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text:
I'm having some trouble postin from the road because the blog app has frequent "post failures" and sometimes I can only upload a pic or two. Hoping to work it out soon :) in the meantime, I'm keeping a written journal so I can update from
a desktop computer at a library. I should be able to use the library once a week. Thanks for following my blog! Bryn
Posted via LiveJournal.app.
Mileage: 36 (short but hilly)
Total feet climbed: 3,000
Weather: rainy but some sun
Lots of climbing today, but nothing too difficult. I can tell Ive gotten a lot stronger because these hills would have been pretty rough about two weeks ago. This morning, Amber and I went a few miles off route so we could cross the state line into Tennessee! Our first official state line, even though it's not really on the route.
Since today was a low mileage day, we had a nice long lunch break in Meadowview with Will and Paul. We met an energetic old Australian couple in the restaurant with a tandem bike. They are taking the transam route so we'll probably see them around. By coincidence, they are at the same motel were at tonight. Rosedale is a tiny town with a population of 600 and I think the reason were at a motel is because there isn't a nearby campground. Tomorrow we ride to Breaks Interstate Park where we'll camp out and hopefully build a fire. It's been really rainy so the wood is probably soaked. Paul and Will were the cooks tonight. They ordered pizza :) and we had cupcakes for Ray's birthday. Since Paul and Will didn't actually cook dinner, they plan to make a big breakfast for everyone in the morning. Ok. I guess that's all for now. I had a great day and Im loving every minute of the trip. I'd say the toughest days for me so far have been Charlottesville and the ride to Wytheville. More recent pix below. Night!
Lunch today
Will's early b day cake last night in Damascus
Posted via LiveJournal.app.
Exhausted!! This was pretty much an all up hill day, in my opinion. Really
sharp inclines too. All in all, it was another good day, and the sun came out for us, which was unexpected. This afternoon Amber and I rescued three abandoned kittens! That was the highlight of our day. It seemed like they were just dropped of on the side of the road or something. We wound up putting them in our panniers ( I had two in my front left pannier and she had one in her handlebar bag) and riding them to a house a little over a mile away. The owners weren't home, but they had cat food and water on the back porch :) All three kittens fit into the food bowl at once. So cute. Lee, Mort, Joe, Bill and I went out for a few beers after dinner. I'm tired but needed to go out for a little bit. Been goin to bed around 9pm almost every night! Was great to hang out with them. So tomorrow is supposed to be sunny and in the 80's. Sounds perfect. Were riding 60 miles I think. The big excitement is a map change! We've been on the same map til now. I'll mail this one home to lighten the load ;) rest day is after two more riding days and it's in Damascus. I want to write about our amazing ride through the mountains, but ill have more energy for that tomorow, or in Damascus! Night
Posted via LiveJournal.app.
Goong to bed already (830pm May 13th) We have a long few days ahead and my legs are pretty tired from climbing allll day yesterday. Blueridge parkway is beautiful! Felt strong all day too, so really enjoyed it. Posting some pictures below. This is Ambers blog: Ambersbiketrip.blogspot.com. We ride together, so if I don't have the chance to post an entry, she usually does :)
Posted via LiveJournal.app.
The first two riding days were pretty light. The weather was perfect (warm and not much wind!) and we didn't have many hills to climb. From Williamsburg (May 5th), we headed 50 miles to Glendale, VA. My favorite part of the ride was the bike path that must have lasted 20 to 30 miles. No cars and open
fields most of the day. Amber and I decided to keep a slow-ish pace since there really is no rush and we wanted to enjoy the scenery. Pictures are below. We all me up at the Methodist Church that invited us to stay around 2pm. The rest of the day was spent eating (thank you Meg and Randy for making dinner) and preparing for the next day. Oh, more importantly, Lee, Mort, Joe, Will, Paul and I went on a mid afternoon beer run. Beer and food taste so much better after a long day of cycling. Good fun! It's pretty late
right now so going to bed..Hoping to catch up on my journal tomorow. Were into the big hills already! Staying at the Cookie Lady's house tomorrow :) Night!
We dipped our tires in the Atlantic yesterday
at mile zero in Yorktown, VA! I'll have the chance to write more tomorrow when we reach Ashland. About to go to bed and it's only 845. Today we went 50 miles, mostly along car free bike paths. Very nice!
Posted via LiveJournal.app.
- Current Location:US, Virginia, Henrico, Warriner Rd, 7434
had already bumped into Lee and Mort first and then Joe, Will, Jack and Olaf while I was wandering around Colonial Williamsburg.
Here's a photo of Lee and Mort :)
Grams and Gramps have been invited to the group dinner at 7pm! So we're getting ready for that now.
I'm so glad they get to meet everyone before we head off. They are also planning to drive to Yorktown tomorrow morning for the ceremonious dipping of the tires in the Atlantic. The weather is supposed to be really nice for that.
I didn't have the chance to post yesterday. Here's a nice picture of us at Buckroe Beach, where G'pa used to spend his summers as a kid. We also visited Pungoteague Elementary School where Gramp's father taught a class 100 years ago. It was a lot of fun and he really enjoyed reminiscing. Heading to dinner now.
Love you all and miss you.
Hello. I just downloaded the livejournal app on my iPhone. Testing it out now! I'm in the car with he G'rents driving through Delaware. First stop Onancock, VA, and then off to Williamsburg tomorrow. I'm really excited it's finally here!
Posted via LiveJournal.app.

subset: commoncrawl


text:
living the dream here in east Atl
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The Willoughby's I am looking for at this point are mostly in NC and VA, but thank you for the information, I will keep that in mind in my search.
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This is a stunning example of the Popular 1972 Series of GMC truck. The vehicle has been fully restored and is in like new... More
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"The White Sox are "extremely close" to trading for Nationals outfielder Alfonso Soriano." (ESPN dot com, 7/24/2006)
Hey Detroit, how 'bout a bidding war?
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Please place this menu outside Cereals & Yogurt your door before 1 1:00 pm Cereal Corn Flakes Special K Rice Krispies Granola ________________________ __________________________________ Bran Flakes Raisin Bran Room Guest Name Honey Nut Cheerios Frosted Flakes For your convenience breakfast is served daily from 7:30 to 9:30 am. Please indicate desired time and place you wish to take breakfast. served with 2% Milk Soy Milk Skim Milk ________________________ Your Room Yogurt Natural Plain Yogurt Fruit Yogurt Time Garden Terrace* Breakfast will be served within Front Porch* All cereal options served with ___ Sliced Banana 15 minutes of requested time Dining Room From The Bakery Rise & Shine Toast Wheat Seven Grain Get off to a bright start with a beverage delivered to your guest room prior to breakfast. Sourdough Cinnamon Raisin Jewish Rye Beverage Freshly Made Coffee Green Tea English Breakfast Tea Earl Grey Bagel Plain Whole Wheat Poppyseed & Sesame Cinnamon Raisin served with Fresh Cream Soy Milk Onion 2% Milk Lemon Slices Skim Milk Misc. English Muffins Oversized Fruit Muffin Available from 7:00 am, please indicate time: ________________________ Crumpets Breakfast Entrees – Breakfast Menu – Traditional English Breakfast The ingredients we use are sourced from the finest suppliers across the USA and some specialty Our English breakfast is a truly authentic experience. Prepared in the traditional way by items are imported from the British Isles. We are committed to using as many free-range & British butchers here in the United States, our bacon and sausages are made from free- organic products as is reasonably possible. range organic pork. 2 Eggs (specify style) ______________ , ___ Back Bacon Rashers, ___ Sausage, ___ Grilled Tomato, ___ Grilled Mushrooms Juices & Cold Beverages Buttermilk Pancakes Juice Florida Orange V8 Juice Fresh Buttermilk pancakes made from scratch made with nutmeg and cinnamon with a Apple Cranberry serving of real Wisconsin maple syrup on the side. Made ___ Plain OR ___ with Blueberries, Grapefruit Tomato served with your choice of any ONE of the following breakfast meats, ___ Applewood Smoked Bacon, OR ___ Canadian Bacon, OR ___ Black Forest Ham, Water Still Mineral Water Sparkling Mineral Water OR ___ Country Link Sausages, OR ___ Low Fat Turkey Sausage Soda Coca Cola Sprite Seasonal Fruit Platter Diet Coke Diet Sprite Selection of assorted market fresh sliced fruits and berries. ____ with Natural Yogurt Milk 2% Soy Egg White Fritatta with tomatoes and herbs Skim 3 Egg white fritatta served open face with diced tomatoes and fresh herbs. ____ with Steamed Mushrooms Hot Beverages American Breakfast Your choice of 2 eggs any style with choice of breakfast meats. Coffee Freshly Made Coffee Cappuccino 2 Eggs (specify style) ______________ , AND your choice of any ONE of the following: Decaffeinated Coffee Espresso ___ Applewood Smoked Bacon, OR ___ Canadian Bacon, OR ___ Black Forest Ham, Caffé Latte OR ___ Country Link Sausages, OR ___ Low Fat Turkey Sausage Tea English Breakfast Peppermint McCormick House Omelet Earl Grey Lemon Made-to-order 3-eggs omelet with your choice of fillings. ___ Black Forest Ham, Green Chamomile ___ Local Colby Cheese, ___ Greek Feta, ___ Mushrooms, ___ Fresh Spinach Apple Green Rose Hip Cinammon Pecan French Toast Blackcurrant Blueberry Prepared to a traditional recipe using french bread slices dipped in a cinnamon-vanilla custard Raspberry Peach and topped off with crushed pecan nuts. Served with your choice of any ONE of the Wild Strawberry following breakfast meats, ___ Applewood Smoked Bacon, OR ___ Canadian Bacon, Chocolate Hot Belgian Chocolate OR ___ Black Forest Ham, OR ___ Country Link Sausages, OR ___ Low Fat Turkey Sausage All beverages served with your choice of: Steel Cut Irish Oatmeal Traditional Irish Oatmeal made the old fashioned way. (preparation time 30 mins.) Lemon 1/2 & 1/2 Served with ___ Sultanas and ___ Natural Brown Sugar 2% Milk Soy Milk Skim Milk We respectfully ask that each guest choose only * Weather / Season Permitting rev 11.16.2007 one item from each breakfast category.
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We support all genres, all platforms and especially indie developers.
With ImGame you can:
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• Collect custom tokens from players like you for checking in to games, launch events, app achievements and other special events throughout the entire network.
• Earn points, unlock extras and 'Real TIme Rewards' (RTR) just for playing.
• Build and share your game library, explore others game history and find new games.
What's New
CShare(files transfer)
Enables you to Transfer applications, videos, music and pictures between phones.
File sharing is Free-of-cost .Share everything with your mobile phone.
10x faster than 3G and 30x faster than Bluetooth.
Main Features:
+ AMAZING TRANSFER SPEED BY WIFI CONNECTION: using WIFI function your phone can connect every devices
+ALL KIND OF DOCUMENTS INCLUDED: music, ringtones, pictures, photos, wallpapers, videos and files-like word, excel, power point, text, APK,
+EASILY SHARE APPS AND GAMES: apk files of applications& games &widgets
+FRIENDLY UI DESIGN FOR ALL USERS: easy way to use, share and receive
+JUST NEED ONE CLICK TO IDENTIFY EQUIPMENT: android devices quickly connect with each other, efficient and easily
+TOTALLY FREE, WITHOUT ANY COST: no need to transfer by Bluetooth or 3G network, instead, WIFI much faster and more efficient
+READ THE HISTORY OF SENDING AND RECEIVING: organize all the transferring documents and history in your mobile phone
+SIMPLE &CLEAN &EXQUISITE WIDGET FOR YOUR MOBILE PHONE: much smaller size for any device, more smoothly and quickly
+SHARING WITH ANY ANDROID DEVICES WIRELESSLY: if install our app and you can freely transfer files with all your friends at once.
+USING WIFI, 30 TIMES FASTER THAN BLUETOOTH AND 100M DISTANCE EFFICIENT: update your sending and receiving way, droping Bluetooth from now on.
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3. Sharing speed 10x faster than 3G and 30x faster than Bluetooth
4. Transfer applications, videos, music and pictures between two or more Android devices
5. Approximately effective for up to 100m of distance
6. Supports group sharing. Instantly share a party video, music album or photo to your friends at once!
7. without network charges or Wi-Fi connection. eliminates the need for cables to wirelessly transfer information rapidly between phones – either with friends, or to take your personal content on the go.
8. Phones with CShare can automatically find each other when in range.
Our Users' Comments:
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Rahul Srivastava : Wow ..Just wow !! Its amazing, I was able to transfer a 90 MB file in less then 45 sec. Simple AD free interface...
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Please share responsibly. Transfer of copyright files are at the discretion of the user.
Free For Facebook
** Some of the mobile operator doesn't support this application. If so ,please do not rate us single star. **
--- Please turn off your WiFi network and active your mobile internet. No data charge or MB will deduce from your account. Its completely free.
By compelete the tasks displayed, unlimited rewards include phone charge,coupon, voucher, real-time bouns are waiting for you to get.
How cashdigg work?
1.The reward tasks display in your locked screen, by slide to left,finnish the task to get the coins;silde to right, to unlock your phone(you can get reward coins per hour by unlock you phone)
2.Get your phone charges,coupon,voucher,real-time bouns here in coins mall of Cashdigg.
Shareboard - file sharing app
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Digital Kosovo
Kosovo is recognized by over half of the members of the United Nations and is a member of both the IMF and World Bank. Internet properties from LinkedIn to Twitter are updating their platforms, menus and options to include Kosovo and making it possible for everyone to take full advantage of all the opportunities available via the Internet.
Digital Kosovo helps you help us to integrate Kosovo into the digital landscape. This initiative helps overcome the virtual barriers which currently exist by encouraging a range of Internet properties from shopping websites to travel to add Kosovo to their sites..
Using Digital Kosovo advances Kosovo's digital presence across major websites around the world, so that citizens of Kosovo can take advantage of all the Internet has to offer in the same way as all global citizens.
Digital Kosovo is a new initiative being delivered by IPKO Foundation, with the support of the Republic of Kosovo Ministry of Foreign Affairs, British Council and the Norwegian Embassy.
*Feature Graphic from Ben Njeri.
Isamu Android
Mam na imię Mikołaj ,i jestem twórcą aplikacji dla użytkownia IsAmUxPompa. Aplikacja pokazuje najnowsze filmiki z jego kanału.
O błędy i propozycję pisać:
Email: email@example.com
Skype: mikilop2
Serdeczna Pompa ,pozdrawiam
Portable Wi-Fi hotspot Premium
Improve your mobile computing experience.
Simple and fast.
**Before running the application configuration is required.
SETTING: Settings->More..->Tethering & portable hotspot->Set up Wi-Fi hotspot
Rename or secure your portable hotspot
You can change the name of your phone's Wi-Fi network name (SSID) and secure its Wi-Fi network when it's acting as a portable hotspot.
Go to Settings > Wireless & networks > More > Tethering & portable hotspot.
Make sure Portable Wi-Fi hotspot is checked.
Touch Configure Wi-Fi hotspot.
The Configure Wi-Fi hotspot dialog opens.
Set your name and security options as follows:
Change the Network
TO USE: Just touch Portable Wi-Fi hotspot icon on / off
*Subscribing to smartphone data plan is needed for users of some telecommunication firms.
The "DisowskyLive" shows the new channel "Disowskyy" and news from the "disgra.pl"
Got a problem with your application? Or have a proposal for what to add?
Write on e-mail: firstname.lastname@example.com
Skype: mikilop2
Aplikacja "DisowskyLive" pokazuje nowości z kanału "Disowskyy" i nowości ze strony "disgra.pl"
Masz problem z aplikacją? Lub masz propozycję co dodać?
Pisz na email: firstname.lastname@example.com
Skype: mikilop2
Do poprawnego działania aplikacji potrzebna jest aplikacja YouTube.
Jeżeli masz jakąś propozycje lub chcesz własną aplikację to pisz na email: firstname.lastname@example.com


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"Wonderful place to work "
- Comp & Benefits
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I worked at Sapphire Technologies full-time (more than a year)
Sapphire invests in their employees with training, rewards etc.
I left because I personally did not like recruiting and found it was not a job for me, but I loved my time at Sapphire. Loved the company the people and the culture just wish I could have had a different day to day job within the company.
- Any Location
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1 person found this helpful
"Only care about billable hours "
- Comp & Benefits
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I have been working at Sapphire TechnologiesPros
very automated pay system. Pay is like clock work. Pay hits your account within 2 days of your timesheet submission.Cons
I only hear from them once every three months to see how it is going. I have had several promises of "let us take you to lunch. etc....without follow through. The only thing they care about is whether you are billing or not.Advice to ManagementAdvice
Review contractor turnoverDoesn't RecommendDisapproves of CEO
"Worse Placement Company I've ever dealt with "
- Comp & Benefits
- Work/Life Balance
- Senior Management
- Career Opportunities
I worked at Sapphire TechnologiesPros
They pay in US dollars, they found work somewhat in my skill set and that I was capable of doing.Cons
Hired me and left me. Nobody was there when I started; three hours of sitting in a lobby. Once I was showed to a desk neither the person who showed or Sapphire every came by to see it. I was in the middle of production support. The recruiter who got me never came by once despite promises other wise, and in fact would come on site and not see how a new person was doing. When this lack of communication and bad work environment lead me to leave, I was threatened being told I would never get a job in Denver CO again. To this day they obstruct new jobs opportunities. I would never recommend this place. It's the worse working experience I've ever had.Advice to ManagementAdvice
You need to train you recruiters. It was quite clear I was just dollar signs to the one that worked me with. No even fake care about me as person was every given.Doesn't RecommendNo opinion of CEO


text:
i dont see how narutos justsu going to be a big area jutsu ...
unless he uses the new rasengan on the ground and causes a major earthquake... but that wont be too kool...
i dont see how narutos justsu going to be a big area jutsu ...
unless he uses the new rasengan on the ground and causes a major earthquake... but that wont be too kool...
When the original jutsu was being worked out, I'm sure it was so that it could kill as many people as possible. Even though the guy didn't succeed in making it, his idea was for killing. Why would the title character use this uberdangerous jutsu on someone if they only end up dead? Only God says "I have to kill you, to love you." I know this was discussed in the "Narutos new jutsu" thread, but I still wonder if it is going to be an offensive jutsu or a defensive jutsu. Maybe if it is superpowerful, the Uchiha will just forget Orochimaru and kill Itachi with his superbestfriend, and develop the friendship which only developes while standing over a dead body.
As for the question, it would need to be both. No point in having a superpowerful attack if you cant execute in a timely manner, like Lee demonstrated before the chunin exam.
Last edited by sethblodia; 11-21-2006 at 10:38 AM.
♥ of the cards!
No matter the genius, they all fall to mediocrity in front of the Uchiha!
I think I'm missing something, where does it say that sharingon increases a person's reaction speed? I thought it only allows the user see the attack and his reaction to what he saw is based his normal speed?
...Good point.
I don't understand this notion that Shinobi fights are won and lost based on single jutsus. Naruto needs to improve to a complete level of someone else in order to win, not be a lvl 1 Shinobi with a lvl 999999999 technique. Naruto's new jutsu won't defeat Sasuke unless Naruto becomes better than Sasuke overall.
I would like to see Naruto work on way to handle the sharingon. Maybe Gai or someone else could help him figure out ways to beat the bloodline factor. As for speed Naruto,while in Fox form is hella fast. After the "Time jump", Naruto saved his captain before anyone saw.
What I would really like to see is the other jutsus he learned. The Toad Sage is smarter than people think.
Sharingan does enhance reaction speed. As already demonstrated by Sasuke, once he evades the attack with his own agility after seeing Naruto's movement, the sharingan can also help him target open areas to attack.
I agree that Naruto should learn to become a good ninja rather than learn a new powerful jutsu. I mean, creating the new jutsu just requires a high level of chakra control. Anyone else, such as Neji, could also undergo the training. Because Naruto is god-damn stupid, he need a hell of lot of clones to speed up his training.
He should train with Lee and Gai to up his strength as well as speed.
It's not like the rasengan won't hurt Sasuke if Naruto hit him with it. All he needs is speed to catch him.
Good point, Naruto works on a simple system: With the exception of fire, almost everyone can die from a single attack to a vital point.
Yeah. RPG-wise, it increases critical hit-rate and evasion, but to such a high degree. Its too insane.
Last edited by HFreeman; 11-21-2006 at 08:04 PM.
It doesn't matter if it's like RPG state with the sharingan. As long as it is physically possible, i don't thinkg it is a unreallistic thing for Sasuke to do.
Yes, shadown clones can compensate for Naruto's lack of agility at some degree but it would be obvious which one is the real Naruto once he begin to charge his rasengan or new jutsu.


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The KRYPTO "Arithmetic" Card Game. From a deck of numbered cards, select 5 (the "hand") and a 6th (the "objective"). The task is to find a way to combine the five ... - read more
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The Phantom Ship
Follow this interesting story about the ship.
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Help this writer to write a new book!
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"Originally developed for parachute suspension lines during World War II, durable lightweight paracord has even been used by Space Shuttle astronauts to repair the Hubble Space Telescope. You can weave and braid this versatile cord in an array of fashion colors to create attractive and useful accessories. Parachute Cord Craft ties everything together, with 22 clever projects and step-by-step instructions for making fashionable bracelets and necklaces, belts, lanyards, dog collars, key fobs, and more. Discover the knots you need to know, get practical advice on tools and materials, learn the right way to melt and fuse the cut ends of your cord, and experiment with jewelry findings"--P. [4] of cover.
Publisher: East Petersburg, PA : Design Originals, c2012.
Characteristics: 47 p. :,col. ill. ;,28 cm.
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I have argued since many years that pharmacists should not be selling or promoting homeopathic and other remedies for which there is no proof of efficacy – the last time I published my view on this matter is even less than a week ago: Personally, I would go another step further and remind pharmacists who sell homeopathic remedies to the unsuspecting public that it is unethical to pretend they are more than placebos.
Despite my insistence and despite the fact that many agree with me (at least privately), there are precious few pharmacists who actually do something meaningful about the current situation. And there is very little visible change: in the UK, it is currently hard to find a pharmacy where homeopathic remedies are not on the shelves, and certainly all the major chains seem to put money before health care ethics.
I am, of course, speaking about the situation in the UK, France, Germany and some other European countries. Perhaps elsewhere things are different?
A NZ website seems to indicate that 'down under' the pharmacists are getting more active. Some strongly argue against unproven or disproven remedies in pharmacies:
Firstly, …it's not a case that "pharmacists 'should' only be selling health products for which there is credible evidence of efficacy" (alterations mine, emboldened) but that they are obliged to—but choose not to. Their ethical guidelines state -
[PHARMACISTS] MUST:… Only purchase, supply or promote any medicine, complementary therapy, herbal remedy or other healthcare product where there is no reason to doubt its quality or safety and when there is credible evidence of efficacy.
…Secondly, the argument that 'other businesses sell junk remedies therefore we shall' is unsound. One of the key points about the ethical regulations for pharmacies is that customers should be able to walk into a store and have an expectation that the remedies within the store are basically sound. If other businesses elect to be unsound, that's poor health practice, but no justification to do likewise. On the face of it, it would seem that the profit motive is ruling over sound and ethical practice.
Thirdly, that some GPs subscribe placebos should have no standing in this. There is some arguments for GPs to prescribe placebo remedies in some cases; others would argue that education is a better response in most cases. Either way—and just my opinion—it seems to me that GPs prescribing homeopathic remedies encourages people to think these have real remedial effects. I don't work within the industry, but I am sure are ways of offering placebos that avoid using off-the-shelf commercial products. One might be that patients only get placebo 'treatments' via prescription.
…Fourthly, Pharmacy Today encourages that "pharmacies need to reconsider their stance in the light of this report"***. While this is an excellent idea, and one I thoroughly support, I suspect the underlying driver isn't the report, but media presence on the topic. There is a long trail of evidence over many years showing that homeopathic remedies are not effective for anything.
The Australian study*** that prompted the latest round of interest drew this statement,
Based on the assessment of the evidence of effectiveness of homeopathy, NHMRC concludes that there are no health conditions for which there is reliable evidence that homeopathy is effective.
Homeopathy should not be used to treat health conditions that are chronic, serious, or could become serious. People who choose homeopathy may put their health at risk if they reject or delay treatments for which there is good evidence for safety and effectiveness. People who are considering whether to use homeopathy should first get advice from a registered health practitioner.* Those who use homeopathy should tell their health practitioner and should keep taking any prescribed treatments.
The National Health and Medical Research Council expects that the Australian public will be offered treatments and therapies based on the best available evidence.
…Why were the relevant professional bodies not onto this evidence sooner?…
I might add another one: why are the European professional bodies of pharmacy doing so little about this ongoing breach of their own ethical codes?
(*** the report that the author refers to is the one by the Australian National Health and Medical Research Council we discussed on this blog a few days ago.)
A recent article from THE CHIROPRACTIC REPORT entitled 'Media Criticism – Whether and How to Respond' has caught my attention. It provides detailed and, in my view, quite remarkable advice to chiropractors as to how they should react to criticism. Here is an excerpt:
…the easiest media comment to challenge is one that makes an absolute claim – for example Salzberg's claim that the practice of chiropractic is "highly dubious." It also means that an effective response should usually not be absolute – claiming for example that chiropractic care can cure, or a specific chiropractic treatment is proven effective for, a specific condition.
Let's explore this with an example. In 2008 a British journalist, Simon Singh, while promoting a new book he had co-authored that was heavily critical of chiropractic and complementary and alternative medicine in general, wrote an article in the Guardian newspaper in which he claimed that "there is not a jot of evidence" that chiropractic treatment can help children with "colic, sleeping and feeding problems . . . and prolonged crying." In other words, a black and white claim.
There was and is evidence. Singh was wrong. How might you respond to this? Here are your options for reply, from the outspoken to the restrained:
a. Chiropractic is proven effective for the cure of infantile colic.
b. Spinal manipulation is proven effective for the cure of infantile colic
c. Manual treatments are proven effective for the cure of infantile colic
d. Chiropractic/spinal manipulation/ manual therapies may be effective in reducing the symptoms of infantile colic.
e. Where spinal joint dysfunction/subluxation is found, chiropractic/spinal manipulation/manual therapies may be effective in reducing abnormal and incessant crying in infants medically diagnosed as having infantile colic
f. Chiropractic care has a central focus of assessing and correcting spinal joint dysfunction/subluxation and its biomechanical and physiological effects, and where these are addressed many symptoms may be reduced including those associated with infantile colic.
The first three options are as black and white as Singh's statement, and are not supported by the evidence. Some studies say yes, some no. All the other options, which have appropriate qualifiers and shades of gray, are supported by sound evidence.
Much of that evidence is referred to and referenced in the March 2010 issue of this Report, available online at www.chiropracticreport.com/pastissues. To answer Singh effectively one only has to produce some of the good quality research and question how he can be credible when he says "there is not a jot of evidence".
With respect to evidence, in this context that means evidence published in peer-reviewed scientific journals. You may decide to comment on one or more anecdotal case reports from your practice to give your response greater human interest, but this will mean nothing unless supported by higher levels of published evidence.
Am I the only one to find this remarkable?
Am I wrong in interpreting this as detailed instructions to mislead the public?
Are these instructions not merely advice to defend chiropractic commercial interests at the expense of public health?
How can this be ethical?
Guest post by Louise Lubetkin
(A SCIENTIST IN WONDERLAND: A MEMOIRE OF SEARCHING FOR TRUTH AND FINDING TROUBLE has now been published. An apt opportunity perhaps to post a letter and comment from the person who helped me GREATLY in finishing it.)
People write memoirs for a variety of reasons but perhaps one of the strongest impelling forces is the need to make sense of one's own experiences. It is not surprising that you, who spent your entire professional career searching for explanations, identifying associations and parsing correlations, found yourself looking at your own life with the same analytical curiosity. Memoir is in many respects a natural choice in this regard.
That you chose to undertake a profoundly personal inventory at this juncture is also understandable in human terms. Retirement, whether anticipated and planned for, or (as in your case) thrust rudely upon you, reorders one's sense of identity in ways that cannot fail to prompt reflection. It would have been surprising had you not felt an urge to look back and take stock, to trace the narrative arc of your life from its beginnings in post-war Germany all the way to the quiet house in rural Suffolk where you now sit, surrounded by the comfort of books and the accumulated paraphernalia of a life spent digging and delving in search of the building blocks of truth.
Given the contentious circumstances surrounding your departure from academic life, it is quite likely that you will be asked whether your decision to write a memoir was driven, at least in part, by a desire to settle scores. I think you can dismiss such a question unhesitatingly. You have no scores to settle: you came to England after a steady and unbroken ascent to the apex of your professional career, voluntarily leaving behind a position that most people would regard with envy and deference. You were never a supplicant at Exeter's door; far from it. The fact that things went inexorably downhill over the course of your 20 years' tenure there, and ended so deplorably, is not a reflection on you, your department, or the quality or quantity of work you turned out. Rather, it is a reflection on the very nature of the work you went there to do – and if there is any message in your memoir, it is this:
Alternative medicine is not, at its heart, a logical enterprise, and its adherents are not committed to – nor even interested in – a rational evaluation of their methods. Rather, alternative medicine is primarily an ideological position, a political credo, a reaction against mainstream medicine. To many of its adherents and impassioned advocates, its appeal lies not in any demonstrable therapeutic efficacy but in its perceived outsider status as the countercultural medicine, the medicine for Everyman, the David to the bullying medical-pharmaceutical Goliath. That your research work would elicit howls of protest was perhaps inevitable, given the threat it posed to the profitable and powerful alternative medicine industry. But it didn't stop there: astonishingly, your work drew the ire of none less than the meddlesome heir apparent to the British throne. Prince Charles' attempts to stymie your work call to mind the twelfth century martyr Thomas à Becket, of whom Henry II reputedly cried: "Oh, who will rid me of this turbulent priest?" (Henry's sycophantic henchmen were quick to oblige, dispatching the hapless cleric on the steps of Canterbury cathedral.)
It's clear that you were acutely aware, as a young man growing up in Germany, that science was not immune to the corrupting influence of political ideology, and that the German medical profession had entered – enthusiastically – into a Faustian compact with the Nazi regime. You have exhibited a courageous insistence on confronting and examining a national past that has at times felt like an intensely personal burden to you. It is ironic that in going to sleepy Exeter in an earnest, conscious attempt to shake off the constricting, intrigue-ridden atmosphere of academic Vienna, you ultimately found yourself once again mired in a struggle against the influence of ideology and the manipulation of science for political ends.
You went to Exeter strictly as a scientist, a skilled inquirer, a methodical investigator, expecting to be able to bring the rigors of logic and the scientific method to bear on an area of medical practice that had until then not been subjected to any kind of systematic evaluation. Instead, you were caught in a maelstrom of intrigue far worse than that which you had gratefully left behind in Vienna, buffeted and bruised by forces against which a lesser man would surely not have had the fortitude to push back so long and so hard.
Hard to believe but, in the last 35 years, I have written or edited a total of 49 books; about half of them on alternative medicine and the rest on various subjects related to clinical medicine and research. Each time a new one comes out, I am excited, of course, but this one is special:
- I have not written a book for several years.
- I have worked on it much longer than on any book before.
- Never before have I written a book with is so much about myself.
- None of my previous book covered material that is as 'sensitive' as this one.
I started on this book shortly after TRICK OR TREATMENT had been published. Its initial working title was ALTERNATIVE MEDICINE: THE INSIDE STORY. My aim was to focus on the extraordinary things which had happened during my time in Exeter, to shed some light on the often not so quaint life in academia, and to show how bizarre the world of alternative medicine truly is. But several people who know about these things and who had glanced at the first draft chapters strongly advised me to radically change this concept. They told me that such a book could only work as a personal memoire.
Yet I was most reluctant to write about myself; I wanted to write about science, research as well as the obstacles which some people manage to put in their way. So, after much discussion and contemplation, I compromised and added the initial chapters which told the reader about my background and my work prior to the Exeter appointment. This brought in subjects like my research on 'Nazi-medicine' (which, I believe, is more important than that on alternative medicine) that seemed almost entirely unrelated to alternative medicine, and the whole thing began to look a bit disjointed, in my view. However, my advisers felt this was a step in the right direction and argued that my compromise was not enough; they wanted more about me as a person, my motivations, my background etc. Eventually I (partly) gave in and provided a bit more of what they seemed to want.
But I am clearly not a novelist, most of what I have ever written is medical stuff; my style is too much that of a scientist – dry and boring. In other words, my book seemed to be going nowhere. Just when, after years of hard work, I was about to throw it all in the bin, help came from a totally unexpected corner.
Louise Lubetkin (even today, I have never met her in person) had contributed several posts as 'guest editor' to this blog, and I very much liked her way with words. When she offered to have a look at my book, I was thrilled. It is largely thanks to her that my 'memoire' ever saw the light of day. She helped enormously with making it readable and with joining up the seemingly separate episodes describes in my book.
Finding a fitting title was far from easy. Nothing seemed to encapsulate its contents, and 'A SCIENTIST IN WONDERLAND', the title I eventually chose, is a bit of a compromise; the subtitle does describe it much better, I think: A MEMOIR OF SEARCHING FOR TRUTH AND FINDING TROUBLE.
Now that the book is about to be published, I am anxious as never before on similar occasions. I do, of course, not think for a minute that it will be anything near to a best-seller, but I want people with an interest in alternative medicine, academia or science to read it (get it from a library to save money) and foremost I want them to understand why I wrote it. For me, this is neither about settling scores nor about self-promotion, it is about telling a story which is important in more than one way.
Adverse events have been reported extensively following chiropractic. About 50% of patients suffer side-effects after seeing a chiropractor. The majority of these events are mild, transitory and self-limiting. However, chiropractic spinal manipulations, particularly those of the upper spine, have also been associated with very serious complications; several hundred such cases have been reported in the medical literature and, as there is no monitoring system to record these instances, this figure is almost certainly just the tip of a much larger iceberg.
Despite these facts, little is known about patient filed compensation claims related to the chiropractic consultation process. The aim of a new study was to describe claims reported to the Danish Patient Compensation Association and the Norwegian System of Compensation to Patients related to chiropractic from 2004 to 2012.
All finalized compensation claims involving chiropractors reported to one of the two associations between 2004 and 2012 were assessed for age, gender, type of complaint, decisions and appeals. Descriptive statistics were used to describe the study population.
338 claims were registered in Denmark and Norway between 2004 and 2012 of which 300 were included in the analysis. 41 (13.7%) were approved for financial compensation. The most frequent complaints were worsening of symptoms following treatment (n = 91, 30.3%), alleged disk herniations (n = 57, 19%) and cases with delayed referral (n = 46, 15.3%). A total financial payment of €2,305,757 (median payment €7,730) were distributed among the forty-one cases with complaints relating to a few cases of cervical artery dissection (n = 11, 5.7%) accounting for 88.7% of the total amount.
The authors concluded that chiropractors in Denmark and Norway received approximately one compensation claim per 100.000 consultations. The approval rate was low across the majority of complaint categories and lower than the approval rates for general practitioners and physiotherapists. Many claims can probably be prevented if chiropractors would prioritize informing patients about the normal course of their complaint and normal benign reactions to treatment.
Despite its somewhat odd conclusion (it is not truly based on the data), this is a unique article; I am not aware that other studies of chiropractic compensation claims exist in an European context. The authors should be applauded for their work. Clearly we need more of the same from other countries and from all professions doing manipulative therapies.
In the discussion section of their article, the authors point out that Norwegian and Danish chiropractors both deliver approximately two million consultations annually. They receive on average 42 claims combined suggesting roughly one claim per 100.000 consultations. By comparison, Danish statistics show that in the period 2007–2012 chiropractors, GPs and physiotherapists (+ occupational therapists) received 1.76, 1.32 and 0.52 claims per 100.000 consultations, respectively with approval rates of 13%, 25% and 21%, respectively. During this period these three groups were reimbursed on average €58,000, €29,000 and €18,000 per approved claim, respectively.
These data are preliminary and their interpretation might be a matter of debate. However, one thing seems clear enough: contrary to what we frequently hear from apologists, chiropractors do receive a considerable amount of compensation claims which means many patients do get harmed.
This investigation was aimed at examining the messages utilised by the chiropractic profession around issues of scope and efficacy through website communication with the public. For this purpose, the authors submitted the website content of 11 major Canadian chiropractic associations and colleges, and of 80 commercial clinics to a mixed-methods analysis. Content was reviewed to quantify specific health conditions described as treatable by chiropractic care. A qualitative textual analysis identified the primary messages related to evidence and efficacy utilised by the websites.
The results show that chiropractic was claimed to be capable of addressing a wide range of health issues. Quantitative analysis revealed that association and college websites identified a total of 41 unique conditions treatable by chiropractic, while private clinic websites named 159 distinct conditions. The most commonly cited conditions included back pain, headaches/migraines and neck pain. Qualitative analysis revealed three prominent themes drawn upon in discussions of efficacy and evidence: grounded in science, the conflation of safety and efficacy and "natural" healing.
The authors concluded that the chiropractic profession claims the capacity to treat health conditions that exceed those more traditionally associated with chiropractic. Website content persistently declared that such claims are supported by research and scientific evidence, and at times blurred the lines between safety and efficacy. The chiropractic profession may be struggling to define themselves both within the paradigm of conventional science as well as an alternative paradigm that embraces natural approaches.
These findings strike me as being similar to the ones we published 4 years ago. At this stage, we had conducted a review of 200 chiropractor websites and 9 chiropractic associations' World Wide Web claims in Australia, Canada, New Zealand, the United Kingdom, and the United States. The outcome measures were claims (either direct or indirect) regarding the eight reviewed conditions, made in the context of chiropractic treatment: asthma, headache/migraine, infant colic, colic, ear infection/earache/otitis media, neck pain, whiplash (not supported by sound evidence), and lower back pain (supported by some evidence).
We found evidence that 190 (95%) chiropractor websites made unsubstantiated claims regarding at least one of the conditions. When colic and infant colic data were collapsed into one heading, there was evidence that 76 (38%) chiropractor websites made unsubstantiated claims about all the conditions not supported by sound evidence. Fifty-six (28%) websites and 4 of the 9 (44%) associations made claims about lower back pain, whereas 179 (90%) websites and all 9 associations made unsubstantiated claims about headache/migraine. Unsubstantiated claims were made about asthma, ear infection/earache/otitis media, neck pain.
At the time, we concluded that the majority of chiropractors and their associations in the English-speaking world seem to make therapeutic claims that are not supported by sound evidence, whilst only 28% of chiropractor websites promote lower back pain, which is supported by some evidence. We suggest the ubiquity of the unsubstantiated claims constitutes an ethical and public health issue.
Comparing the two studies, what should we conclude? Of course, the new investigation was confined to Canada; we therefore cannot generalise its results to other countries. Nevertheless it provides a fascinating insight into the (lack of) development of chiropractic in this part of the world. My conclusion is that, at least in Canada, there is very little evidence that chiropractic is about to become an ethical and evidence-based profession.
The question that I hear with unfailing regularity when talking about alternative medicine is WHY IS IT SO POPULAR? I always struggle to find a simple answer – mainly because there is no simple answer. The reasons for patients and consumers to use alternative medicine are complex and multiple. They range from dissatisfaction with conventional medicine to clinging to the last straw. However, one factor is very clearly always involved: the often bafflingly uncritical promotion of quackery by the daily papers – and that even includes those with a reputation for being respectable.
Yesterday's article in THE TELEGRAPH is as good an example as any. In the following section, I quote excerpts from it and add my own comments in bold.
It is perhaps easier to list what the naturopath Katrin Hempel doesn't offer her clients than what she does. "Bioresonance and live blood analysis, acupuncture, biopuncture, infusion therapy, oxyvenation…"
Katrin Hempel, B.H.Sc.,ND, Dipl.Ac. describes herself on her website as an energetic, enthusiastic and experienced natural therapist with a great passion and commitment to the health and well-being of her patients. She calls herself a 'naturopathic doctor'. I am not sure what this actually is but I am fairly sure she has not studied medicine. I do not doubt her enthusiasm, but I do doubt that most of the methods listed above are anything else but pure quackery.
"Germany has a long tradition of natural medicine, so it's more common to find conventional doctors who have also studied natural medicine and use these modalities. Here we are at least 20 years behind." That is true only, if one regards the integration of quackery as progress.
"Every cell in the body puts out a certain electromagnetic frequency, that can be measured – a healthy stomach cell sounds different to a healthy brain cell – and the machine can put the right resonance back in, to trigger deep healing.") This is pure pseudoscience; neither live blood analysis nor bioresonance are supported by good evidence (and don't even ask about 'biopuncture').
The article goes on misleading the reader in the most scandalous way by promoting pure nonsense. To provide a flavour, I will merely cite a few quotes from the 'naturopathic doctor':
- "If your digestion isn't working properly there is a malabsorption of nutrients"
- "Bioresonance can pick up a condition before it manifests as a disease."
- "Bioresonance measures the electromagnetic output of every cell in the body. If there's any discrepancy with the healthy frequency for that kind of cell that gives a diagnosis."
- "Whatever the problem, at root it will be an imbalance in the cells."
At no point in this article is there an attempt to challenge or critically analyse this bonanza in quackery; THE TELEGRAPH promotion of dangerous nonsense ends with the cheerful footnote informing the reader that one hour with the 'naturopathic doctor' will cost from £100. THE TELEGRAPH does not even shy away to print an address for booking a consultation with the 'naturopathic doctor'.
But is it really all quackery? Yes it is! The article promotes so many unproven methods that I find it hard to choose one for demonstrating how irresponsible it really is. Let's take life blood analysis (LBA), for instance; here is what I published about LBA some time ago:
The principle of LBA is fairly simple: a drop of blood is taken from your fingertip, put on a glass plate and viewed via a microscope on a video screen. Despite the claims made for it, LBA is by no means new; using his lately developed microscope, Antony van Leeuwenhoek observed in 1686 that living blood cells changed shape during circulation. Ever since, doctors, scientists and others have studied blood samples in this and other ways.
What is new, however, is what today's "holistic practitioners" claim to be able to do with LBA. Proponents believe that the method provides information "about the state of the immune system, possible vitamin deficiencies, amount of toxicity, pH and mineral imbalance, areas of concern and weaknesses, fungus and yeast", as another website puts it.
Others dare to be much more concrete and claim that they can "spot cancer and other degenerative immune system diseases up to two years before they would otherwise be detectable"; or say they can diagnose "lack of oxygen in the blood, low trace minerals, lack of exercise, too much alcohol or yeast, weak kidneys, bladder or spleen". All this would amount to a remarkable discovery if it were true. But it's not.
No credible scientific studies have demonstrated the reliability of LBA for detecting any of the above conditions. In what was, to the best of my knowledge, the first attempt to assess the value of this method, a practitioner with several years of experience in LBA tested the samples of 110 patients. Twelve had cancer and the task was to identify their samples without knowing further details. The results could hardly have been more disconcerting – just three of the 12 with confirmed cancer were detected, and the authors concluded that the method "does not seem to reliably detect cancer. Clinical use of the method can therefore not be recommended."
And, in case you do not trust me, here is a recent Advertising Standards Authority ruling on LBA:
London Natural Therapies is in breach of the UK Advertising Standards Code for making unproven claims on its website about Live Blood Analysis. The CAP Compliance team has contacted London Natural Therapies several times about removing claims implying that Live Blood Analysis could be beneficial for Gastro Intestinal Tract Disorders, Allergies and Hormonal Imbalances after the ASA previously ruled that Live Blood Analysis was not effective in detecting/diagnosing those conditions. Despite repeated requests to remove the problem claims, London Natural Therapies continues to feature them on its website, www.londonnaturaltherapies.co.uk. Because of London Natural Therapies continued non-compliance we took the decision to place its details on this section of the ASA website on 26 June 2012. These details shall remain in place until such time as London Natural Therapies has removed or appropriately amended the claims on its website to ensure compliance with the CAP Code.
This is but one of many examples of truly shoddy journalism published in a daily paper that most people would call 'respectable'. If anyone cares to look at the less respectable end to the journalistic spectrum, the picture gets even more horrific. The points I am trying to make are simple and, I think, important:
- Journalists and editors have a responsibility which, in the realm of alternative medicine, they often disregard most scandalously.
- Such poorly researched, unbalanced and uncritical articles can cause very serious harm.
- The promotion of quackery may be good for selling copy, but it can also quickly ruin the reputation of a paper.
"Dr" Brian Moravec is a chiropractor from the US; he has a website where he describes himself and his skills as follows: I attended Chiropractic College and I am a graduate of Palmer College of Chiropractic in Davenport Iowa. I earned a Bachelor of Science degree as well as my Doctor of Chiropractic degree from Palmer College, which is the first chiropractic college in the world and the origin of our profession. I also attend continuing education seminars designed to keep doctors current with regard to clinical chiropractic, technique and nutrition.
The key to overall health and wellness is to have a healthy nervous system and that is what I do as a chiropractor – I make sure that your spine is functioning at its best so that your nervous system functions at its best. When the nervous system is functioning at 100%, you are a healthier individual that experiences a higher quality of life and health. I know this to be true in myself, my family and my patients.
I go to great lengths to provide my patients with the best chiropractic care I can give. I work with my patients to design a treatment plan that will be effective for their particular condition and specific to their needs. We utilize manual and low force techniques (safe and effective for newborns to seniors), to correct sublaxations in the spine. Chiropractic adjustments remove nerve interference, which allows the body to perform at its best again. I also am available for consultations on nutrition and diet, dietary supplementation and how to minimize the wear and tear on your spine.
[Emphases are mine]
What he does not state is the fact that he also is a nifty e-mail writer!
To my great surprise, I received an e-mail from him which is far too good to be kept for myself. So I decided to share it with my readers; here it is in its full and unabbreviated beauty:
its interesting to see someone with your education, and is a self proclaimed "expert" on alternative medicine, promote so much misinformation with regard to chiropractic care. fortunately you look old. and soon will be gone. I always refer to the few of you anti chiropractic fools left here as "dinosaurs". the proof is in the pudding my "friend". chiropractic works and will continue to be here for centuries more. you and others with much much more power than you (the AMA for example) have tried to perpetuate lies and squash chiropractic. you fail, and they failed, because whatever better serves mankind will stand the test of time. you're a dying breed edzard. thank God.
yours in health,
brian moravec d.c.
I am encouraged to see that he recognises my education but do wonder why his upbringing obviously failed so dismally teach him even a minimum of politeness, tact, or critical thinking. It is disappointing, I think, that he does not even mention what he perceives as my lies about his beloved chiropractic. So sad, I am sure it would have been fun to debate with him.
'Healing, hype or harm? A critical analysis of complementary or alternative medicine' is the title of a book that I edited and that was published in 2008. Its publication date coincided with that of 'Trick or Treatment?' and therefore the former was almost completely over-shadowed by the latter. Consequently few people know about it. This is a shame, I think, and this post is dedicated to encouraging my readers to have a look at 'Healing, hype or harm?'
One reviewer commented on Amazon about this book as follows: Vital and informative text that should be read by everyone alongside Ben Goldacre's 'Bad Science' and Singh and Ernt's 'Trick or Treatment'. Everyone should be able to made informed choices about the treatments that are peddled to the desperate and gullible. As Tim Minchin famously said 'What do you call Alternative Medicine that has been proved to work? . . . Medicine!'
This is high praise indeed! But I should not omit the fact that others have commented that they were appalled by our book and found it "disappointing and unsettling". This does not surprise me in the least; after all, alternative medicine has always been a divisive subject.
The book was written by a total of 17 authors and covers many important aspects of alternative medicine. Some of its most famous contributors are Michael Baum, Gustav Born, David Colquhoun, James Randi and Nick Ross. Some of the most important subjects include:
- Compassion
- Quackademia
- Impartiality
- Ethics
- Politics
- Holism
- Vitalism
- Placebo
As already mentioned, our book is already 6 years old; however, this does not mean that it is now out-dated. The subject areas were chosen such that it will be timely for a long time to come. Nor does this book reflect one single point of view; as it was written by over a dozen different experts with vastly different backgrounds, it offers an entire spectrum of views and attitudes. It is, in a word, a book that stimulates critical thinking and thoughtful analysis.
I sincerely think you should have a look at it… and, in case you think I am hoping to maximise my income by telling you all this: all the revenues from this book go to charity.
In 2004, I published an article rather boldly entitled 'Ear candles: a triumph of ignorance over science'. Here is its summary:
Ear candles are hollow tubes coated in wax which are inserted into patients' ears and then lit at the far end. The procedure is used as a complementary therapy for a wide range of conditions. A critical assessment of the evidence shows that its mode of action is implausible and demonstrably wrong. There are no data to suggest that it is effective for any condition. Furthermore, ear candles have been associated with ear injuries. The inescapable conclusion is that ear candles do more harm than good. Their use should be discouraged.
Sadly, since the publication of this paper, ear candles have not become less but more popular. There are about 3 000 000 websites on the subject; most are trying to sell products and make claims which are almost comically misguided; three examples have to suffice:
- The candles work on a chimney principle, drawing any impurities to the surface where they can be gently removed. They equalise the pressure in the head and ears, making them suitable for most conditions.
- These candles are cleansing, soothing and relaxing which helps with chills / colds, feeling of pressure in the ear, tinnitus and everyday noise / sensory overload.
- As it burns, the cone's ingredients turn to vapour and the airflow creates a vibrational effect. Warmth, vibration and vapour massage the ear canal breaking down any blockages. Wax, toxins and impurities are then drawn out by suction from the heat and vacuum effect of the burning cone. Ear Candling also stimulates the ear's circulatory system and upper lymph system aiding the body's natural healing responses.
I said ALMOST comical because such nonsense has, of course a downside. Not only are consumers separated from their cash for no benefit whatsoever, but they are also exposed to danger; again, three examples from the medical literature might explain:
- Otolaryngologists from London described a case of ear candling presenting as hearing loss, and they concluded that this useless therapy can actually cause damage to the ears.
- A 50-year-old woman presented to her GP following an episode of ear candling. After 15 minutes, the person performing the candling burned herself while attempting to remove the candle and spilled candle wax into the patient's right ear canal. On examination, a piece of candle wax was found in the patient's ear, and she was referred to the local ear, nose, and throat department. Under general aesthetic, a large mass of solidified yellow candle wax was removed from the deep meatus of the ear. The patient had a small perforation in her right tympanic membrane. Results of a pure tone audiogram showed a mild conductive hearing loss on the right side. At a follow-up appointment 1 month later, the perforation was still there, and the patient's hearing had not improved.
- A case report of a 4-year-old girl from New Zealand was published. The patient was diagnosed to suffer from otitis media. During the course of the ear examination white deposits were noticed on her eardrum; this was confirmed as being caused by ear candling.
I should stress that we do not know how often such events happen; there is no monitoring system, and one might expect that the vast majority of cases do not get published. Most consumers who experience such problems, I would guess, are far to embarrassed to admit that they have been taken in by this sort of quackery.
It was true 10 yeas ago and it is true today: ear candles are a triumph of ignorance over science. But also they are a victory of gullibility over common sense and the unethical exploitation of naive hope by greedy frauds.


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Fifth Grade Thanksgiving Worksheets and Printables
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So who tops the Hollywood A-list for 2013?
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Click here to cast your vote When it comes time to assess developments in cinema – over a year, decade or century – hard-working pundits sti(...)
Blue proves the warmest colour as 10-minute lesbian sex scenes pull in the plaudits
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It seems like a long time since we got ourselves in a tizzy over the explicit sexual content in a motion picture. Nobody saw it coming. When, at the s(...)
Oscar overload: Can we please stop banging the gong?
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Donald Clarke's great big autumn movie preview
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Introducing Fan Feature Fridays!
Ok, so I know it's Saturday, but I was busy yesterday helping cover graduations for work and didn't get a chance to post this! So, this is our new project here at Keepin' It Country Blog! On Fridays, we will be posting YOUR stories! Got a cool story about meeting a celebrity that you want to share? Send it to us at email@example.com!
We know a lot of you have CMA Fest stories! It doesn't have to be a recent story either, it can be from a few years ago! Feel free to include a picture (if you want to post one!) Your story doesn't have to be from CMA Fest – it can be any story that involves an encounter with a country celebrity!
I'm going to start off by posting a story of my own from CMA fest – my story about meeting Lauren Alaina and Scotty McCreery from American Idol :)
Jessica Crans
Latest posts by Jessica Crans (see all)
- Ram Trucks and Miranda Lambert Kick Off Brand Partnership - November 14, 2014
- First Ever Country Music Festival, FarmBorough, Set For NYC In June 2015 - November 10, 2014
- Chris Young Partners With Kidde to Increase Fire Safety - November 10, 2014


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