Surgery: the Ultimate Placebo - Ian Harris

[@FarisAlOdaibi]

7:55 Angina example 10:05 Parkinson’s disease example 13:10 Multiple sclerosis example 14:52 emphysema example 18:47 knee pain 20:40 spine surgery 21:52 Injection therapy for pain 24:59 Explain perceived effectiveness 26:29 correlation vs causation 29:33 Improvement not due surgery 30:33 Natural history 34:01 regression to the mean 35:43 concomitant treatment 39:16 perceived improvement: patient vs clinician 41:50 therapeutic envelope 42:38 Intervention: the placebo pill 44:02 Building the ideal placebo 47:02 “Why do we still operated?” 52:00 Determining effectiveness 52:55 Reducing error in estimating the truth 54:55 Why we need blinded randomized trials 55:12 Ethics and Placebo 59:50 One possible solution 1:00:20 Current status of placebo RCT in orthopedics 1:00:44 Summary, questions, and comments

[@HermannTheGreat]

Thank you!!!!!!

[@DrSRanjanMBBSAcupuncturist]

10:48 Evidence that it works. not evidence of theory it works.

[@primavel]

Only 19 comments?? Why isn't this guy famous? Ian, what percentage of modern, allopathic, currently prescribed treatments resulting from office visits to doctors are actually proven effect enough to justify the risk and cost? Can you name any??

[@TheiPhoneHaCkeurz]

Merci pour cette belle conférence !

[@hariohmmpt]

simple and wonderful

[@rondinelly100]

Great! Congratulations!

[@pickngrin73]

My left shoulder is testament to this. I had a massive labrum tear and significant arthritis until a peri-labral cyst formed to the point that it impinged my suprascapular nerve and I could no longer externally rotate my shoulder and my infraspinatus was just gone. At my initial consult the surgeon made like he wanted to do a replacement! At the time I was still able to do handstand pushups and lift whatever I wanted when holding it with two hands. I had the repair and my external rotation returned. Now I can do whatever I want!

[@kedar2312]

RESPECT !

[@BeckyMatthew32572]

He raises a vaild point, but it is oversimplified in his talk. I wish he didn't dismiss the importance of ethics. There are instances where placebo might be unethical, especially when someone's life is on the line. I'd like to hear his view on how to set trails up in cases like that. Plus, we shouldn't discount the placebo effect. However, it's ethically complicated as to how to utilize placebo.

[@amandaofwa5427]

brilliant

[@RepublikSivizien]

What about typical trauma-operations/emergency stuff? Is it testable?

[@steffenbendel6031]

You probably would not do it by planed testing. But you might find some data in war or other disaster situation, when you anyway can not treat people like you would like to do.

[@ruthkreuzeder5162]

Perfect

[@86645ut]

While this analysis is from a skeptical view, skepticism should also be used by the individual regarding a serious decision regarding surgery. There are many times when the decision to have surgery IS rational and valid. I have had many orthopedic surgeries that were successful and if I didn't make the decision for surgery the quality of my life would have been adversely affected. In each case, I was patient and did the appropriate physical therapy (I am a physical therapist) without success. In other words, it is important for the individual to take the appropriate steps to maximize the chances that the problem at hand is not self-limiting and, thus, making the choice for surgery wise.

[@StefanTravis]

Always remember: The opposite of "skeptical" is "gullible".

[@physioknowledge3637]

WOW

[@DrSRanjanMBBSAcupuncturist]

16:00 Medicare

[@muffinberg7960]

I think we need surgeries. And we do need to increase the amount of them. The sham operations I mean. Let's replace every doctor with an actor. And every medical treatment with a placebo. Because our body looks like to not give a fuck. Let's give the body what it wants. Bunch of endless superstitious shit. Damn I hate to be alive. I can't explain how much I am filled with disgust and repulsed by our experience.

[@tinokokko3489]

This is the shit!