadly Choices" were both excellent descriptions of the vaccine "controversy", how it started, evolved from bad science to social movement, and how it threatens our health and the well-being (and lives) of our children. Knowing his great writing style and deep commitment to science and research, I was very excited to find out that his new book "Do You Believe in Magic?: The Sense and Nonsense of Alternative Medicine" is out. I should have more of my own thoughts about it in a few days (or weeks, it's summer after all), but in the meantime, here are two reviews available on line:

Book raises alarms about alternative medicine - from USA Today, by Liz Szabo
and
Vaccine advocate takes on the alternative medicine industry - NBC News

There is also more on the topic from Liz Szabo: Alternative therapies, supplements can cause side effects and How to guard against a quack

Go, read it all, and stop believing in magic. It's the 21st Century!

More on Dr. Oz

Wow... Dr. Oz is really hitting the waves this week.

After a great article in The New Yorker, exposing Dr. Oz's bland disregard for facts and reality, as well as the real motivation behind his media persona (ratings, money and fame), he dives ever deeper into the abyss of irrationality and pure stupidity. Dr. Oz embraces and endorses homeopathy!

Homeopathy irks me more than other alternative medicine woo, simply because a few years ago I myself watched helplessly, while a homeopathic "doctor" milked hundreds of dollars from someone with no good outlook for improvement and with very limited resources. The money went into useless "interviews" that had nothing to do with the condition of the patient, and into even more useless, "custom-designed drugs" that did nothing (it was pure water after all).

I'm glad that there is finally some bad publicity Dr. Oz gets from the media. Maybe exposing his program for what it really is, an elaborate fraud, not to help people, but to stuff his pockets, will turn away some of his viewers. I'm not against stuffing your own pockets at expense of others, especially when they are willing participants (yes, I go to the movies, and sometimes I even pay to see a really bad movie). What's dangerous about Dr. Oz is the fact that he has positioned himself in a health care "edutainment" sector of the media, and by promoting dubious therapies and just pure intellectual junk, he endangers people who believe him.

In the meantime, there are usual places on the Web that do a great job analyzing Dr. Oz's homeopathic claims:

Orac: Dr. Oz’s journey to the Dark Side is now more than complete: It’s Oz and homeopathy versus science-based medicine

and

Science-Based Medicine Blog: Are You Ready For the Oz Manifesto

Dr. Oz - The Smooth Operator

I am no fan of Dr. Oz. I've been watching (metaphorically speaking, as I can hardly take watching him on TV) his raise to stardom from Oprah's "America's Doctor" wonder boy, to his own TV show, and the beginning of his own Day TV media empire, and I see a scary, scary future ahead of us.

At first, I thought that Dr. Oz basically sells a very typical and widely known advice of good diet, exercise and less daily stress, heavily coated in nonsense of alternative and herbal medicine and, increasingly, in funky spiritualism and pure crap (examples abound). I do realize that just saying "eat well and exercise daily" is not going to sell well on TV, since most of us just want quick fixes for our problems. However, Dr. Oz's endorsement of unproven herbs, vitamins and modalities that belong in Middle Ages, not in the 21st Century, is more dangerous than useful. Dr. Oz is also a proponent of Reiki, which is basically a type of therapeutic touch, which was completely discredited by a 9 year old Emily Rosa years ago. So, there you have it... would you trust that doctor with your health?

I'm glad the mainstream media has finally started noticing. I stumbled on this great article from the New Yorker: "The Operator", written by Michael Specter (the author of “Denialism: How Irrational Thinking Hinders Scientific Progress, Harms the Planet, and Threatens Our Lives”, which I also highly recommend).
There is a number of really good points in the article, but this one really shows what Dr. Oz is about:

Oz sighed. “Medicine is a very religious experience,” he said. “I have my religion and you have yours. It becomes difficult for us to agree on what we think works, since so much of it is in the eye of the beholder. Data is rarely clean.” All facts come with a point of view. But his spin on it—that one can simply choose those which make sense, rather than data that happen to be true—was chilling. “You find the arguments that support your data,” he said, “and it’s my fact versus your fact.”

His facts are driven by his popularity and how well his show is doing, not by objectiveness. That's why I would never trust neither them, nor him.

Traditional Medicine - Read and Weep

If you are a proponent of some "natural", traditional medicine, if you prefer "natural" cures from what can be produced in a lab, read the article below:

Asian Bear Bile Remedies: Traditional Medicine or Barbarism?

I hope you are as outraged as I am. This is exactly why there should never be a "what's the harm" mentality when dealing with those traditional modalities.