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Do You Believe in Magic?: The Sense and Nonsense of Alternative Medicine Hardcover – June 18, 2013
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In Do You Believe in Magic?, medical expert Paul A. Offit, M.D., offers a scathing exposé of the alternative medicine industry, revealing how even though some popular therapies are remarkably helpful due to the placebo response, many of them are ineffective, expensive, and even deadly.
Dr. Offit reveals how alternative medicine—an unregulated industry under no legal obligation to prove its claims or admit its risks—can actually be harmful to our health.
Using dramatic real-life stories, Offit separates the sense from the nonsense, showing why any therapy—alternative or traditional—should be scrutinized. He also shows how some nontraditional methods can do a great deal of good, in some cases exceeding therapies offered by conventional practitioners.
An outspoken advocate for science-based health advocacy who is not afraid to take on media celebrities who promote alternative practices, Dr. Offit advises, “There’s no such thing as alternative medicine. There’s only medicine that works and medicine that doesn’t.”
- Print length336 pages
- LanguageEnglish
- PublisherHarper
- Publication dateJune 18, 2013
- Dimensions6 x 1.09 x 9 inches
- ISBN-100062222961
- ISBN-13978-0062222961
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Review
“Important and timely . . . Offit writes in a lucid and flowing style, and grounds a wealth of information within forceful and vivid narratives. This makes his argument - that we should be guided by science - accessible to a wide audience.” — New Republic
“Lively. . . . Informative and well-written, the book deserves a wide audience among the general public, scientists, and health care professionals.” — Science
“Convincing.” — Forbes
“This excellent, easy-to-read look at the alternative-medicine industry is highly recommended.” — Library Journal (starred review)
“Do You Believe in Magic? is a briskly written, entertaining, and well-researched examination of those whom Offit considers ‘unclothed emperors’: purveyors of miracle cancer cures, fountains of youth, and the theory that vaccines cause autism.” — Boston Globe
“Over the last decade [Offit] has become a leading debunker of mass misconceptions surrounding infections and vaccines, and now he is taking on the entire field of alternative medicine, from acupuncture to vitamins.” — New York Times
“A fascinating history of hucksters, and a critical chronology of how supplements escaped regulation. . . . A bravely unsentimental and dutifully researched guide for consumers to distinguish between quacks and a cure.” — Publishers Weekly (starred review)
“A rousing good read, strong on human interest and filled with appalling and amazing data.” — Kirkus Reviews (starred review)
From the Back Cover
Medical expert and health advocate Dr. Paul A. Offit offers an impassioned and meticulously researched exposé of the alternative medicine industry.
A half century ago, acupuncture, homeopathy, naturopathy, Chinese herbs, Christian exorcisms, dietary supplements, chiropractic manipulations, and ayurvedic remedies were considered on the fringe of medicine. Now these practices—known variably as alternative, complementary, holistic, or integrative medicine—have become mainstream, used by half of all Americans today seeking to burn fat, detoxify livers, shrink prostates, alleviate colds, stimulate brains, boost energy, reduce stress, enhance immunity, eliminate pain, prevent cancer, and enliven sex.
But as Offit reveals, alternative medicine—an unregulated industry under no legal obligation to prove its claims or admit its risks—can actually be harmful to our health. Even though some popular therapies are remarkably helpful due to the placebo response, many of them are ineffective, expensive, and even deadly. In Do You Believe in Magic? he explains how
- megavitamins increase the risk of cancer and heart disease—a fact well known to scientists but virtually unknown to the public;
- dietary supplements have caused uncontrolled bleeding, heart failure, hallucinations, arrhythmias, seizures, coma, and death;
- acupuncture needles have pierced hearts, lungs, and livers, and transmitted viruses, including hepatitis B, hepatitis C, and HIV;
- chiropractic manipulations have torn arteries.
Dr. Offit debunks the treatments that don't work and explains why. He also takes on the media celebrities who promote alternative medicine, including Mehmet Oz, Suzanne Somers, and Jenny McCarthy. Using dramatic real-life stories, he separates the sense from the nonsense, showing why any therapy—alternative or traditional—should be scrutinized. As he advises us, "There's no such thing as alternative medicine. There's only medicine that works and medicine that doesn't."
About the Author
Paul A. Offit, MD, is a professor of pediatrics in the Division of Infectious Diseases and director of the Vaccine Education Center at the Children's Hospital of Philadelphia, as well as the acclaimed author of Autism's False Prophets, Vaccinated, Pandora's Lab, and Deadly Choices.
Product details
- Publisher : Harper; 1st edition (June 18, 2013)
- Language : English
- Hardcover : 336 pages
- ISBN-10 : 0062222961
- ISBN-13 : 978-0062222961
- Item Weight : 1.16 pounds
- Dimensions : 6 x 1.09 x 9 inches
- Best Sellers Rank: #861,688 in Books (See Top 100 in Books)
- #1,308 in Holistic Medicine (Books)
- #2,222 in Popular Social Psychology & Interactions
- #3,128 in History & Philosophy of Science (Books)
- Customer Reviews:
About the author

Paul A. Offit MD, a specialist in pediatric infectious diseases, has written 13 books about science and medicine. His subjects range from the history of the anti-vaccine movement, to the science behind vitamin supplements, to the over-use of medical treatments and, most recently, the Covid-19 pandemic. He has a passion for distilling the complexities of science and medicine into interesting narratives and clear prose. Dr. Offit has served on both the CDC and FDA Vaccine Advisory Committees. He is a co-inventor of a rotavirus vaccine, licensed in 2006, that is estimated to save hundreds of lives every year.
Dr. Offit relaxes and recharges by reading fiction, binge-watching great television series, following Philadelphia sports teams, watching movies, listening to podcasts, and walking. He follows politics all too closely and does not consider that relaxing.
Customer reviews
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Learn more how customers reviews work on AmazonCustomers say
Customers find the book provides well-researched and insightful information about holistic medicine. They describe it as an easy, engaging read with a well-crafted premise and personal stories. Readers appreciate the author's balanced and rational approach. However, opinions differ on the content regarding vitamins and alternative medical practices.
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Customers find the book provides a well-researched and insightful look at holistic medicine. They appreciate the author's presentation style and the emphasis on scientific evidence. The book is a must-read for anyone interested in health, with well-sourced information and references.
"...of Alternative Medicine,” Paul Offitt, M.D. makes a strong case for scientific advocacy in the treatment of diseases...." Read more
"...and they suggest a demeanor of patient understanding, kindness and intelligence...." Read more
"...Nonetheless, the book is interesting and informative reading...." Read more
"I gave the book 5 stars because it is written in a clear, engrossing, and moderate manner. But there are some problems with the book...." Read more
Customers find the book easy to read and well-written. They say it's worth reading with an open mind. The writing is clear, scientific, and informative.
"...Ms. McCarthy’s resume includes a successful modeling career, a television host, and an actress...." Read more
"...Nonetheless, the book is interesting and informative reading...." Read more
"I gave the book 5 stars because it is written in a clear, engrossing, and moderate manner. But there are some problems with the book...." Read more
"...Overall, a great read, with plenty of personal stories interwoven in a narrative suited for everything from light reading to academic discussions...." Read more
Customers find the book's premise interesting. They say it provides great factual and historical information, using true stories to make their points. The book is backed by reputable references and provides clear and logical information about current medical scams and health myths.
"...Overall, a great read, with plenty of personal stories interwoven in a narrative suited for everything from light reading to academic discussions...." Read more
"...The evidence is clear , many of the diseases we suffer from ( diabetes , heart disease , and some cancers ) are lifestyle diseases which can be..." Read more
"...Dr Offit's arguments are thoroughly researched and evidence-based. However, the book is a surprisingly easy read...." Read more
"...Many of the stories unfold like a murder mystery; indeed, sometimes it appears as though some of the celebrities he mentions are indirectly guilty..." Read more
Customers find the book entertaining and engaging. They appreciate the author's humorous summary of health crazes in a clear, concise way. The book provides an excellent perspective and food for thought regarding "natural" remedies propaganda.
"...I thought the book was easy to read and captivating, with tons of sources and data, and I liked how he pointed out that we do actually use a lot of..." Read more
"...and scientific, not prone to hyperbole, but at the same time entertaining and informative...." Read more
"...And he does all that in an accessible, engaging, occasionally funny and always interesting style...." Read more
"...I recommend this book to anyone interested in health issues. It is entertaining and educational." Read more
Customers find the book's pacing good. They describe the author as fearless but rational, and not dogmatic. The tone is sympathetic and understanding toward desperate patients. Readers feel the author has a clear, thorough knowledge of the topic. The author provides individual attention and comfort, and criticizes where appropriate. Overall, they consider the book a courageous and evidence-based read.
"...Their value is never overstated and they suggest a demeanor of patient understanding, kindness and intelligence...." Read more
"...While he is very pro-vaccine, he is not dogmatic...." Read more
"...The story it tells is tragic and depressing. Dr. Offit chronicles how we have allowed our wishful thinking to block us from learning the truth...." Read more
"...This is the book I wish I would have written: clear, concise, easy to read...." Read more
Customers appreciate the book's balance. They find it fair, responsible, and up-to-date.
"...is a book about alternative medicine. It is a very well balanced book, considering the topic...." Read more
"...A well balanced and much needed book. I've alreadsy loaned out my copy to help others understand the value of evidence-based medicine." Read more
"...It's very balanced and fairly dry, not so much "scathing" as simply narrative." Read more
"Well balanced, well researched. Doctors, patients, families would all benefit from reading this book...." Read more
Customers have mixed opinions about the vitamin content. Some find it helpful for learning about beneficial vitamins and alternative medical practices. They appreciate the book's review of the vitamin and health supplement industry and historical facts. Others feel the nutrition section is misleading and belittles supplements, claiming alternative medicine is unsafe and ineffective.
"...look at orthodox medicine. I, for example, got valuable information about anti-oxidants and that too much of them, can be bad or useless...." Read more
"...On the other hand, emphasizing better nutrition, stress reduction, improved sleep, the healing power of exercise and meditation are good things..." Read more
"...He belittles supplements and vitamins and cherry picks some studies for some supplements that support his negative biases toward supplements...." Read more
"...He examines the use of vitamins and supplements, telling the story behind their (lack of) regulation, carefully analyzing the studies done on them,..." Read more
Customers have different views on medical treatment. Some appreciate the use of both alternative and conventional therapies, allowing each to have its unique value. They find scientific evaluation of treatments the only hope for evaluating them, and the book encourages questioning remedies and supplements claims. Others criticize unproven therapies, false hopes of cure, and placebos as failures in clinical trials.
"...: The Truth About Complementary and Alternative Medicine & Trick or Treatment: The Undeniable Facts about Alternative Medicine." Read more
"...The main problem with this book is that the author is totally uncritical of standard medical treatments. This is a serious error...." Read more
"...about supplements, alternate medicine and treatments pushed by TV personalities or doctors...." Read more
"...Placebos cannot cure or prevent cancer. Placebos cannot reverse heart disease. Placebos cannot treat neurological disorders...." Read more
Top reviews from the United States
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- Reviewed in the United States on April 14, 2018Children are getting sick and dying with contagious diseases because their parents are refusing to allow pediatricians to give their kids vaccines for measles, mumps and rubella (MMR). Parents are worried that these vaccines cause autism.
Never mind that studies in Sweden, for example, with millions of children, found no relationship between vaccines for measles and an increase in autism.
This false claim stems from a variety of reasons.
For one, Dr. Wakefield, a British former surgeon and medical researcher, known for his fraudulent 1998 research paper in support of the now-discredited claim that there is a link between the administration of the measles, mumps and rubella (MMR) vaccine, and the appearance of autism and bowel disease did a study on a sample of twelve children, published in the prestigious journal “Lancet,” finding a link between vaccines and autism. Dr. Wakefield’s study was later retracted and he lost his medical license.
Second, most parents in this generation have no experience with children paralyzed by polio or blinded by rubella. When I was in elementary school I remember seeing pictures of kids on television stricken with polio before who were confined to live inside of big metal tubes called iron lungs with a mirror over their face --- an image that still haunts me.
Third, there has always been a libertarian streak running through the American culture --- vaccines, some say, are a personal decision.
Fourth, in an environmentally conscious population, some people eat only organic foods, drive a Prius, and do composting --- believing that what is natural is better for us and the planet.
The anti-vaxer movement, promoted by media stars, activists, politicians, and religious leaders fan the story line that pharmaceutical companies selling these vaccines are putting profits before people, callously risking the lives of children. This dramatic, media appealing story becomes part of a bigger picture warning us that mainstream medicine hawks toxic cures ---- not informing us about natural treatments recommend by a wide range of alternative medical healers.
In the United States, alternative medicine is a 34 billion a year business. Surveys show that 50% percent of Americans seek out alternative therapies for serious diseases, the effects of aging, and for many psychiatric problems – especially those problems where patients prefer natural remedies.
In his book, “Do You Believe in Magic? The Sense and Nonsense of Alternative Medicine,” Paul Offitt, M.D. makes a strong case for scientific advocacy in the treatment of diseases.
Offitt is a pediatrician who specializes in infectious diseases, and is an expert on vaccines, immunology, and virology. He is the co-inventor of the rotavirus vaccine which is credited with saving hundreds of lives every day.
Offitt has published more than 130 peer-reviewed articles and has been the author or co-author of books on vaccines, and antibiotics.
Offitt’s book chapters take us on medical rounds to meet Dr. Andrew Weil and Dr. Mehmet Oz, two media-savvy, ivy-league doctors who distrust modern medicine; we learn about the lure of all things natural; Dr. Offitt reviews the world of fifty-one thousand supplements and the suspicions of Big Pharma; and he examines the natural treatments for menopause and aging, autism, chronic lyme disease, and cancer.
For many consumers, magic potions are hard to resist. Alternative medicine is popular, some say, because mainstream physicians have little time for their patients, are uncaring, cold, and recommend treatments with no certainty of cures. Mainstream docs are in the pocket of Big Pharma, get financial kickbacks, and prescribe unnecessary drugs that have intolerable side-effects.
Everybody knows that Big Pharma cares only about profits, not people. Never mind that Pfizer bought Alacer Corporation in 2012, one of the country’s largest manufactures of megavitamins.
In contrast to mainstream healers, alternative naturopaths, homeopaths and so on, take time with their patients, are warm, caring, and provide natural treatments that work.
Most psychologists have come across patients who have been lured by the magic and promises of alternative therapies. I know I have.
For example, I met with college-educated, warm, sensitive parents of a fourteen year old youngster who had chronic (since first grade) and pervasive (across settings) severe symptoms of restlessness, impulsivity, and the inability to filter out external distractions (distractibility) – core symptoms of attention-deficit/hyperactivity disorder (ADHD). These parents were leery, like many parents, about trying pharmacotherapy to treat their son’s ADHD.
So these loving, conscientious parents headed off to a well-respected alternative medical doctor to treat their son. When they found it was too difficult to follow the doctor’s detailed, strict diet regimen for their son, the alternative doc recommended caffeine suppositories for their son’s ADHD. Shaken by this recommendation, the parents then tried the medicine for ADHD with good results.
Another example. A brain mapping clinic recently moved into my neighborhood, modeled after psychiatrist Dr. Daniel Amen .Dr. Mehmet Oz’s, an Ivy League trained cardiac surgeon, has interviewed Dr. Amen on the popular Dr. Oz television show. What are not told is that Dr. Amen oversees an empire that includes book publishing, television shows, and a line of nutritional supplements. He grosses about 20 million per year, mapping the brain with outmoded brain scans, offering brain-based diagnoses no better than horoscope readings.
A thoughtful, sophisticated teacher came to me about her ten year old son’s psychological difficulties. She said, “I heard an advertisement for a brain clinic on a Christian radio station. I went to their website and I was impressed by their research and testimonials of their patients.” She then took her son to this neighborhood brain mapping clinic -- at a fee of two-thousand dollars for ten treatments. When I asked her son about the brain clinic, he told me:
The first time I had to repeat some numbers I read – they put these things on my head to get my brain waves and then got my brain waves to go through head phones and I get to listen to it. It was different brain waves every time – and sometimes it repeated. I fell asleep once and it helped me sleep better. I’m not worrying about sleeping. I listened to ocean noises and that helped me listen better.
Many otherwise educated, scientifically minded consumers justify buying expensive supplements – vitamins, herbs, special foods -- telling themselves, “It’s worth a try - it can’t hurt.”
But hurt, it can. Offitt tell us:
…And it’s not just the supplements themselves that might be harmful, but what’s contaminating them. In 2004, researchers at Harvard Medical School tested Indian remedies obtained from shops near Boston’s City Hall. They found that 20% contained potentially harmful levels of lead, mercury, and arsenic… These problems aren’t rare. Between 1983 and 2004, poison-control centers in the United States received 1.3 million reports of adverse reactions to vitamins, minerals, and dietary supplements, of which 175,268 required treatment in hospitals and 139 resulted in death. In 2012, the FDA estimated that approximately 50,000 adverse reactions to supplements occurred every year.
Although conventional therapies can be disappointing, alternative therapies shouldn’t be given a free pass…All therapies should be held to the same high standard of proof; otherwise we’ll continue to be hoodwinked by healers who ask us to believe in them rather than in the science that fails to support their claims. And it’ll happen when we’re most vulnerable, most willing to spend whatever it takes for the promise of a cure
Vaccines, Measles, Autism, and McCarthyism
This quackish cult of vaccine panic has infected GOP presidential politicians. For example, Rand Paul, an ophthalmologist, claimed he heard of many tragic cases of walking, talking, normal children who wound up with profound mental disorders after vaccines. He injected his libertarian views about the state not owning your children. Chris Christie, another Red State candidate, said parents should have a choice whether to vaccinate their children.
It is not just Republican presidential want-to-bees’ who live in an alternative universe when it comes to autism and vaccines. When President Obama was a Presidential candidate in 2008, he mentioned the skyrocketing autism rate, saying, “Some people are suspicious that it’s connected to vaccines.” Presidential candidate Hillary Clinton in 2008, in response to a questionnaire from an autism activism group, said she has a commitment to “make investments to find the causes of autism, including possible environmental causes like vaccines.” That no relationships exits between autism and vaccines was as clear in 2008 as it is now.
The champion alternative universe politician still committed to warning us about the false autism-vaccine connection is Robert Kennedy Jr. He is an outspoken opponent of the inclusion of the mercury-based preservative thimerosal in vaccines. In June 2005, Kennedy authored an article in Rolling Stone and Salon.com alleging a government conspiracy to cover up connections between the vaccine preservative thimerosal and childhood autism.
When it comes to the treatment of autism, Jenny McCarthy has been a tireless, influential anti-vaccine activist. Ms. McCarthy’s resume includes a successful modeling career, a television host, and an actress. Her career started in 1993 when she was a model for Playboy magazine and was named Playmate of the year.
On September 24, 2008, Oprah Winfrey interviewed Ms. McCarthey about her book “Mother Warriors: A Nation of Parents Healing Autism Against All Odds.” Oprah was impressed, she said, “Jenny wrote the book. She knows what she’s talking about.”
McCarthy knew enough not to trust mainstream physicians, and did her own research, with the help of Dr. Jerry Kartzinel. Dr. Kartzinel was part of a group of physicians belonging to Defeat Austism Now (DAN) who believed that autism could be cured with vitamins and supplements. So McCarthy, with the help of Dr. Kartzinel, became an expert on the causes and treatments of autism.
McCarthy, Kartzinel, and doctors associated with DAN, list the following multiple causes and treatments for autism, cited in Offitt’s book:
• Autism is caused by vaccines. Jenny McCarthy says, “Right before my son got the MMR (measles – mumps – rubella) shot, I said to the doctor, ‘I have a very bad feeling about this shot. This is the autism shot, isn’t it? And then the nurse gave my son that shot. And I remember going, Oh, God, no! And soon thereafter I noticed a change. The soul was gone from his eyes.’”
• Autism is caused by mitochrondrial dysfunction and should be treated with megadoses of vitimains A, C, D, E, K, and the B group, as well as zinc, selenium, calcium, magnesium, chromium, cod liver oil, omega-3 fatty acids, taurine, glutamine, arginine, creatine, carnitine, and coeszyme Q10.
• Autism is caused by food allergies and should be treated by restricting gluten and casein. McCarthy claimed that after three weeks of this diet her autistic son doubled his language.
• Autism is caused by overgrowth of fungi in the intestine and should be treated with antifungals and cow colostrum.
• Autism is caused by heavy-metal poisoning and should be treated with detoxifying therapies such as coffee enemas and intravenous etylenediaminetetraaceti c acid (EDTA).
• Autism is caused by misalignment of the spine and should be treated with vigorous chiropractic manipulations of the head and neck.
• Autism is caused by inflammation of the brain and should be treated with curcuma longa, a plant from the ginger family.
• Autism is caused by improper digestion of food and should be treated with digestive enzymes.
• Autism is caused by incorrect wiring of the brain and should be treated with electrical or magnetic stimulation.
• Autism is caused by an imbalance of immune cells and should be treated by infecting children with hookworms and whipworms.
• Autism is caused by a lack of oxygen to the brain and should be treated by placing children in hyperbaric oxygen chambers.
• Autism is caused by a leaky gut and should be treated with probiotics.
• Autism is caused by immune dysregulation and should be treated with intravenous immunoglobulins or stem-cell transplantation.
• Autism is caused by excessive stimulation and should be treated with marijuana or melotonin.
• Autism is caused by a defect in metabolism and should be treated with shots of vitamin B.
• Autism is caused by chronic viral infections such as herpes and should be treated by antiviral medicines.
• Autism is caused by a blockage of the lymph glands and should be treated with lymphatic damage massage.
• Autism is caused by intestinal parasites and should be treated with by chlorine dioxide, a potent bleach used for stripping textiles and purifying industrial waste
This eerie list of the causes and treatments for autism has no scientific credibility. In fact, if you look up alternative therapies for cancer, many of these same causes of autism will appear on the list for causes and treatments for cancer.
I agree with the activists, politicians, and religious leaders that when it comes to vaccinations, parents should have a choice.
That choice should be: the right arm or the left arm.
- Reviewed in the United States on July 19, 2013Pail Offit's brief text, "Do You Believe in Magic?" is a short insightful journey through years of patent medicines, false promises and political pronouncements. All of these work to undermine careful scrutiny of therapies, withhold facts and keep medical science from advancing. I highly recommend it;it will upset many, it will enthuse some, it will keep us all aware of what needs to be done.
Offit's credentials are excellent. He is diligent and thorough in reviewing and studying the many claims and the supporting data for a host of highly touted , expensive, and useless treatments now offered everywhere.
Some of the reviews are sad. Particularly so are those who sought for what seemed reasonable-thinking treatments which hastened their demise, such as a child on apricot pits with Hodgkin's lymphoma, Steve Jobs with a surgically treatable pancreatic tumor, and the super bright Linus Pauling whose love of vitamin C is shared by many, despite scientific proof it works to prevent or heal colds rapidly or prolong life.
We live in an era of highly touted "evidenced based" therapy. In my field, orthopedics, it is hard to obtain studies with enough power and careful analysis with a limited number of variables . Most are not Repeatable and thus significance can seem lacking. Years ago I attempted to get a group of widely separated training programs to agree on sharing information and documenting outcomes with acceptable "standard" rating scales. It is hard for a busy clinician to enter studies and harder yet to read those printed in ever increasing numbers in paper and on line journals and to be able to ascertain what method, approach, implant has the best outcome. Anecdotes work. I have often found listening in the back as two or more experts debate a therapy is more helpful than attending a lecture. Sometimes that is called "eminence based" evidence.
And so I turn to two anecdotes. A decade or so ago I was in a group of musculoskeletal physicians lobbying our Congress for help in preserving and funding studies in basic science and clinical research. My congressperson was unavailable but we met with one of her aides who was young, tall and athletic looking. I mentioned that those in soccer and basketball often suffered from injuries of their anterior cruciate ligament. I explained that study in the normal kinematic s and biology of these ligaments was ongoing and we still had a lot to,learn. I suggested that continued finding through and from the NIH is important to better treat those problems. He asked, "what is the NIH?"
Later I was walking with a younger orthopedist, a professor in a medical school doing research in knee arthroplasties. In walking he asked ,"what vitamins are you taking?" I replied, "none, I am in the blinded study from the Harvard pubic health department and I and thousands of physicians take three or four pills a day, but do not know what they are. Hopefully we will find out which ones change outcomes." He replied, apparently shocked, "I would never do that". I asked why? And the reply was I take what my mother says is good.
Those anecdotes suggest two things. First, many of our elected officials have no idea of the importance of medical scientific research. And after reading Offit, perhaps they do not care to. Second, even smart and trained scientists fall prey to what seems to be the American Way---there must be some magical vital amine or salve that will cure our ills.
Offit points out briefly that there can be untoward effects from manipulative therapy as also acupuncture. Would that all practitioners would note that these do have risks, as do all interventions. There are doctors who are busy attempting to do evidenced based evaluations, some of which are noted in the book. One goal after reading this would beto encourage practitioners to be involved in studies to establish which are effective, realizing the difficulty in setting up a study.
There is much in medicine of which we are ignorant. There is much in medicine of which we are sure. Of that much of what we are now sure will be found to be wrong. The half life of medical knowledge is short. Neither patients or physicians want to face that fact.
Towards the end he discusses placebos, shamans and mentions Norman Cousins. Cousins was a hero of mine long before he ventured into humanism in medicine and wrote about how he approached his painful disease. How his laughter or meditation helped is unknown. Another mystery in our ignorance. Placebos have been omnipresent. Somewhere I have an old text on placebos and their effectiveness. Shamanism is another matter.
Another humanist in medicine who is not only an author but a professor of internal medicine at Stamford, Abraham Verghese lectured at a seminar last year and talked of the shamanistic value of the white coat and stethoscope.
Their value is never overstated and they suggest a demeanor of patient understanding, kindness and intelligence. Many physicians pose when running for office with their white coats on and a stethoscope draped over the shoulders. Many of us know too many doctors who listen without hearing or knowing and even those who place the scope on the chest without the ear buds in their ears. Verghese pointed out that the value of cardiac auscultation is limited for both the limits of what can be heard and what is able to be processed. I like to,think back on the professor of cardiology who at bedside asks his patient if the young doctors could listen. They all dutifully do and when asked if they heard the grade two murmur they nod politely. Verghese , author of "Cutting for Stone" showed the electronic device also mentioned in Eric Topol's book , "The Creative Destruction of Medicine" In this book he describes his testing of and the use of this hand held device which can measure and quantify heart sounds. Certainly a better tool for those who wish to establishes if there is a valvular disorder. On the converse, the act of palpation, physical examination, and use of stethoscopes are kinds of shamanic behavior appreciated by patients who repeatedly have said," the doctor never touched me and stood at the door for the whole time". Topol also describes his role in the Vioxx clinical reviews discussed here by Offit in a slightly different perspective. The end result is that careful study, expensive study, can find aspects of medications that have risk to some populations. All medications should be able to have the same ongoing scrutiny of their effectiveness, regardless of whether they are natural medicine,or manufactured in a modern lab.
The book is short. Read it. Let it lead you into further investigations. Let it help you avoid all treatments if not with a jaundiced eye at the least with an open quizzical mind.
Top reviews from other countries
daisycowReviewed in the United Kingdom on May 21, 20185.0 out of 5 stars excellent take-down of the CAM myth
excellent review of alternative and complementary medicine. Humorous, honest and balanced account.
Demolishes so many of the myths and fantasies about CAM.
The author is knowledgeable and highly qualified.
J ReviewerReviewed in Canada on October 24, 20135.0 out of 5 stars An Important Part of Your Decision Making Process
This is the first book I picked off of my big stack of books in my fall reading goal, it's a great start to my fall reading campaign.
Title: Do You Belive in Magic? The Sense and Nonsense of Alternative Medicine.
Author: Dr. Paul A. Offit
I had a few surprises with this book. Firstly, I was not expecting this book to be as compelling a read as it turned out to be. I must admit I looked forward to my bedtime reading as I might a good novel. Admittedly, I am a nutrition geek and my reading preferences are a bit skewed from the normal reading public, but I was pleasantly surprised by its readability. I think this is largely due to the authors story-telling style. Hey, who doesn’t like a good story, even if it’s about the FDA versus rogue alternative medicine practitioners?
My second surprise with this book, was the rude awakening I received about the size and power of the alternative medicine industry. I knew it was big and I knew that over-the counter alternative and complementary medicines are unregulated (in Canada and the U.S.), but there was still some shock-value in the actual details for me.
Turns out it’s a $34 billion dollars industry in the U.S. I don’t think that necessary makes is bad, but neither does it make the pharmaceutical industry bad, which is how alternative practitioners tend to paint mainstream medicine – as being under the thumb of ‘big pharma’.
I have already mentioned this book to audiences. I tell them, it’s written by Dr. Paul Offit... “as in, if you are on a supplement, you should be off it”. That is definitely the message of this book.
My favourite quote from the book is from Dr. Joe Schwartz who asks, “Do you know what they call alternative medicines that work?”
Answer: “Medicine”
Dr. Offit is definitely a skeptic and relies on evidence-based science to determine if a product works or it doesn’t. He doesn’t shy away from naming offenders, even big media names like Dr. Oz, Dr. Weil, Dr. Mercola and Suzanne Somers.
You Should Read This Book If…
You are feeling pressured from well-meaning friends and family to take a particular complimentary or alternative therapy. Read this book and you will not be at a loss for words.
You yourself are curious and considering a complimentary therapy. This book would definitely provide everything you need for the “con” side of your decision making process.
You Must Read This Book if...
You are considering an alternative therapy in place of conventional cancer treatment recommended in hospital
My Opinion
While I am trained in evidence-based decision-making (I'm an RD with a B.A.Sc. in human nutrition), I do also believe in some unproven things, like prayer, affirmations, miracles and gut-feelings. I believe I have experienced benefits from complimentary therapies including meditation, massage, and acupuncture. Of course, I also believe in the benefits of good nutrition.
Having said that, I never once considered taking an alternative therapy instead of the chemotherapy and radiation offered to be at the cancer centre. Without it, I don’t believe I would have lived more than a few days from the time I arrived at the cancer centre.
I would recommend conventional cancer treatment.
I do think that though that there is room for complimentary therapies. Keep in mind – complimentary means you do this as a compliment to your conventional treatment. Alternative therapy – as the name implies, you would do instead of conventional. Because of this, alternatives are a much higher risk. Steve Jobbs, the founder of Apple computers is an excellent example of the level of risk involved in choosing an alternative therpy over a conventionsl one. I have never felt confident enough in any alternative therapy to recommend one.
As I say in my book (The Essential Cancer Treatment Nutrition Guide and Cookbook: Includes 150 Healthy and Delicious Recipes), there is no right way to go through cancer treatment. It’s everyone’s individual journey. It’s a difficult decision to determine, what if any complimentary therapies you will use and the decision can have many social pressures associated with it. I do believe though that this book can help you navigate your way through some of those decisions.
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VascoReviewed in Germany on January 22, 20155.0 out of 5 stars Regt an zum Umdenken
Nahrungsergänzungsmittel und alternative Heilmethoden werden in einem anderen Licht dargestellt. Stellt Hintergründe für deren Anwendung gut dar. Das Buch liest sich gut.
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Iginio PetrussaReviewed in Italy on July 13, 20145.0 out of 5 stars Credete nella magia?
Disamina delle idiosincrasie contemporanee riguardanti la medicina alternativa, scritto in inglese semplice e comprensibile anche a chi non è molto versato nella lingua.
Consigliato a tutti quelli che cercano nelle medicine alternative la salute e rimpinguano le tasche dei guru delle formule miracolose.
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Amazon カスタマーReviewed in Japan on April 23, 20165.0 out of 5 stars 一読すべき書物です。
内容豊富。説明簡潔。健康、医療に関心のある人、一読すべき書物です。








