The following program presents principles 00:00:01.98\00:00:02.95 designed to promote good health and is not 00:00:02.96\00:00:04.42 intended to take the place of personalized 00:00:04.45\00:00:06.55 professional care. The opinions and ideas 00:00:06.58\00:00:09.31 expressed are those of the speaker. 00:00:09.34\00:00:11.13 Viewers are encouraged to draw their own conclusions 00:00:11.64\00:00:14.12 about the information presented. 00:00:14.15\00:00:15.85 Welcome to Wonderfully Made. I am Dr. David DeRose, 00:00:35.16\00:00:37.76 president of Compass Health Incorporated. 00:00:37.89\00:00:40.03 Today, we are going to be looking at a subject that is 00:00:40.35\00:00:42.54 really grabbing lots of headlines, but perhaps 00:00:42.57\00:00:45.49 not in the way that you think they are. 00:00:45.52\00:00:47.54 We are gonna be speaking about a subject, looking at 00:00:47.57\00:00:50.32 natural remedies and the challenges in 00:00:50.66\00:00:53.19 natural remedies research to aid me in this very 00:00:53.22\00:00:55.99 important topic as well as giving you some practical 00:00:56.02\00:00:58.84 insights that will help you at home is Dr. John Clark. 00:00:58.87\00:01:02.57 Dr. Clark, it's wonderful to have you with us 00:01:02.83\00:01:04.69 on today's edition of Wonderfully Made. 00:01:04.72\00:01:06.75 Thanks for having me. You know John, we in the 00:01:06.81\00:01:09.97 medical profession are always hearing about the 00:01:10.00\00:01:13.07 latest studies, there are all kinds of continuing medical 00:01:13.10\00:01:16.28 education classes that are trying to make sure, 00:01:16.31\00:01:18.83 patients have cutting edge information and that 00:01:19.07\00:01:21.53 they are applying it in their practice. 00:01:21.56\00:01:23.22 The Montra if you will will in medical circles 00:01:23.76\00:01:26.78 today is evidence based. Yes. 00:01:26.81\00:01:30.03 What does that conjure up in your mind as a physician? 00:01:30.24\00:01:32.66 Well, when you're talking about evidence, it sounds 00:01:33.12\00:01:35.10 like a court case. You know, in fact that's 00:01:35.13\00:01:38.40 where it ends up a lot of times, 00:01:38.43\00:01:39.97 so are you following exactly what the letter of 00:01:40.00\00:01:43.27 the medical literature says? Now, this is a fascinating 00:01:43.30\00:01:46.24 topic and for those of you tuning in today, 00:01:46.27\00:01:49.31 there are study after study coming out, putting out 00:01:49.34\00:01:52.63 conclusions that really raise concerns about the way 00:01:52.66\00:01:55.65 doctors are practicing. I've got some of them 00:01:55.68\00:01:58.26 with me today, sitting on my desk, 00:01:58.29\00:01:59.94 talking about whether physicians are complying with 00:02:00.76\00:02:04.81 current guidelines. Here is one from the 00:02:04.84\00:02:06.79 mayo clinic proceedings, patients understanding and 00:02:06.82\00:02:10.52 compliance with medications. Medical professionals as 00:02:10.67\00:02:14.95 they look at the landscape of American medicine are very 00:02:14.98\00:02:17.36 concerned. That doctors and patients are not complying, 00:02:17.39\00:02:20.86 they are not following the best evidence and what 00:02:21.09\00:02:22.69 they are doing. Dr. Clark, you have been treating 00:02:22.72\00:02:25.02 patients over the years, you are doing a lot 00:02:25.05\00:02:26.86 with patient education, are you worried that patients 00:02:26.89\00:02:29.83 are not complying with evidence based medicine. 00:02:29.86\00:02:32.07 Well, I certainly worry when they don't comply 00:02:32.29\00:02:34.18 with what I tell them. Well, hopefully your giving 00:02:34.21\00:02:37.84 them what you think is the best information, right. 00:02:37.87\00:02:40.10 That's right. And, you're really 00:02:40.13\00:02:41.10 worry about that. Oh! Yeah, you know, 00:02:41.11\00:02:43.28 you tell him what to do, and they do half of it, 00:02:43.31\00:02:45.60 and they get half a results or they're half sicker. 00:02:45.63\00:02:48.57 So, when these expert bodies come out with a 00:02:49.19\00:02:52.10 proclamation, let say, let's take an example of 00:02:52.13\00:02:54.59 some new medication that's out there. 00:02:54.62\00:02:56.52 Yes. The word comes out that 00:02:56.55\00:02:58.08 they have done these randomized controlled, 00:02:58.11\00:03:01.24 the double blinded studies, you know the highest 00:03:01.27\00:03:03.81 standard of medical research has been brought to bear 00:03:03.84\00:03:07.42 and this new drug is going to help with the certain 00:03:07.45\00:03:10.06 problem and so the experts say every patient with this 00:03:10.09\00:03:13.49 condition should be on this medication, 00:03:13.52\00:03:16.06 you see things like that come across your desk. 00:03:16.33\00:03:18.33 Oh! Yeah. So, does that mean that 00:03:18.36\00:03:20.26 you as a physician then really are not doing your job 00:03:20.29\00:03:24.23 unless you prescribe that medication for every patient 00:03:24.26\00:03:26.78 with that condition. Possibly and then of course 00:03:26.81\00:03:29.37 you have the advertisements to tell the patients about 00:03:29.40\00:03:31.81 this information on their TV screens, and they come in 00:03:31.84\00:03:34.51 already having filled out their shopping lists 00:03:34.54\00:03:37.17 and they know what they want. 00:03:37.28\00:03:38.50 Now, you exactly right, there is a lot of demand for 00:03:38.83\00:03:40.91 medication and part of that demand is being fueled by 00:03:40.94\00:03:43.80 advertising practices. Yes. 00:03:43.83\00:03:45.83 So, what the challenges is for us today? 00:03:46.15\00:03:47.88 They were talking about natural remedies and 00:03:48.14\00:03:51.02 you and I both over the years have worked with some 00:03:51.05\00:03:53.64 simple approaches to dealing with disease, we've seen 00:03:53.67\00:03:56.98 God bless those simple treatments and yet many times 00:03:57.01\00:04:00.70 we don't have a huge double blinded Placebo 00:04:00.95\00:04:04.67 control trials, after all how can you do a 00:04:04.70\00:04:06.25 Placebo control trial with hydrotherapy. 00:04:06.28\00:04:09.39 What kind of Placebo is going to be the substitute 00:04:09.42\00:04:11.72 for putting a hot pack on someone's chest, 00:04:11.90\00:04:13.95 they're not going to know about it, have 00:04:13.98\00:04:14.95 you figured that one out. Well, it's kind of difficult, 00:04:14.96\00:04:17.79 I have seen some studies where they came up 00:04:17.82\00:04:19.90 with some interesting Placebo's, but even the 00:04:19.93\00:04:23.38 Placebo could have some interesting affects. 00:04:23.41\00:04:25.83 What, well the bottom-line in a real 00:04:25.86\00:04:28.28 Placebo control trial is that someone is going to 00:04:28.31\00:04:32.04 think that the treatment and the Placebo are identical 00:04:32.70\00:04:35.52 and if I'm sticking a hot pack on your chest, 00:04:35.55\00:04:37.99 you are not gonna walk out of the study and say, 00:04:38.18\00:04:39.70 well I'm not really sure, whether I got the hot pack 00:04:39.73\00:04:41.96 or whether I got something that had no heat in it. 00:04:41.99\00:04:44.12 That's right. So, at a certain respect 00:04:44.15\00:04:46.66 the playing field is not completely level. 00:04:46.69\00:04:49.18 Right. Because with many of these 00:04:49.21\00:04:51.96 natural remedies, especially the physical modalities, 00:04:51.99\00:04:54.87 the hydrotherapy, you can't really do a 00:04:54.90\00:04:58.18 true double blinded study. True, yes. 00:04:58.21\00:05:01.25 Tell me as an orthopedic surgeon, 00:05:01.28\00:05:02.89 I know that's what your primary specialty is, 00:05:02.92\00:05:05.08 whether you've seen hydrotherapy provide 00:05:05.41\00:05:08.37 benefits to your patients. Oh! Definitely, you bet and 00:05:08.40\00:05:11.28 I've often instructed patients to do 00:05:11.31\00:05:13.69 hydrotherapy at home. Give us a practical example, 00:05:13.72\00:05:16.85 so someone listening to, we don't want to just to 00:05:16.88\00:05:18.49 hear philosophy, we want them to say, well you know, 00:05:18.52\00:05:21.04 these guys talked about some philosophy, 00:05:21.07\00:05:23.34 but they gave me some practical pointers, what can 00:05:23.37\00:05:26.33 you do with hydrotherapy in the orthopedic room. 00:05:26.36\00:05:28.50 Oh! Well, for example, I sprained my ankle, 00:05:28.70\00:05:32.26 I use myself as an example. And, what happened is I was 00:05:32.29\00:05:36.70 moving some furniture, I twisted my ankle, 00:05:36.73\00:05:38.64 I thought a had broken it. Umm! 00:05:38.67\00:05:40.97 I was sure that I was gonna be in a cast. 00:05:41.00\00:05:42.93 So, an orthopedic surgeon misdiagnosed himself. 00:05:42.96\00:05:45.45 Yes, I was thinking, okay, it's gonna be funny 00:05:46.28\00:05:48.98 maybe I ought to put on my own cast and what am 00:05:49.01\00:05:51.01 I gonna do. I was crawling around the house. 00:05:51.04\00:05:53.67 I couldn't put weight on it. And so I started in on 00:05:53.70\00:05:56.95 some hydrotherapy. My hydrotherapy, 00:05:56.98\00:05:59.35 well I put my foot in a bucket of hot water 00:05:59.75\00:06:03.31 for three minutes. Okay. 00:06:03.94\00:06:05.53 Hot as I could stand and then I put it in a bucket of 00:06:05.88\00:06:09.50 ice cold water and it was winter, so there was 00:06:09.53\00:06:12.91 ice cold water coming out of my faucet practically 00:06:12.94\00:06:15.70 and that was one minute, I went back to hot for three, 00:06:16.31\00:06:18.96 back to cold for one, the alternating 00:06:18.99\00:06:21.20 hot and cold three times. Okay, so three cycles, 00:06:21.23\00:06:24.03 three applications of hot, three applications of cold. 00:06:24.06\00:06:26.69 That's right. And, then I ended with cold, 00:06:26.85\00:06:29.18 put on a stocking and let it rest for about a half hour. 00:06:29.63\00:06:33.78 A day or two of doing that, three times a day and it was 00:06:34.51\00:06:37.35 doing so well, I was walking around the house, so I'd 00:06:37.38\00:06:39.77 forgotten about it and I twisted it again, 00:06:39.80\00:06:42.03 sad to say, but I want to back to my hydrotherapy again 00:06:42.06\00:06:44.81 and within a couple of days, I was fine. So, I didn't 00:06:44.84\00:06:47.12 have any embarrassment of walking around in my office 00:06:47.15\00:06:49.66 or crutch walking around my office 00:06:50.67\00:06:52.24 explaining to patients that I was one of them. 00:06:52.27\00:06:54.51 Now, let me ask you this, the conventional wisdom 00:06:55.36\00:06:57.22 though John, with acute injury is just use ice, 00:06:57.25\00:07:00.54 just use cold, isn't that what we've been told. 00:07:00.57\00:07:02.34 Yes. Why were you using this 00:07:02.37\00:07:03.75 alternating hot and cold. Yeah, I am glad you bring 00:07:03.95\00:07:06.62 that up and if my ankle had been purple and 00:07:06.65\00:07:09.73 three times it's normal size, I would have used just ice. 00:07:09.76\00:07:13.41 Okay. But it was sore, it was hurt, 00:07:13.44\00:07:15.66 but it wasn't swollen badly and it certainly wasn't 00:07:15.69\00:07:18.43 bruised or purple. And, so just using the cold, 00:07:18.46\00:07:23.46 that would have worked too, but the hot and cold 00:07:23.77\00:07:25.43 stimulates faster healing, it tends to when you 00:07:25.46\00:07:28.77 put on a hot, it brings more blood into area. 00:07:28.80\00:07:31.55 Umm! Umm! When you put on the cold 00:07:31.58\00:07:32.92 on the surface, it tends to dry the blood deep, 00:07:32.95\00:07:35.40 when you go back and fourth those vessels opening and 00:07:35.68\00:07:38.25 closing tend to pump the tissues, so that it gets 00:07:38.28\00:07:40.95 edema or swelling out of the ankle. And, 00:07:40.98\00:07:43.86 it also increases the white count in the system 00:07:43.89\00:07:46.25 and white cells are involved in healing as well. 00:07:46.28\00:07:49.07 So, it works very well. So, there is no question 00:07:49.97\00:07:53.80 in your mind that that treatment was efficacious 00:07:53.83\00:07:56.76 in dealing with your sprained ankle. 00:07:56.79\00:07:58.65 Correct, yes. And, you've applied 00:07:58.68\00:08:00.82 that counsel, you have given that prescription 00:08:00.85\00:08:03.38 to many of your patients with similar injuries. 00:08:03.41\00:08:05.36 Always. Yes, I have. And they've had 00:08:05.39\00:08:06.41 good results as well. Oh! Yeah, yeah very good 00:08:06.44\00:08:08.94 results and often time we are able to avoid using 00:08:08.97\00:08:12.76 poisonous drugs or having to go on four more 00:08:12.79\00:08:16.16 surgery or physical therapy. Now, I am gonna ask you 00:08:16.19\00:08:19.32 this question John, because I haven't seen it, I haven't 00:08:19.35\00:08:22.48 seen out there in the literature where there is a 00:08:22.51\00:08:24.07 study of alternating hot and cold therapy, 00:08:24.10\00:08:26.63 at least done recently. Is there data out there 00:08:26.66\00:08:29.23 like this or it just something that we have 00:08:29.26\00:08:31.00 experienced, make sense as far the mechanisms 00:08:31.36\00:08:35.53 and we used it with, with efficacy. 00:08:35.56\00:08:37.65 No, I haven't seen a lot of studies on it. I do know 00:08:38.20\00:08:41.26 there was a physical therapy unit that did a little bit of 00:08:41.29\00:08:44.72 research into it and they claimed they couldn't find 00:08:44.75\00:08:47.21 anything in the current literature. 00:08:47.24\00:08:49.44 Although we're a bit limited in that our current 00:08:49.47\00:08:51.98 literature that will shop on a computer, it's just 00:08:52.01\00:08:54.24 in the last forty years, we've basically lost 00:08:54.27\00:08:56.56 everything prior to that and that's when they would 00:08:56.59\00:08:58.68 have been doing more research on hydrotherapy. 00:08:58.71\00:09:01.57 Now, this is a fascinating topic because as we speak 00:09:01.60\00:09:04.29 about natural remedies. The culture of America 00:09:04.32\00:09:08.64 at least for many years was really set against 00:09:09.74\00:09:12.82 natural remedies, all of the funding for research was 00:09:12.85\00:09:16.43 largely coming from powerful commercial interest and 00:09:16.46\00:09:20.60 you know, need we say, we could identify certain 00:09:21.53\00:09:26.78 sectors of the commercial landscape in America or 00:09:26.81\00:09:30.68 the world, but it's not just the drug companies. 00:09:30.71\00:09:33.65 Right, you know, we could write a grant for the water 00:09:34.25\00:09:38.46 company to fund us for a hydrotherapy, but I've a 00:09:38.49\00:09:41.46 feeling they don't have quite the financial backing 00:09:41.49\00:09:43.96 of the drug companies. Yeah, but when you talk about 00:09:44.43\00:09:47.10 diet things, okay they are vested interest in certain 00:09:47.13\00:09:49.89 segments of the dietary remedies, it's usually the 00:09:49.92\00:09:53.24 people with the most money, not the fruit 00:09:53.27\00:09:54.81 and vegetable growers. Right. 00:09:54.84\00:09:56.44 So, there are these powerful commercial interests 00:09:56.93\00:09:59.34 that are influencing which research is done. 00:09:59.53\00:10:02.23 Yes. What research is funded. 00:10:02.26\00:10:04.24 Right. And, so as a result to 00:10:04.27\00:10:05.94 landscape when we look at evidence based medicine is 00:10:05.97\00:10:09.27 largely shaped by these interests or it's the 00:10:09.30\00:10:12.29 medical device manufacturers. Yes, exactly. 00:10:12.32\00:10:16.00 Now you told me an interesting story once about 00:10:16.03\00:10:18.76 this whole subject of evidence based medicine 00:10:19.16\00:10:21.59 and how, even back in medical school, you were 00:10:21.62\00:10:23.92 given an assignment where you had to look into this. 00:10:23.95\00:10:26.04 Yeah. Tell us what you've learned. 00:10:26.07\00:10:27.60 Yeah, one of my assignments was to do a little talk 00:10:27.71\00:10:30.95 on evidence based medicine and the idea being that 00:10:30.98\00:10:34.57 I would come out with this discussion of how 00:10:34.60\00:10:36.98 everybody needed to follow the literature perfectly 00:10:37.01\00:10:39.45 or be a bad doctor. So, I went and looked into 00:10:39.48\00:10:42.55 the biostatistics behind evidence based medicine 00:10:42.58\00:10:45.47 and there was a group who had gone through the 00:10:45.50\00:10:47.36 literature, looked at something like 14000 articles 00:10:47.39\00:10:51.12 and discovered that 40% of them didn't know 00:10:51.15\00:10:53.27 what they were doing on biostatistics. 00:10:53.30\00:10:55.11 So, these were statisticians that were looking over the 00:10:55.30\00:10:57.21 shoulders of the medical researchers. 00:10:57.24\00:10:58.95 That's right, yes, statisticians out of Boston, 00:10:58.98\00:11:02.49 and so the evidence was against the evidence 00:11:02.52\00:11:05.59 based medicine, what's more, they discovered that if a 00:11:05.62\00:11:08.24 research group had negative results. 00:11:08.27\00:11:10.79 The results didn't necessary support their hypothesis, 00:11:11.21\00:11:13.75 even though those results if published would help 00:11:13.78\00:11:16.14 guide medicine, they never published it. 00:11:16.17\00:11:18.49 Umm! Umm! And, so that's a large 00:11:18.52\00:11:20.87 majority of literature that never makes it 00:11:20.90\00:11:22.70 to the printed page. Yeah, so we talk 00:11:22.73\00:11:25.27 about this so called publication bias. 00:11:25.30\00:11:27.60 Yes. And, so if someone is 00:11:27.63\00:11:28.68 studying a drug, if the drug shows no benefit, they are 00:11:28.71\00:11:31.81 not likely to actually publish that data. 00:11:31.84\00:11:33.75 Right. But, if the drug shows 00:11:33.78\00:11:35.96 benefit in a particular study that'll hit the press. 00:11:35.99\00:11:38.46 Yes. What a lot of lay people 00:11:38.49\00:11:41.39 don't realize is that statistics is not in all or 00:11:41.42\00:11:46.09 known phenomenon, in medical circles we say, 00:11:46.12\00:11:49.46 if there is a one in twenty chance or less of something 00:11:50.18\00:11:54.85 just occurring by the flip of a coin then this is 00:11:54.88\00:11:58.74 statistically significant, that's usually the criteria 00:11:58.77\00:12:02.41 that we use in medical research studies. So, John 00:12:02.44\00:12:05.39 let's paint a scenario here now, we're being a bit 00:12:05.42\00:12:08.02 cynical here just to make our point. 00:12:08.05\00:12:09.90 Yeah. But let's say I come out 00:12:09.93\00:12:11.20 with a new drug. Umm! Umm! 00:12:11.23\00:12:12.70 And, I can say, it's a drug to treat heart disease 00:12:12.73\00:12:15.98 patients after having a heart attack. 00:12:16.01\00:12:18.04 Yes. And, I say this is the 00:12:18.07\00:12:19.92 you know, million dollar market, billion dollar market 00:12:19.95\00:12:22.67 whatever and so I do 50 studies. 00:12:22.70\00:12:25.55 Umm! Umm! 47 of them show absolutely no 00:12:25.58\00:12:29.58 benefit, some show people get worse in those 47 studies. 00:12:29.61\00:12:33.18 Umm! Umm! But out of those 50 studies 00:12:33.21\00:12:34.63 three show they get better. Now, if you use this, the 00:12:34.66\00:12:38.90 standard rules of statistics you would say, well this 00:12:38.93\00:12:42.24 it doesn't look like anything, it's just by luck 00:12:42.81\00:12:44.56 of the draw, but if I just publish those three studies. 00:12:44.59\00:12:46.98 Yeah. It looks like, 00:12:47.01\00:12:49.23 there was an impressive finding. 00:12:49.52\00:12:50.95 Yeah. Now, does that, I mean 00:12:50.98\00:12:53.00 again, this is a really extra making something 00:12:53.03\00:12:56.14 ridiculously extreme, but does things like this 00:12:56.17\00:12:58.69 happen in the drug research literature. 00:12:58.72\00:13:00.37 Oh! Yeah, you bet. Or worst yet though, hire a university 00:13:00.40\00:13:05.75 to produce a good research or research and they will 00:13:06.19\00:13:12.02 set the parameters they are looking for as being specific 00:13:12.05\00:13:17.54 to their drug, but they aren't parameters 00:13:17.57\00:13:19.71 anybody else would really be interested in. 00:13:19.74\00:13:21.54 And, then they'll find statistical significance on 00:13:21.88\00:13:24.15 those parameters which really don't tell you that the drug 00:13:24.18\00:13:27.15 is gonna help people. Now, we don't want anyone 00:13:27.18\00:13:30.33 tuning in today to think that we're, we're saying 00:13:30.56\00:13:33.04 there is never a place for medication, we would 00:13:33.07\00:13:35.36 never recommend surgery, that's not the message that 00:13:35.39\00:13:38.58 we are trying to give today. But the point that were 00:13:38.61\00:13:40.80 trying to communicate is many doctors today are 00:13:40.83\00:13:45.12 being educated that there has to be solid evidence, 00:13:45.15\00:13:47.76 huge studies before we should used any approach 00:13:47.79\00:13:51.45 as far as treatment. What we are saying is, 00:13:51.48\00:13:53.57 once you take the step, you start excluding many 00:13:53.60\00:13:57.27 of the most promising strategies, strategies that 00:13:57.30\00:13:59.81 haven't under gone this "vigorous approach, 00:13:59.84\00:14:03.60 because it often takes millions or billions of 00:14:03.63\00:14:05.71 dollars to research some of these things. 00:14:05.74\00:14:08.24 So, Dr. Clark how can we intelligently then, in this 00:14:08.64\00:14:12.26 frame work use natural therapies, I mean people 00:14:12.73\00:14:16.16 aren't out there necessarily studying these things in the 00:14:16.19\00:14:19.70 detail that they are the latest drug or surgery. 00:14:19.73\00:14:22.38 Yeah. You know, that's a challenge for somebody and 00:14:23.35\00:14:26.81 one other things about natural remedies is that it's 00:14:27.82\00:14:30.50 gotten bog down in a lot of commercialism also. 00:14:30.53\00:14:33.35 Umm! And, somebody was asking me 00:14:33.38\00:14:35.91 the other day about this author and that author, 00:14:35.94\00:14:38.02 and that book, and that television show 00:14:38.05\00:14:39.59 and how would they know, and one other things I told 00:14:39.62\00:14:42.41 them was, well if their research is trying to 00:14:42.44\00:14:45.59 support the product they have for sale. 00:14:45.62\00:14:48.16 You might want to look for somebody that 00:14:49.02\00:14:50.93 researched it and had no buyers or interest. 00:14:50.96\00:14:53.61 Now, this is a very, very important concept, 00:14:53.64\00:14:56.18 much of what's being purported as far as good 00:14:56.52\00:14:59.98 natural remedies research is just as blatantly 00:15:00.01\00:15:04.18 commercial or even more so than what we're seeing 00:15:04.21\00:15:06.73 coming out in the medical literature. 00:15:06.76\00:15:08.76 Yes. And we don't want to give 00:15:08.79\00:15:10.43 impression that anything out in the medical literature 00:15:10.46\00:15:13.41 skew you can't depend on any of the studies, but 00:15:13.44\00:15:15.78 what we're saying is it's not as cut and dried as 00:15:15.81\00:15:18.91 sometimes doctors want it make out to be, even when 00:15:18.94\00:15:21.64 a study, a good study is done. You always have to ask 00:15:21.67\00:15:25.71 who was the group that was being studied. You know 00:15:25.93\00:15:28.78 Dr. Clark, let's say a study comes out saying that 00:15:28.81\00:15:32.50 physicians who take Acetaminophen, you know 00:15:32.53\00:15:36.41 Tylenol or some other Anti-Inflammatory drug. 00:15:36.44\00:15:40.45 They take it every day they live 10 years longer. 00:15:40.48\00:15:43.08 Lets say it's a good study in this population of 00:15:43.11\00:15:45.05 physicians that we study. You're a physician right. 00:15:45.08\00:15:46.95 Yes. So you being a physician, 00:15:46.98\00:15:49.78 you see this data come out, you're gonna immediately 00:15:49.81\00:15:51.90 start taking Tylenol every day right? 00:15:51.93\00:15:54.58 Well, actually I would not. Now why is that? I mean if 00:15:55.15\00:15:58.10 the data is good, if it's good, clean science, 00:15:58.13\00:16:00.47 why would you not do that. I would question the data, 00:16:00.50\00:16:03.30 recently there's been a number of articles 00:16:03.33\00:16:05.43 coming out to show that drinking helps heart disease. 00:16:05.46\00:16:08.36 Well actually, you know the the bombs that hit 00:16:08.94\00:16:10.73 Hiroshima helped heart disease. 00:16:10.76\00:16:12.30 People died of something else and sometimes you have 00:16:12.33\00:16:15.70 to look and see if there is research you know showing 00:16:15.73\00:16:17.72 that people live longer, they probably feed 00:16:17.75\00:16:20.48 Acetaminophen or Tylenol to people they already 00:16:20.70\00:16:22.98 suspected would live longer. You know there always a 00:16:23.01\00:16:25.12 bias there to how they set up the study. 00:16:25.15\00:16:27.00 Okay, well you know you've touched on a number of things 00:16:27.03\00:16:29.93 I think we got to be very careful with some of our 00:16:30.29\00:16:32.81 analogies and I'm glad you're holding me to task 00:16:32.84\00:16:35.53 on this show as well as I'm in your case, 00:16:35.56\00:16:38.02 but you made this association with moderate drinking 00:16:38.43\00:16:41.25 and I'll tell you my understanding of the 00:16:41.65\00:16:43.16 literature and you tell me if I am saying it 00:16:43.19\00:16:45.45 the same way, I probably would not use the illustration 00:16:45.48\00:16:48.46 with people dying from other causes, because 00:16:48.49\00:16:51.30 I haven't seen that data in the moderate drinking 00:16:51.33\00:16:53.95 literature. But what I have seen is this, given an 00:16:53.98\00:16:56.86 excellent case, you may be aware of this and that is the 00:16:56.89\00:16:59.64 Oxford vegetarian study. When they looked at 00:16:59.67\00:17:02.08 people on a healthy lifestyle, healthy diet, 00:17:02.11\00:17:04.56 they looked at their moderate alcohol consumption. 00:17:05.03\00:17:07.29 They find it did not do them a wit of good, as far as 00:17:07.32\00:17:10.38 decreasing their risk of heart disease. So I believe 00:17:10.41\00:17:13.87 there are healthy compounds in alcoholic beverages, 00:17:14.22\00:17:16.53 they were in the plants to begin with. 00:17:16.56\00:17:17.87 So someone who is deficient on Fido chemicals, 00:17:18.42\00:17:21.20 you know drinking some wine may give them some benefit 00:17:22.07\00:17:25.34 as far as their heart. I don't have a problem 00:17:25.37\00:17:26.80 saying that, but I would also say that there are lots 00:17:26.83\00:17:30.98 of problems we know connected with alcohol use. 00:17:31.01\00:17:33.79 And I would say you're much better off eating the 00:17:33.92\00:17:35.70 whole fruits and vegetables that the Lord provide. 00:17:35.73\00:17:37.80 I mean that's my take on that subject and since 00:17:37.83\00:17:39.55 you've mentioned it. I'm kind of curious, 00:17:39.58\00:17:41.47 I mean how do you stand when it comes to 00:17:41.50\00:17:43.45 moderate drinking. You know the moderate drinker 00:17:43.48\00:17:46.67 is fairly a rare person actually. They're different, 00:17:46.70\00:17:51.10 the moderate drinker who has the self control 00:17:51.37\00:17:54.28 perhaps to stop at one or two drinks. 00:17:54.31\00:17:56.80 Is often, often more highly educated, they have other 00:17:57.18\00:18:01.28 health benefits from exercise and other lifestyle issues 00:18:01.52\00:18:05.00 that help them and so there is actually sort of a 00:18:05.03\00:18:07.22 J-curve, you know low income people who drink 00:18:07.25\00:18:10.34 a little bit or none. Also have poor lifestyle 00:18:10.37\00:18:13.54 problems and so they start as almost the Placebo group 00:18:13.91\00:18:17.02 that are not that healthy and then you have the 00:18:17.05\00:18:19.62 moderate drinkers who are a little bit or more healthy 00:18:19.77\00:18:21.97 just because of their lifestyles. 00:18:22.00\00:18:23.51 And then you have the drunks that get sick from everything 00:18:24.20\00:18:27.08 are at the other end of the curve. 00:18:27.11\00:18:28.21 And so they pick on this middle group of people 00:18:28.24\00:18:31.38 who are moderate drinkers, whose lifestyle would 00:18:31.41\00:18:34.06 predict that they would be healthier anyway. 00:18:34.09\00:18:36.57 And so it's often not a good group to compare to, 00:18:36.60\00:18:39.86 so I don't believe the studies that you know and 00:18:39.89\00:18:43.15 if you took the alcohol away from the Bioflavonoids 00:18:43.18\00:18:46.15 and the, you know things that are great to begin 00:18:46.18\00:18:48.60 with. You wouldn't find a benefit. 00:18:48.63\00:18:50.94 You know it's interesting, you're really speaking about 00:18:50.97\00:18:53.12 a subject that in statistics we called confounding and 00:18:53.15\00:18:55.98 that means there is often factors that the researchers 00:18:56.01\00:18:58.59 could not take into account or did not take into account 00:18:59.16\00:19:01.91 that actually explain the results. And you're 00:19:01.94\00:19:03.82 exactly right Dr. Clark, I know in some of the alcohol 00:19:03.85\00:19:06.39 literature this is actually what's found, that they 00:19:06.42\00:19:08.64 actually look back at some of these studies and 00:19:08.67\00:19:11.23 they say no, it wasn't the moderate drinking. 00:19:11.26\00:19:13.43 It was being more educated, it was other things that 00:19:13.74\00:19:16.24 likely were not measured that we know that 00:19:16.27\00:19:19.10 co-relate with better health. Yeah. 00:19:19.13\00:19:21.53 So, I mean this is a fascinating issue and 00:19:21.72\00:19:24.78 you know, maybe, maybe some of the folks tuning 00:19:24.81\00:19:27.19 in today are not catching the significance of this. 00:19:27.22\00:19:29.55 But, whenever there is something out there in 00:19:29.58\00:19:31.84 the media, if you're hearing things coming across the 00:19:31.87\00:19:34.58 television waves, you're reading about them, 00:19:34.61\00:19:36.69 you're listing to them on the radio. Who are more 00:19:36.72\00:19:39.43 likely to follow those things, it's the 00:19:39.46\00:19:40.79 educated people. And so if there is this perception, 00:19:40.82\00:19:43.95 right Dr. Clark, in society that milk is good for you. 00:19:43.98\00:19:46.66 Who do you think is drinking more milk. 00:19:46.97\00:19:48.33 Yeah the educated readers. That's right. 00:19:48.36\00:19:50.88 Yeah. How was it, before we had 00:19:50.91\00:19:53.34 all the data about hormone replacement therapy 00:19:53.37\00:19:56.34 and being harmful in many ways, which women were 00:19:57.30\00:20:00.41 more likely to take Estrogen and Progesterone 00:20:00.44\00:20:02.93 after menopause. Oh! Doctor's wives. 00:20:02.96\00:20:05.31 That's right, doctor's wives, educated women, 00:20:05.34\00:20:07.92 women who were living healthy in many 00:20:07.95\00:20:10.97 other respects. So what happens in that scenario. 00:20:11.00\00:20:13.72 When they study these women, they have much better health. 00:20:14.22\00:20:17.48 They look, those taking Estrogen and Progesterone, 00:20:17.51\00:20:19.96 they're getting all of these benefits. Let's say 00:20:19.99\00:20:21.41 Alzheimer's, less heart disease, 00:20:21.44\00:20:23.03 less cancer. Less cancer, I know I wouldn't 00:20:23.06\00:20:26.41 go that far, but the point was there was always 00:20:26.44\00:20:29.08 exciting data coming out and then when they did the 00:20:29.11\00:20:32.16 definitive research, what did they find? 00:20:32.19\00:20:34.18 They found out that they had to stop the studies. 00:20:34.72\00:20:37.04 The people in the treatment group getting the hormone 00:20:37.07\00:20:39.48 replacement were having some much cancer they felt 00:20:39.51\00:20:41.63 it was unethical to continue the studies. 00:20:41.66\00:20:43.97 You know it's amazing what happens when we just 00:20:44.55\00:20:47.28 look at data without having any other filter beside the 00:20:47.31\00:20:51.67 medical community. I was fascinated Dr. Clark but 00:20:51.70\00:20:54.55 something you shared with me once and I know you're 00:20:54.93\00:20:57.40 prepared to share it here. You told me there was a 00:20:57.43\00:20:59.97 guiding statement that you've read once and you have 00:21:00.00\00:21:02.78 read many times since no doubt, that really 00:21:02.99\00:21:05.48 focused your mind on leveling the playing field. 00:21:05.51\00:21:08.99 Not being just dependent on the secular researchers 00:21:09.02\00:21:12.48 and commercial interest, but share with our viewers 00:21:12.51\00:21:16.55 today this statement that is so significant for you. 00:21:16.58\00:21:19.46 Thank you, I sure will and I'll just read here the 00:21:19.96\00:21:23.25 only hope of better things is in the education of the 00:21:23.28\00:21:27.90 people in right principles. Let physicians teach the 00:21:27.93\00:21:32.01 people that restorative power is not in drugs, 00:21:32.04\00:21:35.48 but in nature. Disease is an effort of nature to free the 00:21:35.51\00:21:40.08 system from conditions that result from a violation 00:21:40.11\00:21:43.35 of the laws of health. In the case of sickness, 00:21:43.38\00:21:46.26 the cause should be ascertained, unhealthful 00:21:46.73\00:21:49.01 conditions should be changed, wrong habits corrected. 00:21:49.04\00:21:52.42 Then nature is to be assisted in her effort to 00:21:52.92\00:21:55.98 expel impurities and to establish right conditions 00:21:56.01\00:22:00.17 in the system. Now, I mean if someone 00:22:00.20\00:22:02.71 had never heard that before, it may sound, I don't know 00:22:02.74\00:22:07.61 even kind of antiquated, the languages used, 00:22:07.64\00:22:10.03 is this something that just came out in a 00:22:10.06\00:22:11.47 medical journal, I mean obviously if it's impacted 00:22:11.50\00:22:13.89 your practice it must be something that's been out 00:22:13.92\00:22:15.42 there for a while. It's been there for a while, 00:22:15.45\00:22:17.58 I think it was written before I was born, 00:22:17.61\00:22:19.38 perhaps a 100 years. And of course we 00:22:19.41\00:22:21.66 both know the source. Yes. 00:22:21.69\00:22:23.25 It's a little book called ministry of healing and 00:22:23.28\00:22:25.69 really though the statements there, although some of us 00:22:26.43\00:22:28.65 would say as we looked through not just that 00:22:28.68\00:22:30.72 statement but this whole book, Ministry of Healing, 00:22:30.75\00:22:33.13 if you're not familiar with it. It's a book that 00:22:33.16\00:22:35.15 was published many years ago as Dr. Clark mentioned. 00:22:35.18\00:22:38.08 That I have found as a physician compellingly 00:22:38.28\00:22:41.29 accurate when it comes to medical conspectus and I'm 00:22:41.53\00:22:44.74 assuming if you're using this as a guiding light, 00:22:44.77\00:22:46.94 it's been true for you Dr. Clark 00:22:46.97\00:22:48.58 Definitely true. It was this book that many 00:22:48.61\00:22:51.91 of our viewers may realize labeled tobacco as a 00:22:51.94\00:22:56.60 insidious and most malignant poison, long before the 00:22:57.17\00:23:01.91 connection between smoking and cancer was ever 00:23:02.31\00:23:05.00 nailed down. Yeah, back when physicians 00:23:05.03\00:23:07.24 were prescribing tobacco for asthma. 00:23:07.27\00:23:10.54 So this statement here is saying that restorative 00:23:11.01\00:23:14.69 power is not in drugs. Now, are we saying that 00:23:14.72\00:23:18.27 there is never a case where medication could 00:23:18.30\00:23:20.89 give a person benefit? No, we're not saying that. 00:23:20.92\00:23:24.35 But we are saying that it's not the vital power that you 00:23:24.41\00:23:27.55 are gonna get from the drugs. 00:23:27.58\00:23:29.17 You need to look to another source. 00:23:29.87\00:23:31.70 Okay so basically a drug could be used in a context 00:23:31.96\00:23:35.69 where that drug has physiologic effects that 00:23:35.91\00:23:38.35 actually help a person, we're in agreement in that. 00:23:38.38\00:23:40.65 And often times we find herbs are the source of drugs. 00:23:40.68\00:23:44.15 Okay. We all tend to think of 00:23:44.18\00:23:46.18 herbs as being very helpful. Although there are some 00:23:46.21\00:23:48.48 poisonous herbs. Okay. So there are drugs 00:23:48.51\00:23:51.14 out there that can give benefit and yet you're 00:23:51.17\00:23:52.95 saying that you believe this concept that restorative 00:23:52.98\00:23:56.70 power is not in drugs. I mean, how do you 00:23:56.73\00:24:00.12 explain that. If a drug, if I take an antibiotic 00:24:00.96\00:24:04.49 and I have got a strep throat. 00:24:04.52\00:24:06.01 And the strep throat goes away. I mean most 00:24:06.34\00:24:08.47 people would say, well that drug has restorative power, 00:24:08.50\00:24:11.56 it restored me from a condition of strep throat 00:24:11.59\00:24:15.27 to a condition of no strep throat. 00:24:15.30\00:24:17.31 That's right and then often times people go 00:24:17.75\00:24:19.91 around singing the praises of the antibiotic. 00:24:19.94\00:24:22.35 When in reality if you had no immune system, 00:24:22.80\00:24:26.06 as we've had a few people in history this way. 00:24:26.09\00:24:28.82 If you had no immune system, taking an antibiotic would 00:24:29.46\00:24:31.89 do nothing for you. Okay. 00:24:31.92\00:24:33.87 The antibiotic merely weaken cells, hopefully 00:24:33.90\00:24:36.91 mostly the bacterial cells, but it weakens the cells 00:24:36.94\00:24:40.33 so your body can attack that cell and kill it. 00:24:40.36\00:24:42.63 But often times it leaves you with some weakness as well. 00:24:43.48\00:24:46.72 Especially in your own good bacteria, such as 00:24:47.37\00:24:51.14 need to be in your gut. Yes, I mean this is an 00:24:51.17\00:24:53.80 important concept. So basically what we're 00:24:53.83\00:24:56.46 saying is, we're not saying that there is never a place 00:24:56.49\00:24:58.83 for medication, that you can't use drug therapy. 00:24:58.86\00:25:02.03 But what we're saying is when I look at natural therapies, 00:25:02.06\00:25:06.08 many of them have less side effects, less toxicities 00:25:06.62\00:25:10.16 then the pharmacological agents, most people would 00:25:10.40\00:25:13.89 readily probably ascend to the idea that it would be 00:25:13.92\00:25:17.01 nice to avoid surgery if you didn't need it. Right. 00:25:17.04\00:25:19.32 Right. I mean as an orthopedic 00:25:19.35\00:25:20.69 surgeon did most patients come to you hoping that 00:25:20.72\00:25:23.91 they would need surgery or trying to avoid it, 00:25:23.94\00:25:26.39 or is it kind of a mix. Well, we worry about the 00:25:26.42\00:25:28.82 ones that think they need it all the time. 00:25:28.85\00:25:30.74 No, most of them want to avoid it. 00:25:31.52\00:25:33.14 Okay so, so basically I think most people resonate 00:25:33.17\00:25:36.71 with this concept. And so when the studies 00:25:36.74\00:25:39.24 come out, do we look at it at the beginning. 00:25:39.27\00:25:40.71 Problems with patient compliance, problems with 00:25:40.99\00:25:43.00 doctor's compliance. What the issue is doctors, 00:25:43.03\00:25:46.70 I think. Many of us are saying, 00:25:46.73\00:25:48.42 well! I am not sure that I want to give every single 00:25:48.45\00:25:51.11 patient this drug even though it helps certain 00:25:51.14\00:25:54.09 people with this condition. Did you think that's part 00:25:54.12\00:25:55.94 of the dynamic that's going on, or you think us as 00:25:55.97\00:25:57.81 physicians we just don't know the literature out there. 00:25:57.84\00:26:00.19 No, I think you're right and I think that's part 00:26:00.83\00:26:02.72 of the dynamic. One other thing I was just thinking 00:26:02.75\00:26:04.97 about your strep throat there. The patient 00:26:05.00\00:26:07.34 that always takes the antibiotic to cure the 00:26:07.37\00:26:09.41 strep throat will eventually have to have the antibiotic 00:26:09.44\00:26:13.12 to cure the strep throat. Where as initially they 00:26:13.41\00:26:16.04 might have been able to treat it without the antibiotic. 00:26:16.07\00:26:18.27 Because you're saying their flora, their natural 00:26:18.70\00:26:20.69 good germs are so disrupted, is that the implication. 00:26:20.72\00:26:23.25 Yes and because their immune system is 00:26:23.28\00:26:25.58 weakened by the antibiotic. 00:26:25.61\00:26:27.34 So, they are not making antibodies against invaders 00:26:27.87\00:26:30.60 because they're letting the antibodies do the dirty work, 00:26:30.63\00:26:32.87 is that what you're saying is going on. 00:26:32.90\00:26:34.85 Yes. Okay, so it's not always bad 00:26:34.88\00:26:37.94 to fight off an infection. Right, if your body can 00:26:37.97\00:26:40.95 fight off the infection itself with hydrotherapy 00:26:40.98\00:26:43.79 with nature remedies with charcoal and so forth, 00:26:43.82\00:26:46.20 then the next time the bug comes around it has a memory. 00:26:46.94\00:26:49.80 It has learned how to fight that antibiotic 00:26:49.83\00:26:51.88 and it will be. Fight the germ. 00:26:51.91\00:26:53.51 Fight the germ. Sorry, yes, fight the germ. 00:26:53.54\00:26:55.56 And it will be more prepared to do the next time. 00:26:55.59\00:26:58.46 So basic what we're saying is one way to 00:26:59.13\00:27:01.36 kind of level the field when it comes to research. 00:27:01.39\00:27:04.42 Is actually recognizing that we may need to take a 00:27:04.45\00:27:07.43 a different approach, a different look 00:27:07.46\00:27:09.19 at scientific research. We do want a keep close 00:27:09.22\00:27:12.98 to what is sound science. We do want to be aware 00:27:13.01\00:27:15.98 of what's being published in the medical literature, 00:27:16.01\00:27:18.15 but we want to recognize that many physicians as was 00:27:18.56\00:27:21.65 many patients are having second thoughts about just 00:27:21.68\00:27:24.60 really newly applying the "latest research when it 00:27:25.07\00:27:28.79 points us to more surgery or more drug medications. 00:27:28.82\00:27:32.17 I think it's well to remember that God gave us 00:27:32.84\00:27:36.42 a program of lifestyles, we study the scriptures, 00:27:36.45\00:27:39.19 he does not just tell that he loves us. 00:27:39.37\00:27:41.50 He does not just tell us that we have a savior in Jesus, 00:27:41.53\00:27:44.08 but many times we read there that God gives us 00:27:44.57\00:27:47.16 moral imperatives. He calls us to live in a certain way, 00:27:47.19\00:27:50.27 read Paul's letters, after assuring his listeners, 00:27:50.70\00:27:54.24 his audience if you will. That what he is talking 00:27:54.27\00:27:57.43 about is the wonderful grace of God, free salvation 00:27:57.46\00:28:00.44 of Christ. He says then, go do this. As you learned 00:28:00.47\00:28:04.32 simple natural things, put them 00:28:04.35\00:28:06.01 into practice and God will bless. 00:28:06.04\00:28:08.06