Vaccination
December 1, 2009 at 1:34 pm | In BioMedicine, Modern Research, Social Medicine | Leave a CommentTags: authority, Controversy, Iatrogenic Disease, Skepticism, Vaccination
My personal take on vaccination is that it is useful, when applied correctly. However, I do not feel comfortable advocating broadbrush compulsory medication for an entire population. I will be posting a series of short, to-the-point articles on vaccination over the next few weeks.
Epidemiologist Dimicheli has this to say about vaccination in general:
“Schabas claims that vaccine “efficacy is between 70% and 90%,” but this is both wrong and misleading. Vaccine efficacy, as Dr. Schabas uses the term, is probably about 60% (not 70%–90%), and this refers only to the ability of a vaccine to produce antibodies effective against the virus. But this is not the important measure of vaccine efficacy. Instead, we should measure the ability of the vaccine to prevent clinical disease, in this case influenza. By this measure, vaccine efficacy is no greater than 25%.”
You can find the above in the first paragraph of Dimecheli’s letter to Schabas in CMAJ: http://www.cmaj.ca/cgi/reprint/164/1/41
We can forget that controversy does not exist solely between competing organisations or paradigms, but also within the same organisations or paradigms. Helps bring the sting of authoritarianism down a bit to remember this.
Scientific Authority
October 7, 2008 at 9:08 am | In BioMedicine, Social Medicine | Leave a CommentTags: authority, Science, Skepticism
Scientific authority, like any type of authority, is easily abused, and often unwittingly abused.
M. Scott Peck takes a stab at illuminating the subject in the paragraphs below.
The Danger of Cloaking Moral Judgment in Scientific Authority
This is a major pitfall. It is a pitfall because we ascribe to science much more authority than it deserves. We do so for two reasons. One is that very few of us understand the limitations of science. The other is that we are too dependent upon authority in general.
When our children were infants we were blessed by the very best of pediatricians, a kind and dedicated man of great erudition. When we visited him a month after the birth of our oldest child, he instructed to start feeding her solid foods almost immediately, because such supplementation was needed for babies being breast fed. A year later, when we visited him a month after the birth of our second daughter, he directed us to delay feeding this one solid food as long as possible so as to not deprive her of the extraordinary nutrition in breast milk. The state of “science” had changed! When I was in medical school we were taught that the essential treatment for diverticulitis was a low-roughage diet. Now medical students are taught that the essential treatment is a high-roughage diet.
Such experiences have taught me that what is paraded as scientific fact is simply the current opinion of some scientists. We are accustomed to regard science as Truth with a capital T. What scientific knowledge is, in fact, is the best available approximation of truth in the judgment of the majority of scientists who work in the particular specialty involved. Truth is not something we possess; it is a goal toward which we, hopefully, strive.
[...]
The problem is aggravated by the fact that the public is actually eager to be guided by the pronouncements of scientists. [...] We are content, even anxious, to let our authorities do our thinking for us. There is a profound tendency to make of our scientists “philosopher kings,” whom we allow to guide us through intellectual labyrinths, when they are often just as lost as the rest of us.
M.S. Peck, MD, 1985, pp 257-258.
As I mentioned in yesterday’s post regarding skepticism, it is very important to turn both science and skepticism in on themselves and each other. If this is not done, neither deserves their own title.
Heart Patients should be Screened for Depression
September 29, 2008 at 7:56 pm | In Modern Health-Care, Social Medicine | Leave a CommentTags: authority, heart disease, jargon
“Heart Patients should be Screened for Depression”. This is last week’s recommendation of the American Heart Association.
Does that mean a heart patient gets pushed through a screen-door? Cheesecloth? It sounds so technical. It just seems to me that a trained professional is very likely to simply see it, if they know the person and have the person’s confidence. But that can’t really happen at 5 to 7 minutes per appointment. I wouldn’t tell that person I felt down in the dumps either.
There are ideas that depression is difficult to see. I disagree. It is difficult to see for white-coated professionals who carry an air of superiority and give their patients a paltry sum of time. I has been my experience that those white-coated professionals who maintain their balanced concern for their charges do pick up on a patient’s state of mind – and the more time they spend, the more likely they are to pick it up soon.
It is also interesting to note that it is not already widely known, as a type of red-flag, that people with heart disease could be expected to have some trouble being light-hearted.
It seems to me that this is one more symptom of the distant medical doctor and alienated patient relationship.
Pages
Archives
Categories
Blogroll
CM Websites
Tags
Acupuncture Anomalous Data Point authority Bias BioMedicine China Chinese Medicine Choice collaboration Controversy CPR Diabetes Diagnosis Dietetics Environment Fear heart disease Herbal Medicine History Hospital Iatrogenic Disease jargon Malnutrition Narcissism Pediatrics perception Qi RCT Science Skepticism Social Medicine Sugar Tainted Milk Technology Terminology Theory Tongue Diagnosis Vaccination WHOCategory Cloud
Blog at WordPress.com. | Theme: Pool by Borja Fernandez.
Entries and comments feeds.