Anyone interested in debating, please place your debate comments in the appropriate comment box below.
Jeffrey Dach MD
Natural Medicine
jeffrey dach md
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- Jeffrey Dach MD is founder of TrueMedMD, a clinic in Hollywood Florida specializing in Natural Medicine and Bio-Identical Hormones.
Jeffrey Dach MD
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Salon.com
Comments
In all seriousness, I see a Gauntlet laid down. Let's see whom is unafraid to answer the call. Dr. Amyyyyyyyyyyy...Dr. Amyyyyy?
Get out your JAMA's and Grey's Anatomy! (No, not the TV show.)
RATED!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
She Who Could Not Be Wrong™ is on the record repeatedly saying it is not doctors, but hospital admin who are responsible for doctor's not washing up and passing infections around hospitals.
What are your thoughts?
Thanks,
G
1) The FDA does not suppress information in the scientific literature. Rather, they regulate the product claims that can be made using that literature. It seems you think they should not do that.
2) There is already a standard FDA process by which companies can make "qualified health claims" for their products. This involves a comprehensive review of the relevant literature. Based on that review qualified health claims are developed. A large number of products have already successfully gone through that process. But, it seems that this is not sufficient for you.
3) It seems to me that you would prefer a "system" in which companies could simply market products, saying whatever they want to about the products, based on whatever studies they chose to select (or neglect), in the name of the First Amendment, as you suggest in your "cherry" post -- "Freedom of speech is a personal liberty protected by the First Amendment of the Constitution."
I suggest to you that such a "system" would lead to utter chaos and potentially dangerous misunderstandings among the public about what these products actually do or don't do.
Question: Is my description in 3) above an adequate statement of your position. If not, what is your position?
Your turn.
I would debate just for the hell of it, but my doctorate doesn't count. I am trained to cure souls, not bodies.
Merry Christmas,
Monte
I applaud you for reciprocating the "blatant" call out by Dr. Amy. She won't show. She can't leave her own blog long enough to know you've posted... ;-)
Kudos
Debate question 2: If the answer to question 1 is yes, then what are the necessary and sufficient conditions that the government should expect a company to meet in order to make health claims for a product?
I would like your thoughts on Chinese medicine and acupuncture. Thanks doc.
This could be a new one for OS. Always interested in different activities we can do here.
Debates are usually on neutral territory. So it could be hosted by someone whom you both (I assume you and Dr. Amy) trust.
The issue should be well-defined so that you stay on topic. Only the debators comment.
Might be of real interest.
As to the "debate" between She Who Could Not Be Wrong™ and Dr. Dach, I think o'stephanie's comment speaks to a minimum scenario for keeping the idea from going off the rails entirely. As many of the other comments suggest, quite a few people seem less interested in a debate than in having Dr. Dach address their particular inquiries, which is all fine, but still.
I also think Greg is likely correct that we'll not see SWCNBW™ enter this venue.
All that said, Dr. Dach, you're to be commended for your professional and civil manner, in general, as well as for your sense of humor.
Mishima666 has a well laid out question that would seem to call for a response should you be interested in taking up at least part of the challenge.
http://www.idebate.org/standards/rulesinternetdebates.php
A lot of the stuff deals with judging of students, which could be completely ignored (let the readers judge), but the guidelines do give a reasonable format/structure. The key is that a "motion" is the driving issue to be debated.
The motion could be something broad, like, "Resolved, alternative medicines have the power to produce desired effects in the treatment of disease." Of course, then we'd really need a good, specific definition of "alternative medicine" that everyone could agree on. Maybe something like "all medical treatments not approved by the FDA, or the AMA" or some such "traditional" body.
Or, something very specific (where definitions are less fuzzy), like, "Resolved, cherry juice producers should be allowed to make health claims when marketing their products without interference from government authorities."
A policy debate? "Resolved, regulation of labeling and marketing claims made by corporate entities is unnecessary."
So the next steps would be to obtain agreement on the structure of the debate and on the motion to be debated.
Two suggested topics:
Off-label use of pharmaceuticals as a form of alternative medicine?
Drug interactions, pharma to pharma, herbal to herbal, and mixed: how to track and mitigate.
I live in SF Chinatown, with the world's most amazing herbalists- own to a 2000 year head start, I suppose- so I find it amusing that y'all are even debating in re efficacy.
Be kind: Watch out for the plate in her head.
I’ll initiate a blog directed toward debating the merits of that product or supplement…and invite both you and Dr. Amy to do the debating.
We’ll limit it to just that one item for now.
But at least, we will get things started.
I’m going to post this over in Dr. Amy’s blog also…so that she knows I’ve issued this invitation.
After you two have debated and responded to each other fully…I’ll ask others in OS to give opinions about how the debate went in their estimation.
So as not to have you two interrupted, any comments made by anyone other than you two that I think do not move the debate along will be deleted until you both indicate that you have said all you have to say on the matter.
Merry Christmas Everyone.
Now I see that your post is positioned in the blog after my post.
Like I said, I do not understand how that happened, but somehow it did.
In any case, just in case we cross-posted…I want to call your attention to my post (the one marked 9:05) which appears in the blog BEFORE your last post.
Jeez…things sure do get complicated here at time. Anyway…just wanted to provide a neutral (and I promise, impartial) site for debate. Hope you provide me with a product I can use to start the blog.
Happy Holidays!
I'm aware of only two cases dealing with the FDA and First Amendment rights. Basically the courts have held that in regulating the claims of drug and supplement manufacturers the FDA has to regulate in such a manner as to impose the least restrictions possible while still accomplishing the agency's mission. But those rulings were very limited and there is no indication from any court that the concept of regulating such claims is not constitutional.
I hate when I make stupid mistakes. But I hate even more when I make careless ones.
Question for Dr. Jeff:
It’s been in the news that estrogen replacement therapy for menopause can increase risk of breast cancer, and possibly other ailments. Soy is touted as a “natura estrogen replacement”, because of its estrogen-like properties. Question: if soy ACTS LIKE estrogen, then wouldn’t it also increase the risk of breast cancer? Why or why not? Have studies been done to show the effect or non-effect of soy on breast cancer?
Question for Dr. Amy:
Are there any alternative treatments that you feel show promise as future acceptable medical treatments if only someone would formally test the claims? Possibly examples – glucosamine for arthritis, chiropractic for back and neck trouble, whatever. If not, can you name any alternative treatments that had been recently accepted as effective that you used in your own practice? Possible example acupuncture, cranberry juice for urinary tract infections, whatever.
I'm not interested in participating in a debate of the issues proposed. I really wouldn't have a clue. Nor do I think that comments to/from you and mishimi666 in this post amount to "debating" in a formal sense.
I'm interested in reading a formally constructed debate on these or some such issues. One that follows a procedure such as the one proposed here:
http://open.salon.com/content.php?cid=69193
Does such a format, where the debate was between you and Doc Amy or some other volunteer debater, seem viable to you?
A third volunteer would need to be identified to act as moderator.
But the most persuasive example happened several years back. A dear friend and coworker began experiencing horrible nausea as a side effect of her pregnancy during the annual summer arts camp that we taught together. Reluctantly she took the ginger that I foisted upon her (she was so sick the mere thought of putting anything in her stomach sent her running to the bathroom). About 15 minutes later she came rushing back , eyes wide & begging for my full supply. After that time she didn't experience any nausea whatsoever.
Or, drop some fresh ginger in a blender with some water and then simmer the watery puree. Strain and use the concentrate to make ginger tea.
I'm interested in reading a formally constructed debate on these or some such issues. One that follows a procedure such as the one proposed here:
http://open.salon.com/content.php?cid=69193
Does such a format seem viable to you?
In case anyone is interested, I have posted a call for volunteers to have a formal debate about cherry juice. The post is here: http://open.salon.com/content.php?cid=69833
Frank A., if I can butt in, one of the cooler (and tastier!) research topics I heard about while at OSU was the use of black raspberry extract in oral cancer, as done in the lab of Dr. Gary Stoner. There are a bunch of high-impact recent journal publications about it. Two of the most recent highlighted the ability of black raspberry extract to reduce genetic instability that inactivates tumor suppressor genes, to enhance regression of oral squamous cell carcinoma precursors, and to decrease COX-2 expression that enhances tumor vascularization.