Gideon Burrows is dying. He has a brain tumor and it is inoperable. His recent book – This Book Won’t Cure Your Cancer – gives an honest and well researched account of the cancer quackery industry. Reviewing the book for the Science-Based Medicine blog is alternative medicine author Harriet A. Hall, who is an American retired family physician and a former U.S. Air Force flight surgeon. She writes about his struggles and challenges:
“A
professional wordsmith, he is able to describe his experience of illness so
vividly that the reader enters into his life, feels what he feels, and shares
his suspense about what the next scan or doctor’s visit will reveal. Along with
him, we suffer through the panic and fear, the chaos, the agonies of delays and
uncertainty, the unpleasant hospital environment, and specialists with poor
bedside manners. We follow him through difficult decisions about how to share
the bad news with friends, relatives, and his young children; and we understand
why this engenders guilt feelings.”
Burrows laments the desperate thinking and questionable decisions made by
some cancer patients. Normally rational and intelligent people fall prey to any
hope or cure, no matter how outlandish. Three specialists gave Burrows the
diagnosis that his cancer was inoperable. His own friends urged him to look for
a surgeon that would operate. Hall summarizes Burrows thoughts:
“What if he searched the world and found five doctors who wouldn’t
operate and a sixth who would? Would it be rational to trust the sixth doctor’s
opinion more than that of the other five? Of course not. He should trust him less.
Unfortunately, many patients play this game, spend enormous amounts of money,
and end up worse or no better than they would have been.”
Burrows
gives an analogy of the bizarre and contradictory cancer cures available:
“What if he
proposed that blowing up 100 red balloons would cure cancer? Is that really any
more ridiculous than coffee enemas? When does anything
become something we should try, and who gets to decide what is too ridiculous
to try? Even alternative practitioners disagree with each other. Where do you
draw the line? If a treatment has not been proven to work, is not biologically
plausible, has not been tested in animals, and is not backed by the majority of
scientific experts, shouldn’t it fall on the same side of the line as the red
balloons?”
Believing in
cures based only on personal testimonials is an obvious logical fallacy:
“In fact,
personal testimonies are the enemy of proof. We hear about successes, but we
don’t hear about the failures because no records are kept. To be taken
seriously, a theory has to be falsifiable. Excusing failures by saying the
treatment wasn’t properly followed leaves no way to determine whether it
actually works. Controlled scientific studies can test whether it works; they
are based on falsifiability. Proponents of alternative medicine often reject
the scientific approach; they argue that their treatments are not amenable to
randomized controlled trials, and that they might still work for an individual
even when studies show they didn’t work for the people in the studies.”
Popular TV
programs like The Doctors and The Dr. Oz Show often present health
claims and cures that are completely unsubstantiated. The news media sometimes
does more harm than good when reporting on cancer treatment outcomes:
“The media
report real new developments in scientific cancer treatment right along with
sensationalist stories about unreliable pseudoscientific claims. They strive
for ‘balance’ and give alternative treatments more credit than they deserve.
This is wrong-headed; it’s not a matter of two politicians presenting opposing
views, it’s a matter of scientific fact and expert opinion versus speculation
and uninformed opinions of non-experts (and sometimes even of charlatans). The
news serves to confuse rather than to inform.”
Conventional
doctors are not perfect and can make mistakes. Alternative medicine
practitioners seize on the mistakes and ignore the overwhelming number of
successful treatments and remedies. Hall quotes Burrows:
“But if we
exercise skepticism and doubt about medically trained doctors, oncology and
conventional medicine, then we should subject alternative medicine to at least
the same level of doubt and scrutiny. In fact, I would argue alternative
medicine deserves far more doubt because it self-consciously puts itself
outside conventional medicine that has been proven by time and experience to,
mostly but not always, get it right.”
Burrows
concedes that alternative medicine often delivers the personal touch, something
most conventional doctors fail to do for a variety of reasons. Hall breaks down
Burrows’ reasoning:
“Conventional
medicine and alternative medicine operate in two separate universes that don’t
communicate with each other. Alternative providers fail to understand the
scientific realities of modern cancer treatment. Conventional providers often
fail to appreciate their patients’ fears and misunderstandings. Patients are left
in limbo. As a society, we need to have
a sensible conversation about dying, and not just keep patients with cancer
alive longer at all costs. We should learn when to let go. A recent study found
that hospice patients with an end-of-life plan not only had a better quality of
life than those who insisted on every possible intervention, but they actually
lived longer.”
Burrows evaluates one of the top cancer quackery books of all time - Anticancer: A New
Way of Life, by David Servan-Schreiber. The author asserts that
cancer can be beaten by diet and stress reduction by controlling ones thoughts.
The sad reality is that Servan-Schreiber is:
“… making unwarranted extrapolations from single scientific studies and
anecdotes, and he is blaming the victim by trying to establish a lifestyle
cause for a kind of tumor for which science has found no cause and which is
likely due only to bad luck. Servan-Schreiber thought he had beaten cancer, but
it returned with a vengeance. Then he wrote a second book. Instead of
acknowledging that his methods hadn’t worked, he rationalized that he hadn’t
followed his own advice carefully enough. He hadn’t done enough to control
stress. Maybe he hadn’t eaten properly. He died shortly after the second book
was published. People are still reading his books and following his advice;
many of them don’t realize he is dead.”
Burrows own
prognosis is gloomy, but he refuses to descend into irrational thinking:
“At the end
of the book, his condition is stable and he is far from devoid of hope; but his
hope is centered in realism and rationalism. He hopes for the possible, not for
the impossible: perhaps a change in medication will better control his
seizures, perhaps he will survive long enough for science to find an effective
cure for his cancer. He believes that reality and science are always better
than lies and belief in magic. He thinks it is a shame that patients turn to
alternative medicine and make themselves ineligible for clinical trials that
offer real hope for contributing to the greater good.”
Burrows makes a promise and offers a
challenge to believers in alternative medicine:
“If you can show me firm,
peer-reviewed scientific evidence that your cancer prevention therapy or cure
works, I will no longer call it alternative medicine. I’ll call it medicine.
And if proven to work for my particular brain tumour, I’ll be first in line for
a dose.”
Finally – An admission of the failures of alternative medicine from one of their own! Josephine P. Briggs, M.D., director of the National Center for Complementary and Integrative Health: “The evidence for the safety and efficacy of complementary approaches is still very incomplete. When making treatment decisions, unproven ‘alternative medicine’ approaches should not replace conventional medical care approaches known to be useful or helpful. Simply put, the evidence is not there.” (11 minutes 5 seconds – 11 minutes 45 seconds)
The Alternative Medicine Racket: How the Feds Fund Quacks
Finally – An admission of the failures of alternative medicine from one of their own! Josephine P. Briggs, M.D., director of the National Center for Complementary and Integrative Health: “The evidence for the safety and efficacy of complementary approaches is still very incomplete. When making treatment decisions, unproven ‘alternative medicine’ approaches should not replace conventional medical care approaches known to be useful or helpful. Simply put, the evidence is not there.” (11 minutes 5 seconds – 11 minutes 45 seconds)
Harriet A.
Hall, “This Book Won’t Cure Your Cancer, But It Will Help You Think More
Clearly About It” https://www.sciencebasedmedicine.org/this-book-wont-cure-your-cancer-but-it-will-help-you-think-more-clearly-about-it/
Liars! How Snake-Oil Doctors Use 5 Logical Fallacies http://www.mybestbuddymedia.com/2015/11/liars-how-snake-oil-doctors-shrewdly.html
Yet Another Victim of Cancer Quackery http://www.mybestbuddymedia.com/2015/09/yet-another-victim-of-cancer-quackery.html
9 Devious Ways Alternative Medicine “Doctors” Deceive Their Patients http://www.mybestbuddymedia.com/2015/01/9-reasons-why-some-alternative-medicine.html
Dr. Oz and The Doctors: Assessing Exaggerated Health Claims http://www.mybestbuddymedia.com/2014/12/dr-oz-and-doctors-assessing.html
12 Quick Guidelines For Uncovering & Exposing Quack Medicine http://www.mybestbuddymedia.com/2013/08/12-quick-guidelines-for-uncovering.html
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