Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 Hi all I wasn't trying to start a major disagreement here, just trying to ask people to keep open minds, based on my (admittedly somewhat anecdotal) experience during over 50 years of consulting typical North American doctors, physiotherapists, massage therapists, chiropractors and osteopaths. My main point is that there is, as yet, no scientifically accepted long term (25 years or more) proof that resurfacing is better than a THR. Logically, it would seem to make sense that just replacing the joint and keeping more of an otherwise healthy bone is a good tactic; but, as with statistics, lots of dubious " proofs " can be made with logic. However, the majority of us in this group managed to make the necessary " leap of faith " to choose resurfacing, despite the " rigorous scientific " advice of many North American orthopedic surgeons. In fact, many of us travelled long distances and paid from our own pockets for this " alternative " surgery. And so far, many of us are glad we did! It cost me a small fortune to go to England for surgery, but it was worth it to get my life back. And nine months later, I'm still improving. Rigorous science needs to be reproducible and work for everyone. Most of us are very happy if we find something that just works for us personally, even if the evidence as to " why " it works has not yet been discovered. New discoveries are made in science everyday (the guy who first postulated that ulcers are caused by a bacteria was treated like a pariah for several years, I've heard, yet now many ulcers are quickly cured with the right antibiotic). I am not going to presume that just because I can't explain something, or don't believe in it myself, it doesn't work for someone else. And maybe the historical definition of homeopathy isn't totally the way that homeopathic doctors operate in Europe today. I have certainly read that homeopathic doctors in Germany use a lot of plant preparations as well as the very diluted type of medicines. The fact remains that the medications (rhus tox and arnica) I received while in Dr. McMinn's care were labelled as homeopathic, and the nurse told me that they were such, as well. Whether they fit the classical definition, I don't know. Please excuse me if I make some mistakes in putting my thoughts about medical issues in layman's terms. I'm not a doctor, but I have had to learn a lot about my body in order to relieve pain and keep moving. Basically, I've had to take control of my own treatment. When I only saw doctors, they just gave me stronger and stronger narcotics that wrecked my stomach, and caused severe reflux. Plus they told me that I had to wait weeks for diagnostic tests, and years for surgery. One visit to an osteopath made a huge difference to the painful muscle spasms I was getting. He knew a lot more about muscles than most doctors (a friend who's a doctor told me she only had two days of lectures about muscles in her four years of medical school at a prestigious U.S. university). On the other hand, when I tore a ligament, the osteopath couldn't figure out what was wrong with me. A doctor who had later decided to train as a chiropractor as well, and who specialized in backs, was the first person to actually touch my back instead of just looking at Xrays, to watch me move, and to diagnose where I was injured. His adjustments helped some, but a registered massage therapist helped a lot more. She was also the one who gave me the best exercises to do, and who convinced me that I should gradually increase them, even though doing just two or three repetitions was agony. I would never have thought of visiting a massage therapist until some friends recommended it, based on their experiences. And at first I was very skeptical of her advice, but gradually I was able to exercise more, and the pain did reduce considerably (although due to my " locked " hip, it never completely disappeared). It may be true that the effectiveness of homeopathic medicine depends on the belief system of the patient, or on the fact that a lot of attention is paid to the patient's concerns and stressors (instead of a 10 minute rushed consultation as is common in countries with publicly funded medical systems such as Canada where I live). Certainly belief systems are very important. My brother, who is a Vancouver trained doctor with a lot of experience, spends most of his time practising in Africa. He tells of trying without success to treat a very sick African patient who was on the verge of death, with lots of medically verifiable symptoms. Finally, the relatives insisted on calling in a " witch doctor " to remove the " curse " that someone had put on the man. After the witch doctor's " treatment " , the man immediately started to improve and soon got well. Another reason that some alternative treatments may seem to work is that they relieve stress. From personal experience, I know that pain gets worse when I'm stressed and worried, especially if I don't know what's causing the pain. > Don't be so fast to embrace TOM (traditional oriental medicine). I have never actually been to a TCM specialist. And I wasn't thinking only about their herbal remedies, but also about their theories of energy flows, and treatments such as acupuncture. I understand that many Canadian doctors and physiotherapists now use acupuncture with great success. But I'm not working in the field of medicine, so I can't point you to any specific research studies. > > Bottom line with all this -- only accept it if it works in all medical systems. Well, that's not necessarily an option, if some medical systems refuse to even test or try certain remedies or practices. And if they WON'T research them just because they can't patent them and make money on them, that doesn't seem to me to be a valid reason to claim that such treatments are not valid because they are not supported by a lot of scientific research... It's kind of a vicious circle, isn't it? >If you can't find a valid reason for it, then be wary. I am wary; I read a lot of literature about herbal remedies, pro and con, and some of them I would never try. Some I have tried, and I stopped taking them when they either didn't work or seemed to have adverse effects. Others did work well for me, but not for everyone. Some that worked for my friends didn't have any effect at all on me. However, I believe, like Candace, that we don't yet know everything about the body and how it works. We in North America tend to study the physical aspects of disease, without addressing the whole situation the person is actually living in, the way some other medical systems do. I think many North American women are more open to the holistic view of medicine (and life) than many men. It's kind of like the different attitude some women have to business: they see their employees as complex people with very complicated lives, not just as replaceable inputs to making a profit. (That's just an extreme example, guys; let's not get off on another argument about what's right or wrong in business attitudes , it's not relevant on this board.) A few people in this group swear by the effectiveness of alternative treatments such as rolfing. Others may feel that the rolfer is making their injuries and pain worse. Maybe for both of them, it's all in their mind, all in their body, or a combination thereof. I don't think we can yet prove precisely why some of these treatments work for some people, and not for others. So I'm just asking those who don't have any use for alternative medicine to be more tolerant of those who find that it works for them. It's true that " snake oil " salesmen caused Americans to be skeptical of anything but modern clinical medicine. It's important to study our own history and learn from it. It's also important to study and learn from the history and culture of other parts of the world. We may be defined by our history, but we need not be limited by it... n rBHR Oct.2003 McMinn Quote Link to comment Share on other sites More sharing options...
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