Exposing alternative medicine as quackery and unscientific is necessary, but one should be aware ... more Exposing alternative medicine as quackery and unscientific is necessary, but one should be aware of the limitations of scientific medicine as far as the care of individual patients is concerned. Medicine is primarily about people, not about science. Current regular medicine uses a rational approach and carries out actions of which the effectiveness has been demonstrated in controlled trials. But some questions cannot be translated into a testable hypothesis, e.g., what is the best treatment for the individual incurable cancer patient sitting in my surgery right now? However, this question is a relevant one, especially for the patient involved. In daily clinical practice, there is no clear distinction between scientifically-based and not-scientifically-based acts. The task of medicine is to cure, but also to encourage and to console. When exposing alternative medicine, one should be able to offer the patient a different approach; otherwise the exposure is nothing more than a nihilistic exercise. Alternative medicine does not cure diseases, but it sometimes helps diseased people.
New developments in genetics have lead to the emerging field of personalised conventional medicin... more New developments in genetics have lead to the emerging field of personalised conventional medicine. Homeopathy has always been ;personalised'. Personal characteristcs influence the outcome of homeopathic and conventional medicines.�� Conventional research is becoming focused on such variables and so should homeopathic research. . These developments could open up new ways to improve homeopathy, as well as communication between conventional and homeopathic researchers.
Homeopathy is based on experience and this is a scientific procedure if we follow Bayes' the... more Homeopathy is based on experience and this is a scientific procedure if we follow Bayes' theorem. Unfortunately this is not the case at the moment. Symptoms are added to our materia medica based on absolute occurrence, while Bayes theorem tells us that this should be based on relative occurrence. Bayes theorem can be applied on prospective research, but also on retrospective research and consensus based on a large number of cases. Confirmation bias is an important source of false data in experience based systems like homeopathy. Homeopathic doctors should become more aware of this and longer follow-up of cases could remedy this. The existing system of adding symptoms to our materia medica is obsolete.
Collection of data concerning case histories is not yet common in homeopathy despite its great im... more Collection of data concerning case histories is not yet common in homeopathy despite its great importance for this method. Computer program development progresses slowly and discussion about requirements is scarce. Two Dutch projects assessed Materia Medica of some homeopathic medicines and six homeopathic symptoms. Especially the second project relied heavily on data collection. In both projects much effort was spent on consensus between participating doctors. There was much variance between doctors despite our consensus efforts. Assessing causality seems the most important source of bias, there is also much variance in assessing symptoms. Data collection software should be developed step-by-step, guided by close monitoring and feedback of participating practitioners.
Exposing alternative medicine as quackery and unscientific is necessary, but one should be aware ... more Exposing alternative medicine as quackery and unscientific is necessary, but one should be aware of the limitations of scientific medicine as far as the care of individual patients is concerned. Medicine is primarily about people, not about science. Current regular medicine uses a rational approach and carries out actions of which the effectiveness has been demonstrated in controlled trials. But some questions cannot be translated into a testable hypothesis, e.g., what is the best treatment for the individual incurable cancer patient sitting in my surgery right now? However, this question is a relevant one, especially for the patient involved. In daily clinical practice, there is no clear distinction between scientifically-based and not-scientifically-based acts. The task of medicine is to cure, but also to encourage and to console. When exposing alternative medicine, one should be able to offer the patient a different approach; otherwise the exposure is nothing more than a nihilistic exercise. Alternative medicine does not cure diseases, but it sometimes helps diseased people.
New developments in genetics have lead to the emerging field of personalised conventional medicin... more New developments in genetics have lead to the emerging field of personalised conventional medicine. Homeopathy has always been ;personalised'. Personal characteristcs influence the outcome of homeopathic and conventional medicines.�� Conventional research is becoming focused on such variables and so should homeopathic research. . These developments could open up new ways to improve homeopathy, as well as communication between conventional and homeopathic researchers.
Homeopathy is based on experience and this is a scientific procedure if we follow Bayes' the... more Homeopathy is based on experience and this is a scientific procedure if we follow Bayes' theorem. Unfortunately this is not the case at the moment. Symptoms are added to our materia medica based on absolute occurrence, while Bayes theorem tells us that this should be based on relative occurrence. Bayes theorem can be applied on prospective research, but also on retrospective research and consensus based on a large number of cases. Confirmation bias is an important source of false data in experience based systems like homeopathy. Homeopathic doctors should become more aware of this and longer follow-up of cases could remedy this. The existing system of adding symptoms to our materia medica is obsolete.
Collection of data concerning case histories is not yet common in homeopathy despite its great im... more Collection of data concerning case histories is not yet common in homeopathy despite its great importance for this method. Computer program development progresses slowly and discussion about requirements is scarce. Two Dutch projects assessed Materia Medica of some homeopathic medicines and six homeopathic symptoms. Especially the second project relied heavily on data collection. In both projects much effort was spent on consensus between participating doctors. There was much variance between doctors despite our consensus efforts. Assessing causality seems the most important source of bias, there is also much variance in assessing symptoms. Data collection software should be developed step-by-step, guided by close monitoring and feedback of participating practitioners.
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