As far as non-maleficence goes, I would say that lending your professional credence to a homeopathic or alternative medicine solution might have disastrous consequences. If the patient thinks "my doctor had no problem with me taking homeopathy for back pain", they may also think that homeopathy has your tick of approval for other more serious diseases. Homeopathists even sell cancer "treatments". I think doctors have a duty to inform their patients of the lack of effectiveness and the potential dangers of homeopathy - if they still want to take them, they're on sale in every supermarket here in Australia.
That's very astute and closely mirrors my approach as a doctor now, and there is a fine balance. My general take is not to actively encourage it, but not to decry it too harshly as long as they keep engaging with the medical advice I/the team are giving them. The difficulty in the real world with these situations is that patients are often very attached to these things, and can react very badly if you belittle their choices - to the point of not engaging with you anymore. You of course do have to be more direct about it if they're taking things that will meddle with their existing treatments - St John's Wort is a really good example.
I agree very much with your point but in the example that you used in a patient with back pain, if there is no clear tissue damage or further danger to the patient if the condition worsens, alternative medicine may be a good option for them. Just because pain is all in the mind, it doesn't make it any less real but it does mean you can influence it in different ways. In this example, if something like homeopathy reduces their pain then I would encourage them to use it but inform them that it may only work in niche situations like these. Here it may improve their quality of life, reduce pressure on NHS services and means they could avoid other drugs that may have worse side effects. I would recommend reading The Painful Truth by Monty Lyman as it explores how how pain can be influenced by simple things.
I have a question…Mr Ollie Placebo is given in order to get the true picture of the disease ( which was earlier under treatment of other system of medicine) it is a part of treatment along with medicine no perfect Homoeopath leaves a patient just with a placebo … So in that case giving just Placebo … is the fault from the side of physician sitting in the chamber not the system … Imperfect doctor doesn’t mean imperfect system of medicine….
"no perfect Homoeopath leaves a patient just with a placebo …"? They all do! At the most popular homeopathic 'potency' of 30C, there is absolutely none of the original ingredient present.
So can doctors not give placebos to patients w/ the intention that it will improve their health bc of the patient thinking they are getting treatment ?
Not in the UK no, you certainly couldn't prescribe a placebo because it would waste NHS resources. In practice doctors might advise that patients try particular things (lavender oil for breast pain is quite a common example) which would work on placebo, but that's as far as I've ever seen it go.
@@simstar6557 More than 4.8 billion people opts Hmoeopathy in all over world. no one would have opted it if you & your lancet are true. Science is not challenging to homoeopathy in fact Homoeopathy has been challenging to science since beginning that disturbs skeptic like you & criticisam & manipulation is a defense mechanism of skeptis who cannot cope up with reality. While wise scientific laureates’ accept homoeopathy. Your burning efforts doesn’t exist here in you tube comment if you & your lancet really would have proved homoeopathy is pseudoscience .
Loving the series, Ollie! Please keep the content a-coming! :]
Plenty more to come! If you have any specific interview Qs you'd like me to have a go at just let me know! :)
As far as non-maleficence goes, I would say that lending your professional credence to a homeopathic or alternative medicine solution might have disastrous consequences. If the patient thinks "my doctor had no problem with me taking homeopathy for back pain", they may also think that homeopathy has your tick of approval for other more serious diseases. Homeopathists even sell cancer "treatments". I think doctors have a duty to inform their patients of the lack of effectiveness and the potential dangers of homeopathy - if they still want to take them, they're on sale in every supermarket here in Australia.
That's very astute and closely mirrors my approach as a doctor now, and there is a fine balance. My general take is not to actively encourage it, but not to decry it too harshly as long as they keep engaging with the medical advice I/the team are giving them. The difficulty in the real world with these situations is that patients are often very attached to these things, and can react very badly if you belittle their choices - to the point of not engaging with you anymore.
You of course do have to be more direct about it if they're taking things that will meddle with their existing treatments - St John's Wort is a really good example.
I agree very much with your point but in the example that you used in a patient with back pain, if there is no clear tissue damage or further danger to the patient if the condition worsens, alternative medicine may be a good option for them. Just because pain is all in the mind, it doesn't make it any less real but it does mean you can influence it in different ways. In this example, if something like homeopathy reduces their pain then I would encourage them to use it but inform them that it may only work in niche situations like these. Here it may improve their quality of life, reduce pressure on NHS services and means they could avoid other drugs that may have worse side effects.
I would recommend reading The Painful Truth by Monty Lyman as it explores how how pain can be influenced by simple things.
@@frodeerode7960 similar to the painful truth by Lynn Webster
great video ollie...
I have a question…Mr Ollie
Placebo is given in order to get the true picture of the disease ( which was earlier under treatment of other system of medicine) it is a part of treatment along with medicine
no perfect Homoeopath leaves a patient just with a placebo …
So in that case giving just Placebo … is the fault from the side of physician sitting in the chamber not the system …
Imperfect doctor doesn’t mean imperfect system of medicine….
"no perfect Homoeopath leaves a patient just with a placebo …"? They all do! At the most popular homeopathic 'potency' of 30C, there is absolutely none of the original ingredient present.
So can doctors not give placebos to patients w/ the intention that it will improve their health bc of the patient thinking they are getting treatment ?
Not in the UK no, you certainly couldn't prescribe a placebo because it would waste NHS resources. In practice doctors might advise that patients try particular things (lavender oil for breast pain is quite a common example) which would work on placebo, but that's as far as I've ever seen it go.
😍😍😍
Every genius is really ignorant on certain other subject & Skeptic of Homoeopathy proves this every day
You are a homeopathic quack. You are ignorant on everything.
@@simstar6557 Your & your lancet judgment doesn't make difference to any one. 😀😊😊😊
@@sigmundz9222 your education is zero, fake degree in quackery, so you make no difference. Just high school diploma from a third world country.
@@simstar6557 More than 4.8 billion people opts Hmoeopathy in all over world. no one would have opted it if you & your lancet are true. Science is not challenging to homoeopathy in fact Homoeopathy has been challenging to science since beginning that disturbs skeptic like you & criticisam & manipulation is a defense mechanism of skeptis who cannot cope up with reality. While wise scientific laureates’ accept homoeopathy.
Your burning efforts doesn’t exist here in you tube comment if you & your lancet really would have proved homoeopathy is pseudoscience
.
@@simstar6557 Your lingering comment it self indicat what differnces you feel. 😀😀