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

case report

It has been reported that a cancer patient died of multiple organ failure after he took a herbalist’s remedy that included mistletoe. Retired electrician Haydn Owen Jones had been receiving a third course of treatment for his multiple myeloma when he turned to a herbalist. Alongside two chemotherapy drugs and a steroid, Jones started using a remedy which included mistletoe, yarrow, lily of the valley, cat’s claw, echinacea, and corn silk. Days later he fell ill with a fever, swelling and a rash. He was treated for sepsis but never recovered as his liver function deteriorated. Coroner concluded that it was probable the mix of cancer drugs and the alternative therapy proved deadly to him.

Retired electrician Haydn Owen Jones had been receiving a third course of treatment for bone marrow cancer when he turned to a herbalist

Mistletoe contains Phoratoxin and Viscotoxin – both of which are poisonous when ingested. While a more severe reaction is caused from eating the berries than the leaves, possible symptoms can include nausea, heart problems and fever.

_____________________

As with all tragic cases of this nature, it is difficult or even impossible to establish what caused the death. Was the herbal remedy involved at all? If so, it could be the toxicity of one or more of its ingredients, interactions between them, interactions with prescribed drugs, or contaminations/adulterations of the remedy. If there is a lesson at all to learn from this case, it is, I think, this: be very cautious about using herbal remedies, particularly when combined with other medicines, and seek professional advice, preferably NOT from a herbalist.

I should warn you, this is a somewhat unusual post.
Yesterday, I had a debate with someone in the comments section of a 10 year old post about Reiki. First I thought it might be interesting, then I realized that it was not a debate at all but that I was entertaining a troll. I usually stop at that point – yet, in this case, I carried on to see when he [I assume it was a male person] would stop.
The amazing thing was, he never did!
He kept on going and going and going. Eventually, I cut him off by no longer posting his attempts to provoke me. After that plenty more of his comments arrived which I then deleted.
Despite the fact that the exchange is only mildly amusing, I thought I copy the last bits of it. What comes out quite clearly, I hope, is the way a troll tries to gradually rope you in. Perhaps it prevents someone to fall victim of a troll.
It all started with me stating: “What will I call a billion people who believe in something absurd? I WOULD CALL THEM SERIOUSLY MISLED AND PERHAPS EVEN STUPID”. At first, others were involved but by the 24th it was between me and the troll.

Here we go, enjoy!

Sivalingam (Siva) Canjeevaram on Saturday 14 January 2023 at 22:34 (Edit)

More than a billion humans know and believe that the cow is “Kamadhenu” or God. One can be called a stupid, and two can be called a moron, but what will call you when a billion people believe in something? How about calling all the Indians that believe in the cow as god “Arrogant”? Will that cut it?
I might be arrogant, and i am ok with it. But you are dishonest and contradictory. I would rather be with an arrogant person than a dishonest, ridiculous, or contradicing person. Because I know the dishonest, ridiculous, and contradicting person will cause me more harm than this so-called “arrogant” person. There, I sent you away. Go home and come back tomorrow with a better argument that sounds morally good!

what will I call a billion people who believe in something absurd?
I WOULD CALL THEM SERIOUSLY MISLED AND PERHAPS EVEN STUPID

More than a billion humans know and believe that the cow is “Kamadhenu” or God.

To more than 6 billion people (i.e. rest of the world), cow is NOT god. In fact, a lot of them want to see it served on a plate. If we were to take a vote w.r.t cow’s godliness, it looses sorely.

You are not arrogant, you are plain stupid.

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 13:48 (Edit)

The arrogancy is not mine, it is the Westerners. I was actually supporting the statement that Reiki is not plausible by giving an example from India in which Hindus (there is a billion of them) “know” that the cow is a god. Does it mean that the cow is a god? You folks are very arrogant and no body can save you. Your civilization will definitely be the first one to be doomed. As for the others are concerned, it becomes a blessing that they do not have a civilization

Even at the time of death healing can help the dying person to ease the transition from this world to the next. Should one not be well versed in spiritual matters it can come as a bit of a shock to realise that one is no longer in a physical body.

Death, of the body, is not the end. Life goes on in another dimension. The ´dead´ miss us as much as we miss them. Imagine two big bubbles. You are in one and your loved one is in the other. You cannot touch each other and the bubbles are floating off further and further in different directions. There are a couple of ways in which you can communicate. You can take up telepathy or you can see a medium.

— Ralph Maver
[http://www.reikiwithralph.com/more-about-ralph-maver/]

Marvellous!

Only one other dimension? So we become straight lines with ni width or thickness?

Oh, in that dimension, thickness knows no bounds.

So it would appear!

@Ralph William Maver

You are an arrogant person.

Are you certain that you selected the right personal pronoun in this sentence?

I know that Reiki works.

Ah, you must be one of those persons who spent $4000 on a Reiki Level 4 Master Course (or whatever it is called), and are now trying their very best to protect and possibly recoup their investment.

You are one of those people who challenge what they don’t understand.

Sorry to tell you, but you are the one who fails to understand that ‘Reiki’ and all that other bogus ‘energy medicine’ stuff is just a con trick, a way to separate gullible people from their money.

Then again, having taken a look around your Web site, it may well be that you have been the one who was conned first, and are in turn now trying to trick other people – although not very successfully, by the looks of it. I almost feel sorry for you.

My bit of advice: go find another, more honest occupation. This reiki stuff doesn’t work for you. And oh, get a better Web designer.

I don’t have a soul.

Unless we count the Otis Redding, Aretha Franklin, Marvin Gaye, Curtis Mayfield and all albums…

Next?

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 13:54 (Edit)

I said more than a billion people believe that the cow is god, and instead of reading the rest of the statement, you people, including Edzrad, jumped on me and started calling me names, if only you read the rest of my statement, you would know that I don’t believe in Reiki. But then you revealed your true colours. Truth always goes in hand with compassion, which I guess you do not have. You failed to recognize the racism in your own comment by calling 1 billion people (Hindus) stupid. It is not the stupid people that are destroying the world, but cruelty is spread by the in-compassionate fools. Now go, respond by doing a line-by-line grammar check of my statement. If civilization falls, yours will be the first to fall.

Edzrad, jumped on me and started calling me names”
TEMPTING! BUT I DIDN’T
Now try to spell my name correctly, if you don’t mind.

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 15:45 (Edit)

Your life and existence must be in this thread, so pathetic.

I intentionally misspelt your name expecting to reveal the “ego” component in your statements.
Do you really think a misspelling in your name is so significant? No wonder your country is a philosophical mess, caught in between two ideologies. My concern is that people with your attitude are destroying the rest of the world, like that guy in 1853, American Commodore Matthew Perry who forcefully opened Japan for trade. Not only are you arrogant, but you are also blind. May demise to your civilization come soon.

“Do you really think a misspelling in your name is so significant?”
No, and I did not claim it to be.

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:11 (Edit)

I am really not interested in this conversation anymore, yes, it does seem that you are ‘awfully triggered’ and conversing with me. because the replies are almost an instantaneous basis, like the insecure Donald Trump tweeting. “…Now try to spell my name correctly, if you don’t mind.” These are your words, and you now say that you really did not mean it. I am just getting tired as if I am giving directions to a blind and deaf person. I just came to your thread because as a massage therapy student, 8 years ago, I was having an argument with my students and lecturer that non-evidence based therapies should not be promoted aggressively, but with a note and disclaimer because the public are being taken advantage by scamsters providing sham treatment. Now all those things are lost but we are now in a different territory, I was giving the one million Hindu and cow example to demonstrate that sometimes things does not matter, but it has to be handled more in a human way. It seems that you do not have that big heart or genroisty, but instead it seems that you keep this thread live just for fun. And the more time passes, the more small you become in your replies, I am not sure maybe you died and it is your grandson that is maintaining this blog, who knows? Go to hell, do whatever you want. If you want a closure, please block me.

“I am really not interested in this conversation anymore”
By contrast, I never was!
It is you who foisted it on me.

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:19 (Edit)

Edzard on Tuesday 24 October 2023 at 17:15
“I am really not interested in this conversation anymore”
By contrast, I never was!
It is you who foisted it on me.
I understand your need to feel good about your actions. I have a bigger heart than you. Hence, I am sorry.
bye bye

“your country is a philosophical mess”
which country are you referring to?

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 15:55 (Edit)

To be specific, I am an RMT, and I don’t believe in Reiki, but that does not mean that we go around insulting people. Why? Because it is not necessary. Only two types of people do unnecessary things (a) fools, and (b) malicious people. How do we know that you are not some sort of psycho living a pathetic life, and you are taking this opportunity to ‘bash’ people, in the name of reason and objectivity? Do you want us to trust you? You just put one billion people beneath by calling them stupid (and the other commenter who would rather see a cow on a plate, how insensitive that comment is? No wonder people hate America and Americans) Initially I thought you were arrogant. I take it back, because I think you are simply malicious (and maybe half your country)…one billion Hindus are stupid? (I gave that as a metaphor, I was born a Hindu, but I am not an hindu, now)

” I am an RMT”

RMT
[RMT] ABBREVIATION
(in the UK) National Union of Rail, Maritime, and Transport Workers.

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:13 (Edit)

Yeah, I am a railroad worker, and I am from the UK. These things make you appear so petty.

“we go around insulting people”

When and how did I insult you?

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:14 (Edit)

That is why I said you are blind, and that is why I said that you must belong to a particular demographic. As I said, I am not interested in conversing anymore. I am more honest than you and made my intentions clear. You need not block or moderate me, But there is no point in coming back to this thread.

thanks for that!

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:23 (Edit)

The English have the power of speech and the tool of articulation. Using this, they conquer all the world without doing all the hard work or shedding blood, but don’t worry, justice may be late, but it will rule one day, what was got by simply using the tongue, will also be lost using the same tongue. In the end, they will be the most pathetic souls among all life forms:

Edzard on Sunday 15 January 2023 at 08:39
what will I call a billion people who believe in something absurd?
I WOULD CALL THEM SERIOUSLY MISLED AND PERHAPS EVEN STUPID

oh, I see: you think I’m English!

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:28 (Edit)

“oh, I see: you think I’m English!”
That was supposed to be an insult, I don’t really care who you are. I don’t care even if I am wrong. You should know that I am not making an effort to know you. I can google you in five minutes, but you are not worth my time. All I know is that you are a troublemaker (Like Donald Trump) who lives just for the fun of it. Trump uses certain things to disguise is contempt and selfishness, you are just using the war against alternative medicine to shield your general malice. You are not a good person, that I know. And I am sure that nobody would have told you that — greatest insult.

Troll: a person who antagonizes (others) online by deliberately posting inflammatory, irrelevant, or offensive comments or other disruptive content

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:32 (Edit)

I may be a troll, but you are simply an abuser and maipulator of knowledge, power, and position. At best, I would have annoyed a few people. But you just called one billion people stupid, then guess what your real intentions might be? You have more power to damage the world then me, If I am a troll, you are simply a evil person

Edzard on Tuesday 24 October 2023 at 17:30
Troll: a person who antagonizes (others) online by deliberately posting inflammatory, irrelevant, or offensive comments or other disruptive content

… and I thought the troll had said ‘bye bye’ a while ago…

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:42 (Edit)

Really? What are you? an old man aged 70 years or more? Nothing much to do in life anymore?
Can’t let it go without having the last word? Lot’s of peeing match I guess!

Edzard on Tuesday 24 October 2023 at 17:37
… and I thought the troll had said ‘bye bye’ a while ago…

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:34 (Edit)

I challenge you to keep all the conversations in between you and me so that people can judge what is going on. If you delete it, it would mean that you do not want people to know, let’s see how honest you are.

I have no intention to delete this comic relief!

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:39 (Edit)

Like I said, tongue they use to unleash their malice, by the tongue their souls will die a pathetic death

a characteristic of a troll is that he/she cannot quit easily

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:47 (Edit)

That’s right, senile, sadist, probably news does not excite you, so come back and read the comments to feel that you are indeed alive. So pathetic. Bye — If you really think I am a troll, then you probably should not reply, every internet user knows this. But if you are intentionally engaging with a troll, then it means that there is something wrong with you greater than that troll. Like I said, I might be a a troll, but you are even greater than that — an evil person (because you have power, position, influence) — don’t…

It’s not that I think you are a TROLL, you have proven it to us.

Sivalingam (Siva) Canjeevaram on Tuesday 24 October 2023 at 17:44 (Edit)

If you can call one billion Hindus stupid. I should not mind for you calling me a troll.
And this time, I am deciding to quit. What a bore!

___________________________________________

Re-reading this today, I am still amazed at the mindset of my troll. Perhaps I should by now have got used to it – after all, this sort of thing does happen regularly on this blog. The lesson, I think, is not to let it happen and tell the troll early on to go yonder and multiply.

 

 

Robert Jütte, a German medical historian, has long been a defender of homeopathy and other forms of so-called alternative medicine (SCAM). His latest paper refers to the situation in Switzerland where the public was given the chance to vote for or against the reimbursement of several SCAMs, including homeopathy. I reported previously about this unusual situation, e.g.:

Unsurprisingly, Prof Jütte’s views are quite different from mine. Here is the abstract of his recent paper:

Behind the principle of involving users and voters directly in decision-making about the health care system are ideas relating to empowerment. This implies a challenge to the traditional view that scientific knowledge is generally believed to be of higher value than tried and tested experience, as it is the case with CAM. The aim of this review is to show how a perspective of the history of medicine and science as well as direct democracy mechanisms such as stipulated in the Swiss constitution can be used to achieve the acceptance of CAM in a modern medical health care system. A public health care system financed by levies from the population should also reflect the widely documented desire in the population for medical pluralism (provided that therapeutical alternatives are not risky). Otherwise, the problem of social inequality arises because only people with a good financial background can afford this medicine.

I think that Jütte’s statement that “a public health care system financed by levies from the population should also reflect the widely documented desire in the population for medical pluralism provided that therapeutical alternatives are not risky. Otherwise, the problem of social inequality arises because only people with a good financial background can afford this medicine” is untenable. Here are my reasons:

  • Lay people are not normally sufficiently informed to decide which treatments are effective and which are not. If we leave these decisions to the public, we will end up with all manner of nonsense diluting the effectiveness of our health services and wasting our scarce public funds.
  • Jütte seems to assume that SCAMs that are not risky do no harm. He fails to consider that ineffective treatments inevitably do harm by not adequately treating symptoms and diseases. In serious conditions this will even hasten the death of patients!
  • Jütte seems concerned about inequity, yet I think this concern is misplaced. Not paying from the public purse for nonsensical therapies is hardly a disadvantage. Arguably, those who cannot affort ineffective SCAMs are even likely to benefit in terms of their health.

I do realize that there might be conflicting ethical principles at play here. I am, however, convinced that the ethical concern of doing more good than harm to as many consumers as possible is best realized by implementing the principles of evidence-based medicine. Or – to put it bluntly – a healthcare system is not a supermarket where consumers can pick and chose any rubbish they fancy.

I wonder who you think is correct, Jütte or I?

Guest post by Ken McLeod

Readers will recall that Barbara O’Neill is an Australian health crank, completely unqualified in anything, who is subject of a Permanent Prohibition Order issued by the New South Wales Health Care Complaints Commission, (HCCC),[1] preventing her from engaging in any health-related activity, including ‘health education,’ in Australia. The NSW Public Health Act 2010 provides that it is an offence for a person to provide ‘health education’ in contravention of a prohibition order, with a fine of $60,500 AUD ($38,151 USD, 36251 Euros) for an individual or imprisonment for 3 years, or both, or $121,000 AUD for a corporation.

For jurisdictional reasons that Order does not apply outside Australia and for several years she been touring the world giving health education lectures. The latest was a lecture tour of Ireland.[2] Despite the thorough debunking of her fruitloop beliefs by the HCCC,[3] she has maintained them and continues to give the ‘health education’ that was so dangerous that it led to the Prohibition Order in Australia.

Her Irish ‘health education’ lectures were live-streamed to people in Australia who paid the 20 Euro fee, and one was recorded by us.[4]

A transcript was made and is available online.[5] Her statements were analysed and some comments are made as follows. Alas, we didn’t have time to take a deep dive of her lecture to find the best references, but the following shows that an amateur with limited time and resources can prove that she does not know what she is talking about and that her advice is dangerous, even life-threatening.

It is up to the health regulators and immigration authorities in each country to act on her activities there, but so far none outside Australia have done so.

So a quick analysis of her ‘lecture’ in Dublin on 27 September 2023 shows that O’Neill has learned nothing from her experience with the HCCC. Some comments:

1. O’Neill and her husband, after the Prohibition Order was issued, changed the name of their facility from ‘Misty Mountain Health Retreat’ to ‘Misty Mountain Lifestyle Retreat’ to avoid the jurisdiction of the HCCC. However on four occasions in her lecture O’Neill referred to it as a ‘health retreat.’ 00:07:23 , 00:15:48, 01:30:04, 01:40:16.

2. At 00:12:53 O’Neill claims that the Amish don’t get autism. That is false, as explained by AP Factcheck. [6]

3. At 00:12:54 O’Neill claims that the Amish, ‘They don’t vaccinate their Children. Did you know that they don’t vaccinate their Children and yet they don’t get autism Very rare. Maybe 1%. And often that’s because of chemical exposure. There is always a reason. So why are vaccinations causing autism? Well, it’s neurotoxins, the neurotoxins. ‘

False; Amish do vaccinate their children. [7] However, studies have documented cases of autism, diabetes and cancer among the Amish, albeit at lower rates in some cases than the broader population and for reasons that are unrelated to their vaccination status. These reasons include the cultural norms and customs that may be playing a role in the reporting style of caregivers. [8] O’Neill is engaging in cherry-picking on a grand scale here.

4. At 00:13:37 O’Neill claims that ‘there are still two more neurotoxins’ (In vaccines.) Because children are still autistic. There’s formaldehyde, and there is aluminium, both neurotoxins.’

This is scaremongering disinformation. The CDC says ‘Formaldehyde is diluted during the vaccine manufacturing process, but residual quantities of formaldehyde may be found in some current vaccines. The amount of formaldehyde present in some vaccines is so small compared to the concentration that occurs naturally in the body that it does not pose a safety concern.’ As for aluminium, the CDC says ‘Ingredients like aluminum salt help boost the body’s response to the vaccine.’ The CDC says that both are safe. [9]

5. At 00:15:01 O’Neill claims ‘did you know that the milk in the supermarket if you give that to a newborn baby cow, that cow will die?’

I can find no reference supporting that and I suggest that it is pure fantasy.

6. At 00:18:29 O’Neill claims that ‘parents discover that they put their trust in the princes and vaccinated their child. Now their child has epilepsy. Now their child has autism.’

This is misleading panic-mongering that is a misrepresentation of the science. The Royal Australian College of General Practitioners says ‘Seizures and status epilepticus can occur within 14 days following administration of inactivated and live-attenuated vaccines. These vaccine-proximate seizures can undermine parental confidence in vaccine safety and affect further vaccination decisions. Vaccine-proximate status epilepticus (VP-SE) is uncommon but may be the first manifestation of genetic developmental epileptic encephalopathies, including Dravet syndrome.’ So ‘epilepsy’ may be first encountered [10] following vaccination but the root cause is genetic.

7. At 00:20:27 O’Neill says that she would like to suggest that no child would be vaccinated, because the fact is, our body was designed to heal itself.

This is pure crazy antivax propaganda, unsupported by the facts.

8. At 00:22:01 O’Neill claims ‘skin cancer has only been around in about the last 80 years, and you know what they’re finding today? That vitamin D deficiency is a big contributing back factor to skin cancer’.

The first claim is false; the science shows that skin cancers have been around ‘since the beginning of time.’ [11]

As for the second claim, the research published at the US National Library of Medicine shows that O’Neill’s advice is dangerous. ‘It is, therefore, preferable and safer to obtain adequate levels of vitamin D through diet than through sun exposure. In fact, it is currently accepted that dietary and supplemental vitamin D is functionally identical to that produced after UV exposure, being more reliable and quantifiable (the risks of keeping high levels of vitamin D have not been extensively studied) source of this vitamin.’ And ‘Neither natural nor artificial sun exposure should be encouraged as the main source of vitamin D.’ [12]

9. At 00:23:18 O’Neill disputes claims that ‘cholesterol causes heart disease. Well, it’s been going for 40 years now, and it still hasn’t proven that. But you know what? It has proven that people with high cholesterol levels don’t get Alzheimer’s.’

O’Neill’s first claim points to the conflicting research as revealed by the Cochrane Collaboration. [13] As for her second claim, the research does not justify her claim that it is ’proven.’ The evidence is conflicting and as the Alzheimer’s Society of the UK say, ‘More research is needed to better understand this relationship and what it can tell us.’ [14] O’Neill’s conviction is not based on evidence.

10. At 00:34:41 O’Neill said that at Dublin airport ‘about 10 days ago,’ she was approached by a man who asked ‘Are you the Australian doctor? And I smiled.’

O’Neill did not correct him and allowed him to be duped into believing she is a real doctor. Despite having no qualifications in anything O’Neill has used the honorific title ‘Dr’ many times in social media,[15] so it is no surprise that he assumed she was a doctor. I can’t help but be confused by her use of the ‘Dr.’ Throughout her lectures she denigrates real doctors, and then tries to boost her credibility by adopting the title.

11. At 00:35:21 she claimed that with ‘epigenetics, you can actually turn your genes on or off.’…. ‘So Michael effectively turned those genes off with castor oil. Castor is very effective for for cataracts. Put it in your eye, one lady said. Is it safe? Does anyone ever ask that of the doctor? Is that drug safe? Then the people have been putting cholesterol in their eyes for centuries. It’s safe.’

Bollocks! As Consumer Lab says ‘Although eye drops containing castor oil may help improve symptoms of dry eye and blepharitis, there is currently no compelling evidence that applying castor oil to the eye can diminish cataracts.’ [16] And there is no evidence that Michael turned the genes off.

12. At 00:40:08 she refers to a woman who recently had a stroke. She says

‘… because she had a stroke, she was put on the protocol she was on put on statins. Cholesterol lowering medication with clear arteries. How much sense does that make? You don’t have. You don’t have to be a rocket scientist to work this out. Trust in your gut feeling trust in this incredible body that God has given you. Her blood was no longer thick. Her arteries are open now. And so she came to our retreat and I said, Well, I can’t tell you what to do. And I have no authority over your medication. Only you, and go. You and your doctor do. But this is what I would do. I would stop the blood thinning medication immediately because that aspirin causes brain bleeds, eye bleeds and stomach bleeds. Got that? And I would stop the statin drugs because that the side effect of statin drugs is Alzheimer’s dementia, uh, memory loss, muscle wasting. And they’ve just added another one, which is breast cancer, because all our sex hormones are made from cholesterols.’

O’Neill told a woman who had suffered a stroke to stop taking her life-saving medication! These medications are prescribed by highly qualified medical specialists based on the research. As the UK Stroke Association says, ‘Blood-thinning medications reduce your risk of stroke by helping to prevent blood clots from forming. You might be prescribed them after a transient ischaemic attack (TIA) or a stroke caused by a blockage (an ischaemic stroke, or clot).’[17] It is clear that O’Neill, who has no qualifications in anything, does not know what she is talking about.

As for her claim that the side effects of statins is breast cancer, the research shows the opposite. ‘While statins do not affect the incidence of most cancers, they do exert significant benefits on recurrence and survival in many cancer types, including breast cancer.’ [18]

13. At 42:48 O’Neill claims ‘If you are on cholesterol lowering medication and many have been deceived….’ As above, it is O’Neill who is doing the deceiving.

14. At 45:09 O’Neill claims that ‘If you stop your cholesterol lowering medication, there will be a side effect. Your memory will return. Your muscles will get stronger. Any little appearances of Alzheimer’s will start to ease.’

As above, the available research does not show that.

15. At 48:57 O’Neill claims ‘Why did they put fluoride in water? The claim was to harden the teeth. Has it hardened the teeth? Not at all. Has it reduced tooth decay? Not at all.’ And ‘But that fluoride is very hard on the kidneys, very hard on the liver.’

The research here is overwhelming; as the CDC says: ‘The CDC named community water fluoridation one of 10 great public health achievements of the 20th century.

‘Many research studies have proven the safety and benefits of fluoridated water. For  75 years people in the United States have been drinking water with added fluoride and enjoying the benefits of better dental health.

‘Drinking fluoridated water keeps teeth strong and reduces cavities (also called tooth decay) by about 25% in children and adults.’

As for O’Neill’s claim that fluoride is very hard on the kidneys, very hard on the liver,’ the research is inconclusive, and in fact the reverse may be true. Research shows ‘Fluoride exposure may contribute to complex changes in kidney and liver related parameters among U.S. adolescents. As the study is cross-sectional, reverse causality cannot be ruled out; therefore, altered kidney and/or liver function may impact bodily fluoride absorption and metabolic processes.’ So the science does not support O’Neill’s certainty.

16. At 48:57 O’Neill claims that ‘all body symptoms and body diseases and shows how dehydrating has a huge factor.’ O’Neill gives no evidence to support that huge claim.

17. At 01:00:20 O’Neill claims that a woman told her ‘I had the vaccine. Now I’ve got clots. Barbara, I had the vaccine. I can’t. I cannot even remember all the diseases that are arising. Have you noticed? And so many people were blackmailed into that vaccine.’ And ‘Is that (COVID19) a crisis? it’s not a crisis at all. And yet we’re seeing so many problems arising.’

O’Neill is dreadfully wrong here. COVID 19 was a crisis. How else would we describe a pandemic that is known to have killed at least 6,961,014 deaths, as reported to the WHO? [19] And what are the problems that we are seeing arising? Outside her imagination, that is.

18. At 01:00:20 O’Neill claims that ‘one man said, Show me the safety studies. They gave him three pages of blank paper. No safety studies, no safety studies at all.’ (On vaccines). And ‘drugs never cure disease.’ And a few lines later, again, ‘Drugs never cure disease.’

The allegation that ‘They (doctors) gave him three pages of blank paper’, is just so deranged. No doctor would do that because there are thousands of studies of vaccine safety.

O’Neill’s claim that there are no safety studies on vaccines is hopelessly wrong and dishonest. It’s one of the many anti-vax lies circulating on the internet, so beloved by the gullible. As the Australian Dept of Health and Aged Care say, ‘Research and testing is an essential part of developing safe and effective vaccines. In Australia, every vaccine must pass strict safety testing before the Therapeutic Goods Administration (TGA) will register it for use. Before vaccines become available to the public, they are tested on thousands of people who take part in large clinical trials.’ [20] It took me a few seconds on the internet to find an interesting research paper on HPV vaccines, including a section on safety. [21] O’Neill could do that so the inevitable conclusion is that she set out to deceive. As for ‘drugs never cure disease,’ that is so bizarre, so whacky, so deluded, that it almost not worth challenging. But I will anyway; medical professionals have seen drugs work billions of times, and I can testify that I was saved from a life-threatening illness due to cephalexin.

19. At 01:10:49 O’Neill claims ‘some (medications) can be stopped immediately, like your statin drugs and your blood thinners. Yeah, what do you take instead of statin drugs? Well, there’s no need, because cholesterol is not a problem.’

O’Neill’s advice here is life-threatening rubbish. As the Mayo Clinic says ‘Abruptly stopping an anticoagulant can increase your risk of a stroke.’ [22] As for her advice on cholesterol, see above.

20. At 01:15:39 O’Neill claims that there was ‘No diabetes on the planet til sugar was well established.’ And lack of nose-breathing causes ‘Chronic fatigue syndrome. There’s one cause; it’s lack of oxygen at the cellular level.’

Humans have gathered sugar since we first became homo sapiens and diabetes has always been a problem for us and other animals.

As for her claim that lack of nose-breathing causes ‘Chronic fatigue syndrome;’ the Mayo Clinic says ‘The cause of ME/CFS is unknown, although there are many theories. Experts believe it might be triggered by a combination of factors.’ They go on to list many possible causes but lack of nose-breathing is not one of them.[23]

21. At 01:26:08 O’Neill claims that a researcher ‘…. could turn cancer cells on and off by the amount of animal, pro and animal protein that he was giving’ and liver cancer could be prevented by ‘a simple diet and cancer weights were very low low compared to the city again, with that high meat diet….’ There is some truth in this, but it does not justify O’Neill’s other advice to avoid prescribed medications.

22. At 01:49:26 O’Neill claims ‘if someone has a rash and they put cortisone on it, what happens to the rash? It’s gone, but But it comes back in about another week. Is that right? Twice as bad.’ And ‘No drug can heal cancer. The body and the body alone when it’s given the right conditions can cause cancer to be conquered in the body.’ And ‘A fever is nothing to fear.’

O’Neill’s claim that ‘No drug can heal cancer’ is demonstrably wrong. Life expectancy following cancer treatment has improved vastly over the decades, largely due to better detection and prescribed medications. As the US National Cancer Institute (NCI) estimates, ‘due to improved detection and treatment, deaths have dropped 41 percent from 1989 to 2018, according to the ACS.’ [24]

As for O’Neill’s claim that ‘a fever is nothing to fear,’ the Victorian Dept of Health says ‘High fever (about 41.5°C or more) is extremely dangerous and could trigger convulsions.’ [25]

23. At 01:53:47 O’Neill claims that drug therapy is not working.

What does O’Neill mean by that? Does she mean that prescribed medication does not work? If she is repeating her earlier claim that ‘drugs never cure disease?’ I repeat my earlier rebuttal. That is so bizarre, so whacky, so deluded, that it almost not worth challenging. But I will anyway; medical professionals have seen drugs work billions of times, and I can testify that I was saved from a life-threatening illness due to cephalexin.

I’ll finish the analysis here because you have suffered enough.

Readers everywhere now have rock-solid evidence that should be presented to their national health regulators, showing that O’Neill, as the HCCC put it, ‘poses a risk to the health and safety of members of the public’ and therefore ‘should be permanently prohibited from providing any health services, whether in a paid or voluntary capacity.’ And you have rock-solid evidence that should be presented to venue managers who have allowed O’Neill to present life-threatening ‘education’ to the public on their premises, asking them to cancel the booking. It’s not hard; it was done in Ireland by members of the public. That led to cancellation of the booking, and a rush by O’Neill’s supporters to find a new venue.

References

1 https://www.hccc.nsw.gov.au/decisions-orders/public-statements-and-warnings/public-statement-and-statement-of-decision-in-relation-to-in-relation-to-mrs-barbara-o-neill

2 https://www.independent.ie/irish-news/controversial-wellness-coach-barbara-oneill-set-to-host-talk-in-ireland-this-month/a1781099169.html

3 https://www.hccc.nsw.gov.au/ArticleDocuments/216/Statement%20of%20Decision%20-%20Mrs%20Barbara%20ONeill.pdf.aspx

4 The video is available at https://rumble.com/v3lt611-barbara-oneill-positive-life-event-27th-september.html and a backup is available at https://www.dropbox.com/scl/fi/vqe9plhgjijunvl22kvb6/Barbara-ONeill-Positive-Life-Event-27th-September.mp4?rlkey=1kjyi9jdl8kfdp8kcdf1p4xba&dl=0

5 https://www.dropbox.com/scl/fi/csl95hg7gomr318nygotx/TRANSCRIPT-BARBARA-O-NEILL-POSITIVE-LIFE-EVENT-DUBLIN-27-SEPT-2023.pdf?rlkey=z2d5uh59fwagzdfdk30hvpauy&dl=0

6 https://apnews.com/article/fact-check-amish-covid-vaccines-cancer-diabetes-autism-356029928165

7 https://apnews.com/article/fact-check-amish-covid-vaccines-cancer-diabetes-autism-356029928165

8https://www.researchgate.net/publication/268144514_Prevalence_Rates_of_Autism_Spectrum_Disorders_Among_the_Old_Order_Amish

9 https://www.cdc.gov/vaccines/vac-gen/additives.htm

10 https://www1.racgp.org.au/ajgp/2020/october/seizures-following-vaccination-in-children

11 https://www.usatoday.com/story/news/factcheck/2023/08/03/false-claim-skin-cancer-has-only-been-around-for-60-years-fact-check/70515019007/

12 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8709188/

13 https://s4be.cochrane.org/blog/2018/07/02/cholesterol-and-heart-disease-whats-the-evidence/

14 https://www.alzheimers.org.uk/about-dementia/risk-factors-and-prevention/cholesterol-and-dementia

15 https://www.facebook.com/people/Dr-Barbara-ONeill/100093111507726/

16 https://www.consumerlab.com/answers/castor-oil-eye-drops-for-cataracts/castor-oil-cataracts/

17 https://www.stroke.org.uk/resources/blood-thinning-medication-and-stroke

18 https://breast-cancer-research.biomedcentral.com/articles/10.1186/s13058-018-1066-z#author-information

19 https://covid19.who.int/

20 https://www.health.gov.au/are-vaccines-safe

21 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7565290/

22 https://connect.mayoclinic.org/blog/take-charge-healthy-aging/newsfeed-post/know-the-warning-signs-of-blood-thinner-complications/

23 https://www.mayoclinic.org/diseases-conditions/chronic-fatigue-syndrome/symptoms-causes/syc-20360490

24 https://www.healthline.com/health/breast-cancer/survival-facts-statistics#breast-cancer-stages

25 https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/fever#bhc-content

The ‘Miami Herald’ reported that a father and his three sons were convicted of selling a toxic bleach solution as a “miracle” cure through a fake online Florida church.

” The sentencing hearing in Miami federal court took an unusual turn when the father, Mark Grenon, told the judge that he was actually the victim. He argued that his 1,152 days in custody amounted to “kidnapping” and the U.S. government should compensate him $5.76 million for being “held unlawfully.” “Yes or no?” Grenon, 66, asked U.S. District Judge Cecilia Altonaga. “That’s a nonsensical question,” Altonaga told Grenon. “I won’t answer that.”

In short order, Altonaga sentenced the father to five years in prison, fined him $5,000 and ordered him to pay $1,948 in restitution to victims of the Bradenton family’s scheme of selling “Mineral Miracle Solution” to thousands of consumers across the country. The judge also sentenced one of his sons, Joseph Grenon, 36, to five years, with no fine, but imposed the same restitution order.

When the four family members were charged in 2020, the father and Joseph Grenon were hiding in Colombia, according to federal authorities. The U.S. government sought their extradition. The Bogota government turned them over on the condition that they would only be charged with a conspiracy to defraud the U.S. government, which limited their punishment to a maximum of five years. Separate contempt of court charges were dismissed against them before trial.

The father’s other two sons were not as lucky to catch that break. The judge sentenced Jonathan Grenon, 37, and Jordan Grenon, 29, to more than 12 years in prison because they were convicted of the main conspiracy charge and a pair of contempt charges stemming from their violation of court orders to stop selling the dangerous mineral solution to the public. Jonathan was not fined, but his brother Jordan was ordered to pay $2,500. Both were also ordered to pay the same restitution as the other family members.

The Grenons represented themselves at their trial and sentencing hearing, though court-appointed defense attorneys were on standby if required. At Friday’s hearing, the Grenons did not allow those lawyers to speak on their behalf. At trial and during sentencing, prosecutors with the U.S. Attorney’s Office portrayed the four defendants as con men who used a phony religious front on a website, the Genesis II Church of Health and Healing, to sell $1 million worth of their “Miracle Mineral Solution” in video pitches as a cure for 95% of the world’s known diseases, from AIDS to the coronavirus. They called it a “scam for money.” “The defendants preyed on many vulnerable populations,” including children with autism, Assistant U.S. Attorney Michael Homer said Friday. He told the judge that the Grenon family members have never shown any remorse for their crime.

At the sentencing hearing, the four defendants invoked their faith in God and Jesus repeatedly, saying they did not “consent” to the judicial proceedings and should be released after spending about three years in custody in both the United States and Colombia.

In public warnings, the FDA said it received several reports of hospitalizations and life-threatening conditions as people drank the dangerous substance. MMS is a chemical solution containing sodium chlorite that, when mixed with water and a citric acid “activator,” turns into chlorine dioxide, a powerful bleach typically used for industrial water treatment or bleaching textiles, pulp and paper.

___________________________

We have discussed MMS, bleach, the fraudsters who sell this stuff, the organizations behind them, and their victims repeatedly. e.g.:

I feel that the world is a safer place, now that these charlatans are finally behind bars.

 

The history of so-called alternative medicine (SCAM) is rich with ‘discoveries’ that are widely believed to be true events but that, in fact, never happened. Here are 10 examples:

  1. DD Palmer is believed to have cured the deafness of a janitor by manipulating his neck. This, many claim, was the birth of chiropractic. BUT IT NEVER HAPPENED! How can I be so sure? Because the nerve responsible for hearing does not run through the neck.
  2. Samuel Hahnemann swallowed some Cinchona officinalis, a quinine-containing treatment for malaria, and experienced the symptoms of malaria. This was the discovery of the ‘like cures like’ assumption that forms the basis of homeopathy. BUT IT NEVER HAPPENED! How can I be so sure? Because Hahnemann merely had an intolerance to quinine, and like does certainly not cure like.
  3. Edward Bach, for the discovery of each of his flower remedies, suffered from the state of mind for which a particular remedy was required; according to his companion, Nora Weeks, he suffered it “to such an intensified degree that those with him marvelled that it was possible for a human being to suffer so and retain his sanity.” This is how Bach discovered the ‘Bach Flower Remedies‘. BUT IT NEVER HAPPENED! How can I be so sure? His experience was not caused by by the remedy, which contain no active ingredients, but by his imagination.
  4. William Fitzgerald found that pressure on specific areas on the soles of a patient’s feet would positively affect a specific organ of that patient. This was the birth of reflexology. BUT IT NEVER HAPPENED! How can I be so sure? Because there are no nerve connections from the sole of our feet to our inner organs.
  5. Max Gerson observed that his special diet with added liver juice, vitamin B3, coffee enemas, etc. cures cancer. This is how Gerson found the Gerson therapy. BUT IT NEVER HAPPENED! How can I be so sure? Because he never could demonstrate this effect and others never were able to replicate his alleged finfings.
  6. George Goodheart was convinced that the strength of a muscle group provides information about the health of inner organs. This formed the basis for applied kinesiology. BUT IT NEVER HAPPENED! How can I be so sure? Because applied kinesiology has been disclosed as a simple party trick.
  7. Paul Nogier thought that the function of inner organs can be influenced by stimulating points on the outer ear. This was the discovery that became auricular therapy. BUT IT NEVER HAPPENED! How can I be so sure? Because Nogier’s assumptions fly in the face of anatomy and physiology.
  8. Antom Mesmer discovered that by moving a magnet over a patient, he would move her vital fluid and affect her health. This discovery became the basis for Mesmer’s ‘animal magnetism‘. BUT IT NEVER HAPPENED! How can I be so sure? Because there is no vital fluid and neither real nor animal magnetism have specific therapeutic effects.
  9. Reinhold Voll observed that the electric resistance over acupuncture points provides diagnostic information about the function of the corresponding organs. He thus invented his ‘electroacupuncture according to Voll‘ (EAV). BUT IT NEVER HAPPENED! How can I be so sure? Because EAV and the various methods derived from it are not valid and fail to produce reproducible results.
  10. Ignatz von Peczely discovered that discolorations on the iris provide valuable information about the health of inner organs. This was the birth of iridology. BUT IT NEVER HAPPENED! How can I be so sure? Because discolorations develop spontaneously and Peczely’s assumptions about nerval connections between the iris and the organs of the body are pure fantasy.

I hope that you can think of further SCAM discoveries that never happened. If so, please elaborate in the comments section below; you will see, it is good fun!

PS

By sating ‘IT NEVER HAPPENED’, I mean to say that it never happened as reported/imagined by the inventor of the respective SCAM and that the explanations perpetuated by the enthusiasts of the SCAM regarding cause and effect are based on misunderstandings.

Anja Zeidler (born 1993) became known in 2012 as the most successful fitness personality in Switzerland. After joining the bodybuilding scene in Los Angeles, a phase of self-discovery followed. Anja published her development and became what one nowadays calls an ‘INFLUENCER’. As Managing Director and Content Director of her own company, Anja Zeidler GmbH, Anja has made a name for herself as a public figure far beyond the fitness market with her activities as a ‘Selflove Influencer’, blogger, book author, motivational speaker, presenter and expert in the food & health sector. Furthermore, she is completing a degree at the Academy of Naturopathy for Holistic Health.

About a year and a half ago, Anja Zeidler had a desmoid tumor removed from under her left breast – and now it was reported to be back. The conventional treatment methods are clear: another surgical procedure or radiation. But Zeidler said she wants to wait with such interventions. For the time being, she has decided to go her own way. She wants to “balance any imbalances” with her naturopathic doctor and wishes to fight the disease on her own and with a “positive mindset.”

“On a spiritual level, they say that tumors can be related to trauma. That’s why I’ve tried breathing exercises and cocoa ceremonies. With these methods, I get into my subconscious and get closer to traumas, which I am not aware of, and try to dissolve them. So far, blatant things have come up that I had long forgotten and repressed,” she says enthusiastically. In addition, Zeidler wants to give up refined sugar with immediate effect, keep better control of her diet in general – even in her stressful everyday life – and drink freshly squeezed celery and beetroot juice every morning. In addition, she relies on “natural capsules with and grape seed OPC.” “I’ve read in studies that certain types of fungi and strong antioxidants like OPC are supposed to fight tumor cells.” There I follow the motto: ‘if it doesn’t help, at least it does not harm.'”

Zeidler’s tumor is a desmoid tumor, an abnormal growth that arises from connective tissues. These tumors are generally not considered malignant because they do not spread to other parts of the body; however, they can aggressively invade the surrounding tissue and can be very difficult to remove surgically. These tumors often recur, even after apparently complete removal.

Zeidler commented: “I am convinced that with a positive mindset you can contribute extremely much to the healing process. If the checks reveal rapid growth, I will of course seek medical treatment. Then I would opt for radiation.”

The trouble with ‘influencers’ is that they are gullible and influence the often gullible public to become more gullible. Thus their influence might cost many lives. Personally, I hope that the young woman does well with her erstwhile refusal of evidence-based treatments. Yet, I fear that the ‘Academy of Naturopathy for Holistic Health’ will teach her a lot of BS about the power of natural cancer cures. The sooner she agrees to have her tumor treated based on evidence, the better her prognosis, I’m sure.

The Skeptic reported that a cardiologist and one of the UK’s most influential critics of the COVID-19 vaccine, Dr Aseem Malhotra, has been named the 2023 recipient of the “Rusty Razor” award, the prize given by The Skeptic to the year’s worst promoters of pseudoscience.

Dr Malhotra has made a name for himself over the last decade as a cardiologist who advocates strongly against the broad use of statins. He has described the drugs as a multi-billion dollar “con” by the pharmaceutical industry, saying that his critics have “received millions in research funding from the pharmaceutical industry”. He has described the link between heart disease and saturated fat as a “myth”, drawing criticism from the British Heart Foundation.

In 2017, his book The Pioppi Diet put forward a diet that he claimed could prevent 20 million deaths per year from cardiovascular disease. The book was named by the British Dietetic Association as one of the celebrity diets to most avoid – with the BDA highlighting his apparently Mediterranean diet excluded pasta and bread, but included coconuts.

Throughout the COVID-19 pandemic, Dr Malhotra has been a prolific and powerful voice spreading narratives that run contrary to the best available evidence. In 2021, his book The 21-Day Immunity Plan included a diet claimed to improve the immune system and help fight off infections – claims that drew criticism from medical professionals.

In 2022, Dr Malhotra released a paper claiming that COVID-19 mRNA vaccines posed a serious risk to cardiovascular health and that the vaccines were “at best a reckless gamble”. The paper was published in the Journal of Insulin Resistance – where Dr Malhotra sits on the editorial board.

Dr Malhotra and his campaign against the COVID-19 vaccine was subsequently praised in Parliament by Andrew Bridgen MP as part of the reasoning behind his ongoing anti-vaccine crusade. In January of this year, Dr Malhotra used a BBC interview about statins to claim that deaths from coronary artery disease were actually complications from the vaccine, prompting a slew of complaints, and an apology from the broadcaster.

The Skeptic Editor Michael Marshall said: “In our opinion, Dr Malhotra has been an incredibly prolific promoter of pseudoscience throughout the pandemic, including spreading the false notion that vaccines are responsible for thousands of excess deaths.

“Dr Malhotra’s media career has given him a very large platform, from which he spreads misinformation that undermines confidence in a health intervention that has saved the lives of countless people across the world. In doing so, he stokes the flames of conspiracy, paranoia and mistrust of medical consensus.

“For anyone with so large a platform to do this would be concerning enough, but Dr Malhotra shares these pseudoscientific messages as a registered medical professional whose opinions have influenced at least one current member of parliament.

“All of this, we feel, makes Dr Aseem Malhotra a highly deserving winner of the 2023 Rusty Razor award”

The ‘Rusty Razor’ award was announced as part of The Skeptic’s annual Ockham Awards at a ceremony that took place during Saturday’s QED conference on science and skepticism, in Manchester. Also recognised during the event was the Knowledge Fight podcast, who won the 2023 award for Skeptical Activism.

I agree, Malhortra is a deserverd winner. The prize raises, in my view, an important question:

WHAT ON EARTH IS THE GENERAL MEDICIN COUNCIL (GMC) DOING ABOUT THIS GUY?

Malhotra’s activities have been compared to the case of Andrew Wakefield who falsely claimed that the MMR vaccine was linked to autism. While Wakefield was ultimately struck off by the GMC in 2010, the regulator has so far rebuffed repeated pleas to investigate Dr Malhotra.

The BMJ recently reported that Dr. Matt Kneale, who had previously complained to the GMC about the conduct of Aseem Malhotra, was told that the GMC would not be investigating Malhotra because his statements were not sufficiently “egregious” to merit action and he had a right to “freedom of speech.” Kneale’s appeal against this decision in 2023 was also turned down.

Kneale has now filed a claim with the High Court, arguing that the GMC should consider not only whether a doctor’s behaviour could harm individual patients but also whether their actions undermined public trust in medicine. He said that this was particularly important when examining statements relating to vaccines, where doctors with a high profile on social media could potentially cause great harm.

This case report aims to describe the effects of craniosacral therapy and acupuncture in a patient with chronic migraine.
A 33-year-old man with chronic migraine was treated with 20 sessions of craniosacral therapy and acupuncture for 8 weeks. The number of migraine and headache days were monitored every month. The pain intensity of headache was measured on the visual analog scale (VAS). Korean Headache Impact Test-6 (HIT-6) and Migraine Specific Quality of Life (MSQoL) were also used.
The number of headache days per month reduced from 28 to 7 after 8 weeks of treatment and to 3 after 3 months of treatment. The pain intensity of headache based on VAS reduced from 7.5 to 3 after 8 weeks and further to < 1 after 3 months of treatment. Furthermore, the patient’s HIT-6 and MSQoL scores improved during the treatment period, which was maintained or further improved at the 3 month follow-up. No side effects were observed during or after the treatment.
The authors concluded that this case indicates that craniosacral therapy and acupuncture could be effective treatments for chronic
migraine. Further studies are required to validate the efficacy of craniosacral therapy for chronic migraine.

So, was the treatment period 8 weeks long or was it 3 months?

No, I am not discussing this article merely for making a fairly petty point. The reason I mention it is diffteren. I think it is time to discuss the relevance of case reports.

What is the purpose of a case report in medicine/healthcare. Here is the abstract of an article entitled “The Importance of Writing and Publishing Case Reports During Medical Training“:

Case reports are valuable resources of unusual information that may lead to new research and advances in clinical practice. Many journals and medical databases recognize the time-honored importance of case reports as a valuable source of new ideas and information in clinical medicine. There are published editorials available on the continued importance of open-access case reports in our modern information-flowing world. Writing case reports is an academic duty with an artistic element.

An article in the BMJ is, I think, more informative:

It is common practice in medicine that when we come across an interesting case with an unusual presentation or a surprise twist, we must tell the rest of the medical world. This is how we continue our lifelong learning and aid faster diagnosis and treatment for patients.

It usually falls to the junior to write up the case, so here are a few simple tips to get you started.

First steps

Begin by sitting down with your medical team to discuss the interesting aspects of the case and the learning points to highlight. Ideally, a registrar or middle grade will mentor you and give you guidance. Another junior doctor or medical student may also be keen to be involved. Allocate jobs to split the workload, set a deadline and work timeframe, and discuss the order in which the authors will be listed. All listed authors should contribute substantially, with the person doing most of the work put first and the guarantor (usually the most senior team member) at the end.

Getting consent

Gain permission and written consent to write up the case from the patient or parents, if your patient is a child, and keep a copy because you will need it later for submission to journals.

Information gathering

Gather all the information from the medical notes and the hospital’s electronic systems, including copies of blood results and imaging, as medical notes often disappear when the patient is discharged and are notoriously difficult to find again. Remember to anonymise the data according to your local hospital policy.

Writing up

Write up the case emphasising the interesting points of the presentation, investigations leading to diagnosis, and management of the disease/pathology. Get input on the case from all members of the team, highlighting their involvement. Also include the prognosis of the patient, if known, as the reader will want to know the outcome.

Coming up with a title

Discuss a title with your supervisor and other members of the team, as this provides the focus for your article. The title should be concise and interesting but should also enable people to find it in medical literature search engines. Also think about how you will present your case study—for example, a poster presentation or scientific paper—and consider potential journals or conferences, as you may need to write in a particular style or format.

Background research

Research the disease/pathology that is the focus of your article and write a background paragraph or two, highlighting the relevance of your case report in relation to this. If you are struggling, seek the opinion of a specialist who may know of relevant articles or texts. Another good resource is your hospital library, where staff are often more than happy to help with literature searches.

How your case is different

Move on to explore how the case presented differently to the admitting team. Alternatively, if your report is focused on management, explore the difficulties the team came across and alternative options for treatment.

Conclusion

Finish by explaining why your case report adds to the medical literature and highlight any learning points.

Writing an abstract

The abstract should be no longer than 100-200 words and should highlight all your key points concisely. This can be harder than writing the full article and needs special care as it will be used to judge whether your case is accepted for presentation or publication.

What next

Discuss with your supervisor or team about options for presenting or publishing your case report. At the very least, you should present your article locally within a departmental or team meeting or at a hospital grand round. Well done!

Both papers agree that case reports can be important. They may provide valuable resources of unusual information that may lead to new research and advances in clinical practice and should offer an interesting case with an unusual presentation or a surprise twist.

I agree!

But perhaps it is more constructive to consider what a case report cannot do.

It cannot provide evidence about the effectiveness of a therapy. To publish something like:

  • I had a patient with the common condition xy;
  • I treated her with therapy yz;
  • this was followed by patient feeling better;

is totally bonkers – even more so if the outcome was subjective and the therapy consisted of more than one intervention, as in the article above. We have no means of telling whether it was treatment A, or treatment B, or a placebo effect, or the regression towards the mean, or the natural history of the condition that caused the outcome. The authors might just as well just have reported:

WE RECENTLY TREATED A PATIENT WHO GOT BETTER

full stop.

Sadly – and this is the reason why I spend some time on this subject – this sort of thing happens very often in the realm of SCAM.

Case reports are particularly valuable if they enable and stimulate others to do more research on a defined and under-researched issue (e.g. an adverse effect of a therapy). Case reports like the one above do not do this. They are a waste of space and tend to be abused as some sort of indication that the treatments in question might be valuable.

 

It has been reported that a UK Conservative candidate for the next general election reportedly claimed she healed a man’s hearing through the power of prayer. Kristy Adams has been chosen to represent the Conservatives in Mid Sussex at the next general UK election, which is expected to take place in May or the autumn of next year. Mrs Adams previously stood as the Tory candidate in Hove in 2017, placing a distant second behind Labour MP Peter Kyle.

In a recording from 2010, the Conservative hopeful reportedly told the King’s Arms Church in Bedford how she healed a deaf man by placing her hands over his ears and saying: “Be healed in Jesus’s name”. Mrs Adams is reported to have said: “He had hearing aids in both ears and I just thought that wasn’t right. It just annoyed me. I said ‘can I pray for you?’ and his eyes lit up, which is unusual when you offer to pray for someone’s healing.” After removing her hands, she claims the man could hear without his hearing aids. “I don’t know if he was more surprised or me,” she reportedly said.

Speaking to The Argus during her 2017 election campaign, Mrs Adams said she had asked the Daily Mirror to remove a story about the alleged recording but refused to answer whether she believed non-scientific medical miracles can happen. She said: “Millions of Christians around the world pray every day to help people.”

On this blog, we have discussed the alleged healing powers of prayer before, e.g.:

Suffice to say, perhaps, that the evidence for prayer as a therapy is not positive.

Subscribe via email

Enter your email address to receive notifications of new blog posts by email.

Recent Comments

Note that comments can be edited for up to five minutes after they are first submitted but you must tick the box: “Save my name, email, and website in this browser for the next time I comment.”

The most recent comments from all posts can be seen here.

Archives
Categories