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

The 30 most recent comments from all posts are listed below. Click on the post title to go to the comment on the post’s page.

  • Comment by Edzard on ‘Biofield tuning’: a new and fantastic SCAM Friday 15 January 2021: 17:01 thank you Ron; insults are very fine and show how bright you are, but do you also have any arguments on the subject?
  • Comment by Blue Wode on “Adverse events from manual therapy are few, mild, and transient” … best not to listen to chiros, I think Friday 15 January 2021: 15:01 DC wrote: “The topic was AE.” Then here’s a timely reminder from Prof. Ernst’s post: “the precautionary principle in healthcare would mean that neck manipulations should be considered unsafe until proven otherwise. Moreover, there is no good evidence for assuming that neck manipulation is an effective therapy for any medical condition. Thus, the risk-benefit balance for chiropractic neck manipulation fails to be positive” NB. There are no reliable chiropractic adverse events reporting systems in the United States where the vast majority of chiropractors practice: https://www.ebm-first.com/chiropractic/risks/1842-letter-from-britt-harwe-president-chiropractic-stroke-awareness-group-csag.html A more comprehensive look at the problem here: https://edzardernst.com/2020/08/chiropractic-not-all-that-its-cracked-up-to-be/#comment-125800
  • Comment by Ron on ‘Biofield tuning’: a new and fantastic SCAM Friday 15 January 2021: 15:01 Wow, Edward, Edzard, whatever your name is, you are an angry, mean-spirited person. Have no fear this therapy will not work on those with a black heart. Just what the world needs, another ancient-minded science bully… Congratulations! You are the biggest A-hole on this thread. This can be backed up with evidence.
  • Comment by DC on “Adverse events from manual therapy are few, mild, and transient” … best not to listen to chiros, I think Friday 15 January 2021: 13:01 The topic was AE. I let it slide into evidence of benefit as the two are often considered together. You can either stick to the topic or move along.
  • Comment by Edzard on Everyone appreciates my honesty … until I am honest with them Friday 15 January 2021: 13:01 your comment creates a dilemma for me: I like to be honest about it, but if I am, I would be impolite.
  • Comment by Blue Wode on “Adverse events from manual therapy are few, mild, and transient” … best not to listen to chiros, I think Friday 15 January 2021: 13:01 @ DC The unvarnished truth: “Chiropractic is perhaps the most common and egregious example of the bait and switch in medicine. The deception begins with the name itself – ‘chiropractic’ fails the basic test of transparency because it is not unambiguously defined…Therefore someone may go to see a chiropractor and think they will be seeing a medical professional who will treat their musculoskeletal symptoms, but in reality they will see the practitioner of a cult philosophy of energy healing.” Ref https://sciencebasedmedicine.org/the-bait-and-switch-of-unscientific-medicine/
  • Comment by john travis on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Friday 15 January 2021: 11:01 @ Dana Ullman I am not in the least embarrassed – why should I be? “As for me, I follow the science.” – is this meant to be ironic? Do you have a sense of humour that you have been hiding all this time? We have never before seen any evidence on this blog that you “follow the science.” Homeopathy, as has been attested by many observers here and elsewhere, displays many of the features of a religion or even a cult – certainly it does not conform with the norms of a scientific endeavour. Homeopaths have an unshakeable belief in the “truth” of their calling – it is impervious to reason, logic and evidence to the contrary. This belief is impervious to the fact that it contradicts many well-established principles of chemistry, physics and biochemistry. Their belief is not based on sound reasoning but on “magical thinking.” There has never been any sound evidence or even rational explanation for its supposed workings or laws and these have not been established to be consistently true empirically. e.g. law of similars, dilutions making greater potency, effects of succussion, provings. The ability of homeopathy to “trap” the more bizarre substances such as moon-light and rays of Saturn’s rings. The inability of homeopaths to differentiate one nostrum from another except by its label. The persistent lack of evidence over 200 years that homeopathy is capable of reliably curing or treating any disease or condition. So what you are following is clearly delusional, magick, and fantasy – and anything BUT science! I am afraid that the only person you are fooling is yourself – and very probably your punters.
  • Comment by has on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Friday 15 January 2021: 10:01 Hey Dana, your echolalia is hanging out again. “As for me, I follow the science.” Collecting the garbage it discards behind it.
  • Comment by has on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Friday 15 January 2021: 10:01 Here’s a good idea, Dana: rather than retreading your lame Argument from Authority, why don’t you walk us through these trials and explain exactly what makes them “high quality”. Don’t worry, we’ll wait; we have to stock up on popcorn anyhow.
  • Comment by has on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Friday 15 January 2021: 10:01 “SCSUM” Awww, Heinrich thinks he’s clever! Really, dude, you ought to swap tips with Roger.
  • Comment by Blue Wode on “Adverse events from manual therapy are few, mild, and transient” … best not to listen to chiros, I think Friday 15 January 2021: 09:01 DC wrote: “Current evidence suggests a two week/forth visit to determine if manual therapy is an appropriate intervention” Even so, there’s still this to resolve with regard to chiropractic manual therapy: “The chiropractic profession has a long history of internal conflict. Today, the division is between the ‘evidence-friendly’ faction that focuses on musculoskeletal problems based on a contemporary and evidence-based paradigm, and the ‘traditional’ group that subscribes to concepts such as ‘subluxation’ and the spine as the centre of good health. This difference is becoming increasingly obvious and problematic from both within and outside of the profession in light of the general acceptance of evidence-based practice as the basis for health care.” Ref: ‘Chiropractic, one big unhappy family: better together or apart?’ https://chiromt.biomedcentral.com/articles/10.1186/s12998-018-0221-z
  • Comment by Haitse van der Gaast on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Friday 15 January 2021: 08:01 Ive never heard of that Heinrich.. But I am drinking and shaking since I read about the award
  • Comment by Lenny on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Friday 15 January 2021: 08:01 Alan…first, can you point me to ANY effective treatment for chronic fatigue syndrome that fits your standards? A straw man, Dana. And a completely irrelevant one. “There is weak but equivocal evidence that the effects of homeopathic medicine are superior to placebo. Which is exactly what statistics says an ineffective treatment will show in trials. And the conclusions? Further studies are needed to determine whether these differences hold in larger samples. The trial was from 2004. Plenty of time for further research to have been done to confirm the results and for homeopathy to become front-line treatment for CFS. Hasn’t happened, has it. Once again, a big FAIL for magic shaken water, Dana. Same as every time. Keep kicking the dead horse, Dana.
  • Comment by Louis Troy Dixon on Everyone appreciates my honesty … until I am honest with them Friday 15 January 2021: 05:01 You’ve been very “honest” about your hatred for Mr. Trump. How does it feel to see him (the man who was releasing wrongly convicted black prisoners) replaced by the man who has wrongly thrown millions of blacks in prison for 26 years? How about his VP, Kamala Harris, who used to date Montel Williams, a TV con artist who promoted a “psychic” who talked to the dead? Does it bother you free speech is in danger in America now – a first – AFTER Trump was “defeated”? And, about that “defeat”, does it bother you the political party that defeated him features Bill Clinton, a man who has had FOUR credible rape accusations against him – investigated by two organizations – for the last 30 years? Does it bother you the party has Hillary Clinton, who is on record as harassing the women her husband raped? She also brought slavery back to Libya as Secretary of State – should we be proud of that – as Americans? Speaking of being Secretary of State, what do you think of Obama’s original promotion by Oprah Winfrey, the #1 top promoter of quackery, misinformation, and pseudoscience in the country? Did that give you the confidence to be so cock-sure of yourself, regarding what MY COUNTRY should do? I mean, the President should fit in with the quack Dr. Oz, right? The quack Dr. Phil? The quack Dr. Deepak Chopra? You wanted this. You said so, daily. Being “honest”. You know as much about American politics as a homeopath does the truth.
  • Comment by Dana Ullman, MPH, CCH on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Thursday 14 January 2021: 22:01 Alan…first, can you point me to ANY effective treatment for chronic fatigue syndrome that fits your standards? Thanx…I will predict that you don’t reply (or can’t make a proper reference). As for this trial, the researchers gave a proper objective evaluation of it in their conclusions: “There is weak but equivocal evidence that the effects of homeopathic medicine are superior to placebo. Results also suggest that there may be nonspecific benefits from the homeopathic consultation. Further studies are needed to determine whether these differences hold in larger samples.” This may be the best results to date of any controlled randomized double-blind trial on CFS…but I’m open to see what other trials you know that had better results.
  • Comment by Dana Ullman, MPH, CCH on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Thursday 14 January 2021: 22:01 Actually, Mathie considered TWO of Jacobs’ childhood diarrhea studies to be high-quality. I’m not clear to which one you are referring. And I couldn’t help but notice that this important fact is “overlooked” by you and Edzard. I wonder why…
  • Comment by Dana Ullman, MPH, CCH on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Thursday 14 January 2021: 22:01 John…please show me EVIDENCE of any religion that conducted randomized double-blind and placebo controlled trials. If you can’t, then, there is something DIFFERENT going on here that doesn’t fit in YOUR RELIGION and your belief system. As for me, I follow the science. How embarrassing for you.
  • Comment by DC on “Adverse events from manual therapy are few, mild, and transient” … best not to listen to chiros, I think Thursday 14 January 2021: 21:01 Current evidence suggests a two week/forth visit to determine if manual therapy is an appropriate intervention (below). If I recall NSAIDs and opioids have around a four day recommended usage with no certainty of alleviating the condition. Of course other interventions are not reversible (ablation, Botox, steroids injections, etc) which may or not help. Pain collected shortly after completion of 6 weeks of study intervention predicted future pain the best. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4545558/ Being low-back pain free at the fourth visit was a strong predictor for being low-back pain free both at 3 months and 12 months. http://www.jmptonline.org/article/S0161-4754(04)00158-7/fulltext Improvement at the fourth visit is a predictor of long-term outcome. https://www.ncbi.nlm.nih.gov/pubmed/?term=16182020 The results suggest there is a significant association between a within/between-session change after the second physiotherapy visit and discharge outcomes for pain and ODI in this sample of patients who received a manual therapy intervention. https://www.ncbi.nlm.nih.gov/pubmed/?term=22445052 Of the 115 patients in the most favorable prognostic group, 84% (95% confidence interval, 77-91) reported to be “definitely improved” by the 4th visit… https://www.ncbi.nlm.nih.gov/pubmed/12214186 Those who experienced a ≥33% pain reduction by 2 weeks had 6.98 (95% CI = 1.29, 37.53) times higher odds of 50% improvement on the GRoC and 4.74 (95% CI = 1.31, 17.17) times higher odds of 50% improvement on the ODI (at 6 months). Subjects who reported a ≥50% pain reduction at 2 weeks had 5.98 (95% CI = 1.56, 22.88) times higher odds of a 50% improvement in the GRoC and 3.99 (95% CI = 1.23, 12.88) times higher odds of a 50% improvement in the ODI (at 6 months). https://www.tandfonline.com/doi/full/10.1080/09593985.2017.1345025
  • Comment by Alan Henness on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Thursday 14 January 2021: 19:01 Hey Dana! What do you think of this individualised homeopathy trial?
  • Comment by christopher h gunson on Everyone appreciates my honesty … until I am honest with them Thursday 14 January 2021: 13:01 I found this article quite inspiring: https://journalofethics.ama-assn.org/article/why-health-professionals-should-speak-out-against-false-beliefs-internet/2018-11?fbclid=IwAR2Kmrjf2h_zIy9LwDf-qv2LQYAeOsOClkXEfLaBZSKcVx-kBVTxImoeXpU
  • Comment by john travis on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Thursday 14 January 2021: 12:01 @ Dana Ullman No – you are, as per usual, missing the point! she spins the results to suit her religious like faith in homeopathy. even where the results of her “studies” are clearly neutral or negative she still reports the results as though they were positive. also she clearly states that she is setting out to prove that homeopathy can treat childhood diarrhoea – in other words she has a fixed belief that this result is true and she is determined to prove that it is true. A real scientist sets out to determine the facts. They have a hypothesis and they try to prove it true or false – not to prove it true come fell or high water. Like all homeopaths she has a deeply held conviction that her silly beliefs are true despite all the evidence to the contrary. And she is determined to “prove” this no matter what. This is not science – it is insanity. But since you suffer from exactly the same delusions and fixed beliefs which are immune to any kind of reason then I guess that you are also unable to gain any insight into this problem.
  • Comment by Edzard on “Adverse events from manual therapy are few, mild, and transient” … best not to listen to chiros, I think Thursday 14 January 2021: 12:01 I don’t think there is currently an optimal treatment for neck pain. this, however, does not mean that SMT is ok. accepting this wrong conclusion would only hinder our research to find one.
  • Comment by christopher h gunson on Everyone appreciates my honesty … until I am honest with them Thursday 14 January 2021: 12:01 Similar experience. I just called out a veterinary homeopathist on what would otherwise be a very professional DVM only social media group for diagnosing a medical condition, giving medical advice , and prescribing homeopathic treatment without ever having seen the patient, or talking to its owner. What is normally a very civil group became a bar room brawl as I was deemed a fascist for highlighting some of the major flaws associated with homeopathy. Also I recently joinied a Homeopathy social media group to observe and keep my finger on the pulse so to speak. One of the criteria of joining the group is that you have to answer question stating you believe in homeopathic medicine, and that you will never criticize the practice or practitioners . Edzard perhaps you can take a look a the role social media platforms are playing in fueling the growth of SCAM by giving these nonsense medical groups a platform to advertise , sell and treat the naive public. Like any other “wrong” that is censured and edited by these social media platforms misinforming the public and using these platforms to disseminate medical misinformation to the misfortune and harm of many of those recieving it is imo an egregious injustice that is so often overlooked.
  • Comment by DC on “Adverse events from manual therapy are few, mild, and transient” … best not to listen to chiros, I think Thursday 14 January 2021: 12:01 “Active coping was not associated with recovery of neck pain or disability.” Coping and recovery in whiplash-associated disorders: early use of passive coping strategies is associated with slower recovery of neck pain and pain-related disability Linda J Carroll et al. Clin J Pain. 2014 Jan
  • Comment by Patrick Holford on Vitamin C, Patrick Holford, and dangerously misleading COVID-nonsense Thursday 14 January 2021: 10:01 You have made a fundamental error in only reading the abstract. If you read the outcomes (eg all results) on page 6 table 2 you’ll see that: Hospital mortality of those more critically ill (defined as SOFA >3) showed 80% reduction, and statistically significant p.04 – ICU mortality of those more critically ill (defined as SOFA >3) showed 80% reduction p.04 The mortality at 28 days (includes those who died not in hospital or ICU) shows 70% reduction, close to significant p.07 (p.05 is the definition of significant so the first two results are significant and the last is close to significant – a clear trend in an underpowered study. (HR means Hazard Ratio, so a hazard Ratio of 0.2 means 80% less risk of mortality) Also, the primary outcomes, as in the abstract: During the 7-day treatment period, patients in the HDIVC grouphad a steady rise in the PaO2 / FiO2 (day 7: 229 vs. 151 mmHg, 95% CI 33 to 122, P = 0.01), which was not observed in the control group. IL-6 in the HDIVC group was lower than that in the control group (19.42 vs. 158.00; 95% CI -301.72 to -29.79; P = 0.04) on day 7. This means that lung function got better and better in the vitamin C group, and worse in the placebo group. The measure of inflammation (IL-6) got much better in the vitamin C group (19.42) versus the placebo group (158) This study was meant to include 140 patients for all results to be able to be significant, if there was an effect. It is underpowered due to Wuhan running out of critical covid-19 patients towards the end of April 2020. For this reason it is called a ‘pilot’ study. The fact that there was a statistically significant 80% reduction in hospital/ICU mortality in the most critically ill, despite the small numbers, illustrates that this is a big effect and not one that should be ignored. A larger trial is called for. According to Emeritus Pharmacology Professor David Smith, from the University of Oxford “When you consider that the steroid dexamethasone reduced mortality in ventilated patients by 34% but in the Wuhan study, we are seeing a significant 80% reduction in mortality in the most critically ill in hospital after vitamin C, we have to take this seriously. We urgently need a larger trial to see if this finding can be replicated.” You might also want to read our review on ‘Review: Vitamin C – an Adjunctive Therapy for Respiratory Infection, Sepsis and COVID-19’ – https://www.mdpi.com/2072-6643/12/12/3760/pdf -before jumping to unfounded conclusions.
  • Comment by has on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Thursday 14 January 2021: 10:01 To Dana a positive study is the end of enquiry, not its beginning. Conversely a negative study is clearly in error. This is what really discredits AltMed practices: not our knowledge of the claims themselves, but our understanding of the ways in which we humans really like to fool ourselves. Match those behaviors and it’s a high likelihood the whole lot’s a fraud, and it only remains to be seen whether its practitioners are knowingly scamming others or if they’re scamming themselves too.
  • Comment by Lenny on 40 years ago: how I almost became a very rich man Thursday 14 January 2021: 08:01 @RG Agreed. Chinese garlic is horrible and I avoid it as well. Nasty, bitter stuff. Most of the garlic we use comes from Spain or is grown locally on the Isle of Wight. Their garlic, particularly the fresh, green type, is especially nice. Have a look. https://www.thegarlicfarm.co.uk/
  • Comment by Lenny on A homeopath becomes the 16th member of THE ALTERNATIVE MEDICINE HALL OF FAME Thursday 14 January 2021: 08:01 Those trials were 20 years ago. Plenty of time for others to replicate the results and for individualised homeopathy to become front-line treatment for childhood diarrhoea. Hasn’t happened, has it. Why do you think this is? Might this be because three trials were not of high quality but were the standard exercises in p-hacking and Texas sharpshooting that we see time and again from idiot homeoquacks desperate to seek validation of their faith in the nonexistent powers of magic shaken water? Others thought so. And Edzard gave a list of references above showing exactly that. The Jacobs diarrhoea trials were recognised as the nonsense they are and rightly ignored, Dana. Scientifically-ignorant fools such as yourself who want to continue trying to beat their empty drums are objects of ridicule. You turn up here time and again to do your Rumpelstiltskin act, stamping, frothing and jabbering and are shown to be wrong each and every time. You never learn,Dana. Never. That is why you are a fool. It is why your sputterings are ignored. You are a foolish little man who once again is happy to demonstrate this foolishness on a public forum.
  • Comment by Old Bob on 40 years ago: how I almost became a very rich man Thursday 14 January 2021: 07:01 Hippocrates soup contains lots of garlic, onions and leaks (+ potato and tomato). My wife notices the smell of garlic on me permanently – for the last two years! – that’s love 🙂
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