A Difference Between Safety and Efficacy—And the Research We Actually Need

An acquaintance of mine who works in healthcare asked me a question on Facebook this week:

“What study would you need to see to begin supporting vaccination?”

I was shocked. Actually, I was deeply concerned and disheartened by the question and I told him my concern.

“If it only takes one study to convince healthcare professionals to support any kind of medical procedure, no wonder our healthcare system is in such chaos,” I thought to myself.

(Side note: He knows, and just so each of you reading here know that I’m not anti-vaccine. Rather, I’m pro-safety, pro-science, pro-transparency, pro-informed consent, pro-medical choice, pro-health freedom, pro-parental rights, pro-research, pro-medical pluralism and pro-all life,  … well, except for spiders, I support end-of-life consequences for arachnids who invade my living quarters.)

He conceded the error in his question and rephrased it: “What studies would you need to see to begin supporting vaccination?”

I loved his revised question.

So I did a brain dump of a few dozen thoughts and quick polled a few people who know more than I do on this topic, and asked what they would add to the list.

Because real research is a never-ending puzzle. The shape and number of the pieces are always changing. So we must be willing and eager to continually examine our assumptions.

Sadly, what seems to pass as “good research” these days is the equivalent of force fitting two pieces of a 5,000-piece puzzle together and calling it a day.

“The research is settled” some will say.

Meanwhile, you and I and millions of other people glare at the 4,998 untouched pieces on the table and shake our heads.

Science is never “settled”.

In fact, on this topic, it’s barely begun.

So here is how I responded to the question:

I really appreciate your question because it helps me be a better researcher and consumer of research.

Any person, news outlet or doctor who says vaccines are completely safe are anti-science in my view because it is not good science to deem something safe that has ever been studied long-term for safety or for their synergistic effects.

There may be a few studies suggesting single shot efficacy, I’ll give you that, but most were paid for by the industry, so those unfortunately discredit themselves due to the conflicts of interest.

As a preamble, it’s wise to remember that efficacy and safety are not the same thing.

For example, nuclear bombs may be effective in eradicating some terrorist cells. But nuclear bombs are not safe. Too many casualties of war and life-long impairments, including death of those who were never a threat to begin with.

There are so many safer, more humane ways to strengthen the immune system without vaccines. (But they don’t get airtime by Pharma since their business model only makes money from disease or disease management, not from healthy people.)

Anyways, back to your question, here are a few answers for starters (I came up with most of these myself and asked a few friends who have studied more than I have what they would add and included their answers too)—because we don’t even know what we don’t know yet.

Findings from any of the following would naturally lead to more inquiries.

First, before anything else, remove the legal immunity from the vaccine manufacturers—so the pharmaceutical companies are once again subject to liability for injuries and deaths. There is no incentive for Pharma to make them safer since there is no liability. Your and my tax dollars should not pay for negligence by corporations. (No liability, no deal.)

    1. Several independent meta analyses(gold standard reviews) by independent scientists, researchers and doctors from diverse training (allopathic, naturopathic and more) who are not funded in any form by pharmaceutical interests. (Medical pluralism is a strength, not a weakness.)
    2. Vaccine inserts say it has not been studied for carcinogenic or mutagenic properties or ability to impair fertility (so that’s a good place to look.)
    3. Independent studies comparing vaccinated and unvaccinated populations. (Hasn’t been done.)
    4. Several generational studies examining the lifetime health and generational health of those who have been vaccinated and those who have not been vaccinated. (Hasn’t ever been done.)
    5. Independent studies investigating the multiple interacting factors, both short- and long-term synergistic effects of the current vaccine schedule in large samples. (Also never been done.)
    6. Research exploring the effects of bioaccumulation over time and its impact on neurological functions.
    7. This is a big one: Genetic research studying susceptibility to vaccine injuries so we have better data to “do no harm.” (MTHFR gene mutation for example are highly susceptible to adverse effects.)
    8. Go beyond the surface for autism and vaccine links and look into the genetics specifically of different populations.Especially when studies already show that African American children and the Somali populations in the U.S. and abroad have higher rates of autism. The CDC already does their Community Report on autism every 4 years or so, but they need to continue to do research on why it is, not only reporting what is.
    9. Environmental studies — how do different environments shape susceptibility to adverse effects.
    10. Research showing no correlation to autoimmune diseases. (There are SO many linked possible side effects that need to be explored with intensity.)
    11. Safe adjuvants (for all vaccines) and safe cell substrates (for live virus vaccines). Both of which would need to undergo individual testing using the gold standard double blind randomized saline placebo. And the testing would need to be carried on long term at least 10-15 years before marketing the vaccine so any late effects (especially cancer, diabetes and other autoimmune illnesses ) could be studied.
    12. Testing every vaccine for safe amounts of adjuvant for different patient weights, (applying the same standards other drugs are subject to.)
    13. Studies that show repeatedly that an IgG inoculation (blood born) increases an IgA (gut born immunity) response safely. (Because science can rarely prove…the results or findings merely suggest.)

***

Again, this is just for starters.

As the saying goes, “When is the best time to plant a tree? 50 years ago. When is the next best time? Today.”

Let’s get at this research, folks.

Call for independent research.

Investigate.

Find out who funds every study that the news outlets share (both mainstream and independent news outlets!), look at the researchers and see if they are transparent with their lenses. Do they disclose their conflicts of interest?

What was their research question? What was the population or sample size? What method(s) of data collection did they choose? What types of data analysis did they include and not include? How are they measuring reliability and validity?

In what culture of inquiry did they ground their study? What is their axiology? Ontology? Epistemology?

These questions are Basic Research 101. (Thanks to my my research professors in graduate school who taught us to discern sound research principles and held us to a higher standard for good reason.)

Because good science ALWAYS invites questions and scrutiny.

When the science is solid and ethical, it invites questions and it will hold up to simple and intense questions.

But if the science is shaky or a result of poor study design and weak ethics, it will bully those who ask questions and censor those who do.

It’s easy to make conclusions from a headline.

It’s easier to trust those who have been paid or financially rewarded or propped up by the industry with a false sense of legitimacy.

But science is not about what’s easy or comfortable. It’s about continually searching. And searching again. And again.

That is the purpose and definition of Re-Search.*

Don’t even take my word for it. Research and discern for yourself every topic. Because we all need to be good researchers and good consumers of research. And above all, teachable.

So let’s stay curious, friends.

 

*From the Latin meaning “again and again” or “back” and from the Old French meaning “to seek out, to search closely.” Dictionary.com and Online Etymological Dictionary

Photo credit: Hans-Peter Gauster

The Unexplored Faith in Ken Burns’s ‘The Mayo Clinic’ (Christianity Today article)

The Unexplored Faith in Ken Burns’s ‘The Mayo Clinic’

Image: Courtesy of Saint Mary’s Hospital Archives, Rochester, MN / PBS

This is an article I wrote for ChristianityToday.com, which first appeared on October 4, 2018. 

An immigrant doctor. A deadly 1883 tornado. And the unlikely partnership of a determined Franciscan Sister who had a vision from God to build a world-renowned hospital and the agnostic English physician who championed Darwin.

“How have I not heard this incredible story until now?!” I wondered during my first visit to the Mayo Clinic in Rochester, Minnesota, during a cold week in February 2010.

It had all the makings of a movie.

Clearly, Ken Burns felt the same way.

The prolific documentarian, captivated by the story while a Mayo patient, captures 150 years of Mayo Clinic history and stories in two hours in his latest film, The Mayo Clinic: Faith-Hope-Science.

As a Minnesotan living an hour from the top-ranked hospital system in the US, I’ve visited what has become a medical mecca for patients from 50 states and 150 countries on numerous occasions, supporting family members undergoing surgery and tests.

Having seen all 29 of Burns’s films, I was thrilled to see this distinctly American—and dare I say, Minnesotan—story, told by “America’s Storyteller” for a national audience on PBS last week. While unable to compete with the epic length of The Civil WarBaseball, or JazzThe Mayo Clinic flows like an expression of gratitude, a praiseworthy hat tip from the filmmaker.

Backed by Burns’s teams, talent and toolkit, the film unpacks Mayo’s remarkable origin story and its enduring legacy of faith and science—a union guided both by the primary value the elder Dr. William Worrall Mayo instilled in his sons: “The needs of the patient come first,” along with the Sisters of St. Francis who taught nurses “to treat every patient like Jesus Christ.”

What about the patients’ faith?

While the film sheds light on the role of faith from the influence of the Sisters, it did not explore how the faith of patients may play a role in their journey and outcomes. (It is only hinted at in a story of a pregnant patient with eye cancer who declined elective termination.)

Roger Frisch, a patient whose brain surgery experience at Mayo is featured in the film, said….

Read the rest of the article at Christianity Today

Eastern vs. Western Medicine: Is One More “Christian” or “Scientific” or Neither?

body massage

“You have to be careful using ‘Eastern’ medicine as a Christian.”

Sigh.

I’ve heard variations of that statement throughout the years. And it still puzzles me.

But since I know the emotion behind the question is fear based on unexamined assumptions (for one, that you don’t have to be careful using Western medicine?), rather than react, I take the time to respond, sharing a perspective that most people I meet have not considered.

So here’s what I usually say:

Yes, it IS true every person needs to use discernment and wisdom when making decisions (not only those exclusive to medicine).

But let’s say, for example, that you are an Asian man or woman who has grown up in China and the predominant medical paradigm in your culture is Traditional Chinese Medicine. So you grew up with modalities like herbs, acupuncture, Tui na (a form of Chinese massage), cupping and more.

The practitioners test your pulse and check your tongue to diagnose what organ system may need support to help your body heal.

This is normal medicine to you. And it works.

Now let’s say you become a follower of Jesus.

And one day you develop a terrible headache. Or you have trouble with your gallbladder. Or you hurt your back lifting boxes.

As an Asian Christian, what kind of healthcare do you seek out now?

If you are a Christian in Asia, is it ok to still use acupuncture?

Of course it is!

In fact, it may surprise my fellow U.S. Christians that some Asian Christians are wary of our Western medical system because it is rooted in materialism—which elevates the physical over the spiritual.

In 2004, Kin-sang Cheng published an article* in the The Journal of Theologies and Cultures in Asia, a periodical that explores Asian approaches to theology.

In the article he quotes from a Chinese article published by a pastoral periodical in Hong Kong:

“On the one hand, it is said that as Christians, we ought to be cautious about some healing methods in the alternative healing movement but on the other, we should not take Western medicine based on materialism as the only orthodox [sic] and should not give up other healing methods.”

Because “other healing methods” rooted in other paradigms and cultures bring rich healing tools and perspectives that Western medicine lacks, and vice versa.

In one of my favorite non-fiction books, The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors and the Collision of Two Culturesthe Hmong mother explains with the help of a translator that she doesn’t want to give the drugs to her young daughter because “it changes the child’s spirit.”

I won’t unpack the immense implications of that statement in this post.

I only share it here because one of the mindsets that flabbergasts me about my fellow Christians is how many have never chosen to examine their own assumptions about the Western, individualistic, materialistic culture.

The worldview of Westerners (and I was raised in this too!) in general seems to be that the Western allopathic model of healthcare is the only “legitimate” or “orthodox” medical system.

And I’ve also come across Christians who regard Western medicine as somehow the most “Christian” option, simply because it’s comfortable and familiar and the cultural paradigm in which they were raised.

But Western medicine is no more or no less Christian than any form of medicine based in Eastern cultures.

Western medicine has just had better PR at hiding its spiritual roots behind an intellectual spirit.

Many believers and non-believers alike make the mistake of confusing “Western” as “spiritually neutral” and the only “scientific” paradigm.

For all its innovations and life-saving measures (for which I am grateful), Western medicine, in my view, is still in its know-it-all teenage years when compared to the “elders” in the healthcare systems of humanity, such as Ayurveda and Traditional Chinese Medicine (including acupuncture).

These time-proven modalities embrace a more holistic, whole-person, energetic or metaphysical approach that understands our spirit, soul and body cannot be dissected and fractured.

Not only is the foot bone connected to the knee bone and the thigh bone, but it’s also interconnected with your mind, your emotions and your spirit! 

Many medical paradigms can be life-giving when at their best and operating in their proper contexts (Western medicine is excellent with acute emergencies. Holistic and Eastern medicine shine with chronic health issues and preventative/wellness care.)

So let’s be intellectually honest! And remember 3 things: 

  1. All medical systems formed outside of the Garden of Eden. So none of them are perfect and ALL of them are in need of redemption.
  2. All medicine has spiritual roots, whether they are embraced or silenced.
  3. Therefore, ALL of our health choices and decisions require discernment.

Thanks for reading! I’d love to hear your thoughts in a comment below. 

Sources:

Cheng, K. (2004). De-construction of new age movement and holistic health movement. The Journal of Theologies and Cultures in Asia, 3, 121–154.

Photo by Antonika Chanel on Unsplash

The 2 New Healthcare-Related TV Series I’m Excited to Watch—and Why

I admit, I’m not a big TV watcher.

But I DO love documentaries and anything in the health, history, smart political genre.

Think The West Wing, or health documentaries like Food, Inc. and Food Fight.

My all-time favorite documentaries are from “America’s Storyteller” Ken Burns.

I have seen Every. Single. One. of his productions over the past several years because no one can unpack history and inspire us and move us quite like Ken.

So that brings me to the first TV series I’m excited about this Fall 2018 Season:

1. The Mayo Clinic 

As a Minnesotan, I probably know the most about Mayo ahead of time out of any topic Ken Burns has covered.

I have been there numerous times to support my mom when she going through health challenges, and to be with my sister in her appointments there. I enjoy being a tour guide and navigator for new people and telling them about the history along the way.

I look forward to how he tells the history and enduring legacy of the Mayo men and the Sisters, since without them and that darn tornado, we may not have the most famous clinic in the world!

I look forward to how he tells the story of the Mayo men and the Sisters, since without them and that darn tornado, we may not have the most famous clinic in the world!

The second new TV series I’m super excited about is one I only found out about a few weeks ago when the trailer hit social media:

2. New Amsterdam 

A new series that appears to tackle head on that the healthcare system’s emperor has no clothes? By a doctor unafraid to challenge the status quo?

A series that suggests what we all know: that the healthcare system itself is broken and we need to be the change we want to see? A show that presents some human stories of hope for change?

Count me in!

Now let me say this.

Does the U.S. have good emergency care in an acute crisis?

Yes, absolutely. We need those heroic healthcare professionals!

If you get in a major car crash or break a limb or face an emergency health crisis like the one my mom did that brought her to Mayo, you want a good medical team and a good surgeon!

But sadly too many people end their journey there and don’t know there is more to health and healthcare than painkillers and medical technology. That there are other less-invasive and effective options to activate your healing in ways that work WITH your spirit, soul and body after you’ve faced a trauma.

The time-proven holistic health, functional medicine, wellness-minded models that pull from thousands of years of multiple healing toolkits and multiple paradigms are needed at the healthcare table, too.

We need the wisdom of these disciplines.

We need these doctors and practitioners and coaches at the table—people who aim to activate wellness not just manage disease!—to address the bioindividuality of each person and help people truly reclaim their health and live vibrant lives.

Because this country does NOT just have a healthCARE system crisis, we have a health crisis.

And trying to “fix” a bleeding healthcare system with the bandaid of different insurance delivery methods may help for awhile, but it can never fix the ruptured artery that is the actual health crisis.

For that, we need to stop marginalizing the “elders” of humanity’s health care just because they didn’t originate in the U.S. or fit a Western reductionist paradigm.

We need to welcome other ways of knowing, other proven ways of healing, other equally legitimate paradigms of healing that address the roots of dis-ease—NOT only the leaves of the tree (aka symptoms) and finally teach nutrition and holistic thinking to doctors medical schools AND children in elementary schools so the latter need fewer visits in adulthood to the former! 

Ever since The (racist, sexist and highly discriminatory) Flexner Report of 1910, the U.S. medical industrial complex has become really good at picking off leaves, selling you the fertilizer and calling it healthcare. (But that’s a story for another post, another day. 🙂

I don’t know if New Amsterdam will really address all of this.

But from what I’ve seen so far, it may be a giant leap in the right direction to start a new conversation around health, healing and healthcare in this country!

And I look forward to taking part.

A TV doctor who creates a controversy for the purpose of bringing life and humanity into healing again for better patient and health outcomes is one I want to support.

What about you? Will you be tuning in to either of these? Let me know in the comments below what YOU are looking forward to.