4 ms·

We need to throw out Allopatic medicine that does not work, along with Acupuncture, Chiropractic, Naturopathic, Osteopathic bad healing techniques that work sli

We need to throw out Allopatic medicine that does not work, along with Acupuncture, Chiropractic, Naturopathic, Osteopathic bad healing techniques that work slightly better than Placebo in an Indian village in studies with less than 100 poor souls, and a questionable Control group, and rumors of payola floating around. Meaning enough with the bullshit remedies that don't work. Most Psychiatry drugs are on my hit list. I can't believe these $450 a visit fancy boys are allowed to prescribe 90% of their bread and butter drugs. I'm not just picking on shrinks either, but they are an easy target. I am beyond disillusioned that our FDA has approved drugs that are harmfully and actually don't work. (Former Chiropractic student who walked out after hearing, "We have over 15 upper cervical techniques--and they all work Equally well.") Enough is enough.

ncmncm 4y ago
Then it is a good thing you have no say in our access to psychiatric pharmaceuticals. The only way known to distinguish one variety of depression from at least a half-dozen others is to see which medication relieves it. So, any RCT of a depression treatment necessarily throws together people with a half-dozen or more independent conditions, some of which might be relieved by the treatment, others worsened. Repeat after me: RCT results depend absolutely on precise and correct diagnosis. If you cannot diagnose, you cannot design a valid RCT. Invalid RCTs are easy, though; people run those all the time. The RCTs that seem to prove psychiatric drugs are ineffectual are exactly those. We are in the condition of people getting arm and leg fractures, but we can't tell where. Splinting is seen to help; doctors who put splints on various places usually hit on a place where it manifestly helps. But our RCTs of splints placed on left shinbones seem to help only a precious few of our patients. Some people swear up and down, loudly and repeatedly, that they are dead certain this means splints are useless and a big scam.

ncmncm 4y ago

Then it is a good thing you have no say in our access to psychiatric pharmaceuticals. The only way known to distinguish one variety of depression from at least a half-dozen others is to see which medication relieves it. So, any RCT of a depression treatment necessarily throws together people with a half-dozen or more independent conditions, some of which might be relieved by the treatment, others worsened. Repeat after me: RCT results depend absolutely on precise and correct diagnosis. If you cannot diagnose, you cannot design a valid RCT. Invalid RCTs are easy, though; people run those all the time. The RCTs that seem to prove psychiatric drugs are ineffectual are exactly those. We are in the condition of people getting arm and leg fractures, but we can't tell where. Splinting is seen to help; doctors who put splints on various places usually hit on a place where it manifestly helps. But our RCTs of splints placed on left shinbones seem to help only a precious few of our patients. Some people swear up and down, loudly and repeatedly, that they are dead certain this means splints are useless and a big scam.