Edzard Ernst

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

“Dr. Arleen Scholten” – rings a bell?

Yes!

She is the chiropractor who treated John Lawler who then tragically died. Since Scholten was found not guilty of any wrong-doing by the General Chiropractic Council (GCC), she is practising unabated. These days, she seems to be particularly fond of treating children. Here are some excerpts from what she claims on her website:

Subluxations, or misalignments, within the spine can disrupt the vital communication between the brain and the body. These subluxations induce stress on the nervous system, potentially leading to a diminished function in the affected area. Infants, children, and adults can all experience spinal subluxations. Birth trauma, minor or major traumas, and developmental stress can all cause subluxations in infants and children. During the initial five years of life, the body generates more neural pathways than at any other time. It is crucial to optimize this production through pediatric chiropractic care, as these early years are pivotal for each child’s potential… 

Chiropractic adjustments are safe for patients of all ages, including newborns…  Over time, chiropractic practitioners have received valuable feedback from parents and young patients, highlighting significant and unexpected improvements in various aspects of their lives, including:

  • Sleep patterns
  • Behavior and attitude
  • Immune system functionality

Additionally, patients have reported improvements in conditions such as ADD/ADHD, colic, torticollis, ear infections, bed-wetting, digestive issues, allergies, asthma, seizures, and more.

_________________________

Allow me to add a few comments on these claims:

  • Subluxations only exist in the imagination of chiropractors.
  • Therefore, they cannot disturb vital communication between the brain and the body.
  • Nor can they induce stress on the nervous system.
  • Nobody experiences chiropractic subluxations because they are a chiropractic invention to fool patients and take their money.
  • Pediatric chiropractic care does not enhance a child’s potential.
  • Chiropractic adjustments are not safe; as we have often discussed on this blog, they cause not merely very frequent mild, transient adverse effects but also serious and often permanent complications of unknown frequency.
  • Feedback received by chiropractors is a far cry from amounting to reliable evidence. 
  • Chiropractic does not improve  sleep patterns.
  • It does not alter behavior and attitude.
  • It also does not enhance immune system functionality.
  • Nor does it affect ADD/ADHD, colic, torticollis, ear infections, bed-wetting, digestive issues, allergies, asthma, seizures.

Some of these conditions can be potentially serious. Treating them with chiropractic would needlessly prolong the suffering; in a worst case scenarion, it could even cost the life of a child. This, I feel, begs the question: is one death not enough, ‘Dr.’ Scholten?

She has already once been let off the hook by the GCC, I wonder whether the ‘Advertising Standards Authority’ will be as lenient, or whether they could step in and prevent a further tragedy.

 

Prof Dr Sucharit Bhakdi is one of the most far-reaching disinformation disseminators of the COVID pandemic. He spread numerous bogus claims about the dangers of COVID vaccines and put forward scientifically untenable theories.

  • Writing an open Letter in March 2020 to German Chancellor Angela Merkel regarding the “socio-economic consequences of the drastic containment measures which are currently being applied in large parts of Europe”
  • Posting videos on YouTube claiming, for example, that the government was overreacting because the virus posed no more threat than influenza, and that any COVID-19 vaccine would be “pointless”.
  • Participation in May 2020 in the writing of a “position paper of the BMI” by an employee of the German crisis management department. The Federal Ministry distanced itself from the position, calling the paper a “private opinion” circulating on official letterhead, and released the chief government councilor Stephan Kohn from duty.
  • He is the co-author of Corona, False Alarm? Facts and Figures (2020), German: (‘Corona Fehlalarm?’) ISBN 978-3-99060-191-4 and Corona Unmasked. Neue Daten, Zahlen, Hintergründe. (Goldegg, Berlin/Wien 2021, ISBN 978-3-99060-231-7. An earlier book of his was published in 2016, Schreckgespenst Infektionen – Mythen, Wahn und Wirklichkeit (tr. “Bogeyman Infections – Myths, Delusions and Reality”ISBN 978-3-903090-66-8. He published these books together with his wife, Karina Reiss [de], a biologist and biochemist at the Quincke Research Center, Christian-Albrechts-Universität zu Kiel.
  • Describing Germany in December 2020 as a “health dictatorship”, saying he wanted to emigrate to Thailand because of this.

Now Bhakdi seems to have changed his tune: ‘There were few side effects’ he recently said during an interview. A remarkable admission, considering that Bhakdi had previously warned of literally millions of injured and dead people, destroyed immune systems and a ‘horror without end’ caused by the mRNA vaccines.

Bhakdi’s statement about the paucity of adverse effects is, of course, right – in fact, it might be one of the very few of his statements that are correct. Current figures from the Paul Ehrlich Institute confirm the safety of the COVID vaccines: with 65 million people vaccinated and around 182 million vaccine doses administered in Germany, only 573 vaccine injuries were noted. This corresponds to an incidence of around 0.00088 %. In contrast, it has been calculated that COVID vaccinations have saved about 166,000 lives in Germany alone.

So, how does Bhakdi explain the contradiction of first insisting on the danger of the vaccinations and now admitting that “there were few side-effects”? In the interview, he claims that the vast majority of doses administered had no effect whatsoever because they had rapidly lost their activity. He explains that, in most cases, the mRNA in the vaccines did not enter the body due to unstable packaging. Therefore the expected side effects did not materialise. An obviously fictitious explanation that is scientifically untenable and clearly a desperate excuse. When asked how someone can tell that she received an inactive vaccine, he replied that, if you did not fall ill after the vaccination, the dose you received was inactive.

I think Bhakdi deserves all the high honors that were bestowed on him. He deserves them not because he ever was right or truthful or honest about the danger of COVID vaccination. No! He deserves them for his ingenuity in finding yet another lie that enables him to bring all his previous lies (COVID vaccinations are frightfully dangerous) in line with reality (COVID vaccinations harmed almost nobody).

Yes, sometimes two lies can result in the truth:

there were indeed few side-effects!

 

 

 

This paper explored the intersection of science and pseudoscience in online discourse about detoxification, investigating how and to what extent they coexist on the web. Drawing on previous studies of internet health scams, it examines the discursive strategies used to either validate or refute alternative detox treatments. Using a corpus-assisted discourse studies approach, the present study analyses a corpus of texts (167,177 tokens) about detoxification randomly collected from the web.

The results show that corrective messages debunking the detox myth make up less than 10% of the corpus. Furthermore, many keywords in the corpus, such as “toxin(s),” are subject to constant renegotiation. Advocates of so-called alternative medicine (SCAM) use the term “toxin(s)” to justify detox treatments, while scientists criticize it as pseudoscientific.

The authors conclude thaat their study highlights how terminological ambiguity facilitates the mixing of science and pseudoscience, confusing readers. It also highlights the role of language in health-related misinformation and calls for interdisciplinary research to develop educational tools for health professionals.

Corpus-assisted discourse studies (CADSs) are related historically and methodologically to the discipline of corpus linguistics. Their principal endeavor is the investigation and comparison of features of particular discourse types, integrating into the analysis the techniques and tools developed within corpus linguistics. These include the compilation of specialised corpora and analyses of word and word-cluster frequency lists, comparative keyword lists and, above all, concordances. A broader conceptualisation of corpus-assisted discourse studies would include any study that aims to bring together corpus linguistics and discourse analysis.

The findings of this CADS can hardly surprise anyone who has been following this blog. We have often discussed the problem of pseudo-scientific language and the confusion it creates. Likewise, we have repeatedly dealt with the ‘detox myth’ and how it is being used by advocates of SCAM.

What is new is the finding that only 10% of of the discourse seems to come from people who debunk the ‘detox myth’. This is, of course, disappointing but not really surprising considering how much virtually the entire SCAM business relies on it.

So, to make it clear yet again:

As always, I would be delighted to learn more and to correct these statements, provided someone shows me good evidence to the contrary.

Considering the incessant promotion of the integration of so-called alternative medicine (SCAM) into conventional medicine, it seems high time to evaluate and carefully consider the opportunities and challenges that such a strategy would pose. This article addresses both; it was written on the basis of information published in the books and articles available in real and virtual libraries in a descriptive-explanatory way.

Integrating SCAM with conventional medicine brings many opportunities as well as numerous challenges. The most important challenges are legal and ethical challenges, regulation, formulation and implementation of the training program and attention to research-orientedness and validity of research. Every medical field needs legislation, control and legal supervision from inside and outside the organization. In addition to guaranteeing the quality, efficiency and reducing the risk of using tools and methods, this work prevents any abuse and fraud. This issue is more important in the field of complementary medicine, where there is a great need for a relationship based on trust between the therapist and the patient.

The authors concluded that integrating of traditional and complimentary medicine into conventional medicine, despite its many advantages, faces serious challenges that require appropriate stategies in the fields of law making, regulatory and quality control, education and research. In the legal field, it is necessary to have appropriate laws for the purpose of issuing employment licenses and clarifying the quality standards of specialists, including avoiding negligence and mistakes, and compensating for damages through increasing medical liability insurance coverage and ways to avoid legal liability, including acquiring Informed consent and privacy should be included in the rules. Regulation in both product and specialist sectors should be implemented carefully in terms of quality, safety and efficiency of products and methods.

The paper was written by two authors from the “Smart University of Medical Sciences, Tehran, Iran”. We therefore have to forgive them their often unclear English. Their paper does, however, alert us to important and much-neglected issues.

The ethical problems that arise through the use of SCAM are as significant as the legal ones. On this blog, I have repeatedly tried to alert the public to them, e.g.:

In my view, the ethical issues in and around SCAM are central to most of the problems we discuss on this blog. They are nonetheless strangely neglected by SCAM professionals, SCAM users, SCAM researchers and almost everyone else.

Why?

I have come to the conclusion that this is because addressing them adequately would more or less prevent the practice of SCAM – just think of the thorny issue of informed consent. Arguably, fully informed consent for a SCAM therapy is impossible or would chase away even the most enthusiastic parient.

In case you are looking for a book where the entire spectrum of ethical issues are concisely addressed, let me recomment our own work (it even received an award from the British Medical Association).

Robert F Kennedy Jr. (RFKJr.)recently said that he’s aiming to know the cause of the “autism epidemic” by September, and will be able to “eliminate those exposures” that he says are behind the condition. This and other statements lay bare the embarrassing ignorance of RFKJr. as it contains a surprising number of errors:

  1. There is no epidemic of autism. The figures he likes to quote are hugely inflated. According to a meta-analysis, 0.77% of children globally are diagnosed with ASD, with boys comprising 1.14% of this group. Notably, Australia showed the highest prevalence rate, with an effect size of 2.18, highlighting it as a critical area for public health focus. The increase observed by many is largely due to a widening of diagnostic criteria.
  2. He presupposes that autism is due to some type of exposure (he claimed: “We know it’s an environmental exposure.”). However, this is far from proven and several other possibilities exist; most experts think that a genetic predisposition is the most important factor.
  3. Even if he can identify an exposure, it is unclear that and how he might eliminate it.
  4. To do the necessary research by September is not realistic.

RFKJr. has hired another pseudo-scientist, David Geier, to conduct the research. If they approached the subject rationally, they would start by looking what research has already been done. Few areas of inquiry are more active that research into autism (Medline currently lists ~ 84 ooo papers on the subject).

Here are some examples of conclusions from recent meta-analyses showing subject areas where research might yield relevant findings and those that are likely to be dead ends:

Probable dead ends

Possibly relevant

Above, I wrote that rational scientists would approach the subject by evaluating the research that has already been done. So, why will Kennedy, Geier et al not do that?

Simple!

The very first meta-analysis cited above (confirmed by multiple further reviews) firmly establishes that the pursuit of RFKJr.’s obsession (vaccines cause autism) is a dead end! The issue has been researched, re-researched ad nauseam and laid to bed.

So, in order to confirm his belief, RFKJr. needs to spend all this money in order to find (or manipulate) some evidence that questions a rock-solid consensus. Once he has succeeded in this task, he will to do what all pseudo-scientists do best: he will pretend that correlations are prove of causation.

In the end, this will amount to a spectecular waste of money. Because some people will nevertheless believe RFKJr., it will also strengthen the anti-vax movement and thus further endanger public health.

WATCH THIS SPACE!

On Easter Sunday, it seems reasonable to look at a recent paper about religious factors that might determine the usage of so-called alternative medicine (SCAM). This article examined the vitalistic/holistic foundation of SCAM.

The two Ukranian authors explain that, according to the principles of holistic medicine, health is associated with the harmonization of the elements and forces that constitute human nature on both the physical and spiritual levels of existence. Regarding the religious foundations of SCAM practices of Eastern origin, the systems such as yoga, Daoism, and Ayurveda perceive energy as an impersonal force that an individual can accumulate, balance, and influence through physical and spiritual exercises to achieve health, longevity, and personal self-improvement. These systems are vitalistic, as they recognize impersonal energy as the fundamental basis of existence. In contrast, the conceptual foundation of SCAM practices of Western origin differs fundamentally from Eastern approaches. These practices are not rooted in Christianity, despite having emerged in countries belonging to Christian civilization. This is because, in Christianity, the source of existence is God-Person, which significantly diminishes the ontological status of impersonal energy. As a result, Western SCAM practices have developed an instrumental approach to vitalistic methods, adapting many Eastern techniques to the Western cultural and anthropological context. Additionally, they are based on various personal quasi-scientific systems, such as Mesmer’s magnetism, Hahnemann’s homeopathy, Palmer’s chiropractic methods, and others. To an external observer, these methods may appear impressive. However, whether a physician chooses to incorporate them into their practice depends entirely
on their personal experience and convictions.

The authors concluced that “both Eastern and Western SCAM practices consider energy an important factor in health, and their holistic approach integrates work with the body, mind, and spirit. Regarding the religious foundation of Eastern SCAM practices, systems such as Yoga, Daoism, Ayurveda consider energy to be an impersonal force that individuals can accumulate, balance, and influence through physical and spiritual exercises to
achieve health, longevity, and personal self-improvement. These systems are vitalistic because they recognize energy as the fundamental basis of existence. In contrast, the conceptual foundation of Western SCAM practices is fundamentally different. These practices can not be rooted in Christianity, even though they originate from countries within Christian civilization. This is because, in Christianity, the source of existence is God-Person,
which diminishes the significance of energy. With some exceptions, Christianity lacks a holistic view of energy, and
human control over it is limited. As a result, Western SCAM practices have developed a more instrumental approach to vitalistic methods, including those borrowed from Eastern medicine. Furthermore, they rely on quasi-scientific systems developed by specific individuals, such as Mesmer’s magnetism, Hahnemann’s homeopathy, and Palmer’s chiropractic methods, and others.”

Convinced?

Me neither!

Happy Easter, nonetheless.

Yes, this was the (rather sensationalist) headline of a recent article in the Daily Mail that I allegedly wrote. Its unusual genesis might interest some of you.

I was contacted by a journalist who asked for a telephone interview on the subject of chiropractic as well as my recent book. I agreed under the condition that we do this not over the phone but in writing via email. So, he sent me his questions and I supplied the responses; here they are:

 

· What’s the absolute worst case scenario of seeing a chiropractor?

The worst that can happen is that you die. Certain manipulations that chiropractors regularly do can injure an artery that supplies part of the brain. This would then result in a stroke; and a stroke can of course be fatal. This is what happened, for example, to the American model Katie May. She had pinched a nerve in her neck on a photoshoot and consulted a chiropractor who manipulated her neck. This caused a tear to an artery in her upper spine. The result was a massive stroke of which she died a few days later.

· How did you first become interested in the topic?

I learned hands on spinal manipulation as a junior doctor. Later, as the head of the department of Physical Medicine and Rehabilitation at the University of Vienna, we used such techniques routinely. In 1993, I became chair of Complementary Medicine in Exeter, and my task was to scientifically investigate alternative therapies such as chiropractic. Recently, I decided to summarize all our research in a book.

· What did you learn from your research?

In essence, our investigations found that almost all the claims that chiropractors make are unsubstantiated. Their manipulations are not nearly as effective as they claim. More worryingly, they are also not free of risks. About 50% of patients who see a chiropractor suffer from side effects after spinal manipulation. These are usually not severe and disappear after 2 or 3 days. But, in addition, very serious complications like stroke, death, bone fractures, paralysis can also occur. Chiropractors say that these are rare, and I hope they are right, but the truth is that nobody knows because there is no system of monitoring such events. We once asked British neurologists to report cases of neurological complications occurring within 24 hours of cervical spine manipulation over a 12-month period. This unearthed a total of 35 cases. Particularly striking was the fact that none of these cases had previously been reported anywhere. So, the underreporting was exactly 100%. This tells me that, when chiropractors claim there are just a few such incidents, in truth there might be a few hundred or even thousand.

· Is there an especially shocking finding?

What I find particularly unnerving is the way chiropractors regularly disregard medical ethics. Take the issue of informed consent, for example. It means that we all have to fully inform patients about the treatment we plan to give. In the case of chiropractic spinal manipulation, it would need to include that the therapy is of doubtful effectiveness, that other options are more likely to help, and that the treatment carries very frequent minor as well as probably rare major risks. I do understand why chiropractors do often not provide this information – it would chase away most patients and thus impact of their income. At the same time, I feel that chiropractors should not be allowed to violate fundamental principles of medical ethics. This is not in the interest of patients!!!

· Why do you think patients are so keen on chiropractors?

I am not sure that they really are so keen; some are but the vast majority are not. Our own research suggests that, depending on the country, between 7 and 33% of the population see chiropractors. This means that between 93 and 67% have enough sense to avoid chiropractors.

· But what does the evidence actually show about the efficacy of chiropractic?

As it happens our most recent summary has just been published. It concluded that “it is uncertain if chiropractic spinal manipulation is more effective than sham, control, or deep friction massage interventions for patients with headaches” [Is chiropractic spinal manipulation effective for the treatment of cervicogenic, tension-type, or migraine headaches? A systematic review – ScienceDirect]. For other conditions the evidence tends to be even less convincing. The only exception might be chronic low back pain, according to another recent summary [Analgesic effects of non-surgical and non-interventional treatments for low back pain: a systematic review and meta-analysis of placebo-controlled randomised trials | BMJ Evidence-Based Medicine]. But here too, I would argue that other treatments are safer and cheaper.

· Are some chiropractors worse than others?

The profession is divided into 2 groups, the ‘straights’ and the ‘mixers’. The former believe in all the nonsense their founding father, DD Palmer, proclaimed 120 years ago, including that spinal manipulation is the only treatment for virtually all our ailments, and that vaccinations must be avoided at all cost. The mixers have realized that Palmer was a charlatan of the worst kind, focus on musculoskeletal conditions and use treatments borrowed from physiotherapy. Needless to say that the mixers might be bad, but the straights are even worse.

· What can patients do to keep safe?

Avoid chiropractors, go to a library and read my book.

· If you have backpain or joint pain what can you do instead?

There is lots people can do but advice has to be individualized. By far the best is to prevent back pain from happening. Here advice might include more exercise, loosing weight, changing your mattress, avoiding certain things like heavy lifting, etc. If you are acutely suffering, see a physio or a doctor, keep moving and be aware that over 90% of back pain disappears within a few days regardless of what you do.

________________________

I had insisted that I see his edits before this gets published, and a little while later I received the edited version. To my big surprise, the journalist had transformed the interview into an article allegedly authored by me. I told him that I was uncomfortable with this solution, and we agreed that he would make it clear that the article was merely based on an interview with me. I then revised the article in question and the result was the mentioned article published still naming me as its author but with a footnote: “As told in an interview with Ethan Ennals”

Never a dull day when you research so-called alternative medicine!

After starting his trade war, Trump initiated a war on academia. The plan to do so is hardly new; months ago Trump stated: “The time has come to reclaim our once great educational institutions from the radical left. We spend more money on higher education than any other country and yet they are turning our students into communists and terrorists.” And about a year ago, Trump’s sycophant-in chief, JD Vance, proclaimed: THE ENEMY ARE THE PROFESSORS!

In view of the facts that Trump and his minions

  • called climate change a hoax;
  • support creationism;
  • think that vaccinations cause autism;
  • categorized math as ‘woke’;
  • etc., etc.

it seems almost logic that they have to go after the universities. They want to control who teaches and what they teach; who is educated and who isn’t; what is news and what is ‘fake-news’; what is truth and what is not. This is not just an attack on academia but also an assault on the First Amendment as well as an unacceptable over-reach and a destruction of the very fabric of society.

Withholding billions in research funds, rescinding the universities’ tax-exempt status and disallowing to enroll foreign students are measures of blackmail, extortion and punishment for refusing to bow to Trump’s agenda. “Perhaps Harvard should lose its Tax Exempt Status and be Taxed as a Political Entity if it keeps pushing political, ideological, and terrorist inspired/supporting ‘Sickness?’ Remember, Tax Exempt Status is totally contingent on acting in the PUBLIC INTEREST!” Trump posted on Truth Social.

Harvard courageously stood up to Trump’s attack by rejecting his demands: “The university will not surrender its independence or relinquish its constitutional rights. Neither Harvard nor any other private university can allow itself to be taken over by the federal government. Accordingly, Harvard will not accept the government’s terms as an agreement in principle.”

Trump’s attack on academia is not an isolated outburst but a strategic move in a culture war: a deliberate effort to delegitimize intellectual authority, critical thinking, and every form of knowledge production that cannot be directly controlled by populist power. Universities like Harvard become targets not because of specific failures, but because they embody a troubling idea: that knowledge requires distance, discipline, and method—and that not everything can be resolved with gut feeling or loud opinion.

Academia, with its specialized language, its commitment to evidence, and its tradition of critique, represents everything the anti-intellectual populist playbook seeks to dismantle: mediation, doubt, and nuance. The far right has learned that the most efficient way to win a culture war isn’t to offer better ideas—it’s to sabotage the very tools we use to judge ideas. That’s why universities, scientists, and journalists are now treated as enemies. The goal is not to debate the truth, but to make truth irrelevant.

Just like his trade-war, Trump’s war on academia can only end in disaster and must be stopped. I for one very much hope that Harvard’s refusal marks the turning point. It should unite and embolden US academia to resist and reclaim knowledge as a public good. Trump’s primitive McCarthyism must end for good.

 

King Charles is, as we all know, one of the world’s most subborn (i.e. despite convincing evidence) supporter of homeopathy:

  • After managing to get osteopathy and chiropractic regulated by statute, Charles had planned to do the same with homeopathy. Jonathan Dimbleby wrote in 1995: “It is now hoped that a Homeopathy Bill will be laid before the House in 1995 or 1996”
  • Charles advocates homeopathy not just for humans but also for animals. Farmers in the UK, for instance, are being taught how to treat their livestock with homeopathy “by kind permission of His Royal Highness, The Prince Of Wales”
  • Ainsworth, the UK homeopathic pharmacy, carries Charles’ royal warrant.
  • Charles often supports homeopathic events with his presence and speeches. For instance, he opened the Glasgow Homeopathic hospital.
  • The Smallwood report commissioned by Charles concluded that millions of pounds could be saved, if only the NHS used more homeopathy.
  • The College of Medicine and Integrated Medicine of which Charles is a patron regularly promotes homeopathy.
  • Charles regularly lobbied politicians urging them to make more homeopathy available via the NHS.
  • In 2019, the Faculty of Homeopathy announced that His Royal Highness The Prince of Wales had accepted to become Patron of the Faculty of Homeopathy.

About a year ago, it was announced that the King is suffering from cancer. Since then, his illness is almost a daily subject of news and speculation. From what we hear, Charles is coping famously and well on the way to recovery (at least that is what I sincerely hope). Many who discuss the subject of Charles’ cancer are convinced that his relatively good health can only have one reason:

HOMEOPATHY

They are convinced that his treatment plan is prominently or even exclusively based on homeopathy. Here are some statements that I recently picked up on ‘X’:

  • King Charles cured his cancer with herbal remedies & homeopathy & didn’t shed a hair like his DIL, if true they had cancer
  • King Charles uses homeopathy. Is for his cancer in Bangalore.
  • He hasn’t been sick at all ,he uses homeopathy and nobody that uses homeopathy will die of cancer .Was all to push a cancer so called vax ,like the other so called vaccines !!William unfortunately is more of the same ,and also Charles isn’t king !!
  • Homeopathy . It is the only guaranteed cure for Cancer and majority of chronic illnesses worldwide proved. Although sneared at by our guilty House of Lords Health Committee. HRH King Charles was the patron of Homeopathic council for many many years, why is that ?
  • King Charles has cancer diagnosis and elects to use natural remedy and Kate Middleton has cancer and opts for chemotherapy. I think that is weird. I understand the monarchy has always sought homeopathy as a first route for treatment and pharmaceutical as a last resort.
  • Told my mom i think I have bone cancer and now shes making me eat onions is this the homeopathy stuff that king charles guy is doing
  • As an Avid Homeopathy Enthusiast King Charles now has the superpower to cure cancer.

Similar hints can be found in articles about Charles’ cancer, e.g.: King Charles is likely using an “oxygen tent” and his proclivity for homeopathic remedies to help him battle cancer. Some also argue that Dr. Michael Dixon, who two years ago has been appointed as the HEAD OF THE ROYAL MEDICAL HOUSEHOLD, would have seen to Charles’ treatment being homeopathic in nature.

But all of this is pure speculation!

The question clearly is whether there is any reliable evidence.

I have done my best to find some … and I failed (if a reader knows more, please let me know). To the best of my knowledge, there is no evidence that Charles’ cancer is being treated with homeopathy. Contrary to the many who assume that he is being cured by a homeopath, I have always felt this to be most unlikely. I am sure that Charles receives the very best conventional treatments that scientific medicine has to offer.

Homeopathy has indeed been a favorite of the royal family for many years – but only as long as they are healthy! As soon as they fall ill, they insist on effective medicine; and that does evidently NOT include homeopathy.

Dr. Stephan Baumgartner, Deputy Director of the “Institute of Complementary and Integrative Medicine” in Bern, Switzerland, and Dr. Alexander Tournier, Research Associate at the same institution are well known defenders of homeopathy. They just published a paper entitled SCIENTIFIC EVIDENCE ON HOMEOPATHY. Needless to say that such an article is relevant for my blog and attracted my interest.

In their abstract, they claim that “the most recent meta-analyses of RCTs across all indications concluded that there is evidence for specific effects of homeopathic remedies superior to placebo when prescribed by a qualified homeopath. Furthermore, there are several meta-analyses on specific indications (e.g. allergic complaints, childhood diarrhoea) which provide evidence for specific effects of homeopathic preparations superior to placebo.”

As I have published several such papers, I had a look at which of them – if any – they quoted. It turns out they only cited the one entitled “Homeopathy for postoperative ileus? A meta-analysis“.  Here is its abstract:

Homeopathic remedies are advocated for the treatment of postoperative ileus, yet data from clinical trials are inconclusive. We therefore performed meta-analyses of existing clinical trials to determine whether homeopathic treatment has any greater effect than placebo administration on the restoration of intestinal peristalsis in patients after abdominal or gynecologic surgery. We conducted systematic literature searches to identify relevant clinical trials. Meta-analyses were conducted using RevMan software. Separate meta-analyses were conducted for any homeopathic treatment versus placebo; homeopathic remedies of < 12C potency versus placebo; homeopathic remedies of > or = 12C potency versus placebo. A “sensitivity analysis” was performed to test the effect of excluding studies of low methodologic quality. Our endpoint was time to first flatus. Meta-analyses indicated a statistically significant (p < 0.05) weighted mean difference (WMD) in favor of homeopathy (compared with placebo) on the time to first flatus. Meta-analyses of the three studies that compared homeopathic remedies > or = 12C versus placebo showed no significant difference (p > 0.05). Meta-analyses of studies comparing homeopathic remedies < 12C with placebo indicated a statistically significant (p < 0.05) WMD in favor of homeopathy on the time to first flatus. Excluding methodologically weak trials did not substantially change any of the results. There is evidence that homeopathic treatment can reduce the duration of ileus after abdominal or gynecologic surgery. However, several caveats preclude a definitive judgment. These results should form the basis of a randomized controlled trial to resolve the issue.

And here is the paragraph from the article by Baumgartner and Tournier citing our paper:

Barnes et al. (1997) performed a systematic review and meta-analysis of controlled clinical
trials investigating the effects of a homeopathic treatment of postoperative ileus. Meta
analysis yielded a statistically significant (p < 0.05) weighted mean difference (WMD) in favour
of homeopathy (compared with placebo) on the time to first flatus. The exclusion of
methodologically weak trials did not substantially alter the results. The authors concluded
that “our analyses suggest that homeopathic treatment administered immediately after
abdominal surgery may reduce the time to first flatus when compared with placebo
administration”.

(The bits that I have put in bold print are the ones that appear in this paragraph.)

Are you puzzled?

Me too!

What they also forgot to mention is the fact that, in our paper, we explained that the partly positive outcome was produced by several small and flawed trials. They were the reason why eventulally a large and rigorous study was conducted. Its results showed homeopathy to be no better than placebo. Yet, in the meta-analysis this study was not large enough to out-weigh the rigorous trial (this is a well-known weakness of meta-analyses and requires carefull attention when interpreting the findings).

It seems important to note that after the rigorous trial, no further studies of homeopathy for post-operative ileus have emerged. The reason, it seems, is that this trial was conclusive and thus put the notion to rest that homeopathy might work for this highly prevalent condition.

Finally, as I merely looked at one single aspect, I wonder whether there are further misrepresentations in the Baumgartner/Tournier paper.

Here is my question to my readers: does the behavior of Baumgartner and Tournier amount to

  • honest error,
  • sloppiness,
  • wishful thinking,
  • dishonesty,
  • fraud,
  • scientific misconduct?

PLEASE, DO LET ME KNOW WHAT YOU THINK

1 2 3 351

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