March 3rd, 2008 by Dr. Val Jones in Uncategorized
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Ok, it’s no surprise why Dr. Val is leading a weight loss group
here at Revolution Health. She is a serious food lover. And for those of you who are equally smitten with all things gastronomical, check out the list of folks that I’ll be schmoozing with next month:
Daniel Boulud
Gary Danko
Dean Fearing
Gael Greene
Jess Jackson
Thomas Keller
Sirio Maccioni
Danny Meyer
Robert Mondavi
Robert Parker
Jacques Pepin
Paul Prudhomme
Wolfgang Puck
Ruth Reichl
Phyllis Richman
Mimi Sheraton
Martha Stewart
Jeremiah Tower
Charlie Trotter
Jean-Georges Vongerichten
Alice Waters
Tim and Nina Zagat
It’s the 30th Anniversary Celebration of the Inn at Little Washington! Let me know if you’re planning to be there… or if you’re just jealous.
This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
February 10th, 2008 by Dr. Val Jones in Uncategorized
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I am so excited to see that we now have more than 1000 people working together to lose up to 20 pounds by spring. Why are people flocking to this group? Here are my thoughts:
1. People want to lose weight (this is my “no, duh” point)
2. Support groups help people with accountability – the Hawthorne effect (people work harder when they’re being watched) is powerful and we’re using it to our advantage.
3. The people in my group are really cool – they have creative ideas and are always encouraging one another to strive harder.
4. The activity tracker is fun – you can fill out a daily check box regarding your diet and exercise compliance.
5. I can offer medical information and guidance when necessary, plus I’m an enthusiastic cheerleader.
6. It’s free and really easy to use.
7. We’re using the American Heart Association fitness guidelines as part of a comprehensive weight loss strategy.
At this point in the year, at least one third of people have given up on their New Year’s resolutions… but the trick is not to wait another year to get back on track. If you’re struggling with weight loss goals, why not join me and 1000+ other motivated people who want to make long term habits that will get us all to a healthier place? We have weekly challenges, and share everything from recipes to pet photos. Come on in, the water’s warm!This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
February 5th, 2008 by Dr. Val Jones in Quackery Exposed
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The financial burden of snake oil
Prickly snake oil seeds are taking root in the soil of our broken healthcare system. Consumer discontent and feelings of helplessness are the manna of charlatans – and they are growing fat in our lean times. Unprecedented opportunity for promotion via the Internet, coupled with chronically short audience attention spans and generalized patient exhaustion (from the treadmill of life) are creating the perfect climate for the spread of pseudoscience.
I must admit that I had turned a blind eye to the whole pseudoscience movement until fairly recently. I figured it was harmless enough – placebos that might engage peoples’ minds in a more optimistic view of disease. But little did I realize that this tumor on the face of medicine would become life threatening to the advancement of science and truth.
Take for example the money that Americans spend on weight loss supplements – 1.3 billion dollars per year, and yet the American Academy of Family Physicians has found no evidence to support the use of a single one. That’s more money than the World Health Organization’s annual budget, and more than Great Britain spends on cancer research in a year. The supplement industry in general rakes in 20 billion dollars a year, which is more than the total amount spent by the US government in the wake of hurricane Katrina.
And what do snake oil salesmen think of this colossal waste of resources? Why, they’re touting it as a new era of enlightenment of course. They weave in “all natural” products, “mindfulness” practices, and “detoxification” programs into a comprehensive feel-good message that is a soothing balm to anxious souls. In reality they are leading the public down a garden path towards a false wellness nirvana, fleecing them as they go, and sowing seeds of mistrust for science-based medicine.
The rise of snake oil salesmen
The strongest potion in the snake oil salesman’s repertoire is the placebo. Placebos are treatments that work based solely on the power of suggestion. A so-called placebo effect occurs when a patient’s symptoms are altered in some way (i.e., alleviated or exacerbated) by an otherwise inert treatment, due to the individual expecting or believing that it will work. If a snake oil salesman is to become truly successful, he must build a case for his wares through anecdotes and testimonials. To obtain these, he must be a master of the power of suggestion, cultivating a small number of “true believers” from which to conjure evidence for the effectiveness of his oil. He need not convince the majority, a small minority of passionate believers will do. As Mark Twain writes, “The most outrageous lies that can be invented will find believers if a man only tells them with all his might.” Therefore, a common denominator with many snake oil salesmen is charisma and charm.
Once the charlatan has developed his small but passionate following, and some miracle cure anecdotes, he will then start playing the role of a victim. He will look for individuals who are willing to challenge his pseudoscientific claims, and then cry out to his loyal followers that he is being persecuted. He will use racism imagery to describe an illusionary bias against himself and the “good” that he is trying to do for those who are open-minded and willing to forsake “paternalistic” science. His followers will be further emboldened to carry the banner of this “downtrodden hero” as they continue to fall for his under-dog psychology.
The snake oil salesman, of course, will not gain traction with key opinion leaders in medicine, so he is left to draw from the Hollywood celebrity pool to further evangelize the masses. Medical leaders will roll their eyes and ignore his obvious pseudoscience, much to the detriment of the general public who have a hard time discerning science from pseudoscience. The charlatan then points to the medical profession’s silence as “proof” that they cannot deny his claims, further convincing susceptible listeners.
Then years later as snake oil salesmen realize that there is further strength in numbers, they gather together to form the first snake oil union. They create a continuum of oily treatments, gathering anecdotes and testimonials from one another in pseudoscientific “meta-analyses” to further strengthen their assault on science and reason. They find wealthy donors and benefactors who are impressed by their growing numbers, and match them with cash-strapped academic centers who will desperately accept funds for any vaguely scientific purpose. The snake oil team now has won a respectable platform from which to grossly inflate statistics about public use of “alternative medicine” (lumping “prayer” into the list of therapies which, combined together, would have you believe that over 60% of Americans are using alternative therapies like homeopathy).
Snake oil goes mainstream
Now that the very same snake oil that medical experts didn’t wish to dignify with a response is being promoted by academic centers, we are obligated to fund research into the potential therapeutic uses of these placebos, wasting countless millions in government funding to study implausible therapies. With a critical mass of snake oil believers, few dare to challenge the wisdom of this approach, and have become passive observers in a downward spiral that is harming the credibility of the very centers founded to promote objective scientific inquiry.
Can good science separate the wheat from the alternative chaff? Yes, but the problem is that few people seem to care about truth any more. While the American Academy of Family Physicians demonstrates that no single weight loss supplement is recommended for public use, the public is spending 1.3 billion dollars per year on these very supplements. Why? Maybe the AAFP is not reaching the public with their message, or maybe people are simply unable to resist the sweet lure of false promises?
Nonetheless, there is a growing movement in medicine to reclaim scientific territory stolen while we shrugged passively at the snake oil lobby. Blogs like Science-Based Medicine and Respectful Insolence are uniting physicians who believe in the importance of objective scientific inquiry as the foundation for the best therapeutic decision-making.
As the healthcare budget crunch looms, further pressure will be placed on providers and pharmaceutical companies to demonstrate the efficacy of their treatments in order to be eligible for coverage. This will be a boon to scientific medicine, as therapies that actually work will (by budgetary necessity) be preferentially selected for reimbursement. While Big Pharma undergoes further scrutiny, they will also turn to science to demonstrate the utility (or lack thereof) of their drugs. Therefore, those in search of truth will not be completely thwarted by pseudoscience.
Yet patients are free to pay out-of-pocket for any number of alternatives to scientifically proven medicine. I predict that further healthcare access limitations will drive more people to look for placebos than ever before, much to the detriment of those who have diseases that are treatable or curable through proven therapies. I worry far more about missed therapeutic opportunities than the dangers of the snake oil itself.
So my final advice is this: eat a well-balanced, calorie controlled diet, engage in regular exercise, stay within a healthy weight range, sleep well, participate in loving relationships, don’t smoke, do drugs, or drink in excess. At least 60% of your medical problems will be prevented if you do these things. You do not need to waste your money on supplements and snake oil – put that money into a savings account that you can access in case you become seriously ill and your insurance doesn’t cover all the best, evidence based care that you need.
Do not tithe to the snake oil salesman. Resist the dulcet tones of the false promises. Save your money to do good, and listen to your own voice of reason.This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
January 23rd, 2008 by Dr. Val Jones in Announcements
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I am very pleased to announce that this little blog of mine has won the highly coveted “Best New Medical Blog, 2007” award from MedGadget.com. Please go to the MedGadget site to check out all the other finalists and winners – I am truly honored to be counted among them.
If you’d like to peruse the best of my blog posts from this past year, simply click here.
If you’d like to check out some of my cartoons, please click here.
If you’d like to lose weight (yes, that’s right – Dr. Val is leading a weight loss group complete with activity tracker tools and a vibrant discussion board) please click here.
A heartfelt thanks to those of you who voted for me. I was touched that MedGadget mentioned that my blog provides “a human approach to medicine, balancing news and research with anecdotes and humor.” I think that sums up my style nicely.
Hope to see some of you in my weight loss group!This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
January 22nd, 2008 by Dr. Val Jones in Opinion
3 Comments »
The New York Times reported on a growing number of bloggers who identify themselves as “fat” and are proud of it. Their message is clear: accept yourself as you are, be proud of your body, and don’t feel forced to conform to the “thin is in” crowd. The Times continues:
Smart, sassy and irreverent, bloggers with names like Big Fat Deal, FatChicksRule and Fatgrrl (“Now with 50 percent more fat!”) buck anti-obesity sentiment. They celebrate their full figures and call on readers to accept their bodies, quit dieting and get on with life.
The message from the fatosphere is not just that big is beautiful. Many of the bloggers dismiss the “obesity epidemic” as hysteria. They argue that Americans are not that much larger than they used to be and that being fat in and of itself is not necessarily bad for you.
And they reject a core belief that many Americans, including overweight ones, hold dear: that all a fat person needs to do to be thin is exercise more and eat less.
What do I make of this? I think that the so-called fatosphere has hit on some important issues: discrimination against the obese, media pressures to be rail thin, and excessive yo-yo dieting are all unfortunate and perhaps dangerous aspects of our culture. Self-esteem can be rapidly eroded by unrealistic beauty ideals, and young women are particularly vulnerable. I whole heartedly agree with the fatosphere’s rage against the collateral damage of anorexic values. But I also think that the fatosphere goes too far in arguing that obesity is not a health problem and that some people are unable to lose weight and should stop trying.
First of all, there is no scientific doubt that obesity contributes to increasing type 2 diabetes and heart disease rates. Now, it’s true that some people’s bodies can handle extra fat without becoming diabetic or perhaps having a heart attack, but why take the risk?
Second, I agree that the jury is still out regarding how “dangerous” being overweight is (as opposed to being obese), and that people with BMIs <30 may indeed be physically fit with no obvious increases in morbidity and mortality. Yes, there is one controversial study that suggests that a little extra fat may actually be protective. But let’s not exaggerate those findings. It was a “little extra fat,” (i.e. being overweight) not obesity.
Third, I don’t believe that people are “doomed” to be obese. The National Weight Control Registry keeps a running list of thousands of Americans who have lost over 30 pounds of fat and kept that weight off for at least 5 years. Long term weight reduction is possible, and believing that it IS possible is important for success. So what do these successful folks have in common? No surprise here: long term, consistent calorie reduction and regular physical activity.
I have been cheering on my friend and blogger, Fat Doctor, as she works towards getting her weight out of the obese range. I do think that her voice is very much needed in the fatosphere: she acknowledges that weight loss is very difficult, she is honest about her struggles, she does not support discrimination against the obese or the pursuit of excessive thinness, but she knows that she must lose weight for her health, and she is getting medical help to achieve her goals.
If any of you out there would like to follow in Fat Doctor’s footsteps, there’s a weight loss group right here at Revolution Health (led by yours truly – and yes, I have some weight to lose!) that may help to get you back on track with regular exercise and healthy eating. Sixty percent of Americans are overweight or obese, which makes chubbiness pretty trendy. But we are not doomed… we can reverse this trend one person at a time. Let’s do it!This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
