From that reference:
In the past several years, medical research has provided some evidence supporting the Cayce perspective, but the only person to have systematically applied the Cayce recommendations for treatment is Dr. John Pagano, a New Jersey chiropractor who wrote the book Healing Psoriasis: The Natural Alternative.
Emphasis in bold mine. So, by Mein's own admission, there is exactly one person who regularly treats patients--not test subjects, but patients--using Cayce's methods, and he isn't actually an M.D. (and is thus not subject to medical malpractice suits, so the answer to my earlier challenge is "nobody does," QED). See the
"about the author" page on the website advertising his book; the letters "M.D." are conspicuously absent after his name.
Dr. Pagano has many well-documented cases of complete healing of severe psoriasis.
Oh, another thing that's conspicuously absent: references to these "many well documented cases." Footnotes? Endnotes? Nada.
And hold the phone... last time I checked, the fundamental tenet of chiropractic "care" is that
all health problems are caused by "vertebral subluxations," and that the answer, in
all cases, is to "correct" these "vertebral subluxations." This is
mutually exclusive with Cayce's recommendations. If you're going to be a quack, the least you can do is have the decency to consistently stick with a single school of quackery.
And while I'm at it, let's take a closer look at the results of Mein's 1999
non-blinded study, shall we?
The most difficult part for most participants was consistency in following the diet. When, for various reasons including travel, they slipped in their adherence to the diet, the psoriasis symptoms partially returned, confirming the importance of this aspect of the Cayce treatment approach.
Do I smell post-hoc rationalization? Well, let's give Mein the benefit of the doubt for now. So patients who
didn't have problems sticking to the diet shouldn't have encountered any problems, right?
Case 1:
Regarding compliance with the protocol, she followed the diet “most of the time,” and used the herbal teas “almost every day.” This is excellent compliance with the diet and the teas.
Nota bene: "excellent compliance."
"After that, I have never gotten back to as clear as they had been at that time. But they’re still 60% better than they were when I started."
So, despite "excellent compliance with the diet," bottom line
not cured.
Guess what? Despite failure to comply with the Cayce diet
at all, I've had my psoriasis clear up in particular areas as well, specifically my back and groin. It happens. But as long as my scalp continues to drive me nuts (absent treatment), there's no way I'm going to consider myself "cured."
On to case 2. Again, "excellent compliance" with the diet and teas, and yet:
"My skin has improved quite a bit. [...] Percentage-wise, I’d say between 70 and 75% probably. Even though it’s still covering my body. I had hoped to have been completely cleared."
Bottom line, again:
not cured.
Case 3:
"I’ve cleared up. I actually just have a couple places on my back, my lower back, which is nothing. And my head has not cleared. But other than that, I’ve cleared everywhere else. So I’m thrilled with that."
Bottom line:
not cured.
Case 4:
"The diet, I felt, had a lot to do with the clearing up of the psoriasis. For the first time in 40 years, my scalp had actually cleared up and stayed pretty clear for about a month or so. [...] It would be great if I could stick to that diet just as much as I could and maybe see a true healing of this whole thing. I’ll try."
Now, admittedly, subject 4 stated he'd had difficulty sticking to the diet. In addition, his compliance with the colonics, adjustments and castor oil packs was also "poor." Nevertheless, he self-reported improvement comparable to that reported by subjects 1 and 2, whose compliance with the diet had been considered "excellent." Evidently, compliance with the diet was not the clinching factor. Hold that thought, I'll return to it later.
In the interim, bottom line is
not cured.
Case 5:
"I had a big improvement after four months. So I was OK, finally, four months. From this trip I came back to Montreal, I was OK for two weeks, and since two weeks it’s coming back, and I don’t know what’s happened. I really don’t know."
So, five out of five
not cured. Though, arguably, that number should be six out of six. The sixth subject, who dropped out of the study, reported no change in her psoriasis despite sticking to the diet for two months. This rather undercuts Mein's earlier quoted emphasis on "the importance of this aspect."
Which brings me back to that thought I asked you to hold earlier. The Cayce regimen consisted of four components--diet, castor oil packs, colonics, and spinal "adjustments"--and when we examine Mein's evaluations of the subjects' compliance with the various elements of the regimen, there is no consistent pattern, except that no subject managed to comply to a satisfactory degree ("good" or better) with more than two of all four elements. Now, it might be argued that successful treatment requires satisfactory compliance with
all four elements, and that the reason none of the subjects was actually cured is because none of them managed to do so. However, Mein himself fails to make this point, instead emphasizing the importance of the diet, in spite of the fact that those subjects whose compliance with the diet was "excellent" did not show any consistently greater degree of improvement than those who scored lower. In fact, there is no consistent correlation between adherence to the regimen or any of its aspects and improvement in the condition. Note also that improvement in the psoriasis is not quantified anywhere in the report; the only hard figures are in the "lactulose/mannitol ratio" (whatever
that is) which is all well and good, but which the report indicates has to do with assessing the degree of "intestinal permeability" and
not with assessing the severity of the psoriasis. The latter is essentially left to the subjects' self-reporting, and it's worthy of note that the subjects' reports are all roughly similar, to the effect "oh, it's so much better, and I'm sure it'll completely clear if I can stick with this regimen," even though the subjects' compliance with the regimen is all over the place.
Now, that common element in self-reporting leads to another sticking point. As
patnray pointed out, psoriasis waxes and wanes, in many cases almost seasonally, and six months is arguably insufficient time to adequately assess the effect of the regimen. Now, with all the subjects reporting improvement, and claiming that they were sure that if they could stick with the regimen for just a little while longer they'd be cured all together, one has to wonder why Mein does not report tacking on a follow-up, say another six months later, to confirm (surely!) that all the subjects had in fact achieved the cures they were so certain they would achieve. Especially considering that Mein's first study, four years earlier, had yielded almost identical results, with "most" subjects reporting "some healing of their psoriasis" (note that this implies that not all subjects experienced improvement, and evidently none were actually cured, or surely this would have been mentioned).
Or we could just apply Occam's Razor.
Look, psoriasis sucks. It's currently incurable, and even though it's treatable with corticosteroids, the treatment is expensive (a 50 gram can of
Olux foam costs more than USD100 and lasts three months at most), has side-effects, and many American health insurances won't cover the medication (or so my pharmacist tells me) because the condition is not life-threatening and insufficiently impacts the quality of life or some such horsesh*t (strangely, these considerations do not apply to Viagra, but that's another rant). There are OTC treatments like coal tar shampoo, but these are, by definition, not covered by insurance, and really, they're effective
at most in keeping psoriasis down once it's been beaten into submission by aforementioned corticosteroids.
So there are a lot of psoriasis sufferers out there who have been told by the "conventional" medical profession that their condition is incurable, and can only be kept at bay at serious monetary expense (I'm lucky in that my insurance does cover my meds, but even so, I'm potentially looking at an outlay of several hundred dollars co-pay a year, every year for the rest of my life, just to not have to suffer the Dandruff From Hell). It's no big stretch of the imagination that a lot of psoriasis sufferers are ready to turn to sCAM, in the hopes that it can provide what conventional medicine has stated it is, at present, powerless to provide, namely a cure for psoriasis. I have zero doubt (though like all good skeptics, I'm prepared to change my mind when presented with
evidence to the contrary) that Mein's test subjects (again, not patients--
test subjects) are drawn from this group.
As I emphasized earlier, both of Mein's studies were
non-blinded; not single-blinded, let alone double-blinded. So we have two studies in which both Mein himself and the test subjects not only were fully aware of the fact that Cayce's methods were being put to the test, but both parties were motivated to
want the results to be positive. Oh sure, the colonics and the adjustments are expensive (which may go some way to explaining why subjects 3,4, 5 and 6 failed to undergo more of them), but if it can
cure you of psoriasis within six months, or maybe a year at the outside, it's just a small investment, comparatively speaking, right?
So what if it doesn't work? What if the Cayce regimen doesn't do a goddamn thing? We resort to good old cognitive dissonance, that's what! Why do you think the most concrete assessment in Mein's studies of the severity of the psoriasis is based on the subjects' self-reporting? Because those subjects have a stake in
wanting the treatment to be effective, and in
believing the treatment to be effective regardless of actual results!
And hey, here's the kicker from Mein's conclusions:
This report highlights two important points about the psoriasis treatment protocol. First, confirming Pagano’s work, it may take several months before any improvement is noted. Second, this is a project in complementary medicine, and participants should not reduce their current treatments until they feel that substantial improvement is occurring.
Emphasis in bold mine. Is it possible to conceive of any statement which screams more loudly "I want to take credit for the achievements of conventional medicine" than this? Am I supposed to believe there is anything to a "complementary" treatment which promises results but encourages me to continue applying corticosteroids (which actually
work) at the same time?
You know what, Rodney? I'm happy for you that you evidently don't suffer from psoriasis (if you did, you'd recognize this stuff for the garbage it is immediately). I hope you, or any of your loved ones, never do develop psoriasis. But until you do, or one of your loved ones does, and you thus develop a personal stake in the matter, I'll thank you to keep your ignorant trap shut on a condition of which you have zero understanding.