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

cult

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Homeopathy is harmless – except when it kills you!

Death by homeopathy has been a theme that occurred with depressing regularity on my blog, e.g.:

Now, there is yet another sad fatality that must be added to the list. This case report presents a 61-year-old woman with metastatic breast cancer who opted for homeopathic treatments instead of standard oncological care. She presented to the Emergency Department with bilateral necrotic breasts, lymphedema, and widespread metastatic disease. Imaging revealed extensive lytic and sclerotic lesions, as well as pulmonary emboli. Laboratory results showed leukocytosis, lactic acidosis, and hypercalcemia of malignancy.

During hospitalization, patient was managed with anticoagulation and broad-spectrum antibiotics. Despite disease progression, patient declined systemic oncological treatments, leading to a complicated disease trajectory marked by frailty, sarcopenia, and functional quadriplegia, ultimately, a palliative care approach was initiated, and she was discharged to hospice and died.

This case highlights the complex challenges in managing advanced cancer when patients choose alternative therapies over evidence-based treatments. The role of homeopathy in cancer care is controversial, as it lacks robust clinical evidence for managing malignancies, especially metastatic disease.

Although respecting patient autonomy is essential, this case underscores the need for healthcare providers to ensure patients are fully informed about the limitations of alternative therapies. While homeopathy may offer emotional comfort, it is not a substitute for effective cancer treatments. Earlier intervention with conventional oncology might have altered the disease course and improved outcomes. The eventual transition to hospice care focused on maintaining the quality of life and dignity at the end-of-life, emphasizing the importance of integrating palliative care early in the management of advanced cancer to enhance patient and family satisfaction.

Even though such awful stories are far from rare, reports of this nature rarely get published. Clinicians are simply too busy to write up case histories that show merely what sadly must be expected, if a patient refuses effective therapy for a serious condition and prefers to use homeopathy as an “alternative”. Yet, the rather obvious truth is that homeopathy is no alternative. I have pointed it out many times before: if a treatment does not work, it is dangerously misleading to call it alternative medicine – one of the reasons why I nowadays prefer the term so-called alternative medicine (SCAM).

But what about homeopathy as an adjunctive cancer therapy?

In 2011, Walach et al published a prospective observational study with cancer patients in two differently treated cohorts: one cohort with patients under complementary homeopathic treatment (HG; n = 259), and one cohort with conventionally treated cancer patients (CG; n = 380). The authors observed an improvement of quality of life as well as a tendency of fatigue symptoms to decrease in cancer patients under complementary homeopathic treatment.

Walach and other equally deluded defenders of homeopathy (such as Wurster or Frass) tend to interpret these findings as being caused by homeopathy. Yet, this does not seem to be the case, as they regularly forget about the possibility of other, more plausible explanations for their results (e.g. placebo or selection bias). I am not aware of a rigorous trial showing that adjunctive homeopathy has specific effects when used by cancer patients (if a reader knows more, please let me know; I am always keen to learn).

So, is there a role for homeopathy in the fight against cancer?

My short answer:

No!

I has been reported that a man is pleading to steer clear of chiropractors. Last year, Tyler Stanton endured “the worst pain I had ever experienced in my life,” a hospital stay, and the beginning of an ongoing struggle that has left him unable to work. All started immediately after a chiropractor cracked his neck — and something popped.

After adjusting Stanton’s back, the chiropractor moved on to his neck. “It didn’t crack on the first time. On the second time where he tried to crack my neck, he put a lot of force behind it, and I heard one huge and painful pop. I knew immediately that something was wrong.” Stanton recalled that when he tried to sit up, the room began to spin. “My equilibrium was just completely f—ked. I was instantly, profusely sweating.”

After laying on the table for half an hour, Stanton made the short trip back to his home, where he became “violently ill.” Throwing up uncontrollably and unable to see straight, he got into bed, hoping rest would alleviate his symptoms. The following morning, Stanton woke up to “the worst pain I had ever experienced in my life. The entire right side of my body was numb. It was really scary.”

He was taken to the hospital, where he was diagnosed with a herniated disc between the C5 and C6 vertebrae in his neck. Due to the acute pain he was experiencing, he stayed in the hospital for several weeks. “They ended up giving me epidural injections into my spine, and they didn’t even make a dent into the pain,” he said. Ultimately, doctors gave him two choices: spinal fusion therapy or physical therapy to manage his discomfort.

Fearful of the consequences of surgery, Stanton opted for PT. “I had a pharmacy of pain medication to help the nerves be less inflamed so I can get mobility and feeling back into the right side of my body. Essentially, I just had to go home and lay down for about two more months.”

Unable to work, Stanton burned through his savings, and six months into his recovery, he is just beginning to regain sensation in his right arm. “I still deal with pain. I’m still limited in what I can do physically. It just destroyed me. Mentally, financially, physically, all of it.” With limited mobility and mounting medical bills, Stanton is consulting with lawyers and considering legal action. “I kinda feel like I just don’t have another choice because this really just derailed my entire life overnight,” he said.

While proponents say chiropractors help alleviate pain, many doctors describe the field as pseudoscience — and warn that it can actually lead to serious problems. ““There are reports of severe side effects with chiropractic treatment, including blood clot formation, herniated discs, fractures, artery dissection, stroke, paralysis, and death,” explained Gbolahan Okubadejo, MD, a spinal surgeon and the head of The Institute for Comprehensive Spine Care. Dr. Charles R. Wira III, an emergency medicine doctor at Yale Medicine, told the Huffington Post that there’s a known link between chiropractic neck manipulations and major artery tears that can cause strokes. “Thankfully, overall the incidence of neck dissections are small,” he said. “But intentional and aggressive manipulations of the neck merits strong consideration for concern.” Cardiologist Dr. Danielle Belardo said she was “heartbroken” to see a young patient with “dissection of the vertebral artery” following a neck adjustment. “How can we live in a world where it’s legal to perform something with zero evidence for benefit (neck adjustment from a chiro) when there are such incredibly dangerous and life changing risks?” she wrote on Twitter. “[My patient] trusted a licensed healthcare practitioner to provide care that has more benefit than harm. This is a disgrace.”

Stanton hopes his story can serve as a warning for others. “I think it’s important that I share this story because I just don’t want what happened to me to happen to someone else,” he said. “Please don’t go to the chiropractor, OK? If I can do anything with my platform to share the story and save somebody from experiencing what I had to experience, then hopefully, something positive can come out of what I went through. Please hear me when I say this: Please be careful. This is the last thing that you want to experience.”

In a disturbing parallel, a young woman who felt a “crack to her neck” during a gym workout in 2021 died weeks later after going to a chiropractor to treat her neck pain. In 2022, a Georgia woman became paralyzed after a routine neck adjustment ended up rupturing her spinal arteries in several spots. In 2023, an Australian man suffered a stroke after cracking his neck in an ill-advised attempt to cure his chronic back pain.

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None of these are proper case reports in a medical sense, of course. Such publications are relatively rare.

I wonder why.

Could it be related to the fact that many chiropractors are in denial and, as a profession, they still have no adequate monitoring system for adverse event?

Robert F. Kennedy Jr. is coming out with so much stupidity, ignorance and quackery that it is getting difficult to keep up. A recent article reported that he touted two particular medications that have not been shown to work as first-line treatments for measles:

  • the steroid budesonide,
  • the antibiotic clarithromycin.

Kennedy claimed on X that the medications had been instrumental in treating around 300 children in Texas, and told Fox News that doctors prescribing them had seen “very, very good results.”

Consequently, families in Texas have turned to questionable remedies — in some cases, also prompted by the recommendation of two Texas doctors, Dr. Ben Edwards and Dr. Richard Bartlett. Kennedy called Edwards and Bartlett “extraordinary healers” who have “treated and healed” hundreds of children with budesonide and clarithromycin, sharing a photo of himself and the doctors with three Mennonite families whose children had become ill. Two of the families had each recently lost a daughter to measles: 6-year-old Kayley Fehr died in February and 8-year-old Daisy Hildebrand died last week. Neither child was vaccinated.

Edwards, a conventionally trained doctor who has shifted to promoting natural remedies and prayer, has been operating a makeshift clinic in Seminole, offering children these unproven treatments — including, according to a video posted by an anti-vaccine group, while he said he was sick with measles. Edwards has allied himself with the anti-vaccine movement in recent months, hosting influencers and activists on his podcast, including Andrew Wakefield.

“There is no evidence to support the use of either aerosolized budesonide or clarithromycin for treatment of children with measles,” said Dr. Adam Ratner, a spokesman for the American Academy of Pediatrics. Prescribing treatments that have not been vetted in clinical trials amounts to experimenting on patients, added Dr. Susan McLellan, a professor in the infectious diseases division at the University of Texas Medical Branch.

During the measles outbreak, both Edwards and Bartlett have each warned of risks associated with the MMR vaccine: Edwards claimed, falsely, that it causes “potentially” hundreds of deaths a year and Bartlett has said that the complications caused by measles, including brain swelling and pneumonia, can also be caused by the vaccine. In reality, the MMR vaccine, which is only given to children with healthy immune systems, has been overwhelmingly safe since its approval more than five decades ago, and has saved an estimated 94 million lives worldwide.

Public health experts said touting these medications as first-line treatments sends the wrong message. “By mentioning such treatments without that context, RFK Jr. continues to distract away from the prevention measure that incontrovertibly works — the vaccine,” said Dr. Amesh Adalja, a senior scholar at the Johns Hopkins Center for Health Security

A national public health organization is calling for RFK Jr. to resign citing “implicit and explicit bias and complete disregard for science.” Georges Benjamin, executive director of the American Public Health Association, said in a statement that concerns raised during Kennedy’s confirmation hearing last month have been realized, followed by massive reductions in staff at key health agencies.

What’s next? I aslk myself.

Perhaps homeopathy as a savior of the US healthcare system?

Watch this space.

World Homeopathy Day is celebrated on April 10 every year. It aims at marking the importance of homeopathy and its contributions to medicine. It also honors the memory of Dr. Christian Friedrich Samuel Hahnemann — the founder of homeopathy.

Samuel Hahnemann (1755-1843) was born in Meissen, Germany. He studied medicine in Germany and Austria and received his doctorate in 1779 from the university of Erlangen. He practised as a physician but soon became disenchanted with the medicine of his time which he felt was neither effective nor safe. Eventually, he stopped practising and lived from translating medical texts. In the course of this work, he came across a remark about the action of Cinchona bark which prompted him to do experiments on himself. These experiments eventually led to the creation of homeopathy. Hahnemann’s new therapy was controversial but soon became a worldwide success. When Hahnemann was about to retire at the age of 75, he was visited by a young women from Paris. The two were soon married and Hahnemann started a new career in the French metropole where he died in 1843.

Hahnemann’s followers have suffered one defeat after the next, in recent years. More and more countries have stopped reimbursing homeopathy, and the fact that homeopathics are pure placebo has become undeniable. For some of them, this is reason to retreat into their traditional position claiming that homeopathy is, in this or that way, so special that it cannot be squeezed into the straight jacket of science. Here is a very recent article that might serve as an apt example of this notion:

Integrating homeopathy into mainstream medical practice requires a thorough understanding of how the medicine works and what it involves. However, homeopathy, a highly individualized and philosophically alternative medicine, may not be accurately captured by the existing EBM hierarchy. Despite the utility EBM may have as a systematic tool for recognizing evidence-laden treatment options, it overlooks the relevant complexities related to homeopathy. The EBM hierarchy’s narrow focus on statistical significance and empirical data may not be sufficient to capture the complexities and unique principles of homeopathic medicine. A more inclusive, unbiased, and flexible approach that values individualization, mechanistic reasoning, as well as historical and traditional evidence within homeopathy, is needed to develop a nuanced understanding of this alternative medical practice. To bridge this gap, it is crucial to develop an alternative epistemic framework that is consistent with the underlying principles of homeopathy. Such a framework should envelope a more diverse range of data such as mechanistic and experiential evidence. Collaboration between homeopathic practitioners, researchers, and experts in evidence-based methodology could help establish a more comprehensive and inclusive approach to evaluating the evidence for homeopathic treatments.

The article itself explains it as follows:

An appropriate design for assessing homeopathy would consider its unique healing philosophy, thus accurately reflecting the practice under study. To achieve this, we must assess the mechanistic underpinnings that contribute to the treatment’s effectiveness. Homeopathy’s healing philosophy emphasizes individualization and potentization. These practices rely on the practitioner’s assessment of the individual and the resulting design of the medicine prescribed. Furthermore, such a study would not conflate different homeopathic medicines; instead, it would elucidate the effectiveness of the mechanisms giving rise to homeopathy’s healing capacity. For instance, if a certain potency of Ignatia works for one individual, it may be ineffective if prescribed to another without considering their constitution. This relationship regarding the efficiency of homeopathy is backed by the treatment’s medical philosophy. Therefore, it is unfair to reject homeopathy as a medical treatment in its entirety based on a few cases of ineffectiveness, especially when the source of the ineffectiveness can’t be pinpointed.

These arguments sum up the somewhat delusional feelings of many homeopaths. These defenders of the indefensible seem to live on a different planet than the rest of us. Here on planet earth, we have many rational, fair, independent and thus reliable assessments of homeopathy – let me remind you of some of their conclusion:

• “The principles of homeopathy contradict known chemical, physical and biological laws and persuasive scientific trials proving its effectiveness are not available” (Russian Academy of Sciences, Russia)
• “Homeopathy should not be used to treat health conditions that are chronic, serious, or could become serious. People who choose homeopathy may put their health at risk if they reject or delay treatments for which there is good evidence for safety and effectiveness.” (National Health and Medical Research Council, Australia)
• “Homeopathic remedies don’t meet the criteria of evidence-based medicine.” (Hungarian Academy of Sciences, Hungary)
• “The incorporation of anthroposophical and homeopathic products in the Swedish directive on medicinal products would run counter to several of the fundamental principles regarding medicinal products and evidence-based medicine.” (Swedish Academy of Sciences, Sweden)
• “There is no good-quality evidence that homeopathy is effective as a treatment for any health condition” (National Health Service, England)

So, on the occasion of World Homeopathy Day, rational thinkers might conclude that:

  1. there is a wide consensus stating that homeopathy is a placebo therapy;
  2. only homeopaths do not agree with this consensus;
  3. those homeopaths who disagree use transparently bogus arguments in defence of their trade;
  4. closer inspection reveals that they are, in fact, members of a cult.

 

The fact that animal parts are used for so-called alternative medicine (SCAM) is well-known. The problem has so far been related mostly to China and TCM. A recent article reminds us of the fact that the abuse of animals for SCAM is also an African issue:

The use of animals for zootherapeutic purposes has been reported worldwide, and with the patronage of complementary and alternative medicines being on the ascendency, the trade and use of animal parts will only escalate. Many more of these animals used in traditional medicine will be pushed to extinction if policies for their sustainable use and conservation are not formulated. There have been studies across the world which assessed the trade and use of animals in traditional medicine including Ghana. However, all previous Ghanaian studies were conducted in a few specific cities. It therefore makes it imperative for a nationwide study which would provide more comprehensive information on the trade and use of animals in traditional medicine and its conservation implications. Using direct observation and semi-structured questionnaires, data were collected from 133 vendors of animal parts used in traditional medicines in 48 markets located across all 16 administrative regions of Ghana. Analysis of the data showed that the trade in wild animal parts for traditional medicine was more prevalent in the urban centres of Ghana. Overall, 75 identifiable animal species were traded on Ghanaian traditional medicine markets. Using their relative frequency of citation values, chameleons (Chamaeleo spp.; 0.81), lions (Panthera leo; 0.81) and the West African crocodile (Crocodylus suchus; 0.67) were the most commonly traded animals in Ghana. Majority of the vendors (59.1%) indicated that their clients use the animal parts for medicinal purposes mainly for skin diseases, epilepsy and fractures, while clients of 28.2% of the vendors use the animal parts for spiritual or mystical purposes, such as protection against spiritual attacks, spiritual healing and money rituals. Up to 54.2% of the animals were classified as Least Concern by IUCN, 14.7% were threatened, with 51.2% of CITES-listed ones experiencing a decreasing population trend. This study also found that 68.5% of the traded animal species are not listed on CITES, but among those listed, 69.6% are classified under Appendix II. Considering the level of representation of animals of conservation concerns, the harvesting and trade of animal parts for traditional medicine must be regulated. This call is even more urgent since 40.0% of the top ten traded animals are mammals; a class of animals with long gestation periods and are not prolific breeders.

The authors concluded that the trade of animal parts and products for traditional medicine in Ghana is widespread, especially in market centres in the urban area. These animals are used mainly for medicinal purposes, especially skin diseases, but their use for mystical purposes is also prevalent. Again, with the topmost traded animals being those in CITES Appendices I and II, means there is some laxity in the enforcement of laws that are to ensure sustainable use of animal resources. Although a majority of animals traded for traditional medicine may not be currently of conservation concern and not listed under CITES, policymakers and other stakeholders in Ghana and beyond would have to start working on ensuring the survival of the threatened ones and prevent the sliding of the non-threatened species into extinction so the biodiversity will be conserved for the use of the future generation.

All I want to add here is the fact that there is not a shred of evidence that animal parts in SCAM have any positive health effects. It is high time that this barbaric and useless trade stops!

The hallmark of the Trump administration is the discrepancy between its appointees’ responsibilities and their qualifications/competence for their jobs. A well-known anti-vaccine activist assigned the job of reviewing the supposed link between vaccination and autism is a recent case in point. The Washington Post reported that David Geier has been nominated for a study on possible links between immunizations and autism. Retraction Watch recently dedicated an article to Geier pointing out that he has a long history of promoting the debunked claim of a link between vaccines and autism. In 2011, the Maryland State Board of Physicians even had to disciplin Geier for practicing medicine without a license!

The Trump administration has also announced that it will prioritize replicating medical research. At least 20 percent of the NIH budget will now be directed towards replication efforts. But studies of a link between vaccines and autism have failed to find a connection time and time again. “We have already done that many times over. It wastes valuable resources to revisit the same question instead of using them to address critical health challenges,” commented David Higgins, a practicing pediatrician and health services researcher at the University of Colorado Anschutz Medical Campus. “Re-examining settled questions that have already been repeated, replicated, and tested many times is not healthy skepticism; it’s cynicism and science denial.”

The news of the HHS study comes as measles cases  in Texas increase, and further outbreaks have been reported in numerous other states, while Kennedy has downplayed the role of vaccination. As of 27 March, the US Centers for Disease Control and Prevention (CDC) has confirmed 483 measles cases in the US this year. This is the highest number of infections since 2019, when there were more than 1200 confirmed cases. The CDC is aware of more potential measles cases but is waiting for confirmation before including them in the case count.

David Geier and his father Mark Geier, MD, are known for several discredited studies claiming that thimerosal, a preservative containing low levels of ethylmercury used in some vaccines, increased the risk of autism. But Thimerosal has been reduced or eliminated from vaccines for decades, and all vaccines recommended for children 6 and younger are available in formulations that do not contain thimerosalopens in a new tab or window.

“The [Geier] studies were poorly done; they were full of confounding variables,” commented Paul Offit, MD, of Children’s Hospital of Philadelphia. The American Academy of Pediatrics warned that it contained “numerous conceptual and scientific flaws, omissions of fact, inaccuracies, and misstatements,” and failed to show a connection between thimerosal and autism.

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They say that, if you elect a clown, you’ll get a circus. So, to make the farce complete, why does RFKJr not recruit our friend Andrew Wakefield to the team of clowns, jesters and illusionists?

A long article on chiropractic casts doubt that chiropractic is useful. Here is an abbreviated version of it:

The chemistry and biology graduate from the University of Georgia, 28-year-old Caitlin Jensen, visited a chiropractor to sort out her lower back pain. During the session, the therapist performed an adjustment.  It severed four arteries in her neck. She collapsed shortly after, unable to speak or move. The injury had caused her to suffer a series of strokes. Today, she has regained some movement in her head, legs and arms but she is still unable to speak, is partially blind and relies on a wheelchair.

While shocking and extreme, experts say Caitlin’s story is evidence of the risks of chiropractic. And although such cases are rare, they are not unheard of. Yet despite these risks, the treatment has only become more popular recently. Currently it is being driven by a social media craze for videos of chiropractors manipulating spines to make terrifying cracking sounds. The more brutal the crack, the higher the views.
And now chiropractors in the UK are pushing for their services, which are largely private, to be rolled out on the NHS. According to a report commissioned by the British Chiropractic Association, employing chiropractors in the health service could save £1.5 billion and cut physiotherapist waiting lists. Last week The Mail on Sunday’s GP columnist Dr Ellie Cannon expressed concerns over the safety of the scheme, writing that she was worried that the forceful manipulation of the body involved can be dangerous, causing serious injuries. Dr Cannon asked readers for their own experiences – and was flooded with responses. Scores claimed they’d found relief from joint pain and other issues thanks to a chiropractor, when nothing else worked. Yet, disturbingly, among these were accounts from those who’d suffered horrific injuries.
  • One 66-year-old grandmother said a visit to a chiropractor to treat her sore shoulder left her covered in bruises, hearing ringing in her ears and with a splitting pain in her jaw. She was later diagnosed by doctors with trigeminal neuralgia – a chronic pain disorder caused by a trapped or irritated nerve in the neck that causes sudden, electric shock-like pain in the face. She believes the condition – which, three years later, still sometimes leaves her unable to open her mouth wide enough to speak to her grandchildren – was triggered by a chiropractic adjustment of her neck.
  • A 55-year-old woman was left with chronic neck and shoulder pain after visiting a chiropractor for a sore back. The pain was so bad she once spent 72 hours immobile and unable to sleep despite taking a concoction of painkillers.
  • And a 66-year-old man says his back went into spasm as he was leaving his first chiropractor appointment – which left him hospitalised and bedbound for weeks. The intense treatment, he later learned, had pushed one of the discs of his spine out of place, causing him to lose feeling in his right leg for ever.
In the UK, several film and TV shows – including Love Island – have bragged of having a resident chiropractor on set. And the number of British chiropractors has risen by more than 60 per cent in the past four years, according to regulatory board the General Chiropractic Council.
Orthopaedic surgeon Dr Simon Fleming worries that vulnerable patients are turning to chiropractors without knowing its risks. He says: ‘It’s not that there aren’t safe chiropractors, it’s that there’s such a high risk of potentially doing harm. Adults can make their own choices – but if they want to go down that route, we need to ensure they do it with their eyes open.’
The NHS currently lists neck, back, shoulder and elbow pain as issues that can be treated with chiropractic – adding that there’s little evidence it can help with more serious conditions, or problems that don’t affect the muscles or joints. It warns: ‘There is a risk of more serious problems, such as stroke, from spinal manipulation.’
Chiropractic is not widely available on the health service, other than in exceptional circumstances where no other options, such as physiotherapy, are available. But a report released by the University of York last week called for the practice to be brought under the NHS in order to cut the number of patients with musculoskeletal issues waiting for physiotherapy. And according to Mark Gurden, president of the Royal College of Chiropractors, it will help the NHS more generally by offering up a skilled and competent workforce during a national staffing crisis. ‘It’s a profession just like physiotherapy is a profession, and can offer a range of interventions that include both soft tissue techniques and spinal manipulation,’ he says. ‘Chiropractors are regulated healthcare professionals who undergo four-years training and must be registered with the General Chiropractic Council. It’s an entirely safe procedure when done by competent professionals.’
Edzard Ernst, emeritus professor of complementary medicine at the University of Exeter and author of ‘Chiropractic: Not All That It’s Cracked Up To Be‘, says hundreds of patients have suffered a stroke after getting their necks manipulated – with some dying from the damage. Recent instances include the tragic case of 29-year-old Joanna Kowalczyk, who suffered a fatal tear of her blood vessels after having her neck adjusted by a chiropractor, as well as Playboy model Katie May, 34, who died after getting the treatment for a pinched nerve in her neck sustained during a photoshoot. And Professor Ernst believes even more patients may have sustained injuries than we know of.
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You might be interested in what I actually wrote in response to the questions posed by the journalist from the ‘Mail-online’. Here are his questions (Q) and my replies (R), both unabbreviated:
Q: Should chiropractic treatment be available on the NHS?
R: The NHS cannot even pay for all effective therapies; as chiropractic is of at best doubtful effectiveness, it should, in my view, not be reimbursed by the public purse.
Q: Are chiropractic therapies dangerous? If so, why?
R: Chiropractors manipulate the spine of virtually every patient. These manipulations often move the spine beyond its physiological range of motion and can thus cause severe structural damage.
Q: Are all chiropratic adjustments risky? Or just those that involve certain areas of the body (ie, neck)?
R: The neck is, of course, particularly vulnerable; but damage can occur along the entire spine.
Q: Equally, is it a case of some chiropractors just not being very good at their jobs?
R: Some chiropractors are surely more dangerous than others. Yet none are risk-free.
Q: I’ve seen stories of awful injuries / deaths at the hands of a chiropractor. But if the practice is so risky why don’t we see more injuries than we do?
R: There is no reporting system of side effects of chiropractic – so, if we don’t look, we don’t see.
Q: Lots of our readers have written in to say it’s helped massively with their pain or other ailment. Can it have any positive effect on our health and wellbeing?
R: True some people swear by chiropractic. But let’s not forget that having your bones cracked is bound to have a considerable placebo response.
Q: Should babies be getting chiropractic adjustments?
R: Most definitely no!
Q: Are some people more prone to injury from these treatments than others?
R: Yes, some people may, for instance, have fragile arteries that then might burst when the neck is being forcefully manipulated.
Q: What do you think needs to happen to reform the chiropractic industry?
R: If it wants to be called a valuable form of healthcare, chiropractic needs to abide by the principles of evidence-based medicine. In other words, it needs to demonstrate through rigorous research that it does more good than harm and for which condition. At present, chiropractic is very far from having achieved this. And that means, I fear, that it should not be part of rational healthcare.
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I am glad that, these days, I usually insist on doing interviews with journalists via email

Faith healing is the attempt to bring about healing through divine intervention. It is a form of paranormal or ‘energy’ healing. The Bible and other religious texts provide numerous examples of divine healing, and believers see this as a proof that faith healing is possible. There are also numerous reports of people suffering from severe diseases, including cancer and AIDS, who were allegedly healed by divine intervention.

Faith healing often takes the form of laying on hands where the preacher channels the divine energy via his hands into the patient’s body. Faith healing has no basis in science, is biologically not plausible. Some methodologically flawed studies have suggested positive effects e.g. , however, this is not confirmed by sound clinical trials.

Faith healing is often alleged to be safe, and many of us might thus say: WHY NOT? The truth, however, is that it can turn into a dangerous, even fatal SCAM. It has been reported that two parents from Lansing, USA who shunned medical care for their critically ill newborn daughter because of their religious beliefs, despite warnings the baby could die, were convicted on murder and child-abuse charges stemming from the infant’s death.

Less than 24 hours after Abigail Piland was born in 2017, a midwife and her apprentice noticed the infant was very ill and advised the mother to seek immediate medical attention. The mother declined, saying the baby was “born complete” and “God makes no mistakes.” “When you see abnormal, it can stand out pretty stark,” Laurie Vance, the apprentice, testified.  “We could tell pretty immediately there were concerns because of the coloring of her skin. Her skin had become yellow.” Abigail died less than two days later, the result of a treatable condition known as hemolytic disease of the newborn.

Abigail died on the morning of Feb. 9, 2017. The parents and a group of friends prayed over Abigail’s lifeless body, and no one at the home called 911 to report the death, according to testimony. Rachel Piland’s brother, Joel Kerr, who lives in San Jose, California, testified Monday that he called Child Protective Services and Lansing police after learning from other family members that Abigail had died. The baby had been dead for about nine hours by the time investigators arrived on the night of Feb. 9.

Joshua and Rachel Piland, who had been free on bond since the case began about eight years ago, were led from the courtroom in handcuffs after a jury in Ingham County Circuit Court convicted them of second-degree murder and first-degree child abuse following a two-week trial.

The jury was allowed to consider lesser charges of involuntary manslaughter and third-degree child abuse, as well as not-guilty verdicts. They nonetheless convicted the Pilands on the most serious charges. Both charges carry a maximum sentence of up to life in prison. Sentencing is set for June 11.

The jury deliberated about four hours over two days before returning its verdicts after listening to days of often complex testimony by police, lay witnesses and medical doctors.

“It’s about Abigail,” Deputy Chief Assistant Ingham County Prosecutor Bill Crino had said during closing arguments in the trial. “She didn’t choose to be born into this situation. She was vulnerable. She was not communicative. She didn’t have a voice. Today, she gets a voice.”

The attorneys for the Pilands had argued they cared for their daughter as best they could. They said Crino failed to prove the parents acted with the intent necessary for them to be guilty of murder or involuntary manslaughter.

RUDOLF STEINER died 100 years ago today – a good reason, I think, to remember the utter nonsense he postulated (not only) in the realm of healthcare. Here is a slightly abbreviated section from my recent book:

Rudolf Steiner was born on 25 February 1861 in Kraljević, Austrian-Hungarian empire. At the age of 9, Steiner allegedly had his first spiritual experience; he saw the spirit of his deceased aunt. Realizing Rudolf’s potentials, his father sent his son first to a ‘Realschule’ in Wiener Neustadt and then to the ‘Technische Hochschule’ (Technical University) in Vienna where he studied mathematics, physics, chemistry, botany, biology, literature, and philosophy. While Steiner was still a student, he was appointed as the natural science editor of a new edition of Goethe’s works.

In 1890, Steiner moved to Weimar, Germany, where he was employed at the Schiller-Goethe Archives. Concurrently, he started working for his doctoral degree, which he received in 1891 from the University of Rostock; the title of his dissertation, later published as a book, was ‘Wahrheit und Wissenschaft’ (Truth and Science).
In 1897, Steiner moved to Berlin, where he joined esoteric circles and studied Eastern and occult religions. In 1899, he married Anna Eunicke. Subsequently, Steiner met Marie von Sivers, an actress from the Baltic region and also a devotee of anthroposophy. They got married in 1914.

Steiner had by then joined the Theosophical Society and, in 1902, was made its General Secretary. Years of disagreement with key members of the organisation prompted him to leave the society in 1912. On 28 December of that year, Rudolf Steiner, along with a group of prominent German theosophists, founded the Anthroposophic Society.

Anthroposophy, a term borrowed from the 19th-century Swiss philosopher and physician Ignaz Troxler, is based on the notion that there is a spiritual world that is accessible only to the highest faculties of mental knowledge. Steiner rejected experimentation as a means of gaining knowledge; instead, he relied on imagination, inspiration and intuition. He claimed that his anthroposophy centered on “knowledge produced by the higher self in man.” He believed that humans once participated more fully in spiritual processes of the world through a dreamlike consciousness, but had since become restricted by their attachment to material things.

In 1913 at Dornach, near Basel, Switzerland, Steiner built the first ‘Goetheanum’, which he called a “school of spiritual science.” The building was destroyed by a fire in 1922 and subsequently replaced by the new ‘Goetheanum’ that still exists today. Steiner also worked on various other projects, including education (Waldorf schools) and biodynamic agriculture.

In the late 1910s, Steiner and his mistress, Ita Wegman, started working with medical doctors to create his anthroposophic medicine. In 1920, they founded the ‘Klinisch-Therapeutische Institut’ in Arlesheim, and on 21 March 1921, they organised the first of a series of courses for doctors in Dornach. This day is now considered to be the birth of anthroposophic medicine. In the same year, pharmacists and physicians gathered under Steiner’s guidance to create the pharmaceutical company, ‘Weleda’. At around the same time, Wegman founded the first anthroposophic medical clinic, the ‘Ita Wegman Clinic’ in Arlesheim.

Anthroposophic medicine cannot be adequately described through a single therapeutic modality. It has been aptly called a ‘pluriversum of theories and practices under the umbrella of an anthroposophic worldview’. The anthroposophic concept comprises a range of medications many (but not all) of which are plant-based, as well as art therapy, eurhythy (dance therapy), special dietary approaches, physiotherapy and other modalities. According to Steiner, humans have four ‘bodies’: The physical body, the ‘etheric’ body – which is based on formative forces, the ‘astral’ body – which reflects a person’s emotions and inner drives, and a conscious body – which is the domain of the ego and self.

For non-anthroposophist, these concepts are hardly comprehensible. They are based on associations between planets, metals and organs, from which therapeutic rules are derived. These affinities also form the basis of the many anthroposophical medicines, which are produced by liquefaction, aeration, solidification, combustion, potentiation and other processes. The history of the constituents of anthroposophic remedies is often considered to be more important than their material composition. According to Steiner and his substantial writings, “the spirit of the plant, which is drawn out of the tree by the parasitic plant act on the astral”. During the years before his death, Steiner, who had no medical background, often saw patients himself. He would then stare at them and divine both the diagnosis and the treatment; in other words, he acted as a clairvoyant lay-healer.

The Nazi movement had an ambivalent attitude to Steiner and to anthroposophic medicine. On the one hand, several leading Nazis such as Hess were clearly in favour of anthroposophic medicine. Steiner’s wife, Marie Steiner-von Sivers (1867 – 1948) who made significant contributions to anthroposophic medicine had publicly expressed sympathy for the Nazi regime since its beginnings. On the other hand, a political theorist of the Nazi movement, Dietrich Eckart, criticised Steiner in 1919 and (wrongly) suggested that he was a Jew. In 1921, Adolf Hitler accused Steiner of being a tool of the Jews, while other Nazis even called for a “war against Steiner”. In 1922, Steiner gave a lecture in Munich which was disrupted by Nazi thugs. Such hostilities led Steiner to leave his home in Berlin and move to Dornbach; he stated that, if the Nazis came to power in Germany, it would no longer be possible for him to live in Germany.

From 1923 on, Steiner showed signs of increasing frailness. He nonetheless continued to lecture widely. His last lecture was given in late September 1924. Steiner died at Dornach on 30 March 1925 in the presence of Ita Wegman.

The US Health Secretary Robert F Kennedy (JFKJr) famously claimed that vitamin A could work “as a prophylaxis” of measles infection. That claim is not just wrong, it also is dangerous. Overuse of vitamin A can have serious health consequences. As a result of JFKJr yet again promoting dangerous nonsense, doctors treating patients during the measles outbreak in Texas and New Mexico are now facing the problem of vitamin A toxicity.

At Covenant Children’s Hospital in Lubbock, near the outbreak’s epicenter, several patients have been found to have abnormal liver function on routine lab tests, a probable sign that they’ve taken too much of the vitamin, according to Dr. Lara Johnson, pediatric hospitalist and chief medical officer for Covenant Health-Lubbock Service Area.

Vitamin A is fat-soluble. It therefore accumulate in organs like the liver when over-doesed. Excess vitamin A can cause dry skin and eyes, blurry vision, bone thinning, skin irritation, liver damage and other serious issues. In pregnant women, it can even lead to birth defects. Recovery for patients with acute toxicity is normally rapid, if the vitamin is discontinued. But the more serious problems with vitamin A toxicity are not always reversible.

The Council for Responsible Nutrition, a trade association for dietary supplement and functional food manufacturers, issued a statement warning parents against using high doses of vitamin A to try to keep their children from getting measles. “While vitamin A plays an important role in supporting overall immune function, research hasn’t established its effectiveness in preventing measles infection. CRN is concerned about reports of high-dose vitamin A being used inappropriately, especially in children,” the statement says.

JFKJr made his remarks in an interview with Fox News medical correspondent Dr. Marc Siegel. Snippets of the interview were featured in four Fox News or Fox Business segments airing on March 4. “They have treated most of the patients, actually, over 108 patients in the last 48 hours. And they’re getting very, very good results, they report from budesonide, which is a steroid, it’s a 30-year-old steroid,” Kennedy said in the longest of the segments. “And clarithromycin [an antibiotic] and also cod liver oil, which has high concentrations of vitamin A and vitamin D. We need to look at those therapies and other therapies,” he said in another segment. “We need to really do a good job of talking to the front-line doctors and see what is working on the ground, because those therapeutics have really been ignored by the agency for a long, long time.”

Local doctors are increasingly concerned about the growing popularity of unproven remedies for preventing and treating measles. They fear that they are causing people to delay critical medical treatment and to reject vaccination, the only proven way to prevent a measles infection.

The measles outbreak has now affected at least 379 people across Texas, New Mexico and Oklahoma. Kansas has reported 23 measles cases, and officials said that they may also be linked to the outbreak. The best measure to get to grips with the outbreak, I think, would be to make JFKJr shut up and let those who understans the issues get on with it.

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