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More Fun with Homeopath Dana Ullman, MPH(!)

I'm wondering why Dana keeps saying "take off the blinders" (I assume he means blinkers) when he has shown nothing that has impressed anyone, and yet at the same time he himself is constantly ignoring all the very serious objections to his viewpoint which are being constantly put in front of him.*snip*
It is called projection. I'm sure we are all guilty of it, but homeopaths seem to live by it. You are somehow aware of your own vices, but instead of addressing them, you project them onto the opposition.

So they ask us to take off the blinders (or whatever), while they keep their own eyes firmly shut to all the evidence that is unpleasant for them.

They accuse us of intellectual dishonesty while weaving, dodging, and ignoring straight questions.

They ask us to "think outside the box" while totally refusing to even consider the possibility that they could be wrong.

They ask us to study, while they remain wilfully ignorant of even simple concepts like physics and statistics.

They ask us to try remedies, while flatly refusing to make a blinded test themselves.

Etc.

Sad, really.

Hans
 
I'm sorry, manioberoi, this was originally only meant for JG, but you are now talking so much nonsense, that I can't both be diplomatic, and address it too, so let's talk straight (you are welcome to do the same, I can take it):

A proving can not be replicated - because a proving is not cut and dried as a conventional medicine trial is.

This goes directly against conventinal homeopathic doctrine. Hahnemann says (Organon of Medicine, version6. My emphasis):

§ 32

But it is quite otherwise with the artificial morbific agents which we term medicines. Every real medicine, namely, acts at all times, under all circumstances, on every living human being, and produces in him its peculiar symptoms (distinctly perceptible, if the dose be large enough), so that evidently every living human organism is liable to be affected, and, as it were, inoculated with the medicinal disease at all times, and absolutely (unconditionally), which, as before said, is by no means the case with the natural diseases.


Are you constructing your private version of homeopathy, or are you just making smoke to get around the unpleasant question of testing?


I can see now why some would find it extremely hard to believe that homeopathy works.

Only now? Well certainly, your explanations don't help any. What you are essentially describing is a totally random function. I think that is even unfair to homeopathy; while it is based on faulty reasoning, homeopathy is quite systematic and retains a good inner logic.

I really think you are doing your case a great disfavor.


They are looking for conventional medical answers from a homeopathic medicine - that is most of the time not a medicine as such (in terms of physical molecules) - it is a mere device (a black box) which signals the release of a mechanism (another black box) which leads to either:

-a cure,
-a suppression,
-an aggravation or
-no effect whatsoever;

and which of these will actually occur can not be foretold with any degree of certainty in advance.

So you are saying that, even after taking the case and carefully selecting a remedy, the outcome of homeopathic treatment is totally unpredictable. How does this result differ from not giving any treatment at all?

The homeopath is required to soldier on with the next and the next and the next & c remedy - good homeopaths hit on the right remedy in 1 or 2 attempts, others may even require 9 to 10 attempts to hit on the right remedy - oh! and more than one right remedies would be required. Which of the diseases of the set of diseases repertorised will be cured first and which last can also not be foretold.

Nevertheless the overall health would improve and pathologies will fall off one by one over 3 to 6 months, at times longer.

Isn't this exactly what will also happen, if you give no treatment at all? After all, the human body has the ability to, sooner or later, rid itself of most diseases, given enough time.


Let me clarify that I am NOT a proponent of homeopathy per se - rather I am a proponent of ALL systems of healthcare that can justify the confidence of the public in their ability to cure.

Fervently defending homeopathy is a strange action for one who claims not to be a proponent, but let that rest. I am also a proponent of ALL systems that can justify the confidence in their ability to cure.

So, how do you suggest that homeopathy commences to justify the confidence that some people have in it?

A homeopathic proving can NOT be replicated - see my earlier posts. It would be impossible.

Hahnemann, and most homeopaths I have met disagree with you. However, if it is indeed so, then how do you select a similum?


Let me once again clarify that I am NOT a proponent of homeopathy per se - rather I am a proponent of ALL systems of healthcare that can justify the confidence of the public in their ability to cure.

You know, your posts are quite wordy enough even without you writing things twice :rolleyes:.


If I were to meet with a serious accident I would be foolish to seek homeopathic treatment (other than as a supplementary support) - conventional medicine is the way to go.

I agree. And even not as a supplementary support.

But for cancer (except certain cancers where conventional medicine has exhibited very high percentage of cures - not 5 or 10 years of deathly survival but CURE) I would ordinarily seek out homeopathic cure (sorry, treatment) alongwith naturopathy, ayurveda & c - certainly NOT some of the chemotherapy treatments having poor cure rates); also depending on the specifics, some radiation therapy, gene therapy whenever it is approved.

Where is the documentation for the efficacy of the alternative methods you mention? You know, how do they justify your conficence in them ;)?

First and foremost most people resort in the first instance to conventional medicine - very few to ALL other systems.

Well, yes. Most people are not dumb.


Homeopathy is the most sought after next only to systems recognised by conventional medicine - this when 99 percent of those seeking the homeopathic treatment have no idea WHATSOEVER how it works - some homeopaths have some ideas, but are not in a position to prove it.

So when a homeopath is saying "this works", but cannot support it with evidence, then how is that different from lying?

Neither do most of them attempt to explain how it works and mostly do not reveal the name of the remedy. Normally people turn to homeopathy only when they find no relief (or even worsening due to toxicity) with the conventional drugs.

Yes, when desperate enough, some people will try anything. Tell me, do you think it is alright to sell desperate people something you cannot prove works (and the effect of which, by your own admission above, is indistinguishable from randomness)?

Having said that I REPEAT that homeopathy works. Two "anecdotal" instances:

*snip*

There are many more such cases - they would also be discounted on grounds of "anecdotal" or for being published in some "obscure" journal of complementary, alternate & c medicine.

No reason to put anecdotical in quotation marks, because that is the proper term. Do I need to explain to you, again, why anecdotical accounts have no proof value?

There certainly are homeopaths who do not believe that homeopathic remedies work and so cases of giving conventional drugs would obviously be found off and on. This in no way detracts from the efficacy of homeopathy in the right hands and for the right purposes.

Well, you are right. The fact that some irresponsible quacks practice homeopathy does not, in itself, detract from homeopathy. However, since you admit that results are totally unpredictable, please tell me, how do a patient distinguish between a quack and a responsible homeopath?

Just for the record the WATER POTENCIES work much much better than the SUGAR PILLS, so if any serious trials are carried out this be kept in view.

How do you know this? Manioberoi, you just told us that provings cannot be replicated, and that treatment results cannot be predicted. Then how can you know that water potencies work better than sugar pills?

Hans
 
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It is different from random because there is at any point in time a finite set of symptoms associated with the one remedy that is prescribed at one time -
Now you are contradicting your self. You earlier said, twice for emphasis, even, that a proving cannot be replicated.

Now, either there is a finite set of symptoms associated with a given remedy, in which case a proving can obviously be replicated,

or,

a proving cannot be replicated, in which case there cannot be a finite set of symptoms associated with a given remedy.

Please make up you mind, which is it? You can't have both.

Hans
 
A proving can not be replicated - because a proving is not cut and dried as a conventional medicine trial is.

I can see now why some would find it extremely hard to believe that homeopathy works.
There you go again ... making up your own little obstacles without ever thinking about why you need to do that.

What is wrong with the protocols that do not require a proving to be replicated? i.e. those that blindly and randomly replace the homoeopathic "remedy" with a placebo to see if there is actually a tangeable effect caused by the "remedy" or not.

They are looking for conventional medical answers from a homeopathic medicine
No - and please stop inventing obstacles - we are looking for any indication that there is actually an effect caused by the homoeopathic "remedy". The ideas we are proposing are not "conventional" medicine - they are plain common sense. Feel free to apply it to baking, housework, car construction, whatever you like. If you try something and you think it was good or bad, we think that you should investigate further to find out the truth before you waste your time with what might be a pointless ritual.

- that is most of the time not a medicine as such (in terms of physical molecules) - it is a mere device (a black box) which signals the release of a mechanism (another black box) which leads to either:
-a cure,
-a suppression,
-an aggravation or
-no effect whatsoever;
and which of these will actually occur can not be foretold with any degree of certainty in advance.

How typically convenient for you - all you are saying is that this is untestable ... please think about why you have to cling to this defense or better still, tell us how it could be tested instead of just moaning about our ideas.

The homeopath is required to soldier on with the next and the next and the next & c remedy - good homeopaths hit on the right remedy in 1 or 2 attempts, others may even require 9 to 10 attempts to hit on the right remedy - oh! and more than one right remedies would be required. Which of the diseases of the set of diseases repertorised will be cured first and which last can also not be foretold.

Nevertheless the overall health would improve and pathologies will fall off one by one over 3 to 6 months, at times longer.

Again - why can't we just blindly and randomly replace the "remedy" with a placebo in these situations and see if there is actually any effect whatsoever caused by the "remedy" in this whole process/charade?

A homeopathic proving can NOT be replicated - see my earlier posts. It would be impossible.

Since you re-stated this, I'll restate: why do you have to keep inventing obstacles? Why don't you actually want to know beyond doubt if this works or not.

Having said that I REPEAT that homeopathy works. Two "anecdotal" instances:[
You know how much credibility is attached to anecdotes here - why did you even bother?

REPEATing that homoeopathy works does not make it so. Why do you steadfastly refuse to condone any form of test that tries to see if there really is any difference over placebo?
 
So you are saying that, even after taking the case and carefully selecting a remedy, the outcome of homeopathic treatment is totally unpredictable. How does this result differ from not giving any treatment at all?
The difference is in point 3 of the plan:

  1. Collect Symptoms
  2. ???
  3. Profit!
 
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They are looking for conventional medical answers from a homeopathic medicine - that is most of the time not a medicine as such (in terms of physical molecules) - it is a mere device (a black box) which signals the release of a mechanism (another black box) which leads to either:

-a cure,
-a suppression,
-an aggravation or
-no effect whatsoever;

and which of these will actually occur can not be foretold with any degree of certainty in advance.


Post hoc ergo propter hoc though, eh? ;)
 
I have said elsewhere that the present protocols for conventional medicine are not suited for homeopathic trials - also some collaborative efforts are ongoing between CCRH and AIIMS in India wherein homeopaths are being educated on the methodology followed in conventional medicine - as far as I know they are attempting a direct copy (using the ICMR Guidelines designed for conventional medicine directly) - not a good idea in my opinion - but it is a start - if at first, as I expect, the trials throw up some problems, I am sure the two entities will sit together and graduate to find a direct methodology more suited for homeopathic trials (eg not accepting smokers, coffee drinkers, since these substances have high propensity to cancel out the homeopathic effect) and acceptable to the searching scientific mind, (maybe a 6 month homeopathic trial treatment (require to include dietary and exercise control) of 20 to 30 individuals with a common set of lifestyle diseases (eg diabetes with high BP) - where the aggregate percentage of cure results could be set at say 50 percent with at least 20 percent fully cured within 6 months, would count for more than some blind infatuation with placebos and double blinding - I do not see why conventional medicine would have a problem here because a physical test of most homeopathic remedies would show placebo anyway).

What will you prove other than some people got better? Nothing - there will be no indication that this would not have occured without the homoeopathic "remedy". Do you really not understand this vital point? Please answer this question directly and using a yes/no answer as it will indicate to me, and others, whether you are even worth debating with.

I am sorry but I am going to have to insist on my "blind infatuation with placebos and double blinding" here - and you will still have to come up with a reason why it is incompatible with homoeopathy. What is wrong with the 6 month trial you just proposed but with the following very minor tweaks? ...
  • find twice as many individuals (e.g. 40 to 60)
  • without the knowledge of the homoeopath or patient, only give half the patients the homoeopathy, and the rest a placebo
  • compare the results for the two halves to see if there is really any difference
This is basically your trial, with another one conducted alongside it (although no-one will know in advance what trial they are in). When you look back at the results, the (approximately) half of the people that were given the homoeopathic "remedy" constitute the exactly protocol you described above - I haven't really interefered with your experiment in any way, shape or form. However, the other half of the people are now are very useful comparison to see what the true effect of homoeopathy really is. How many of those showed signs of improvement? That is the vital piece of information you don't seem to care about. If homoeopathy works, then there should be a difference here. If homoeopathy doesn't work then you have something to hide so it is in your best interest not to even attempt to measure any such difference ... ;)

How would the presence of the additional steps in my protocol prevent the half of the people that, in fact, exactly followed your protocol from not conclusively demonstrating the beneficial effects of homoeopathy over placebo???

Why does blinding and control have to prevent homoeopathy working? Why do you cling to your obstacles? I still don't believe you are actually interested in finding out the truth here.
 
I have said elsewhere that the present protocols for conventional medicine are not suited for homeopathic trials -

You havesaid that, but you have not given a good explanation. All your reservations have been countered, but you still reject it. Why?

also some collaborative efforts are ongoing between CCRH and AIIMS in India wherein homeopaths are being educated on the methodology followed in conventional medicine - as far as I know they are attempting a direct copy (using the ICMR Guidelines designed for conventional medicine directly) - not a good idea in my opinion - but it is a start - if at first, as I expect, the trials throw up some problems,

I think the only proble they will throw up is that they will show no effect. Why exactly do you consider this a problem? (I know why, but I'd like to have it in your own words, please).

I am sure the two entities will sit together and graduate to find a direct methodology more suited for homeopathic trials (eg not accepting smokers, coffee drinkers, since these substances have high propensity to cancel out the homeopathic effect)

How do you know this? You know, you keep making these statments; water potencies are better, coffee is an antidote, but you also claim that homeopathy is next to impossible to test, so how can you know this? How did you find out?

and acceptable to the searching scientific mind, (maybe a 6 month homeopathic trial treatment (require to include dietary and exercise control) of 20 to 30 individuals with a common set of lifestyle diseases (eg diabetes with high BP) - where the aggregate percentage of cure results could be set at say 50 percent with at least 20 percent fully cured within 6 months, would count for more than some blind infatuation with placebos and double blinding - I do not see why conventional medicine would have a problem here because a physical test of most homeopathic remedies would show placebo anyway).

Since diabetes with high BP will repond excellently to diet and exercise, placebo control (and, of course, blinding) would be essential. I would not be surprised at all to see 20% of the patient becoming symptom-free with proper diet and exercise alone, and certainly at least 50% would show marked improvement.

.. So if you are suggesting such a trial, but without placebo control you are really setting up a trial where you hope to make homeopathy take the credit for the expected effect concurrent lifestyle mangement. That, my friend, is called cheating.

Hans
 
That was a very important question. It does require a more detailed explanation

A proving is conducted with a remedy on a set of provers. The symptoms revealed are a function of:

-the remedy
-the potency of the remedy
-the environment
-the prover

While the first two are generally functions that would cause repeat symptoms, it is entirely a different matter when it comes to the last two - they are variable and hence the variation in the symptoms.

Next objection was that this is too random a system to be workable.

Yes, but in aggregating the random systems we are actually building up what is called the remedy picture - a full picture would require every person on earth to be proved in all environments- when we prove 10 in environment 'A' - a partial picture is built up - then later we prove 20 in environment 'B' - a more comprehensive picture is built up - this gives rise to the oft heard "well proven remedy" - it means simply that large number of provings have been conducted on the remedy.

More provings mean less chaos and more order - not more chaos as some of you thought.

Apart from this (as I already said) being contrary to normal homeopathic doctrine, you have also dismantled your own claim about a proving being not repeatable. You explanation above clearly shows that a proving IS repeatable, provided you use the same prover and the same environment.

Whether or not your claimed variables are valid, there is a way to deal with variables: Simply keep them constant. So, in your scenario above, we can see the proper protocol for a sound test: Let the same persons, in the same environment do the test, but vary the remedy (between remedy and placebo), and if the remedy is different from placebo, this wil lbe visible. This is called a cross-over test.

Thank you.

... Next smoke-screen, please! Seems we dispersed this one ;).

Hans
 
Why can't homoeopaths think logically or even exercise a little critical thinking? Is it a smoke screen or is there a general failure to think things though?
 
A proving can not be replicated - because a proving is not cut and dried as a conventional medicine trial is.

You are operating under a misconception. Conventional medicine is not cut and dried, but is subject to the same kind of confounding, variability, vagueness, and randomness that you describe for homeopathy. Every reason you have given for why homeopathy cannot be tested applies to conventional medicine. Through hard work and persistence, we have figured out ways to overcome these problems and extract useful information, thereby advancing the practise of medicine. Taking refuge in pessimism and Just-So stories is hardly justifiable under those circumstances.

Linda
 
Manioberoi,

You are stating that you would use homeopathy if you had cancer. Please let me know if I do not understand this correctly.

If you adopt the use of homeopathy (plus or minus any other treatment modalities you consider useful) when faced with the manifestations of illness (in this case, manifestations brought about in relation to cancer) you expect to be better off than if the use of homeopathy was excluded, correct? And this applies not only to yourself, but to others as well, correct? And if, unbeknowst to yourself or the homeopathic practioner who was helping you, a particular supplier of homeopathic medicines was dishonest and was not actually succussing the water with the specified substance, the people who received treatment based on medicine received from that supplier, would not receive the full benefits of homeopathy, correct?

If this is not correct, please elaborate so that I can understand. I do already understand that the expected results are highly individual, and that the process will also be highly individual.

Linda
 
I have said elsewhere that the present protocols for conventional medicine are not suited for homeopathic trials - also some collaborative efforts are ongoing between CCRH and AIIMS in India wherein homeopaths are being educated on the methodology followed in conventional medicine - as far as I know they are attempting a direct copy (using the ICMR Guidelines designed for conventional medicine directly) - not a good idea in my opinion - but it is a start - if at first, as I expect, the trials throw up some problems, I am sure the two entities will sit together and graduate to find a direct methodology more suited for homeopathic trials (eg not accepting smokers, coffee drinkers, since these substances have high propensity to cancel out the homeopathic effect) and acceptable to the searching scientific mind, (maybe a 6 month homeopathic trial treatment (require to include dietary and exercise control) of 20 to 30 individuals with a common set of lifestyle diseases (eg diabetes with high BP) - where the aggregate percentage of cure results could be set at say 50 percent with at least 20 percent fully cured within 6 months, would count for more than some blind infatuation with placebos and double blinding - I do not see why conventional medicine would have a problem here because a physical test of most homeopathic remedies would show placebo anyway).

Would you have any problem with this trial - would it be an acceptable test to you (i.e. would you consider the results valid even if nobody was cured within 6 months)?

If so, what if you found out that someone got the medicines mixed up and so some people got the wrong stuff, or received blanks? Would you expect that to interfere with improvement?

Linda
 
Manioberoi,

You are stating that you would use homeopathy if you had cancer. Please let me know if I do not understand this correctly.

If you adopt the use of homeopathy (plus or minus any other treatment modalities you consider useful) when faced with the manifestations of illness (in this case, manifestations brought about in relation to cancer) you expect to be better off than if the use of homeopathy was excluded, correct? And this applies not only to yourself, but to others as well, correct? And if, unbeknowst to yourself or the homeopathic practioner who was helping you, a particular supplier of homeopathic medicines was dishonest and was not actually succussing the water with the specified substance, the people who received treatment based on medicine received from that supplier, would not receive the full benefits of homeopathy, correct?

If this is not correct, please elaborate so that I can understand. I do already understand that the expected results are highly individual, and that the process will also be highly individual.

Linda
Some homeopathic pharmacies enjoy higher reputations than others. Sometimes accidental exposure to sunlight / radiation may cause problems. Also there are more than one protocols / methods in use and full standardisation has not been achieved so far.

To get round this problem if a remedy is rightly selected and does not act as expected either another batch is used or a different (better?) manufacturer is used.
 
Given all the ways you have listed that homeopathy can fail... what makes you think homeopathy works at all? :confused:
 
To get round this problem if a remedy is rightly selected and does not act as expected either another batch is used or a different (better?) manufacturer is used.


If remedies are expected to act in a particular way, then this can be tested for.
 
Would you have any problem with this trial - would it be an acceptable test to you (i.e. would you consider the results valid even if nobody was cured within 6 months)?

If so, what if you found out that someone got the medicines mixed up and so some people got the wrong stuff, or received blanks? Would you expect that to interfere with improvement?

Linda
If the remedies (remember that in this example the homeopath is free to prescribe any one or more of over 6000 remedies) are carefully sourced, and trials are properly controlled no mixing up should be possible. There might be slight delay or even non-availability of an odd remedy here and there, which should not ordinarily detract from the intrinsic value of the overall trial outcome.

I was awaiting the valuable comments of JJM. However seems to be busy elsewhere.

As regards the rtial krazyKemist(498), kieran (507) and Hans (509) have suggested the basis for what I feel may be a highly workable plan of action for a homeopathic double blind trial.

Do you agree with all that they have suggested?
 

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