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Points of Interest 03/01/2015

Doctors warning over potentially fatal acupuncture risk.

Oregon considers banning most vaccine exemptions

Conservatives are more likely to believe that vaccines cause autism.

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Points of Interest 02/25/2015

GOP lawmaker: It’s OK for children to die in the name of God. Rep. Christy Perry of Idaho says its a violation of parents’ rights to obligate them to treat their sick children

The science of anti-vaccination.

WHO calls for more measles vaccination in Europe as large outbreaks persist

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Points of Interest 02/20/2015

Acupunct Electrother Res. 2014;39(3–4):241–58. 3,5,11 needles: looking for the perfect number of needles—a randomized and controlled study. “ All groups, independently from the number of needles used, obtained a good and significant therapeutic effect without clinically relevant differences among groups. For this pathology and patients of this kind, the number of needles, 3 or 5 or 11, seems not to be an important variable in determining the therapeutic effect.”

‘Witchcraft’ Believing Prince Charles to Lecture U.S. on Medicine. “The royal heir’s opinions were derided by the British Medical Association as “quackery” and worse, yet he’s been invited to speak at a Kentucky symposium.”

What the Anti-Vax Movement Doesn’t Tell You About Measles As the most contagious disease on earth roars back, it’s time to embrace the most effective public health intervention we have.

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Points of Interest 02/19/2015

Neurologist. 2015 Feb;19(3):65–67. Bilateral Diaphragmatic Paralysis Due to Cervical Chiropractic Manipulation.

Eur J Pain. 2015 Feb 17. doi: 10.1002/ejp.671. Local and distant acupuncture points stimulation for chronic musculoskeletal pain: A systematic review on the comparative effects.. Bottom line: where you put the needles doesn’t matter

Mark Zuckerberg Is Sending a Message to the Anti-Vaccine Crowd

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Acupuncture works. If you expect it to.

I like antibiotics. They kill of the bacteria infecting my patients.  It doesn’t matter what the patient thinks about the effectiveness of the antibiotics.  They just work.  Having a practice based almost entirely in acute care medicine, most of the interventions have effect (or not) independently of patient belief concerning the interventions.

Not so with acupunctures. As I have said many times, acupuncture doesn’t work i.e. alter any underlying physiologic process. But that doesn’t mean that the innumerable forms of acupuncture don’t have an effect. They do.

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Points of Interest

Headache. 2015 Feb 6. doi: 10.1111/head.12524. Acupuncture Is All Placebo and Here Is Why.. “Physicians regularly fall into many misunderstandings when erroneously believing a real effect from acupuncture, when there is none. A perfunctory and poorly informed media contribute to the misinformation. Sixteen logical traps are identified which together explain most of the false reasoning behind the alleged effect of acupuncture.”

Paediatr Anaesth. 2015 Feb 7. doi: 10.1111/pan.12621.Acupuncture for posttonsillectomy pain in children: a randomized, controlled study.

Homeopathy. 2014 Jul;103(3):198–202. doi: 10.1016/j.homp.2014.01.002. Observations on the effects of odours on the homeopathic response.. Science-y.

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Weaponized acupuncturists stake claim in Wyoming

The folks in Wyoming have always seemed to me a pretty hardy bunch.  But are they ready for bleeding? I'm not talking about the kind of bleeding you do when you, say, fall off your horse.  I'm talking about totally gratuitous bleeding, the kind that results when an acupuncturist stabs you with a lancet.  For no good reason, and intentionally.  

Bleeding is an "ancient" treatment, which in the warped reasoning of CAM practitioners, automatically makes it a good idea. "Western" medicine gave up bleeding patients in the 1800s when the idea that the body's condition was governed by the four humors fell by the wayside. The thinking went that bleeding would rid the patient of an excess of one of the humors, thereby restoring "balance." 

According to the Director of the Institute for Traditional Medicine in Portland, OR, bleeding at peripheral points around the body had all sorts of uses in ancient "Eastern" medicine: sore throats, mental disorders, infantile convulsions, cardiac pain, enuresis -- you name it. But . . .

Blood-letting is a method of therapy that is difficult to explain in modern terms. Aside from the traditional theoretical basis for these treatments in letting out heat and excess factors, a key issue is whether it actually produces the claimed effects. Many Western acupuncturists have stated informally that they get dramatic results from this treatment method, but, unfortunately, there is no evidence presented to support such contentions.

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Janet Camp
It’s tempting to ask what difference it makes what people get up to in Wyoming, but I have to remember there are innocent children... Read More
Monday, 09 February 2015 03:14
Janet Camp
It’s tempting to ask what difference it makes what people get up to in Wyoming, but I have to remember there are innocent children... Read More
Monday, 09 February 2015 03:14
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Points of Interest 2/5/2015

Sleep Med Rev. 2014 Dec 17;24C:1–12. doi: 10.1016/j.smrv.2014.12.003. Herbal medicine for insomnia: A systematic review and meta-analysis.. “ While there is insufficient evidence to support the use of herbal medicine for insomnia, there is a clear need for further research in this area.”

Clinical Practice Guideline Allergic Rhinitis Executive Summary. “ STATEMENT 13. ACUPUNCTURE: Clinicians may offer acupuncture, or refer to a clinician who can offer acupuncture, for patients with allergic rhinitis who are interested in nonpharmacologic therapy. Option based on randomized controlled trials with limitations, observational studies with consistent effects, and a preponderance of benefit over harm… • Value judgments: Panel members varied in their preconceived bias for or against acupuncture.”

Evid Based Complement Alternat Med. 2015;2015:593263. doi: 10.1155/2015/593263. Epub 2015 Jan 8. A Meta-Analysis on the Efficacy of Tai Chi in Patients with Parkinson’s Disease between 2008 and 2014.. “ The current results suggest that Tai Chi can significantly improve the motor function and balance in patients with PD, but there is indeed not enough evidence to conclude that Tai Chi is effective for PD because of the small treatment effect, methodological flaws of eligible studies, and insufficient follow-up. Consequently, high-quality studies with long follow-up are warranted to confirm current beneficial findings.”

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Massive Head Scourge and Acupuncture

I am old school. A germ theory kind of guy. Mumps, as an example, is due to the Mumps virus, a Paramyxovirus that likes to infect the parotid glands and occasionally other organs. There is no treatment but tincture time.

There are other, more curious, supposed etiologies for mumps:

Mumps is caused by invasion of the body by exopathogenic wind-heat toxin from the mouth and nose. This pathogen mixing with phlegm turns into fire to obstruct the Shaoyang and Yangming Channels, leading to lump due to accumulation of heat in the parotid region. Therefore, the principle of treatment should be to eliminate stagnated heat from the Shaoyang and Yangming Channels.

And how would one eliminate stagnated heat from the Shaoyang and Yangming Channels? According to Dr. Long Wenjun needles in the ear points of Antitragic Apex and Pancreas-Gallbladder are the first choice in treatment.

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soha institute
Tui Na treatment is a Chinese massage, applied by the help of hands to alleviate all the disorders of the body.
Monday, 20 April 2015 08:48
soha institute
Tui Na treatment is a Chinese massage, applied by the help of hands to alleviate all the disorders of the body.
Monday, 20 April 2015 08:48
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Points of Interest 2/3/2015

Cochrane Database Syst Rev. 2015 Feb 2;2:CD008400. Acupuncture for mumps in children. “We could not reach any conclusion about the efficacy and safety of acupuncture as we identified no trials for inclusion in this review. More high-quality research is needed.” No no no no no.

Measles Outbreak Proves Delicate Issue to G.O.P. Field

Spreading Along With Measles: Polarization on a Hot-Button Issue.

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Combinations for the Worse

I have discussed the small but real risk of chiropractic manipulation. Rare, thankfully, but occasionally manipulation of the neck can lead to stroke.

Not that chiropractors will admit any risk to their pseudo-medicine. As is often the case with alternative providers, they see disease progression or symptoms from their intervention as proof that their therapy is working and so ignore it as a side effect

If the patient discontinues care after only two or three adjustments because it ‘only made them feel worse,’ they haven’t allowed the body to adapt to the changes that are occurring in the body. Most of the time, a patient beginning care in their adult life have had years and years of accumulated spinal misalignments. The first few adjustments may cause discomfort due to the changes that are happening, even though they are positive changes.

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Points of Interest: 02/02/2015

 

Chris Christie: Parents Should Have A ‘Choice’ In Vaccinating Kids. “New Jersey Gov. Chris Christie (R) said Monday that public officials need to strike a “balance” on vaccinations that allows parents “some measure of choice” in immunizing their children.”

Anti-Vaxxers, Like Drunk Drivers, Are a Danger to Us All

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Points of Interest 01/30/2105

Placebo effect of medication cost in Parkinson disease. A randomized double-blind study. “Expensive placebo significantly improved motor function and decreased brain activation in a direction and magnitude comparable to, albeit less than, levodopa. Perceptions of cost are capable of altering the placebo response in clinical studies.”

Trials. 2015 Jan 27;16(1):28.Empirical evidence for outcome reporting bias in randomized clinical trials of acupuncture: comparison of registered records and subsequent publications.. “We find that prospective registration for randomized clinical trials on acupuncture is insufficient, selective outcome reporting is prevalent, and the change of primary outcomes is intended to favor statistical significance.” In other words, they cheat.

Chiropractor Says Organic Nutrition Will Save His Kids From Measles

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Points of Interest 01/29/2015

Clin Exp Dermatol. 2015 Jan 27. doi: 10.1111/ced.12591. What’s new in atopic eczema? An analysis of systematic reviews published in 2012 and 2013. Part 2. Treatment and prevention.. “Further research is required to establish the role of desensitization, Chinese herbal medicines, homeopathy and specialist clothing.” There is never a need to establish the role of water to treat any process but thirst.

Adv Biomed Res. 2015 Jan 6;4:8. doi: 10.4103/2277–9175.148290. eCollection 2015. Determining the effect of laser acupuncture in treating stutterers in comparison with speech therapy.. “In this study is based on the introduced spots by classical Chinese medical theory, which knows the cause of stuttering due to certain imbalance in the energy pathways between the heart and tongue”

Whoops. Too deep:J Mal Vasc. 2015 Jan 23. pii: S0398–0499(14)00268–6. doi: 10.1016/j.jmv.2014.11.001. Popliteal pseudoaneurysm and arteriovenous fistula after acupuncture.

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Otzi the Iceman used Acupuncture. It may not get stupider in 2015.

I try to be circumspect. I really do. Respectful of the person, if not the idea.  Hate the sin, not the sinner.  But some things are Just. So. Stupid.

Last year the stupidest comment by a reputable source I found was in the Cochrane review of vitamin C for the cold:

it may be worthwhile for common cold patients to test on an individual basis whether therapeutic vitamin C is beneficial for them.

Seriously. As I said at the time

The uselessness of personal experience in determining efficacy of medical interventions is why we do clinical trials. For crying out loud, I though it the raison d’être of the whole Cochrane Collaborative: relying on evidence instead of anecdotes. Wrong.

Here it is, January 26th, 2015, and I doubt you will find a more stupid interpretation of information for the rest of the year than New tattoos found on Otzi the Iceman support prehistoric acupuncture theory.

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Björn Geir Leifsson
According to knowledgeable sources, there have been developed so many different acupuncture systems, each with its own different p... Read More
Wednesday, 28 January 2015 23:43
Björn Geir Leifsson
According to knowledgeable sources, there have been developed so many different acupuncture systems, each with its own different p... Read More
Wednesday, 28 January 2015 23:43
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Points of Interest 1/26/2015

The Disney measles outbreak is a serious public health risk. Should parents sue anti-vaxxers?. “And like a motorist that neglects to look before pulling out of the drive, anti-vaxxer parents should be prepared for the consequences of their actions—both real and judicial.”

Diphtheria Excited About Possibility Of New Outbreak

Vaccine Skeptics on the Rise. Latest Measles Outbreak Shines Light on Trend Worrying Health Officials

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Points of Interest 01/24/2015

I Don’t Vaccinate My Child Because It’s My Right To Decide What Eliminated Diseases Come Roaring Back

Prim Dent J. 2014 Feb;3(1):28–9. A chemical burn from a garlic poultice applied to the face to treat toothache: a case report. “This case report is of a significant chemical burn to the face resulting from the use of an external garlic poultice for toothache. The patient used internet search engines to seek a toothache remedy and did not identify any reports of this complication. This report aims to inform all dentists of the risks of raw garlic application to the skin and also to ensure that in the future any patient using the internet for a toothache remedy will be made aware of the potential risk and how to avoid it.”

J Integr Med. 2015 Jan;13(1):20–4. The effects of Park sham needles: a pilot study.. “The researcher delivering the acupuncture recognized the needle type. However, both healthy and patient volunteers were blind to the needle type. This demonstrates that the Park sham needle is an effective single-blind control.” SO there is NO reason not to have a control in acupuncture studies.

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Points of Interest 01/22/2105

Measles Cases Linked to Disneyland Rise, and Debate Over Vaccinations Intensifies. “A handful of doctors seem sympathetic to these views. Dr. Jay Gordon, a Santa Monica pediatrician who has cautioned against the way vaccines are used, said he had “given more measles vaccines” than ever before but did not like giving the shot to younger children.” Quoting Jay Gordon is like asking an astrologer about Hubble.

Treating the Sequelae of Postoperative Meningioma and Traumatic Brain Injury: A Case of Implementation of Craniosacral Therapy in Integrative Inpatient Care. Treating brain injury with hand waving.

Wien Med Wochenschr. 2015 Jan 22. Severe cyanide poisoning from an alternative medicine treatment with amygdalin and apricot kernels in a 4-year-old child.. “Cyanide poisoning can be the cause of severe encephalopathy in children receiving CAM treatment with substances containing cyanogenic glycosides.”

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Points of Interest 01/20/2105

Cochrane Database Syst Rev. 2015 Jan 19;1:CD009436. Complementary therapies for acne vulgaris.. As is usually the case, pseudo-medicines only work for badly done studies. “There is some low-quality evidence from single trials that LGLD, tea tree oil, and bee venom may reduce total skin lesions in acne vulgaris, but there is a lack of evidence from the current review to support the use of other CAMs, such as herbal medicine, acupuncture, or wet-cupping therapy, for the treatment of this condition.”Scientist ‘silenced by Charles’. The scientist is Edzard Ernst. ““Prince Charles’s attempt to silence me, it seemed, had been successful.”Teach medical students to be critical, says Ernst. “In Exeter, I don’t think medical students learn how to think critically and that is the most important task because knowledge in medicine changes very fast and so you need that tool of critical thinking,”5 Alternative Medicines That Science Proved Worthless. Just 5? Off by a factor of 10.
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Points of Interest 01/19/2105

N.J. groups at odds over therapeutic use of needles ““I’m really … disappointed in the fact that one health-care professional was bullying or harassing someone else who’s just doing their job,” Klim said.”

‘Chiropractic care made me worse’. “If the patient discontinues care after only two or three adjustments because it seemingly made them feel worse, then they haven’t allowed the body to adapt to the changes that are occurring.”

Cleveland Clinic Children’s hospital opens Center for Integrative Medicine. More IRB failure. “The center will also begin research on several integrative treatments — acupuncture, reiki and a form of low-intensity electrical stimulation called frequency-specific microcurrent therapy — to figure out what their potential benefits are for kids.”

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