Category: Blog

A Parent’s Guide to Complementary and Integrative Medicine

What does your alternative medicine provider think?

How does he or she heal what ails you?

In other words, what’s really behind the idea or philosophy behind what makes their techniques ‘work?’

“…there’s no such thing as conventional or alternative or complementary or integrative or holistic medicine. There’s only medicine that works and medicine that doesn’t.”

Paul Offit on Do You Believe in Magic?

Does it matter to you that the concept of innate intelligence of chiropractic “is derived directly from the occult practices of another era?”

Does it matter to you that following their bad advice might have deadly consequences?

A Parent’s Guide to Complementary and Integrative Medicine

You may think that it doesn’t matter how something works, as long as it works, right?

Unfortunately, these treatments have not been proven to work and sometimes do real harm to folks, especially when they have serious illnesses and skip using traditional treatments that could have really helped them.

Acupuncture – a practitioner of acupuncture “heals” by inserting needles along specific meridians to unblock your child’s qi (chi) or life force. Can also be done without needles (acupressure), with practitioners applying physical pressure to acupuncture points to clear blockages in specific meridians

A patient being
A patient being “treated” with acupuncture. Photo by Jaap Buijs (CC by 2.0)
Aromatherapy – invented in 1937 by Rene- Maurice Gattefosse, aromatherapy uses essential oils or “naturally extracted aromatic essences from plants to balance, harmonize and promote the health of body, mind and spirit.” How do essential oils work? They help to “unify physiological, psychological and spiritual processes to enhance an individual’s innate healing process.” Is that what you are doing when you use essential oils?

See the diffuser? Know that many folks who use essential oils also sell them...
See the diffuser? Know that many folks who recommend essential oils also sell them…
Ayurveda – with origins in ancient India, practitioners believe that imbalances in three elemental substances (which are made up of five classical elements – earth, water, fire, air and ether) can cause disease, as they lead to excess or deficiency in one of three forces – vata, kapha, and pitta.

Not only is will they likely not work, your Ayurvedic medicine may also contain lead, mercury, or arsenic...
Not only will they likely not work, your Ayurvedic medicine may also contain lead, mercury, or arsenic…
Traditional Chinese medicine – includes the use of herbal medicines, tai chi, and acupuncture, etc., and is rooted in Taoism and based on keeping yin and yang in harmony, the five elements (water, wood, fire, earth, and metal), and qi – a vital energy that flows through your body.

Like Ayurveda, Traditional Chinese Medicine is based on the five elements, which create disease when they unbalance your yin and yang.
Like Ayurveda, Traditional Chinese Medicine is based on five elements (interestingly, they are a different set of five elements), which create disease when they unbalance your yin and yang (vs the three forces of Ayurveda).
Chiropractic – chiropractic subluxations interfere with our innate intelligence that works to keep us healthy and our ability to heal ourselves. Daniel David Palmer, a magnetic healer, discovered this when he adjusted and “healed” a partially deaf janitor in Iowa in 1895. It is important to note that these chiropractic subluxations are usually not visible on xray, unlike true spinal subluxations. Like other alternative providers, chiropractors have  vertebral subluxation and nerve charts that they think map to specific areas and parts of our bodies.

I doubled checked my copy of Gray's Anatomy, and our nervous system and the things it supplies don't look like this. The gall bladder, for example, is supplied by the vagus nerve (Cranial Nerve X) and the phrenic nerve (cervical nerves 3 to 5) and is not associated with the T4 vertebrae.
I doubled checked my copy of Gray’s Anatomy, and our nervous system and the things it supplies don’t look like this. The gall bladder, for example, is supplied by the vagus nerve (Cranial Nerve X) and the phrenic nerve (cervical nerves 3 to 5) and is not associated with the T4 vertebrae.
Craniosacral therapy – has to do with tides, rhythms, and flow of cerebrospinal fluid, which these practitioners think they can feel and manipulate by massaging your head. It was was developed by John Upledger, D.O. in the 1970s.

Craniosacral therapy can 'fix' autism?
Craniosacral therapy can ‘fix’ autism?
Cryotherapy – no, we aren’t talking about freezing warts, but rather whole body cryotherapy, the new trend that has hit your local strip-mall and many chiropractic offices.

A routine cryotherapy session might not be deadly, but there still isn't any evidence that it is going to help you.
A routine cryotherapy session might not be deadly, but there still isn’t any evidence that it is going to help you.
Cupping – truly an ancient practice, cupping is supposed to draw toxins out of your body. It was once combined with bloodletting.

Cupping for kids?
Cupping for kids?
Dry needling – involves sticking needles into “myofascial trigger points” in your skin to create a local twitch reflex, which is supposed to stop pain. Another ancient practice? Nope. It was invented in the 1940s. Physical therapists often learn how to do dry needling at weekend seminars.

Just because the local news pushes the latest fad, that doesn't mean that there is any evidence that it works.
Just because the local news pushes the latest fad, that doesn’t mean that there is any evidence that it works.
Electromagnetic therapy – do you believe that an imbalance of electromagnetic frequencies or fields of energy in your body is making you sick? Have you ever used a TENS unit for pain?

Same technology used by chiropractors, which is strange, since if chiropractic works, why do they need TENS?
Same technology used by chiropractors, which is strange, since if chiropractic works, why do they need TENS and stem cell therapy?
Faith healing – while there is certainly nothing wrong with praying when your child is sick, there are way too many stories of tragedies when parents rely on prayer alone.

There continue to be reports of children dying because there parents didn't get them any medical treatment for easily treated diseases.
There continue to be reports of children dying because there parents didn’t get them any medical treatment for easily treated diseases. It’s not just in Oregon and Idaho.
Herbalism – herbalism is a part of many traditional medical traditions, but many practitioners make exaggerated claims about what these herbs can do.

Gonna get your child's medicine in a herbalist shop?
Gonna get your child’s medicine in a herbalist shop? Photo by Mike Shaver (CC BY-SA 2.0)
Holistic Dentistry – use homeopathy, ozone therapy, essential oils, and other alternative therapies to take care of your whole body, not just your teeth. Many even have their own meridian tooth charts, thinking that you can map each tooth an organ in the body or a disease. And of course, they are often anti-fluoride and will want to replace any mercury fillings that you have.

Meridian tooth charts are really a thing?
Meridian tooth charts are really a thing?
Homeopathy – homeopathic medicine was created in Germany by Samuel Hahnemann in 1796. It is based on the concepts that “like cures like” and the “law of the minimum dose.” Homeopathic medicines are diluted so much, in fact, that they are said to only contain a memory of the original substance.

homeopathy
When you buy a homeopathic medicine for colic or teething or for the flu, do you understand that they only contain the memory of an active ingredient?
Holistic Pediatricians – likely panders to your fears about vaccines and incorporates many of the alternative therapies on this list, especially acupuncture, the use of essential oils, and homeopathy. Probably doesn’t take insurance, but has found a way to integrate a lot of expensive, non-evidence based testing and treatments into their practice, like meridian testing, Zyto scans, detox testing, and chelation therapy, etc.

How will your child be treated by a holistic pediatrician? Essential oils and wet socks...
How will your child be treated by a holistic pediatrician? Essential oils and wet socks…
Hypnotherapy – while maybe hypnotherapy can distract you during a painful procedure, there is less evidence that it helps treat medical and psychological problems

Show me the evidence!
Show me the evidence!
Iridology – the “science” of the iris of the eyes, a certified iridologist, by consulting an iridology chart, can diagnose your problems “based on the markings, fibers, structures, pigments and color variations in the iris which are located in specific areas”

Although it become popularized in the 1980s by an American chiropractor, iridology was actually discovered in the 19th century.
Although it become popularized in the 1980s by an American chiropractor, iridology was actually discovered in the 19th century.
Naturopathy – in addition to licensed naturopathic physicians that have to complete four years of schooling, there are also unlicensed, traditional naturopaths with much less formal education, which is why you see many using a lot of non-evidence based treatments. Naturopaths combine herbalism, homeopathy, acupuncture, IV therapy, and other alternative therapies.

It is the Nature that heals, but you pay your naturopath.
It is the Nature that heals, but you pay your naturopath.
Phrenology – developed at about the same time as homeopathy, phrenologists thought that they could tell things about a person’s personality by feeling their skull.

Is there any reason phrenology couldn't come back if practitioners could charge for treatments with an electric phrenology helmet?
Is there any reason phrenology couldn’t come back if practitioners could charge for treatments with an electric phrenology helmet?
Reflexology – although it may have its origins in ancient Egypt, modern reflexology traces itself to Dr. William H. Fitzgerald and Eunice D. Ingham in the early 20th century. Reflexologists believe that they can diagnose and cure diseases by feeling a persons feet or hands, as, the International Institute of Reflexology claims, “there are reflex areas in the feet and hands which correspond to all of the glands, organs and parts of the body.”

A foot reflexology chart to map sole zones and organs.
A foot reflexology chart to map sole zones and organs. (CC BY-SA 2.0)
Reiki – rei (universal) and ki (life energy) was introduced to Western Cultures from Japan by Hawayo Takata in the 1930s. Reiki practitioners, trained by a Reiki Master, can, according to the The International Center for Reiki Training, get “miraculous results” and Reiki is reportedly “effective in helping virtually every known illness and malady and always creates a beneficial effect.” How? Reiki is “a non-physical healing energy made up of life force energy that is guided by the Higher Intelligence, or spiritually guided life force energy. This is a functional definition as it closely parallels the experience of those who practice Reiki in that Reiki energy seems to have an intelligence of its own flowing where it is needed in the client and creating the healing conditions necessary for the individuals needs.”

As other alternative therapies, Reiki is based on your body’s innate or natural healing abilities.
As other alternative therapies, Reiki is based on your body’s innate or natural healing abilities. It has been shown that Reiki Masters can’t actually feel anyone energy field though…
Rolfing – invented in the 1920s by Dr. Ida P. Rolf, rolfing is like deep tissue massage, except that it also “aimed at improving body alignment and functioning,” to keep your body’s energy field in alignment with the gravitational field of the Earth.

Maybe it's not just your spine. Maybe your whole body is out of alignment...
Maybe it’s not just your spine. Maybe your whole body is out of alignment…
Sclerology – the belief that a practitioner can diagnose your medical problems by looking at the veins (the red lines) on the sclera (the white part of your eyes), as a sclerology chart shows you that each part of our body is represented in a different part of the sclera.

Are our bodies mapped to the iris or the sclera?
Are our bodies mapped to the iris or the sclera?
Shamanism – ancient practices, typically of indigenous people, who invoke spirits and travel to the spirit world to heal people and the community.

The Ancient Tibetans believed in Shamanism, and yet the Dalia Lama believes in modern medicine and helps vaccinate kids.
The Ancient Tibetans believed in Shamanism, and yet the Dalia Lama believes in modern medicine and helps vaccinate kids.
Shiatsu – accupressure from Japan

There is no evidence that Shiatsu has any extra benefits than a basic massage.
There is no evidence that Shiatsu has any extra benefits than a basic massage.
Shonishin – this is pediatric acupuncture, so acupuncture for little kids, but don’t worry, they don’t actually use needles…

Shonishin is needle-less acupuncture for children. So what are they actually doing?
Shonishin is needle-less acupuncture for children. So what are they actually doing?

When you go to one of these practitioners, do you really think you need help unblocking your qi, an adjustment to help your “Innate Intelligence” get unblocked, or to have your life force energy moved around?

Do their charts and maps really make any sense to you?

But these are ancient treatments, so doesn’t that mean that they must work? Many of these treatments aren’t so ancient, but were invented fairly recently.  Even those that are ancient, they have often been replaced by modern medicine in the places where they were discovered.

But many modern medicines are derived from natural substances, so doesn’t that mean herbal therapies and natural treatments can work? Sure and when they do, they become conventional medicines. It doesn’t mean that everything that is natural is a good medicine.

And it certainly does’t mean that you should try the latest fad holistic therapy on your child.

More on Complementary and Integrative Medicine for Kids

Is There Evidence for That Therapy, or No?

What do you think of when you think of alternative medicine?

“…there’s no such thing as conventional or alternative or complementary or integrative or holistic medicine. There’s only medicine that works and medicine that doesn’t. And the best way to sort it out is by carefully evaluating scientific studies – not by visiting Internet chat rooms, reading magazine articles, or talking to friends.”

Paul Offit, MD on Do You Believe in Magic

Do you think of acupuncture, Ayurveda, homeopathy, Reiki, or reflexology?

And do you wonder if they really work?

Evidence Based Medicine, or No?

Unfortunately, there are many things that parents do for which there is absolutely no evidence that they can actually help their kids.

Some parents are even encouraged to do them by well meaning pediatricians, who may not know the latest evidence about:

  • If her jaundice had been much worse, she would have gotten phototherapy, not sunlight.
    If her jaundice had been much worse, she would have gotten phototherapy, not sunlight. Photo by Vincent Iannelli, MD

    exposing jaundiced babies to sunlight – not only does it not work, unless they were in the sun all day long (this is done in some parts of the world, but under tinted windows to block UV and infrared light), it isn’t very practical and the AAP advises against it

  • changing your child’s toothbrush after they have strep throat – a study has shown it is not necessary
  • alternating Tylenol and Motrin – it isn’t necessary, promotes fever phobia, and can be dangerous if you mix up the times or dosages
  • putting kids on a BRAT diet when they have diarrhea – not necessary and doesn’t help kids get better any faster

For other therapies, your pediatrician isn’t likely to recommend them unless they are a so-called integrative or holistic pediatrician.

“Attaching the word “therapy” to the back end of an activity is an attempt to give it a status it may not deserve – and that status is subsequently used to garner insurance coverage, hospital resources, consumer patronage, and research dollars. It is also used to constrain how we think about an intervention – implying that perhaps there is some specific mechanism as work, when none need exist.”

Steven Novella on Aroma”therapy”

These non-evidence based “therapies” include:

  • acupressure – acupuncture without the needles
  • amber teething necklaces – if your baby’s amber teething necklace doesn’t seem to be doing anything, it isn’t because it’s fake and not made of genuine Baltic amber, it’s because it’s a teething necklace…
  • aromatherapy
  • chiropractic care of newborns and infants – understand that chiropractors don’t adjust real dislocations or misalignments in your spine, but instead manipulate what they think are subluxations that block the flow of energy that prevent your body’s innate ability to heal itself from working. Since these subluxations can’t be seen on xray, it makes you wonder why they chiropractors do so many xrays, doesn’t it?
  • craniosacral therapy (osteopathy) – has to do with tides and rhythms of cerebrospinal fluid, which these practitioners think they can feel and manipulate…
  • dry or wet cupping – what’s next, leeches?
  • essential oils – they don’t even smell good a lot of the times…
  • gripe water for colic
  • Oscillococcinum will not prevent flu complications.
    Oscillococcinum will not prevent flu complications.

    homeopathic “medicines” for teething, colic, gas, and the flu, etc. – do you know what’s in Oscillococcinum, the homeopathic flu medicine? It’s a mix of the pancreatic juice, liver, and heart of a duck, although it is diluted so many times, it is only the memory of those substances that remain in the little pills you take. How does that help treat your flu symptoms?

  • hyperbaric oxygen therapy – this can actually help treat folks with carbon monoxide poisoning and decompression sickness (divers), but HBOT isn’t going to help your autistic child
  • hypnosis and hypnotherapy for pain, anxiety, and insomnia – hypnosis might work as a distraction technique, but there is no good evidence beyond that
  • magic socks – please don’t make your kids wear ice-cold socks at night, either with or without first covering them with Vicks VapoRub. It’s as helpful as putting a raw, cut onion in their socks, which your shouldn’t do either…
  • magnetic field therapy – do your kids still wear one of those magnetic bracelets to “help” their balance?
  • mindfulness – while a nice idea and it may help you relax, it doesn’t have all of the health benefits that folks claim
  • restrictive and fad diets – from gluten-free diets for kids who don’t have Celiac disease to the GAPS and Gluten Free-Casein Free (GFCF) Diet, these diets don’t help, can be difficult and expensive to follow, and can be dangerous if kids don’t get all of the nutrients they need

Have you tried any of these therapies on your kids?

If you have, do you understand that they “work” by way of meridians (acupuncture), the memory of water, like cures like, and law of the minimum dose (homeopathy), energy and spinal fluid tides (craniosacral therapy), manipulating energy fields in your hands or feet (reflexology), and spiritual energy (Reiki)?

What’s the Harm of Trying Alternative Treatments?

But even if you don’t go to a holistic pediatrician that recommends any of these therapies that don’t work, does your pediatrician discourage you from trying them?

If they do, how strongly?

Do they say it isn’t going to work, so don’t do it, or do they use more permissive phrasing?

The American Academy of Pediatrics, for example, tells parents that amber teething necklaces don’t work and pose a risk for strangulation and choking, but then gives advice for “parents who choose to use these necklaces.”

Since they don’t work, why not just tell them to save their money and not use them?

Do you ever wonder, what’s the harm in using these things that don’t work?

“Rather than getting distracted by alluring rituals and elaborate pseudoscientific explanations for how they work, we should focus on maximizing the non-specific elements of the therapeutic interaction, and adding that to physiological or psychological interventions that have specific efficacy.”

Steven Novella on EMDR and Acupuncture – Selling Non-specific Effects

If your pediatrician knows that homeopathic medicines aren’t going to work, but tells you to try them if you want, what are they going to let you try next – black salve, coffee enemas, colloidal silver, dry needling, earthing, faith healing, iridology, psychic surgery, slapping, tapping, or shamanism?

In addition to kids actually being harmed by many of these alternative therapies and by missing out on real medicine that could have helped them, putting so much focus on these non-evidence based “treatments” is a waste of time and money that could go towards really helping people.

And be many of the folks who pursue and push these types of alternative treatments also push myths and propaganda about vaccines or seek to skip or delay their child’s vaccines, choosing to follow a follow a non-standard, parent-selected, delayed protection vaccine schedule that leaves their kids at risk for vaccine-preventable diseases.

Don’t be fooled.

Learn to be skeptical, stick to the evidence, and stick with medicine that works.

What to Know About Evidence Based Medicine

There is plenty of evidence that alternative therapies don’t work and can do harm. Stick with medicine that works to keep your kids safe and healthy.

More on Evidence Based Medicine

Can You Skip Your Newborn Baby’s Eye Ointment?

A lot of what happens in the delivery room and newborn nursery once your baby is born is routine.

Tragically, skipping some of this routine care, from a RhoGAM shot to the vitamin K shot and hepatitis B vaccine, is becoming standard for some anxious parents.

Some even want to skip getting the antibiotic ointment that is placed on their baby’s eyes that can help prevent ophthalmia neonatorum, which can lead to blindness.

Ophthalmia Neonatorum

Since we don’t usually think of pink eye (conjunctivitis) as a serious disease, it is likely hard to imagine that neonatal conjunctivitis (ophthalmia neonatorum) could lead to blindness. It does though – or did.

Ophthalmia neonatorum due to Gonococcus infection.
Ophthalmia neonatorum due to Gonococcus infection. (Photo by Murray McGavin CC BY 2.0)

The main cause was Neisseria gonorrhoeae, a sexually transmitted infection that could be passed to a baby when they were born. Similarly, Chlamydia trachomatis can cause ophthalmia neonatorum.

That ophthalmia neonatorum could be prevented was first discovered by a German gynecologist in 1881. Dr. Carl Siegmund Franz Credé instilled a drop of silver nitrate into a newborn’s eyes immediately after they were born and this greatly decreased the rates of infections in babies born in his hospital.

Today, erythromycin ophthalmic ointment and povidone-iodine have largely replaced the use of silver nitrate for preventing ophthalmia neonatorum, but it works on the same principle – killing any bacteria that might cause neonatal conjunctivitis, especially those that cause blindness.

Can You Skip Your Newborn Baby’s Eye Ointment?

Why skip a treatment that can prevent your baby from getting an infection that can lead to blindness?

Gonococcal ophthalmia neonatorum caused by a maternally transmitted gonococcal infection.
Gonococcal ophthalmia neonatorum caused by a maternally transmitted gonococcal infection. (Photo by CDC/ J. Pledger)

Since ophthalmia neonatorum is generally caused by gonorrhoea and chlamydia, most parents who think about skipping their baby’s eye ointment are likely fairly confident that they don’t have one of these sexually transmitted infections. And most of them will likely be right.

In fact, some countries, including Australia, the UK, Norway, Denmark, and Sweden, have stopped routine ophthalmia neonatorum prophylaxis. Some just treat those babies who are at high risk for infections, especially if they didn’t receive prenatal care or have a maternal history of STIs, etc.

In the United States, routine use of erythromycin 0.5% ophthalmic ointment within 24 hours of a baby’s birth for the prevention of ophthalmia neonatorum is still the standard of care. In fact, it is required by law in many states.

What are some of the issues to consider when thinking about skipping your baby’s eye ointment?

  • the incidence of gonorrhoea and chlamydia have been increasing in recent years and it is very possible to have these STDs without obvious symptoms
  • up to 30 to 50% of babies born to a mother with gonorrhoea or chlamydia will get neonatal conjunctivitis, even if they had a cesarean section
  • not all pregnant women are routinely tested for gonorrhoea and chlamydia
  • ophthalmia neonatorum caused by gonorrhoea or chlamydia can very quickly lead to permanent scarring and blindness
  • ophthalmia neonatorum caused by gonorrhoea or chlamydia is not as easy to treat as routine pink eye, often requiring hospitalization and systemic antibiotics
  • gonorrhoea and chlamydia aren’t the only bacteria that can cause severe neonatal conjunctivitis

Most importantly, if you are thinking about skipping your baby’s eye ointment, know that places that routinely stopped using eye ointment to prevent ophthalmia neonatorum often  saw an increased incidence of gonococcal ophthalmia, while rates remain very low in the United States.

“The annual figures for ON reported during the study period, under statutory health protection regulations, underestimated the actual occurrence of this disease by a very substantial amount.”

Dharmasena on Time trends in ophthalmia neonatorum and dacryocystitis of the newborn in England, 2000–2011: database study

And you are likely to get worried every time your baby has a little eye discharge or redness, just like parents who skip vaccines worry when their child has a fever or cough.

Since the eye ointment that is used is safe (erythromycin doesn’t cause the irritation that silver nitrate used to in the old days), why take the risk of an infection that can lead to blindness?

What to Know About Skipping Your Baby’s Eye Ointment

The use of erythromycin eye ointment after your baby is born can help to prevent a serious infection that can lead to blindness. Don’t skip it.

More on Skipping Your Baby’s Eye Ointment

New Report on Autism Rates

A new report on autism prevalence rates isn’t generating many headlines.

Why?

“There was not a statistically significant change in the prevalence of children ever diagnosed with autism spectrum disorder from 2014 to 2016.”

Zablotsky et al on Estimated Prevalence of Children With Diagnosed Developmental Disabilities in the United States, 2014–2016

While the rate seemed to increase on paper, from 2.24 to 2.76%, it was not a statistically significant change. If it had been a statistically significant change, then you could think autism rates really were increasing and the report would have made headlines beyond anti-vaccine websites.

“By trying to say that there is no significant increase, is the government hoping to reassure people that autism isn’t a significant problem? That the rising number of children with autism isn’t something that anyone has to worry about? Are they trying to avoid a panic?”

Dr. Bob Sears

As most people likely understand, the term significant is used in the report as a statistical term.

When something is found to be statistically significant, then you can be fairly confident that it wasn’t caused by chance alone.

“Significance is a statistical term that tells how sure you are that a difference or relationship exists.”

What does “statistical significance” really mean?

So by stating that “there was not a statistically significant change in the prevalence of children ever diagnosed with autism spectrum disorder,” they were not “trying to avoid a panic.” There is no conspiracy.

Unlike Dr. Bob and some others, they were simply trying to not mislead people into thinking that the change from 2.24 to 2.76% meant something that it did not.

Reports About Autism Rates

Another thing to keep in mind as you think about this report – there are multiple reports about autism prevalence rates that come out every few years.

The latest report uses National Health Interview Survey data that was collected by the National Center for Health Statistics.

Unlike the autism prevalence reports from the Autism and Developmental Disabilities Monitoring (ADDM) Network that we are used to, which reported a rate of 1 in 68 children in 2016, the NCHS reports:

  • National Health Interview Survey question about autism.
    The National Health Interview Survey question about autism.

    rely on parent reports during a telephone survey – one of the questions that they are asked is if a health professional has ever told them that their child has autism, but that diagnosis is not confirmed by looking at medical or school records

  • are prone to recall bias – parents might not accurately recall what doctors have told them in the past about their child
  • have questions that have changed over the years, for example, when PDD was added in 2014, it was thought that it might have confused some parents who didn’t know that a pervasive developmental disorder is different than a developmental disorder
  • look at lifetime prevalence

And not surprisingly, over the years, the NHIS has typically reported higher autism rates than the Autism and Developmental Disabilities Monitoring Network.

autism-rates
The NCHS autism prevalence rate reports have traditionally been higher than others.

So what does this new report on autism prevalence mean?

It means the same thing that all of the other recent reports have been saying, that autism prevalence rates seem to be unchanged.

What to Know About Autism Rates

After increasing for several years, autism rates seem to be unchanged, but that hasn’t kept anti-vaccine folks from trying to get parents to panic about changes in prevalence rates that are not statistically significant.

More on Autism Rates

Is There a Cure for Peanut Allergies?

Many parents likely got excited recently when they read about a possible cure for peanut allergies.

Peanut allergy could be cured with probiotics
Medical News Today

While these types of treatments are called cures by some people, what they do is desensitize you to peanuts, so that if you have a reaction, it is less severe. Some don’t have reactions anymore though. Probiotics were just part of the ‘cure’ though. They were paired with oral immunotherapy.

Is There a Cure for Peanut Allergies?

So is there really is a cure for peanut allergies?

I’m guessing it doesn’t matter if you call it a cure or a treatment if you have a child with a severe peanut allergy, you really just want to know if it is available for your child, right?

And again, there isn’t a simple answer.

Although it does seem like they are being used more and more, many of these treatments are still being tested, so they likely aren’t available everywhere, or in some cases, anywhere outside of a trial.

Among the treatments for peanut allergies, besides avoidance and treating anaphylactic reactions with epinephrine, you some day soon might be able to get your child with peanut allergies:

  • a wearable skin patch to provide epicutaneous immunotherapy (EPIT)  – in phase III studies
  • a pill to provide orally administered biologic immunotherapy  – in phase III studies
  • oral immunotherapy with Xolair (FASTX) – in phase II studies
  • a combination of probiotics with peanut oral immunotherapy (PPOIT)
  • sublingual immunotherapy (SLIT) – in phase III studies
  • a vaccine – in early phase I studies

How do these treatments work?

The patch is the easiest to explain. Kids simply apply a new patch that contains peanut protein on their skin each day.

Oral immunotherapy is similar, kids are exposed to peanut protein, but unlike the patch, the dose is steadily increased each day, until you read a maintenance dose, that you continue eating each day. Most of these treatments use some variation of the characterized oral desensitization immunotherapy (CODIT) method to control and maintain desensitization.

And these treatments are not just for peanuts. Similar studies are being done for eggs and milk. And theoretically, they can be done for anything that can trigger an IgE-mediated allergic reaction, from foods and medicines to environmental allergens.

The downside? In addition to side effects, in most cases, you have to continue eating the thing you are allergic to every day, otherwise your allergy might return.

So, Is There a Cure for Peanut Allergies?

While many of these treatments are promising, they are not ready for regular use in every doctor’s office.

“The aim of OIT is to administer a food allergen slowly, in small but steadily increasing doses, until the patient stops reacting to the food (termed becoming desensitized to the food). OIT studies have shown promising results, though adverse reactions are frequent and may cause significant side effects like abdominal pain, wheezing and/or diarrhea. Published data from placebo-controlled trials have shown that only 50 to 70 percent of patients attempting OIT complete desensitization, with the failures primarily due to side effects. Also, there currently are no standardized protocols or foods used in OIT and no FDA approved approach that could allow insurance to reimburse for this therapy. Thus, there are challenges with the current practice of OIT.”

FARE Statement on Oral Immunotherapy for Food Allergies

That doesn’t mean that you can’t get some of these treatments right now or overcome those challenges.

Avoiding peanuts is not always as easy as you think... Peanuts under my seat on a plane.
Avoiding peanuts is not always as easy as you think… Peanuts under my seat on a plane. Photo by Vincent Iannelli, MD

Just keep in mind that “An allergist doing OIT for patients in a private practice develops his/her own individualized protocols and uses his/her unique food preparation.”

If your child’s food allergy has led to severe stress and anxiety for your family, that might not matter though. You probably don’t want to wait anymore if there is a chance at reducing your child’s chance of having a severe, life-threatening allergic reaction.

Still, find a pediatric allergist who has a lot of experience doing private practice OIT.

On the other hand, if you are fine refilling your child’s epi-pens every year and working hard to avoid peanuts, then maybe wait until the jury comes in and we get an official recommendation and more standardized treatments become more widely available.

What Else Should You Be Doing About Food Allergies?

If you don’t do private practice OIT, then in addition to strictly avoiding the things to which your child is allergic and making sure that an epi-pen is always readily available, the latest guidelines recommend that your child have:

  • annual testing if they have a milk, egg, soy, or wheat allergy
  • testing every two to three years if they have a peanut, tree nut, fish, or shellfish allergy

Why retest?

Kids do sometimes outgrow their allergies, especially if the allergy isn’t to peanuts or tree nuts. And even for peanuts, about 20% of kids have a chance of outgrowing their allergy.

Also remember that it is now recommended that infants at high risk for peanut allergies, especially those with eczema, have an early introduction of peanut proteins, sometimes as early as four months of age.

Hopefully that will help decrease the number of kids who need these kinds of treatments in the future.

What to Know About Treating Peanut Allergies

Oral immunotherapy and some other treatments are providing new options to help kids with severe food allergies avoid life-threatening reactions.

More About Treating Peanut Allergies

Misunderstanding the Affordable Care Act and Understanding Why It Should Be Saved

If the Affordable Care Act (Obamacare) gets repealed, it likely won’t be because folks understand what it does.

The American Academy of Pediatrics is opposed to plans to repeal the ACA and wants to KeepKidsCovered.
The American Academy of Pediatrics is opposed to plans to repeal the Affordable Care Act and is working hard to #KeepKidsCovered.

It will be because many people don’t realize that they are benefiting from Obamacare or even what it really does.

Obamacare Under Attack

The Affordable Care Act has been under attack almost from the day it was enacted.

Since the original Repealing the Job-Killing Health Care Law Act, and through dozens of others, we have most recently had the:

  • Better Care Reconciliation Act
  • Obamacare Repeal and Reconciliation Act
  • Health Care Freedom Act (“Skinny” repeal)

They all failed.

The latest attempt to repeal Obamacare is the Graham-Cassidy-Heller-Johnson Bill.

Will this bill pass?

As a pediatrician, I am fearful for my patients and the uncertain future they would face under Senators Lindsey Graham (R-S.C.) and Bill Cassidy’s (R-La.) health care proposal, currently set for a vote next week in the U.S. Senate. As president of the American Academy of Pediatrics, I must speak out against this dangerous, ill-conceived policy on behalf of our 66,000 pediatrician, pediatric surgical specialist and pediatric medical subspecialist members, and stop it from advancing…

The American Academy of Pediatrics urges the Senate to oppose the Graham-Cassidy proposal, and instead turn to bipartisan solutions that are crafted in the best interest of children and families, like the Children’s Health Insurance Program and Maternal, Infant and Early Childhood Home Visiting program, which both expire next week. Pediatricians will continue to focus on the children we care for as this process unfolds, and we will not stop speaking up on their behalf until we see legislation that puts them first.

Fernando Stein, MD, FAAP, President, American Academy of Pediatrics on the AAP Statement Opposing Graham-Cassidy Health Care Proposal

Like the other bills, the Graham-Cassidy-Heller-Johnson Bill will fail if any of these organizations that have come out in opposition have anything to say and do about it:

  • American Academy of Pediatrics (AAP)
  • American Medical Association (AMA)
  • American Nurses Association
  • American Congress of Obstetricians and Gynecologists (ACOG)
  • American Academy of Family Physicians (AAFP)
  • American Osteopathic Association (AOA)
  • American Public Health Association
  • National Association of Pediatric Nurse Practitioners
  • First Focus Campaign for Children
  • Children’s Defense Fund
  • Children’s Dental Health Project
  • Family Voices
  • American Psychiatric Association
  • AARP
  • National Council for Behavioral Health
  • American Hospital Association
  • ALS Association
  • American Cancer Society Cancer Action Network
  • American Diabetes Association
  • American Heart Association
  • American Lung Association
  • Arthritis Foundation
  • Cystic Fibrosis Foundation
  • Family Voices
  • JDRF
  • Lutheran Services in America
  • March of Dimes
  • National Health Council
  • National Multiple Sclerosis Society
  • National Organization for Rare Diseases
  • Volunteers of America
  • WomenHeart

How can they pass a health law that every major health organization opposes?

“This bill contains proposals we have seen in previous bills, and we already know they would be bad for people with CF – and some cases, go even further. Graham-Cassidy would allow states to get rid of certain pre-existing condition protections, open the door to annual and lifetime coverage caps and high risk pools, and make massive cuts to Medicaid.”

Cystic Fibosis Foundation

In addition to repealing parts of the Affordable Care Act (ACA), Graham-Cassidy:

  • makes massive cuts to Medicaid
  • turns Medicaid into a block grant and caps its funding
  • ends Medicaid expansion
  • eliminates ACA’s marketplace subsidies

Graham-Cassidy should not be allowed to pass.

Add your voice to the opposition if you agree. Contact your Representative and Senators to let them know that you oppose the Graham-Cassidy ACA repeal bill.

Understanding the ACA

Most people understand that the ACA allowed many uninsured people to finally get insurance. Either with the help of tax credits, simply because the plans were available, or through the expansion of Medicaid, about 20 million have insurance because of the ACA.

What many people don’t realize is that they likely benefited from the ACA, even if they aren’t one of these 20 million people.

Some of the ACA benefits for everyone with any kind of insurance included:

  • no refusal for coverage because you have a pre-existing condition – which could include things like asthma, ADHD, anxiety, and depression or a cancer that is in remission
  • coverage for young adults so they could stay on their parent’s insurance plan until they are 26 years old, even if they are in school, working, or married
  • the elimination of annual and lifetime limits or caps – which some kids with complex health problems could reach in a single year
  • no co-pays for preventative care visits, from well-child visits and vaccines to mammograms and colonoscopies and well adult visits for men and women
  • no co-pays for breastfeeding support, supplies, and counseling
  • coverage for maternity services
  • coverage for mental health and substance abuse services
  • insurance plans can’t drop you if you get sick

Most people like those benefits.

Personally, I no longer see parents who worry about my diagnosing their child with asthma or anxiety because of how it “will look” on their insurance. And we don’t have to worry that a diagnosis of anxiety or depression won’t be covered because they have insurance that doesn’t include mental health benefits.

And, even though the Vaccines for Children program was available, it is nice knowing that insurance covers their vaccines that can protect them from life-threatening vaccine-preventable diseases.

Misunderstanding the ACA

Not realizing all of these benefits is only one way that folks misunderstand the ACA.

Are premiums under Obamacare soaring?

Actually no. Insurance premiums have gone up at slower rates for all of us than they did before Obamacare took effect!

“We have a national law that will continue to work overall, but which has some problem spots. That frames the real choice here. It is not, as Trump, McConnell, and Ryan would cynically lead the American people to believe, between repealing the ACA or coping with impending disaster. Rather, it is between repealing the law and repairing it.”

Scot Lehigh on Hard truths about Obamacare

Do some people have fewer options as some major insurers drop out of the ACA Marketplaces? Sure. But that’s still better than the zero options they likely had before the ACA when they were uninsured.

What about the idea that Obamacare is failing overall? It’s not.

What to Know About Misunderstanding the ACA

Obamacare is not failing and has helped millions of people get insurance coverage. All of the plans to repeal and replace it have been huge steps backwards that have been opposed by every major health organization.

More Information About Misunderstanding the ACA

What Is the American College of Pediatricians?

Every time you hear about or read something and quickly think to yourself, “did the American Academy of Pediatrics really say that?” – it’s almost certainly from the American College of Pediatricians.

Tucker Carlson turns to the American College of Pediatricians when he wants to take sides against transgender kids and their parents.
Tucker Carlson turns to the American College of Pediatricians when he wants to take sides against transgender kids and their parents.

The names sound alike, perhaps intentionally, but the two groups couldn’t be more different.

Who are they?

The American College of Pediatricians is basically the Bizarro World version of the American Academy of Pediatrics.

The American College of Pediatricians vs American Academy of Pediatrics

Like the Association of American Physicians and Surgeons, the American College of Pediatricians (ACPeds) pushes and promotes “misleading and incorrect” recommendations based on the ideology of their members, not using science and evidenced based medicine.

“…ACPeds was born from an ideological split within a profession. It was founded in 2002 as a protest against the much larger American Academy of Pediatrics’ support for LGBT adoption rights — and that opposition remains central to the group’s identity…

But thanks to its deceptive name — which makes it sound as if it is the mainstream professional organization for pediatricians — ACPeds often serves as a supposedly scientific source for groups pushing utter falsehoods about LGBT people.”

Southern Poverty Law Center on how the American College of Pediatricians Defames Gays and Lesbians in the Name of Protecting Children

That’s why most of the press releases and position statements from the ACPeds are against (while the AAP supports):

Michelle A. Cretella, MD, FCP (Fellow of the College of Pediatricians), the President of the American College of Pediatricians, has even praised the book Preventing Homosexuality, calling it “an invaluable resource for parents.” She is also on the Board of Directors of the National Association for Research and Therapy of Homosexuality (NARTH), a group that supports reparative or conversion therapy for homosexuals.

The American College of Pediatricians goes so far as suggesting adding a ‘P’ to LGBT acronym. No, the ‘P’  wouldn’t stand for pansexual in their world – it would stand for pedophile.

“In one sense, it could be argued that the LGBT movement is only tangentially associated with pedophilia. I see that argument, but the pushers of the movement, the activists, I think have pedophilia intrinsically woven into their agenda. It is they who need to be spoken to and against.”

American College of Pediatricians Blog on “P” for Pedophile

The American College of Pediatricians (ACPeds) is considered a fringe group and should never be confused with the mainstream American Academy of Pediatrics (AAP):

ACPeds AAP
200 to 500 members in just 47 states 66,000 members in 50 states, Puerto Rico, Washington D.C., and Canada
founded in 2002 founded in 1930
makes claims against vaccines supports vaccinating and protecting kids
supports corporal punishment by parents opposes spanking
designated as a hate group not a hate group
“The American College of Pediatricians promotes a society where all children, from the moment of their conception, are valued unselfishly. We encourage mothers, fathers and families to advance the needs of their children above their own. We expect societal forces to support the two-parent, father-mother family unit and provide for children role models of ethical character and responsible behavior.” “The American Acade​my of Pediatrics is dedicated to the principle of a meaningful and healthy life for every child. As an organization of physicians who care for infants, ​​children, adolescents, and young adults, the Aca​demy seeks to promote this goal by encouraging ​and assisting its members in their efforts to meet the overall health needs of children and youth; by providing support and counsel to others concerned with the well-being of children, their growth and development; and by serving as an advocate for children and their families within the community at large.”

Yes, the American College of Pediatricians is actually considered an active hate group by the Southern Poverty Law Center!

What to Know About the American College of Pediatricians

A fringe group of pediatricians, the American College of Pediatricians promotes misleading information based on the ideology of their very small group of members.

More About the American College of Pediatricians

 

 

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