Points of Interest 01/05/2017x

Why infants need chiropractic care . Unproven, potentially dangerous — and possibly licensed under a new bill . Naturopaths at it again. It's not just politics: 2016 was an epidemic year for fake news in science, too Evid Based Complement Alternat Med. 2016;2016:6190285. doi: 10.1155/2016/6190285. Epub 2016 Dec 5. Clinical Trial Research on Mongoli...
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Points of Interest 11/29/2016

poi 11.29.16 Have A Migraine? Get A Back Rub - Skip The Chiropractor.  It is all placebo. Trump met with prominent anti-vaccine activists during campaign Stopping the Spread of Japan's Antivaccine Panic . "Japanese women's health is increasingly at risk as public-health policy is driven by conspiracy theories, misguided political interference ...
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Points of Interest 07/24/2106

Evid Based Complement Alternat Med. 2016;2016:7210705. doi: 10.1155/2016/7210705. Epub 2016 Jun 29. Liver Governs Tendon: A Theory from Traditional Chinese Medicine-Evidence from a Population-Based Matched Cohort Study in Taiwan for the Association of Chronic Liver Disease and Common Diseases in the Chiropractic Office. Brisbane homeopath Cyena Car...
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Changing Expectations

There is always the question as to whether a particular pseudo-medicine works. What ever 'works' means. Sometimes it feels like determining what the meaning of 'is' is.

When I say a pseudo-medicine doesn’t work, I mean is has no effect on the underlying disease pathophysiology. But that is different than having an effect, as pseudo-medicines do have an effect on illness if not disease.

Being ill is more than having a diseases: acute and chronic pain, not being able to work or function normally, sleep disruption etc all play into the response to having an illness. In residency we used to referred to all the extra complications as the supratentorial component of the illness, although not always in a complementary way.

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Points of Interest 11/18/2014

Pain. 2014 Apr;155(4):666-73. doi: 10.1016/j.pain.2013.11.021. Epub 2013 Dec 6. Seeing facial expressions enhances placebo analgesia.Emotional modulation of placebo analgesiaJuiced frog fad may be the death of this strange species. "An endangered amphibian, the world’s largest fully aquatic frog, is being used in Peru for quackery. It looks like a stupid human fad may be the end of it."A Resurrected Vaccine Fear Puts Kenyan Infants At Risk
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Placebo Nocebo

One of the interesting aspects of medicine is how interactions with patients, even if nothing is done, can have both good and bad effects. It is one of the characteristics of human behavior that makes it very difficult to know if an intervention works. I usually consider the patient-HCW interaction to be mostly positive and it is not unlike the salubrious effects that occur when one monkey grooms another. However, as a physician

in deference to a million years of evolution, I will not attempt to pick fleas off the patient.

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