MODERATOR at 1:00pm ET
Stay tuned for our live chat with Dr. Stephen Barrett. Please click on "Show
New Messages" to update your page and view new posts.
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MODERATOR at 1:03pm ET
Welcome Dr. Barrett! Thanks for joining us.
You say: "I wish the word 'alternative' would go away." Are there any
effective alternative cancer therapies, in your view?


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DR. STEPHEN BARRETT at 1:06pm ET
"Alternative" is a slogan, not a definable group of therapies. If something
works, it would not be proper to refer to it as alternative.
The vast majority of cancer treatments referred to as alternative obviously
don't work. It's unlikely that any others work.


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MODERATOR at 1:06pm ET
Dr. Barrett, when we asked our users to sumbit questions for the chat, we
received a lot of angry messages from people saying you're discrediting many
treatments that might hold promise. Why do you think people are so angry?
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DR. STEPHEN BARRETT at 1:08pm ET
Some people have beliefs about health that they hold with the same fervor as
people hold religious beliefs, and when their beliefs are stepped on, they
get angry.
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MODERATOR at 1:09pm ET
Roger writes: "The cancer clinics in Tijuana are an easy pick for quackery.
Have you ever researched the results for chemotherapy and radiation
treatments? Where can I find documented information on these practices?
Exactly how effective are these treatments? Why do 1500 people die each day
in the U.S. of cancer with the use of American medical procedures?" Any
comment?
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DR. STEPHEN BARRETT at 1:11pm ET
The overall 5-year survival rate for cancer is about five years. There are
thousands of studies that test different regimens for specific cancers at
specific stages. This research is tabulated and is readily available through
cancer specialists and through the National Cancer Institute and in medical
databases.
The people who promote so-called "alternative" treatments almost never even
bother to keep score. If there were any genuine evidence that any
"alternative" treatment works, the medical research community would be the
path to the door.


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MODERATOR at 1:12pm ET
Kali Ashcroft writes: "There are many cancer clinics in Mexico that are
quite effective, but there are just as many if not more that are out to
swindel you. As a breast cancer survivor I should know. I would be dead
today if it were not for alternative medicine. The clinics that you featured
in your story must have been the bottom of the barrel because I haven't
heard of any of them, or any of the treatments they use."
Any comment?


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DR. STEPHEN BARRETT at 1:14pm ET
The 50 or so clinics to which the program referred specialize in ripping off
Americans and are seldom if ever used by Mexican patients.
Mexico does have some up to date facilities, but that has nothing whatsoever
to do with the so-called "alternative" clinics.


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Bob Beiswenger at 1:14pm ET
Fleming's discovery of penicillin was thought to be quackery at one time and
so was chemotherapy. What if YOU are wrong about what you belive to be
quackery? You could be hurting a lot of people. Let the individual
decide...don't take away freedom of choice!
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DR. STEPHEN BARRETT at 1:18pm ET
Individuals can decide to do whatever they want. The issue is whether or not
government should permit crime to flourish.
There have been a few instances in modern times where the medical profession
was a bit slow in accepting new ideas. But there's a difference between
promising new ideas and quackery.

To my knowledge, there has not been a single idea in the past 50 years that
was thought to be quackery and was later demonstrated to be useful. It's not
likely there will be many, because now that scientific methods have been
developed, the scientific community is very likely to be able to tell the
difference between a promising new idea and a piece of quack nonsense.

It also should be pointed out that Fleming didn't try to sell penicillin for
$15,000 a treatment. He and his colleagues understood what was necessary to
develop the evidence. They did so, and it has been accepted.


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Donna at 1:19pm ET
Do you think the traditional medical field fails in helping people
sometimes, which leads them to the "alternative" quackery? Traditional
medicine has changed so much in the past 10 years that it seems there is no
longer the doctor/patient relationship that there used to be. It's like
"drive-through" medicine whether it is in the doctor's office or hospital.
Doctors blame the insurance companies and the insurance companies blame the
doctors. And the patient with a disease suffers the consequences of
inadequate treatment and care. God help us all! If only we could get past
the greed then maybe we would be like the good Samaritan.
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DR. STEPHEN BARRETT at 1:22pm ET
Studies show that the main factor in seeking alternative methods is not a
failure of the doctor/patient relationship but a combination of misleading
publicity, patient fear or desperation, and a "miss-no-bets" philopsophy.
Blaming quackery's success on medicine's failure is like regarding
astrology's popularity as a failure of astronomy.


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MODERATOR at 1:22pm ET
What's the most common health-related scam?
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DR. STEPHEN BARRETT at 1:23pm ET
It's the promotion of unnecessary vitamins -- the claim that it is difficult
of impossible for people to get the nutrients they need from ordinary food.
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MODERATOR at 1:23pm ET
What are some of the worst cases of medical fraud you've come across?
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DR. STEPHEN BARRETT at 1:29pm ET
The most dangerous quackery is chelation therapy. This is a series of
intravenous infusions claimed to clean out the clogging of coronary (heart)
arteries. It's dangerous because it is marketed as a substitute to bypass
sugery. People who really need bypass surgery but choose chelation instead
are at high risk for heart attack and death.
There are electro-diagnostic devices that are claimed to diagnose disease
throughout the body by detecting "imbalances of electro-magnetic energy."
These devices are fakes and can lead to large amounts of wasted money and to
unwarranted patient anxiety.

Another problem is that many chiropractors urge patients to have their
spines examined and "adjusted" monthly or even weekly for long periods of
time. Although appropriate spinal manipulation can help many people with
back pain, treatment should be stopped when the pain goes away.


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Catherine at 1:30pm ET
You state, "If there were any genuine evidence that any "alternative"
treatment works, the medical research community would be the path to the
door."

What percentage of research is funded by pharmaceutical companies and what
percent by non-pharmaceutical concerns? Also, where is the most money for
researchers?
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DR. STEPHEN BARRETT at 1:34pm ET
I don't know the relative percentages, but several things should be kept in
mind. Many people who do research decide for themselves what they are going
to study. It's possible to do preliminary studies that cost little money.
Once preliminary studies show that something has enough promise, it's
relatively easy to get funding assistance.
Quite frankly the idea that a treatment has not been proven because there's
not enough money to study it is quack propoganda. Some of the people making
this claim are taking in millions of dollars a year selling their
treatments.


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Terry Polevoy - HealthWatcher. at 1:36pm ET
Biopulse is a publicly traded company in the U.S. Why were they closed, and
then allowed to re-open by the Mexican government?
Why hasn't the American government prosecuted these con artists?
They all have offices in California, and should be charged with fraud
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DR. STEPHEN BARRETT at 1:40pm ET
Biopulse is a clinic that offers a number of treatments, the most noteworthy
of which is a treatment in which people are given insulin and put in a coma.
The insulin drives down blood sugar, but there's no logical reason to
believe that blood sugar has any influence on cancer.
It's a treatment that once was used in psychiatry but was abandonned about
50 years ago when better treatment became availalble.

I believe that the Mexican government has for decades regarded these clinics
as tourist attractions that can bring dollars into Mexico. I would certainly
like to see the U.S. government put pressure on the Mexican government so
that Americans will no longer be ripped off by these clinics.


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Karen from s188.tnt1.nrf.va.dialup.rcn.com at 1:41pm ET
To whom does one turn if they have been victim of these quacks within the
United States? How do we stop them from hurting others?
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DR. STEPHEN BARRETT at 1:43pm ET
In the U.S., complaints can be made to the State Attorney General. In some
cases, there may be grounds for a private lawsuit.
Anyone interested in exploring the question of a private lawsuit is welcome
to send the details of their experience to my e-mail address:
"vict...@quackwatch.com."


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MODERATOR at 1:45pm ET
What can consumers do to safeguard against quackery and medical fraud?
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DR. STEPHEN BARRETT at 1:48pm ET
We have an article on Quackwatch.com called "Signs of a Quacky Web Site"
which we believe can help you avoid the vast majority of untrustworthy
information sources.
We also have a page called a "Special Message for Patients Seeking
Alternative Cancer Treatments" which indexes about 75 articles and other
sources of information about improper treatment.

We're also setting up a separate Web site called "Internet Health Pilot"
which will be an excellent guide to reliable sites.


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DR. STEPHEN BARRETT at 1:50pm ET
We also have a free e-mail newsletter on Quackwatch.com called "Consumer
Health Digest" which covers pertinent news as well as positive and negative
consumer strategies.
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MODERATOR at 1:54pm ET
Thanks to Dr. Stephen Barrett and all those who joined the chat. If you'd
like to join a message board discussion or browse through recent chat
transcripts, please visit our community index.


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