Trick or Treatment by Singh & Ernst

Dr. Simon Singh and Professor Edzard Ernst team up in Trick or Treatment: Alternative Medicine on Trial (2008) to bust the myths of the effectiveness of some of the most popular complementary and alternative treatments. Ernst’s impressive occupational and education history make him far more than qualified to be the one to take on this task. He was formerly a clinical doctor and studied homeopathy. Singh has a Ph.D. in particle physics and is a New York Times bestselling author. Trick or Treatment was written in response to His Royal Highness, The Prince of Wales’ request to have alternative treatments examined closely for their efficacy based on scientific testing. Ernst and Singh put together an impressive lineup of reasons why unorthodox and ancient treatments such as acupuncture, homeopathy, chiropractic and herbal medicine are mainly nothing more than a placebo and also come with risks.

This controversial stand on alternative treatments has me convinced, as I am a scientific-based kind of believer – especially when it comes to healthcare, risks and providing false hope. I am a cancer survivor and have done my due diligence of researching treatments and cures, both orthodox and integrative. I do sway sometimes into the “fantasy” and “wishful thinking” camp when it comes to some of the energy healing modalities, such as Spiritual, Reiki, Chakras and Pendulum (or dowsing) healing. I consider myself very open-minded, and if there are little costs and little risks involved, I am willing to give anything a try.

The book is quite repetitive on some points, mainly, that alternative therapies don’t work. It also seemed to be one big advertisement for St. John’s Wort, an herbal medicine that has been proven to treat mild to moderate depression. There was also some support for “fish oil” to combat inflammation in arthritis.

I liked the fact that Ernst has a history in homeopathy and he took the time to research many of the alternative and complementary therapies according to scientific-based evidence. Many of these therapies have been studied and he has dug up the dirt and given us a couple quick reference tools to refer to. For example, he has two pages of “Herbal Medicine Ratings” and cautions people that even though these are categorized as “natural” remedies, they are not always safe. He also strongly urges people to let their doctor know what herbs they are taking as they can interfere with pharmaceuticals. His second guide will be discussed below.

There are many references throughout the book giving examples of how people with cancer often seek alternative therapies (or at least are recommended by others to seek them). For example, the often-recommended “natural anti-cancer” treatment of laetrile (apricot pits) has been used and promoted since the nineteenth century. Due to scientific rigors, laetrile has since been labelled as “quackery” due to its ineffectiveness and risky side effects. Although this information is out there, people continue to use it to this day. This is true for many other alternative treatments.

The authors list ten culprits why these unproven and disproven treatments continue to be used, promoted and wrongfully touted as effective. It is an actual eye-opener, especially when we realize the power of the media, universities and alternative gurus such as Deepak Chopra and Dr. Andrew Weil.

There is an impressive “Rapid Guide to Alternative Therapies” which has about 35 different modalities covering many popular and not-so-popular techniques and gadgets people are using (e.g., crystals, magnets, special diets). The authors include a definition, background, evidence and conclusion and reassure the reader these therapies have been rigorously investigated against scientific evidence and meta-analyses where available.

This is a well-written book which has helped me open my eyes to the reasons why these alternative therapies are still around, despite the truth, that they are nothing more than placebos (and some come with risks that are rarely talked about). Placebos that are harmless offer nothing more than psychological benefits. Where there is belief and hope that something will work, it most likely will. That’s the power of the mind at work. If nothing else, it will provide the person with a sense of hope for the future, a feeling of wellness and a certain level of comfort that there is something “magical” at work. As long as there are little risks, little costs and big rewards, people will continue to seek out these treatments. Unfortunately there are some very expensive “treatments” as well, and charlatans and quacks are taking advantage of people when they are vulnerable.

Some people feel that doing something is better than doing nothing – as the placebo effect works in mysterious ways.

I would recommend this book to anyone who wants to know the truth about alternative medicine and would rather put their efforts, resources and hope into reliable, scientific-based, effective medical treatments and cures.

The other book I read on this topic came up with the same conclusion about the placebo effect – Do You Believe in Magic? The Sense and Nonsense of Alternative Medicine by Paul A. Offit.

Angela G. Gentile

Angela G. Gentile  MSW, RSW is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide”, “A Book About Burnout: One Social Worker’s Tale of Survival” and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and has two adult children. She is creator of the Facebook communities – “Aging Well for Women” as well as “Living Well With and After Cancer” For more information, visit: www.AngelaGGentile.com

“After Cancer Care: The Definitive Self-Care Guide to Getting and Staying Well for Patients After Cancer” (2015) by doctors Gerald Lemole, Pallav Mehta and Dwight McKee is based on the premise that cancer patients would benefit from a rehabilitation program same as cardiac patients. These doctors who work within an integrative care model argue that a well-designed and personalized program which includes exercise, nutrition and stress management would help those who have been treated for cancer live a better quality of life and help reduce the risk for relapses or recurrences. The body, mind and spirit are well-covered in this holistic approach to wellness after cancer.

Although the font was very small in the paperback I read, I was able to read it although I needed my reading glasses! Most people with cancer are aged over 50 so I was surprised to see such a small font.

The nutrition section talks about the use of coconut oil as a recommended choice for cooking. Even though the authors say coconut oil is a saturated fat, they still recommend it. They also do not recommend canola oil. This information is contradictory to what some Canadian dieticians are recommending now. The recipe section near the end of the book also has coconut oil as an alternate for olive oil. These recipes and the advice re: canola and coconut oils should be researched a bit more before making your own choice in what oils you use.

The book has some repetitive information, however, the repeats seem to stress some of the important points. On the other hand, it completely neglected some important topics (or there was very little information on) such as Human Papilloma Virus (HPV) and Mindfulness. The importance and benefits of journalling and writing were not stressed and it would have been nice to see a little more written about that.

The index is not as good as it could be. I found some key terms were missing such as cervical cancer and paillomavirus.

I would have loved to see a listing of “approved” complementary or supplemental treatments, services and modalities. There is a sprinkling of ideas throughout the book, but it would have been nice to have a chapter that explained each idea and the science around them when it comes to wellness and health. It would have also been helpful to see a listing of harmful modalities or treatments.

Chapter 7, “Avoiding Toxins”, was too unrealistic for me. One of the recommendations was to rid your house of your carpets. This is an extreme measure for those of us who have carpets, and it would be a very costly venture. Some of the advice such as using non-toxic cleaning supplies and avoiding toxins in your food (such as mercury in fish) are more realistic goals to achieve. This would have been a good place to add information about HPV and the vaccine.

Chapter 8, which comprises about a quarter of the book, focuses on 11 common types of cancers and the doctors share their “Cancer Protocols” on cancers such as breast, lung and prostate. The cancer I had, anal cancer, was not mentioned in the book, unfortunately.

Overall, it’s a well-edited and researched book with a lot of scientific references in the “Endnotes” section. The “Conclusion” is an excellent reference as it lists 28 points the doctors call “The Quick Hits.” A great book for anyone who has been diagnosed with cancer, is at or near completion of treatment, and is proactive in restoring, maintaining and maximizing his or her health.

Angela G. Gentile

Angela G. Gentile  MSW, RSW is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide”, “A Book About Burnout: One Social Worker’s Tale of Survival” and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and has two adult children. She is creator of the Facebook communities – “Aging Well for Women” as well as “God, Cancer and Me.” For more information, visit: www.AngelaGGentile.com