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Dana Ullman

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The Epidemic Of 'Medical Child Abuse' And What Can Be Done

Posted: 11/01/09 07:49 AM ET

Opening remarks…

The primary purpose of this article is to encourage a stronger commitment from doctors and parents to consider using safer medical care for infants and children FIRST before resorting to more dangerous treatments.  One would hope and assume that doctors and parents would have a natural inclination to make the safety of these young human souls a significant and sincere priority, but sadly, the power and propaganda of Big Pharma has inappropriately turned this equation around and made it seem that doctors and parents are putting their children at risk if they don’t prescribe powerful drugs first.  I personally disagree with this assumption and sincerely hope that people consider this health issue to be of primary importance today.

I certainly realize that the evidence that I present below on the epidemic proportions of “medical child abuse” is somewhat inflammatory, but due to the fact that this issue is presently being ignored by so many doctors and parents, a little “inflammation” may be a necessary symptom that will lead to great attention to this problem and perhaps to some concrete solutions to it. 

Although many people consider American health care to be “the best in the world,” the World Health Organization has ranked the United States to be the 37th (!) in the world in the “performance of the overall health system” and 72nd (!!) in “overall level of health” (of the 191 member countries).  American health care may be the most expensive, but there is no evidence to prove that increased expense leads to improved health status.

When one looks at the countries where health status and overall health scores the highest, they are countries in which there are a significant number of physicians and other health care practitioners who use herbal medicines, homeopathic remedies, acupuncture and nutritional treatments.  Perhaps American doctors and patients would benefit from a significant change in health care practices that are not only considerably safer than modern medical treatments, but that also seem to create better health care status.

A newly published review of the six leading medical journals uncovered a truly shocking observation:  “No information on severe adverse events and withdrawal of patients owing to an adverse event was given in 27.1% and 47.4% of articles, respectively.”[1]  When one considers that this review only analyzed the “best” medical journals, we can and should seriously worry about the safety of many drugs that are used today, and we should express real indignation when doctors prescribe two or more together (unless they were formally tested together) or when doctors prescribe them for conditions for which they have not been tested (called “off-label”).

Ultimately, although physicians assume that they are practicing “scientific medicine,” most drugs today are not tested on infants or children, and most children and adults are prescribed more than one drug at a time (and drugs are very rarely tested for efficacy or safety when used in combination with other drugs).  These common practices lead one to assume that modern medicine is not adequately scientific, and these practices may be part of the explanation for the poor health status of Americans.

 

The Very Real Problem…

 

We all know people who have children who have benefited from conventional medical care, but sadly, we all also know people whose children have been harmed by it.  The most famous words of the father of medicine, Hippocrates, are “First, do no harm.”  This dictum was directed at doctors, but it is as appropriate for parents.  Sadly, however, our children are being put in front of harm’s way with our present, almost callous overuse of powerful drugs for our young ones. 

The bottom line is that too many physicians and parents are giving drugs to children that have not been proven to be either safe or effective for them.  It is important for parents to know and to remind doctors that it is widely acknowledged that drugs act differently on the bodies of infants and children than on adults.  And yet, it is extremely common for doctors to prescribe powerful drugs to infants and children and even prescribe more than one drug at a time, despite the fact that drugs are very rarely evaluated scientifically in combination with other drugs.

The FDA recently withdrew from the marketplace many popular cold and cough drugs that were marketed for infants and children,[2] but the problem of doctors over-prescribing other more dangerous and unproven drugs for children and the inappropriate overuse of over-the-counter drugs in children by parents is a very significant health problem.  One must wonder if the increase in psychiatric disorders, immune dysfunction, autism and various other chronic diseases result from the use of the drugs that have not yet been proven to be either safe or effective for our infants and children.

Most consumers do not know that many drugs commonly prescribed for children today are not tested on them.[3]  A 2002 survey in the British Medical Journal (BMJ) found that almost one-half of children were prescribed a drug that was “unlicensed” or “off-label” prescriptions for children.[4]  A 2007 study of over 350,000 children found that a shocking 78.7% of children in hospitals are prescribed drugs that the FDA has not approved for use in children.[5]  If this isn’t shocking enough, it is seriously problematic to report that a survey in England found that 90% of infants were prescribed drugs that were not tested for safety or efficacy in infants.[6]

If the off-label use for drugs was not found to be dangerous, it would not be a problem.  However, the use of off-label drug use is significantly associated with adverse drug reactions.  In fact, there is almost a 350% increase in adverse drug reactions in children prescribed an off-label drug than children who were prescribed a drug that had been tested for safety and efficacy.[7]  The use of drugs for infants and children that have not been proven to be safe constitutes a type of “medical child abuse.” 

Despite some significant gaps in research and knowledge about the safety and efficacy of drugs for children, the number of drugs prescribed for children has jumped significantly in recent years.  In the U.S., the number of prescription drugs for children with asthma increased 46.5% from 2002 to 2005.  In this same time, the number of prescription drugs for children with ADD/ADHD increased 40.5%, and even the number of prescription drugs for lowering cholesterol in children increased by 15%.[8]

In 2007, the Journal of the American Medical Association (JAMA) reported significant increases in childhood chronic diseases.[9]  Since 1960, there has been a 280% (!) increase in the “limitation of activity due to a health condition of more than 3 months’ duration.”  This article also noted a shadow side of increased vaccination usually ignored by physicians and the media: “decreased exposure to viral infections in early childhood…may provide less and less normal stimulation of the immune system with more susceptibility to allergies in later years.” 

 

What can be done and what is being done…

 

First and foremost, physicians have to STOP prescribing as many drugs as they are prescribing, and must significantly reduce the number of off-label prescribing of drugs for infants and children.  I am not suggesting that they stop the use of all off-label prescribing, but that they work to significantly reduce these more risky prescriptions. 

Because they sometimes feel pressure from patients who want drugs (or something) to help their infant or child, doctors need to warn parents that many drugs have not yet been adequately tested for safety and efficacy for children.  Doctors need to become better educators so that parents can better decide which risks they wish to take either with conventional drugs or various safer alternatives.

Doctors also need to begin learning about safer treatment methods.  Although some “alternative” methods may not yet be adequately tested for efficacy (usually because Big Pharma cannot make as much money making and selling these treatments), natural therapies certainly have a much better safety profile, and there is a body of experience historically and internationally to suggest that many (not all) natural treatments can aid in the healing of many pediatric ailments.  In honor of the Hippocratic dictum, “first, do no harm,” doctors need to explore and even exhaust safer methods before resorting to the highly risky treatment modalities.

Because the FDA recently withdrew from the marketplace many popular cold and cough medicines, more parents and physicians should explore safer homeopathic and botanical alternatives.  One of the books that I co-authored with Stephen Cummings, MD, Everybody’s Guide to Homeopathic Medicines, has been the most popular guidebook to using homeopathic medicine. Besides explaining how to choose a homeopathic medicine that fits the sick person’s unique syndrome of symptoms, this book is also widely appreciated because it provides detailed guidelines that define when it is medically safe to use a safer alternative treatment or when medical supervision is recommended. 

Another useful, though more technical resource was just published by Oxford University Press (OUP), one of the most highly respected publishers of medical textbooks and medical journals.  OUP has begun to publish a series of textbooks on “integrative medicine,” which is the emerging field of utilizing the best of the various natural treatment modalities and the best of conventional medicine.  OUP just published an Integrative Pediatrics (edited by two pediatricians, Timothy Culbert, MD, and Karen Olness, MD). 

Nowadays, virtually every leading conventional medical school in America has a course in “integrative medicine” (or alternative and complementary medicine).[10]  Although these courses are generally just an overview and introduction to the various “alternative therapies,” they provide good seeds for the medical students to determine which treatments should be a part of the medical care they will later provide.  One way to predict the future of medicine is to ask medical students what interests them. 

In 2008, the American Academy of Pediatrics (AAP) published a position paper acknowledging the widespread use of alternative and complementary therapies for children and encouraging doctors to discuss options with parents.[11]  An AAP survey found that 54% of pediatricians in the US agreed that “pediatricians should consider the use of all potential therapies, not just those of mainstream medicine.”

Doctors, however, need to understand that alternative therapies are not just a different “treatment,” but also a different approach to understanding and treating whole person health care.  Acupuncture, ayurveda, and homeopathic medicines provide time-tested and historically verified benefits that deserve the investigation of doctors and parents everywhere who want to use safer methods before resorting to more risky treatments.  And there is a small but significant (and growing) body of research to confirm the efficacy of these systems of medicine, despite the strong tendency for skeptics to ignore this body of evidence.

Parents have to START asking their doctors if the drugs they are prescribing for their children have formally been found to be safe for them.  If more than one drug is recommended, parents should ask for the evidence that these two drugs, taken together, are safe and effective.  Parents will benefit from learning when some type of medical treatment is truly necessary because many common ailments do not require medical attention, therefore safer home treatment methods can and should be considered. 

The bottom line is that there is increasing interest in alternative and complementary treatments for children.  A survey in Canada published in Pediatrics (2007) found that more than half of the children who visited a university-affiliated hospital had received alternative and complementary medicines.[12]  Homeopathic medicine was by far the most popular treatment, used by 39% of the families. 

In 2002, the British Medical Journal (BMJ) reported that 75% of Germans have used complementary or natural medicine.[13]  They also reported that 5,700 doctors received specialized training in natural medicine, with this number doubling to 10,800 by 2000.  Homeopathic medicine is practiced by 4,500 medical doctors in Germany, almost twice as many as did so in 1994.  The German government conducted this survey, discovering a 33% reduction in sick days if people used natural therapies, especially homeopathy or acupuncture.   

Although homeopathic medicine is not well known in the U.S., homeopathy has maintained a unique international presence that has included appreciation and advocacy for many of the most respected cultural heroes of the past 200 years, including 11 U.S. Presidents and scores of world leaders (ranging from Gandhi to Tony Blair), six popes, numerous European royalty, literary greats, sports superstars, corporate leaders, as well as a wide range of first class physicians and scientists.[14] 

In reference to homeopathy, it is common for skeptics of homeopathy to purposefully misinform others that “there is no research that proves that homeopathy works.”  Such misinformation is typical of Big Pharma shills and closed-minded skeptics who revel in confusing the public. 

In fact, one of the most serious public health problems in the developing world today is diarrhea, a condition that claims the lives of several million kids each year as a result of dehydration.  Three double-blind and placebo-controlled trials have shown efficacy of treatment from homeopathic care.[15] The number one reason that children in the U.S. seek medical treatment is for ear infections, and the American Academy of Pediatrics has sought to discourage doctors from prescribing antibiotics due to their questionable efficacy and potential problems.  There is some good evidence that homeopathic medicines are effective for this common ailment.[16]  There have also been several trials showing efficacy of homeopathic treatment for children with ADD/ADHD.[17]

Ultimately, both doctors and parents need to educate themselves about safer methods of treatment for the short-term as well as long-term health of our blessed young ones.



Dana Ullman, MPH, is America's leading spokesperson for homeopathy and is the founder of Homeopathic.com He is the author of 10 books, including his bestseller, Everybody's Guide To Homeopathic Medicines His most recent book is, The Homeopathic Revolution: Why Famous People and Cultural Heroes Choose. Dana lives, practices, and writes from Berkeley, California.

REFERENCES: 


[1] Pitrou I, Boutron I, Ahmad N, Ravaud P. Reporting of Safety Results in Published Reports of Randomized Controlled Trials. Arch Intern Med. 2009;169(19):1756-1761.  http://archinte.ama-assn.org/cgi/content/full/169/19/1756

[2] Aguilera L. Pediatric OTC Cough and Cold Product Safety.  US Pharmacist 2009;34(7):39-41.  http://www.uspharmacist.com/content/c/14137/

[3] Australian Parliament’s Committee on Children and Young People—Inquiry into the Use of Prescription Drugs and Over-the-counter Medications in Children and Young People.Report 11/52. May 2002.

[4] Jong GW, Eland IA, Sturkenboom MCJM, van den Anker JN, and Stricker BHC. Unlicensed and off label prescription of drugs to children: population based cohort study. BMJ. 2002 June 1; 324(7349): 1313–1314.

[5] Shah SS, Hall M, Goodman DM, et al. Off-label Drug Use in Hospitalized Children. Arch Pediatr Adolesc Med. 2007;161(3):282-290.

[6] Conroy S, McIntyre J, Choonara I. Unlicensed and off label drug use in neonates. Archives of Disease in Childhood - Fetal and Neonatal Edition 1999;80:F142-F145.  doi:10.1136/fn.80.2.F142

[7] Horen B, Montastruc JL, and Lapeyre-mestre M. Adverse drug reactions and off-label drug use in paediatric outpatients.  Br J Clin Pharmacol. 54(6); Dec 2002, 665–670.  doi: 10.1046/j.1365-2125.2002.t01-3-01689.x.

[8] Cox ER, Halloran DR, Homan SM, Welliver S, and Mager DE.  Trends in the Prevalence of Chronic Medication Use in Children: 2002–2005. Pediatrics. 122,5 November 2008, e1053-e1061. doi:10.1542/peds.2008-0214

[9] Perrin JM, Bloom SR, Gortmaker SL.  The Increase of Childhood Chronic Conditions in the United States. JAMA. 2007;297:2755-2759.

[10] Consortium of Academic Health Centers for Integrative Medicine. http://www.imconsortium.org/members/home.html

[11] Kemper KJ, Vohra S, Walls R. The Use of Complementary and Alternative Medicine in Pediatrics. Pediatrics 2008;122;1374-1386. DOI: 10.1542/peds.2008-2173. http://pediatrics.aappublications.org/cgi/reprint/122/6/1374.pdf

[12] Jean D, Cyr C. Use of complementary and alternative medicine in a general pediatric clinic. Pediatrics. July 2007; 120 (1):e138-e141. 

[13] Tuffs, Annette, Three out of Four Germans Have Used Complementary or Natural Remedies, BMJ, November 2 2002;325:990. 

[14] Ullman, Dana.  The Homeopathic Revolution: Why Famous People and Cultural Heroes Choose Homeopathy.  Berkeley: North Atlantic Books, 2007.

[15] Jacobs J, Jonas WB, Jimenez-Perez M, Crothers D. Homeopathy for childhood diarrhoea: combined results and meta-analysis from three randomized, controlled clinical trials. Pediatric Infectious Disease Journal 2003; 22: 229-234.

[16] Jacobs J, Springer DA, Crothers D. Homeopathic treatment of acute otitis media in children: a preliminary randomized placebo-controlled trial. Pediatric Infectious Disease Journal 2001; 20: 177­183.

[17] Frei, H, Everts R, von Ammon K, Kaufmann F, Walther D, Hsu-Schmitz SF, Collenberg M, Fuhrer K, Hassink R, Steinlin M, Thurneysen A.  Homeopathic treatment of children with attention deficit hyperactivity disorder: a randomised, double blind, placebo controlled crossover trial.  Eur J Pediatr., July 27,2005164:758-767.

 
 
 

Follow Dana Ullman on Twitter: www.twitter.com/HomeopathicDana

Opening remarks… The primary purpose of this article is to encourage a stronger commitment from doctors and parents to consider using safer medical care for infants and children FIRST before re...
Opening remarks… The primary purpose of this article is to encourage a stronger commitment from doctors and parents to consider using safer medical care for infants and children FIRST before re...
 
 
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07:21 PM on 03/17/2010
why should we be surprised? Its about time we put the rights of children ahead of the rights adults in this country. America should lead the world in this effort. Watch the movie "with no one to protect them" on youtube it is The most powerful, telling video you will ever watch! seriously i bet you cant see this all 8 minutes through without crying.
http://www.youtube.com/watch?v=R5P5Npb6NmM
01:40 AM on 11/17/2009
The drugging of Children is happening on many fronts, Schools, Foster care 70% of Children in foster care are on drugs, it is an epidemic in this Country. I know of a premature baby at 4lbs in an incubator given inoculations and he immediately lost weight and spent months recovering in the incubator.

It is out of control of the People and in the hands of BIG Pharma that this is happening. The only way to stop it is for each parent to research and to study the side effects and make life long choices for their children. Chose well live well...Let's stop drugging children, there are so many ways to treat a child naturally, Homeopathy, nutrition, massage, Chiropractic or sometimes just love.
09:39 AM on 11/07/2009
I agree with Dana on many points. Scientific medicine or evidence based medicine doesn't know enough about many medicines and are improperly prescribed. The good part about evidence based medicine is that it is not static. The problems he mentioned as they become known causes changes in how medicines are prescribed. The progress can be too slow in many cases.

I have a problem with his recommendation of homeopathy. There is evidence for homeopathy, but is greatly out weighed by evidence against it. Check out the meta-analysis studies--not one remedy has been conclusively shown to be more effective than a placebo. The meta studies found that the higher the quality the study the more likely the effect is placebo. This is the opposite of what you would find if there was an effect. You need to look at all the evidence, just like the theme of this article. Not a single remedy has gone through FDA approval.
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ChristyRed
08:09 PM on 11/07/2009
Well, after reading "Homeopathy: The Scientific Proofs of Efficacy", I guess I have to disagree with skyhand. This report contains 65 detailed studies (and there are more outside of this report) and 10 clinical trials (again more exist) which evidence for homeopathy working beyond placebo. The report reads in part: "A number of large-scale studies designed to evaluate the huge amount of homeopathic literature have been conducted, especially in the last ten years. Organizations and institutes of great international prestige and importance have dealt with the issue of homeopathy. ALL of them have concluded that homeopathy possesses therapeutic efficacy." The conclusion to this report reads: "Very briefly, a large body of studies demonstrates that the efficacy of homeopathic medicines is NOT due to the 'mythical' placebo effect, thus, finally dispelling a series of superficial, prejudiced attitudes."

www.atms.com.au/homeopathy/Homeopathy the scientific proofs of efficacy.pdf

My 12 years of personal experience with homeopathy is that it is a wonderfully healing system of medicine--gentle but dynamic, without side effects and causing no iatrogenic diseases.
03:22 PM on 11/05/2009
I have to agree with Dana Ullman.

There are individuals putting so much energy into talking about the studies behind homeopathy and writing so prolifically that one wonders what the motivation is.

Not just a few comments, but long comments with many distorted ideas and little factual basis against alternative health modalities.

I have never seen anyone doing this with pharmaceutical drugs on the blogs. Even some defending Vioxx and thalidomide still as "working" and desecrating the 27,000 Americans killed by Vioxx. Strange isn't it.
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ChristyRed
05:27 PM on 11/05/2009
I could not agree more wholeheartedly with RealSide. Homeopathy is one of the most successful and curative systems of medicine ever devised. Tens of millions of adherents around the world testify to this fact. There is a good body of lab and clinical work evidencing for it, and scientists at such renowned institutions as Stanford, Cambridge, Princeton, Penn State and Arizona U have done work showing how homeopathy can work its magic. Homeopathy is most famous for its cured cases of all types of chronic diseases. Anyone interested in reading those cases can google homeopathy cured cases--see especially the web site of George Vithoulkas.

It is more than a little puzzling that anyone would put so much effort into trying to dissuade people from trying and using a form of medicine which can be of such great benefit to our children (and ourselves as well). These commenters also seem to want to discredit all natural therapies. My personal experience is that homeopathy has been a literal life saver for me in my treatment of serious, chronic illnesses such as neuropathy. It has been equally great in treating acute illnesses and injuries. My friends and family have had the same success with it that I've had.

Anyone who wants to ensure the health of their children on all levels -- physical, mental and emotional -- could not do better than to investigate natural therapies including homeopathy.
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cable1977
Against logic there is no armor like ignorance
09:29 PM on 11/05/2009
"These commenters also seem to want to discredit all natural therapies."

Why must your arguments be based on falsities? If you read the comments that myself, Principaldad, and StThomas (the ones I assume you are referring to as we have been most prolific on this blog) have said nothing about natural remedies. In fact, I have stated on several occasions that I think natural therapies have potential if tested for safety and efficacy as any other treatment is. Principaldad posted several links to supportive information about natural therapies.

None of us have argued against natural therapies in the comments to this article. Nor have any of us argued in favor of pharmaceuticals, in fact, the comments I have made have agreed that there is too much prescription of pharmaceuticals and that stronger controls are needed for efficacy and safety.

What we argue against is the assertion that high dilution homeopathy has any value. The scientific consensus is exactly the opposite and if you understood the basic scientific method, you would understand why that is so.

Please, continue to level the false charges. It does nothing to enhance your argument and only makes your argument look less and less valid.
05:40 PM on 11/05/2009
I see you are new to the site so I will try to explain this nicely. What you and the author are posting is an inappropriate accusation that has never been allowed on this site. Such accusations are usually removed.

To address your accustion , I generally pick one or two stories on this site at a time and post sporadically. It is clear from my comment history that my interest in stories is broad. The other person here whom you are obviously talking about appears to do the same, but limits himself mostly to science topics (although not always to medical topics). He has stated his profession.

What you are seeing here is quite common on popular blogs on this site. A few posters will stick to certain stories (even if there are other similar stories that they don't post to). Yourself and ChristyRed are examples of that as well (you both comment almost exclusively to homeopathic topics).

As for Vioxx and thalidomide, you are taking a side conversation out of context. Those drugs did provide the effects that they were tested for. They also had absolutely unacceptable side effects. The comments about them were not "defending". The other poster and myself were merely discussing a fact and refencing the risk/benefit considerations that take place in all medicine (including homeopathy).
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cable1977
Against logic there is no armor like ignorance
07:12 PM on 11/05/2009
Thank you Principaldad. I imagine I was the other poster who was under direct fire from the Pharma shill gambit. If you check my history as well, I have posted on a wide variety of topics, but as of late I have been much more drawn to the science topics, partially due to that being my profession and partially due to my disappointment with many other aspects of the news. Science is what I know and study every day when I go to work. I am a researcher in the field of immunology and I feel like I can contribute to a discussion about science as it is something I am knowledgeable in.

Pharmacological effects are far more complex than "good" or "bad". And that goes for natural products as well as chemical pharmaceuticals.

But regardless, whether they work or not, the information about the efficacy and safety of pharmaceuticals adds zero evidence that homeopathic treatments work.
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cable1977
Against logic there is no armor like ignorance
07:12 PM on 11/05/2009
As to the above point of definding Vioxx or Thalidomide as working. They do work. Vioxx works quite well for curing the pain and inflammation associated with arthritis, specifically osteoarthritis. The problem is it also causes severe heart conditions in people who are at risk for heart conditions (mostly the elderly, the prime candidates for osteoarthritis and needing the most relief from its symptoms). It was removed from the market because Merck tried to hide this information from the FDA that showed that the risk/benefit ratio was not acceptable as a method of treatment. But the drug still works and it works for the same reason ibuprofen does, inhibition of the enzyme COX-2. I wouldn't defend the prescribing of that drug given its risk/benefit ratio, but that doesn't mean that it doesn't improve the condition it was designed to.
08:15 AM on 11/05/2009
Dana Ullman complains that respondents to his post show "... sheer ignorance of homeopathic and natural medicine."

No, the problem you face is that there are people who do know about "homeopathic" and "natural" (whatever that is meant to describe) "medicine," but who do not exhibit a sheer ignorance of chemistry, physics and logic.

To put it bluntly, people who believe that someone who cannot face critical analysis of their positions, and who yet cannot change their beliefs despite evidence contrary to those beliefs, are engaged in "faith." And faith healing has no position as a part of intelligent, reasoned discussion of health issues.
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Dana Ullman
Evidence Based Homeopath
03:25 PM on 11/04/2009
To those people who are relatively new to reading Comments at the Huffingtonpost, please know that there are several people who comment on a lot of the alternative medicine articles and who are extremely antagonistic to these alternatives. People are certainly entitled to their positions, though I find that many of them tend to trivialize important subjects (such as the over-drugging of children) and most tend to show sheer ignorance of homeopathic and natural medicine.

These individuals repeat the same ill-informed comments, and they work hard to misinform people. It is a tad ironic that they commonly assert that there is “no research on homeopathy†which simply proves that these people did not even read the above article.

I hope that readers will see through their thin veil, and I hope that these chronic commenters will consider trying to improve the level of dialogue here.
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cable1977
Against logic there is no armor like ignorance
06:22 PM on 11/04/2009
Improve the level of dialogue? You mean simply stop asking the difficult questions to which no one has any answers. You could get rid of the whole lot of us by simply answering the questions about the logical inconsistencies of homeopathic theory.

Please do not equate homeopathy with natural medicine. Natural medicine, using herbs and extracts, is at least basic in the reality of physics, chemistry, and biology. Many of the natural remedies have potential as many pharmaceuticals are themselves derived from plants. Homeopathy is a different story altogether requiring the complete upheval of what science knows about physics, chemistry, and biology.
02:22 AM on 11/05/2009
I have been investigating this quite a bit over the last few days. I can't say that I see much evidence of widespread efficacy. However, there is one thing that I have noticed. There are a few homeopathic remedies that have shown some efficacy in double blind placebo controlled studies. At least two such cases involved solutions that were not excessively diluted. One was a cold remedy that was diluted to 1% and another was a psoriasis cream that was diluted to 10%.

This coincides with descriptions on homeopathic web sites about 1c and 1x solutions. It seems that not all homeopathic remedies are ultra diluted.
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StThomas
Not until I see the holes of the nails....
12:14 PM on 11/05/2009
Please _do_ have a read of those "chronic commenters". And _do_ try to engage in dialogue. And then reread the above comment in the light of what you have seen.
12:32 PM on 11/04/2009
In my high school class (early 2000's) there were so many kids who were prescribed Ritalin and other ADHD meds - and about half abused them, sold them, snorted it, etc. Many ended up becoming addicted well into their adulthood - and this was a good, well-to-do school in an LA suburb. It saddens me to think back on those stories - where doctors and parents should have looked at the entire picture before resorting to prescribing drugs, because it ruined so many lives. Sure, maybe sometimes prescription drugs helped, but there are so many other alternatives - whether they are from homeopathy, or cognitive-behavioral therapy, or whatever.
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Sheldon101
sheldon101blog.blogspot.com Wakefield transcripts
08:45 PM on 11/03/2009
Question: Why does homeopathy do a 1:10 or 1:100 dilution, bang a lot and repeat? Why can't I wait for a hurricane in the middle of the ocean, drop in a drop of whatever, let the storm go by and pick up my diluted medicine?

Answer: It would take decades of drop, wait and repeat.
01:37 PM on 11/04/2009
YOu really don't get it, do you?
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Sheldon101
sheldon101blog.blogspot.com Wakefield transcripts
02:27 PM on 11/04/2009
Thanks for the note.

In reading my comment above, change "decades" to "milleniums."
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cable1977
Against logic there is no armor like ignorance
03:42 PM on 11/04/2009
What is there to get?

There are a host of logical inconsistencies in homeopathic theory. No homeopathic supporter ever addresses those or even begins to offer hypotheses to answer those questions.

For example, if water has memory, then why does water not remember everything it has ever touched? Therefore, every drop of water we drink is contaminated with homeopathic quantities of virtually every substance on earth.

If water has memory, then how do you start with a pure enough version of water to dilute to homeopathic concentrations in the first place. How would you test that the water you are using is, in fact, not already a potential homeopathic treatment for something else?

If homeopathic remedies increase in potency as the dilution is greater, wouldn't they eventually become extremely dangerous, even deadly, if you kept diluting further and further?
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wolfgangmo
09:45 PM on 11/04/2009
Got Straw Man?

The ocean is not exactly an FDA or otherwise approved facility. Would you honestly propose doing something similar in the preparation or other medicines? I think not.

FYI - I am not advocating for the use of homeopathics (although it seems that I have at least read some of the german/america/canadian/japanese/indian studies that seem to be unaware of) but rather pointing out an illogical and ill conceived objection.
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csavage
07:08 PM on 11/03/2009
Ummm...I prefer when people give the entire argument instead of little bits that suit their purpose. First, yes, Germany has lots of experience with Homeopathy. They also have all sorts of regulatory boards that govern the practitioner and the purity and potency of the herbal extracts. The US has NEITHER of those and, to quote my favorite medical reference "The Medical Letter", the experts there do not test homeopathy because there is no guarantee that what you buy in the states actually contains what you think you are buying and in clinically relevant amounts. Second, and I'm quoting long deceased people here, if the public ever had the experience of watching their children die of whooping cough, or diptheria, or measles, or a brain abscess related to a pneumococcal infection, there would be no quibbling about vaccines. Polio was still very fresh in my mom's mind when I had my Sabin vaccine. We have the luxury of thinking of these vaccines as superfluous now, but they were and are life savers.
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KristinNoelle
11:40 AM on 11/04/2009
I don't think the author meant to imply that western medicine has no purpose. If I ever get tuberculosis you can bet I won't rely on herbal treatments. But the problem is that doctors are increasingly prescribing potentially dangerous drugs because they just want to "do something."

I have a friend whose daughter was born with severe medical issues and her doctors treat her like their own private living, breathing laboratory. Her mom is understandably frustrated. Her daughter cannot communicate so it is difficult for her to determine if her child is sick or just having an off day. But her pediatricians rarely tell her to wait it out. I think they feel bad for her and want to make a show of caring by constantly trying new drugs and treatments. Her child is on countless medications, many of which are off-label and not recommended for children.

I am especially concerned with prescribing new drugs to children. Due to ethical constraints, drugs are not tested on children and due to the constraints of experimental designs, they are also rarely tested in combination with other drugs. In general, the dangers of drug combination and prescribing to children are only discovered after drugs are approved, hence the reason warnings are often added after drugs have been on the market for a few years. For this reason, I say most people should avoid prescription medication for children unless the illness is serious or the child is at high risk for complications.
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cable1977
Against logic there is no armor like ignorance
04:05 PM on 11/04/2009
There is a big difference between herbal treatments and homeopathy. The discussion here is not about herbal treatments or natural alternatives (which are still drugs in essence), but rather about homeopathy which is the practice of diluting a substance so far that not a single molecule of the original substance remains in the preparation.
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Sheldon101
sheldon101blog.blogspot.com Wakefield transcripts
11:23 PM on 11/05/2009
The times are a changing. The FDA is moving towards testing drugs on children rather than testing them only on adults and letting that slide into use on children.

The testing of the H1N1 vaccine was sort of that way. They did do testing on pregnant women and young children. But they knew they had do because it wasn't known how much vaccine was needed for protection. US say kids under 10 1/2 dose wait 21 days 1/2 dose and 10 days later excellent protection.

Canada's decision to use adjuvant looks wise. Officially still follow US. However, Spanish studies say 6 months and up get very good protection on just 1/2 dose wait 21 days.

Finally, Doctors aren't like many alternative practitioners, they only sell their time, not their time and products they've marked up.

Flu Vaccination: Safe, Effective and the right thing to do to protect someone like a
Warren Schor of Ithaca, New York
"Students and faculty gathered in Sage Chapel {Cornell University] yesterday to remember the life of Warren Schor ’11, who died last month from complications relating to H1N1 influenza."
http://cornellsun.com/section/news/content/2009/10/21/friends-and-administrators-remember-warren-schor-’11
http://www.davidrolle.com/davidrolle/warren
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cable1977
Against logic there is no armor like ignorance
05:31 PM on 11/03/2009
As a researcher in the field of immunology I would be happy to help any homeopathic researcher design a variety of in vitro and in vivo studies that could easily help prove homeopathic theories and the effects on a variety of body processes, my key experience being immunlogical studies.

We could test the ability of homeopathic remedies to induce tolerance of B and T cells or the effect of dilute substances on mast cell degranulation. There are a whole host of potential studies that could be performed and are just waiting for someone to try them.
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cable1977
Against logic there is no armor like ignorance
05:26 PM on 11/03/2009
I have a question:

Let's assume that all pharmaceutical companies are evil and only desire to profit, not to help people. And then let's assume that homeopathic remedies are, in fact, as effective as its supporters claim. If both of these statements are true, then why are pharmaceutical companies not trying to get into the homeopathic remedy market?

It would seem to me a highly profitable endeavor. Pharmaceutical companies would no longer have to spend billions on research, development, pre-clinical safety testing, and both clinical safety and efficacy trials. They could simply just turn their giant marketing machinery to putting out homeopathic remedies and even though they are cheaper to market, they are also much cheaper to develop and produce. Would seem to me that any greedy corporation would jump at the chance to make a quick buck on a effective treatment.

But the reality is that no pharmaceutical company is trying to do that. Which means that at least one of the two premises are false. Either pharmaceutical companies are not inherently evil or homeopathic remedies are not as effective as their proponents claim. But I would imagine that if all a pharmaceutical company cared about was profits, they would still enter the homeopathic arena even if the treatments do not work, since they would still be making money off people. So really, I would think that both of the initial premises are false.
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KristinNoelle
11:48 AM on 11/04/2009
You can't put a patent on nature, that's why. When you develop your own drug you get a patent for 17 years (longer if you can find ways to tweak your formula and get an extension). For that time period, you can charge a premium price for your drug. Alternative remedies often involve herbs and extracts found in nature. A drug company could sell these, but they wouldn't be able to charge a high price because other companies could come in, create the same product and undercut them on price.
12:13 PM on 11/04/2009
I believe the poster's point was that those high prices on patented medications would not be necessary. His point was that huge pharmaceutical companies would be able to undercut all of the small players.

His statement was, "They could simply just turn their giant marketing machinery to putting out homeopathic remedies and even though they are cheaper to market, they are also much cheaper to develop and produce."

It is a compelling argument. Think of it like aspirin (originally natural but now made artificially). It is next to impossible to find a small company that manufactures aspirin.
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cable1977
Against logic there is no armor like ignorance
03:34 PM on 11/04/2009
Of course you can patent a naturally occurring compound. You can patent the use of such a compound for treatment of a specific illness or patent the process of manufacturing or isolating a specific compound from a natural source.

An alternative herb or extract can be assessed to determine the compounds causing the effect and then those compounds can be patented.

Part of the reason for high prices is recouping the cost for research, development, clinical, and safety trials, which can cost billions and take a multitude of years to get the necessary data and approvals. With homeopathy a drug company would not have those expenditures so could simply rework its production machinery to produce homeopathic compounds, not very difficult to simply dilute something over and over again. Plus there are no testing requirements or efficacy requirements that need to be demonstrated.

A pharmaceutical company could most likely undercut current homeopathy costs since they could produce the products cheaper due to large scale processing equipment. They could sell for cheaper and make greater profits than homeopaths currently do.
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cable1977
Against logic there is no armor like ignorance
01:10 PM on 11/03/2009
Let's assume for a second that all Pharmaceutical companies are evil corporations solely obsessed with profit and getting the most return for their investment. Let's also then proceed from the idea that homeopathy is indeed as effective as its supporters claim; that it can dramatically and drastically improve various health conditions easily with no side effects.

Now if both of those initial ideas are true, why aren't phamaceutical companies actively persuing research into homeopathic remedies or simply developing and mass marketing these remedies? It would seem to me that pharmaceutical companies are in prime position in terms of market share, advertising ability, and production capacity to basically corner the market on these homeopathic treatments. I'm sure they could make a killing with little to no research costs, no need for human clinical trials, and a great safety profile. If greed is truly the sole motivator of these companies, why do they not persue such a lucrative avenue for treatment? Since that isn't occurring, one of the inital postulates must be false, so either corporations are not all evil and greedy or homeopathy doesn't work.

My bet is that there are some ethical lines even an evil corporation won't cross.
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wolfgangmo
10:04 PM on 11/04/2009
1 small caveat. Who, besides the usual fan (atics) is claiming that homeopathics can't cause any harm.

According to a doc who works for me who has taken homeopathy courses (in order to better understand what some of her patients are talking about and be able to knowledgably advise them - so please don't start tossing bombs my way - this is a rational and compassionate thing for a doc to do), not all homeopathics are harmless.

The theory behind the application of all but the smallest doses, as I understand it so if I am wrong please don't flame me (too much) is that a total picture of the patients physical, mental, and emotional health must be taken to find the right remedy. In some cases, the wrong remedy can cause some harms, although usually not of the lasting type.

Just my 2 cents.
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cable1977
Against logic there is no armor like ignorance
01:29 PM on 11/05/2009
From my understanding, the biggest arguments I have is with the high dilution homeopathics. Lower dilution homeopathics are much more in the realm of natural/holistic remedies and have a much better chance of actually having effects. Given that many pharmaceuticals are derived from natural products, albeit in purified forms to improve dosing and efficacy, I have much less skepticism about the potential for those to have efficacy.

What I have issues with are the extremely high dilutions of substances, to the point where no molecules of a substance remains in the vast majority of the remedies. In order for these to demonstrate effects, there would have to be significant alterations in the laws and understanding of physics, chemistry, and biology. This makes the a priori plausibility of homeopathy working extremely low and therefore extraordinary evidence is required to prove such claims. No such extraordinary evidence exists. If it ever surfaces, I will happily say, "They were right".
11:30 AM on 11/03/2009
Eh, allopathic medicine has worked well for my family. My mother specifically, is a 20 year survivor of breast cancer and a 5 year survivor of lung cancer (unrelated to her breast cancer).
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wolfgangmo
10:05 PM on 11/04/2009
Kudos to your mom. She must be one tough lady. Give her a hug for us all. She deserves it.
08:42 AM on 11/06/2009
My mom is actually quite grateful for her breast cancer, because she had it, she was watched very closely which is how her lung cancer was found so quickly, allowing her to survive it.
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ChristyRed
11:51 PM on 11/05/2009
That is wonderful--especially in view of the fact that our friends at GlaxoSmithKlein state that conventional cancer treatment is effective in only 25% of cases.

Steve Connor, Science Editor
The Independent
12/08/03
12:36 PM on 11/06/2009
You should provide links to your attributions, otherwise your assertions are either plagiarized or made up.
10:24 PM on 11/02/2009
Our family has used homeopathy for 15 years and 5 years exclusively along with herbs and nutrition. Homeopathy has been around for hundreds of years and has been effective in epidemics as well.

I have used it for strep, mastitis, colds, roseola, flu, bruises you name it. It works. For those that name call or need something else for proof, you should try it then write about it.

Dana, Thanks for all you do!
06:19 AM on 11/03/2009
"I have used it for strep, mastitis, colds, roseola, flu, bruises you name it."

How about if I name something that doesn't get better on it's own quickly.

Let's look at that impressive list of yours shall we?

*Strep lasts 3 to 5 days.
*Mastitis' primary treatment is...rubbing the breast. Really, that's the primary treatment for it. You know what's another one? Drinking lots of fluids.
*Cold. Need I say more?
*Roseola quickly goes away on it's own anyway. Has no treatment, doesn't need one.
*Flu. What are you supposed to do when you have to flu? Drink lots of fluids. What does homeopathy involve? Drinking water.
*Bruises. Are you serious? You had to really scrape the bottom of the example barrel for that one, huh?

I'm glad I don't live in a family where medicine isn't allowed.

"Homeopathy has been around for hundreds of years and has been effective in epidemics as well."

What epidemic was it effective against? A massive thirst outbreak?

And what does it being old (1790) have to do with it working? People used to drill holes in your skull to cure illness waaaay before that. Maybe you should try that, it must be even better because it's older.

You know what real "Medical Child Abuse" is? Not taking your kid to a doctor when they're sick and instead giving them herbs and water.
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cable1977
Against logic there is no armor like ignorance
09:51 AM on 11/03/2009
"What epidemic was it effective against? A massive thirst outbreak?"

That was too funny.
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cable1977
Against logic there is no armor like ignorance
10:53 AM on 11/03/2009
Excellent points. Fanned!
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odyssey58
07:53 PM on 11/02/2009
I use homeopathic remedies because they work for me and my family. Can I prove that they worked? No. But no one can prove that they didn't. Personal experience is all the proof I need.

Allopathic drugs must undergo rigorous testing because they can be very dangerous and toxic. It would be unethical to give potential poisons to people without thorough testing. People die from taking these drugs.
Homeopathic remedies aren't poisons; if you take the wrong remedy nothing untoward happens.

To those who call homeopathy quackery, there are plenty of examples of allopathic quackery. One of the most dangerous examples is giving antibiotics for viral infections. As a nurse, I have seen my share of side effects. Just walk into any nursing home and you will see them, too.

I began my college career as a pharmacy major. My pharmacology class is why I turn to alternative medicine first.

For most of the last 15 years my family hasn't had health insurance. Homeopathy has kept us out of the ER and doctor's office, and saved us a ton of money.
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cable1977
Against logic there is no armor like ignorance
09:46 PM on 11/02/2009
As a nurse you should know that antibiotics are not given for viral infections, but rather to prevent certain viral infections from being complicated by bacterial infections. The logic and science of such an action is sound and based in biology and microbiology.

In what field of science is homeopathy based?
10:16 PM on 11/02/2009
The dramatic increase in the use of antibiotics as a "preventative" has created more and more immune system problems and resistant bacteria. We keep upping the ante.

And using a myriad of drugs as a preventative doesn't sound very scientific nor logical but speculative. It does sell a lot more antibiotics though.
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Ergon
Man From Atlan
10:33 PM on 11/02/2009
Medicine.
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csavage
07:15 PM on 11/03/2009
Most common illnesses are viruses that resolve without intervention at all. Believe me, as a ER doc, I would love if people that aren't really sick stayed away from the ER. It's really difficult trying to deal with unrealistic parents who's child has been sick for only 2 hours when you are also caring for a critically ill patient in the room next door. I haven't used much homeopathy for sepsis, stroke, myocardial infarction, asthma exacerbation, etc. If you think homeoptahy worked for you, chances are, you were going to get better anyway
01:42 PM on 11/04/2009
Csavage--I am assuming that since you are making such an authoritative statement about homeopathy that you have studied it a great deal.
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wolfgangmo
10:23 PM on 11/04/2009
It is possible that you are comparing apples and oranges here. As and Er doc (one of my friends is in charge of a big city trauma center and the head of their lifeflight program and we have chatted about this over skittles and beers) you deal (or should deal) mostly with emergency situations - acute medicine if you will. Does that seem like a valid point?

If it is, then, and remember that I am not an expert on this but according to a doc in my clinic who has studies this subject (yes, to better advise patients who kept asking about it - she is someone who doesn't like not having solid answers so she took some classes to get a handle on the subject matter) homeopathy is most supposed to be applied in non acute situations.

So it is kind of like comparing what you do to what an expert in metabolic diseases does, isn't it?