Saturday, 3 August 2013

Mad medicine, bad advice, bad reporting - Part 4: Origins, Registered Trademark Cures and Advice

In the fourth post in this series on Viva Mayr and related subject matters, we will delve into the heart of the Mayr cult, and also into the core of the diet industry.

Origins:
When visiting the biographies section of the website mayrtherapy.com (6), (just to check whether Franz Mayr was conveniently invented because of his Mayo-esque name), one cannot help but notice that it is never specifically stated where Franz Mayr attained his medical degree.  

It is discomforting to see that the only evidence the good doctor’s effectiveness is in the statement that 
thousands of prominent people came there to regain good health and good looks.” 

(Whether they had good looks to regain is not known to me, likewise is whether they actually regained anything.  They did lose money, however, as is still the case with clients of Mayr’s acolytes.)  I could also not help but note the banner which read, “Spa medicine utilizing the MAYR®cure”.

Cures and Registered Trademarks
Years of scepticism has taught me to distrust any health advice with a little superscript “R” next to any part of its wording.  

Goldacre writes at length on the subject, but to paraphrase and to add a bit of my own fizz, I will say this:  Good health advice is not hard to find.  Eat balanced meals with lots of fruit and vegetables, exercise regularly and avoid a sedentary lifestyle.  

There.  Simple as that.  And its not going to cost you a thing because it is common knowledge.  (Okay, perhaps it is not as simple, but until compelling evidence emerges to suggest otherwise, I suggest we stick to these guns).

But that’s exactly the problem for an industry which aims to make money out of people’s desires to live longer, feel better and, most importantly, get all of this as part of a quick fix.  In order to make people believe that they need to pay you for such advice or buy your diet book, you must overcomplicate things and sciencey-fy everything, using vague and ill-defined terms like “haematogenous oxidation” and “nasal reflex therapy” and a favourite of many crusaders of bad science, “detox” – but more on that later.  

Most importantly, you need to patent, register and copyright this advice in order to maximize profits.

Viva Mayr is by no means special.  Nor is the fact that it is run by doctors (Harald and Christine Strossier).  People are easily impressed by what they perceive to be relevant qualifications.  

Just because an engineer is running a hot dog stand, does not mean that his wors will be mathematically perfect.  

Well done internet! When I searched for "Engineer hot dog", this is what came up.  This coincidentally also proves the point I was trying to make.

Similarly, just because someone happens to have a “Dr” in front of their name, does not make them an authority on anything health related (or even an MD or PhD, as you will find by reading any of Goldacre’s other work).  And even if they are an MD, they may still stray from the straight and narrow of evidence-based medicine into the shadow of the valley of homeopathy and the like.

The medical profession is, contrary to popular belief, not a very efficient way of making money, especially with the average person becoming more educated and gaining access to virtually unlimited information at their fingertips (information which, say, might encourage people to exercise and eat their greens to stay healthy - for free).  

This has led many in the healing profession to seek greener pastures by dabbling in alternative medicine.  It is a lucrative pastime, filled with the mystery of vague terms and unsubstantiated theories that science and medicine have attempted to dispel for the better part of five centuries.  In a way, alternative medicine has become a safe haven for arts and remedies which don’t stand up to well against the rigors and demands of actual science.

What do you call alternative medicine which has been proven to work?  Medicine.

Mad medicine, bad advice, bad reporting - Part 3: Pictures, Praise and Pronunciation

This is an actual picture featured in Vogue  magazine's article on Viva Mayr in 2013.  It appears that this woman has been connected to a Galvanic cell which is currently using magic to extract the toxins from her.  They could also be using her as a battery.  Either way - that swimming cap is probably to keep her brain safe from radiowaves.
Source: http://loveisspeed.blogspot.com/2013/07/destination-detox-austrias-viva-mayr.html


Viva Mayr
When googled, Viva Mayr seems more like a hotel than any form of health centre.  Indeed, when you visit their website, a small banner to the right invitingly reads, “Hotel awards 2013.  Enter now”.  It is a confusing labelling issue. Is this a “clinic” offering “spa medicine” (whatever that might be) or a hotel and spa offering expensive fancy-sounding treatments for which there is no evidence, but which clients are nonetheless encouraged to purchase at risk of dereliction of their own health.  (The author proposed a budget version of this, encouraging readers and thus would-be Mayr clients to opt only for a third of the prescribed treatments.  Alas, if only real medical prescriptions could be optimized similarly for financial reasons.)

A quick search may yield the following result: (Not safe for work)
An article, full of unquestioning child-like praise for the center can be found here:

If these are actual photographs of the Mayr clinic then things are a bit worse that I could have possibly imagined.  It looks reminiscent of the "The House of Wax" or some sort of Sci-fi horror I have always been to scared to watch - Ayn Rand-ian ideas of what women should look like, suspended in trance-like hazes, undergoing who-knows-what-kind-of pseudomedical procedures and having their ordeals retold in Vogue magazine.  The stuff of nightmares, really.

A matter of pronounciation
My german is not what it could be, but even the slightest attempt to pronounce the name of the “Viva Mayr Clinic” could easily leave the individuals sipping their coffee across from me at the breakfast table, to believe that I am referring to the presitigious Mayo Clinic, a tertiary health centre which was ranked as the 3rd best hospital in the US in 2011 (5).  This convenient almost-homophone no doubt adds weight to the air of established authority which pervades the article and online references to the institutions and individuals concerned.

In the next post, I will discuss a small matter of mysterious origins.

Mad medicine, bad advice, bad reporting - Part 2: Taking the time to chew on the bull****

"Come and enjoy the view" they said, "Enjoy our colonic irrigation" said no-one ever.
This man, seated at the Viva Mayr clinic is probably still recovering from his morning of blood-letting and laxative induced-diarrhoea. (Okay, I have no idea what he is doing or recovering from, but I could be spot on.)

In my previous post, I introduced my topic for discussion.

In this post I shall begin my overly-elaborate criticism of the both Green's article and the Mayr clinic: 

Take time to chill and chew the fat” by Harriet Green is a disturbing entry in the Health section of the Mail and Guardian. (1)  A short while back, another article (2) cited the excellent book, “Bad Science”, by Dr. Ben Goldacre.  

The tome systematically analyzes and picks apart bad science and errors of scientific interpretation made, most commonly, by journalists.  (It should be noted that Goldacre, an actual medical doctor, is an esteemed journalist himself, having been the author of a similarly titled column in the UK Guardian since 2003, as well as another book, “Bad Pharma” in 2012).  

It is woefully ironic that an article such as, “Take time” has found itself published in the same section which quoted such a work of necessary genius.

In a Health section which contains sensible stories on statins, exercise programs, cancer screening, HIV and TB, this article seems horribly out of place.  Someone else seems to agree, as “Take time” is classified under Scitech on the MG.co.za website.  This is bending the term science beyond breaking point. 

Acclaim
“The acclaimed, hardcore detox at the Viva Mayr Clinic is easier to digest than one would think” reads the subheading for the article.  

The only acclaim one seems to find for the Viva Mayr spa is that found on its own website and the unreliable reel of articles similar to “Take time”.  Not one objective scientific outlet has acclaimed this centre and it is clear why.  

We will analyze the issue of “detox” towards the end to show that it is a term born from the mouths of marketing gurus, not scientists.

The piece reads more like an advertorial testimonial rather than any form of legitimate health journalism.  “The Viva Mayr is a magnet for celebrities and the rich, but there are plenty of “ordinary” people here too.”  It is good to know that the money of the average reader will be just as welcome as a celebrity’s at this haven for ritualistic bad health advice.  

The Viva Mayr website is even given at the end “for more information”.  I think “for marketing purposes”, would be more appropriate. 


It is curious that a previous Health section article entitled “Seven days, seven diets(3) took a very humoristic tone towards fad-dieting and seemed to be pointing out how silly each of them were.  Harriet Green’s piece arrived just as I was recovering from an outrageous article “Light at night sets off alarm bells (4) which made the incomprehensible conclusion that, as a recent study had made a link between artificial light and breast cancer, reading your children bedtime stories would increase their risk of developing breast cancer.  

These alarmist, misleading and sensationalist articles are a completely different kettle of fish and deserve to be scrutinized on their own merit (or lack thereof).

Although this may take some time, I intend to systematically analyze most of the article to show that it is not worthy of being published by the Mail & Guardian.  Many readers will have been misled, and they must be exposed to the facts and armed with the necessary tools to defend themselves against such deception.


Mad medicine, bad advice, bad reporting - Part 1: An introduction to my humble onslaught against Viva Mayr

Here is a link to an article that should make you cringe:

http://mg.co.za/article/2013-01-18-take-time-to-chill-out-and-chew-the-fat

You should be cringing for a few reasons, including:
1. That was quite terrible.
2. That was devoid of actual science.
3. That article appeared in the health section of the Mail & Guardian, an otherwise highly respectable news outlet (arguably one of the best in South Africa), earlier this year.

I read the article and wept (metaphorically - in reality I jumped up from the breakfast table and ran upstairs, but more on that shortly).  I wrote a long letter to the editor.  I hoped that they would publish it.  The letter became too long.  It mutated.  It changed into an article.  I know of no-one who would publish my rantings outside of very limited circulation leaflets.(Alas, I have yet to print my opinions on the back of penis-enlargement pamphlets - a strategy which, I am told, will undoubtedly increase my circulation.  Just perhaps not that kind of circulation.)  The piece fermented in a folder in My Documents.  It is ready.

So I give to you a series of  blogposts.  Devoid of an editor.  Full of reason.  And occasional humour.  For your convenience and my integrity, I have added a list of sources, to which the following posts will refer.

Works cited:

1. Green, Harriet. Take time to chill out and chew the fat. www.mg.co.za. [Online] January 18, 2013. [Cited: 01 20, 2013.] http://mg.co.za/article/2013-01-18-take-time-to-chill-out-and-chew-the-fat.
2. Dillner, Luisa. Exposed: Bitter pill of bad pharma. Mail & Guardian Website. [Online] Mail & Guardian, 10 26, 2012. [Cited: 01 20, 2013.] http://mg.co.za/article/2012-10-26-00-exposed-bitter-pill-of-bad-pharma.
3. Heritage, Stuart. Seven days, seven diets. Mail & Guardian Website. [Online] 01 11, 2013. [Cited: 01 20, 2013.] http://mg.co.za/article/2013-01-11-seven-days-seven-diets.
4. Illsbury, Darryl. Light at night sets off alarm bells. Mail & Guardian Website. [Online] November 09, 2012. [Cited: January 20, 2013.] http://mg.co.za/article/2012-11-09-light-at-night-sets-off-alarm-bells.
5. US News. US News Health. US News Website. [Online] 2011. [Cited: 01 20, 2013.] http://health.usnews.com/best-hospitals/area/mn/mayo-clinic-661MAYO.
6. Mayr Therapy. Mayr Therapy Biographies. Mayr Therapy. [Online] Mayr Therapy, 2009. [Cited: 01 20, 2013.] http://www.mayrtherapy.com/biographies.htm.
7. Anne Marie Helmenstine, Ph.D. About.com Chemistry. About.com. [Online] About.com, 2013. [Cited: January 20, 2013.] http://chemistry.about.com/od/chemistryfaqs/f/neutronbomb.htm.
8. RJ Ellory: Fake book reviews are rife on the internet, authors warn. The Telegraph. [Online] 2012. [Cited: January 20, 2013.] http://www.telegraph.co.uk/culture/books/booknews/9518531/RJ-Ellory-fake-book-reviews-are-rife-on-internet-authors-warn.html.
9. Barrett, S. "Detoxification" Schemes and Scams". Quackwatch. [Online] May 2009, 8. [Cited: January 20, 2013.] http://www.quackwatch.org/01QuackeryRelatedTopics/detox_overview.html.
10. WebMD. "Detox Diets: Cleansing the Body". WebMD. [Online] June 23, 2012. [Cited: January 20, 2013.] http://www.webmd.com/diet/features/detox-diets-cleansing-body-feature.
11. Henderson, M and F, Yeoman. Detox diets are a waste of time and money, say scientists. The Times. [Online] January 3, 2006. [Cited: January 20, 2013.] http://www.webmd.com/diet/features/detox-diets-cleansing-body-feature.
12. BBC News. Scientists dismiss detox schemes. BBC News. [Online] January 3, 2006. [Cited: January 20, 2013.] http://news.bbc.co.uk/2/hi/health/4576574.stm.
13. Randerson, J. Detox remedies are a waste of money, say scientists. The Guardian. [Online] June 23, 2010. [Cited: January 20, 2013.] http://news.bbc.co.uk/2/hi/health/4576574.stm.

14. Ernst, E. Alternative detox. PubMed. [Online] August 19, 2012. [Cited: Januart 20, 2013.] http://www.ncbi.nlm.nih.gov/pubmed/22297655.

The posts will follow in short succession and will read like an engineer's road-sign:
http://xkcd.com/781/


MNI Lifestyle - Almost like Scientology, but less pushy. And less science.

So whilst I was researching Antagolin (see previous post and watch this space - these people are going down), I noticed the website on which it is marketed has a "free stress test".

Seriously? - I wondered whether I had just stumbled upon a treasure trove of ridiculousness and bad science - all rolled into one delicious morsel, ready to be torn apart by anyone with have a brain and a bit of common sense.

Alas, LRH will have to wait for another day (and I have a substantially smaller chance of legal repercussions now).

Left: L. Ron Hubbard, founder (or discoverer?) of Scientology.  Right: Phillip Seymore Hoffman in the film, The Master, which has apparently nothing to do with Scientology, apart from everything.
No, the stress test didn't ask me whether I wanted to buy Dianetics (amazing how far sciencey words will get you in the world).  Instead it asked me for my email address and made me fill out a form with a likert scale.  The questions asked about my "quality of life, emotional wellbeing and social interaction".  Normally, because of my enormous interest in positive psychology and the like, my response to these questionnaires is somewhere along these lines:

http://threewordphrase.com/depression.htm

But for science, I used the method acting techniques of Stanislavsky to fill the questionnaire in like a depressed, overweight push-over (and it took me seconds of clicking on the left column to get into that mindset).

The results I got, as previously stated, didn't ask me if I wanted to accept Lord Xenu into my heart (I know this isn't the gist of it, but it doesn't make a difference, really), but instead didn't seem too crazy, at first.  I will quote select passages for you:

"Your Stress Level.
- is very high and will require urgent attention.
Your ability to concentrate.
- is significantly impaired and will require urgent attention.
Your general mood.
- is severely compromised and requires urgent attention.
Your burnout risk.
- is very high and will require urgent attention.

Steps to manage stress:

Get the basics right
Think more strategically
Act logically
Take a supplement to enhance your mental functioning
Avoid collateral damage
Ask for advice"

Seems perfectly reasonable and I might just...wait.  Hold on one cotton-picking minute right there!

"Take a supplement to enhance your mental functioning"

What do you mean, like methylphenidate? (That is, ritalin)  I took a closer look:
They went on about rhodiola and inosotol.

"What makes Rhodiola attractive is that it is a highly effective natural substance
with an extremely low side effect profile."  They even quote a "trial" involving "56 doctors".  They give no references.

At this point I would like to make clear that neither of the above are currently used in psychiatry.  Plus - if these were in fact psycho-active drugs -  I wouldn't be too keen on taking them on the advice of an automatically generated pdf report from a site that sells Antagolin.

Also, did I mention that MNI Lifestyle just so happens to sell Rhodiola and Inosotol, but racily repackaged as "NeurovanceTM" (along with a few other fancy-named herbs with no actual clinical data to support their fantastical claims)?

For your education and enjoyment, I have included their advertisement, creatively labeled as "English - Female" to show you how well they target customers (based on gender and language).
Convenient.  What are the chances that you so happen to sell the very supplements I am told I need, MNI Lifestyle?!

Are people actually gullible enough to be fleeced by this kind of shenanigan?

Feel free to take the test yourself and post your results below.  I am almost certain they will advise "supplementation" regardless of your supposed sanity or Scientology-deficit:
http://assessment.mnilifestyle.co.za

Also, see their silly "drug-blurbs" for NeurovanceTM and other trademarked placebos:
http://www.mnilifestyle.co.za/products/neurovance/
(See below for Antagolin)

To avoid backlash from alternative medicine zealots, I will post the wikipedia pages for Rhodiola and Inosotol below (in case you have trouble working a search engine), along with a caution:
http://en.wikipedia.org/wiki/Inositol
http://en.wikipedia.org/wiki/Rhodiola_rosea

Caution:
Do not be fooled by a few initial studies showing "promising" results for any drug.  A lot of "promising" research translate into inert, useless (or far inferior) drugs or, in worst case scenarios, straight-up poisons.

The reason we don't go guzzling anti-freeze the moment we find that it kills Influenza in a petri dish, is...well, painfully obvious, but my hyperbole illustrates that elaborate theories or lab-results (or even small trials, that include, for example, 56 people) don't necessarily translate well to real-life.

A prime example of this is the issue of anti-oxidants (along with a myriad of drugs that will never be known by fancy names like Losec or Tramadol, but rather linger in obscurity, known only forever only by codes, such as Cp3421).

But someone much more experienced, knowledgeable and outright better than me has written brilliantly on these topics.
I will address this briefly in a future blog post.

This is overwhelming.

More posts to follow.






Antagolin - May help propagate science resistance

I just saw an advertisement for AntagolinTM on television. It claims to treat insulin resistance.

Or it plays an interesting game of probabilities.

It states that “Antagolin may help to alleviate insulin resistance and assist you gain better control over your weight.”

I know that it does not do this, because that would make it an antidiabetic drug. Direct to consumer marketing is illegal in South Africa.

Ergo – this is not an actual drug.

And I combat unsubstantiated claims of those who prey upon the desperate and uneducated.

(Although it does contain 30mg of Insul-X2 (with
Berberine - but more on this later), 840mg of Banaba leaf extract, 40mg of Chromium and I suspect 100% bullshit.)

Antagolin.com proudly states that “Antagolin has not been clinically tested”.   This doesn't seem to bother them much.

How are we allowing marketers to make claims that this untested “drug” may help lose weight and treat insulin resistance or prediabetes?

By broadcasting this advertisement, the broadcaster implicitly endorses this trash.

Dealing with this is overwhelming.

It may take a while.

Please post your own research in the comments section. 

More posts to follow soon! http://www.mnilifestyle.co.za/products/antagolin/

Tuesday, 30 July 2013

Books, e-books and Ozymandias

One of the reasons, apart from "the way it feels" and "I like the concept of a book" that people give for not switching over to e-readers (which are cheaper in the long run, more convenient and environmentally friendly) is that they would no longer be able to display their library of completed books in their homes.

Come on. Many of us are guilty of this vanity.

As if one of the reasons one would read would be to stack the books on a shelf to intimidate your guests into submission:
This bookshelf is really intimidating.  It may crush you in a book-avalanche.  An e-reader with the same amount of books would do very little damage.
"Look upon my works ye mighty, and despair!"