Guest guest Posted January 30, 2009 Report Share Posted January 30, 2009 Tymothy, Your criticisms of the show are well-expressed. Why don't you send them on to PBS or the producers of the show? Andrea Beth Traditional Oriental Medicine Happy Hours in the CALM Center 1770 E. Villa Drive, Suite 5 Cottonwood, AZ 86326 (928) 274-1373 --- On Thu, 1/29/09, miracles28 <tymothys wrote: miracles28 <tymothys Acupuncture in Scientific American on PBS Chinese Medicine Thursday, January 29, 2009, 8:53 PM In preperation for an article that i am preparing on the standards and results of Acupuncture trials, i have become rather immersed in the subject. As it happens this evening i was watching Scientific American on PBS. What drew me was the discussion of an L-Dopa trial with Parkinson's patients. In this study a placebo saline solution prompted the exact firing of Dopamine receptors as the actual drug. The next section of the episode then covered Acupuncture and i want to briefly write about one aspect of the episode (though there are many that noteworthy and profound to the practice of the medicine). Firstly, in the L-Dopa study, i was curious to see what questions would then be asked of the physician as to the tangible effects of the placebo and how they then compared to the questions raised in Acu trial. In the Acu trial Alda asked the L.Ac. who was part of the trial how he would feel if " sham " needles were found to produce results similar to " real " needles? He asked essentially that if Acupuncture is placebo driven, you're profession might be placebo (ie. of no to little worth), where would the practitioner's profession stand if that's the case? " Understand that the show was mostly favorable to the medicine, but one must look to subtext and philosophic bias whenever the medicine is addressed. The L-Dopa physician was never asked such a question. If i was to have conducted the interview i would have asked " if there is no discernible difference between this very strong mind altering drug with serious side effects and placebo, how do you justify using the drug? Aren't you concerned that chemical based medicine is at risk if the placebo causes the same response. Can't we extrapolate issues with all such trials? " But this question wasn't asked. The other issue that i personally have is the explanation that Acupuncture works because of this mysterious rather unscientific (ie. primitive) notion of " Qi " that runs through these as yet unidentified things called meridians. I personally have never stated to a patient that the medicine works in this manner. I do not believe this to be the case, and if i did, i would still offer multiple viewpoints. I find it unfortunate and damaging to the profession that this stereotype of diagnostic understanding is perpetuated in the media. It's also interesting to note that the Diagnosis the Chinese practitioner was " Heart Qi Deficiency " , i laughed as i had just read the recent posts concerning herbal diagnostics not applicable to Acupuncture. In fact i had predicted that the first person to discuss the medicine would be an old Chinese practitioner using phrases the American population would not understand. On the positive side Dr. Kaptchuk has created a " sham " needle that does not penetrate the skin, this will provide much cleaner data for future trials. Regards, Tymothy --- Subscribe to the free online journal for TCM at Times http://www.chinesemedicinetimes.com Help build the world's largest online encyclopedia for Chinese medicine and acupuncture, click, http://www.chinesemedicinetimes.com/wiki/CMTpedia and adjust accordingly. Please consider the environment and only print this message if absolutely necessary. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2009 Report Share Posted January 31, 2009 Chinese Medicine , " miracles28 " <tymothys wrote: > See Tymothy's original post Hi Tymothy and others I think some of your post alludes to the notion of 'medical dominance', which we see in full play in the area of oncology. Chemotherapeutic interventions, with or without radiotherapy and other adjunctive treatments - despite all the expense and research - still do not effect a cure in much more than 50 - 60% of adults in 1st world countries, who are treated for cancer. The drugs - in particular - have well-documented effects some of which are potentially life-threatening, yet they are considered 'safe'. A class of drugs such as this is the anthracyclines, which are known to cause heart damage in statistically significant numbers of people who've received them. I'm hard-pressed to think of the ramifications for our profession, were we to be administering treatments which similarly damage as many people as so many 'scientifically validated' pharmaceutical agents. In my country - Australia - the tabloid and other press would be all over us, our state and federal governments would launch immediate enquiries, the AMA would lobby for acupuncture and natural remedies to only be administered by MDs, the Therapeutic Goods Administration would immediately close down manufacturers of suspect substances [they've done it in the past ] and the cost of CAM would skyrocket, as only MDs would be providing it. How did 'safe and effective' come to mean one thing for allopathy, and something else again for TCM, acupuncture, and other CAM interventions? Kind of a rhetorical question, I know, but one we have to keep asking of our allopathic friends; " Dear Doc, when you want to know about the safety and efficacy of the medicine I practice, by WHICH standards are you defining and assessing 'safety' and 'efficacy'. " Ask it... over and over and over Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2009 Report Share Posted January 31, 2009 Andrea, I am planning on writing them through snail mail this week, i attempted to find something on their website, but there were no links. Regards, Tymothy > > Tymothy, > > Your criticisms of the show are well-expressed. Why don't you send them on to PBS or the producers of the show? > > Andrea Beth > > Traditional Oriental Medicine > Happy Hours in the CALM Center > 1770 E. Villa Drive, Suite 5 > Cottonwood, AZ 86326 > (928) 274-1373 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2009 Report Share Posted January 31, 2009 Good Job! Let us know how (and if) they reply! Andrea Beth Traditional Oriental Medicine Happy Hours in the CALM Center 1770 E. Villa Drive, Suite 5 Cottonwood, AZ 86326 (928) 274-1373 --- On Sat, 1/31/09, miracles28 <tymothys wrote: miracles28 <tymothys Re: Acupuncture in Scientific American on PBS Chinese Medicine Saturday, January 31, 2009, 2:02 AM Andrea, I am planning on writing them through snail mail this week, i attempted to find something on their website, but there were no links. Regards, Tymothy > > Tymothy, > > Your criticisms of the show are well-expressed. Why don't you send them on to PBS or the producers of the show? > > Andrea Beth > > Traditional Oriental Medicine > Happy Hours in the CALM Center > 1770 E. Villa Drive, Suite 5 > Cottonwood, AZ 86326 > (928) 274-1373 > > --- Subscribe to the free online journal for TCM at Times http://www.chinesemedicinetimes.com Help build the world's largest online encyclopedia for Chinese medicine and acupuncture, click, http://www.chinesemedicinetimes.com/wiki/CMTpedia and adjust accordingly. Please consider the environment and only print this message if absolutely necessary. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2009 Report Share Posted February 1, 2009 Margi, You make a very good point. All medicine is philosophy and never has it been otherwise. I have learned this when explaining the mechanisms of acu to patients who come in thinking it might be some sort of witch craft (yet still willing as they oft have no options). When i explain it in physical world terminology, the reaction is almost always " oh, okay, " simple as that. There are many concerns for our profession as it stands extremely vulnerable to outside influences and a lack of cohesive base internally (ie. disparate cultural groups, lack of international research standards, etc.), it would not take much, as you mentioned to push the profession in any particular direction if the powers that be saw fit. Up until now, it would appear that we are not competitive enough to illicit this response. My primary concern for the profession is that if research continues to be published that uses a " sham " needle as the placebo, which then is spun to indicate that there are no discernible differences between " real " and " fake " acu, then the ramifications could be far reaching. It was the sparse initial research that the WHO acknowledged as well as the NIH. If the research overwhelmingly demonstrates otherwise, this will (not may) have far reaching deleterious effects. One such possibility that all should be concerned about is the possibility of loss of insurance coverage. It is evident that many companies are looking for ways to exclude alternative care from their programs to cut costs, therefore it is in our interest to do all that we can to ensure that the profession is presented with the highest unified standards. Regards, Tymothy > See Tymothy's original post > > Hi Tymothy and others > > I think some of your post alludes to the notion of 'medical > dominance', which we see in full play in the area of oncology. > > Chemotherapeutic interventions, with or without radiotherapy and other > adjunctive treatments - despite all the expense and research - still > do not effect a cure in much more than 50 - 60% of adults in 1st world > countries, who are treated for cancer. > > The drugs - in particular - have well-documented effects some of which > are potentially life-threatening, yet they are considered 'safe'. > A class of drugs such as this is the anthracyclines, which are known > to cause heart damage in statistically significant numbers of people > who've received them. > > I'm hard-pressed to think of the ramifications for our profession, > were we to be administering treatments which similarly damage as many > people as so many 'scientifically validated' pharmaceutical agents. > > In my country - Australia - the tabloid and other press would be all > over us, our state and federal governments would launch immediate > enquiries, the AMA would lobby for acupuncture and natural remedies to > only be administered by MDs, the Therapeutic Goods Administration > would immediately close down manufacturers of suspect substances > [they've done it in the past ] and the cost of CAM would skyrocket, as > only MDs would be providing it. > > How did 'safe and effective' come to mean one thing for allopathy, and > something else again for TCM, acupuncture, and other CAM interventions? > > Kind of a rhetorical question, I know, but one we have to keep asking > of our allopathic friends; > > " Dear Doc, when you want to know about the safety and efficacy of the > medicine I practice, by WHICH standards are you defining and assessing > 'safety' and 'efficacy'. " > > Ask it... > over > and over > and over > Quote Link to comment Share on other sites More sharing options...
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