Unfortunately you offer a typical response, nice anecdote!
Preston H. Long
> From: "Stephen M. Perle, D.C." <[log in to unmask]>
> Organization: University of Bridgeport
> Reply-To: "Stephen M. Perle, D.C." <[log in to unmask]>
> Date: Thu, 2 May 2002 09:11:37 -0400
> To: [log in to unmask]
> Subject: Re: How do various specialities view EBM?
>
> You are correct and Freud was probably wrong money is a more important
> driving force than sex. :-)
>
> I always tell my students that when you treat a patient and they feel better
> *after* they have left the office, they should always question was this
> placebo or natural history. But when one sees instantaneous responses I
> have less belief it is natural history but it could still be placebo.
>
> So from my personal experience let's look at a low back pain patient where
> the literature is much more equivocal. The patient barely walks into my
> office. I mean they walk bent over with their hands on their thighs to help
> hold up their body. They are obviously in extreme distress They have been
> suffering for two weeks with no change in Sx. They saw their M.D. and had
> both Rx NSAIDs and muscle relaxers which have had absolutely no effect. A
> friend twists their arm and makes them come to see the quack, er I mean, the
> chiropractor. I examine the patient and give them one manipulative thrust
> and concurrent with the thrust they are instantly pain free. (BTW this is
> an example of a relatively common occurrence) If this is a placebo, why
> didn't the medication work as a placebo? Why is the placebo a treatment
> that they absolutely did not want because they knew it would not work?
> Aren't placebo effective because the patient BELIEVES it will work?
>
> _____________________________________________
> Stephen M. Perle, D.C.
> Associate Professor of Clinical Sciences
> University of Bridgeport College of Chiropractic
> Bridgeport, CT 06601
> www.bridgeport.edu/~perle
> ______________________________________________
> "Be ashamed to die until you have achieved some
> victory for humanity."
> Horace Mann
> ----- Original Message -----
> From: "preston" <[log in to unmask]>
> To: "Stephen M. Perle, D.C." <[log in to unmask]>;
> <[log in to unmask]>
> Sent: Thursday, May 02, 2002 8:55 AM
> Subject: Re: How do various specialities view EBM?
>
>
>> The evidence for spinal manipulation is that it might be better than
> placebo
>> or it might not. The financial incentives and rewards will not allow most
> if
>> not all chiropractors and schools to become evidence-based.
>> --
>> Preston H. Long
>>
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