Wednesday, October 22, 2008

This is How They Roll

The way real medicine is practiced and should be practiced (reduced detail): Someone comes up with a drug/surgical procedure/whatever that looks promising as a means for treating a condition. Cell culture and animal tests follow, overseen by ethical review boards and similar institutions. Records are kept of all results, positive or negative. If the results come out positive enough, human trials can begin, which are monitored even more carefully, starting out relatively small and, when ethically possible, controlled to compare the treatment versus placebo. The subjects must be followed up on to make sure they don't develop any long-term problems. Appropriate regulatory bodies must approve of the treatment before it is allowed on the open market. Records continue to be kept afterward in case long-term problems show up so that the treatment can be pulled or restricted if necessary.

The typical altie way: Skip all that and "experiment" directly on whoever's desperate enough to pay. Record only positive outcomes. Never follow up. Make excuses and never admit responsibility for negative outcomes. Scream bloody murder if someone suggests regulation or testing. Scream especially loud if someone suggests rigorous pre-market testing.

5 comments:

King of Ferrets said...

So alties screaming bloody murder is music to the ears of anyone with the slightest hint of skepticism?

Rhoadan said...

human trials can begin, which are monitored even more carefully, starting out relatively small and always controlled to compare the treatment versus placebo.

Where possible. It's kinda hard (not to mention usually considered unethical) to do placebo surgery. With surgery, often the best one can do is monitor the surgical outcomes against existing statistics for the previous standard intervention if there is one, or no intervention in the absence of a standard intervention.

C'mon BD, you know Orac's blogged about that before.

King of Ferrets said...

We're comparing to alties. Alties don't do surgery, generally. The closest you get is acupuncture.

Bronze Dog said...

Oops! Forgot the surgery chunk partway through. Fixenated.

Rhoadan said...

KoF, BD specifically mentioned surgical procedures in his post; otherwise I wouldn't have bothered commenting.