More Fun with Homeopath Dana Ullman, MPH(!)

Allo wth homeopath to go through the entire "individualisation" rigmarole but then just randomly allocate whether the patient will recevie the prescribed remedy or a blank control.

I'm afraid if you thought that was the difficult bit then you have not really understood how to test anything at all and have rather disqualified yourself from commeting on the tests that have been done.
It is not rigmarole - it is consultation leading to an individualized remedy or series of remedies to be decided as the case progresses that we are talking here - and the series would nearly always be different for each person.

So we are not testing a remedy - we are rather testing homeopathy against placebo( and I have noted that some here call the remedy placebo!).

Such are the difficulties in deciding "proper testing conditions "

If there is consensus that randomly allotting patients to receive placebo and homeopathy (series of remedies as required) (placebo?) is acceptable proof - then if there is any significant difference (favourable to the latter) - would it be acceptable proof that homeopathy is not placebo?
 
For that we must first agree on a true and fair definition of what is true cure and what is symptomatic cure (suppression).

That is a very strange thing to say for a proponent of homeopathy. Homeopathy only recognizes symptoms. Any remission where symptoms disappear is a true cure on the book of homeopathy.

I repeat that proof in the form of physical (material drug - controls - large numbers of non- homogeneous patients treated with one specific drug )evidence of the type that you are trying to manouevre me into is nothing but intellectual dishonesty;

The intellectual dishonesty is that you make this claim. I do not ask you to treat patient with one specific drug. You can individualize all you will, I don't care.

you very well know that homeopathy works with no material above 12C or 24X;

I know very well that homeopathy doesn't work at all.

further homeopathy is individualized treatment of one person with one or more remedies over time with a view to complete cure.

I never said otherwise.

And this can be proved in thousands of cases recorded - unrecorded cases would run into large numbers since self prescription is possible in homeopathy with much greater safety than conventional medicine OTC drugs.

How would you document anything with unrecorded cases? Unrecorded cases = hearsay.

Thousands of cases? That is exactly one of the beefs I have with the so-called clinical record of homeopathy: It is so incomplete that it is ridiculous. This works right from the start; how many case accounts do we have from Hahnemann's hand? About 200? Hahnemann practiced for almost 50 years. He must have treated thousands of cases.

One of the most prolific recorders of homeopathic cases of the present, Vitoulkas [sp?], has recorded what? About 1500 cases. However, he has practiced very actively for decades and must have treated tens of thousands of patients.

What about all the cases that homeopaths fail to report? Why do they only report some of their cases? Well, I know the answer: They report the cases they find characteristic. We have another term for that: Cherry picking.

Even so unsuitable trials of single remedies used on large non- homogeneous persons with a mechanically selected remedy have shown surprisingly good results at times, and expectedly poor results at other times!!

Yes, and I can predict the throw of a coin about 50% of the times.

This is as it should be, and cannot in any way be construed as a proof that homeopathy has failed to work consistently in all the trials.

I'm sorry, but you cannot make your own rules. Either it works consistently, or it doesn't. You would require no less of a conventinal medicine.

Millions of people on this planet use homeopathy because it works just as the billions who use conventional medicine because it works .

Wrong. All those people use whatever they use because they believe it works. The difference is that we can prove that the conventional meds actually do work.

Hans
 
Practitioners of homeopathic medicine are as real as the practitioners of 'real' medicine.

In what way do you mean "real"? Of course they are real people, nobody doubts that, but do they have a real and certified education? Are they under public control and registration? Is there an official complaint system? ( I realize that the situation in India is special on this account).

They have large following of patients who have been cured and have sent many others to be treated, at first disbelieving and later cured believers -

So have woodo practitioners, healers, witch doctors, reiku healers, etc. etc.

homeopathy is slow gentle and sure footed.

If it is so sure-footed, how come the results are so fleeting in controlled trials?


Hans
 
As for Mr. Monkey...it seems that you disbelieve in Darwinian thinking because you have not yet evolved and are still asking the same tired and innane questions. Please evolve...for your own good.

Hmm...but here's the really funny thing. They are not difficult questions but you keep resorting to tedious ad hominems rather than answering them.

So, yet again, I return to your clinical evidence base;

4. Can you tell us whether either of these machines works?

http://www.bio-resonance.com/elybra.htm

http://www.remedydevices.com/voice.htm

Bear in mind that the users of these machines rely on exactly the same anecdotal experience and fallacious post hoc reasoning that every other homeopath does. Are the homeopaths who use these machines right or wrong in thinking they work?

It's a very simple question and capable of a single-word answer.

I'll give you a new question just so you can show how well you understand the interpretation of clinical trial data;

9. I set a p-value for significance of 0.05 and run 100 trials. In no trial is the test substance distinguishable from the control. How many trials can I expect to show an apparent "effect" from my test substance?

p.s. To return to that Elia paper for a moment. I do hope it will not turn out that you have cited it in evidence without having read the full text. I have ordered a copy so at least we can see what they claimed to have found. I'm sure you already have one, so perhaps you could give us a brief resume including a discussion of the controls. I also note that the second paper you cite has retreated back into a homeopathic house journal.
 
Not so fast. You missed the part where I said such trials are not appropriate but are being done.

They are increasingly showing (double blind placebo) that they work.

What I am saying is that the so called good journals of your liking do not readily publish the studies.

Then you must accept the studies (double blind placebo) published in ALL journals and not have your way in all things - judge, jury and executioner!!!
This is lies. Simple as that. Journals live by circulation. If a properly conducted study showing a sensational result is presented, then they will publish it. If there existed results that proved efficacy of homeopathy, not only would the "good journals" publish it, but pharmaceutical companies would be scrambling to get their hands on it.

Face it: There exists no consistent, properly conducted research that supports homeopathy.

Hans
 
Tell that to the thousands who fly across the world to consult with top homeopaths and benefit in cancer, asthma, diabetes, psoriasis.......
Kindly refer me to reports that show how homeopathy can cure diabetes (I want to be rich).

Hans
 
It is not rigmarole - it is consultation leading to an individualized remedy or series of remedies to be decided as the case progresses that we are talking here - and the series would nearly always be different for each person.

This shouldn't be a problem in creating a DBRCT. BSM and Curnir have already provided methods for you.

So we are not testing a remedy - we are rather testing homeopathy against placebo( and I have noted that some here call the remedy placebo!).

Yes, that's how you conduct a DBRCT. Some call the remedy placebo because that's exactly how well it performs in such trials.

Such are the difficulties in deciding "proper testing conditions "

Nope, not seeing the difficulties.


If there is consensus that randomly allotting patients to receive placebo and homeopathy (series of remedies as required) (placebo?) is acceptable proof - then if there is any significant difference (favourable to the latter) - would it be acceptable proof that homeopathy is not placebo?

Likewise, when they don't, this is evidence that homeopathy is placebo.
 
It is not rigmarole - it is consultation leading to an individualized remedy or series of remedies to be decided as the case progresses that we are talking here - and the series would nearly always be different for each person.

So we are not testing a remedy - we are rather testing homeopathy against placebo( and I have noted that some here call the remedy placebo!).

Such are the difficulties in deciding "proper testing conditions "

I've just pointed out to you that there are no difficulties. What is your problem?

If there is consensus that randomly allotting patients to receive placebo and homeopathy (series of remedies as required) (placebo?) is acceptable proof - then if there is any significant difference (favourable to the latter) - would it be acceptable proof that homeopathy is not placebo?

I'm sorry, but the syntax of this is too impenetrable to answer without risking answering the wrong question.

If you are asking whether a rational sceptic would accept the outcome of well-run trials, then the answer would be yes, subject to independent replication. Homeopathy has failed this simple test, so you should simply accept defeat and find something else to do.
 
Where did JamesGully go!? I just got "the physics of high pressure" I can't find ANYTHING in the book about water that freezes in different patterns depending on pressure history (like going from .2 bar at high altitude to 1 bar at seal level). In fact, below 500 times atmospheric pressure all water ice looks the same.
 
Yes! But the "proper testing conditions" will surely be disputed by you!! What is the proper testing condition for individualized treatment/remedy(s)?

There will be regulatory problems, ethical problems, choice problems, duration problems etc. since typically homeopathic treatment will result in cure (for diabetes or asthma or dengue or chikungunya or AIDS or syphilis or TB or tetanus or cancer etc).

Proper testing condition, in broad terms are:

Sufficiently large groups (several hundred).
Clearly defined treatment goals.
Ethical recruiting.
Effective randimization.
Effective data collection.
Proper double blinding.

Nevertheless the All India Institue of Medical Sciences (AIIMS), New Delhi, India is helping the Central Council for Research in Homeopathy (CCRH) in the process of carrying out conventional double blind studies using homeopathic remedies; presently the homeopaths are being trained in the scientific methods of double blind studies.

That homeopathy works is beyond doubt in India - to prove it works - the process is now in the works.

If authorities in India are so certain it works, then why are they so interested in opening conventional clinics?

I'm sorry, I can tell you why: REAL medicine is expensive. It suits the Indian government very well to have a cheap and harmless form of medicine to use on the masses. It saves them a LOT of money.

You homeopaths are always so eager to hit at big comercial conspiracies to promote conventional medicines and suppress things like homeopathy. However, the only ones that would benefit from this are the pharma companies, but big as they are they are not the world. The REST of the world would have an interest in suppressing expensive medicines and promote the cheap alternatives. Governments, insurance companies, patients, would reap enourmous benefits, economically and otherwise, if diseases could be treated with cheap safe homeopathic sugar pills, and the like. Guess why they stick to the expensive and sometimes risky conventional meds? Well, it seems people want something that works.

Except in India, apparantly (and Pakistan).

A note: Somebody referred to the MAS collective. MAS et al are in Pakistan.

At least our friend Manioberoi here writes excellent English.

Hans
 
Where did JamesGully go!? I just got "the physics of high pressure" I can't find ANYTHING in the book about water that freezes in different patterns depending on pressure history (like going from .2 bar at high altitude to 1 bar at seal level). In fact, below 500 times atmospheric pressure all water ice looks the same.

Oh, come now, you're surely not saying that James would be unable to substantiate one of his claims from his cited cource. I find that hard to believe.

Just I am sure he's read all of Elia's paper, so we'll be on an even footing when my copy arrives.
 
I think that it is touching that several of you miss me. It is ironic that some of you were worried that I was scared off. Heck, yesterday was Father's Day. I have a life (every heard of having one?).

That said...I'm leaving the country for a couple of weeks and will probably not do much internet stuff. That said...I am reiterating part of my old posting to this list (and adding to it) because all of these issues below remained unanswered by skeptics...

Sadly, I've grown tired of you, primarily due to your intellectual dishonesty. You claim that the homeopathic doses are too small to have any effect, and yet, you ignore the various basic science and clinical studies that I have referenced, only critiquing a small number of them, and even these critiques are usually inadequate.

No one has remarked about the work of the Italian chemist Elia:
--Elia, V, and Niccoli, M. Thermodynamics of Extremely Diluted Aqueous Solutions, Annals of the New York Academy of Sciences, 879, 1999:241-248.

--Elia, V, Baiano, S, Duro, I, Napoli, E, Niccoli, M, Nonatelli, L. Permanent Physio-chemical Properties of Extremely Diluted Aqueous Solutions of Homeopathic Medicines, Homeopathy, 93, 2004:144-150 (once again, some of you make reference to this peer-review journal in a disparaging way, and yet, whenever it and other CAM journal publish negative trials, you are quick to quote and reference them...once again, this is part of the unscientific attitudes that pervades this list.)

The best critique that someone gave to the work of Swiss physicist Louis Rey who published in a major physics journal was a statement by Jacques Benveniste (whose words and experiments you ridicule! So what is it going to be: do you trust Benveniste's words or not?)

No one has remarked about the 3 large clinical trials in the treatment of influenza...and the best critique offered was that the medicine used was made from duck's heart and liver (obviously a "quack medicine"), despite the fact that homeopaths have been hip to avian sources and connections to flu virus since the 1920s!).

No one has remarked substentatively on the four trials at the University of Glasgow on various allergic disorders.

No one has given a scintilla of critique of the study at the University of Vienna Hospital in the treatment of people with COPD (the #4 reason that people die in the US):
--Frass, M, Dielacher, C, Linkesch, M, Endler, C, Muchitsch, I, Schuster, E, Kaye, A.. Influence of Potassium Dichromate on Tracheal Secretions in Critically Ill Patients, Chest, March, 2005.

I previously referenced 3 clinical trials in the treatment of children with diarrhea, including a meta-analysis of the 3 combined trials with a P-value=0.008. While one person on this list showed that 2 of the 3 studies had barely missed significance (P=0.06 and 0.07), intellectual dishonest again pervaded because s/he didn't acknowledge that combined statistically analysis (this is good science, especially when the clinical trial design was alike)...but the weasels come out and do what you can to look ONLY at data that serves your needs (and to hell with good science?).

The good news of this study is that all children were given oral rehydration therapy, and this study showed that homeopathic treatment provided additional benefits as compared with those children given a placebo (and isn't that the idea!?).

Ironically, one of you brought up ORT as an example of a "drug" that has persisted more than a couple of decades...and ironically, this "drug" is more of a public health measure than a drug (bless public health advocates out there!).

Here's the reference to a meta-analysis of these three studies. Although the lead research was the same MD, the actual prescribers for each of the three trials were different homeopaths.
http://www.ncbi.nlm.nih.gov/sites/en...ubmed_RVDocSum

This meta-analysis was published in the Pediatric Infectious Disease Journal (I'm now waiting for someone to call this a "quack publication.")

I also referred you to the work of Rustum Roy and emphasize his previous article on homeopathy and the structure of water, and then, I made reference to a NEW soon-to-be-published study (not theory) using spectoscopic analysis of homeopathic medicines that differentiate one from another and one potency from another (just what YOU requested), and then, several of you write sloppy accounts of a non-homeopathic writing of Dr. Roy's.

Some of you even went off the deep-end by saying that the 13 papers that Dr. Roy got published in NATURE are meaningless (I will be surprised if anyone on this list has gotten a single paper published in NATURE, let alone 13). (Someone of this list got one "letter" published in NATURE, and s/he wondered if this counts as an article. Hmmm. Does it approach your own standards?)

The bottomline here is that whether you agree with Dr. Roy or me or whomever, be intellectually honest. Acknowledge positive and negative studies.

When I referenced a four university replication study led by M. Ennis (a former skeptic of homeopathy), someone properly (!) made good reference to a failed replication study. Although this negative result was published in a CAM journal, I referenced one of its authors, Stephan Baumgartner, PhD, as an obviously honest researcher (he can and will publish whatever real data he gets, whether it is pro homeopathy or not). I encourage people to review the MANY studies he has done...and the best criitique that you folks get provide is that he is not the FIRST author on every study (wow...that was a weak critique...and yet, no one here critiqued this critique).

And please (!) do not make reference to the "junk science" efforts that the BBC's Horizon programme did or ABC's 20/20 did. For a critique that blows these junk journalism/junk science reports out of the water, go to:
http://homeopathic.com/articles/media/index.php

For the record, I previously asked if ANYONE on this list wants to stand up and say that this stand by and stand with the "researchers" for the BBC and ABC-TV. Come on...who has the courage?

And the reason why I consider totally bogus James Randi's proposal to give $1 million to someone who will prove that homeopathy works is that James Randi has stood with the BBC's and ABC's researchers and has not condemned their studies as "junk science." James Randi will deserve credit when he stands with good science and when he condemns junk science, and as yet, I haven't seen that happen as this incident has shown.

I will be the first to acknowledge that good research is very hard, especially on "frontier subjects" in science. Further, I am suspicious and cautious when researchers report consistently positive results on these frontier subjects. I am therefore pleased when my colleagues report both positive and negative results. This is good science, not party line junk science.

I sincerely hope that the SILENT people on this list read inbetween the lines to see the elephant in the room. In your efforts to be the "defenders of science," you have been shown to have a very unscientific attitude towards homeopathy.

But heck, don't just listen to me...listen to your hero, Charles Darwin.

Sometimes study with an N=1 provide important substantiation.

I take great pleasure to telling you a historical fact. Our greatly beloved Charles Darwin not only sought care from a highly respected homeopathic physician, it is unlikely that Darwin could have completed his seminal work, Origin of Species, in 1859, if he didn't receive this homeopathic care 10 year prior to its publication.

Just read Darwin's letters to read about this story and learn something about his life...

From 1837 onwards Darwin was frequently incapacitated with episodes of stomach pains, vomiting, severe boils, heart palpitations, trembling, and other symptoms. In 1847, Darwin's illness worsened. He was again experiencing frequent episodes of vomiting and weakness, but he now was also experiencing fainting spells and seeing spots in front of his eyes. Darwin wrote that he was so sick that he was “unable to do anything one day out of three.” He was so ill that he wasn’t even able to attend his father’s funeral when he died on November 13, 1848.

He went a month without vomiting, a very rare experience for him, and even gained some weight. One day he surprised himself by being able to walk seven miles. He wrote to a friend, “I am turning into a mere walking & eating machine” (Quammen, 2006, 112)

And after just a month of treatment, Charles had to admit that Gully’s treatments were not quackery after all. After spending 16 weeks there, he felt like a new man, and by June he was able to go home to resume his important work (Grosvenor, 2004). Darwin actually writes that he is “of almost perfect health” (Burkhardt, 1996, 108).

Although some medical historians have referred to Gully as a hydrotherapist, this is just the historians way of writing homeopathy out of history. Gully considered himself to be a homeopath, and while his staff provided various treatments to Darwin, Gully's treatment was primarily homeopathic medicines.

And for the record, there are many tangents of homeopathy, including those machines to which Mr. Monkey and Hans have repeatedly referred. Please evolve past your present state and listen when I say that I do not know about every tangent in homeopathy, nor does proving one tangent wrong disprove anything else.

Best of all...I love it that some of you have declared that all of Georgetown's school of medicine is a quack institution. The wide paintbrush that you use is evidence of the sloppy-thinking and unscientific attitudes that you embody.

Good-bye for now...
 
I take great pleasure to telling you a historical fact. Our greatly beloved Charles Darwin not only sought care from a highly respected homeopathic physician, it is unlikely that Darwin could have completed his seminal work, Origin of Species, in 1859, if he didn't receive this homeopathic care 10 year prior to its publication.

Just read Darwin's letters to read about this story and learn something about his life...

From 1837 onwards Darwin was frequently incapacitated with episodes of stomach pains, vomiting, severe boils, heart palpitations, trembling, and other symptoms. In 1847, Darwin's illness worsened. He was again experiencing frequent episodes of vomiting and weakness, but he now was also experiencing fainting spells and seeing spots in front of his eyes. Darwin wrote that he was so sick that he was “unable to do anything one day out of three.” He was so ill that he wasn’t even able to attend his father’s funeral when he died on November 13, 1848.

He went a month without vomiting, a very rare experience for him, and even gained some weight. One day he surprised himself by being able to walk seven miles. He wrote to a friend, “I am turning into a mere walking & eating machine” (Quammen, 2006, 112)

And after just a month of treatment, Charles had to admit that Gully’s treatments were not quackery after all. After spending 16 weeks there, he felt like a new man, and by June he was able to go home to resume his important work (Grosvenor, 2004). Darwin actually writes that he is “of almost perfect health” (Burkhardt, 1996, 108).

Although some medical historians have referred to Gully as a hydrotherapist, this is just the historians way of writing homeopathy out of history. Gully considered himself to be a homeopath, and while his staff provided various treatments to Darwin, Gully's treatment was primarily homeopathic medicines.

Most recent example you can find still 170 years old? Thought so.
 
On the discussion regarding India and its homeopathic goodness:

India is the scam artist's dream land. Every sort of quackery imaginable is practiced there. It is a land of incredible superstitions and mass quantities of poor, uneducated people. Given the incredible corruption of the wonderful socialist government of India, competent medical care is available only for the select few. Often times, whether a person will receive good medical care depends upon his caste; low caste people lose. In fact, those Indians who can afford the expense will travel to Europe or (their favorite place to go) the U.S. for serious problems. Furthermore, aspiring Indian medical students do all they can to get out of India and study abroad. Why is this? Visit India sometime and it will become apparent to.

It is no wonder that in a land where superstition rules the mind and credible medical care is unavailable to the plebs sordida that homeopathy and faith healing should flourish. After all, there are no alternatives. Of course, this sort of stupidity is reinforced by the likes of Deepak Chopra; a man who has one set of spiritual and scientific convictions for those in his homeland but an alternative set for his Western prey.

Beware Indian made homeopathic remedies as they may kill you. Indian water represents some of the most polluted water in the world.

Of course, let us not forget that the famed homeopathic Greek quack "professor" George Vithoulkas was trained in homeopathy in India. Vithoulkas' writings are nearly incomprehensible, always bitter, and reflect a confused, afflicted mind. Search youtube for some of his "teaching" clips and be astounded at how little sense it all makes. Vithoulkas is exactly the type of quality loon that one would expect from an Indian university of quackery.
 
My goodness, all those words and still no answers to a couple of simple questions;

So, yet again, I return to your clinical evidence base;

4. Can you tell us whether either of these machines works?

http://www.bio-resonance.com/elybra.htm

http://www.remedydevices.com/voice.htm

Bear in mind that the users of these machines rely on exactly the same anecdotal experience and fallacious post hoc reasoning that every other homeopath does. Are the homeopaths who use these machines right or wrong in thinking they work?

It's a very simple question and capable of a single-word answer.

I'll give you a new question just so you can show how well you understand the interpretation of clinical trial data;

9. I set a p-value for significance of 0.05 and run 100 trials. In no trial is the test substance distinguishable from the control. How many trials can I expect to show an apparent "effect" from my test substance?

By the way, I have just downloaded my copy of the Elia paper. So, Dana, I assume you have read the full text, where do you want to begin...
 
I think that it is touching that several of you miss me. It is ironic that some of you were worried that I was scared off. Heck, yesterday was Father's Day. I have a life (every heard of having one?). ..

Ironically, one of you brought up ORT as an example of a "drug" that has persisted more than a couple of decades...and ironically, this "drug" is more of a public health measure than a drug (bless public health advocates out there!).

Here's the reference to a meta-analysis of these three studies. Although the lead research was the same MD, the actual prescribers for each of the three trials were different homeopaths.
http://www.ncbi.nlm.nih.gov/sites/en...ubmed_RVDocSum

This meta-analysis was published in the Pediatric Infectious Disease Journal (I'm now waiting for someone to call this a "quack publication.")

...The wide paintbrush that you use is evidence of the sloppy-thinking and unscientific attitudes that you embody.

Good-bye for now...

Wow...

Well I think all of your questions have been answered, but you have failed to answer mine. I have addressed this already and have given you the correct references in order to have a discussion. Obviously you have not read the article or my criticism of it or choose not to address it. So I can not speak very highly of your scientific approach, sadly enough, it seems that bad science is good science in your opinion if it endorses your point of view....

Please address my criticism and answer my questions in my previous post (link here). I have waited patiently and without any pressure, but this reply is just incorrect and dismissive of all the relevant criticism you have received, and in doing so even plain rude.

SYL :)
 
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Dana,

First comment on the Elia paper- even if true, what bearing do you think it has on the issue of homeopathy? It has no relevance whatsoever.
 

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