3 Responses to “More or Less”

  1. Dr Richard Rawlins September 4, 2011 at 2:44 pm #

    Very well done!

    CAMs do work. It’s called the placebo effects (pleural). The RSM Section on Pain is having a day on the topic on 18th november.

    CU there!

  2. Victor Blease September 4, 2011 at 9:31 pm #

    I came across you for the first time while listening (in the car) to your impressive contribution to Radio 4 on Friday. I am not a medic. Just a 70 year old whose conversations with friends generally contain acedotes about our experience, as pensioners, with medical practictioners.

    From listening to some of them it would seem that a few minutes with a doctor running late on a busy rota is very inhibiting. Indeed a surprising, (and indeed increasing), number of these otherwise smart people (who in their working lives were respecters of “Evidence” ) have, in their opulence and abundance of free time, felt persuaded to pay a practitioner of “alternative medicine ” a fee because (I believe from what I hear) ) they arev prepared to listen to them for longer than their GP/
    Your emphasis on the importance of allowing for a “placebo” effect in dealing with patients made me think of the “Hawthorne Effect” identified by those who subsequently analysed the “Hawthorne experiments” of the 1920’s (in the Western Electric factory outside Chicago where, experiments on factory workers was carried out on the effect on work rate by increases in lighting)/ In 1950 Landsberger concluded that productivity improved when changes were made in the erxperiments, and then slumped again after the study was concluded and that any productivity gains were more to do with the motivational effect on the workers of the interest being shown in them, than in minute changes in the lighting.
    Maybe Prince Charles is right: Talk to a plant, give it attention and it will flourish.

  3. Margaret McCartney
    margaretmccartney September 5, 2011 at 10:16 pm #

    ah thank you.
    The commercial push to make medicine like a supermarket ignores our human need to be treated as individuals making personal decisions – we are now being treated as a factory full of itemisations. Good medicine is evidence based but has to be professionally delivered and compassionately applied. Without all of that, you have bad or suboptimal practice.
    The important thing to me is that we are honest with what we are doing – there is no need for voodoo alternatives to medicine – good medicine is caring, is listening.