Footscray City Primary well rid of Steiner “education”

Every word and gesture in my teaching as a whole will be permeated with religious fervour…
Such things show us that instruction and education must not come from accumulated knowledge…
What we have educated in children very naturally in a priestly way – what is really a religious devotion – we must now be able to reawaken at a higher soul level during the second stage of life…

Rudolph Steiner The essentials of education pp. 65-69

I can scarcely agree with Jewell Topsfield writing in The Maribyrnong Weekly expressing concern that parents “… at Footscray City Primary have been left reeling…” after the Education Department moved on Thursday to sack the school council and dump the First Class cult driven Steiner (or Waldorf) “education” program. But then maybe I shouldn’t be surprised because Topsfield inexplicably misleads her readers with:

… the Steiner stream, [which] emphasises learning by play rather than formal classes in the early years of school.

Ah, the “early years of school”. And who could fault “play rather than formal classes”? But is that really what’s going on in Steiner’s secretive descendent program? In brief Steinerism (Anthroposophy cult) propagates the belief that human evolution marched on with survivors from a doomed and fictitious Atlantis who inexplicably made it to other continents.

Generations survived through Persian, Greek and Egyptian civilisations – or epochs – eventually into Germanic tribes which, maintaining their Atlantean heritage culminated in the early 20th century with the Aryan civilisation as the pinnacle of human evolution. Those that survived with Atlantean heritage have largely spiritual forces of body and soul that must be “reawakened”, or developed “in the right way”. It is here that Steinerism as a belief system, a religion, and Steiner Education become inseparably entwined.

In one of his Practical Advice to Teachers lectures Steiner offered:

The subjects you teach will not be treated in the way they have been dealt with hitherto. You will … have to use them as a means with which to develop the soul and bodily forces of the individual in the right way.

Steiner teachers don’t so much reject other races, as pity their clumsy inferiority. Asians whilst ancient and wise are vitiated and cannot invent anything. African races are improperly formed, youthful and childlike. How this goes down in history or biology class – or the “narrow homogenised way of teaching” – as one Steiner parent suggested I can only guess.

Childhood development must follow an analogue of evolution as it’s viewed by Steinerism. That this is done by teaching only further blends the mystical aspects with the purported educational aspects. Steiner Cult teachings divide childhood development into 0-7, 7-14 and 14-21 years.

Thus the “early years of school”, as Topsfield so innocently puts it, is also the “second stage of life”. Whereupon the little darlings should be “able to reawaken at a higher soul level religious devotion” that cult members have drilled into them “in a priestly way”. Of course this is no run-o-the-mill reawakening. Each of these stages is under the influence of either the animal, vegetable or mineral Kingdom. Directed by the Principles of thinking, feeling and willing. Controlled by one of three body parts – head, chest and limbs.

But please spare a thought for the cultists cum teachers who must juggle this with the three Aspects of the human being – body, spirit and soul – which are further sliced by thrice into astral, etheric and physical bodies. Just as well they are experts in the art of Spiritual Science. Or rather Steiner Spiritual Science. I don’t want to get out of tri-sequence here.

On top of this they must accept that conventional science is rubbish, homeopathy is real, diabetes is treated with bee stings because, “anthroposophically logically” honeybees like sugar, the body has energy channels and fields (akin to chi, meridians and chakra) that are treatable through more pseudoscience. They are influenced by karma which comes into being by Lucifers’ effects upon their astral body. Lucifer then evokes Ahriman who effects from without, “working upon and in us by means of all that confronts us externally”. Reincarnation is real.

With all this on their mind, teachers appear to forget to inform parents of Steiner’s key revelations that he could encounter a super-sensible reality. This super sensible chap was behind ordinary objects in the world but as “a so to speak divine being” could give Steiner knowledge acquired about these everyday objects. This knowledge was, most fortuitously, secrets of their activities and existence previously revealed to the super-sensible reality. Steiner seemed to take this in his stride and later ascended through etheric and astral consciousness, eventually arriving at the karmic level.

When he ascended to the karmic level Steiner must have had a better view than from Eureka Skydeck

The karmic level must be even better than the Eureka Skydeck because from up there Steiner saw an amazing spiritual panoramic view including all recorded spiritual events in the history of the whole wide world. He probably couldn’t believe his luck, and it turned out this history had a name. The Akashic Records. Akashic is Sanskrit for “Sky” or “aether”. Through these records he could access the known history of the earth. Not his “known history” but the real known history. There were some other nifty tidbits in there as well it turned out, gleaned from clairvoyance. If anything trumps scientific fact, it’s clairvoyance.

With clairvoyance “Anthroposophists can scientifically investigate mysteries in both the spiritual and physical realms”and this is scientifically proven, not an article of faith according to Steiner teachers. Steiner knew that islands “swim in the sea”, that the Earth (nor Venus and Mercury for that matter) does not orbit the sun, but “follows it” whilst Mars, Jupiter and Saturn precede it and clearly the heart does not pump blood like scientists say, but attracts it. Sleep is “exhaling the astral body… awakening is inhaling it”, the earth is a living being and much, much more. This can be discerned through “powerful clairvoyance”.

For Spiritual Anthroposophists (fellow cultists), evolution began on the fictitious continent of Lemuria which was situated where the Indian Ocean stubbornly seems to be today. Evolution was a highly spiritual process overseen by the likes of Michael, Gabriel, Raphael, Uriel and positively assisted by other spirit beings. The Christian Trinity of the Father, Son and Holy Ghost “is a reality deeply bound up with the whole evolution of the cosmos”, Steiner wrote in 1922. On Lemuria and Atlantis, Lucifer and Ahriman respectively were the bad guys who held back evolution. Spiritual evolution.

For the mythologists out there you’ll recognise Ahriman as a principle evil doer in the Persian religion of Zoroastrianism. According to Steiner in An Outline Of Occult Science:

These two figures — Lucifer and Ahriman — must be clearly distinguished from each other. For Lucifer is a Being who detached himself from the spiritual hosts of heaven after the separation of the sun, whereas Ahriman had already broken away before the separation of the sun and is an embodiment of quite different powers.

The site Overlords of Chaos – that New World Order extravaganza – has much the same in the second paragraph on the Ahrimanic Deception, the Atlantean epoch and destruction of Atlantis and some “insight” into mans ability to manipulate the forces of air and water on Lemuria. What these deviations from Steiner’s teachings and work show us is that Steiner did not break entirely new ground.

Rather, Steiner mixed junk science with ancient mythology that actually went very well with the Aryan supremacy theories of the early 1900’s and the German Nationalist Socialist movement of the 1920’s. Although I rush to add there is no link to Nazism. Steiner’s views on Aryan supremacy were spiritual, not material and benign not malevolent. His schools were closed down by the Nazi party. At the time many Anthroposophists in Germany headed to Switzerland. Dornach, Switzerland was the location of 26 of Steiner’s 38 fabled Esoteric Lessons, allowing entrance into his First Class Cult. Hitler did persecute Theosophists, Freemasons, and Rosicrucians also, arguably as surety against threats to Nazi rule.

Steiner was accused by Hitler of being a tool of the Jews. Other sources claim he was murdered by the Thule Society. Nonetheless, there were secret lodges and occult societies aplenty in Germany in the early 1920’s. The secrecy of Steiner’s First Class Cult happenings is demonstrably impervious even today, though online texts exist (sorry about the eye zap). But persecution and quaint secrecy relate exclusively to the past. Today the realities of multiculturalism have had an eroding impact on attendee genealogy, if not Steiner philosophy.

Spiritual teachings include the belief that Lucifer caused a volcanic destruction of Lemuria ending the Lemurian epoch. The strongest survived and settled on fabled Atlantis. Here they developed a superior and intuitive grasp of the environment and speech. As hinted at above, their nemesis here was Ahriman who sought to lure them toward the material from the spiritual and intuitive. Still today criticism of a material understanding of the world or education remains and plays a major role as to why parents have little say in their childs’ education. Put bluntly, Steiner education is about stomping out critical thought before it takes hold.

As Roger Rawlings writes in My Experience As A Waldorf Student, about a discussion with his Steiner teacher:

Once he asked me whether he should fire the school’s Latin teacher, and he quickly added “Don’t think about it with your brain”—I should give an instinctive response, not a considered reply. (Which raises the question, what organ should be used for thinking, if not the brain?)

Whilst Steiner’s notions on the linguistic meaning of speech are insightful, valid and at times fascinating, the religious and mystical overtones of his teaching are inescapable. From his first Practical Advice For Teachers lecture:

We could ask why these things are as yet not included in science, even though they offer real practical help. The reason is that we are still working out what is necessary for the fifth post-Atlantean age, especially in terms of education. If you accept that speech in this sense indicates something inward in the vowels and something external in the consonants, you will find it very easy to create images for the consonants.

You will no longer need the pictures I will give you in the next few lectures; you will be able to make your own and establish an inner connection with the children. This is much better than merely adopting an outer image. In this way we recognize speech as a relationship between the human being and the cosmos. On our own as human beings, we would merely remain astonished, but our relationship with the cosmos invokes sounds from our astonishment.

Speaking of making sounds from astonishment. During Atlantean times man could command the creative forces of plant (vegetable), animal and mineral kingdoms, which is mirrored in Steiner Education of children – perhaps your children – today. It was Ahriman the second distinct incarnation of evil, who gradually misled some inhabitants of Atlantis to misuse the power of Earth and Water which led to the divine powers of Nature flooding Atlantis in a particularly nasty storm. So it was that the Atlantean epoch ended and the Persian, Egyptian, Indian, Hebrew, etc epochs followed, right up until the Germanic epoch.

Rudolf Steiner’s Anthroposophy is a religion in every way and should not be tolerated in a serious education system. Fixation with the numbers three and seven is plainly religious. Avoiding the wearing of dark colours is a Steiner religious expression relating to dark forces and the dark side of humanity. The “play” we hear of in place of “lessons” is nothing of the sort. It is designed to avoid structure, reasoning, choice, calculating cause and effect, or indeed any materially oriented activity.

Rather it’s a primitive “play” to reinforce the supposed intuitive correlates to the latent Atlantean self and thus “reawaken” the Atlantean powers as dictated by this religious cult. The most famous are the watery paint blobs kids churn out. Designed to expunge the thought, care and even correction needed to apply straight lines and geometric thinking that children develop with traditional drawing, painting helps to tap into the “forces” of body and soul.

As you may have noticed selling an evidence base for this hanky panky is a big ask. Showing a bit of flare even Scientologists must admire, Melbourne’s Rudolf Steiner School dodges Australian Government guidelines. Although controversial, all schools are to make publically available the performance of their students. This includes the percentage of students meeting reading, writing, spelling and numeracy skills for years 3, 5, 7 and 9. Amongst a cornucopia of feelgood cuddly wuddly spiritual warmth, the Rudolf Steiner School response (item 6) is:

As 98% of parents chose to remove their children from participation in these tests, it did not allow for a large enough sample to be indicative of the School’s Performance. Therefore results are not available.

So what’s the score? Given all the above, Victorians can be grateful for the Education Department action in removing what I confidently predict (without any Steiner clairvoyance) was a school council heavily weighted in favour of psuedoscience and religion dressed up as education. Simple cult observance.

Children are fairly robust and can sort silly parental views from the real world with remarkable skill. Still, that there is such a strong and vibrant abuse of our education guidelines, thus Victorian children, played out in Steiner annexes and at the main campus in Warranwood is concerning. Perhaps the Department should extend its reach.

Clearly Steiner education is designed to propagate religious beliefs. Parents are given no say in their childrens’ “education” under the Steiner banner. Steiner School curricula cannot possibly comply with Government regulations. The inherent racism in Steiner’s teachings are manifest. We need to accept that Waldorf schools hide the truth of their extreme religion from education authorities and prospective recruits alike. In respect of the previous point Steiner Education is to be regarded as a cult.

Yet more specifically is the High Court definition of a religion given in Victoria October 27, 1983 during the Scientology case. Church of New Faith vs Commissioner of Pay-Roll Tax:

We would therefore hold that, for the purposes of the law, the criteria of religion are twofold: first, belief in a supernatural Being, Thing or Principle; and second, the acceptance of canons of conduct in order to give effect to that belief… Those criteria may vary in their comparative importance, and there may be a different intensity of belief or of acceptance of canons of conduct among religions or among the adherents to a religion. The tenets of a religion may give primacy to one particular belief or to one particular canon of conduct. [….]

According to this legal definition Steiner Education, which follows on from and is presented strictly as relevant to a system of belief as outlined above, is clearly a religion.

Steiner education is anti-science and certainly anti-critical thought. Anthroposophy itself offers a non evidence based, completely ineffective alternative to medicine. The inherent dangers of these practices and the thinking it nurtures are well documented. To allow expansion of such illusory beliefs and high risk conduct under the watch of any Education Department, state or federal, is patently irresponsible.

More so, the volume of work produced by Rudolph Steiner goes far beyond belief and ritual to a universal and “cosmic” world view that at it’s heart is demonstrably void of any grounding in reality whatsoever. It is fantasy. Our education system should teach fantasy as fantasy, not permit our corridors of learning to be used for the telling of fables palmed off as fact. The growth of this new age cult belief in adults is at variance to, and an unwelcome intrusion upon, the natural development and educational needs of children.

Any parent who spends some time understanding the purpose of Steiner Education would no doubt, to borrow Jewell Topsfield’s phrase, be left reeling.

Blackmores, Pharmacy Guild saving face

Last we visited the Blackmores, Guild Alliance there were serious doubts about evidence from Blackmores or understanding from the Guild.

Not much has changed on admitting fault, even with the removal of the Gold Cross endorsement. Which, by the way, was the fault of “ill informed and inflammatory” media reporting leading us goofy consumers to exhibit a “strong level of public concern”. I wonder where the Guild gets off trying this one on. There’s something missing from this sudden awakening in which “the Guild has listened to these concerns and accepts – mutually with Blackmores… to withdraw the endorsement arrangement”.

For example the AMA, according to president Steve Hambleton, considered the deal “outrageous” and that, “There’s no place for commercial interference in the clinical decision making of the pharmacist”. This was and is reflected in GP’s responses, including some writing notes with scripts to not include the “companion range”. Professor Paul Glasziou, director of Bond University’s centre for research in evidence-based practice had, on ABC, called Blackmores’ bluff on supporting evidence.

Chemist Warehouse had publically and loudly protested, promising to not participate in the deal. “Our pharmacists recommendations are not for sale” and “Professionals Practicing Professionally” stated their defiant flyer. Ouch!

Many individual pharmacists were, to put it mildly, infuriated and appalled at the Guild’s total stuff up which effected the integrity of all pharmacists.

Stuart Baker, a pharmacist from Western Victoria quit the Guild in protest. In view of the decision to drop the Gold Cross endorsement he still won’t be returning. Damage done there it seems. In light of the Guild’s inability to accept responsibility for such poor decision making the damage could be both more widespread and persistent.

Jane McCredie recently wrote in MJA Insight:

PHARMACISTS have long felt like the poor relations in the broader family of health professionals when it comes to status and respect, if not monetary reward.

In recent years, their representative bodies have lobbied for expanded prescribing rights, for recognition of their role as front-line “clinicians” and against allowing pharmacies in supermarkets for fear this would undermine the quality of health care provided.

It’s going to be a lot harder to make those arguments convincingly in the wake of the spectacularly ill advised deal between the Pharmacy Guild and Blackmores that created such a media furore last week.

October 5th saw the Pharmacist Coalition call on the Guild to dump the scheme. AusPharm News reported in part:

The Pharmacist Coalition for Health Reform (PCHR) has called on the Pharmacy Guild of Australia to axe their deal with Blackmores, following the Guild’s admission that the computer prompts to upsell dietary supplements were a pilot only and would be reviewed.

PCHR spokesperson and Chief Executive Officer of the Association of Professional Engineers, Scientists and Managers, Australia (APESMA), Chris Walton, said that pharmacists had rejected the deal and it was now time for the Pharmacy Guild to scrap the pilot. “A Pharmacist Coalition poll of over 460 people has shown that 94 per cent of community members, including pharmacists and pharmacists-in-training, disagree with the Blackmores’ deal and believe ‘it undermines the professionalism of pharmacists’.

“This has been further supported by The Age online poll which revealed that of over 2,000 voters, 94 per cent do not approve of the ‘Pharmacy Guild of Australia’s deal with Blackmores to recommend Blackmore’s supplements’. [….] PCHR spokesperson and Chief Executive Officer of The Society of Hospital Pharmacists of Australia (SHPA), Yvonne Allinson said The Pharmacy Guild has lost credibility and a failure to scrap the pilot would damage their reputation further.

Gold Cross is a fully owned subsidiary of the Guild. Now that the Gold Cross endorsement has been cancelled their logo, if you like, won’t appear on Blackmores companion range. Nor will the pilot project of software prompts at point of sale go ahead. The decision was “made in conjunction with Blackmores”.

The mutual decision has been taken in view of the strong level of public concern about the proposal, based on some media reporting of the endorsement which was ill-informed and inflammatory.

The last thing the Guild would ever want to do is deplete the credibility of community pharmacists, or damage the trust in which they are held by Australians. That trust and confidence is of paramount importance to the Guild and to our Members. The Gold Cross endorsement arrangement with Blackmores was entered in good faith, with absolutely no intention of undermining the professionalism and integrity of participating pharmacists. [….]

Additionally, an optional prompt containing clinical information for the patient to consider in relation to one product of the Companions range was to be available through the dispensary IT programs, on a pilot basis. The software pilot was not intended to commence until at least November, and will now not proceed.

Chris Walton CEO of APESMA Pharmacist division said in response:

This is a pathetic back down by an out of touch organization. The Guild has been dragged kicking and screaming to the decision and still will not take responsibility. They describe their decision to enter the deal as one made in good faith. Good faith must now be code for a bag of coin.

The profession should never forget that the Guild was willing to trade on the good reputation of pharmacists for commercial gain. While the same people are in charge why would we ever trust them again. Any pretence that they represent the pharmacy profession is over.

Still insisting that the “need for these natural health supplements for some consumers is underpinned by a body of scientific evidence”, Blackmores released a statement also with soothing noises about having listened. But they go one further and point out the “considerable confusion” in waking up to their scam. Hmmm. Perhaps they have a supplement for that? Either way, also from October 5th:

We have listened to the feedback on the Companions range and it is apparent that there is considerable confusion regarding the positioning of this range which we believe is detracting from the potential underlying benefit of these products to consumers.

As a result, and following discussions with Gold Cross, Blackmores will remove the Gold Cross endorsement from the four products, we will not feature these products on the proposed IT dispensary software and we will update the product names to reflect the key ingredients, under the Companions brand.

Blackmores have published research on their professional page for “health professionals” which is well summarised here. I suspect in response to the NPS review of evidence to sustain (cough) claims made in defence of the “companion range”. Christine Holgate opens her heart here about “misconstrued” information and accurate representation of “integrity”. Basically, it’s all good and they’re doing Aussies a favour. No, really.

All up, it’s rather shameful. The Guild haven’t in effect admitted being at fault. At most they seem to grudgingly admit to a type of PR blunder. Blackmores is sticking to it’s guns pleading misunderstanding on the part of the public and a raft of health professionals. Marcus Blackmore bemoaned that a full scale assault on complementary medicines had grown out of the same misunderstanding. ABC have a comprehensive write up with audio and video.

Jane McCredie finished her MJA Insight article in style:

The Pharmaceutical Society of Australia is due to release a new code of ethics for its members — along with a vision for the profession’s future — at its annual conference later this week. It would be nice to think that code might require pharmacists to disclose the level of evidence for any non-prescription medication they sell — hardly an unreasonable demand of people who want to be recognised as clinicians.

I’m imagining the conversations now if this code is implemented. Pharmacists selling homoeopathic remedies will be required to tell each and every customer: “There’s not a skerrick of evidence this works, but if you want to throw your money away…”

Therein lies the very source of the problem. Blackmores’ deal stood out because it officiated upselling and would have included entirely unwarranted prompts. Both the Guild and Blackmores knew it to be a grab for money. So did everybody else. Yet pharmacists do recommend and sell junk to consumers. Assistants do little if anything to dissuade from spontaneous buying.

Doctors will testify to patients at times admitting to taking large amounts of useless supplements. It’s documented that patients are reticent to admit to doctors they use alternative products. In the main doctors are missing out on vital information they need to properly treat their patients.

The only durable solution is for the TGA to move forward with sharp teeth and legislation to call CAM what it really, in the main is.

Unproven and unnecessary.

Time for Blackmores to pull that evidence out of a hat

Where are all the people dying in the street from complementary medicines?

Marcus Blackmore – September 2011

Although a seemingly innocuous if not arrogant turn of a logical fallacy called Begging The Question (and a few others as well) I was surprised at how gullible Blackmore may actually take Australians for. Four deaths in two years and 40 serious adverse reactions reported. But, not in the street to my knowledge. Forget the lead, mercury and arsenic poisoning from imported Chinese herbs.

In this case he’s trying to dismiss the vast vacuum of evidence for efficacy of Blackmores hanky panky, by confusing no medicine (or placebo) with a bad medicine. Confusing no effect with malignant effect. It’s also an inconsistent non-sequitur in that he’s applying the logic we would apply to real drugs (or consumer products under fire) to propose the absence of an outcome that by definition, cannot follow. Regardless of how you see this nonsense, it’s a pearler. It encapsulates so much of what’s wrong with regulation of alternative medicine today, in just a dozen words.

Fortunately for consumers it makes Blackmore look quite the villain. It has zero to do with the problem at hand. Namely the current Pharmacy Guild deal done during an evolving awareness of unsustainable claims and corresponding outrage. Although he hasn’t said this in response to recent criticism, he has been scathing of sound criticism, using this phrase before. More to the point it’s a taunting, if rather melodramatic version of What’s the harm? which to skeptics is a huge clanger. Professor Alastair MacLennan head of obstetrics and gynaecology at Adelaide University, cites “four harms of ‘harmless’ therapy”.

In the recent Trick or Treat article by Gary Tippet, MacLennan is summed up:

Probably most important is delay in seeking effective therapy, if there is one; increasing evidence of side effects and drug interactions, which are under-reported; a placebo effect that wears off within months and sees people ”becoming disappointed, disillusioned and depressed as they move along the health food shop counter seeking placebo after placebo”; and a multibillion-dollar industry that is a waste of the scarce health dollar, if they’re not doing any real good.

Interestingly, Marcus Blackmore’s Dirty Dozen words resonates more or less with each of those points. But back to the fallacy. Just because something isn’t doing harm doesn’t mean it’s doing good. Nor can potential benefits (such as supplements suitable for malnutrition) justify wide scale use or the – quite frankly – astonishing prices of Blackmores’ concoctions. Had he asked the question, “Where are all the people wasting money on complementary medicines?”, one could just steer him toward customer exit of any large store.

Fairfax Poll Today

Chemist Warehouse have made their position plain. But don’t abandon your trusted pharmacy/pharmacist. These guys are about slicing trade from competitors. Including (in my suburb) with the 30 plus metre aisle of junk potions bulging with Blackmores’ goods.

Their grab for the “integrity dollar” was written up today in The Age. The Life and Style section included a poll. Of note, the article continued:

However, in a sign the guild is backing away from the deal, it wrote in its latest newsletter that the Blackmores’ prompts in its computer system were a pilot only, which would be reviewed.
”Contrary to some media reports, there is no compulsion whatsoever on pharmacists to sell these products, nor is there any direct incentive to any pharmacist to sell them,” the guild’s newsletter said.

Fortunately the lack of evidence is now evident. In a great interview recently on ABC is Professor Paul Glaziou of Bond University from the Centre for Research in Evidence based practice. He went looking for and couldn’t find the evidence one would expect from Blackmores. He’s asked for them to make it available. He shouldn’t have to – nobody should be left looking for evidence here.

Or download here.

The clash of reality catching up with an industry that survives on social psychological trends such as the need to take control of ones health, distrust of pharmaceutical companies and a prevailing zeitgeist of choosing something – anything – natural in an environment we are erroneously told is highly toxic is getting louder. Marketers of this junk know this and they’ve been fighting a semantic battle against the growing doubts of efficacy, trying to head off reality at the pass.

We’ve gone from “natural”, to “alternative”, to “complementary” and now we’re getting scammed with Integrative. As though this cockypop mix of potion and ritual actually has a place waiting for it within the current model of evidence based medicine. Purveyors of naturopathy, vitamin therapy, supplemental, acupuncture, reiki, massage, kinesiology, meditation, homeopathy, chiropractic (the one stop shop for self-health sabotage) have delighted in maligning “allopathy” for years.

The paucity of evidence to defend the need for unproven products is summed up well by Dr Wendy Morrow, chief executive of the Complementary Healthcare Council:

Quite frankly, if complementary medicines didn’t work it would have been a fad that was here and gone in the blink of an eye. Their increasing use shows they’re not a fad, they do work if used appropriately, and I don’t see that people are going to stop using them.

Which could also be said about any of the useless rituals above which also come bundled with attacks on vaccination, antibiotic therapy, medication in general and ample conspiracies about “allopathy”. However, late on Friday Blackmores did publish a research summary. Bear in mind however that claims made in advertising are subject to the Therapeutic Goods Advertising Code which is something I wish to look into shortly.

Pharmacy news items reported on Monday October 3rd:

Blackmores reports that while there is evidence to suggest that some medications can affect how the body uses nutrients, this is ‘unrecognised or overlooked by many healthcare practitioners’. Blackmores says that the evidence was compiled in line with the TGA’s Levels of Evidence Guidelines for Listed products and demonstrates that ‘some prescription medicines diminish nutrients and that supplementation can improve nutritional status’, adding that the evidence for its Companion range was reviewed in consultation with ‘leading [unnamed] pharmacists’.

NPS have published Examining The Evidence and looked into each of the four “companion medicines”. They find evidence was “absent” except for the probiotic option, which was “limited”. To summarise each area:

  • Supporting evidence for using Co-enzyme Q10 with statins (none)

Evidence does not support the use of Co-enzyme Q10 to prevent myalgia (muscle pain) during treatment with a statin. No trials have shown that taking a Co-enzyme Q10 supplement with a statin prevents myalgia.

Randomised controlled trials of Co-enzyme Q10 to manage statin-associated myalgia have conflicting results and do not support routine use with statin therapy.

  • Supporting evidence for using magnesium supplements with PPI therapy (none)

Magnesium deficiency or ‘hypomagnesaemia’ has been associated with long-term use of proton pump inhibitors (PPIs). Case reports indicate that stopping the PPI is the best way to normalise magnesium levels. Taking a magnesium supplement with the PPI may not be enough to correct the magnesium deficiency.

No studies have investigated the use of a magnesium supplement to prevent magnesium deficiency during PPI therapy. A magnesium supplement should only be considered if a PPI has caused a deficiency in magnesium that requires treatment. Evidence for using a supplement with a PPI to treat magnesium deficiency is based on case reports.

  • Supporting evidence for using zinc supplements with antihypertensives (none)

Routine use of zinc supplements is unnecessary for people taking blood pressure lowering medicines (or ‘antihypertensives’). There is evidence that long-term treatment with certain types of antihypertensives may reduce zinc levels, but it is unclear how often this causes zinc deficiency.

  • Supporting evidence for using probiotics to alleviate antibiotic-associated diarrhoea (some)

There is some evidence from trials that probiotics may prevent antibiotic-associated diarrhoea in some adults and children. But limitations with the trials mean that the true effect of probiotics is uncertain, as is the most effective product or dose.

58 million prescriptions per year. Coke and fries. 90% non-compliance with regulation. No regulatory enforcement because it’s not “cost effective”. A recent audit finding the TGA has failed for decades to counter deceptive, false and misleading advertisements. If compound X is today found to be unable to make claim Y proper policing applies only to new products coming onto the market. Products already on the Australian Register of Therapeutic Goods cannot be edited.

Given what’s been leaking out about the industry and the paper tiger apathy of the TGA, it shouldn’t be surprising Blackmores’ “Coke and Fries” is geared for consumers money, not health benefits.

Floreani, Golden and the myth of homeopathic immunisation

For a mob that officially professes “no position” on vaccination the Chiroprctors’ Association of Australia disseminate ample false, misleading and quite dangerous antivaccination hanky panky.

Take CAA NSW branch vice president, Nimrod Weiner. The Weiner from Newtown Community Chiropractic whose Nimroddery was pegged as a “rant on vaccines” by The Australian. Although he feverishly ran for cover after outraging real doctors, not-a-real-doctor Weiner’s “rant” bibliography can be found here. A hodge podge of dusty conspiracy twaddle and outright lies, much from the Australian Vaccination Network it alone refutes Weiner’s claim:

I’m good at knowing how to read a research aritcle, and knowing whether it’s viable or not. I’m also good at collecting a lot of research. This vaccine topic I update every single week. So what we’re looking at is new as of yesterday morning.

He didn’t write that, but announced this to attendees of his seminar Vaccinations: An informed choice, in what can quite justifiably be called a lie. There’s more on the entire debacle along with a Radio National segment here. At times we’ve met other crackpots from the CAA. Jason Parkes and Rob Hutchings, both of whom approach their profession like a religious fundamentalist approaches taking up arms. Warren Sipser who believes vaccines cause harm yet chiropractic “repairs DNA”. Genevieve Keating is another pleasant sounding predator who specialises in convincing parents chiropractic builds super human kids. They lean toward the weird beliefs of founder Daniel David Palmer and his views on “God given energy flows”.

Sipser was the subject of an article in The Australian headed The Chiro Kids which brought home just how ludicrous (and scurrilous) the new brand of Mystical Chiropractors really are. Thanks to Dr. Rachael Dunlop we can read the CAA’s Media Release warning CAA members of that article. It’s disturbing stuff given these quacks are subsidised by our government (Medicare foots the bill for five sessions per year) and health insurers. Written by CAA national president Simon Floreani, it is a straight out attempt at damage control, obfuscation and dodging questions.

Floreani himself has run antivaccination clinics and is a member of the Australian Vaccination Network. He describes Dorey’s little fraudulent scheme as a valuable resource for patients. Simon is married to Jennifer Floreani, famous for writing an article supposedly describing (Update – as noted below the bogus article has been removed but can be found here pp. 348-349) her newborn’s battle with pertussis, picked up from an older sibling. Given the outcome and treatment the article is almost certainly fraudulent, but if perchance the diagnosis is correct then at best it is reckless neglect and at worst simple child abuse.
She writes (bold hers):

This experience did indeed test our resolve and we were forced to draw on our support network of healthcare providers. We performed chiropractic checks on our baby daily and utilised a whooping cough homeopathic. I dosed myself with an array of vitamins to boost his immunity via breast milk and kept him hydrated with constant breastfeeding.

Whooping cough is often slow to develop and may respond well to conservative management, including chiropractic, osteopathy, homeopathy, herbs, acupuncture or acupressure. Within two days, the severity of our baby’s symptoms cleared and within a two week period, each of our boys had a complete resolution of their symptoms.

Fortunately for the Floreani’s this little tale is just that – a tale and a comical one too. Every type of “conservative management” is absolutely non efficacious. Babies with pertussis gag, choke and may have profound difficulty breathing making this nonsense of super fortified breast milk as a realistic option seem laughable. More so, there’s no evidence an increase of maternal vitamin intake when breastfeeding will do anything but produce expensive maternal urine. Even more farcical is the notion of “boosting immunity” with vitamins. Either way, if their baby did have pertussis there’d be no magic recovery after two days but admission to intensive care many days later as the insanity of their hokery pokery gradually sank in. Yet, that’s not really the point.

The dangerous, deluded and unconscionable message pushed on parents here is that using your breasts, vitamins and witch doctor spells, you can clear up a potentially fatal disease within two days. It’s outrageous and a bald faced lie that I cannot even begin to comprehend the motivation for. What’s infuriating is that chiropractors exploit the confirmation bias in parents and the Floreani’s are prime examples.

Parents who believe these nonsense manipulations cure everything report that yes treatment keeps children healthy. They also report inaccurately that lapses in treatment lead to poor health. Knowing this, chiropractors are famous for setting treatment frequencies, with some even insisting on treatment contracts. That the locus lies with parental bias has been shown splendidly in trials on colic.

As we know, chiropractors claim they can “successfully treat” colic or – in their lingo – Irritable Baby Syndrome. Trials show that if parents believed their baby received chiropractic care, whether they did or did not, they reported improvement. If they believed that no chiropractic care was applied – even when it was – they reported a worsening of colic. You can catch up with Simon Floreani admitting no proper trials exist here on Lateline back in July 2009.

He’s caught out claiming injuries from neck manipulation are one in 5.85 million cases when in fact they are gauged at 1.3-5 per 100,000 manipulations, by insurer Kaiser Permanente, who refuse to cover the practice. In short Floreani is claiming instance of vertebral injury is 60 – 300 times less than it is.

On August 21st this year, a video entitled “Homeopathy evidence and research” filmed by Simon Floreani and featuring homeopath and fraud Isaac Golden, appeared on YouTube. The video below looks initially at the rise of the Mystical Chiropractors and then picks through Golden’s claims of Cuban “homeopathic immunisation” and his own so-called PhD on “homeopathic immunisation”.

When used to defend against a complaint to the TGA about homeoprophylaxis, Golden’s PhD actually helped uphold the CRP decision of misleading claims by fellow crook, Fran Sheffield. This is because even Golden admits in his thesis text that his sample was flawed in size and there was no chance of contracting infection. In short he showed nothing.

Enjoy…

Guild & Blackmores “naive money-grubbing action”

Today’s Letters to the Editor in Fairfax’s The Age offer ample criticism and no praise for the Blackmores scam (see PDF below) outlined here recently. Pharmacist and health store proprietor, Ian Collins writes;

AS A pharmacist and health store proprietor, I find the guild’s action of linking with one company a most naive and money-grubbing action. To be forced to recommend one company bringing out a new range of products, whose composition has not been widely discussed and has no track record, is beyond belief. To attempt to give all people with blood-pressure problems, no matter what the cause, one formula, ignoring all other health factors, is incomprehensible.

There are so many other products from different brands that may be more effective, products with a history of being useful; why pick this small range of untried products? Maybe the answer is that complementary medicine is basically ignored in pharmacy degrees and very few pharmacists have the knowledge to discuss or ask the relevant questions regarding complementary products.
How embarrassing for pharmacists to be caught with their hand in the till.

Prominent Mornington skeptic Graeme Hannigan writes;

I AM a health consumer and am disgusted at this agreement. If it wasn’t enough that pharmacies credulously offer such quackery as ear candles and the good old magic water of homeopathy, the agreement with Big Quacka means that any lingering vestiges of trust in pharmacies has vanished. Pharmacies are putting financial objectives well ahead of the ethical treatment of customers.
All guild pharmacies should come with a health warning and advice to customers to wash off the snake oil after visiting their pharmacy. I trust the guild will also make available the results of the peer-reviewed randomised double-blinded clinical trials of Blackmores Companion preparations so customers can make informed choices.

In a comprehensive Opinion article, Dr. Ken Harvey digs for some evidence to back this caper, finding little more than a business deal. He writes in part;

So what is the evidence to support the use of Blackmores Companions products?

Its Biotic Companion contains the probiotic strain Lactobacillus reuteri, which is claimed to reduce antibiotic-associated bloating, flatulence and diarrhoea. The risk of suffering these side-effects is relatively low. There is some evidence certain probiotics may reduce the incidence of antibiotic-associated diarrhoea in some populations, but routine use is not recommended by medical authorities. In immune-compromised patients, occasional cases have been reported where probiotic organisms have caused serious blood-stream infection.

Anti-HT Companion contains zinc gluconate to complement use of antihypertensive therapy. There are occasional reports that such therapy may lower zinc levels, but I am unaware of any independent medical authority that recommends routine zinc supplements with antihypertensive drugs.

Stat Companion contains coenzyme Q10 and vitamin D3 allegedly to support statin use. Muscle pain occurs in about one to two patients in 1000 receiving statins, especially if a high dose is used. The evidence that coenzyme Q10 and vitamin D3 can relieve statin-associated muscle pain is not clear-cut and the evidence that taking these ingredients together with statins prevents muscle symptoms is even less clear. As a result, the routine use of CoQ10 and vitamin D in statin-treated patients is not recommended.

PPI Companion contains magnesium to aid use of proton pump inhibitors. There are only occasional reports of clinically significant magnesium deficiency occurring in the many patients receiving PPI therapy. If this rare problem is diagnosed, the recommended management is to stop the PPI. Routine supplementation with magnesium for all patients on PPIs is not recommended.
The fine print of the material Blackmores provides about its products states that if a nutritional deficiency is suspected, pharmacists should refer customers to their GPs for further investigations. I agree.

When the rare person develops a nutrient deficiency on a prescription drug, the evidence-based approach is to confirm the diagnosis objectively with a blood test, case by case, and then treat accordingly. Sometimes that might mean prescribing a supplement. There is some evidence to support that.

But what the Pharmacy Guild-Blackmores arrangement implies is supplementation en masse, in the hope nutrient depletion will be prevented. I am unaware of any good evidence to support that. More importantly, this deal unnecessarily adds to the ”medication burden” and financial cost that many elderly patients already struggle with when taking multiple drugs.

Debate over the lack of evidence to justify the move as patient, not profit oriented, was also reported in Pharmacy News. CEO of APESMA, Chris Walton observed;

We are deeply concerned that pharmacists are increasingly being asked to put their expertise and professional ethics aside by pharmacy owners more interested in making money than doing what is in the best interests of their patients

Blackmores promotional material