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	<title>Comments for Science-Based Medicine</title>
	<atom:link href="http://www.sciencebasedmedicine.org/index.php/comments/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.sciencebasedmedicine.org</link>
	<description>Exploring issues and controversies in the relationship between science and medicine</description>
	<lastBuildDate>Sat, 18 May 2013 10:45:30 +0000</lastBuildDate>
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		<title>Comment on The deceptive rebranding of aspects of science-based medicine as &#8220;alternative&#8221; by naturopaths continues apace by BillyJoe7</title>
		<link>http://www.sciencebasedmedicine.org/index.php/the-deceptive-rebranding-of-aspects-of-science-based-medicine-as-alternative-by-naturopaths-continues-apace/comment-page-1/#comment-126091</link>
		<dc:creator>BillyJoe7</dc:creator>
		<pubDate>Sat, 18 May 2013 10:45:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26201#comment-126091</guid>
		<description><![CDATA[Sorry, I&#039;ve lost my patience.

&quot;I wasnt certain at the time if it was their lifestyle or the herbalists’ skills that made a difference, but it gave me an idea which disorders plaguing the western world are primarily a result of modern nutrition and pharmaceutical abuse, and the areas where naturopathic treatment can have the most impact&quot;

A classic example of an ignorant and opportunistic fool pulling ideas out of his nether regions for fast bucks.

Money for nothing and my $#&#124;t for free.
Money for nothing and my $#&#124;t for free.
Money for nothing and my $#&#124;t for free.]]></description>
		<content:encoded><![CDATA[<p>Sorry, I&#8217;ve lost my patience.</p>
<p>&#8220;I wasnt certain at the time if it was their lifestyle or the herbalists’ skills that made a difference, but it gave me an idea which disorders plaguing the western world are primarily a result of modern nutrition and pharmaceutical abuse, and the areas where naturopathic treatment can have the most impact&#8221;</p>
<p>A classic example of an ignorant and opportunistic fool pulling ideas out of his nether regions for fast bucks.</p>
<p>Money for nothing and my $#|t for free.<br />
Money for nothing and my $#|t for free.<br />
Money for nothing and my $#|t for free.</p>
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		<title>Comment on Whack em hard/Whack em once and Stroke by BillyJoe7</title>
		<link>http://www.sciencebasedmedicine.org/index.php/whack-em-hardwhack-em-once-and-stroke/comment-page-1/#comment-126089</link>
		<dc:creator>BillyJoe7</dc:creator>
		<pubDate>Sat, 18 May 2013 10:31:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26254#comment-126089</guid>
		<description><![CDATA[Apparently,  science based medicine is a cult, and inanities pulled out of the nether regions are real clinical practice.
And, apparently, patients don&#039;t matter as long as the altmed practitioners and the ignorant and opportunistic MDs who give them oxygen live happily together making fast bucks.]]></description>
		<content:encoded><![CDATA[<p>Apparently,  science based medicine is a cult, and inanities pulled out of the nether regions are real clinical practice.<br />
And, apparently, patients don&#8217;t matter as long as the altmed practitioners and the ignorant and opportunistic MDs who give them oxygen live happily together making fast bucks.</p>
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		<title>Comment on Whack em hard/Whack em once and Stroke by EbmOD</title>
		<link>http://www.sciencebasedmedicine.org/index.php/whack-em-hardwhack-em-once-and-stroke/comment-page-1/#comment-126075</link>
		<dc:creator>EbmOD</dc:creator>
		<pubDate>Sat, 18 May 2013 08:42:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26254#comment-126075</guid>
		<description><![CDATA[Well timed.  A friend of mine (who is also in his early thirties) went to his chiropractor just 10 days ago for a stiff neck.  He then developed what he thought was sciatica.  Only it worsened until he was physically incapable of lifting himself off of the floor due to excruciating pain.  He had to be admitted to the hospital where he was diagnosed with a pinched nerve. Guess it could have been worse . . .]]></description>
		<content:encoded><![CDATA[<p>Well timed.  A friend of mine (who is also in his early thirties) went to his chiropractor just 10 days ago for a stiff neck.  He then developed what he thought was sciatica.  Only it worsened until he was physically incapable of lifting himself off of the floor due to excruciating pain.  He had to be admitted to the hospital where he was diagnosed with a pinched nerve. Guess it could have been worse . . .</p>
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		<title>Comment on The deceptive rebranding of aspects of science-based medicine as &#8220;alternative&#8221; by naturopaths continues apace by pmoran</title>
		<link>http://www.sciencebasedmedicine.org/index.php/the-deceptive-rebranding-of-aspects-of-science-based-medicine-as-alternative-by-naturopaths-continues-apace/comment-page-1/#comment-126058</link>
		<dc:creator>pmoran</dc:creator>
		<pubDate>Sat, 18 May 2013 06:59:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26201#comment-126058</guid>
		<description><![CDATA[&lt;i&gt;Peter, you waste your time and energy with that meatloaf. &lt;/i&gt;

It could be equally argued that it was irrational of you, WLU and others to respond in the first place.    No one comments here without having an axe to grind and the expectation that they will be able to hold their ground (in their opinion) in any subsequent debate.    So I ask, when have you ever seen anyone abandon a firm opinion about CAM (either way) as the result of a few days&#039; exchange on the Internet?    It just doesn&#039;t happen.   

So I have few expectations,  but my own limited objectives.]]></description>
		<content:encoded><![CDATA[<p><i>Peter, you waste your time and energy with that meatloaf. </i></p>
<p>It could be equally argued that it was irrational of you, WLU and others to respond in the first place.    No one comments here without having an axe to grind and the expectation that they will be able to hold their ground (in their opinion) in any subsequent debate.    So I ask, when have you ever seen anyone abandon a firm opinion about CAM (either way) as the result of a few days&#8217; exchange on the Internet?    It just doesn&#8217;t happen.   </p>
<p>So I have few expectations,  but my own limited objectives.</p>
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		<title>Comment on The deceptive rebranding of aspects of science-based medicine as &#8220;alternative&#8221; by naturopaths continues apace by pmoran</title>
		<link>http://www.sciencebasedmedicine.org/index.php/the-deceptive-rebranding-of-aspects-of-science-based-medicine-as-alternative-by-naturopaths-continues-apace/comment-page-1/#comment-126056</link>
		<dc:creator>pmoran</dc:creator>
		<pubDate>Sat, 18 May 2013 06:53:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26201#comment-126056</guid>
		<description><![CDATA[&lt;i&gt;It is also not clear that preventive health care does “pay for itself” in the long run, and as any general rule (vaccinations are a probable exception). Those whose cardiac events are prevented will go on to get other illnesses and require expensive aged care and pensions. For governments the most cost-effective option is a sudden fatal heart attack at about retirement age, when the ability to pay tax lessens.&lt;/i&gt;

FBA:&lt;i&gt;This is a very disturbing view of the world – that retired folks are nothing but unproductive moochers on healthcare costs. You can be old and healthy and productive. Preventative care doesnt just affect retired people, but also working-age adults and children.&lt;/i&gt;

Oh, agreed.  The point is that naturopaths cannot avoid the political, economic and practical constraints that prevent doctors from performing as well as they might in an ideal world.   It is a matter of fact that few practitioners can have much influence on lifestyles during the most formative years,  especially against peer groups and family.     

In a free country we also have limited ability to restrict access to those great tasting foods  and drinks that  provide unneeded and &quot;empty&quot; calories.    I live in an area of very high obesity rates and I would set my observations of how my countrymen fill their shopping trollies up and spend most of their time against your interpretations of what you observed during your Asian visit.   This is minimally judgmental -- poor diet and  little exercise are facts of modern life.   Your references to primitive and historical populations have little or no relevance. 

And in the long run it comes down to what is shown to work -- that is, precisely which factors serve to prevent or treat obesity.    Theorising can only get us so far.]]></description>
		<content:encoded><![CDATA[<p><i>It is also not clear that preventive health care does “pay for itself” in the long run, and as any general rule (vaccinations are a probable exception). Those whose cardiac events are prevented will go on to get other illnesses and require expensive aged care and pensions. For governments the most cost-effective option is a sudden fatal heart attack at about retirement age, when the ability to pay tax lessens.</i></p>
<p>FBA:<i>This is a very disturbing view of the world – that retired folks are nothing but unproductive moochers on healthcare costs. You can be old and healthy and productive. Preventative care doesnt just affect retired people, but also working-age adults and children.</i></p>
<p>Oh, agreed.  The point is that naturopaths cannot avoid the political, economic and practical constraints that prevent doctors from performing as well as they might in an ideal world.   It is a matter of fact that few practitioners can have much influence on lifestyles during the most formative years,  especially against peer groups and family.     </p>
<p>In a free country we also have limited ability to restrict access to those great tasting foods  and drinks that  provide unneeded and &#8220;empty&#8221; calories.    I live in an area of very high obesity rates and I would set my observations of how my countrymen fill their shopping trollies up and spend most of their time against your interpretations of what you observed during your Asian visit.   This is minimally judgmental &#8212; poor diet and  little exercise are facts of modern life.   Your references to primitive and historical populations have little or no relevance. </p>
<p>And in the long run it comes down to what is shown to work &#8212; that is, precisely which factors serve to prevent or treat obesity.    Theorising can only get us so far.</p>
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		<title>Comment on Antibiotics for Low Back Pain by vance</title>
		<link>http://www.sciencebasedmedicine.org/index.php/antibiotics-for-low-back-pain/comment-page-1/#comment-126053</link>
		<dc:creator>vance</dc:creator>
		<pubDate>Sat, 18 May 2013 06:34:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26172#comment-126053</guid>
		<description><![CDATA[@ixkmanxi

Could the abstinence from running while he toenail surgery healed have givinen enough rest to relieve the back pain?]]></description>
		<content:encoded><![CDATA[<p>@ixkmanxi</p>
<p>Could the abstinence from running while he toenail surgery healed have givinen enough rest to relieve the back pain?</p>
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		<title>Comment on Antibiotics for Low Back Pain by vance</title>
		<link>http://www.sciencebasedmedicine.org/index.php/antibiotics-for-low-back-pain/comment-page-1/#comment-126047</link>
		<dc:creator>vance</dc:creator>
		<pubDate>Sat, 18 May 2013 06:18:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26172#comment-126047</guid>
		<description><![CDATA[Lets not forget the anti-inflammatory effects of antibiotics in general.

 I have experienced  relief of back pain when treated for other infections with antibiotics. So this begets the question, what is it, the killing off of bacteria or the anti-inflammatory effects of antibiotics in general?]]></description>
		<content:encoded><![CDATA[<p>Lets not forget the anti-inflammatory effects of antibiotics in general.</p>
<p> I have experienced  relief of back pain when treated for other infections with antibiotics. So this begets the question, what is it, the killing off of bacteria or the anti-inflammatory effects of antibiotics in general?</p>
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		<title>Comment on Whack em hard/Whack em once and Stroke by FastBuckArtist</title>
		<link>http://www.sciencebasedmedicine.org/index.php/whack-em-hardwhack-em-once-and-stroke/comment-page-1/#comment-126046</link>
		<dc:creator>FastBuckArtist</dc:creator>
		<pubDate>Sat, 18 May 2013 06:18:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26254#comment-126046</guid>
		<description><![CDATA[@windriven
&lt;blockquote&gt;Oh how I share your concern about this. And it isn’t just nurses. There are plenty of MDs who walk with them hand-in-hand. I have no statistics to demonstrate this but I suspect that science based medicine is losing ground. &lt;/blockquote&gt;

The &quot;us vs them&quot; mentality of you and your religious cultists is sickening.
Newsflash.. there is no &quot;jihad&quot; between conventional and alternative medical practitioners.

We happily work together in real clinical practice. I work with MDs, radiologists, pathologists, and refer patients to them and MDs refer patients to me. Nobody is losing and Integrative Medicine is winning.]]></description>
		<content:encoded><![CDATA[<p>@windriven</p>
<blockquote><p>Oh how I share your concern about this. And it isn’t just nurses. There are plenty of MDs who walk with them hand-in-hand. I have no statistics to demonstrate this but I suspect that science based medicine is losing ground. </p></blockquote>
<p>The &#8220;us vs them&#8221; mentality of you and your religious cultists is sickening.<br />
Newsflash.. there is no &#8220;jihad&#8221; between conventional and alternative medical practitioners.</p>
<p>We happily work together in real clinical practice. I work with MDs, radiologists, pathologists, and refer patients to them and MDs refer patients to me. Nobody is losing and Integrative Medicine is winning.</p>
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		<title>Comment on The deceptive rebranding of aspects of science-based medicine as &#8220;alternative&#8221; by naturopaths continues apace by FastBuckArtist</title>
		<link>http://www.sciencebasedmedicine.org/index.php/the-deceptive-rebranding-of-aspects-of-science-based-medicine-as-alternative-by-naturopaths-continues-apace/comment-page-1/#comment-126044</link>
		<dc:creator>FastBuckArtist</dc:creator>
		<pubDate>Sat, 18 May 2013 05:56:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26201#comment-126044</guid>
		<description><![CDATA[@pmoran
&lt;blockquote&gt;It is also not clear that preventive health care does “pay for itself” in the long run, and as any general rule (vaccinations are a probable exception). Those whose cardiac events are prevented will go on to get other illnesses and require expensive aged care and pensions. For governments the most cost-effective option is a sudden fatal heart attack at about retirement age, when the ability to pay tax lessens.&lt;/blockquote&gt;

This is a very disturbing view of the world - that retired folks are nothing but unproductive moochers on healthcare costs. You can be old and healthy and productive. Preventative care doesnt just affect retired people, but also working-age adults and children. 

My interest in natural medicine started when in younger days I was mountaineering with an anthropologist in countries of south east asia. The rural areas we visited had no access to pharmaceuticals, electricity or imported food. They lived off the land and used native plants for medical remedies administered by the village herbalist. In these villages, I havent found a single case of obesity, or autoimmune disorder, not one case of allergy or asthma. There were sick people, but certain western health disorders were completely absent.

I wasnt certain at the time if it was their lifestyle or the herbalists&#039; skills that made a difference, but it gave me an idea which disorders plaguing the western world are primarily a result of modern nutrition and pharmaceutical abuse, and the areas where naturopathic treatment can have the most impact. 

Obesity is one such disease. It&#039;s an entirely manufactured disease, designed by dieticians and food chemists who concocted the toxic products lining up the shelves of supermarkets, full of transfat, refined sugar and no nutrients. The same dieticians and chemists who poisoned their victims from childhood, then turned to blame the victim - you are just eating too many calories you lazy slob, eat less! Thyroid problem, what are you taking for it, chocolate cakes?! Tv Shows popped up like &quot;The Biggest Loser&quot;, a sadistic race to starve and fatigue the obese patient in the fastest possible time, sending a clear message to the viewer - if you want to get healthy, its going to be painful and its going to be exhausting.]]></description>
		<content:encoded><![CDATA[<p>@pmoran</p>
<blockquote><p>It is also not clear that preventive health care does “pay for itself” in the long run, and as any general rule (vaccinations are a probable exception). Those whose cardiac events are prevented will go on to get other illnesses and require expensive aged care and pensions. For governments the most cost-effective option is a sudden fatal heart attack at about retirement age, when the ability to pay tax lessens.</p></blockquote>
<p>This is a very disturbing view of the world &#8211; that retired folks are nothing but unproductive moochers on healthcare costs. You can be old and healthy and productive. Preventative care doesnt just affect retired people, but also working-age adults and children. </p>
<p>My interest in natural medicine started when in younger days I was mountaineering with an anthropologist in countries of south east asia. The rural areas we visited had no access to pharmaceuticals, electricity or imported food. They lived off the land and used native plants for medical remedies administered by the village herbalist. In these villages, I havent found a single case of obesity, or autoimmune disorder, not one case of allergy or asthma. There were sick people, but certain western health disorders were completely absent.</p>
<p>I wasnt certain at the time if it was their lifestyle or the herbalists&#8217; skills that made a difference, but it gave me an idea which disorders plaguing the western world are primarily a result of modern nutrition and pharmaceutical abuse, and the areas where naturopathic treatment can have the most impact. </p>
<p>Obesity is one such disease. It&#8217;s an entirely manufactured disease, designed by dieticians and food chemists who concocted the toxic products lining up the shelves of supermarkets, full of transfat, refined sugar and no nutrients. The same dieticians and chemists who poisoned their victims from childhood, then turned to blame the victim &#8211; you are just eating too many calories you lazy slob, eat less! Thyroid problem, what are you taking for it, chocolate cakes?! Tv Shows popped up like &#8220;The Biggest Loser&#8221;, a sadistic race to starve and fatigue the obese patient in the fastest possible time, sending a clear message to the viewer &#8211; if you want to get healthy, its going to be painful and its going to be exhausting.</p>
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		<title>Comment on Whack em hard/Whack em once and Stroke by mattyp</title>
		<link>http://www.sciencebasedmedicine.org/index.php/whack-em-hardwhack-em-once-and-stroke/comment-page-1/#comment-126016</link>
		<dc:creator>mattyp</dc:creator>
		<pubDate>Sat, 18 May 2013 01:22:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26254#comment-126016</guid>
		<description><![CDATA[Blue Wode wrote: &quot;It had very little to do with ‘chiropractic’, and the UK General Chiropractic Council, who commissioned the review, were caught out by it. See:
http://www.zenosblog.com/2010/11/where-the-evidence-leads/&quot;

I found this quote interesting:
&quot;Chiropractors can’t have it both ways: chiropractors can’t claim to be unique amongst the manual therapists because of their techniques, yet claim any evidence for their particular ‘art’ from the studies that were not about chiropractic manipulations. The GCC has made this perfectly clear.&quot;

I think as time drags on, the uniqueness will disappear and we&#039;ll be mainstream therapists but for another name (hopefully). I don&#039;t hold my breath though. I was in a chiropractic group the other day and they were banging on about philosophy, and the question was: &quot;what&#039;s the difference between a manipulation by a physio or doctor and an adjustment by a chiropractor? The intent.&quot; Gimme a break.]]></description>
		<content:encoded><![CDATA[<p>Blue Wode wrote: &#8220;It had very little to do with ‘chiropractic’, and the UK General Chiropractic Council, who commissioned the review, were caught out by it. See:<br />
<a href="http://www.zenosblog.com/2010/11/where-the-evidence-leads/" rel="nofollow">http://www.zenosblog.com/2010/11/where-the-evidence-leads/</a>&#8221;</p>
<p>I found this quote interesting:<br />
&#8220;Chiropractors can’t have it both ways: chiropractors can’t claim to be unique amongst the manual therapists because of their techniques, yet claim any evidence for their particular ‘art’ from the studies that were not about chiropractic manipulations. The GCC has made this perfectly clear.&#8221;</p>
<p>I think as time drags on, the uniqueness will disappear and we&#8217;ll be mainstream therapists but for another name (hopefully). I don&#8217;t hold my breath though. I was in a chiropractic group the other day and they were banging on about philosophy, and the question was: &#8220;what&#8217;s the difference between a manipulation by a physio or doctor and an adjustment by a chiropractor? The intent.&#8221; Gimme a break.</p>
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		<title>Comment on The deceptive rebranding of aspects of science-based medicine as &#8220;alternative&#8221; by naturopaths continues apace by WilliamLawrenceUtridge</title>
		<link>http://www.sciencebasedmedicine.org/index.php/the-deceptive-rebranding-of-aspects-of-science-based-medicine-as-alternative-by-naturopaths-continues-apace/comment-page-1/#comment-126006</link>
		<dc:creator>WilliamLawrenceUtridge</dc:creator>
		<pubDate>Fri, 17 May 2013 23:35:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26201#comment-126006</guid>
		<description><![CDATA[@windriven

Sure is amusing to see Pete playing devil&#039;s advocate for the other side though, isn&#039;t it?

As I&#039;ve argued before, even if homeopaths in years past noted that certain people gained weight more than others, I would wager a pretty penny that they didn&#039;t attribute it to bacteria, nor did they attempt to treat obesity with yogurt.]]></description>
		<content:encoded><![CDATA[<p>@windriven</p>
<p>Sure is amusing to see Pete playing devil&#8217;s advocate for the other side though, isn&#8217;t it?</p>
<p>As I&#8217;ve argued before, even if homeopaths in years past noted that certain people gained weight more than others, I would wager a pretty penny that they didn&#8217;t attribute it to bacteria, nor did they attempt to treat obesity with yogurt.</p>
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		<title>Comment on The deceptive rebranding of aspects of science-based medicine as &#8220;alternative&#8221; by naturopaths continues apace by windriven</title>
		<link>http://www.sciencebasedmedicine.org/index.php/the-deceptive-rebranding-of-aspects-of-science-based-medicine-as-alternative-by-naturopaths-continues-apace/comment-page-1/#comment-126004</link>
		<dc:creator>windriven</dc:creator>
		<pubDate>Fri, 17 May 2013 23:20:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26201#comment-126004</guid>
		<description><![CDATA[@pmoran

Peter, you waste your time and energy with that meatloaf.  

&quot;now that mass spectrometry technology has emerged&quot;

What a guffaw.  Mass spectrometry was in widespread use when I was an undergrad in the early 70s.

&quot;we are discovering microbiological evidence for what natural healers knew for 1000 years.&quot;

Yeah, I&#039;ll bet there are hundreds of homeopaths burning the midnight oil running experiments on GCs and MSs.]]></description>
		<content:encoded><![CDATA[<p>@pmoran</p>
<p>Peter, you waste your time and energy with that meatloaf.  </p>
<p>&#8220;now that mass spectrometry technology has emerged&#8221;</p>
<p>What a guffaw.  Mass spectrometry was in widespread use when I was an undergrad in the early 70s.</p>
<p>&#8220;we are discovering microbiological evidence for what natural healers knew for 1000 years.&#8221;</p>
<p>Yeah, I&#8217;ll bet there are hundreds of homeopaths burning the midnight oil running experiments on GCs and MSs.</p>
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		<title>Comment on Whack em hard/Whack em once and Stroke by mho</title>
		<link>http://www.sciencebasedmedicine.org/index.php/whack-em-hardwhack-em-once-and-stroke/comment-page-1/#comment-126003</link>
		<dc:creator>mho</dc:creator>
		<pubDate>Fri, 17 May 2013 23:20:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26254#comment-126003</guid>
		<description><![CDATA[@goodnight irene

why bother with a certificate? make one up. . .]]></description>
		<content:encoded><![CDATA[<p>@goodnight irene</p>
<p>why bother with a certificate? make one up. . .</p>
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		<title>Comment on Whack em hard/Whack em once and Stroke by mattyp</title>
		<link>http://www.sciencebasedmedicine.org/index.php/whack-em-hardwhack-em-once-and-stroke/comment-page-1/#comment-126002</link>
		<dc:creator>mattyp</dc:creator>
		<pubDate>Fri, 17 May 2013 23:18:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26254#comment-126002</guid>
		<description><![CDATA[@ Blue Wode: No, it&#039;s not reassuring at all. I had the minor misfortune of having appendicitis a couple of years ago. The resident was the fella asked to come get my informed consent for the surgery. It was awkward and it was bumbled, but he did it. You wouldn&#039;t want to imagine surgery being done without informed consent, indeed I think it&#039;s a criminal offence, or certainly a deregisterable offence (mitigating circumstances allowing).
Why should we be any different?]]></description>
		<content:encoded><![CDATA[<p>@ Blue Wode: No, it&#8217;s not reassuring at all. I had the minor misfortune of having appendicitis a couple of years ago. The resident was the fella asked to come get my informed consent for the surgery. It was awkward and it was bumbled, but he did it. You wouldn&#8217;t want to imagine surgery being done without informed consent, indeed I think it&#8217;s a criminal offence, or certainly a deregisterable offence (mitigating circumstances allowing).<br />
Why should we be any different?</p>
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		<title>Comment on The deceptive rebranding of aspects of science-based medicine as &#8220;alternative&#8221; by naturopaths continues apace by WilliamLawrenceUtridge</title>
		<link>http://www.sciencebasedmedicine.org/index.php/the-deceptive-rebranding-of-aspects-of-science-based-medicine-as-alternative-by-naturopaths-continues-apace/comment-page-1/#comment-126001</link>
		<dc:creator>WilliamLawrenceUtridge</dc:creator>
		<pubDate>Fri, 17 May 2013 23:11:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26201#comment-126001</guid>
		<description><![CDATA[For once I agree with you Pete.  Not to mention, personal trainers are not going do a damned thing for someone having an acute heart attack.  You can&#039;t compare acute and chronic conditions as if they were interchangeable, and you can&#039;t incentivize chronic care the same way you can acute.  There&#039;s a reason people make dramatic changes after heart attacks - surgeon&#039;s general warnings and vague statistics are nowhere near so personally terrifying as having a metaphorical elephant step on your chest.  And I strongly doubt that the impact of gut bacterial activity has such a dramatic impact on obesity as, say, eating lots of fruits, vegetables and whole grains and getting daily exercise.  Assuming that study&#039;s results are replicated, in humans, if they can narrow down the difference, I doubt it will be a difference of as much as 100 cal/day.]]></description>
		<content:encoded><![CDATA[<p>For once I agree with you Pete.  Not to mention, personal trainers are not going do a damned thing for someone having an acute heart attack.  You can&#8217;t compare acute and chronic conditions as if they were interchangeable, and you can&#8217;t incentivize chronic care the same way you can acute.  There&#8217;s a reason people make dramatic changes after heart attacks &#8211; surgeon&#8217;s general warnings and vague statistics are nowhere near so personally terrifying as having a metaphorical elephant step on your chest.  And I strongly doubt that the impact of gut bacterial activity has such a dramatic impact on obesity as, say, eating lots of fruits, vegetables and whole grains and getting daily exercise.  Assuming that study&#8217;s results are replicated, in humans, if they can narrow down the difference, I doubt it will be a difference of as much as 100 cal/day.</p>
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		<title>Comment on Whack em hard/Whack em once and Stroke by windriven</title>
		<link>http://www.sciencebasedmedicine.org/index.php/whack-em-hardwhack-em-once-and-stroke/comment-page-1/#comment-125999</link>
		<dc:creator>windriven</dc:creator>
		<pubDate>Fri, 17 May 2013 23:05:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26254#comment-125999</guid>
		<description><![CDATA[@tgobbi and DevoutCatalyst

I thought the video &lt;i&gt;was satire.  Apparently I was wrong.  I don&#039;t know whether to laugh or cry.&lt;/i&gt;]]></description>
		<content:encoded><![CDATA[<p>@tgobbi and DevoutCatalyst</p>
<p>I thought the video <i>was satire.  Apparently I was wrong.  I don&#8217;t know whether to laugh or cry.</i></p>
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		<title>Comment on Whack em hard/Whack em once and Stroke by windriven</title>
		<link>http://www.sciencebasedmedicine.org/index.php/whack-em-hardwhack-em-once-and-stroke/comment-page-1/#comment-125998</link>
		<dc:creator>windriven</dc:creator>
		<pubDate>Fri, 17 May 2013 23:03:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26254#comment-125998</guid>
		<description><![CDATA[@irene

&quot;Actually, they are motivated by the trend of “all the best places are offering it now”; ergo, “there must be something to it”.

Oh how I share your concern about this.  And it isn&#039;t just nurses.  There are plenty of MDs who walk with them hand-in-hand.  I have no statistics to demonstrate this but I suspect that science based medicine is losing ground.  We haven&#039;t heard from nygbrus for a while.  I&#039;d love to hear his thoughts on the prevalence of woo in his cohort.]]></description>
		<content:encoded><![CDATA[<p>@irene</p>
<p>&#8220;Actually, they are motivated by the trend of “all the best places are offering it now”; ergo, “there must be something to it”.</p>
<p>Oh how I share your concern about this.  And it isn&#8217;t just nurses.  There are plenty of MDs who walk with them hand-in-hand.  I have no statistics to demonstrate this but I suspect that science based medicine is losing ground.  We haven&#8217;t heard from nygbrus for a while.  I&#8217;d love to hear his thoughts on the prevalence of woo in his cohort.</p>
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		<title>Comment on Whack em hard/Whack em once and Stroke by goodnightirene</title>
		<link>http://www.sciencebasedmedicine.org/index.php/whack-em-hardwhack-em-once-and-stroke/comment-page-1/#comment-125994</link>
		<dc:creator>goodnightirene</dc:creator>
		<pubDate>Fri, 17 May 2013 22:35:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26254#comment-125994</guid>
		<description><![CDATA[I just had houseguests (nursing students from Chicago) who are very eager to graduate so they can move to Seattle and attend Bastyr for &quot;advanced medical training&quot; and move into the &quot;wonderful world of alternative medicine&quot;. Apparently not a single thing in the nursing curriculum has given them the slightest pause--and that gives me a lot of pause. 

Actually, they are motivated by the trend of &quot;all the best places are offering it now&quot;; ergo, &quot;there must be something to it&quot;. They felt it was &quot;rude&quot; of me to refer to all this as so much quackery. The worst thing was that I had to back off, bite my tongue (it&#039;s still bleeding), and pretend to be a shruggie because they were PAYING guests (reviews are everything on the WWW).

I bet I could double the rates if I could find the time to get that Reiki Master certificate, add some incense pots, strew around a few copies of &quot;Natural News&quot;, and offer super-organic-all natural vitamins in place of the bowl of fruit. And &quot;free consultation&quot; coupons to the local whack &#039;em hard/whack &#039;em once, of course.

I know I&#039;ve written this before, but I DESPAIR. (I do think I will print out the new e-books, though and leave those somewhere discreet--like on the toilet lid or the pillow).]]></description>
		<content:encoded><![CDATA[<p>I just had houseguests (nursing students from Chicago) who are very eager to graduate so they can move to Seattle and attend Bastyr for &#8220;advanced medical training&#8221; and move into the &#8220;wonderful world of alternative medicine&#8221;. Apparently not a single thing in the nursing curriculum has given them the slightest pause&#8211;and that gives me a lot of pause. </p>
<p>Actually, they are motivated by the trend of &#8220;all the best places are offering it now&#8221;; ergo, &#8220;there must be something to it&#8221;. They felt it was &#8220;rude&#8221; of me to refer to all this as so much quackery. The worst thing was that I had to back off, bite my tongue (it&#8217;s still bleeding), and pretend to be a shruggie because they were PAYING guests (reviews are everything on the WWW).</p>
<p>I bet I could double the rates if I could find the time to get that Reiki Master certificate, add some incense pots, strew around a few copies of &#8220;Natural News&#8221;, and offer super-organic-all natural vitamins in place of the bowl of fruit. And &#8220;free consultation&#8221; coupons to the local whack &#8216;em hard/whack &#8216;em once, of course.</p>
<p>I know I&#8217;ve written this before, but I DESPAIR. (I do think I will print out the new e-books, though and leave those somewhere discreet&#8211;like on the toilet lid or the pillow).</p>
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		<title>Comment on FDA v. Jack3d: Round 2 by daveschlac</title>
		<link>http://www.sciencebasedmedicine.org/index.php/fda-v-jack3d-round-2/comment-page-1/#comment-125993</link>
		<dc:creator>daveschlac</dc:creator>
		<pubDate>Fri, 17 May 2013 22:28:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26226#comment-125993</guid>
		<description><![CDATA[Daedalus2u,

I see you are still the resident expert on Nitric Oxide.

Are you still confident on its importance to human health? Weren&#039;t you trying to get a product to market?

On Topic: I have some body builder friends who have tried Jack3d once, said it is seriously powerful stuff and that they would never use it again.]]></description>
		<content:encoded><![CDATA[<p>Daedalus2u,</p>
<p>I see you are still the resident expert on Nitric Oxide.</p>
<p>Are you still confident on its importance to human health? Weren&#8217;t you trying to get a product to market?</p>
<p>On Topic: I have some body builder friends who have tried Jack3d once, said it is seriously powerful stuff and that they would never use it again.</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comment on Whack em hard/Whack em once and Stroke by Blue Wode</title>
		<link>http://www.sciencebasedmedicine.org/index.php/whack-em-hardwhack-em-once-and-stroke/comment-page-1/#comment-125991</link>
		<dc:creator>Blue Wode</dc:creator>
		<pubDate>Fri, 17 May 2013 22:22:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.sciencebasedmedicine.org/?p=26254#comment-125991</guid>
		<description><![CDATA[mattyp wrote: &quot;Was the Bronfort review into chiropractic (http://www.biomedcentral.com/1746-1340/18/3) not up to standard?&quot;

No.  It had very little to do with ‘chiropractic’, and the UK General Chiropractic Council, who commissioned the review, were caught out by it.  See:
http://www.zenosblog.com/2010/11/where-the-evidence-leads/

For a quick summary, see here
http://edzardernst.com/2012/11/the-risk-of-neck-manipulation/#comment-1368]]></description>
		<content:encoded><![CDATA[<p>mattyp wrote: &#8220;Was the Bronfort review into chiropractic (<a href="http://www.biomedcentral.com/1746-1340/18/3" rel="nofollow">http://www.biomedcentral.com/1746-1340/18/3</a>) not up to standard?&#8221;</p>
<p>No.  It had very little to do with ‘chiropractic’, and the UK General Chiropractic Council, who commissioned the review, were caught out by it.  See:<br />
<a href="http://www.zenosblog.com/2010/11/where-the-evidence-leads/" rel="nofollow">http://www.zenosblog.com/2010/11/where-the-evidence-leads/</a></p>
<p>For a quick summary, see here<br />
<a href="http://edzardernst.com/2012/11/the-risk-of-neck-manipulation/#comment-1368" rel="nofollow">http://edzardernst.com/2012/11/the-risk-of-neck-manipulation/#comment-1368</a></p>
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