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	<title>Comments on: Acupuncture &#8211; Disconnected from Reality</title>
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	<link>http://www.sciencebasedmedicine.org/?p=413</link>
	<description>Exploring issues and controversies in the relationship between science and medicine</description>
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		<title>By: &#8220;Acupuncture? Really Mother?” &#171; Mal-Content</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-18659</link>
		<dc:creator>&#8220;Acupuncture? Really Mother?” &#171; Mal-Content</dc:creator>
		<pubDate>Mon, 04 May 2009 01:58:28 +0000</pubDate>
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		<description>[...] tried to tell her there were no conclusive studies published that acupuncture has any real effect beyond placebo and that her personal experience was [...]</description>
		<content:encoded><![CDATA[<p>[...] tried to tell her there were no conclusive studies published that acupuncture has any real effect beyond placebo and that her personal experience was [...]</p>
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		<title>By: Kimball Atwood</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-18632</link>
		<dc:creator>Kimball Atwood</dc:creator>
		<pubDate>Sun, 03 May 2009 16:20:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-18632</guid>
		<description>I&#039;ve been delaying a post on &#039;acupuncture anesthesia&#039; for some time, because other things keep coming up. No more delay: look for the Definitive Story a week from this Friday. 
KA</description>
		<content:encoded><![CDATA[<p>I&#8217;ve been delaying a post on &#8216;acupuncture anesthesia&#8217; for some time, because other things keep coming up. No more delay: look for the Definitive Story a week from this Friday.<br />
KA</p>
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		<title>By: Newcoaster</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-18620</link>
		<dc:creator>Newcoaster</dc:creator>
		<pubDate>Sun, 03 May 2009 06:07:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-18620</guid>
		<description>Versus

It would be more accurate to say that Dr. Nuland observed major surgery being done with WHAT HE WAS LED TO BELIEVE was no anesthesia.

He offered no proof, only unsupported anecdotes.</description>
		<content:encoded><![CDATA[<p>Versus</p>
<p>It would be more accurate to say that Dr. Nuland observed major surgery being done with WHAT HE WAS LED TO BELIEVE was no anesthesia.</p>
<p>He offered no proof, only unsupported anecdotes.</p>
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		<title>By: Newcoaster</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-18619</link>
		<dc:creator>Newcoaster</dc:creator>
		<pubDate>Sun, 03 May 2009 06:07:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-18619</guid>
		<description>Versus

It would be more accurate to say that Dr. Nuland observed major surgery being done with WHAT HE WAS LED TO BELIEVE was no anesthesia.</description>
		<content:encoded><![CDATA[<p>Versus</p>
<p>It would be more accurate to say that Dr. Nuland observed major surgery being done with WHAT HE WAS LED TO BELIEVE was no anesthesia.</p>
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		<title>By: Peter Bowditch</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15939</link>
		<dc:creator>Peter Bowditch</dc:creator>
		<pubDate>Fri, 27 Mar 2009 02:57:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15939</guid>
		<description>Dave: &quot;I keep getting the claim that acupuncture could be used as anesthesia for cardiac surgery, and I don’t have a good rebuttal handy&quot;.

It could be that the origin of this myth lies in the adventures of James Reston of the New York Times in 1971. He was treated for appendicitis in Beijing using real-medicine anesthesia and procedures but later moxibusted for pain. The story grew from there, but it wasn&#039;t Reston&#039;s fault.

This story is in Bob Park&#039;s excellent book, Superstition.</description>
		<content:encoded><![CDATA[<p>Dave: &#8220;I keep getting the claim that acupuncture could be used as anesthesia for cardiac surgery, and I don’t have a good rebuttal handy&#8221;.</p>
<p>It could be that the origin of this myth lies in the adventures of James Reston of the New York Times in 1971. He was treated for appendicitis in Beijing using real-medicine anesthesia and procedures but later moxibusted for pain. The story grew from there, but it wasn&#8217;t Reston&#8217;s fault.</p>
<p>This story is in Bob Park&#8217;s excellent book, Superstition.</p>
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		<title>By: Better Health &#187; Acupuncture Doesn&#8217;t Work, Believers Ignore Evidence</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15554</link>
		<dc:creator>Better Health &#187; Acupuncture Doesn&#8217;t Work, Believers Ignore Evidence</dc:creator>
		<pubDate>Mon, 23 Mar 2009 12:05:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15554</guid>
		<description>[...] **This post was originally published at Science Based Medicine.** [...]</description>
		<content:encoded><![CDATA[<p>[...] **This post was originally published at Science Based Medicine.** [...]</p>
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		<title>By: Versus</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15241</link>
		<dc:creator>Versus</dc:creator>
		<pubDate>Fri, 20 Mar 2009 20:15:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15241</guid>
		<description>Surgery with acupuncture. Thought that sounded familiar, and now I know why – saw it on the NCCAM site [them again!]: 
On March 10, Sherwin B. Nuland, M.D., surgery professor at Yale and author, gave the Stephen E. Straus Distinguished Lecture in the Science of Complementary and Alternative Medicine, entitled “Chinese Medicine, Western Science, and Acupuncture,” presented by “NCCAM and supported by the Foundation for the National Institutes of Health with generous funding from The Bernard Osher Foundation.” According to NCCAM’s announcement, “[d]uring visits to China, Dr. Nuland observed major surgery being done with no anesthesia, aided by acupuncture.  In this lecture, he will describe these operations and tell of this experience.” Here’s the link to the announcement, which itself has a link to a live broadcast of the lecture.
http://nccam.nih.gov/news/events/lectures/straus2009mar.htm</description>
		<content:encoded><![CDATA[<p>Surgery with acupuncture. Thought that sounded familiar, and now I know why – saw it on the NCCAM site [them again!]:<br />
On March 10, Sherwin B. Nuland, M.D., surgery professor at Yale and author, gave the Stephen E. Straus Distinguished Lecture in the Science of Complementary and Alternative Medicine, entitled “Chinese Medicine, Western Science, and Acupuncture,” presented by “NCCAM and supported by the Foundation for the National Institutes of Health with generous funding from The Bernard Osher Foundation.” According to NCCAM’s announcement, “[d]uring visits to China, Dr. Nuland observed major surgery being done with no anesthesia, aided by acupuncture.  In this lecture, he will describe these operations and tell of this experience.” Here’s the link to the announcement, which itself has a link to a live broadcast of the lecture.<br />
<a href="http://nccam.nih.gov/news/events/lectures/straus2009mar.htm" rel="nofollow">http://nccam.nih.gov/news/events/lectures/straus2009mar.htm</a></p>
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		<title>By: Karl Withakay</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15172</link>
		<dc:creator>Karl Withakay</dc:creator>
		<pubDate>Wed, 18 Mar 2009 19:17:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15172</guid>
		<description>Jorgen, low quality, unblinded studies such as that might be remotely useful as early, preliminary studies to demonstrate the need for rigorous double blinded followup studies, but that the acupuncture world keeps doing more and low quality studies, over and over again, presumably because those are the only studies capable of showing an effect for acupuncture distinct from placebo.

Every decent quality, double blinded study shows no significant difference between acupuncture and placebo.  

The supporters of acupuncture typically respond to those studies by claiming that the placebo acupuncture was having a real effect- that either the sham points used were still having an effect, or is sham needles were used, that the sham needles have a real effect even though they do not pierce the skin.  Somehow it doesn&#039;t matter to them that they are invalidating their underlying theories as to the basis on acupuncture regarding meridians and chi points and such. 

Another defense used by Alt Meders is that their modality of choice is an individualized treatment, custom tailored to the patient, (even though that&#039;s not they way it&#039;s practiced) and therefore it can&#039;t be done in a double-blinded RCT context.

I always like to know the rules of the game before I start playing; I have a hard time trusting the guy explaining the rules while we play when he&#039;s winning the whole time.  

Acupuncture (and other quack medicine) is the medical equivalent of Baseketball.  (If I believed in mysticism, I&#039;d see some cosmic significance in the fact that Jenny McCarthy was in that movie)</description>
		<content:encoded><![CDATA[<p>Jorgen, low quality, unblinded studies such as that might be remotely useful as early, preliminary studies to demonstrate the need for rigorous double blinded followup studies, but that the acupuncture world keeps doing more and low quality studies, over and over again, presumably because those are the only studies capable of showing an effect for acupuncture distinct from placebo.</p>
<p>Every decent quality, double blinded study shows no significant difference between acupuncture and placebo.  </p>
<p>The supporters of acupuncture typically respond to those studies by claiming that the placebo acupuncture was having a real effect- that either the sham points used were still having an effect, or is sham needles were used, that the sham needles have a real effect even though they do not pierce the skin.  Somehow it doesn&#8217;t matter to them that they are invalidating their underlying theories as to the basis on acupuncture regarding meridians and chi points and such. </p>
<p>Another defense used by Alt Meders is that their modality of choice is an individualized treatment, custom tailored to the patient, (even though that&#8217;s not they way it&#8217;s practiced) and therefore it can&#8217;t be done in a double-blinded RCT context.</p>
<p>I always like to know the rules of the game before I start playing; I have a hard time trusting the guy explaining the rules while we play when he&#8217;s winning the whole time.  </p>
<p>Acupuncture (and other quack medicine) is the medical equivalent of Baseketball.  (If I believed in mysticism, I&#8217;d see some cosmic significance in the fact that Jenny McCarthy was in that movie)</p>
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		<title>By: weing</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15170</link>
		<dc:creator>weing</dc:creator>
		<pubDate>Wed, 18 Mar 2009 19:00:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15170</guid>
		<description>Thanks Harriet, I thought you had posted about that.</description>
		<content:encoded><![CDATA[<p>Thanks Harriet, I thought you had posted about that.</p>
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		<title>By: hatch_xanadu</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15169</link>
		<dc:creator>hatch_xanadu</dc:creator>
		<pubDate>Wed, 18 Mar 2009 18:54:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15169</guid>
		<description>Thanks, all. Harriet, I&#039;ve no idea why I didn&#039;t recall that post.

overshoot: Not a bad idea. Might help to weed out the folks who claim to have &quot;healed themselves&quot; without bothering to mention the previous medical treatments they&#039;ve had.</description>
		<content:encoded><![CDATA[<p>Thanks, all. Harriet, I&#8217;ve no idea why I didn&#8217;t recall that post.</p>
<p>overshoot: Not a bad idea. Might help to weed out the folks who claim to have &#8220;healed themselves&#8221; without bothering to mention the previous medical treatments they&#8217;ve had.</p>
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		<title>By: Acupuncture - Disconnected from Reality &#171; Skepfeeds-The Best Skeptical blogs of the day</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15168</link>
		<dc:creator>Acupuncture - Disconnected from Reality &#171; Skepfeeds-The Best Skeptical blogs of the day</dc:creator>
		<pubDate>Wed, 18 Mar 2009 18:38:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15168</guid>
		<description>[...] READ THE REST OF THIS ENTRY AT &#8220;SCIENCE BASED MEDICINE&#8221;   Posted in Science Based Medicine. Tags: acupuncture, alternative medicine, holistic medicine, Integrative Medicine, scientific, scientific method. [...]</description>
		<content:encoded><![CDATA[<p>[...] READ THE REST OF THIS ENTRY AT &#8220;SCIENCE BASED MEDICINE&#8221;   Posted in Science Based Medicine. Tags: acupuncture, alternative medicine, holistic medicine, Integrative Medicine, scientific, scientific method. [...]</p>
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		<title>By: overshoot</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15167</link>
		<dc:creator>overshoot</dc:creator>
		<pubDate>Wed, 18 Mar 2009 18:31:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15167</guid>
		<description>I&#039;m all in favor of &quot;alternative medicine insurance.&quot;  Just make it an either/or at open enrollment (ours is coming up soon.)  Employees can choose one or the other, but not both.

If you choose the &quot;alternative&quot; option, your plan covers acupuncture, but not opiates; it covers homeopathy, but not antibiotics, it covers chiropractic, but not orthopedic; etc.

Let&#039;s have a real, level playing field, test of how popular So-Called Alternative Medicine really is.</description>
		<content:encoded><![CDATA[<p>I&#8217;m all in favor of &#8220;alternative medicine insurance.&#8221;  Just make it an either/or at open enrollment (ours is coming up soon.)  Employees can choose one or the other, but not both.</p>
<p>If you choose the &#8220;alternative&#8221; option, your plan covers acupuncture, but not opiates; it covers homeopathy, but not antibiotics, it covers chiropractic, but not orthopedic; etc.</p>
<p>Let&#8217;s have a real, level playing field, test of how popular So-Called Alternative Medicine really is.</p>
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		<title>By: Steven Novella</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15166</link>
		<dc:creator>Steven Novella</dc:creator>
		<pubDate>Wed, 18 Mar 2009 18:09:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15166</guid>
		<description>Jorgen - that is an unblinded study. Sorry, but unblinded in this context - worthless.</description>
		<content:encoded><![CDATA[<p>Jorgen &#8211; that is an unblinded study. Sorry, but unblinded in this context &#8211; worthless.</p>
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		<title>By: Harriet Hall</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15165</link>
		<dc:creator>Harriet Hall</dc:creator>
		<pubDate>Wed, 18 Mar 2009 18:06:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15165</guid>
		<description>There is no evidence that acupuncture has been practiced for 4000 years. I wrote about this in my post &quot;Puncturing the Acupuncture Myth&quot; http://www.sciencebasedmedicine.org/?p=252</description>
		<content:encoded><![CDATA[<p>There is no evidence that acupuncture has been practiced for 4000 years. I wrote about this in my post &#8220;Puncturing the Acupuncture Myth&#8221; <a href="http://www.sciencebasedmedicine.org/?p=252" rel="nofollow">http://www.sciencebasedmedicine.org/?p=252</a></p>
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		<title>By: weing</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15164</link>
		<dc:creator>weing</dc:creator>
		<pubDate>Wed, 18 Mar 2009 17:50:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15164</guid>
		<description>Has acupuncture really been practiced for 4000 years or is it a more recent invention of about 200 years or so?  I&#039;ve never seen documentation of its antiquity.</description>
		<content:encoded><![CDATA[<p>Has acupuncture really been practiced for 4000 years or is it a more recent invention of about 200 years or so?  I&#8217;ve never seen documentation of its antiquity.</p>
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		<title>By: khan</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15161</link>
		<dc:creator>khan</dc:creator>
		<pubDate>Wed, 18 Mar 2009 16:43:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15161</guid>
		<description>&quot;4000 years&quot; is &quot;toddlerhood&quot;?</description>
		<content:encoded><![CDATA[<p>&#8220;4000 years&#8221; is &#8220;toddlerhood&#8221;?</p>
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		<title>By: MBoaz</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15160</link>
		<dc:creator>MBoaz</dc:creator>
		<pubDate>Wed, 18 Mar 2009 16:38:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15160</guid>
		<description>[blockquote]It is unlikely that a journal or practitioner dedicated to acupuncture will ever reach the conclusion that acupuncture is a dead end and science-based medicine should move on.[/blockquote]

I strongly agree, but for the record:
I&#039;m a licensed acupuncturist. Acupuncture is a dead end. Science-based medicine should move on.</description>
		<content:encoded><![CDATA[<p>[blockquote]It is unlikely that a journal or practitioner dedicated to acupuncture will ever reach the conclusion that acupuncture is a dead end and science-based medicine should move on.[/blockquote]</p>
<p>I strongly agree, but for the record:<br />
I&#8217;m a licensed acupuncturist. Acupuncture is a dead end. Science-based medicine should move on.</p>
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		<title>By: Zetetic</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15159</link>
		<dc:creator>Zetetic</dc:creator>
		<pubDate>Wed, 18 Mar 2009 16:34:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15159</guid>
		<description>hatch_xanaduon:

Years ago there was a demonstration of acupuncture used as anesthesia during surgery in China and it was revealed to be hoax:  

http://www.gpposner.com/Rosenfeld_sram.html</description>
		<content:encoded><![CDATA[<p>hatch_xanaduon:</p>
<p>Years ago there was a demonstration of acupuncture used as anesthesia during surgery in China and it was revealed to be hoax:  </p>
<p><a href="http://www.gpposner.com/Rosenfeld_sram.html" rel="nofollow">http://www.gpposner.com/Rosenfeld_sram.html</a></p>
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		<title>By: David Gorski</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15156</link>
		<dc:creator>David Gorski</dc:creator>
		<pubDate>Wed, 18 Mar 2009 15:39:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15156</guid>
		<description>Kim,

Please do. I keep getting the claim that acupuncture could be used as anesthesia for cardiac surgery, and I don&#039;t have a good rebuttal handy.</description>
		<content:encoded><![CDATA[<p>Kim,</p>
<p>Please do. I keep getting the claim that acupuncture could be used as anesthesia for cardiac surgery, and I don&#8217;t have a good rebuttal handy.</p>
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		<title>By: DancingSamurai.ca &#124; Steve Novella on Acupuncture</title>
		<link>http://www.sciencebasedmedicine.org/?p=413&#038;cpage=1#comment-15155</link>
		<dc:creator>DancingSamurai.ca &#124; Steve Novella on Acupuncture</dc:creator>
		<pubDate>Wed, 18 Mar 2009 15:14:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=413#comment-15155</guid>
		<description>[...] - and they show it does not work. This recent article by Steve Novella is a must-read on Acupuncture and the common fallacies/rationalisations that still persist about its use: There is still no compelling evidence that there is any real [...]</description>
		<content:encoded><![CDATA[<p>[...] &#8211; and they show it does not work. This recent article by Steve Novella is a must-read on Acupuncture and the common fallacies/rationalisations that still persist about its use: There is still no compelling evidence that there is any real [...]</p>
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