bd139 wrote: ↑Mon Nov 18, 2024 7:44 am
Cerebus wrote: ↑Sun Nov 17, 2024 7:42 pm
tggzzz wrote: ↑Sun Nov 17, 2024 6:02 pm
Oh, I've occasionally tweaking those with a natural/alternative/etc bent. I start off by showing sympathy by noting that we should never forget that
many "alternative medicine" remedies are indeed effective. I then put the knife in by pointing out that they are
so important that they are given a special name: "medicine".
I tend to disagree here. It's an established fact that placebos are a highly effective treatment in some circumstances and with some conditions. However, with modern labelling regulations it's neigh on impossible for a doctor to write an illegible prescription in Latin and have the pharmacist hand over a bottle of medicine that says "The tablets, take one twice daily" and contains nothing more active than a little glucose and a lot of microcrystaline cellulose. They can however say "I know a good homeopath and I've found homeopathy particularly effective for this condition, go and see them". So I'd argue for a strategic lightening up on harmless fringe therapies, else where is a proper medic going to send people for a decent placebo?
Sadly I'm completely unsuitable for placebo treatment which is bloody annoying because I have at least one real medical condition (dermatalogical) that responds very well to placebo treatment and is notoriously intractable with conventional treatment up to and including systemic retinoids - which are horrible, horrible drugs as I can tell you from personal experience.
Placebos are generally only effective if issued under a double blind methodology. That means fine for medical trials but it could never be effective as a generic prescription. Some doctors are terrible liars and patients will pick up on it. And of course there is also the disparity between the placebo being effective via psychosomatic means or if the problem just went away anyway.
I don't think that's the case.
It is well documented that people tend to feel better after they have been listened to, reassured, and given advice how to help themselves. That's primarily a mental effect, but the mental attitude can also affect measurable physical symptoms.
That placebo effect used to be invaluable to doctors when they didn't have many effective treatments in their arsenal - and that's still within living memory.
The wellness medical industrial complex (cf Eisenhower!) is well (ho ho) aware of that, and exploits it. Disreputable.
Then there's the "influencers" beloved of the Daily Wail (and other
Retch Reach media), amplified by antisocial media. Where are prison keys?
And then there's the important consideration that picking a placebo class treatment incorrectly may have a worse heath outcome. And we all know how competent humans are, doctors included. As mentioned, some are also terrible liars, but patients won't notice.
So complex. Better to stay away from it IMHO.
The complexity is why it is usually better to assume incompetence and the latest hopeful fad, rather than malice.
I think liars are rare, but I do know a relative that encountered one 40 years ago on the backwater of the Isle of Wight. They had a mystery disease that had been a problem for a year, and were proposing removing some lymph nodes. Fortunately the wife was a nurse and said "I didn't know there was any lymph involvement". "What do you mean by that?" Since there wasn't any, he didn't have the operation. It was later correctly identified as brucellosis, from drinking "green top" (unpasteurised) milk. I believe JFK Jr likes that milk, presumably to feed his brain worm.
An important life skill is trapping out any tendency to lie is important when getting
all specialist advice, from car mechanics to datasheets to conslutants. It helps to instantly put across that you have an engineering mind that likes to measure, think, and understand the reasons. Thus researching in advance, with a written list of questions helps. At one point I made a comment to my PCa consultant, and he remarked that I knew more than most GPs. We had a great time, only running out of things to talk about after 45 minutes
If your condition is what I think it is, I had the same problem. Allergy testing showed I was allergic to nothing and I was just dumped an inhuman level of steroids to slap all over myself which did nothing. Turned out that the test was wrong and the test was just not effective. Stopped drinking milk - problem solved among others. There's probably something aggravating it but finding it will be an absolute bastard and the medical profession will be of no help at all.
Allergy testing is a known pig. Binary searching of dietary ingredients is not something that be easily fitted into a standard appointment