Category: Popular Culture
The "Refuse"
September 28th, 2009 , by adminI wrote this note as a comment on my colleague Rick Kirschner's blog:
Hey Rick,
I thought long and hard on this, especially since I've spent a lot of time dealing with misrepresentations of my own work. On one hand there is the ever-present desire to turn the other cheek and convert my response into a teaching opportunity. This works in certain circumstances --often if the skeptic is actually curious about that which they are skeptical of.
Most are not.
In most other circumstances, turning the other cheek will often get that side of your head smacked as well. As Ho Chi Minh once said in reference to Mahatma Gandhi, "Had he grown up in Vietnam, he'd have ascended into heaven long before he did."
Because these people are often prisoners of their own zealotry their tactics are not very often of the velvet-glove variety. Since they don't respect that which they are skeptical of, and anything goes and every tactic is permissible
Of course this automatically brands them as pseudo-skeptics not skeptics, since true skeptics are more than happy to amend an existing opinion with the presentation of new evidence. Most of these guys just feel that modern allopathic medicine (and hence the public) is under attack from vicious, dangerous woo-merchants and it is their anointed job to exterminate this vermin.
Thus it is unlikely that appeals to reason will ever work effectively, since dialogue is not what they are interested in -- anymore than someone would ever be interested in dialoging with a cockroach before they stepped on it. People who dialogue with cockroaches usually don't step on them.
Like Ho, Adolf Hitler also had an opinion of Gandhi, remarking once to Lloyd George: 'Why doesn't someone just shoot him and be done with it?'
Let's call a spade a spade: The more extreme of these 'anti-SCAM' pseudo-skeptics will not rest until we're completely discredited and eliminated.
Thus their tactics and criticisms are almost always of the 'gotcha' variety. This is usually performed by trying very hard to cover their opponents in manure so that they can stand back, point to them and say 'look, they are covered in manure.'
Gerhard Uhlenbruck, the worlds leading lectin researcher, and one of the few scientists who has openly acknowledged the value of my work has a nice way of reflecting on the silliness of what these people do with their time:
"Never chase a lie. Let it alone, and it will run itself to death."
Stephen Jay Gould also had a nice way of turning the tables on pseudo-skeptics. This from 'The Structure of Evolutionary Thinking' (2002):
"If none of the foregoing charges can bear scrutiny, strategists of personal denigration still hold an old and conventional tactic in reserve: they can proclaim a despised theory both trivial and devoid of content. This charge is so distasteful to any intellectual that one might wonder why detractors don't try such a tactic more often, and right up front at the outset. But I think we can identify a solution: the "triviality caper" tends to backfire and to hoist a critic with his own petard -- for if the idea you hate is so trivial, then why bother to refute it with such intensity? Leave the idea strictly alone and it will surely go away all by itself. Why fulminate against tongue piercing, goldfish swallowing, skateboarding, or any other transient fad with no possible staying power?
So, if Uhlenbruck and Gould are correct, why do so many people spend some much time making life miserable for people with new ideas?
Probably because, although we talk of ideas, it all distills back down to power and money. New ideas often threaten the exact type of person who (personality-wise) would go on to make the perfect pseudo-skeptic. The type of person who buys into the existing power structure, hook, line and sinker. Anything that takes away from the reflected light ('My son the doctor.') they have spent so much time and money on gaining. For which they so sacrificed and assiduously played the game in order to secure. This is not just a threat -- it is also a nightmare.
So what is the answer?
Like any test of will (and for a myriad of reasons) victory goes to those with the ultimate staying power.
In military terminology there is a tactic called 'the refuse.'
Back in the old days, these guys would just line up opposite each other on some level field and go at it. Typically, since most people are right-handed, the right side of an army's line would often be stronger than the left. Thus the idea of any good commander would be to 'refuse' to fight (usually by slowly pulling back) on his left side while trying to press the advantage on his right.
This is a fundamental tactic in Aikido martial art. It is called 'entering,' the idea being to enter inside the physical space of the attacker and then by turning as you enter, you align your force with his and for a brief transcendental moment, see the world as he sees it. Very hard to have a fight with someone who is trying their hardest to see your point of view. It is very hard to hit something which has as its ultimate goal to be where you are not.
I stopped writing for pseudo-critics years ago: You can't please them, they won't buy your books anyway and the people I really want to help educate don't want to read that type of stuff.
I just refused to do it.
Now, while most magazine articles critical of my theories have long-ago been relegated to the landfill, you can still buy my first book only in hardcover despite being twelve years in print.
Why? Because the theory works in many people and they go on to tell other people.
Now, if I need to buy a new hammer I'd be somewhat interested in reviews that tell me which hammers 'not to buy,' but ultimately if my best friend tells my which brand of hammer he's happy with, I'm probably going to go with that advice. I would also find questionable reviewers who had nothing good to say about all hammers in general.
Let's commit to always doing the hard work. Let's accept the fact that we practice a revolutionary form of medicine and let's stop looking for approbation from the very people whose preeminence we threaten and who cannot appreciate the strides we've made and the struggles we've endured in order to put this profession back on its feet.
Let every patient see the value of what we can do. These pseudo-skeptics will always have their coffee claches; their little goldfish bowls, where naturopaths do nothing right and allopaths nothing wrong. But let's refuse to make it into something bigger than it really is, because that is not the main battlefield.
Instead, let's wake up every day determined to redouble our efforts to improve the lives of our patients.
I'll end this diatribe with two more Vietnam Era quotes, which to me seem oddly relevant since US health care is currently in a Vietnam-like quagmire.
The first is from Lyndon Johnson, a fundamentally un-quotable president. Johnson did once say something I thought was of note. In dealing with criticisms of his Great Society program, he was heard to say:
'It takes a master carpenter to build a good barn. Funny thing though, is that any fool with a match can then burn it down.'
Let's remember that we are master carpenters. The public can be trusted to see the benefit of good barns. Let's also refuse to put the matches in the hands of our opponents.
The second quote is from a meeting between a Vietnamese general and an American general in Hanoi several years after the war ended.
'You know' said the American general, 'you never beat us in a single battle.'
'Yes, that is true.' replied the Vietnamese general, 'however it is also irrelevant.'
Remember water always beats rock. That's because water can go around rock. Let's refuse to butt heads with rocks.
And as the quote goes "Medicine progresses funeral by funeral."
They were referring to the doctor's funeral, not the patient's.
Take care and good luck with the new book.
Peter
Lucky in Love
September 19th, 2009 , by adminBecause I attended a Catholic grammar school which was private and did not receive any state or government funding, we were often dispatched on extenuated and cheerless forays out into the public in a quest for its nickels and dimes. This usually included the sale of various candies or 'chance books,” a cluster of five or ten tickets which entered the owner into a drawing of some sort, for a variety of possible prizes.
Never mind that this same public (due to the limitations of spatial geography and the ambulatory capacities of a ten-year old) was already paying through a myriad of other schemes to keep their kids in this very same school. Typically after suitable introductions had been made and accompanied by sufficient eye-rolling and entreaties heavenward, the wallet would be procured and another book of chances sold. Usually, I’d take the opportunity to remind them of what a wise investment they had made, only to be greeted by the sobriquet “Sonny,” and the dismissal of a future possibilities with an off-hand “I’ve never won anything, and I’m not very lucky.”
From that point to this, I’ve always marveled when people tell me that they aren’t very lucky, since of course it is not true. Just wondering about your unluckiness, marks you as being among the luckiest of all. As a matter of fact, you have won one of the greatest raffle prizes of all time; at odds so astronomical so as to be incalculable. You’ve won the raffle of life.
Just think. Your parents first needed to have come from genealogical lines that survived through all the plagues, wars and accidents of time. Second, they needed to be in physical proximity, so as to come into contact with each other. Third, they had to be attracted in such a manner as to stimulate (hopefully) the urge for procreation in each other. Fourth, they had to be in that particular mood at just the time when the team “up at bat” sperm and egg-wise was you. Fifth, the sperm that carried the genetic information from your father had to compete with millions of other sperm in a race that would make the New York City Marathon look like a trip to the store for a newspaper. Sixth, even upon winning, that sperm had to find an egg at just the exact time when it was ripe for fertilization. Finally, after fertilization, the embryo had to travel through the Fallopian tubes and implant in the uterus where it developed form the cluster of cells into something that would eventually grow to the point where it could take care of itself.
So who among us is unlucky?
The Weekly Transfusion 1.6
April 25th, 2009 , by adminThis Transfusion: Sword swallowers and sore throats | ABO in Neanderthals| Blood groups and endometriosis | Nutrigenomics and personalized diets | This News This Week
Welcome to The Weekly Transfusion, 1.6 for the week of April 26, 2009.
Sore throats more common in sword swallowers
Sword swallowers run a higher risk of injury when they are distracted or adding embellishments to their performance, but injured performers have a better prognosis than patients who suffer iatrogenic perforation....Major gastrointestinal bleeding sometimes occurs, and occasional chest pains tend to be treated without medical advice. Sword swallowers without healthcare coverage expose themselves to financial as well as physical risk.
Comment:
I guess it is just that old 'occupational hazard' story, sort of like the study that discovered that woodpeckers don't seem to get headaches.
Genetic characterization of the ABO blood group in Neanderthals
The high polymorphism rate in the human ABO blood group gene seems to be related to susceptibility to different pathogens. It has been estimated that all genetic variation underlying the human ABO alleles appeared along the human lineage, after the divergence from the chimpanzee lineage. A paleogenetic analysis of the ABO blood group gene in Neandertals allows us to directly test for the presence of the ABO alleles in these extinct humans. We have analysed two male Neandertals that were retrieved under controlled conditions at the El Sidron site in Asturias (Spain) and that appeared to be almost free of modern human DNA contamination. We find a human specific diagnostic deletion for blood group O (O01 haplotype) in both Neandertal individuals. These results suggest that the genetic change responsible for the O blood group in humans predates the human and Neandertal divergence. A potential selective event associated with the emergence of the O allele may have therefore occurred after humans separated from their common ancestor with chimpanzees and before the human-Neandertal population divergence.
Comment:
Certainly one of the major evolutionary advantages of being blood type O was their double-barreled antibodies; this blood type being the only one that reacts to both “A things” and “B things” in the environment. This probably provided an extra layer of protection against any number of epidemic diseases (plague, smallpox) and many endemic ones (flukes and parasites) as well. If this immune “hyper-vigilance” would go on to increase the rates of inflammation and auto-immune disease in their modern descendants, it should also be remembered that these are often diseases of later life, typically past child bearing and rearing age. Thus if it were a late-model alteration, it certainly provided a significant survival advantage. The Founder Effect can be seen in the characteristics and distribution of the genes for Rhesus Negative and O blood type among the early Mesolithic Period during the so called- ‘Happy Paleo’ period, which also shows some correlation with the ancestral haplogroups R1b and I. On the other hand blood type A seems to have conveyed a better chance of surviving the ‘lean’ period of the early Neolithic; a slightly different, perhaps better way to starve. Type A’s more tolerant immune system may have given them the benefit when it came widening the diet and exploring new foods.
ABO and Rh blood groups distribution in patients with endometriosis.
The blood group A was more predominant in women with endometriosis, while blood group O was less predominant. The overall risk of women with endometriosis and A blood group was 2.89 (95%CI, 1.85-4.52). No significant difference was detected in ABO and Rh blood groups in women with endometriosis according to the severity of disease. CONCLUSION: Women with endometriosis have a 2.9-fold increased risk in the A blood group distribution. The role of blood groups in the development of endometriosis remains to be determined.
Comment:
I verified the observation back in 1988, when we were observing whether increases in opposing blood group antibodies were associated with any reproductive illnesses. We observed that in our small endometriosis group, all women were type A, and all virtually had elevated antibodies to foreign blood types (in their case, blood type B ). It did seem at he time to be an area ripe for future research, but I never got back to it. It is nice to see that others have observed the same tendencies.
The antibodies in the ABO system (isoagglutinins) called anti-A and anti-B are not normally present at birth. The antibodies develop between 3-6 months of age due to the stimulation of the newborn’s immune system by microbes and foods that possess antigens of an opposing blood type. In, for example, type O children, they will begin forming to type A and B red cell antigens as soon as the child starts eating food, because the A and B antigens are actually found in quite a number of plants. So, as soon as the child starts eating plant food, she'll be exposed to those antigens and start making antibodies against them.
Nutrigenomics and Personalized Diet: From Molecule to Intervention and Nutri-ethics
The relationships between food, nutrition science, and health outcomes have been intensively analyzed over the past century. Genomic variation among individuals and populations is a new factor that enriches and challenges our understanding of these complex relationships. Hence, the rapidly emerging intersection of nutritional science and genomics - nutrigenomics - was the focus of a special issue of OMICS: A Journal of Integrative Biology in December 2008 (Part 1). The OMICS Nutrigenomics Special Issue (Part 2) February 2009 is The relationships between food, nutrition science, and health outcomes have been intensively analyzed over the past century. Genomic variation among individuals and populations is a new factor that enriches and challenges our understanding of these complex relationships. Hence, the rapidly emerging intersection of nutritional science and genomics - nutrigenomics - was the focus of a special issue of OMICS: A Journal of Integrative Biology in December 2008 (Part 1). The OMICS Nutrigenomics Special Issue (Part 2) February 2009 is now available free online
Comment:
Two entire issues on personalized nutrition with virtually no mention of any of the bio-markers that really determine individualized dietary functionality: ABO blood groups and secretor status. Maybe these bio-markers are just too low-tech for the average scientist. More likely, the nay-sayers behind the smear campaign I've had to endure over the last ten years have had their desired effects.
No matter, if you read enough history you soon realize that Billy Shakespeare had it right: 'Truth will out.'
News of the Week
- April 28 2009: Dr. Peter D'Adamo - Lecture at Backus Hospitalthe basics of 'Eating Right For Your Type.' Open to the general public. More information
- June 5-7 2009: Personalized Medicine in Form and Function. A weekend intensive seminar with naturopathic physician, scientist and author, Dr. Peter J. D'Adamo in Norwalk, CT. This seminar provides training in personalized nutrition determination using blood grouping, secretor status, epigenetic indicators, dermatoglyphics and biometrics. Extensive overview of the latest clinical and laboratory techniques, information systems and pharmacology. Certification will also be offered. Presented by the Institute for Human Individuality. CME's may be available. More information. SEATING IS EXTREMELY LIMITED. RESERVE YOUR SEATS NOW!
Until next time.
Old Man Can Jump.
October 18th, 2008 , by adminMelissa's forays into Tae Kwan Do made me a bit nostalgic about my days spent training in the martial arts.
Recently I was importing some old photos into iPhoto and came upon two photos of the board break from my test for Ee Dan (Second Degree Black Belt) taken Spring 2007. It is a jump double straddle kick.
You have to break two boards with each foot simultaneously. The trick is to get you knees up high and move your head forward of your body. Landing is the hard part. You can very easily land on your butt, which from this sort of altitude is not pleasant.


I wasn't good at a whole lot of other things in the martial arts; but paradoxically, this kick (which everyone else seems to have trouble with) was not only easy, but rather enjoyable. The bottom picture actually shows me coming down; the boards are already broken.
Sam Therapy and King Dice
October 9th, 2008 , by adminLike everyone else, I’m trying to keep up with events as they unfold. Seems everyone wants to point a finger at someone else; in reality, unless you’ve lived on a deserted island for the past twenty years, everyone is to blame.
We’ve hatched an entire generation on a diet of no-pain-only-gain.
The Dow Jones only goes up, housing prices only appreciate. People at the lower rungs of the economic spectrum are given credit (of a largely predatory type -credit cards) but no guidance about how to manage their finances. Credit can be a fine servant but makes for a terrible master.
All in the name of ‘living the life.’
I’m old enough to remember being mildly uncomfortable in the presence of greedy people. They used to be called ‘materialistic’ if I remember. Back at John Bastyr Naturopathic College in the 1970’s one of my fellow students was planning on going into the wilds of Idaho and doing an entire barter based practice. During breaks he would wax enthusiastic: “I’ll grow herbs in my own garden and when someone can’t pay, they’ll just give me a basket of vegetables or a chicken.”
Last I heard he was practicing in a white lab coat, in downtown Seattle, in a conventional medical office.
When product consumerism stops producing happiness, then it’s time to switch to its psychic counterpart. Feel depressed, worthless and ugly? No problem! We can teach you to think your way to happiness. But first we have to get you to buy into the idea that zits, belly fat and baldness actually do determine your true value in life.
Every once in a while we would get a patient in the clinic who seemed to think that we had the power to make them permanently content and happy. Carolyn, my curmudgeonly RN of twenty years, would look up me from the chart and say, “Now I don’t feel wonderful all the time, do you?”
And in truth I don’t.
Eventually I got to the point where I would explain to the patients that cures often represented the fact that a person could be returned to a level of wretchedness merely similar to that of others. From there on you were on your own.
Most great things are developed or uncovered by people who are mildly uncomfortable in their own bodies. Perhaps that discomfort is even mandatory. Expression is that great intangible that says to the Universe "I’m here." However unlike a pizza, expression can't be delivered to your doorstep. It often arrives during moments of great pain and suffering, and not for nothing, most creative people have had great times of pain and suffering. Sometimes it is the pain that moves us from the comfortable to the unknown; from the secure to the insecure. When we insulate ourselves from the painful consequence of our actions, when we plaster over our failures with 'feel good technologies' like drugs or mindless 'prosperity thinking' we strip away the spiritual basis of that pain and failure, the part of the cycle that gives us the benefits of 'lessons-learned."
We think 'age' is chronological and to a certain functional degree this is true. However age is also a mindset. What is the final mechanism that tells the tree in autumn that it is time to release the leaf? I’m sure that there are all sorts of hormones and cell factors involved, but the simple truth is that the leaf is no longer relevant. Winter is coming, it's time to close down and leaves on a tree trap ice and may bring the whole thing down. So it is time to go.
When are we released from the tree of life? I think it occurs when the Universe inside our self finally just gets bored to death. "You can't teach an old dog new tricks." As the saying goes.
Many pursuits, such as sailing or golf, are characterized by an 'awkward stage' which we could also describe and a sort of 'student mindset'. Kids spend days, months and years in this mode before they enter adulthood, but once they are done with schooling most of us actually become rather adverse to reentering awkward learning situations, perhaps out of insecurity. Nobody wants to look silly or incapable.
Yet this is precisely most creativity and expression occurs. It’s been said that the most common utterance upon the discovery of an important new fact or concept is not "Eureka!" [Greek heurēka I have found (it)] but rather "Now… that’s interesting…"
Sadly, I see more and more 'Old-Young People' these days."There is no fool like and old fool" goes the saying. That is true, but I think young fools are more menacing.
Finally, there is faith. I am also old enough to remember feeling mildly uncomfortable when people would bring up their religious beliefs in conversation. Not that I have anything against faith per se --I just think that it is a matter of personal choice and best kept out of most forms of public dialogue. I think one of the truly brilliant acts of the Founding Fathers was to acknowledge religious behavior and separate it from matters of state. That said I would like to be somewhat certain that my elected officials are not using their personal faith and morals to guide government policy.
Faith can do many great things. My Spanish grandmother was a loyal daughter of the Catholic Church and in her great simplicity there was a warmth and acceptance of life and all its foibles that belied years of hardship and suffering. Think this credit crisis is bad? She brought up a family during the 1936-39 Spanish Civil War, when the fighting literally rolled over her village not once, but three times. Concerned about food prices? She once walked seven miles with a piece of furniture on her head to trade it for a dozen potatoes.
Just before she passed away (well in her nineties) she visited the United States. One afternoon I grabbed my forehead after a stressful day.
"What’s wrong?" she asked.
"Oh, just a headache."
"What does that feel like?"
It was at that point I realized that she had never had a headache in her entire life.
Faith can do that.

