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Fri, 4 Apr 2003 13:50:00 -0500

WC Douglass

A spoonful of sugar...

 

Daily Dose

April 4, 2003

 

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What works and what's worthless

 

Last week in the Daily Dose, I tried to reveal to you the

alarming extent of today's depression epidemic -- and the

even more alarming one-sidedness of the mainstream's

treatment of it with prescription antidepressants...

 

But now I want to shock you once more with this doozy:

Antidepressant drugs don't work -- and drug makers KNOW IT!

Strap yourself in, because what I'm about to expose is going

to make you want to jump up and scream. Here goes...

 

First, the semi-amusing part: A review of 96 separate trials

conducted since 1979 reveals that placebos (sugar pills with

no medical effects) performed just as well as -- and in many

cases even BETTER THAN -- drugs for the treatment of

depression, according to a recent report in the

International Journal of Neuropsychopharmacology. That's

right -- harmless, penny-a-pop sugar pills cured depression

as readily as the drugs major pharmaceutical companies no

doubt spent millions to create...

 

And in one documented case, the placebo outperformed the

drugs by 28%!

 

Now for the disturbing part: Drug makers know this, yet

continue to push their addictive antidepressants down our

(and our doctors') throats anyway. Need proof? Before a drug

can be approved by the FDA, its maker is required to submit

two trials that show clearly positive effects. According to

the article, the manufacturers of Prozac needed five

separate trials to collect a pair with positive clinical

results. And for the makers of Paxil and Zoloft, it took

EVEN MORE.

 

What that means is this: Drug makers knew their

antidepressants didn't work, yet continued to subject them

to trials anyway, trusting in the law of averages to

eventually supply them with a pair they could submit to the

FDA. It also means that antidepressant drugs and sugar pills

most likely defeat depression in the same way -- because the

patient believes they are going to work, a phenomenon called

the " placebo effect. " This begs the question: WHAT ARE THE

DARNED DRUGS FOR?

 

The answer, of course, is profit. Because the mainstream

media will likely never report what I've just told you (and

you won't hear it in your doctor's office, either), people

will continue to believe in and buy antidepressant drugs.

Which begs another dark question -- one I touched on in the

March 28th Daily Dose: Could the recent boom in depression

cases be the result of a subtle campaign of suggestion in

the media -- a deluge of ads for antidepressants on TV, the

radio, and in print? Think about it.

 

Actions to take: If this thought depresses you, try the

proven treatments I've recommended before: St. John's wort,

a nice juicy steak, a vacation, and the company of friends

and family who care about you. These are things worth

getting addicted to.

 

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Listen to the patient...

 

As you know, I make no secret of my opinions about today's

medical training. For starters, too many med school grads

are brainwashed into being nothing more than drug reps.

Whatever happened to teaching young doctors to be savvy

clinicians and diagnosticians? Why aren't we teaching them

to think outside the pillbox, to seek creative, alternative

solutions?

 

And then there's the doctor's " bedside manner. " The phrase

refers to a doctor's way of dealing with patients -- making

them feel at ease, prepared, and fully aware of the medical

realities they face. It's a vital part of medicine, one that

all doctors should be required to develop skills in. But

apparently it's not a big part of modern medical curricula --

or a priority among most doctors nowadays, young or old.

 

I mention this because in the last few years, I've sensed

that the gap between doctors and their patients has widened

considerably. It's almost as though mainstream doctors

everywhere believe that medicine itself has become larger

than the people they're seeking to treat. That's just plain

wrong, in my opinion. And a recent study quantified this

perception...

 

In a study of nearly 1000 breast cancer patients, NEARLY

HALF of them indicated that their doctor's explanation of

the condition, its diagnosis, and treatment options was

insufficient, incomplete, or difficult to understand. And

almost 60% of these patients wanted to speak to medical

staff more, according to research published in the Annals of

Oncology.

 

See what I mean about lacking bedside manner?

 

In my opinion, medicine -- be it mainstream, alternative, or

experimental -- should revolve around the patient. ALL

doctors (regardless of discipline) should remember first and

foremost that they're treating A PERSON, not just a disease

or condition. And that person needs to understand what's

happening to them, and what's going to happen to them once

treatment begins...

 

Sometimes that takes having a little patience and paying

attention to the patient. That doesn't mean being

all " touchy-feely " and offering up " compassion " in place of

a " cure, " as I explained in the August 2002 issue of Real

Health. It just means REALLY LISTENING to what the patient

says -- and looking for physical disease first, when a

patient says, " I'm sick. "

 

Valuing what's important -- and knowing what's not,

 

William Campbell Douglass II, MD

 

 

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The Daily Dose may not be posted on commercial sites without

written permission.

 

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