case: (Default)
Case ([personal profile] case) wrote in [community profile] fandomsecrets2010-09-19 05:01 pm

[ SECRET POST #1355 ]


⌈ Secret Post #1355 ⌋

Warning: Some secrets are NOT worksafe and may contain SPOILERS.

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Secrets Left to Post: 12 pages, 295 secrets from Secret Submission Post #194.
Secrets Not Posted: [ 0 - broken links ], [ 1 2 3 - not!secrets ], [ 0 - not!fandom ], [ 1 - too big ], [ 1 2 - repeat ], [ 1 - take it to comments ], [ 1 - personal attack ], [ 1 - unreadable ].
Current Secret Submissions Post: here.
Suggestions, comments, and concerns should go here.
thene: Happy Ponyo looking up from the seabed (innacurate genetics)

[personal profile] thene 2010-09-19 10:43 pm (UTC)(link)
Folks, it's not as simple as all that. Medicinal practices (western and alternative) also tend to be as effective as the practitioner.

Not remotely true. My contraceptive insert works; the demeanour of the doctor who put it in almost five years ago is completely irrelevant. Antibacterial cures for peptic ulcers work, no matter who gives them to you. Placebo effects are known to be boosted by good, diligent care but the whole point is that placebo is 'as effective as the practitioner' and real medicine is better than the practitioner.

Not all alternative medicine is 'fake' (homeopathy is fake, herbal remedies are unregulated and have the potential for both great good and great harm, acupuncture is statistically indistinguishable from a placebo). But with very few exceptions, alternative medicine is not subject to double-blind randomised trials before it can be legally marketed as medicinal. We often don't know whether they're fake or not. With scientific medicine it is possible for fail and fraud to slip through the net but there is, at least, always a paper trail for us to follow.

(Anonymous) 2010-09-19 10:51 pm (UTC)(link)
comparing chemo to contraceptives is the best idea ever

(Anonymous) 2010-09-19 11:03 pm (UTC)(link)
Christianity's fake, too. And yet faith helps some people.
thene: Happy Ponyo looking up from the seabed (Default)

[personal profile] thene 2010-09-19 11:15 pm (UTC)(link)
Yep. That's the beauty of the placebo effect. (And no, I'm not an atheist.)

(Anonymous) 2010-09-19 11:23 pm (UTC)(link)
Yep. If it helps people, then let it. I don't see why you're so insistent that everyone believe it's fake.

You appear to believe that if someone believes that acupuncture works, they also must not believe that Western medicine works, and can't possibly be using both at the same time. I don't understand why you think this.
thene: Happy Ponyo looking up from the seabed (Default)

[personal profile] thene 2010-09-20 02:19 am (UTC)(link)
I'm not sure where you're getting that from...? I don't think that people don't use both acupuncture and 'Western' medicine at the same time, or that people who believe acupuncture works don't believe that Western medicine works.

Why are acupuncturists so insistent that everyone believe that their placebo treatment is more than that? Because there's money in it, I guess? It's not like I have the power to stop anyone from believing anything, but there's no harm in passing around the results of clinical trials on the subject. It's kinda interesting imo.

[identity profile] inuyatta.livejournal.com 2010-09-20 04:12 am (UTC)(link)
Why are acupuncturists so insistent that everyone believe that their placebo treatment is more than that? Because there's money in it, I guess? It's not like I have the power to stop anyone from believing anything, but there's no harm in passing around the results of clinical trials on the subject. It's kinda interesting imo.

Funny thing is, I don't think we've got any acupuncturists posting in these threads.

If I may give it a shot though, I think people are insisting that Acupuncture as more than placebo is because it's pretty insulting to lump a 3000 year old practice in with sugar pills just because Western Science hasn't figured it out yet. Acupuncture (among other practices) has been part of a lot of Asia's medical history for a very long time--there are schools dedicated to teaching this skill.

There is a multitude of things that Science does not know about the Human body. Acupuncture has survived for millenia, despite periodic persecution--you would think it'd take something stronger than a placebo effect to manage that.

Just my .02 on that though--if a real Acupuncturist would like to step in, plz do.

[identity profile] delwynmarch.livejournal.com 2010-09-20 09:35 am (UTC)(link)
Christianity's fake, too.

YMMV.

[identity profile] inuyatta.livejournal.com 2010-09-19 11:11 pm (UTC)(link)
I think you've misunderstood me...because I misspoke. By medicinal practices, I mean hands-on stuff. Chiropractic adjustment, diagnosing, etc--the person-to-person portion of medicine.

With that said, if real medicine always works, why are there usually such dreadful side effects? In the past 5, almost 6 years, I've had a number of clients who come to me with a plethora of what's considered 'real' medicine that does absolutely nothing for their problems--now I'm not saying that what I do cures the ailment, but I have been told unanimously that my part of their health care (massage therapy) has been crucial to their pain relief, and I can actually see and feel the results myself. That is something they could not get with years of specialists and doctors in some cases, and that is why I find it faulty to assume that they will always be more effective.

In addition to that, I will agree that a lot of the alternative medicine practices in the Western hemisphere have made my slam my head into my desk with rage. The Western version of Reiki, for example, is pretty much a sham because it resembles nothing like what it actually is supposed to be--they've inflated the shit out of it with 'spiritually healing' labels and other romanticized tripe. A lot of the Eastern, traditional practices have been lost in translation, and then people ran with these incomplete versions and fill in the gaps with whatever they think will sell.

I will never, ever say that all doctors are ineffective. There are good doctors and bad doctors out there, just as there are good and bad acupuncturists, etc. There are quacks in every field. That's why I think it's wrong to generalize on any of it--there are too many factors, and too many unknowns that make it impossible to make an effective overall ruling.

As for this paper trail you're speaking of, in some cases, that's true. But you're also working off the assumption that the Medical community isn't corrupted in some way. In America, at least, I can tell you this is not true by any stretch of the word. There is a whole other level of politics that doctors have to try and work around, and in the end, everyone loses.

...I do apologize, I believe I may have wanked here unintentionally. It's just hard to remove all personal intrigue aside when it feels like there are people out there who believe I practice fraudulence when I know otherwise.
thene: Happy Ponyo looking up from the seabed (birds)

[personal profile] thene 2010-09-20 02:47 am (UTC)(link)
With that said, if real medicine always works, why are there usually such dreadful side effects?

Weird thing is, I've previously only seen that one put the other way around; if [insert alternative treatment here] works, why are there no side effects? (The most recent time I saw this it was coming from a sceptic who, in order to demonstrate that they were fake, 'overdosed' on homeopathic sleeping pills and filmed himself not passing out.) There's the base assumption made that nothing can have an effect that's focused wholly on the positive.


As for this paper trail you're speaking of, in some cases, that's true. But you're also working off the assumption that the Medical community isn't corrupted in some way.

I guess you missed the first half of the sentence you were replying to there: With scientific medicine it is possible for fail and fraud to slip through the net but there is, at least, always a paper trail for us to follow. There have been many verifiable cases of medical fraud, and there have been legal cases (such as the Vioxx trial) that have handed out compensation in the billions. Where are the equivalent responses to fraudulent alternative medicine? It's not like the alternative medical community isn't equally corrupted, hello Matthias Rath. But there's no class-action lawsuits, no across-the-board withdrawals of 'treatments' found to be useless or dangerous. That's the danger of that lack of a paper trail.

[identity profile] inuyatta.livejournal.com 2010-09-20 03:50 am (UTC)(link)
Lol, you'll have to talk to someone who deals in homeopathy on that one. The most effective medication I have found (prescribed and herbal) has been the stuff that has to be done in moderation and careful combination.

I think I understand a little better about where you're coming from with the lack of paper trail for Alt. Medicine. Problem is that a lot of Alt. Med. is not researched thoroughly or effectively for a multitude of reasons.

Believe me, I know full well that there are a bunch of quacks out there pretending to be messiahs of alternative medicine. That is not all of us, I promise. But it is going to take some time before effective regulations are set up to weed out the money grubbers from the specialists that are actually trying and are capable of helping.

[personal profile] convault 2010-09-19 11:20 pm (UTC)(link)
What's demeanor got to do with it? It doesn't matter if he's nice to you as long as he knows what he's doing. That's true for any profession and any practitioner, and saying an acupuncturist is 'effective' means he knows what he's doing and adjusts the treatment for the patient.

Kinda like how you'd adjust doses of a certain medicine for different people with different conditions-- trying to apply western medicine to acupuncture doesn't work. They're different. You might not think it works, but people have been using it for millenia and the fact that it's managed to stick around so long means that it's worked for a whole chunk of people. I can speak from personal experience about a lot of things I've seen acupuncture do, but I doubt it'll make a difference to you.

If the doctor put your contraceptive in wrong, newsflash! It wouldn't work. Or it'd be massively uncomfortable, at the very least.
thene: Happy Ponyo looking up from the seabed (innacurate genetics)

[personal profile] thene 2010-09-19 11:53 pm (UTC)(link)
You might not think it works, but people have been using it for millenia and the fact that it's managed to stick around so long means that it's worked for a whole chunk of people.

Yes, it's called the placebo effect, and it works pretty damn well. There's no evidence that acupuncture is significantly better than a placebo but that doesn't mean it 'doesn't work', only that it doesn't work well enough to be legally licensed as medicine.

[identity profile] inuyatta.livejournal.com 2010-09-20 12:07 am (UTC)(link)
...except that it is legally licensed as a medicine. That's why you have to have a license to practice it. O_O

I don't speak for everyone, but I have personally seen Acupuncture serve more than a placebo effect, and that's good enough for me.
thene: Happy Ponyo looking up from the seabed (innacurate genetics)

[personal profile] thene 2010-09-20 02:11 am (UTC)(link)
I was referring to proven statistical significance in double-blind trials, which is the standard used for scientific medical treatments. Acupuncture hasn't passed this standard.

How can you see something serve more than a placebo effect? Honest question - I don't understand how that's possible unless you're conducting your own randomised medical trials at home. If something works, it works, and unless you're involved in medical testing surely there's no way to know whether it works due to a placebo effect or due to a real intrinsic effect?

[identity profile] inuyatta.livejournal.com 2010-09-20 03:26 am (UTC)(link)
I know that--but it's rather hard to compare it considering that acupuncture is a procedure and pills are pills. From what I've seen, they haven't actually devised a test that'll effectively prove one way or the other.

I'm a massage therapist. I get a lot of clients that combine my line of work with their doctors and/or their acupuncturists. It's part of my job to detect muscular changes if I've been seeing clients long enough, so I guess I am involved somewhat.

If you want a specific case though, I'll give the one that swayed me. I've a client that's been quadriplegic for the last 18 years. His normal routine involved a plethora of medication with varied results--overall though, he suffered pretty badly.

Long story short, he tried acupuncture and felt much more relief than he'd felt in a long while. The reason he figured it wasn't a placebo effect is because something weird happened--as he continued with the acupuncture, he noticed that he could start feeling muted sensation in his extremities when he couldn't feel anything before. Certainly not enough to move the limbs on his own, but odd in that he went from feeling nothing to being able to sense pressure and temperature to some degree--and the only thing that changed in his normal pattern was the acupuncture.

He's continued to improve since then, thankfully, and has incorporated other alternative therapies into his lifestyle (like my own, for example). I was curious when he told me about this as well, because I'm pretty skeptical myself, but he proved to me that he wasn't faking the ability to feel in his legs. He can tell exactly what part of the leg I am touching without being able to see where I am, and I don't mean general description either. He can tell which toe, which tendon, etc.

I understand that everyone else can look at this as hearsay, but I see this guy every week. I can't do that, not when I can see and feel the results myself. His physical condition in addition to that of the rest of my clients is enough proof for me to see that acupuncture, when performed by someone who knows what they're doing, can be a very effective form of pain relief.

[personal profile] convault 2010-09-20 12:24 am (UTC)(link)
http://www.osher.hms.harvard.edu/kerrlab/documents/yookerr2007_000.pdf

Page 7 has a pretty nice MRI scan of real acupuncture and sham acupuncture effects on the brain, too. 99% of acupuncture points come within .5mm of major nerve endings, and sticking a needle into any random place won't produce the same effects. Just sayin'.
thene: Happy Ponyo looking up from the seabed (Default)

[personal profile] thene 2010-09-20 02:14 am (UTC)(link)
If that's the case, why do the effects of acupuncture show no statistically significant difference from placebo? Why does sticking needles into any random place work as well as acupuncture if acupuncture points are so special?

[personal profile] convault 2010-09-20 04:15 am (UTC)(link)
because the people conducting tests in that study aren't trained acupuncturists? if you taught an acupuncturist how to remove an appendix for 20 hours what surgeons spend years learning before they're even allowed into an OR and then set them to removing an appendix, how likely is that operation going to go horribly wrong?

acupuncture isn't JUST sticking a needle into a point and then hoping it works. if you're gonna cling to a website called badscience after i linked a harvard med school study, i dunno what your definition of science is.

[identity profile] inuyatta.livejournal.com 2010-09-20 04:38 am (UTC)(link)
Maybe because it depends on the cause of pain of the individual?

You are using one study to decree that all acupuncture is used for is a placebo effect, which is flawed reasoning. I don't think anyone ever stated that for some people, it wasn't a placebo effect. However, that is not the case for everyone. Pyrat just gave you a study that showed acupuncture yielding actual, measurable benefits.

So this basically suggests that Acupuncture is like most medicine (Eastern and Western), results may vary from person to person, lol. Acupuncture can benefit both the believer and the skeptic, depending on the acupuncturist's level of skill as well as the source of the pain.