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How would one design a crossover OMT study? Would this even be possible without patients and investigators knowing which treatment they are receiving and giving, respectively?
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Just have doctors do it all...Also, if the placebo effect were so significant, as to thwart any real study of something like OMT, then we also could never study any pills. You are overstating the placebo effect and it would be relatively easy to set up OMT studies
Id like to see this too
I'm really not overstating it, and you're making it clear you aren't familiar with the rationale for randomized controlled double-blinded studies.
It's easy to run RCTs for a drug - a control for a drug is just a sugar pull that looks like the real thing. As long as it is randomly assigned Byrne neither the provider nor the patient knows who is getting what, it should be valid.
You're right drug companies should be testing against the best standard and not just placebo (if that's what you were saying, although I don't think it was). They don't always do this since it's a higher standard.
If you get the same effects as OMT with fake ONT performed by a practitioner who thinks it's the real thing, then you might as well only fake it.
I don't mean to be mean, but I get the impression you don't have any experience reading actual scientific papers.
Busted...I'm a non trad from the business/tech side of life. But ad hominem with no further addition doesn't add to the discussion or further convince me of your points
I still don't see how teaching fake OMT to an unsuspecting student or professional would be both ethical and unbiased. Since OMT is a standardized practice, it Seems easier to compare to massage,etc.
But again, as I've said before...I'm open to real solutions. Criticism is empty without a solution.
Not an ad hominem.... good gravy I'm sick of seeing this phrase tossed about carelessly on these boards.....
Bad day?
And yes, when the arguments center around perceived flaws in the other person rather than the subject matter, it's called ad hominem. Bt why do you even care? Its a silly thing to nit pick. Don't answer...it's rhetorical.
I'm not sure why I keep adding to this thread. It's a black hole!
No not a bad day. Pretty great day actually. But "ad hominem" shows up in almost every SDN thread. He didn't attempt to invalidate your argument using a personal characteristic (ad hominem) he instead inferred about a personal characteristic based on your argument. This is absolutely not ad hominem (added a happy emotion as to not confuse the situation any further)
If you get the same effects as OMT with fake ONT performed by a practitioner who thinks it's the real thing, then you might as well only fake it.
I don't mean to be mean, but I get the impression you don't have any experience reading actual scientific papers.
.
So lets be nerds and hash out this issue that seems to be so very important to you. Ad hominem is a debate tactic (and fallacy!) usually used when someone is either too emotional or has nothing better to say. Its not limited to personal characteristics, its actually just belittling or insulting someone you're debating. Its a personal attack. Any personal attack.
)
This is what he said... he addressed your point and then went on to infer something. I love how you kids stick to your guns whenever called out for this you're welcome to continue to be wrong though. What started out as just pointing out a pet peeve resulted in you opening up the douche fountain and digging in your heels into your previous error. Bravo
Good use of infer this time...I see you read my link!
keep your chin up...one day you'll be strong enough to troll in med student forums and not just the pre meds.
See this is simply incorrect. Only someone completely ignorant would think this. Therefore the rest of what you said is also incorrect.
Ok now: the last part here was ad hominem because it contained a logical fallacy. However saying "you are an ass hat" is not in and of itself an ad hominem. Its just an insult. We have a fancy word for that too.... ready for it? "Insult". Its interesting how you bring up the fallacy part and then just abandon it completely by the end of the paragraph....
There is no fallacy part...its a fallacy. There aren't parts to this...ad hominem isn't party valid, partly fallacy, lol. You are really starting to show your ignorance here.
Honestly, I have no problems admitting when Im wrong. Im wrong all the time.
What gets me is you and the few other med students who try to use their status as an appeal to authority (another fallacy, yay!) in their argument. (remember when you referred to whomever here as 'kids'...this was an attempt to do just that)
So, not only are you wrong...you are projecting your own flaws onto me. You are actually sort of a D-Bag on these forums, while I usually try to be courteous.
As I stated before, I don't mind going back and forth with you right now like a pair of teenagers arguing about their pokemon cards because Id love for people to come to this thread, see thats its garbage and ignore it. I feel Im adding to the garbage and it feel gooood:thumb up:
So, yeah, you're wrong!
You still misunderstand. An ad hominem is a fallacy. There is no fallacy in an insult.
There is no fallacy part...its a fallacy. There aren't parts to this...ad hominem isn't party valid, partly fallacy, lol.
Dude, are people still arguing in this thread??? Wth lol
Now this is a great argument...you win, WAIT! where have read this?
*slowly looks down and reads his last argument against specters increasingly frantic tyrade*
You SOB, you stole that from me!
Ill explain it again, since you still misunderstand. Any time you use an insult as the reason for an argument to wrong, thats an ad hominem fallacy. I have a link for you if you need to beef up on it.
Also, you have yet to account for your poor grammar from earlier...so, waiting for that explanation.
Come on, this is super important stuff! We need to get to the bottom of this quickly!
Ya except nowhere has anyone used the insult as their argument. The insults have been a free bonus
It's remarkable how smug you can be when you're simply wrong. I wish I could do that
I feel like its the best way to make this thread as invalid as possible...plus, I kind of enjoy messing with the med student trollseys :roll eyes:
Theres not much constructive going on in this thread and despite multiple users trying to let it die and help it die, someone always brings it back. So, I just hope that when anyone new comes to read it, they just roll their eyes and move on to better things. If I have to roll in the mud a bit, so be it...I am the batman/mom of SDN (or so Im told)
Well Batman, I guess you "win" this round
Human touch isn't an appropriate control. Johnny covers this some, but it is SOP for drug trials to simply withhold the active ingredient in such a way that neither the patient nor the doctor can tell which is which.No, mine's bigger!
What I am saying actually, is that you are overstating the placebo effect with human touch. Basically, the way you have presented it here, any positive effect produced by human touch is negligible...making OMT in all likely cases, a big placebo.
So, if you want to set up a double blind with OMT, I don't think it should be compared to fake OMT but to basic human touch. If this can be established as different than human touch alone, by a significant margin, then there is cause to rule out other bias, such as technique and who's performing it.
I think you at looking further along in the testing than I am...but if you are arguing the very premise of OMT, start with that. If I misspoke about some part of testing I'm not aware of, great. I don't think you really could accomplish a double blind here though. But I think it's pretty easy to see that testing can be done and I'd still like to see what info is out there.
If you get the same effects as OMT with fake ONT performed by a practitioner who thinks it's the real thing, then you might as well only fake it.
I don't mean to be mean, but I get the impression you don't have any experience reading actual scientific papers.
Need more than two but yesTake two MD's teach one fake ONT, teach the other OMT. Tell them they are new pain techniques and test it on patients. Do quazi-experiment and compare before and after.
Better get this on track before it gets locked .
Human touch isn't an appropriate control. Johnny covers this some, but it is SOP for drug trials to simply withhold the active ingredient in such a way that neither the patient nor the doctor can tell which is which.
I think it may help to agree on one idea...OMT (as far as I have seen) is not meant to replace pharmaceuticals in all cases, but to accompany them and enhance their effects. Not an alternative medicine, but a complimentary treatment.
Ive said it before that Im not 100% sold on the idea, but it needs a fair shakedown. Its not the same level as magic crystals and which craft...thats a silly argument.
So, if there is a discussion about it, it would be nice to keep it in proper context. Thats why it doesn't make sense to me to compare it to pharmaceuticals.
How does OMT accompany tamoxifen?
thats strange since its used in almost every paper Ive read about it.
https://docs.google.com/viewer?a=v&...jzLTiT&sig=AHIEtbTOrlpgyFrhrbxF_Mv0Sf_d45bg6w
But Im just a pre-med, I shouldn't question the higher ups.
If you get the same effects as OMT with fake ONT performed by a practitioner who thinks it's the real thing, then you might as well only fake it.
I don't mean to be mean, but I get the impression you don't have any experience reading actual scientific papers.
Here's an example of how osteopathic research should be performed (with sham control group and large sample size):
http://www.om-pc.com/content/4/1/2
On the subject of achieving double blind by "teaching students a fake OMM"... this would not work because OMM actually requires you to palpate and perceive change structurally (using anatomical landmarks, physical exam tests, muscle tonicity, etc.) in order to know that your treatment has had an effect/is complete... it's not just doing random motions. Even medical students can understand when something is actually having an effect or not... So I don't think this would work though it is an interesting thought.
Take two MD's teach one fake ONT, teach the other OMT. Tell them they are new pain techniques and test it on patients. Do quazi-experiment and compare before and after.
Busted...I'm a non trad from the business/tech side of life. But ad hominem with no further addition doesn't add to the discussion or further convince me of your points
I still don't see how teaching fake OMT to an unsuspecting student or professional would be both ethical and unbiased. Since OMT is a standardized practice, it Seems easier to compare to massage,etc.
But again, as I've said before...I'm open to real solutions. Criticism is empty without a solution.
I think it may help to agree on one idea...OMT (as far as I have seen) is not meant to replace pharmaceuticals in all cases, but to accompany them and enhance their effects. Not an alternative medicine, but a complimentary treatment.
Ive said it before that Im not 100% sold on the idea, but it needs a fair shakedown. Its not the same level as magic crystals and which craft...thats a silly argument.
So, if there is a discussion about it, it would be nice to keep it in proper context. Thats why it doesn't make sense to me to compare it to pharmaceuticals.
Aww man! If I knew this was going to happen I'd have stayed up later last night! Rats!
Btw, it's complementary (unless it's flattering).
If something is being proposed for use in treatment of something with a current standard of care, you have to compare it to that. If that involves pharmaceuticals, then yes, you need to test your alternative treatment against drugs alone (probably alt vs drugs vs alt + drugs assuming alt alone isn't unethical - you would need more controls too for alt vs sham alt).
Yes, most often the papers supporting OMT have crazy bias that goes unaddressed. They may randomize patients, but in one study they looked at DO vs MD where the DOs could use Rx but also OMT and the MDs were restricted to Rx (Obviously). Their endpoints were "Pts receiving OMT used less of xxxx drug and less of yyyyy drug...." ect..... How is that not bias on the part of the practitioner? A completely inappropriate test design for the conclusions they want to show. Many of the tests in the link above have similar problems - but that is what happens when people try to defend a belief with scientific evidence rather than letting the data fall where it will.
I think they gave both groups pain pills and told them they could take as many as they wanted and then compared the number of pills used between the omm group and the "control".
I have seen that but I have also seen "pts w OMT were prescribed fewer xxxxx than those without"
I have seen that but I have also seen "pts w OMT were prescribed fewer xxxxx than those without"
Haha, considering old school DOs didn't believe in medications, I'm not surprised.
Does anyone know the date when DOs caved in and started prescribing medications?
In return, I'll share the factoid that Mormons decided that black people weren't evil in 1978.
Wow. Thought they were evil huh...thats an interesting was to generalize the history of Mormonism.
Receiving rights in the priesthood is very different than being evil.
That may have been a joke, but I actually take offense to it on a personal and academic level. If you are interested in an accurate description feel free to PM me as this is not a philosophy forum.
or continue to troll anything you dont understand. I After reading many of your comments, you exude far more intolerance than intelligence. I can only imagine this is a character flaw that can only hurt your abilities as a physician.
Well Mormonism believes that Black people are the direct result of Cain's sin and that all of his offspring were black because of it. But regardless, we're not debating the asininity of Mormonism.