June 13th, 2011 by Elaine Schattner, M.D. in Health Tips, Opinion
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The June issue of Wired carries a feature on the Booming Market for Human Breast Milk. You can read about the under-the-counter and over-the-Internet sale of “liquid gold” with a typical asking price in the range of $1 to $2.50 an ounce.
Here’s a taste, from the article:
…“rich, creamy breast milk!” “fresh and fatty!”… Some ship coolers of frozen milk packed in dry ice. Others deal locally, meeting in cafés to exchange cash for commodity…
Late last year, the FDA issued a warning about feeding your child human milk from strangers. Still, the stuff’s barely regulated.
milk containers, Wired Magazine, June 2011
As much as I think it’s a good idea for women to breast feed their babies as best they can, I was pretty shocked to learn about this unregulated industry. Mainly because if a woman who donates milk is infected with a virus, like HIV or HTLV-1, the milk often contains the virus. The infant can absorb the virus and become infected. Feeding human breast milk from an unknown donor is kind of like giving a child a blood transfusion from a stranger, unchecked by any blood bank.
I’m not sure why Wired ran this story, which is admittedly interesting. Maybe it’ll push the FDA to take a more aggressive stance on this matter, as it should.
*This blog post was originally published at Medical Lessons*
June 6th, 2011 by Kimball Atwood IV, M.D. in Quackery Exposed
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A good case of smallpox may rid the system of more scrofulous, tubercular, syphilitic and other poisons than could otherwise be eliminated in a lifetime. Therefore, smallpox is certainly to be preferred to vaccination. The one means elimination of chronic disease, the other the making of it.
Naturopaths do not believe in artificial immunization . . .
—Harry Riley Spitler, Basic Naturopathy: a textbook (American Naturopathic Association, Inc., 1948). Quoted here.
Here’s what a good case of smallpox will do for you:
If you’re lucky enough to beat the reaper (20-60%; 80% or higher in infants) or blindness (up to 30%), those blisters will leave you scarred for life. Oh, and the next time a good smallpox epidemic comes around, your children born since the last one will catch it and contribute their fair share to the death rate. But not you because you’ll be immune, so you’ll have the “preferred” experience of watching your children die well before you do.
Variolation and Vaccination
Except that none of this will happen, because the disease has been eradicated from the world—thanks, of course, to vaccination, which Napoleon reasonably called “the greatest gift to mankind.”
Smallpox was “the most terrible of the ministers of death.” It began at least several thousand years ago and rapidly spread wherever its human carriers traveled, eventually to the entire populated world. In endemic regions, it wiped out 1/4 to 1/3 of children in epidemics that occurred every few years. In epidemics among people who had not previously seen it, such as the natives of the Western Hemisphere during the early years of European explorations, it wiped out as many as 90% of everyone. It brought down armies and empires. Monarchs dropped like flies; it spared no socioeconomic class. Gods were invented in its name. There was never an effective treatment for it once it had begun.
Prior to the advent of vaccination, there was a heroic method that proved useful in reducing the severity of the disease. This was inoculation (‘variolation’): crude matter from a pustule of someone with the disease was etched into the skin of an uninfected person. This resulted in somewhat more indolent clinical cases, with death rates of ‘only’ around 2%, but the disease remained terrible and those so infected could still transmit it to others by means other than inoculation.
Vaccination, as many readers already know, was introduced near the end of the 18th century in England by the physician Edward Jenner. Jenner neither discovered it—it seems to have been discovered by milkmaids (and their close associates) who had noticed that after experiencing a cowpox blister, they never caught smallpox—nor was he the first to use it purposefully or even to write about it. He was the first, however, to conduct and report a series of convincing experiments demonstrating that people previously infected with cowpox could not subsequently be infected with smallpox (by variolation). He also showed that cowpox could be transferred from person to person by inoculation of matter from the cowpox blister, thus offering the first method for widespread use. Jenner is thus given credit not only for having introduced vaccination for smallpox, but for having introduced the concept of vaccination in general, although he would not live to see another example.
The Antivax Movement is Born
Opposition to smallpox vaccination (the name comes from the Latin for “cow”) began almost immediately after Jenner’s reports and remained substantial for more than 100 years. Some opposition was explicitly religious; some was based on disbelief in the method or, later, in the Germ Theory; some objectors claimed that vaccination caused terrible diseases, including smallpox itself; some voiced a political objection to state mandated vaccination programs. An early cartoon suggested that if Jenner had his way, people would start to look like cows:
Two antivax organizations in 19th century Britain were the National Anti-Vaccination League and the Society for the Abolition of Compulsory Vaccination. They sought to discredit Jenner’s reports and to argue, in keeping with the popular “hygiene” and “sanitation” movements of the day, that “cleanliness is more likely to prevent smallpox than [is] introducing filthy matter into the body.”
The Holy Trinity of American Quackery
These were, in the late 19th and early 20th centuries, homeopathy, chiropractic/osteopathy, and naturopathy. Hahnemann himself had approved of his contemporary Jenner’s assertion, believing that it confirmed “like cures like” (ably refuted by Oliver Wendell Holmes, Sr.). Constantine Hering, however, the “Father of American Homeopathy,” was the first homeopath to declare his opposition to vaccination. He called it “always a poisoning” and asserted, “we learn from year to year a more certain and better way of curing small-pox homeopathically.” He nevertheless admitted in 1883, near the time of his death, that this ‘better way’ had not achieved the certainty of prevention by vaccination.
In 1918, Benedict Lust, the “Father of American Naturopathy,” wrote this:
Like the alchemist of old who circulated the false belief that he could transmute the baser metals into gold, in like manner the vivisector claims that he can coin the agony of animals into cures for human disease. He insists on cursing animals that he may bless mankind with such curses.
To understand how revolting these products are, let us just refer to the vaccine matter which is supposed to be an efficient preventive of smallpox. Who would be fool enough to swallow the putrid pus and corruption scraped from the foulest sores of smallpox that has been implanted in the body of a calf? Even if any one would be fool enough to drink so atrocious a substance, its danger might be neutralized by the digestive juices of the intestinal tract. But it is a far greater danger to the organism when inoculated into the blood and tissues direct, where no digestive substances can possibly neutralize its poison.
The natural system for curing disease is based on a return to nature in regulating the diet, breathing, exercising, bathing, and the employment of various forces to eliminate the poisonous products in the system, and so raise the vitality of the patient to a proper standard of health.
Official medicine has in all ages simply attacked the symptoms of the disease without paying any attention to the causes thereof, but natural healing is concerned far more with removing the causes of disease…
In those words we find several of the recurring themes in quackery that were evident in the 19th century and remain so today. We know that naturopaths continued to espouse this view of vaccination at least until 1968, when the quotation at the top of this essay was among the materials they submitted to the Department of HEW in an unsuccessful attempt to be covered by Medicare. They’ve since learned to be somewhat more subtle about the issue, possibly because of the 1968 failure, but their distaste for vaccinations in general persists, as explained here.
An Aside: the “Cause of Disease,” Naturopathy-style
I’m sure you’ve been wondering, so here it is, right from the pen of Harry Riley Spitler, the author of the quotation that began this piece (courtesy of the 1968 HEW report):
The primary cause of disease is reaction to unnatural environment . . . When the body is weighted down by toxins in excess of the amount with which the vital force is able to cope, then enervation… supervenes and there is a lag in the body’s power to expel the “ashes” of metabolism… Enervation leads to the secondary cause of so-called disease — toxemia. Toxemia is the state of auto-intoxication resulting from the accumulation ot poisons in the body – poisons taken in from without in the form of incorrect food, impure water, vitiated air, etc., and which are not thrown off by the body because of its enervated state, and in addition thereto the poisons formed within the body itself by the processes of metabolism. . . The presence of these poisons within the blood stream and tissues causes the vital force to make efforts to eradicate toxemia, and these efforts are what is called “diseased crises.” . . . Disease, therefore, is not a hostile entity to be attacked, but is rather a manifestation of vital force in its efforts to continue to live and to remove anti-vital conditions caused by man’s deliberate, or ignorant, breaking of the laws of health and life … Disease, then, is the result of stagnation and accumulation of filth in the blood stream and in the tissues.
And the cure? Back to Lust:
The Program of Naturopathic Cure
1. ELIMINATION OF EVIL HABITS, or the weeds of life, such as over-eating, alcoholic drinks, drugs, the use of tea, coffee and cocoa that contain poisons, meat-eating, improper hours of living, waste of vital forces, lowered vitality, sexual and social aberrations, worry, etc.
2. CORRECTIVE HABITS. Correct breathing, correct exercise, right mental attitude. Moderation in the pursuit of health and wealth.
3. NEW PRINCIPLES OF LIVING. Proper fasting, selection of food, hydropathy, light and air baths, mud baths, osteopathy, chiropractic, and other forms of mechano-therapy, mineral salts obtained in organic form, electropathy, heliopathy, steam or Turkish baths, sitz baths, etc.
And, of course, enemas.
Natural healing is the most desirable factor in the regeneration of the race.
Wow. It’s all kind of fascistic, no? But I’m digressing.
More on the Holy Trinity
You probably noticed Lust’s approval of chiropractic, another field with a rich tradition of antivax fervor. Some chiropractors have learned to be a bit more subtle; others have not (and not all contemporary chiropractors are opposed to vaccinations). If you’ve perused the 1968 HEW report, you also know that the American naturopathic schools of the mid-20th century were mostly spawned by chiropractors, and that for some time there was little distinction between naturopaths and “mixer” chiropractors. Many “NDs” of that time also had “DC” after their names.
You may also know that contemporary naturopaths love homeopathy. Lust didn’t include it in his NEW PRINCIPLES OF LIVING, probably because of his emphasis on “drugless healing.” Nevertheless, he praised Hahnemann for having shown “the physicians of his day…that just as good results could be brought about by means so gentle that even a delicate child could be treated, without the slightest particle of danger.” It seems to have been left to the next generation of American naturopaths to fully embrace homeopathy, and this was done most conspicuously by a man who himself embodied the Holy Trinity of Quackery: John Bastyr, N.D., D.C. (1912-1995), the “Father of Modern Naturopathic Medicine.”
Bastyr was also described as a
…third-generation homeopath from Dr. Adolph von Lippe. His teacher was Dr. C. P. Bryant (who had been, in 1939, president of the International Hahnemannian Association). C. P. Bryant had been taught by Walter Bushrod James who had been one of Lippe’s closest students. He received doctorate degrees in naturopathy and chiropractic from Northwest Drugless Institute and Seattle Chiropractic College, respectively. He became licensed to practice naturopathic medicine in 1936. He is also credited with being the Father of Modern Naturopathic Medicine. Because of Bastyr’s influence naturopaths have been at the forefront of the rebirth of homeopathy in this country. He made sure that homeopathy shared equal emphasis with nutrition, hydrotherapy and botanical medicine in naturopathic education. Dr. Bastyr considered manipulation the most important therapy in his practice.
So there you have it: the mystical unity of three seemingly incompatible True Causes (Psora, Subluxations, Toxemia), and of three seemingly incompatible True Cures (similia similibus curentur, spinal manipulation, enemas). No wonder that John Bastyr the chiropractor is credited with having been the Saviour of naturopathy and homeopathy in the United States.
Another Aside: Early Vaccinations really were Dangerous
It’s ironic to consider that many of the early objections to smallpox vaccinations were somewhat justified, far more so than are contemporary objections to contemporary vaccinations. Material gathered from cowpox blisters, transferred from human to human, was invariably contaminated. Diseases plausibly attributed to such “arm to arm” vaccinations, in the era before the Germ Theory elucidated such risks in advance, included syphilis, hepatitis, and even smallpox itself, due to contamination from variolations occurring within the same hospitals or clinics. The advent of exclusively animal sources of cowpox didn’t occur until the mid-19th century, and “arm to arm” vaccinations weren’t outlawed in Britain until 1898. Preparations of pure virus—vaccinia—were introduced only in the mid-20th century.
The political objection to mandatory vaccinations also had more clout in the early days, when the concept of “herd immunity” had yet to be introduced.
“All this has happened before, and all this will happen again.”
This is from a meeting of the Connecticut Homeopathic Medical Examining Board, March 12, 2003:
TREATMENT OF SMALLPOX
The Board reviewed the following procedures for the prevention and treatment of smallpox as submitted by Dr. Mullen:
PREVENTION
Malandrinum
It is recommended to administer it at a potency of 30 CH twice a day for up to 5 days as a preventive. This remedy is also very useful to combat the ill effects of Allopathic small pox vaccination, as well as to control the disease that happens when a person gets unwillingly infested by the vaccine received from another.
Sarracenia
It is recommended to administer this remedy at potencies of up to 9 CH. I believe a good dosage schedule would be once a week for 2 or 3 weeks. It is recommended to administer this remedy at a potency of 6 CH every 8 days. Also useful in recent and distant ill effects of Allopathic vaccination.
Vaccininum
An indication for the use of vaccininum would be a patient’s fear of contracting smallpox.
Variolinum
Both Drs. Allen and Vosin enthusiastically endorse this remedy for the prevention of small pox. I would advice to administer it at potencies of 30 CH or 200 CH weekly for 3 or 4 weeks.
TREATMENT
Malandrinum
It is recommended to administer it at a potency of 30 CH. This remedy is particularly useful in patients whose symptoms are more evident in the lower half of the body. I would recommend daily administration for 5 consecutive days and then re-evaluate the patient.
Mercurius 200 CH every other day alternating with Thuja 200 CH.
I would recommend to use this combination up to 10 consecutive days and then re-evaluate the patient.
Sarracenia
It is recommended to administer this remedy at a potency of 9 CH. I would recommend to use it for 5 consecutive days and then re-evaluate the patient. This remedy can stop the disease in its earliest stages, including the development of pustules. The patient may be very sensitive to light, weak in the shoulder area and have shooting pains in zigzag from the lumbar region to the middle of the scapula.
Variolinum
It is recommended to administer it at any potency. I would recommend using it for up to 5 consecutive days, depending on the potency, and then re-evaluate. Variolinum is useful in patients with mild and uncomplicated small pox. Also when pustules are surrounded by a red halo and are often very itchy. Every other day for up to 10 consecutive days and then reevaluate the patient.
Thuja 200 CH
Every other day for up to 10 consecutive days and then re-evaluate the patient.
Wow. What exquisite, quaint, balderdash. Here’s a fun exercise that readers might enjoy: see what contradictions you can find between what you’ve just read and other efforts of the Connecticut Department of Public Health. Hint: start here. Then look at some of the practice acts, such as those for homeopathy, naturopathy, and chiropractic. Does one hand know what the other is doing?
*This blog post was originally published at Science-Based Medicine*
May 27th, 2011 by Edwin Leap, M.D. in Humor, True Stories
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As the country wrestles with the cost of health-care, and as various media outlets address the role of emergency departments, I thought this little guide-might be helpful! I pulled it out of my archives from several years ago. Enjoy!
All too often, I discharge a patient and think to myself, What instructions can I give for this? Sometimes there are problems and questions that don’t have obvious solutions or answers. And in these situations, coming up with something useful for the patient to read at home is, to say the least, difficult. I’ve come up with a few based on some of the enigmas I see at Oconee Memorial Hospital.
Virginity evaluation: The emergency physician has not determined the status of your daughter’s virginity. In fact, the emergency physician does not wish to know the status of your daughter’s virginity. Furthermore, this doesn’t constitute an emergency. Unfortunately, no one has so far developed any simple home kits for making this determination. If you do, please notify the emergency department so that we can refer other families to your product. If you wish to know more about your daughter’s sexuality, try talking to her. If you found her naked in bed with a boy, you don’t need us.
Drug use evaluation: The emergency physician has not performed a random drug test on your teenage son. He has no complaints, is not suicidal, and has no apparent medical problem. This is not a family counseling center. If you want to know if he is using drugs, talk to him. Admittedly, he is a surly, unpleasant, disheveled, and foul-mouthed young man, whose multiple piercings make him look like a Stone Age erector set. But finding out if he is using drugs simply doesn’t constitute what we like to call an emergency. If he isn’t using drugs, be certain that repeated trips to the emergency department accompanied by screaming parents will certainly give him good reason to start.
Whole body numbness: It simply isn’t possible to be awake, walking, talking, and functioning and be entirely numb from head to toe. Admittedly, your ability to overcome the sensation of sharp needles and other painful stimuli is impressive, and may herald a future career with the CIA. For now, however, our physician has determined that the one thing likely to be numb on your person is your skull. Read more »
*This blog post was originally published at edwinleap.com*
May 9th, 2011 by Edwin Leap, M.D. in Opinion, True Stories
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Years ago I had a conversation with a surgeon at our facility. He was unhappy that a seriously injured trauma patient came to our facility after a MVC. ‘These patients shouldn’t come here Ed, they should go to a trauma center!’
Fair enough; we aren’t a trauma center. Not a Level I, not a Level II or III; not even a level 0.5! But we are the only hospital in a large rural county, and the closest, largest facility for portions of a few other counties nearby. The nearest hospital with neurosurgery and thoracic surgery is at least 30 minutes further away.
The problem is, torn blood vessels, crushed spleens, collapsed lungs, swollen brains don’t look at the clock, and cars aren’t designed to wreck only near trauma centers, any more than assailants shoot and stab people only within proximity of appropriate care. (It rather defeats the purpose of attempted murder, you know. )
Recently, my partner had the same conversation with the same surgeon. The patient had been shot twice and was hypotensive. ‘These patients shouldn’t come here!’ We understand, the conditions may not be ideal and trauma is, to be quite honest, fraught with medical and legal peril. Read more »
*This blog post was originally published at edwinleap.com*
April 27th, 2011 by Edwin Leap, M.D. in Health Policy, True Stories
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Our emergency department was very busy recently. The hospital was full and we were holding patients. Three had been in the ER many hours; one waiting for a bed for six hours, another eight hours, and still one more for eleven hours. Of course, ambulance traffic hadn’t stopped and the waiting room was full, with patients waiting too long to be seen. (And we all know that the media loves to highlight bad outcomes from the ER waiting room!)
Administration set up a ‘command post’ to try to arrange beds, discharges and moves. At one point I asked one of our administrators to move those waiting the longest to hallway beds up on the patient floors. He told me that he couldn’t because each of the two floors in question already had one patient in the hall. And besides, it would violate the patients’ privacy and make it too difficult for the nurses to do their admissions assessments.
I pointed out, ‘our nurses do assessments in the hall, our patients don’t have privacy and sometimes we have to work with seven or eight patients in the hallway!’
He replied, ‘yes Dr. Leap, I know, but I won’t move anyone else to the hall upstairs. I just won’t.’ I asked why. With a slight sense of obvious discomfort he replied, ‘because there is a different standard. When patients leave the ER, they expect to go to a better place.’ Read more »
*This blog post was originally published at edwinleap.com*
