Debunking the debunkers

The Medieval Crusades were a series of holy wars sanctioned by the Latin Church. It seems incongruous today, but the Catholic religion was used as justification to bring war, death and destruction to thousands of innocent people. The last time I checked, the Bible did not exactly espouse the use of brute force to subjugate other peoples.
I’m reminded of this same incongruity every time I read about some person in the media trying to ‘debunk’ some procedure or other. They perceive themselves to be ‘myth busters’, but in reality, they are selling the same pseudo-science they pretend they are ‘debunking’.
Mythbusters was a long running show on television which would take a myth or saying or internet video and then proceed to perform extensive scientific testing to determine whether this myth was busted or confirmed. They would often spend weeks and thousands of dollars performing as rigorous experiments as needed. Most of the people online pretending to be ‘myth busters’ are just people who scream for attention and don’t perform any real science. They are simply trying to yell louder than the person they are trying to debunk.
The jade egg example
First, is there any evidence that the jade egg works? No. This is an unsubstantiated claim – a claim made without any evidence to back it up. Second, and this is just as important, is there any evidence that the jade egg does NOT work? No. This, too is an unsubstantiated claim. This is not pseudo-science. There is no science at all. Science says that there is no evidence for and none against, so it’s simply unknown.
But the ‘debunkers’ claim that the jade egg does NOT work and further may be dangerous. Therefore, these debunkers are engaging in the same unsubstantiated claim slinging as Goop. It is this complete hypocrisy that annoys me. Let me be clear. Do I think the jade egg works? No. But I don’t actually know, so I do not claim it either works or does not work.
What is needed to actually, scientifically debunk this claim? You need to gather a group of, say 100 women, and have half use a jade egg, and the other half use, say, a stone egg of the same weight. You would not let the women or the researcher know which egg they are using and then measure their sexual energy at some later date. If there is no difference, then, and only then, can you claim to have successfully debunked the jade egg.
Did someone do any of these rigorous studies? Did someone carefully monitor a group of women who purchased the egg over several years and ask them if their sexual energy increased? Did someone perform a survey of jade egg users and compare them to a control group of women matched for age and see if there is any difference in sexual energy? Hardly. These studies actually take time and money. Instead, “debunkers” are doing exactly the same thing as Goop. Making unsubstantiated claims and performing intellectual hypocrisy.
So, is the jade egg harmful? The debunkers claim that it is potentially harmful and could harbor bacteria. Has there ever been a case in the last 200 years of the worldwide medical literature describing a case report of severe infection from a jade egg? No. Zero. There’s been lots of case reports of this happening for tampons, for example, but not for jade eggs. So, debunkers ignore the need for scientific evidence and instead engage in fear mongering using unsubstantiated claims once again, all the while, believing themselves to be champions of science. That’s hypocrisy.
Since there is no evidence either for or against the jade egg, then this question now falls to the clinician, the person who treats people. Here, the main question is not ‘Does this really work’ but instead it is ‘How’s that working for you?’. Remember that there is a powerful placebo effect. If I rub moisturizer on my son’s stomach for his tummy ache (which I do all the time), it will work in 30-50% of cases. The same is probably true for the jade egg. So, what is the risk: benefit ratio? The best thing that will happen is that it works as advertised (30-50% of cases). The worst thing is that you will waste $66 dollars. That’s actually not a bad tradeoff.
Compare this to the use of angioplasty for stable heart disease. These stents to open up heart arteries have been used for many decades to prevent heart attacks and relieve angina in patients with closed arteries. It’s an invasive procedure that has potential risks of bleeding, infection and perforation/ death. It also is expensive for both the equipment and doctors fees. Recently, several studies have shown that these procedures are not beneficial to reduce the risk of heart attacks or to reduce angina for stable patients (for clarification this does not refer to people who are actively having a heart attack. For these patients angioplasty is absolutely proven to be beneficial). So, here is a procedure that has scientifically been debunked. We’ve spent billions of dollars and caused untold side effects over the last 10 years that doctors have continued to perform this debunked procedure. Where were the debunkers? Wouldn’t this be better to debunk instead of largely harmless jade eggs?
The words ‘obesity crisis’ comes to mind. Diets are constantly derided as ‘fad’ diets without any evidence whatsoever. Intermittent fasting, for example, is now derided as ‘dangerous’ and potentially causing diabetes. Yes, eating nothing, which rests the pancreas (an organ involved in digestion) will damage it. I also cause wear and tear on my car as it sits in the garage. Right. Fasting – literally the oldest dietary intervention known to mankind is a dangerous 2000 year old ‘fad’ promoted by ‘shills’ like Buddha, Jesus Christ and the prophet Mohammed. Right.
The question you should ask instead
What is usually lost in these sorts of rankings, though is the absolute, #1, most important question you must ask yourself for any diet. “How’s that working for you?” I’m not talking about some quest for ‘personalized medicine’ or ‘Eat the diet that is best for you’ nonsense. These sort of answers are not helpful because if we don’t know the best diet overall, how are you going to know the best diet for you?
Similarly, personalized medicine is mostly just pie-in-the-sky fantasy rather akin to developing colonies on Mars. It’s great to sell product, but not great if you are counting on it to keep you healthy. For example, do we personalize the need for aspirin after a heart attack? Do we personalize the need for blood pressure control based on your own genetic makeup? Do we personalize your ideal body weight based on your family history? No, no and no.
The other thing that fascinates me is why so many people routinely use alternative medicine. Most of homeopathy, naturopathy etc. has little evidence to back up its claims. This does not mean it doesn’t work, it simply means that we do not know if it works or not. But clearly, the general public feels that this is equal to the ‘science’ of conventional medicine, of which I was trained for many years. Why?
Let’s consider three examples.
- The Opioid Crisis– Heavy promotion to doctors leads to extensive overuse of opioids which is killing lots of people today
- Angioplasty for stable heart disease – Extensively used by doctors for decades, costing billions of $$, highly invasive with many potential complications. Now proven not to be beneficial in stable patients
- Hormone Replacement Therapy – Millions of women given HRT in the mistaken belief it would reduce heart disease. Instead it increased the risk of blood clots and cancers.
All three are examples that I recall vividly because I was taught in medical school about the benefits of all 3 of these widely accepted therapies that turned out to be likely more harmful to health. Where are the ‘debunkers’ when it comes to conventional medical advice? They are certainly loud enough when trying to prevent you buying a jade egg, but are nowhere to be heard when trying to actually save you from proven harm from the medical profession.
This is what I consider the greatest hypocrisy.
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Having said that, it's a bit ironic that your characterization of The Crusades reflects several of the common misconceptions and myths in much the same way as so many diet ‘experts’ who unwittingly perpetuate widely held and frequently repeated myths and inacurracies about diet. While I understand you were probably just looking for a compelling analogy to catch the reader’s attention in a few short sentences as a segue into your main premise, it’s unfortunate that in dong so you unwittingly oversimplify and mischaracterize this important part of world history.
This is obviously neither the time nor the place to go off on a tangent about The Crusades, especially since it doesn't really detract from the main premise of your article, which I enthusiastically agree with. I point it out simply because you have always shown a courageous determination to deal in facts rather than simply repeat ideas that are widely held.
You are a fantastic doctor who has educated me on diet. But, you are profoundly wrong in your statements about the Crusades. You should never have brought that subject into the conversation because every single thing you were taught on the subject is incorrect.
Your comments about the Crusades are wrong. Because, I too, do not like falsity, I'm going to make a couple of comments. The Catholic church did not 'start' the Crusades. The Crusades started when the Islamic armies invaded Jerusalem. Jerusalem was the ancient home for Jews and Christians for thousands of years. Islam was running over the world and conquering nations in the name of Mohammad. This is not disparaging, it is simply the truth. Mohammad believed in the Conquest Model. He offered people conversion or slavery and death. The Crusades were merely attempting to retain counties that were Christian and Jewish from becoming destroyed or enslaved. Note, during the Crusades, the death count was approximately 120,000. Yes, that's thousands. This is nothing compared to the deaths from non-Christians over the last 100 years which are in the hundreds of millions.
Since this is a diet blog, I won't go farther. But, I would be very careful when you decide that you have to bash an entire religious group and drag up their flaws. You might not have the responses that you want.
I recommend you read, "The Politically Incorrect Guide to Islam and the Crusades" by Robert Spenser and "What's So Great About Christianity?" by Dinesh D'Souza.
These books are well cited and well researched. The provide detailed references that you can double check on your own and give facts on the Crusades that you didn't learn in school.
Just like the nutrition you teach us, that we didn't learn in school or wrongly learned.