I really, really didn't like the Newsweek article, and I'm not feeling the Oprah hate at all. On the one hand, I totally agree that some of the pseudoscientific and spiritual advice is nonsense, and that some of it is potentially dangerous (e.g Jenny McCarthy).
However, when discussing Oprah's influence on women who watch the show, I think the authors make a lot of unfair assumptions about Oprah and especially about her viewers. It's pretty cynical to present every anecdote as evidence that Oprah is shallow, self absorbed, and irresponsible. They go on about how she is not really an everywoman because she is a billionaire and because she is unmarried (wtf?), and imply that her audience is too dumb to realize that she is conning them.
I don't think anyone would deny that Oprah's appeal and marketability rests on her personality, but that doesn't mean she's being manipulative every time she mentions her weight. Maybe her viewers identify with the fact that she struggles with her weight and self esteem, despite all of her money and fame (we wouldn't know since the authors didn't bother to interview any of them).
The vaccination issue could have serious public health repercussions, but a lot of it (Stop the Clock on Aging!), sounds like something you'd see on the cover of any women's magazine or advice you'd get from any self help book (think positive!). Is this advice particularly useful or helpful? Probably not. This article did a lot of hand wringing about Oprah and her army of zombie women followers, with little to no proof that women are uncritically following this advice (the ONE woman thinking that "the secret" would heal her cancer aside).
@YourStupid!: I don't think it's Oprah 'hate'. I think it's looking at a woman is probably the most powerful figure in television today, and asking -- so, how responsible and how real are the issues she highlights?
I couldn't believe the misinformation she gave out on thyroid disorders. I have Hashimoto's disease (underactive thyroid) and it's SO HARD to find a doctor who can take care of you properly.
Soy will cure your thyroid! No it won't, Oprah. In fact, soy can get in the way of the body being able to absorb thyroid hormones. And underactive thyroid can't be cured.
@NewsBunny: And yet, there are eleventy bazillion "alternative" thyroid "supplements" out there. Most of them are seaweed-derived iodine. Because that's such a GREAT idea.
@NewsBunny: My above "GREAT idea" was intended as sarcasm. I was aware of that, and the article was careful to mention it, also.
Iodine, like what is found added to bread and regular table salt in the U.S., won't hurt a healthy thyroid. Small amounts are added to a few common things like salt because some parts of the country have less iodine in the soil and people who lived there tended to develop goiters (upper Midwest, and Pacific Northwest). Same is true in Kazakhstan, according to Wikipedia.
That said, taking iodine-laden supplements for "thyroid support" isn't a good idea for anyone, ESPECIALLY someone who suspects (or already has) a thyroid problem.
off the topic of oprah, but on the topic of "alternative" versus "western" medicine - can't we all just get along?? A mix of both is ideal... It's not about which is right or wrong, but finding the balance that works for each individual. The medical profession in the U.S. definitely needs to catch up on this, and some doctors and practices are. We have to trust "hard" science in medicine and we also have to trust "soft" science - be it anti-depressants, homeopathy (which isnt just about water), meditation, macrobiotics, raki, etc.... The problem is when people are fundamentalists in either direction... Hmm... Fundamentalism seems to be a problem no matter what field (religion, politics, social issues, health, gender...)
@alibabathieves: Sorry. Unless something stands up to scientific verification, it isn't worth anyone's trust or usage. Anyone who says it should be because they want to "just get along" is, simply, wrong. I'm not sure what world you're in that anti-depressant medication doesn't go through extremely vigorous scientific trials, either.
@Her Grace: Well, I guess it comes down to whether you see people as human lives or merely statistics. Personally, I see them as the former, so any death is "statistically significant" for me.
@embarcadero13: Excuse me? Deaths are certainly significant, but there is a different between doing everything that we can that is plausible and scientifically sound to help someone, and just doing everything we can. The former is medicine, the latter is ridiculous and should be dismissed. I think it's an ad hominem to imply that someone who advocates scientific rigorousness doesn't care about patients' individual lives.
does one hour of Oprah's show offset all those millions of commercials for pharmaceuticals most people don't need? of course, homeopathic cures should be researched but does anybody trust the FDA anymore?
I think in the end, and I mean in of life, a sick person often can't even swallow anymore but can have a headache and a head massage(gasp! natural medicine) is the only thing that will work.
@noneSuchShan: I trust the FDA. I will always trust established testing protocols, tempered with my own judgment and in consult with my physician over anyone on television, and that includes commercials.
I'd also like to second @stacyinbean: that people DO trust Oprah, she's made a living off gaining people's trust, and the pharmaceutical companies seem much less trustworthy to a layperson. Having participated in clinical trials, and learned how such things are tested and how much money it costs to bring a drug to market, to synthesize and test and develop and rule out the other billion drugs that don't work? I trust the pharmaceutical companies as well.
I will always trust regulation and education over intuition.
@sciencerules: Exactly. The FDA is not totally perfect or corruption free, but they are MUCH better than having no regulation, as we can see from the proliferation of snake oil garbage in the unregulated "supplement" industry.
I'm also getting sick of how many people don't seem to understand the difference between say, academic research and corporate agendas. I mean, it would be one thing if people were commenting specifically on a specific study for conflict of interest. That would MAYBE be defensible in some cases. But to just dismiss all of science in favor of magic or unresearched alternative medicine because you think that science and the FDA are corrupt in general? Total nonsense, and betrays a serious lack of understanding of how science and peer review work.
I can't say Oprah is worse than the pharmaceuitcal companies who are forced to issue national recalls, and pay million dollar settlements to keep it quiet that their products are dangerous. These companies fund research that is biased towards their products, and it kills people.
Of course, that won't stop me from popping an Advil or taking birth control or, you know, seeking science. But I take it all with a grain of salt. They're all selling some kind of snake oil.
@embarcadero13: Well, I think the difference here is: Drugs that have been reviewed and tested by a regulatory body (like the FDA) generally are held to an extremely stringent standard of lengthy multi-stage clinical trials, which may involve thousands and thousands of cases.
It's not a perfect system--something might get pushed to market that ends up having nasty side effects, like the whole Vioxx rigmarole. As with anything, you take a chance when you pop a pill. Pharmacologically-active substances are essentially very carefully dosed, carefully-researched poisons. They are. It's why they work.
There's a vast complimentary and alternative medicine HASN'T had this kind of rigorous testing. No one knows if this stuff works, if at all. Of course, there are some compounds--like ginger, peppermint, etc--that have been shown to have beneficial effects. Hell, I chew on ginger if my tummy is upset, but I go to a doctor if I have severe gastrointestinal distress. I'll take cranberry pills if I'm worried about getting a UTI, but I go straight to the doctor if I actually GET one.
Now, like you, I do think that pharm companies CAN act like total scum in the name of profits. But, like you, I'd rather pop that Advil and use that birth control than face the alternative.
It is a shame that science and evidence-based medicine have become associated with cold, uncaring, rampant profits. Science saves lives, but people have become wary of it and it's unfortunate.
@Glaven: I know, right? It's like there's all this unbiased money that no one is touching, just sitting there, and we're all ignoring it because we're just whores for pharmaceutical companies. Give me another one of those free pens!
@embarcadero13: Like I said, there is room for both. But seriously, ladies, I don't trust the FDA as far as I can throw it. It's a government agency like all government agencies that cater to special interest groups and lobbyists (see "Food, Inc.") so that in itself does not justify the vast influx of pharms being pushed onto our children.
Also, experience from hundreds/ thousands of years of "homeopathy" should not be discounted. That's very ethnocentric. If certain cultures have always drank a particular tea to ease digestion, why should I ignore that? As my mother says, "Some things, you just know."
I'm not saying I believe any old hippie with rose petal oil can save my life, but I also respect alternatives enough to explore them, especially since many come from different cultures of which we know nothing.
@embarcadero13: So slap that tea into some clinical trials. Start giving it to chemo patients, see if it eases their nausea. Test the shit out of it. Because that's what the FDA does, even if no one trusts it. They do a thankless job with a staggeringly small error rate. Should their error rate be zero? Yeah, in an ideal world. It'd be nice. But the fact is, regulation and education will always earn my confidence.
@chritter is a nocturnal feminist mancatfish: And it's essentially the same thing as sympathetic magic. There is no plausible explanation for how homeopathy (in the correct sense, not the incorrect sense that includes herbs, etc) could possibly work that doesn't violate the laws of physics and basic chemistry.
@johnva: Yes, that's true. If water had memory we'd pretty much have to toss science out the window and just believe in magic. The fact that most people in this debate that are claiming it has some validity don't even seem to know what it really is, is not lending their arguments much credence.
@chritter is a nocturnal feminist mancatfish: Yeah, and not to mention that if water DID have "memory", it would be picking up "memories" from all kinds of unintended sources before we drink it. We would literally be unable to function as biological organisms if water had memory.
@chritter is a nocturnal feminist mancatfish: Thus the "Quotes" around "the Word Homeopathy" to distinguish it's use as a mere "label" for a "Greater/ More Imporant Concept" which would more properly be described as "Alternative Medicine."
And the idea that Western Medicine does not have a placebo effect in itself, is pretty naive.
@embarcadero13: Um, I believe the placebo effect is a very well known and thoroughly researched phenomenon in medicine. I'm not sure who these naive people are who would suggest otherwise, but if I see them I'lll try and set them right.
I've found it very difficult to have respect for her since her constant and all-consuming support and promotion of The Secret. The fact that she supports homeopathy is symptomatic of her general propensity for mysticism.
Um, homeopathy and Western medicine are both useful, and they both have their strengths and weaknesses. Western medicine is really good at doing things like treating acute conditions like viruses and bacterial infections, heart attacks, broken limbs, etc. Homeopathic medicine (when used correctly) is good at addressing the factors that contribute to chronic illnesses, like stress, nutrition and lifestyle. I would RATHER treat my diabetes by managing it with diet and lifestyle (and will have a longer, healthier life if I do), but I will ALSO take medication when it's indicated, because it keeps me from going in to a coma.
I think that Western Medicine is sometimes seen as this panacea for everything and I think that people are right to question what they take and why. Seriously DON'T PUT THINGS IN YOUR BODY IF YOU DON'T WHY. My aunt died in the most gruesome and painful way you could imagine because of a series of reactions to an osteoporosis medication, so I think it is very, very important to question the risks/benefits of any course of treatment (western, homeopathic, whatever)and making an informed decision. Western doctors are big on prescribing medicine, and often they prescribe medicine for their own reasons (it's easier to medicate symptoms than address the cause). I have another relative who is a big old abuser of prescription meds, all of which are legal.
Having said that, the alternative to vaccines isn't a world without autism, it's a world where child mortality is chopped in half because of things like the measles.
Exactly. Western meds think a pill can cure everything and it can't. It shouldn't. Some lifestyle changes are necessary and can prevent the use of said medicine for the rest of ones life. I grew up in a house where pills were the LAST resort. So we used them then, if we had to. Problems happen when people look to meds as the first resort, especially since it is an industry.
@embarcadero13: Personally I believe that any illness that can be treated with diet/exercise/lifestyle changes should be treated that way first.
However, if you look into it at all, you'll find that patients are the ones clamoring for pills. Pills are marketed directly to patients nowadays. It's regular folks who are pill-happy, not doctors.
Also, doctors can tell people about the needed lifestyle changes, but they can't enforce them. And mostly they have found that patients don't make those changes.
So people, as patients, need to apply more critical thinking when they are ill, and seek more preventative advice. But critical thinking seems to be what people lack - otherwise, they wouldn't be taking health advice from celebrities on TV.
@Miss. Money-Sterling: It's telling that you put alternative in the chronic section. Why? Because snake oil peddlers use the natural flux of the disorder (good days, bad days) as a post hoc reasoning for the cure to have worked.
Real medicine can fuck your shit up, and that scares people. Alt medicine is safe in that the best case scenario means it's not detrimental.
Alt medicine and treatments rely on the most innate human errors of thinking: Post hoc ergo proctor hoc and confirmation bias. If you have positive results, it's the treatment, if you don't have results you haven't waited long enough or you did it wrong.
A system in which medical doctors and other healthcare professionals (such as nurses, pharmacists, and therapists) treat symptoms and diseases using drugs, radiation, or surgery. Also called allopathic medicine, biomedicine, conventional medicine, mainstream medicine, and orthodox medicine.
Homeopathy: Possibly I've taken too broad a definition here, but there are areas where homeopathy and what we think of as a general holistic approach to medicine overlap (I should have been clearer). By holistic, I mean health practices that include Acupuncture, Ayurveda, Chiropody, Food Medicine, Herbalism, Homeopathy, Naturopathy Osteopathy, Traditional Chinese medicine. I think that for many people, most of the works on that list register as one kind of thing.
I don't mean to suggest taking massive doses of herbs to cure MS, but, say, when I know that my auto immune disorder is aggrivated by a sub-clinical wheat allergy, I take a look at my diet before I leap at the chance to get radiation (something my certified acupuncturist/herbalist and endocronologist both supported).
And look, I know a lot of doctors, I've dated some, my brother-in-law runs a clinic, and they'll all say (in private) that doctors make mistakes with medicines, and rarely do they get the time to sit with a patient and really work out what course of treatment is the very, very best. Usually it's the best based on an incomplete diagnosis. Sometimes they do damage to the patients because its hard to know for sure about a lot of things. Doctors are just a fallible as anyone else. I saw a doctor for a few years who lost her license because she was BONKERS about prescribing drugs and quite a few of her patients ended up with long-term damage. Like any kind of tool, medicine can do damage when not wielded correctly. It can also save lives and improve the conditions and mortality of entire nations, but it's not magical. If I was unclear: I totally support medicine for a lot of things, but I also think that there are a lot of cases where it's overused or used badly (i.e. people being given antibiotics for viral illnesses, thus decreasing the effectiveness for everyone), various behavior drugs for difficult kids, etc.
@embarcadero13: Totally false that "Western meds think a pill can cure everything". I say that as someone that has an incurable genetic disease. Doctors are supposed to prescribe pills when science says that they may help. They NEVER claim that a pill can cure everything.
Your bias against scientific medicine is outrageously wrong. Don't conflate corporate practices with medical science or with individual doctors. They are not the same thing, and you don't know what you're talking about if you think they are.
@Glaven: I agree with some of what you're saying. However:
Pills are marketed directly to patients nowadays. It's regular folks who are pill-happy, not doctors.
It's not like people find out about pills on their own. The pharmaceutical industry AGGRESSIVELY markets the use of pills to fix everything instead of taking care of yourself. Overprescription is part of the problem too, but none of this is happening within a vacuum.
I find the marketing of drugs to individuals and preying on their worries and desire for an easy fix to be utterly reprehensible. So yes, in this sense? Snake oil. But I think that there is obviously a validity to modern medicine when used correctly.
@Miss. Money-Sterling: Osteopathy is a legit form of 'Western' medicine and I don't think they'd like getting included in your umbrella of non-Western much.
Is "I know a lot of doctors" the science equivalent of "I know lots of gay/black people!"?
@dissolver: This is only legal in the US, too, which is just baffling. Nowhere else on earth is it legal for pharmaceutical companies to market to consumers. What the balls is wrong with our system? It does need cleaning up.
@johnva: But they are the same thing in the sense that you need to go through one to get to another. If medical science grew on trees, then this debate would be moot. We could all get what we need.
But since I have to go through doctors, who go through hospitals, who go through insurance companies, who enact corporate policies, then the two cannot be looked at in isolation.
There are good doctors and good meds, just like there are bad ones. Pills can heal, pills can kill. Bias goes both ways and its important to look at both.
@Her Grace: Yes, the direct-to-consumer advertising of prescription drugs is terrible and leads to higher drug prices. It really should be re-banned (it's only been legal for a few decades).
@johnva: Yes. I've brought this up again and again with people when discussing how a new healthcare/insurance system won't be entirely effective unless we also re-ban direct-to-consumer advertising, and so many people don't understand the connection.
@embarcadero13: That doesn't mean that doctors agree with corporate policies or that scientists do either.
Your mistake is not in criticizing corporate garbage and lies. I agree with you on that in many cases. Your problem is that you're making the leap from that to thinking that there is a huge conspiracy of scientists, corporations, and doctors to suppress good medicine that is not corporate. That's simply false.
@johnva: No, I never said that. You're putting words in my mouth.
I think most of the individual doctors out there want good medicine, and most of the scientists want good science. But individuals at the MD-Patient level aren't in control. The people at the top are trying to make a profit, often at the expense of the aforementioned MD-Patient.
@embarcadero13: Sorry if I'm misreading you, but several of your posts have seemed to imply that you believe that the influence of corporate money has corrupted science and/or the practice of medicine. I'm not really clear on what you actually believe, so I apologize if I've gotten it wrong, but believing that in general is borderline conspiracy-theory territory. Good science can be done by people who are funded by Big Pharma. It just needs to stand up to peer review, be independently replicated, etc.
@drinkyrose: Glad to give someone a laugh! This thread has eaten my whole afternoon. Ah, perseveration. Which, by the way, is a really fun word to say in an echolalic fashion.
@johnva: All of my posts have made it clear that I believe in western medicine/ medication and how it can be good and effective. If I wanted to take any more time with this (which I don't), I would pull quotes about taking advil, getting vaccines, and taking birth control. I have never adopted a fundamentalist view on this issue.
However, western medicine is not, literally, a cure all. It has its own biases... Nor can it be viewed in isolation of its role as a business industry. We should not blindly accept the meds put out on the market just as we should not blindly accept Oprah's new cure.
Further, open-mindedness to alternative medicine is something I hold to be valuable because I'm an open-minded person who does not discount things simply because I am unaware of them. I will not pretend that I know what works and what doesn't, but I refuse to label all alternative medicine as "snake oil" simply because a Caucasian male, aged 30-45 y/o didn't invent it and test it out on that same population.
@embarcadero13: I read your posts. I realize you use some "Western" medicine (I personally don't like that term, because scientific medicine is not exclusively "Western" nor is non-scientific medicine "Eastern"...instead, there's just medicine that works and medicine that doesn't). BTW, not all science is performed by Caucasian males, 30-45. There is a large and growing Asian scientific community, and I've personally met quite a few women scientists. They are still underrepresented, but that's changing. And anyway, good science doesn't depend on who is doing it to be good science. The whole point of the scientific process is to eliminate bias over time. That's not to say that all scientific knowledge is perfect now, but it does improve and correct itself over time, which is more than we can say for most other systems of belief and knowledge in the world.
"Open mindedness" isn't always a good thing. It's only good when there is actual merit to the things you are being open-minded towards. For example, it doesn't make sense to be "open minded" towards the ideas of racists, Holocaust-deniers, or people who believe in The Secret. They are simply objectively wrong. That's also the case for a lot of alt-med: it's just not worthwhile, and has been shown to be little more than a placebo. Open-mindedness makes sense when the evidence isn't in, but it doesn't mean continuing to cling to ideas that have been discredited. And we also sometimes need to defer to the knowledge of experts, such as doctors and scientists. No one can be an expert on everything, and being open-minded about everything you aren't an expert on just means that you'll get it wrong a lot of the time. Expert opinions are more valid than non-expert opinions; it's just that you have to know who the credible experts are. And that, admittedly, is extremely tough in today's world, especially if you don't have a lot of knowledge in science and medicine.
I don't mean to criticize you personally, but I disagree with what I perceive as a lot of the underlying thinking in your posts.
@johnva: Its fine to disagree, but you're basically telling me to not be open-minded to things that you don't agree with. That's like telling me not to be open-minded towards religion because the idea of a Buddha or reincarnation is "objectively wrong."
Plus, an analogy between Holocaust-deniers or racists, and someone who drinks chamomile tea to help them sleep is not an apt analogy. That's like saying, "I don't mean to criticize you, but you are just wrong and since this mind-meld has been unsuccessful, I'll keep telling you that you're wrong to show that I'm right."
I originally responded to Miss Sterling because I agreed with what she said. My thinking is no more "wrong" than hers, and in fact, we were talking about lifestyle changes being the first order of defense before science. If I can, I take a nap to get rid of a headache before I take Advil. That's how I was raised. Women in my family live into their 90s.
I decided not to pursue grad work in Psych (my undergrad degree) because I felt that certain aspects of the human body cannot be quantified. Pets, for example, help sick people. Yes, there are all types of causation issues around that which make interesting research papers, but to me, its simply a matter of whether or not Grandma feels better. Antidepressants are a matter of whether or not I feel worse (which they made me feel). Both of those experiences are equally valid to me.
Feel free to disagree. But don't tell me how to think. Luckily, I don't believe everything that I hear.
@embarcadero13: I'm not telling you how to think, but I do think your thinking is a little misguided. Feel free to disagree with me.
I think I'm not getting across to you, because I am in no way telling you you don't have a right to an opinion. I'm telling you that some opinions are worth more than others, something that I hope is relatively inarguable. Scientists' opinions in their area of research are more worth listening to than non-expert opinions like yours or mine. Science is about establishing unbiased, credible, bases of reliable information. It's not about pushing another agenda, even if individual scientists do have a viewpoint or agenda.
And subjective experience isn't really evidence. That's why scientists use carefully controlled clinical trials. Some things are very difficult to study scientifically, I agree, and that does influence what science gets done. But that doesn't mean that it won't EVER be possible to study those things. It just means that no one has figured out a way to do that yet.
@johnva: And I work with these companies that get sued EVERY.DAY. for injuries that their products have caused. Anecdotal evidence aside, these companies have to make money to pay out all the surviving families left in their midst. That's not anecdotal evidence. That's what I do for a living.
I reiterate, for the last time, that I have not discounted modern medicine. That's not even what this is about anymore. I have never, in any of these posts, indicated that medication is useless. I'm saying that it's not the end-all, be-all. It's not the only way to cure ones body. Doctors are not gods, nor are scientists. Straight up, straight out.
@johnva: Not to mention that I understand science. I have degrees in the sciences. I've conducted research MYSELF and worked in scientific fields. No, this isn't as good as "my best friend is a doctor," but hey, I do know what I'm talking about when it comes to me... and statistics... and sample sizes... and what I do or do not disagree with.
@embarcadero13: I'm not so much trying to discredit you personally, nor am I trying to say that you discount scientific medicine. I'm just criticizing the way you're evaluating evidence. I'm not saying that your opinions are "wrong" - I'm saying that they aren't scientific evidence if they aren't based on controlled data collection.
Also, I wasn't comparing alt-med to racism or Holocaust denial in order to attack the credibility of alt-med. I was only using those as examples of areas where evidence and views are overwhelmingly against the people who hold those views. Similarly, the evidence is overwhelmingly against some types of alt-med working (such as homeopathy). But you do have to trust the right experts to get that right (or have some understanding of the scientific reasoning yourself). I was only bringing that up to explain that you need to evaluate the credibility of evidence properly and that open-mindedness isn't necessarily the correct stance if you personally don't know what the evidence for or against something is.
Incidentally, product liability work is still anecdotal evidence if it's not controlled. But that's not really my point.
@Truna: I remember that. It was especially interesting to me since according to my endocrinologist my hypothyroidism could only be cured by daily medication for the rest of my life.
Clearly I've been going about this all wrong. My "best life" plan should include a week in Kauai and some Suzanne Sommers vitamin packs.
@hej hej: Seriously, I could have saved myself the radioactive iodine and the three-day isolation. Plus the medical bills. Hawaii would've been a lot more fun.
But the thing is, you see this same Jenny McCarthy thing all the time in popular culture, even here on Jez. "This study says X? Well, my anecdotal evidence says Y, and scientists don't know anything anyway!" It's anti-intellectualism at its finest, coupled with the American idea that each person is exactly as knowledgeable and competent as the other.
And it is getting worse, and it is hurting everyone.
Sorry, hot button, obviously.
I will, however, agree that more research needs to be done on natural treatments and alternative medicine. It's a hard subject to avoid experimenter bias in, but the work needs to be done.
@sciencerules: This. I'm really wary of any celebrity giving any type of health advice (whether it be Oprah, Gwenyth Paltrow, or Jenny MCCarthy) because they are not experts. But people will listen to them just the same because they are on TV. And frankly even if they were doctors, that doesn't mean you should listen to them. You should listen to YOUR doctor who knows YOU and the state of your health. There is no such thing as a cure-all. What might work for someone might not work for you.
@gaudette: Oh man. Don't read the part in the Newsweek article about the Ob/Gyn who uses tarot cards and told the audience that people have died from the vaccine.
Man, I hate people who dismiss science like that. Evan isn't science. Evan isn't replicable, falsifiable, or in anyway testable. Evan cannot be used to make generalizations about large groups of people. Evan can offer no cures, no broad insights. Evan, at best, would be a case study, but since there is no way to show that vaccines caused his autism, he isn't even that.
Evan is a wonderful little boy, but he should not be anyone's "science."
Sorry. I'm a scientist, as I think I say like every other sentence on here, and I am so effing sick of this mother's intuition pseudo scientific public health endangering claptrap.
It pisses me off that Jenny McCarthy has that really popular book about pregnancy/motherhood because I think it lends a sense of 'rightness' to her crackpot vaccine issues.
There are a number of factors that come into play in the way people seek health information. Especially in the technological age we live in people more often than not turn to impersonal resources to educate themselves. Our health is obviously important to all of us, but it's also scary and often embarassing. Because of this many people have become less and less likely to seek out actual attention from a medical professional. As a librarian we are taught to always make it explicitly clear to any patron seeking medical information that they should feel free to educate themselves about their symptoms or disease, but that they should always ALWAYS seek the adivse of a professional. I think it is safe to say that Oprah has way more influence than me, and she should have the same responsibility to make it VERY clear that she pretty much has no idea what she's talking about. Is it wrong to present homeopathy or alternative medicine as options? Of course not, these practices do have their benefits. But to imply as she has that they are in some way better is outrageous.
@vivianthelibrarian: also, medical professionals cost money, we don't have insurance, and even if we do the doc has 10 minutes for us. more people have oprah than have access to good health care and health information. magical thinking is free. but the fact that oprah never connects these dots and just facilitates these politically stultifying delusions. it drives me insane. she is so much smarter than this.
@vivianthelibrarian: I also think that a large part of the problem is that we're seeing a fundamental distrust of institutions and cynicism on the part of our population. A lot of this is because of people's distrust of corporations, the government, etc, both of which have let us down a lot lately. So people are losing faith in many traditional authorities in our society (such as the government, or doctors, or scientists). Furthermore, many people feel overwhelmed by all the conflicting information that is getting thrown at them every day. It often takes serious research and education to actually know how to judge the credibility of information, especially on complex topics such as medicine and science. Lots of people just aren't equipped to do that, so they instead use intuition, personal experience, or emotional reasoning to make decisions about the credibility of sources of information.
The alt-med industry has noticed this trend and very successfully seized on it in order to market itself. Alt-med naturally lends itself to this sort of thinking because its practitioners emphasize things like talking to patients, showing empathy for them, etc. They provide the emotional feedback that a lot of people who feel lost in a sea of information want/need, and so they earn people's confidence and trust. Real doctors aren't trained to do that as well, because their training is more focused on the substantive treatments and diagnostics. Moreover, due to the tough economic environment created by our failing healthcare and insurance system, many doctors just don't have the time to spend hours with each patient getting to know them anymore. They have to see a lot of patients just to cover their costs and stay profitable, thanks to the massive overhead costs they have to pay (large staff for insurance filing, malpractice insurance, etc).
I should probably mention that my aunt waited almost a full year to get her breast removed because she thought she could "will the cancer away" by making those boards they advocate from "The Secret." Thank God she is still alive.
06/04/09
However, when discussing Oprah's influence on women who watch the show, I think the authors make a lot of unfair assumptions about Oprah and especially about her viewers. It's pretty cynical to present every anecdote as evidence that Oprah is shallow, self absorbed, and irresponsible. They go on about how she is not really an everywoman because she is a billionaire and because she is unmarried (wtf?), and imply that her audience is too dumb to realize that she is conning them.
I don't think anyone would deny that Oprah's appeal and marketability rests on her personality, but that doesn't mean she's being manipulative every time she mentions her weight. Maybe her viewers identify with the fact that she struggles with her weight and self esteem, despite all of her money and fame (we wouldn't know since the authors didn't bother to interview any of them).
The vaccination issue could have serious public health repercussions, but a lot of it (Stop the Clock on Aging!), sounds like something you'd see on the cover of any women's magazine or advice you'd get from any self help book (think positive!). Is this advice particularly useful or helpful? Probably not. This article did a lot of hand wringing about Oprah and her army of zombie women followers, with little to no proof that women are uncritically following this advice (the ONE woman thinking that "the secret" would heal her cancer aside).
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I couldn't believe the misinformation she gave out on thyroid disorders. I have Hashimoto's disease (underactive thyroid) and it's SO HARD to find a doctor who can take care of you properly.
Soy will cure your thyroid! No it won't, Oprah. In fact, soy can get in the way of the body being able to absorb thyroid hormones. And underactive thyroid can't be cured.
It...
Oh, never mind.
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Iodine, like what is found added to bread and regular table salt in the U.S., won't hurt a healthy thyroid. Small amounts are added to a few common things like salt because some parts of the country have less iodine in the soil and people who lived there tended to develop goiters (upper Midwest, and Pacific Northwest). Same is true in Kazakhstan, according to Wikipedia.
That said, taking iodine-laden supplements for "thyroid support" isn't a good idea for anyone, ESPECIALLY someone who suspects (or already has) a thyroid problem.
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And I am very impressed by your iodine knowledge. That is not sarcasm; that is a sincere compliment.
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I think in the end, and I mean in of life, a sick person often can't even swallow anymore but can have a headache and a head massage(gasp! natural medicine) is the only thing that will work.
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I'd also like to second @stacyinbean: that people DO trust Oprah, she's made a living off gaining people's trust, and the pharmaceutical companies seem much less trustworthy to a layperson. Having participated in clinical trials, and learned how such things are tested and how much money it costs to bring a drug to market, to synthesize and test and develop and rule out the other billion drugs that don't work? I trust the pharmaceutical companies as well.
I will always trust regulation and education over intuition.
06/04/09
I'm also getting sick of how many people don't seem to understand the difference between say, academic research and corporate agendas. I mean, it would be one thing if people were commenting specifically on a specific study for conflict of interest. That would MAYBE be defensible in some cases. But to just dismiss all of science in favor of magic or unresearched alternative medicine because you think that science and the FDA are corrupt in general? Total nonsense, and betrays a serious lack of understanding of how science and peer review work.
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Of course, that won't stop me from popping an Advil or taking birth control or, you know, seeking science. But I take it all with a grain of salt. They're all selling some kind of snake oil.
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It's not a perfect system--something might get pushed to market that ends up having nasty side effects, like the whole Vioxx rigmarole. As with anything, you take a chance when you pop a pill. Pharmacologically-active substances are essentially very carefully dosed, carefully-researched poisons. They are. It's why they work.
There's a vast complimentary and alternative medicine HASN'T had this kind of rigorous testing. No one knows if this stuff works, if at all. Of course, there are some compounds--like ginger, peppermint, etc--that have been shown to have beneficial effects. Hell, I chew on ginger if my tummy is upset, but I go to a doctor if I have severe gastrointestinal distress. I'll take cranberry pills if I'm worried about getting a UTI, but I go straight to the doctor if I actually GET one.
Now, like you, I do think that pharm companies CAN act like total scum in the name of profits. But, like you, I'd rather pop that Advil and use that birth control than face the alternative.
It is a shame that science and evidence-based medicine have become associated with cold, uncaring, rampant profits. Science saves lives, but people have become wary of it and it's unfortunate.
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Also, experience from hundreds/ thousands of years of "homeopathy" should not be discounted. That's very ethnocentric. If certain cultures have always drank a particular tea to ease digestion, why should I ignore that? As my mother says, "Some things, you just know."
I'm not saying I believe any old hippie with rose petal oil can save my life, but I also respect alternatives enough to explore them, especially since many come from different cultures of which we know nothing.
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And the idea that Western Medicine does not have a placebo effect in itself, is pretty naive.
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I think that Western Medicine is sometimes seen as this panacea for everything and I think that people are right to question what they take and why. Seriously DON'T PUT THINGS IN YOUR BODY IF YOU DON'T WHY. My aunt died in the most gruesome and painful way you could imagine because of a series of reactions to an osteoporosis medication, so I think it is very, very important to question the risks/benefits of any course of treatment (western, homeopathic, whatever)and making an informed decision. Western doctors are big on prescribing medicine, and often they prescribe medicine for their own reasons (it's easier to medicate symptoms than address the cause). I have another relative who is a big old abuser of prescription meds, all of which are legal.
Having said that, the alternative to vaccines isn't a world without autism, it's a world where child mortality is chopped in half because of things like the measles.
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Also, explain what you mean by "homeopathy." I'm not sure you know what that actually is.
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Exactly. Western meds think a pill can cure everything and it can't. It shouldn't. Some lifestyle changes are necessary and can prevent the use of said medicine for the rest of ones life. I grew up in a house where pills were the LAST resort. So we used them then, if we had to. Problems happen when people look to meds as the first resort, especially since it is an industry.
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However, if you look into it at all, you'll find that patients are the ones clamoring for pills. Pills are marketed directly to patients nowadays. It's regular folks who are pill-happy, not doctors.
Also, doctors can tell people about the needed lifestyle changes, but they can't enforce them. And mostly they have found that patients don't make those changes.
So people, as patients, need to apply more critical thinking when they are ill, and seek more preventative advice. But critical thinking seems to be what people lack - otherwise, they wouldn't be taking health advice from celebrities on TV.
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Real medicine can fuck your shit up, and that scares people. Alt medicine is safe in that the best case scenario means it's not detrimental.
Alt medicine and treatments rely on the most innate human errors of thinking: Post hoc ergo proctor hoc and confirmation bias. If you have positive results, it's the treatment, if you don't have results you haven't waited long enough or you did it wrong.
06/04/09
Western medicine:
A system in which medical doctors and other healthcare professionals (such as nurses, pharmacists, and therapists) treat symptoms and diseases using drugs, radiation, or surgery. Also called allopathic medicine, biomedicine, conventional medicine, mainstream medicine, and orthodox medicine.
Homeopathy: Possibly I've taken too broad a definition here, but there are areas where homeopathy and what we think of as a general holistic approach to medicine overlap (I should have been clearer). By holistic, I mean health practices that include Acupuncture, Ayurveda, Chiropody, Food Medicine, Herbalism, Homeopathy, Naturopathy Osteopathy, Traditional Chinese medicine. I think that for many people, most of the works on that list register as one kind of thing.
I don't mean to suggest taking massive doses of herbs to cure MS, but, say, when I know that my auto immune disorder is aggrivated by a sub-clinical wheat allergy, I take a look at my diet before I leap at the chance to get radiation (something my certified acupuncturist/herbalist and endocronologist both supported).
And look, I know a lot of doctors, I've dated some, my brother-in-law runs a clinic, and they'll all say (in private) that doctors make mistakes with medicines, and rarely do they get the time to sit with a patient and really work out what course of treatment is the very, very best. Usually it's the best based on an incomplete diagnosis. Sometimes they do damage to the patients because its hard to know for sure about a lot of things. Doctors are just a fallible as anyone else. I saw a doctor for a few years who lost her license because she was BONKERS about prescribing drugs and quite a few of her patients ended up with long-term damage. Like any kind of tool, medicine can do damage when not wielded correctly. It can also save lives and improve the conditions and mortality of entire nations, but it's not magical. If I was unclear: I totally support medicine for a lot of things, but I also think that there are a lot of cases where it's overused or used badly (i.e. people being given antibiotics for viral illnesses, thus decreasing the effectiveness for everyone), various behavior drugs for difficult kids, etc.
06/04/09
Your bias against scientific medicine is outrageously wrong. Don't conflate corporate practices with medical science or with individual doctors. They are not the same thing, and you don't know what you're talking about if you think they are.
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Pills are marketed directly to patients nowadays. It's regular folks who are pill-happy, not doctors.
It's not like people find out about pills on their own. The pharmaceutical industry AGGRESSIVELY markets the use of pills to fix everything instead of taking care of yourself. Overprescription is part of the problem too, but none of this is happening within a vacuum.
I find the marketing of drugs to individuals and preying on their worries and desire for an easy fix to be utterly reprehensible. So yes, in this sense? Snake oil. But I think that there is obviously a validity to modern medicine when used correctly.
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Is "I know a lot of doctors" the science equivalent of "I know lots of gay/black people!"?
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But since I have to go through doctors, who go through hospitals, who go through insurance companies, who enact corporate policies, then the two cannot be looked at in isolation.
There are good doctors and good meds, just like there are bad ones. Pills can heal, pills can kill. Bias goes both ways and its important to look at both.
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Your mistake is not in criticizing corporate garbage and lies. I agree with you on that in many cases. Your problem is that you're making the leap from that to thinking that there is a huge conspiracy of scientists, corporations, and doctors to suppress good medicine that is not corporate. That's simply false.
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I think most of the individual doctors out there want good medicine, and most of the scientists want good science. But individuals at the MD-Patient level aren't in control. The people at the top are trying to make a profit, often at the expense of the aforementioned MD-Patient.
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HAHAHAHA!!
Yes! It is!!!!!
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However, western medicine is not, literally, a cure all. It has its own biases... Nor can it be viewed in isolation of its role as a business industry. We should not blindly accept the meds put out on the market just as we should not blindly accept Oprah's new cure.
Further, open-mindedness to alternative medicine is something I hold to be valuable because I'm an open-minded person who does not discount things simply because I am unaware of them. I will not pretend that I know what works and what doesn't, but I refuse to label all alternative medicine as "snake oil" simply because a Caucasian male, aged 30-45 y/o didn't invent it and test it out on that same population.
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"Open mindedness" isn't always a good thing. It's only good when there is actual merit to the things you are being open-minded towards. For example, it doesn't make sense to be "open minded" towards the ideas of racists, Holocaust-deniers, or people who believe in The Secret. They are simply objectively wrong. That's also the case for a lot of alt-med: it's just not worthwhile, and has been shown to be little more than a placebo. Open-mindedness makes sense when the evidence isn't in, but it doesn't mean continuing to cling to ideas that have been discredited. And we also sometimes need to defer to the knowledge of experts, such as doctors and scientists. No one can be an expert on everything, and being open-minded about everything you aren't an expert on just means that you'll get it wrong a lot of the time. Expert opinions are more valid than non-expert opinions; it's just that you have to know who the credible experts are. And that, admittedly, is extremely tough in today's world, especially if you don't have a lot of knowledge in science and medicine.
I don't mean to criticize you personally, but I disagree with what I perceive as a lot of the underlying thinking in your posts.
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Plus, an analogy between Holocaust-deniers or racists, and someone who drinks chamomile tea to help them sleep is not an apt analogy. That's like saying, "I don't mean to criticize you, but you are just wrong and since this mind-meld has been unsuccessful, I'll keep telling you that you're wrong to show that I'm right."
I originally responded to Miss Sterling because I agreed with what she said. My thinking is no more "wrong" than hers, and in fact, we were talking about lifestyle changes being the first order of defense before science. If I can, I take a nap to get rid of a headache before I take Advil. That's how I was raised. Women in my family live into their 90s.
I decided not to pursue grad work in Psych (my undergrad degree) because I felt that certain aspects of the human body cannot be quantified. Pets, for example, help sick people. Yes, there are all types of causation issues around that which make interesting research papers, but to me, its simply a matter of whether or not Grandma feels better. Antidepressants are a matter of whether or not I feel worse (which they made me feel). Both of those experiences are equally valid to me.
Feel free to disagree. But don't tell me how to think. Luckily, I don't believe everything that I hear.
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I think I'm not getting across to you, because I am in no way telling you you don't have a right to an opinion. I'm telling you that some opinions are worth more than others, something that I hope is relatively inarguable. Scientists' opinions in their area of research are more worth listening to than non-expert opinions like yours or mine. Science is about establishing unbiased, credible, bases of reliable information. It's not about pushing another agenda, even if individual scientists do have a viewpoint or agenda.
And subjective experience isn't really evidence. That's why scientists use carefully controlled clinical trials. Some things are very difficult to study scientifically, I agree, and that does influence what science gets done. But that doesn't mean that it won't EVER be possible to study those things. It just means that no one has figured out a way to do that yet.
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I reiterate, for the last time, that I have not discounted modern medicine. That's not even what this is about anymore. I have never, in any of these posts, indicated that medication is useless. I'm saying that it's not the end-all, be-all. It's not the only way to cure ones body. Doctors are not gods, nor are scientists. Straight up, straight out.
Now, my work day is over and I'm going home.
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Also, I wasn't comparing alt-med to racism or Holocaust denial in order to attack the credibility of alt-med. I was only using those as examples of areas where evidence and views are overwhelmingly against the people who hold those views. Similarly, the evidence is overwhelmingly against some types of alt-med working (such as homeopathy). But you do have to trust the right experts to get that right (or have some understanding of the scientific reasoning yourself). I was only bringing that up to explain that you need to evaluate the credibility of evidence properly and that open-mindedness isn't necessarily the correct stance if you personally don't know what the evidence for or against something is.
Incidentally, product liability work is still anecdotal evidence if it's not controlled. But that's not really my point.
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Clearly I've been going about this all wrong. My "best life" plan should include a week in Kauai and some Suzanne Sommers vitamin packs.
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And it is getting worse, and it is hurting everyone.
Sorry, hot button, obviously.
I will, however, agree that more research needs to be done on natural treatments and alternative medicine. It's a hard subject to avoid experimenter bias in, but the work needs to be done.
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Reminds me of the rationale behind GW Bush, well he is "like me! Why would I want some smartypants RUNNING THE COUNTRY for god's sake!"
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I was like: WUT.
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my brain is exploding all over this thread.
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Evan is a wonderful little boy, but he should not be anyone's "science."
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Sorry. I'm a scientist, as I think I say like every other sentence on here, and I am so effing sick of this mother's intuition pseudo scientific public health endangering claptrap.
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muttered "stupid Oprah"
and I say Science Damnit Logic Oprah!! Either offer both sides of every argument or just don't bother!
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@Scout: Damn straight. Offer both sides and don't make science seem like this cold, scary other. It's normal, fun, and oftentimes helpful.
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SCIENCE RULES!
I HEART SCIENCE!
YAY FOR SCIENCE!
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The alt-med industry has noticed this trend and very successfully seized on it in order to market itself. Alt-med naturally lends itself to this sort of thinking because its practitioners emphasize things like talking to patients, showing empathy for them, etc. They provide the emotional feedback that a lot of people who feel lost in a sea of information want/need, and so they earn people's confidence and trust. Real doctors aren't trained to do that as well, because their training is more focused on the substantive treatments and diagnostics. Moreover, due to the tough economic environment created by our failing healthcare and insurance system, many doctors just don't have the time to spend hours with each patient getting to know them anymore. They have to see a lot of patients just to cover their costs and stay profitable, thanks to the massive overhead costs they have to pay (large staff for insurance filing, malpractice insurance, etc).
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