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

This story of a woman suffering from early-stage breast cancer is in many ways remarkable. After being diagnosed, she scheduled consultations with surgeons but, because it was the holiday season, appointments were delayed. She therefore decided to use the time proactively and arranged a consultation with ‘Dr. T,’ an integrative medical doctor. She wanted to explore if supplements could support her health while I waited for treatment.

Dr. T mentioned another holistic practitioner, ‘Dr. D’, who specialized in thermography, a thermal imaging technique that maps blood flow on the breast’s surface. Dr. D had allegedly “healed” a breast cancer patient without surgery, radiation or chemotherapy. The patient was intrigued and made an appointment with Dr. D. and had a thermogram.

This involved nine thermal images taken with a special camera, followed by a “cold challenge” where the patient submerged her hands in icy water. She was told that healthy tissue cools in sync with the brain’s signals, while cancerous tumors show up as hot spots.

Discussing the findings with the patient, Dr, D. explained that the thermography had not detected a breast cancer; it it had only revealed “extra heat” in the area. This, the doctor explained, would put her in the “high-risk” category. He explained further that cancer was caused by “too many COVID vaccines,” and therefore the patient shouldn’t get another. “What about the fact that my mom had the same type of cancer, in the same breast, at the same age?” She asked in disbelief. “No, it’s definitely the vaccines,” the doctor insisted, before pivoting to his next pitch: Super Mineral Water, a product he sold in his clinic, which he claimed could “detox” the patient’s body and possibly help cure her.

At this point, the patient, who happened to be a science writer by profession, was horrified and embarrassed — not just by the quackery, but also by her own naiveté for walking into this mess. She took the only sensible action possible: she grabbed her things and left as quickly as she could.

____________________

When we discuss so-called alternative medicine (SCAM), we regularly forget alternative diagnostic methods. Thermography might be counted as one of them, particularly when it is used for diagnosing cancer. A systematic review of the evidence concluded that currently there is not sufficient evidence to support the use of thermography in breast cancer screening, nor is there sufficient evidence to show that thermography provides benefit to patients as an adjunctive tool to mammography or to suspicious clinical findings in diagnosing breast cancer.

The danger with alternative diagnostic methods are mainly twofold.

  1. False positive diagnoses (FPD): this means a clinician uses an alternative diagnostic technique and concludes that the patient is suffering from disease xy, while she is, in fact, healthy. FPDs usually prompt lengthy treatments. They thus cause harm by firstly prompting worries and secondly expence.
  2. False negative diagnoses (FND): this means a clinician uses an alternative diagnostic technique and concludes that the patient is healthy, while she is, in fact, ill. FNDs prompt the patient to no treat her condition in a timely fashion. This can cause untold harm, in extreme cases even death.

In the case above, Dr, D. tried to combine the two options. He issued a FND that could have cost the patient’s life. Simultaneously, he made a FPD that was aimed at filling his pocket.

The story has fortunately a happy ending. After escaping the quack doctor, the patient received proper treatment and made a full recovery.

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