A 'Triumph' of Hype Over Reality

This post is part of our forum on David H. Freedman's July/August story, "The Triumph of New Age Medicine." Follow the debate here.

David Freedman's masterfully written article presents a very flattering view of the world of alternative medicine. But what is the "triumph" of new age medicine that he's writing about?

Freedman points out right from the start that most of the methods he writes about so generously simply don't work. The triumph of new age medicine is really the triumph of marketing over science, of hype over reality. How does Freedman leave us with the impression that there might be something to this alternative medicine stuff after all?

Fix or Fraud?

One answer lies in the way Freedman lays out his argument. He accurately describes how conventional medicine often fails its patients by focusing too much on drugs and surgery, and how doctors don't always spend enough time listening to their patients. It's true that modern medicine has many failings, but alternative medicine is not the answer. We do need to find ways to fix what's wrong with the practice of medicine, but not by turning to fairy tales.

Freedman presents some compelling anecdotes about patients whose pain was relieved by alternative medicine. Before everyone rushes off to their new age healers, let me offer a couple of stories in response.

Kristi Bedenbaugh was a healthy 24-year-old medical office administrator and former beauty queen in South Carolina when, in 1993, she visited a chiropractor for her sinus headaches. During her second visit, she suffered a stroke immediately after the chiropractor manipulated her neck. She died three days later. An autopsy showed that the chiropracter's manipulation had split the inside walls of both of her vertebral arteries. The chiropractor later agreed to pay a $1000 fine and take 12 extra hours of continuing education credits.

In 1992, the same thing almost happened to Rebecca Carroll. "June 9, 1992, is the day I almost died," she wrote in a series of articles describing her experience. "It is the day after my neck was adjusted by a chiropractor, dissecting my vertebral artery and causing me to have a stroke." She was saved by an experimental clot-busting drug that has now become part of standard therapy.

Just anecdotes? Perhaps. But a 2003 study by Wade Smith, a neurologist at the University of California, San Francisco, found a dramatic link between strokes and recent chiropractic adjustments. A Facebook group is supporting legislation to warn the public of this risk.

What about acupuncture? In 2006, according to an article in Nature, a 64-year-old man visited an emergency room in Seoul, South Korea, for severe back pain. Three days earlier, he had visited an acupuncturist for treatment, and his pain had grown much worse since. The treatment had caused an E. coli infection deep in his spine. Although the infection was eventually controlled with antibiotics, the man was paralyzed, permanently. The journal's finding was stark: "Conclusion: Paraplegia might result from complications of an acupuncture therapy."

Presented by

Steven Salzberg, Ph.D., is the Director of the Center for Bioinformatics and Computational Biology at the University of Maryland. 

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