On the British "Quackometer" site, I have been negatively reviewed: http://www.quackometer.net/.
This is what I answered:
Dear Mr. Andy Lewis,
Basically, I like the idea of a quackometer. On the other hand, I am not tickled that I received all those ducks. They are cute, though.
In my books and health blog, I use easy language while being informed about science. I use some new-agey terms so that people understand me – that explains “This web site is using lots of alternative medicine terms.”
At the same time, you accuse me of the opposite: “It is full of scientific jargon that is out of place and probably doesn't know the meaning of any of the terms.” You don’t want to argue with degrees - but here I have to: I was a teacher of mathematics and statistics, and have a master’s degree in philosophy, especially in epistemology (which is the science of what we can know, and where we better shut up – as Wittgenstein put it). That all before I studied medicine and finished with board-certification here in the U.S.A. in internal medicine. And I hold a degree in “Natural Medicine.” So, in all likelihood, I do understand the medical and scientific terms I use.
“It shows little or no critical thought and so should be treated with caution!” You might have overlooked my blog that states that homeopathy has no scientific basis – therefore I don’t use it with patients. But I did two courses of homeopathy to make sure I did not throw out a valuable tool unexamined. Then again, barely anybody dies of sugar pills – and here in the U.S.A. (unfortunately, I don’t have British numbers) about 100,000 people die per year of allopathic drugs. Only on your website today I found the information of this anti-malaria homeopathic concoction; that indeed is murderous, and I strongly oppose it.
However, since many ailments heal with time and better lifestyle, homeopathy (which is often combined with compassionate care and good advice for exercise and healthy eating) might be less of a safety problem than conventional medicine. I have practiced medicine for thirty years and have become skeptical of profit-driven, procedure-oriented, drug-dispensing allopathic medicine. But I would never discard good conventional medicine where it is needed and useful: When my son came home from camp with high fever, stiff neck and the worst headache of his life, I did not think for a second that “alternatives” were the answer. I drove him straight to the Emergency Room of a famous Boston Teaching Hospital (where they promptly misdiagnosed his tularemia – but that is another story…). – Appendicitis needs a good surgeon. And one doesn’t treat a heart attack by holding hands. – Guess we agree here.
Also, I am very critical of indiscriminate use of vitamins and other supplements without proven value and without documented deficiencies. You might also have noticed that I don’t sell anything – only my books which is the way to disperse ideas and knowledge). Not even a mug or a t-shirt.
There are bad genes and unfortunate accidents. But apart from that, health is a simple proposition, in my opinion: Eat well, sleep well, move a bit, drink fresh water, get your relationships and priorities right – and automatically, you will be healthier. Common sense, not more. But it is so much easier to pop a pill (allopathic, homeopathic, naturopathic) than do something yourself - that’s probably why my books sell so poorly.
Alexa Fleckenstein M.D.
P.S. I forgot two arguments:
1. Using language as the sole indicator for quackery might not work because – as you somewhere noticed yourself – language is ambiguous.
2. Writing on a rather “quackery” website should not constitute quackery itself – I often just bring arguments which might be enlightening – and lure readers to my blog. Also, if writing on a “quackery” site makes me guilty of quackery – then writing on the “Quackometer” redeems me??
Last thought: Homeopathy fills a void that conventional medicine leaves: Homeopathic practitioners care and listen. If we want to persuade patients with our scientific arguments, we first have to return to caring and listening.
Update 1/2/2011:
They took me off the list, after all!! Read More
Blog: On Health. On Writing. On Life. On Everything.
Weighing In
June 21, 2010
How often should you jump on the scale?
For many years, I never recommended to patients to weigh themselves daily (first thing in the morning). The prevailing medical opinion was that weighing oneself triggered anxieties that might end in eating disorders like anorexia and bulimia.
Contrary to what I said to my patients, however, I have weighed myself my whole life (nearly) every morning – and have kept the same weight since age twelve. Except for pregnancies, gaining twenty pounds with my daughter, forty with my son. The difference? In both cases, relentless morning sickness. With my daughter, eating or even thinking of food made me throw up; with my son, eating calmed the sickness. During pregnancy, I did not care what I weighed and how I looked; all I cared was the baby I was expecting. So I followed my body’s whims and cravings. Including the incredible craving for a lobster at a very inconvenient time…
My body feels well only within a very tight margin: Two pounds less, and faintness grips me. Two pounds more, and stuffiness prevents me bending forward.
My personal weight story made me absolutely unacceptable for several overweight patients who stated that I had never been in their shoes and could therefore not advise them. I respect that view. But it would also mean that one can’t be a good doctor for a cancer patient if one didn’t have experience with the dreaded disease. Or could couldn’t treat a heart attack because … you are getting the idea. (On the other hand, the notion that better doctors come from personal experience with serious illness, is worth spinning out. The A+ nerds who populate our medical schools – half of them should be replaced with compassionate, common-sensical young men and women).
A study showed that people who weigh themselves more often also lost more weight. That takes this discussion beyond my personal story – and here it becomes interesting.
French women supposedly don't gain weight as they age. Which means if the scale tells them they have gained a pound or two, they take action. And responsibility. That might be part of the French Paradox - that the French live longer but eat more fat. Might be they eat fat - and then put in a salad day.
A scale is a reality check. If you want to avoid looking the facts in the face – your decision. I like to confront bad situations – weight gain, disease, divorce, death (why do nearly all adverse events start with a "d"?). That led me one time to lie down in a casket and pull the lid shut, just to see how it was. It was surprisingly peaceful. What I found out in the coffin: It was nothing to fear. Read More
Bowel Health I: Probiotics
June 9, 2010
In Natural Medicine, we work with the four elimination organs: kidneys, bowels, lungs and skin. If one is blocked or diseased, the body as a whole suffers.
With the Standard American Diet (SAD), foremost our bowels are ailing. We live in a state of constant intestinal inflammation – and from there the infliction moves to skin (pimples, psoriasis), brain (depression, stroke, dementia), joints (arthritis), heart (heart attack, clogging of arteries. The two diseases that are “systemic”, namely affecting about every single organ in the body, are diabetes and obesity – and they are linked, as we know.
It is not difficult to conclude that the only remedy that will work, is cleaning up our act of how we eat – but for some people, this seems extremely hard. While there a several reasons to collude in making us overeat like advertisements, genetics, boredom, frustration, depression – the biggest reason is addiction. If one does not understand that food can be addictive, one cannot learn to avoid the offending foods like the pest.
Two of the main food culprits – I have mentioned them before – are gluten (wheat, rye, barley, oats) and casein (dairy). Interestingly, they are chemically related. Interestingly, both are broken down into opioids – compounds that make you feel good and make you crave more.
To improve bowel health, we have to eat better – and the better eating mostly consists of vegetables, vegetables, vegetables (see, how I am repeating myself). Bitters help better digestion.
Aside from improved nutrition, a daily probiotic may be your best bet for bowel health. Probiotics are healthy bowel bacteria. Probiotics are live microorganisms – bowel bacteria – that belong in your intestines, but are not there because they have been killed off by antibiotic use (which you might have ingested without knowing with animal products) and/or poor diets.
These are the benefits which you might gain from a healthy gut flora: Reduced inflammation across the board, enhanced resistance to all kinds of infections like diarrhea, urinary tract and Helicobacter pylorus infections, increased mineral and vitamin absorption, protection against colon cancer, lowering of blood pressure and cholesterol – to name a few.
Probiotics are not for very small children (before their first birthday) or for patients with acute pancreatitis. Initially, probiotics might cause mighty rumbling in your bowels – so start low, with one capsule/pill per day, and slowly work your way up. If one brand does give you indigestion, try another one. And the more you can down (and afford), probably the better; think about reforesting: taking one capsule can be likened to planting a single tree.
We know that probiotics work – but we don’t know how. One study seemed to suggest that it does not matter whether the bacteria are alive or dead – they worked anyway. And they don’t seem to have lasting effects – only as long as one takes them.
But if you take a single natural supplement, forget multivitamins – take a probiotic! Read More