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Medical Forum / Diseases and Disorders / Tinnitus / September 2004

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Has anyone tried this?

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francispoon - 12 Sep 2004 04:50 GMT
I found the following website and am wondering if any one here has
tried it.

http://www.alphatinnitusformulas.com/?source=Overture&OVRAW=pulsatile%20tinnitus
&OVKEY=pulsatile%20tinnitus&OVMTC=standard


My friend Brian told me that 2 years ago he experienced tinnitus and
vertigo but was 'cured' after being put on medicine for 6 months.
Currently he has completely quiet ears.  I have no reason to
disbelieve him.

FP
Smarty pants - 12 Sep 2004 05:57 GMT
>I found the following website and am wondering if any one here has
> tried it.
[quoted text clipped - 7 lines]
>
> FP

I followed the links to their "clinical trials" and found none.  In fact,
clinical trials have demonstrated an effectiveness equivalent to placebo.
francispoon - 13 Sep 2004 05:40 GMT
> >I found the following website and am wondering if any one here has
> > tried it.
[quoted text clipped - 10 lines]
> I followed the links to their "clinical trials" and found none.  In fact,
> clinical trials have demonstrated an effectiveness equivalent to placebo.

(1)which clinical trial?  Where?  Show links, please.
(2)clinical trial on what?

I am very skeptical of clinical trials or controlled studies.  How can
you get a sample of say 20 patients with 'identical cause' of T, given
the fact that the cause of T is so hard to find out?

FP
Smarty pants - 13 Sep 2004 05:55 GMT
>> >I found the following website and am wondering if any one here has
>> > tried it.
[quoted text clipped - 19 lines]
>
> FP

Go to the link you provided, Francis.  Just over half way down the page they
have an imbedded link, supposedly to "clinical trials" that confirm the
effectiveness of their product.  You can take their link but you won't find
any clinical trials.

Which clinical trial or controlled study fuels your skepticism?  They are
all different.  Although helpful, it isn't necessary to know the cause of
something in order to study the effectiveness of remedies.  For example,
most people couldn't tell you why they had a headache, but they could
participate in a controlled, double-blind study comparing a headache remedy
with placebo.
francispoon - 13 Sep 2004 20:49 GMT
> >> >I found the following website and am wondering if any one here has
> >> > tried it.
[quoted text clipped - 31 lines]
> participate in a controlled, double-blind study comparing a headache remedy
> with placebo.

Not all medicines or medical solutions have gone through controlled
double-blind studies.  As a matter of fact, most medicines and medical
methods or solutions had been around before double-blind studies were
born.

In the case of the herbs advertized, all i need to do is try it and
see if it works in a week or so.  Being born and growing up in a herb
culture, I know the risk of taking them is by far less than taking
aprazolam.

FP
=================================
ENTconsult - 14 Sep 2004 06:49 GMT
Don't you love it when there is no mailing address???
Avoid foods rich in sugar?????
Murray Grossan, M.D.
http://www.ent-consult.com
francispoon - 14 Sep 2004 18:30 GMT
> Avoid foods rich in sugar?????

I seem to have found some connection between sugar and t, but not
quite sure.  Why does my t come to visit me only 3 days but not 7 days
a week?

Tks.,

FP

> Murray Grossan, M.D.
> http://www.ent-consult.com
ENTconsult - 16 Sep 2004 06:58 GMT
I know of no relation of sugar to T. There is NOTHING you can eat that the body
doesn"t convert to sugar - glucose.  You can eat pure fat and get blood sugar.
Murray Grossan, M.D.
http://www.ent-consult.com
Susan - 16 Sep 2004 15:16 GMT
>I know of no relation of sugar to T. There is NOTHING you can eat that the
>body
>doesn"t convert to sugar - glucose.

Not completely true.

 You can eat pure fat and get blood
>sugar.

Only 10% of the fat you eat is converted to glucose, so fat is a good dietary
choice for diabetics and those trying to avoid glucose and/or insulin spikes.
Only 58% of the protein you eat is converted to glucose.  100% of the
carbohydrate you eat becomes blood glucose, whether your body can use it or
not.  

Susan
Marktvalu - 17 Sep 2004 01:38 GMT
>Not completely true.

This gal shoulda went to med school. ;)

-j

>Only 10% of the fat you eat is converted to glucose, so fat is a good dietary
>choice for diabetics and those trying to avoid glucose and/or insulin spikes.
>
>Only 58% of the protein you eat is converted to glucose.  100% of the
>carbohydrate you eat becomes blood glucose, whether your body can use it or
Susan - 17 Sep 2004 02:33 GMT
> This gal shoulda went to med school. ;)

I'd hate it there.

Too many damned doctors.  ;-)

Susan
drfrank21 - 16 Sep 2004 17:33 GMT
> I am very skeptical of clinical trials or controlled studies.  How can
> you get a sample of say 20 patients with 'identical cause' of T, given
> the fact that the cause of T is so hard to find out?
>
> FP

Solid and legitimate clinical studies and trials are really the only
way to find out if the claimed therapy or treatment are as claimed.
Anectodal stories (even if sincered and not outright fradulent)
doesn't provide the evidence that the treatment works any better
than a placebo.

frank
francispoon - 17 Sep 2004 17:45 GMT
> > I am very skeptical of clinical trials or controlled studies.  How can
> > you get a sample of say 20 patients with 'identical cause' of T, given
[quoted text clipped - 7 lines]
> doesn't provide the evidence that the treatment works any better
> than a placebo.

I believe in clinical studies but it is the kind of methodology by
which a particular clinical study should be conducted concerns me.  In
order to do a well conducted double blind study, you do need to have a
sample of 'identical patients' or patients with identical cause, aside
from comparing the other health conditions they might have such as
high blood pressure, etc..  In the case of tinnitus patients, i think
this is pretty difficult to come by as the causes of tinnitus are so
complex and difficult to identify in most cases.

FP
======================

> frank
drfrank21 - 22 Sep 2004 20:07 GMT
> > > I am very skeptical of clinical trials or controlled studies.  How can
> > > you get a sample of say 20 patients with 'identical cause' of T, given
[quoted text clipped - 18 lines]
>
> FP

Your posts kind of contradicted yourself ("I am very skeptical of
clinical trials" and then " I believe in clinical trials") so I'm
confused on your position.

There are many good clinical studies and trials on certain types
of conditions such as pain management which relies on subjective
data so clean studies on tinnitus would not be insurmountable.

frank
francispoon - 17 Sep 2004 17:45 GMT
> > I am very skeptical of clinical trials or controlled studies.  How can
> > you get a sample of say 20 patients with 'identical cause' of T, given
[quoted text clipped - 7 lines]
> doesn't provide the evidence that the treatment works any better
> than a placebo.

I believe in clinical studies but it is the kind of methodology by
which a particular clinical study should be conducted concerns me.  In
order to do a well conducted double blind study, you do need to have a
sample of 'identical patients' or patients with identical cause, aside
from comparing the other health conditions they might have such as
high blood pressure, etc..  In the case of tinnitus patients, i think
this is pretty difficult to come by as the causes of tinnitus are so
complex and difficult to identify in most cases.

FP
======================

> frank
Susan - 17 Sep 2004 18:23 GMT
> In
>order to do a well conducted double blind study, you do need to have a
>sample of 'identical patients' or patients with identical cause, aside
>from comparing the other health conditions they might have such as
>high blood pressure, etc..

This just isn't true.  One might try to control as many variables as possible,
but that doesn't mean one can't do clinical outcome studies for symptom relief
without knowing the cause of the T.  

For example, a very famous study years ago found that when arthritis patients
were all lumped together without regard to type or cause, 40% of the total
group benefited from treatment with antibiotics.  Some had complete resolution
of symptoms.  This was a very useful clinical study that was performed without
separation by cause.

If we could only study illnesses for which there is a single known cause, we'd
have almost no studies at all.

Susan
Jim Chinnis - 17 Sep 2004 19:14 GMT
sufein@aol.comnospam (Susan ) wrote in part:

>x-no-archive: yes
>
[quoted text clipped - 18 lines]
>
>Susan

Yep.

Some people feel that every situation is unique and that a disease can be
cured by something that might well cure only that one person that one time.
Since those "cures" can't be explained or repeated, they are of little
interest to science (or to someone else looking for a cure). And...it is
essentially magic for a doctor to pick such unique cures for individuals.

A controlled study can determine how likely a tested treatment is to produce
an effect of a certain size in a certain percentage of the population tested.
If it is a large test, it can find treatments that are effective for very tiny
percentages of the patients. But it can't find the sorts of "cures" that work
for one person one time.

Scientists know that we humans share most of our genes and chemistries. They
also know that there are important differences that affect whether a cure
works or not.

If a person says that they have a system for prescribing, say, a blend of
herbs tailored to each individual, that SYSTEM can be tested as a treatment
just like any other. At the limit, the person/doctom/shaman/whatever become
the treatment that can be tested in a controlled study.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

francispoon - 18 Sep 2004 20:18 GMT
> sufein@aol.comnospam (Susan ) wrote in part:
>
[quoted text clipped - 43 lines]
> just like any other. At the limit, the person/doctom/shaman/whatever become
> the treatment that can be tested in a controlled study.

Perhaps there have already been 'controlled' studies of the various
forms done on the herb treatments in medical colleges 'around the
globe' except that we in this group do not know.

FP
Ben - 18 Sep 2004 20:45 GMT
, > Perhaps there have already been 'controlled' studies of the various
> forms done on the herb treatments in medical colleges 'around the
> globe' except that we in this group do not know.

I wouldn't worry about clinical trials Francis, as NONE have been done on
gentically modified food, yet ALL North Americans are eating it quite
happily.

Ben
francispoon - 19 Sep 2004 21:40 GMT
> , > Perhaps there have already been 'controlled' studies of the various
> > forms done on the herb treatments in medical colleges 'around the
[quoted text clipped - 3 lines]
> gentically modified food, yet ALL North Americans are eating it quite
> happily.

I believe in clinical trials, but clinical trials mean more than just
the controlled studies in a double blind fashion.  Thousands of
medical treatments and medicines have crystalized from the past
thousands of years' experiences before such a method named controlled
double-blind study was born.  Does it mean that any of them that has
been a proven success by methods *other than* a controlled study
should be discarded.

FP
==========================================

> Ben
francispoon - 19 Sep 2004 22:17 GMT
jchinnis@SPAMalum.mit.edu (Jim Chinnis) wrote in message
snipped...

> If a person says that they have a system for prescribing, say, a blend of
> herbs tailored to each individual, that SYSTEM can be tested as a treatment
> just like any other.

Jim, have you had personal experience or knowledge about how a blend
of herbs is prescribed?  I frankly don't think you have.  There is a
formula
as to the components of various herbs for a particular ill but the
quantity of each herb could be adjusted to allow for individual
variations.  This is also true of the 'conventional' medicine too.
For example, a person may need only 5mg of a high blood pressure pill
while another person who also suffers from high blood pressure has to
use 10mg of the same pill.  On that basis, how is the conventional
medicine different from the herb approach in principle?

At the limit, the person/doctom/shaman/whatever become
> the treatment that can be tested in a controlled study.

I don't know that you mean by a controlled study.  I am sure that the
currently existing medical treatments and medicines, be them
conventional or 'alternative', must have crystalized from the
EMPIRICAL findings of many years of experiences, and have been
constantly re-valuated using up-to-day methods.  If you had been a
medical school student, you should have no difficulty in understanding
it. Thus I am not sure what your concern is.

You seem to have asked why a particular person, a herb doctor, has not
tested what he prescribes to his patients _on himself_.  My response
to your curiosity would have been as follows:

(1)I don't know if he has experimented it on *himself* for every ill
he diagnoses.
(2)I don't understand why he should have done it on *himself*.
Doctors go through various kinds of training in medical schools.  Does
it mean each doctor has to experiment each kind of treatment on
*himself/herself* before prescribing a particular method to his/her
patients?
(3)If your concern is that these empirical experiences that doctors
receive in medical schools are suspects for their scentific
authenticity, and that only the 'controlled' double-blind studies
count, then many treatments for various diseases throughout human
history in the whole world should be suspended.

Perhaps you should write to the director of the medical school at
Harvard.  Harvard University offers courses in TCM or Traditional
Chinese Medicine.  In your letter, you may want to state your
assumption or belief that any herb recipee that has been a proven
success by methods *other than* double blind controlled study is a
suspect for its scientific authenticity and as such should be
discarded from the cirriculum.  That is to say, even if a recipee had
been in great demand due to its success in the treatment of a
particular ill over many years of clinical experiences but if this
recipee had not been tested in a 'controlled' double blind study, this
recipee should be thrown out right away or should be taken for a
double blind study before teaching it.  See what the professors at
Harvard may say.  After all, all of us are a bunch of amateurs as far
as 'alternative' medicine is concerned.  Sheer speculation outside the
domain of a profession is dangerous!

FP
snap_crackle_pop - 20 Sep 2004 15:39 GMT
> jchinnis@SPAMalum.mit.edu (Jim Chinnis) wrote in message
> snipped...
[quoted text clipped - 60 lines]
>
> FP

Francis, the man you address is no amateur, but rather is a
PhD, a researcher, a scientist of the first order.  He
speaks authoritatively from WITHIN his profession.  He is
graduated from two exceptionally fine universities.  It is
you, however, who demand we accept anecdotes from strangers.
 You insult us all by your attitude.  Dr. Chinnis is a
famous man.  Who are you?

As to the state of health in your country, I offer the
following:

Study Shows Majority of Chinese Urban Dwellers Sick
VOA News
20 Sep 2004, 12:02 UTC

A new study conducted by the Chinese Red Cross shows that
some three-quarters of all Chinese city dwellers are in ill
health and that life expectancies are declining for skilled
and educated workers.

The survey by the Red cross Society of China covered 16
Chinese cities with populations of over one million,
including Beijing, Shanghai and Guangzhou.

The report said the problem was worst among senior and
mid-level managers and well-educated white collar workers.
Their life expectancies have fallen to 58 years - less than
the national average of 72.

China's industrial boom and soaring vehicle use have
contributed to severe air and water pollution, while
changing diets and exercise habits have led to increased
obesity, stress, heart attacks and strokes.

Best,

scp
Jim Chinnis - 20 Sep 2004 16:25 GMT
snap_crackle_pop <snap_crackle_pop@inner_ear.org> wrote in part:

>Dr. Chinnis is a
>famous man.  Who are you?

I appreciate the praise, scp, but not the comparison above. I realize that
Francis is claiming that we are all amateurs save for his (and other) doctors.
I'd say we are all equal in our ultimate reliance on our own thinking about
these issues. That makes us all professionals.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

snap_crackle_pop - 20 Sep 2004 19:04 GMT
> I appreciate the praise, scp, but not the comparison above. I realize that
> Francis is claiming that we are all amateurs save for his (and other) doctors.
> I'd say we are all equal in our ultimate reliance on our own thinking about
> these issues. That makes us all professionals.

And I appreciate your modesty, Jim.  With the proviso that
there is no spooky action at a distance, save quantum
tunneling, I agree to consider us all survivors and thus
professionals when it comes to tinnitus.  Perhaps because of
the mysterious nature of tinnitus those who are cock-sure
and arrogant in their positions should mellow out.
Jim Chinnis - 21 Sep 2004 04:12 GMT
snap_crackle_pop <snap_crackle_pop@inner_ear.org> wrote in part:

>And I appreciate your modesty, Jim.

Well...I admit that I am "famous."

Assuming that Usenet counts...
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

chwaszczewski - 21 Sep 2004 04:16 GMT
> snap_crackle_pop <snap_crackle_pop@inner_ear.org> wrote in part:

>>And I appreciate your modesty, Jim.

> Well...I admit that I am "famous."

> Assuming that Usenet counts...

Usenet, if nothing else, is an odd place.  :-)
francispoon - 21 Sep 2004 07:19 GMT
> > I appreciate the praise, scp, but not the comparison above. I realize that
> > Francis is claiming that we are all amateurs save for his (and other) doctors.
[quoted text clipped - 7 lines]
> the mysterious nature of tinnitus those who are cock-sure
> and arrogant in their positions should mellow out.

That means you have to mellow out to begin with, as you are so
cock-sure that others are wrong and so wrong that you have to correct
them.  You stop that bad habit of yours in terms of bringing in the
irrelevant to confuse a debate and things will from now on go fine on
you.  Many people in this world have ph.d degrees.  How do you know
that you are not talking to one?
===============================
Bob D. - 20 Sep 2004 20:35 GMT
>I appreciate the praise, scp, but not the comparison above. I realize that
>Francis is claiming that we are all amateurs save for his (and other) doctors.
>I'd say we are all equal in our ultimate reliance on our own thinking about
>these issues. That makes us all professionals.

Jim:

I can appreciate that we are all victims of one of God's
little 'jokes' of a problem but certainly not professionals.
In my eight or so years here, I've found more and better
help for this problem from: Susan Moreland, yourself,
Dr's Nagler, Grossan and Gutnick than from all other
sources (except Bruce's EERIE WAX) combined.

My collective thanks,
Bob D.

Bob D.
Long Island, NY
bdimarco@optonline.net
francispoon - 20 Sep 2004 21:32 GMT
> > jchinnis@SPAMalum.mit.edu (Jim Chinnis) wrote in message
> > snipped...
[quoted text clipped - 68 lines]
>   You insult us all by your attitude.  Dr. Chinnis is a
> famous man.  Who are you?

(1)Regardless of whatever qualification anyone has or the kind of
universities from which he graduated, the group is open for logical
discussion.  If he felt that i demonstrate a tendency to demand the
group to accept whatever he deems UN-scientific, it would be his moral
responsibility to carry on the discussion with me to point it out.
And it is none of your business to come in, without having to discuss
what is relevant, to comment on my attitude as a way to help him or
you win the argument.  You could do better than that.
(2)Whether or not Dr.Chinnis is famous or not is irrelevant to the
discussion.  It is as irrelevant as it is to demand that you being
famous before being allowed to comment.  Then who the hell are you to
comment?  Are you a famous man?
(3)Harvard University also offers alternative medicines courses.  Is
that school also trying to demand fools like yourself to accept
anecdates?  You don't even know what you are talking about.

> As to the state of health in your country, I offer the
> following:

My country is Canada.  You stupid fool?  The fact that I am an ethnic
Chinese Canadian by my last name does not mean that you could bring in
the sad health state of his ethnic origin as a way to win an argument.
What is your ethnic origin?  Are there sad states of something over
there?  People who use this tactic or the tactic of attacking or
insulting the ethnicity of his/her interlocutor in order to advance an
argument are usually those who were bred from the socially and
mentally inferior, of whom you have appeared to be one.

I am waiting for either you or Dr. Chennis to come forward with your
side of the logical argument.  There are many famous people in this
world and many of them do have ph.ds without your realizing.  You just
happen to be ignorant of the world outside you.

FP
=================================

> Study Shows Majority of Chinese Urban Dwellers Sick
> VOA News
[quoted text clipped - 22 lines]
>
> scp
Smarty pants - 20 Sep 2004 22:38 GMT
> I am waiting for either you or Dr. Chennis to come forward with your
> side of the logical argument.  There are many famous people in this
> world and many of them do have ph.ds without your realizing.  You just
> happen to be ignorant of the world outside you.
>
> FP

Francis, Jim presented a logical argument and SCP's comments were
appropriate.  Telling them they are ignorant, however, is the childish
hallmark of someone with nothing of value to write.

Best wishes,

Bill
francispoon - 21 Sep 2004 07:24 GMT
> > I am waiting for either you or Dr. Chennis to come forward with your
> > side of the logical argument.  There are many famous people in this
[quoted text clipped - 6 lines]
> appropriate.  Telling them they are ignorant, however, is the childish
> hallmark of someone with nothing of value to write.

Jim's logical argument had not come at the point of my writing the
above and SCP's comments are NOT appropriate to me.  You are just
coming in to say something for the sake of saying it.  The latter is
about all the value you have got in writing.

FP
========================

> Best wishes,
>
> Bill
John Fuller - 22 Sep 2004 00:45 GMT
>Jim's logical argument had not come at the point of my writing the
>above and SCP's comments are NOT appropriate to me.  You are just
[quoted text clipped - 3 lines]
>FP
>========================

FP,

I'm rubber, you're glue.
Bounces off me, sticks on you.

 -John Fuller, HOH
chwaszczewski - 20 Sep 2004 23:02 GMT
(snip)

>>Francis, the man you address is no amateur, but rather is a
>>PhD, a researcher, a scientist of the first order.  He
[quoted text clipped - 3 lines]
>>  You insult us all by your attitude.  Dr. Chinnis is a
>>famous man.  Who are you?

> (1)Regardless of whatever qualification anyone has or the kind of
> universities from which he graduated, the group is open for logical
[quoted text clipped - 4 lines]
> what is relevant, to comment on my attitude as a way to help him or
> you win the argument.  You could do better than that.

As I have suggested, Francis, we should all mellow out.
This is Usenet.  You do understand what Usenet is?

> (2)Whether or not Dr.Chinnis is famous or not is irrelevant to the
> discussion.  It is as irrelevant as it is to demand that you being
> famous before being allowed to comment.  Then who the hell are you to
> comment?  Are you a famous man?

Infamous.  HAHA!!

> (3)Harvard University also offers alternative medicines courses.  Is
> that school also trying to demand fools like yourself to accept
> anecdates?  You don't even know what you are talking about.

There is no spooky action at a distance, Francis.  There is
no magic.

>>As to the state of health in your country, I offer the
>>following:

> My country is Canada.  You stupid fool?

I believed from your posting you were from Hong Kong,
Francis.  Please forgive my mistake.

>  The fact that I am an ethnic
> Chinese Canadian by my last name does not mean that you could bring in
> the sad health state of his ethnic origin as a way to win an argument.
>  What is your ethnic origin?

English, Irish, Scot, and a German in the woodpile, they say.

> Are there sad states of something over
> there?  People who use this tactic or the tactic of attacking or
> insulting the ethnicity of his/her interlocutor in order to advance an
> argument are usually those who were bred from the socially and
> mentally inferior, of whom you have appeared to be one.

No, Francis, I merely take your trollish behavior to mean
you are trolling this group, looking for argument for
argument's sake.  I hope I am wrong in this suspicion.

> I am waiting for either you or Dr. Chennis to come forward with your
> side of the logical argument.  There are many famous people in this
> world and many of them do have ph.ds without your realizing.  You just
> happen to be ignorant of the world outside you.

We are NOT having an argument, Francis.  You are.

Best,

scp

(snip)
Susan - 20 Sep 2004 23:58 GMT
>No, Francis, I merely take your trollish behavior to mean
>you are trolling this group, looking for argument for
>argument's sake.  I hope I am wrong in this suspicion.

You are wrong.

Susan
francispoon - 21 Sep 2004 07:11 GMT
> (snip)
>
[quoted text clipped - 16 lines]
>
> As I have suggested,

Where have you suggested?  Who are you?  Are you that guy that talked
about the sad state of health in China or are you someone jumping in?

Francis, we should all mellow out.
> This is Usenet.  You do understand what Usenet is?
>
[quoted text clipped - 19 lines]
> I believed from your posting you were from Hong Kong,
> Francis.  Please forgive my mistake.

This is BC, Canada.
======================

> >  The fact that I am an ethnic
> > Chinese Canadian by my last name does not mean that you could bring in
[quoted text clipped - 25 lines]
>
> (snip)
Jim Chinnis - 20 Sep 2004 16:11 GMT
fyfpoon@hotmail.com (francispoon) wrote in part:

>jchinnis@SPAMalum.mit.edu (Jim Chinnis) wrote in message
>snipped...
[quoted text clipped - 13 lines]
>use 10mg of the same pill.  On that basis, how is the conventional
>medicine different from the herb approach in principle?

It differs in practice, not in principle. The difference in practice is that
herbal treatments tend to involve many herbs, each at dosages for the
particular patient. There is a problem with combinatorics. It may be the right
"drug" for that patient, but there is no way to test and no way to know,
because of the thousands or millions of possible herb combinations and
dosages.

This problem arises too in "Western" medicine, when multiple interacting (or
potentially interacting) drugs are used on a single patient. There are few or
no data on the precise combination.

> At the limit, the person/doctom/shaman/whatever become
>> the treatment that can be tested in a controlled study.
[quoted text clipped - 6 lines]
>medical school student, you should have no difficulty in understanding
>it. Thus I am not sure what your concern is.

The inferences drawn by physicians and others based on empirical data are
subject to powerful biases and to confusion arising from many well-studied
causes. A "controlled" study is one in which the treatment is compared with
another treatment (possibly a placebo) and where the two tests are made as
comparable as possible. That way, any differences that emerge can be
attributed to the treatments.

>You seem to have asked why a particular person, a herb doctor, has not
>tested what he prescribes to his patients _on himself_.  My response
>to your curiosity would have been as follows:

You misunderstood me.

(snip)
>Perhaps you should write to the director of the medical school at
>Harvard.  Harvard University offers courses in TCM or Traditional
[quoted text clipped - 11 lines]
>as 'alternative' medicine is concerned.  Sheer speculation outside the
>domain of a profession is dangerous!

I doubt very much that Harvard Medical School teaches its students to concoct
a 10-herb mixture with each herb titrated for the individual patient. That was
the kind of practice that you described that I objected to.

Francis, I have no doubt that some treatments from TCM are effective. And I'm
sure that medical schools that consider TCM treatments are suggesting that
such treatments may be useful where no treatment has been shown (by controlled
studies or blatantly obvious success) to be very effective, for the reasons
you state. I'm sure also that some traditional treatments will be shown to be
effective in controlled studies.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

francispoon - 21 Sep 2004 07:08 GMT
> fyfpoon@hotmail.com (francispoon) wrote in part:
>
[quoted text clipped - 19 lines]
> herbal treatments tend to involve many herbs, each at dosages for the
> particular patient.

If you had been in that profession, it would not have appeared that
complicated to you.  The discipline of herb medicine identifies
various properties in a person.  Since most people have more or less
the same set of properties, the variations between various individual
would not be that acute.

There is a problem with combinatorics. It may be the right
> "drug" for that patient, but there is no way to test and no way to know,
> because of the thousands or millions of possible herb combinations and
[quoted text clipped - 47 lines]
> I doubt very much that Harvard Medical School teaches its students to concoct
> a 10-herb mixture with each herb titrated for the individual patient. That was the kind of practice that you described that I objected to.

It is not that horrible as it sounds. Go and read a book on
Introductory to TCM and you will find that it is not that voodoo at
all.

> Francis, I have no doubt that some treatments from TCM are effective. And I'm
> sure that medical schools that consider TCM treatments are suggesting that
> such treatments may be useful where no treatment has been shown (by controlled
> studies or blatantly obvious success) to be very effective, for the reasons
> you state. I'm sure also that some traditional treatments will be shown to be
> effective in controlled studies.

I am all for controlled studies.  However, like any other kinds of
studies, it has its limitations and as such should be acknowledged.
If something had been found to work through years of clinical
experience, people would just keep using it.  The ones that want to do
a controlled study on that are the ones that have the fund and the
interests to do it.  These are mostly people who want to find a topic
for their thesis or term papers. Otherwise, how would a doctor who is
already doing well financially and professionally all of a sudden go
and perform controlled study on each method he uses on patients?

FP
Jim Chinnis - 21 Sep 2004 16:44 GMT
fyfpoon@hotmail.com (francispoon) wrote in part:

>If you had been in that profession, it would not have appeared that
>complicated to you.  The discipline of herb medicine identifies
>various properties in a person.  Since most people have more or less
>the same set of properties, the variations between various individual
>would not be that acute.

The combinatorics problem is still the same. I'm talking about a problem in
combining treatments according to multiple factors. it isn't possible for
someone to properly intuit the meaning of his experience with such treatments,
and it isn't possible to do a controlled study on them.

if the METHOD behind a complex combination-treatment system can be specified,
it is possible to study that method in a controlled study.

>It is not that horrible as it sounds. Go and read a book on
>Introductory to TCM and you will find that it is not that voodoo at
>all.

I'm not addressing TCM specifically. What I'm talking about is the combination
of multiple drugs/herbs/treatments tailored to individual patients. If the
system can be defined, it can and should be tested when warranted. Otherwise,
you are to be skeptical.

>I am all for controlled studies.  However, like any other kinds of
>studies, it has its limitations and as such should be acknowledged.
>If something had been found to work through years of clinical
>experience, people would just keep using it.

Of course. But many things that have been used forever and were widely
believed to work turn out not to work, when they are tested properly. Some
things work every single time. They don't need testing. There aren't any
"obvious" cures or treatments for tinnitus.

>The ones that want to do
>a controlled study on that are the ones that have the fund and the
>interests to do it.  These are mostly people who want to find a topic
>for their thesis or term papers. Otherwise, how would a doctor who is
>already doing well financially and professionally all of a sudden go
>and perform controlled study on each method he uses on patients?

I agree that most doctors have no interest whatsoever in testing the
treatments they believe in. But I see that as a bad thing. Fortunately, there
are groups that tend to fund research and press for it. For tinnitus, there is
the American Tinnitus Association.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Ben - 12 Sep 2004 20:27 GMT
Hi Francis,

It looks like another of those sites that make claims just to get our money
:(  I suppose you can easily get hold of Ginko yourself without paying so
much anyway?  As for your friend - well, his T might have been one of those
that simply disappeared?  I believe it is said to be possible - just wish we
could ALL be one of those types.

Ben

> I found the following website and am wondering if any one here has
> tried it.

http://www.alphatinnitusformulas.com/?source=Overture&OVRAW=pulsatile%20tinnitus
&OVKEY=pulsatile%20tinnitus&OVMTC=standard

 
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