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Why Placebos Work Wonders
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The Wall Street Journal REPORTS HERE that "most people think of the boost they may get from a sugar pill simply because they believe it will work. But more and more research suggests there is more than a fleeting boost to be gained from placebos."

"A particular mind-set or belief about one's body or health may lead to improvements in disease symptoms as well as changes in appetite, brain chemicals and even vision, several recent studies have found, highlighting how fundamentally the mind and body are connected."

"Is the placebo effect just the boost you may get from a sugar pill simply because you believe it will work? New research suggests there is more than just that to be gained from placebos. It doesn't seem to matter whether people know they are getting a placebo and not a "real" treatment. One study demonstrated a strong placebo effect in subjects who were told they were getting a sugar pill with no active ingredient."

"In a 2008 survey of nearly 700 internists and rheumatologists published in the British Medical Journal, about half said they prescribe placebos on a regular basis. The most popular were over-the-counter painkillers and vitamins. Very few physicians said they relied on sugar pills or saline injections. The American Medical Association says a placebo can't be given simply to soothe a difficult patient, and it can be used only if the patient is informed of and agrees to its use."

Researchers want to know more about how the placebo effect works, and how to increase and decrease it. A more powerful, longer-lasting placebo effect might be helpful in treating health conditions related to weight and metabolism."

"Hotel-room attendants who were told they were getting a good workout at their jobs showed a significant decrease in weight, blood pressure and body fat after four weeks, in a study published in Psychological Science in 2007 …. Employees who did the same work but weren't told about exercise showed no change in weight. Neither group reported changes in physical activity or diet."

"Patients in a recent study were treated with placebos for an induced asthma attack. They reported feeling just as good as when they received an active treatment with albuterol."

"Another study, published last year in the journal Health Psychology, shows how mind-set can affect an individual's appetite and production of a gut peptide called ghrelin (GREL-in), which is involved in the feeling of satisfaction after eating. Ghrelin levels are supposed to rise when the body needs food and fall proportionally as calories are consumed, telling the brain the body is no longer hungry and doesn't need to search out more food."

"Yet the data show ghrelin levels depended on how many calories participants were told they were consuming, not how many they actually consumed. When told a milkshake they were about to drink had 620 calories and was "indulgent," the participants' ghrelin levels fell more—the brain perceived it was satisfied more quickly—than when they were told the shake had 120 calories and was sensible."

"Studies across medical conditions including depression, migraines and Parkinson's disease have found that supposedly inert treatments, like sugar pills, sham surgery and sham acupuncture, can yield striking effects. A 2001 study published in Science found that placebo was effective at improving Parkinson's disease symptoms at a magnitude similar to real medication. The placebo actually induced the brain to produce greater amounts of dopamine, the neurotransmitter known to be useful in treating the disease."

"At times, a weaker placebo effect might be desired. In trials of experimental drug treatments for dementia, depression and other cognitive or psychiatric conditions, where one patient group takes medication and the other takes a sugar pill, it can be difficult to demonstrate that the medicine works because the placebo effect is so strong."

"With depression, an estimated 30% to 45% of patients—or even more, in some studies—will respond to a placebo, according to a review published in December in Clinical Therapeutics. An additional 5% of patients were helped by an antidepressant in cases of mild depression, and an additional 16% in cases of severe depression."

"Fertility rates have been found to improve in women getting a placebo, perhaps because they experience a decrease in stress. A recent randomized trial of women with polycystic ovarian syndrome found that 15%, or 5 of 33, got pregnant while taking placebo over a six-month period, compared with 22%, or 7 of 32, who got the drug—a statistically insignificant difference. Other studies have demonstrated pregnancy rates as high as 40% in placebo groups."

"…. deception isn't necessary for the placebo effect to work. Eighty patients with irritable bowel syndrome, a chronic gastrointestinal disorder, were assigned either a placebo or no treatment. Patients in the placebo group got pills described to them as being made with an inert substance and showing in studies to improve symptoms via "mind-body self-healing processes." Participants were told they didn't have to believe in the placebo effect but should take the pills anyway … After three weeks, placebo-group patients reported feelings of relief, significant reduction in some symptoms and some improvement in quality of life."

" ….patients were conditioned to a positive environment, and the innovative approach and daily ritual of taking the pill created an openness to change…."

 
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Middle-age men who smoke may be setting themselves up for rapid cognitive decline.

Parker University honored Dr. Gene Giggleman, professor of Parker University, with one of the most highly regarded awards given by Parker University—the James W. Parker Founders Award.

Three top-ranking senators have asked for a federal investigation into how effective state medical boards are at tracking and disciplining doctors who have been sanctioned by their hospitals or managed care organizations.

"Sens. Max Baucus (D-Mont), Charles Grassley (R-Iowa), and Orrin Hatch (R-Utah) asked Daniel Levinson, director of the Office of the Inspector General (OIG) for the Department of Health and Human Services to undertake an evaluation of state medical boards, the first such investigation in 15 years."

"In a letter, the trio outlined a number in instances in which physicians were sanctioned by their employer for wrongdoing -- which included sexual misconduct, malpractice, and fraud -- but did not face any consequences from their state medical board."



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