Posts Tagged ‘Snake Oil Science’

Complementary and alternative medical treatments and children

July 16, 2009  |  General  |  1 Comment

I’ve been doing research for my next book (tentative publication date is next spring) and have been looking into what is usually termed complementary and alternative medicine, or CAM, as it applies to children. The term CAM covers a lot of things — herbal therapy, hypnosis, massage, acupuncture, homeopathy, and many others. It is so broad a term that it seems inappropriate to talk about it as a single entity. But all these modalities do share one thing — a fair measure of antipathy toward standard medical practice, which is to say medicine practiced by doctors like me.

It is true that I was trained, like my peers, to regard all these alternative approaches as silly at best, dangerous at worst. But I’ve also been practicing pediatrics for thirty years now and realize that much of what I do is not particularly scientific, is sometimes guesswork, is and occasionally just blind luck. I’ve seen children make amazing, even miraculous recoveries from things I never thought they would heal from. And the pediatrics I practice is as high-tech as it gets.

It is becoming increasingly clear that the immune system and healing in general has direct connections to the brain, to our consciousness. For example, people with high anxiety levels or severe depression do not heal as well as those who do not suffer from these things. The scientific explanation for these effects appears to be alterations in brain neurotransmitters and how these substances directly affect other cells in the body.

The implication of these findings is that anything that brings a sense of well-being will promote healing. So it doesn’t matter to me if a particular herbal remedy, for example, helps a person simply by accomplishing that and nothing else. (I’m assuming, of course, that the alternative treatment doesn’t cause real harm, and a few of them do cause harm. I’m also assuming that the person doesn’t ignore proven medical treatments, things known to work.) It seems to me that proponents of CAM are often barking up the wrong tree when they strive to prove scientifically that what they are doing works in some direct fashion. That’s almost beside the point.

There is a good recent book about CAM if you’re interested in a detailed analysis. There are many strident books on this topic, loudly proclaiming the utter truth or total falsehood of CAM. This one, Snake Oil Science, has an inflammatory title, too, but on balance the book itself is actually quite sympathetic to the goals of CAM as a whole, even as it criticizes its claims. The author, Dr. Barker Bausell, is a biostatistician who was for some time with the Center for Complementary and Alternative Medicine at the federal National Institutes of Health. So he knows what he is talking about. Since I’ve written a few books myself, I know the choice of title is not up to the author, and I suspect Dr. Bausell would have chosen a less pugnacious one if it were up to him. (The publisher, of course, is mainly interested in selling books.)

Dr. Bausell’s conclusion is that whatever benefits CAM gives patients come from the placebo effect, our tendency to believe the treatment is working. I have no problem with that, since a physician’s job is to comfort and, if possible, to heal. If the child gets better, I’m happy, even if I have little idea why.