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Physicians Against Dr. Oz’s Misinformation – A Battle They Cannot Win?

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A handful of physicians are collaborating to take Mehmet Oz, MD, to task on what they’re calling outlandish claims and bad medical advice. Their suggestion is to no longer pay attention to that man behind the curtain.

David H. Gorski, MD, PhD, at the blog Science-Based Medicine went after Dr. Oz for hosting segments about faith healing and consulting psychics. Dr. Gorski pulls no punches, saying, “Dr. Oz has in some ways imitated Oprah and in some ways gone her one better (one worse, really) in promoting the Oprah-fication of medicine. And this season has been a particularly bad one for science-based medicine on The Dr. Oz Show.”

(Dr. Mehmet Oz may be using his “Degree in Thinkology” to come up with some of his show topics.)

Val Jones, MD, the woman behind the curtain at GetBetterHealth.com, joined the crusade against Dr. Oz, saying that he’d descended from “competent and caring cardiothoracic surgeon whose research interest was reducing preoperative stress” to “America’s chief snake oil salesman.” She is organizing a campaign to drown out the bad information with better messages. (As a disclosure, ACP Internist‘s blog contributes to and draws posts from GetBetterHealth.com.)

ACP Member Peter A. Lipson, MD, also wanted to clear the air about primary and secondary prevention of heart attacks, “one of an internist’s most important tasks, given that heart disease is one of the three top killers of North Americans.” Read more »

*This blog post was originally published at ACP Internist*

Homeopathy: Why is Fraud Legal?

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Imagine hearing a commercial on the radio:

Send us money, and we won’t send you anything in return.

No one would do that, right? How about this:

Send us your money and we’ll send you an empty box.

Better? Not much. Now how is that different from:

Send us money and we’ll send you stuff we’ll call medicine that we claim will help you, but there’s no actual active ingredients in it at all.

I don’t think there’s one bit of difference. Wouldn’t you agree that that commercial is fraud, pure and simple? The problem is that the general public doesn’t understand that the word “homeopathic” means “diluted beyond the point where it contains any active ingredients.”

I’ve recently heard commercials for homeopathic vertigo treatments, eye drops for allergies, irritable bowel, and spider veins on legs. I’m tempted to contact the radio station and complain, but stopped short realizing that their first question is going to be, “But is it legal?”

That’s the problem: it is. So what I want to know is, why? Read more »

*This blog post was originally published at Musings of a Dinosaur*

Join The HealthyRT Experiment: Let’s Use Twitter To Drown Out Health Misinformation

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A few days ago I published a blog post about Dr. Mehmet Oz NOT being a trustworthy source of health information. It set off a firestorm of blog comments, tweets, and Facebook sharing – all because people (like me) had developed sincere concerns about the safety of viewers who might take his advice to heart. The outpouring of commentary, and the rapidity of the response made me wonder: can we harness this power for future good? Could we counter Dr. Oz’s (and others like him) misinformation with peer-reviewed content that’s easily accessible by Twitter and Facebook?

I chatted with some colleagues and concerned patient advocates on Twitter (including @academicobgyn @scanman @hrana @AmberMBaylor @DamonRamseyMD @RyanMadanickMD @jalbietz @DrElizabethLee @FaceliftMD @goodwillstacy @PWestcott ), and we all agreed that it would be a great service to have vetted health tweets available for people to read and retweet. If enough of us were regularly engaged in retweeting sound health stories and information, we could potentially drown out the “miracle cures” and snake oil that drives us all nuts.

So how would this work?

I’d like to get a small group of volunteer experts together – healthcare professionals committed to science and common sense – and have them read and approve links before they are promoted on Twitter. I have created a new Twitter account called “HealthyRT” – the volunteer experts will have access to this account and can promote content that is medically sound. I hope that the word will be spread about this account, and people will subscribe to the feed and RT links that they find helpful. In this way, everyone on Twitter has the power to RT good health content, and it takes very little effort for retweeters to be engaged.

Now, there is no guarantee that the feed will be perfect (no peer-review process is) but every effort will be made to ensure that it is not used for self-promotion or that the standards lapse over time. If there are any concerns, people can direct message the HealthyRT team and we’ll keep us on the straight and narrow with the help of the crowd (as it were).

This experiment could fail or peter out… or it may become the greatest anti-snake oil strategy in Internet history. It all depends on the commitment of the reviewers and the extent of our subscriber base. But I’m willing to give it a try… and I hope you are too!

Anyone interested in becoming a HealthyRT reviewer, please email me directly: val-dot-jones at getbetterhealth.com.

Everyone who’d like to help to promote good health content – and drown out the bad – please subscribe to HealthyRT and retweet it as much as possible.

Please use the comments section here if you have ideas about how to improve this strategy. Let’s do it!

*You can follow us now at: http://twitter.com/#!/HealthyRT *

Complementary And Alternative Medicine Can Be A Regressive Force Against True Science

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Science is a philosophy, a technology, and an institution. It is a human endeavor- our collective attempt to understand the world around us,  not something that exists solely in the abstract. All of these aspects of science have been progressing over the past decades and centuries, as we refine our concepts of what science is and how it works, as we develop better techniques, and organize and police scientific activities more effectively. The practice of science is not relentlessly progressive, however, and there are many regressive forces causing pockets of backsliding, and even aggressive campaigns against scientific progress.

So-called complementary and alternative medicine (CAM) is one such regressive force. It seeks to undermine the concepts, execution, and institutions of medical science in order to promote sectarian practices and ideological beliefs. Examples of this are legion, exposed within the pages of this blog alone. I would like to add another example to the pile – the recent defense of homeopathy by Dana Ullman in the Huffington Post (names which are already infamous among supporters of SBM). Read more »

*This blog post was originally published at Science-Based Medicine*

Warning: Dr. Mehmet Oz Is Not A Trustworthy Source Of Health Information

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When I was in medical school at Columbia University College of Physicians and Surgeons, Dr. Mehmet Oz had the reputation of being a competent and caring cardiothoracic surgeon whose research interest was reducing preoperative stress. I remember hearing about a music study of his in which soothing melodies reduced blood pressure and heart rates in patients preparing for heart surgery. I felt pleased that a surgeon was leading the charge in improving patients’ O.R. experiences, and had no inkling that 15 years later Dr. Oz would be America’s chief snake oil salesman.

I have been slow to criticize Dr. Oz on my blog because of a sense of loyalty to my medical school, however yesterday he crossed the line when things got personal – a friend of mine was negatively impacted by his misinformation to the point where her life was endangered. From watching his TV show, she was led to believe that she would put herself at risk for thyroid cancer if she got a mammogram. Several of her relatives have had breast cancer, and she should be particularly vigilant in her screening efforts. However, because Dr. Oz said that mammograms may themselves cause cancer, she opted out of appropriate screening.

My colleague Dr. David Gorski at Science Based Medicine has done an excellent job of documenting Dr. Oz’s almost Charlie Sheen-like career descent. Although he began his work as (presumably) a science-respecting surgeon, he now spends a lot of his time hosting a TV show that features faith healers, anti-vaccinationists, and psychics.

But how does the average lay person know how to evaluate Dr. Oz’s health claims? When Oprah’s network promotes him as “America’s physician” the platform itself offers him credibility, and a reach that can damage and misinform millions like my friend. I have a feeling that many of my peers at Columbia are concerned about Dr. Oz’s promotion of quackery, but once they’ve invested in his brand for so long, it’s easier to turn a blind eye to his nuttiness than to oust him from his academic positions. At what point is a celebrity doctor doing more harm than good to an institution’s reputation? Is he now “too big to fail?”

But back to my main point – dear readers if you watch Dr. Oz and think that he’s a credible source of health information, please be aware that much of what he says is inaccurate, exaggerated, and based on mystical belief systems. Please don’t act on his advice without checking with your own physician first.

Sadly, good science doesn’t always make good television. But the truth can make you well. Be warned that you are unlikely to find the truth consistently on the Dr. Oz show.

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