Trust Me, I’m A Witchdoctor
Via Mr Muldoon, a peek into the comment pages of the Guardian, where Ms Ngaree Blow attempts to sell the merits of prehistoric healing:
Healthcare systems in Australia that are considered “mainstream” are fundamentally colonial organisations: designed, established and informed by Western paradigms and biomedical models of care.
Going with what works and works reliably. How very dare those damned colonials. With their Western paradigms.
At present, the norm is those who will fit within the constraints of the Western worldview of health… Ultimately, this results in a health system which is not fit for purpose,
The term fit for purpose is one to keep in mind. But first, some self-flattery – the urge to self-inflate being a Guardian staple:
First Peoples are the antithesis of colonial; we are inherently disruptive to how the healthcare system (and many other systems in fact) operate in Australia… As a doctor, I have embraced disruption and have chosen to reject conventional medical training pathways.
How terribly daring. With other people’s wellbeing.
Our disruption has historically been, and continues to be, rejected by the mainstream.
Intimations of victimhood being another Guardian staple. Apparently, modern medical science, with its oppressive Western paradigms, is insufficiently deferential to “our ways of knowing, being and doing.” We must, says Ms Blow, “embrace all knowledge systems.”
Our unique lens, which views health as holistic and all-encompassing, has often been ignored or worse, considered inferior, as evidenced by a lack of traditional practices in these services.
Well, not everyone is happy trusting their recovery to healing songs and delusions of aboriginal sorcery, and there’s only so much you can achieve by pushing crushed witchetty grubs into a person’s ear. Likewise, the restorative properties of bush dung, as used in many of the practices invoked by Ms Blow – those “ways of knowing” – are somewhat unclear.
With a glorious lack of irony, Ms Blow then denounces “outdated approaches to health” and insists that medical treatment must be “culturally appropriate.” If not, one assumes, optimal or even efficacious. Still, if patients aren’t recovering as rapidly as one might hope, or indeed recovering at all, at least those Western paradigms will be “decolonised” and righteously disrupted:
There has never been a more exciting time to be disruptive.
A term Ms Blow deploys no fewer than eleven times. Possibly hinting at her priorities.
Update, via the comments:
Ms Blow also deploys the buzzword ‘equity’, discussed here recently, and enthuses about its potential as a “disruptive innovation”:
Equity of ideas or worldviews of health and wellbeing should have mutual respect, without hierarchy of knowledge systems.
Medicine must, we’re told, “incorporate” aboriginal beliefs – and without hierarchy. And so, doctors and surgeons should pretend that all worldviews, however primitive and dysfunctional, are somehow equal in their merits and medical effectiveness. An equally valid use of time and resources.
But despite attempts to romanticise aboriginal medicine, the persistent differences in health and lifespan rather speak for themselves. If aboriginal approaches, untainted by “colonial organisations,” are so praiseworthy and desirable, one wonders why aboriginal people suffer from alarming rates of diabetes, cancer, tuberculosis, chlamydia and any number of other afflictions – from cardiovascular problems to hearing loss and disastrous oral hygiene. And the less contact they have with the “biomedical models” that so offend Ms Blow, the more pronounced the disparities seem to be. Being “disruptive” and “the antithesis of colonial” doesn’t appear to be working out awfully well.
And if the primary cause of the disparities is the arrestedness of aboriginal culture, and it would seem it is, then demanding medical deference to aboriginal beliefs – in the name of “equity” and “disruption” – doesn’t sound like the best way to improve health outcomes for aboriginal people.
Ms Blow is currently employed by the University of Melbourne.
And The Gulag Archipelago eroded trust in socialism.
Eff these commissars.
which views health as holistic and all-encompassing, has often been ignored or worse, considered inferior
Now, here is where the problem lies. Because *this* is very true. And sometimes even unfortunately so. Heck, we’re even learning that leeches had more than an ignorant use way back when. And we’ve learned that sometimes when we “medicinize” a healing herb we miss some elements of value.
However, she then goes on to reject all of modernity as if it’s merely some other version of magic. (BTW, healing methods that work but not understood by the patients? Magic. Don’t work? Sorcery!) So, she fetishizes the past and “natural” medicine. And, like all fetishes, it becomes the problem, instead of an answer.
This is a massive human tendency – to perceive a problem, reject all things associated with the perceived source of the problem, and cling cult-like to the antithesis of the perceived source. Modern education has embraced it as a valid pedagogy. And so the pendulum swings – and this time sweeping all of humankind backward along with it. *smdh*
Guardian readers are fine with this, as they will never be affected (they will choose the outdated, colonial medicine), only aboriginals will suffer.
As the current reappearance of Measles is showing, that isn’t true. The poor sometimes don’t vaccinate because they lack transport etc, but a significant number of the rich no longer vaccinate because they distrust all “Western” medicine.
I bet a significant number of Guardian readers are into iridology, reiki, cupping, acupuncture etc.
However, she then goes on to reject all of modernity as if it’s merely some other version of magic.
It makes me so angry I could throw lightning at her.
Heck, we’re even learning that leeches had more than an ignorant use way back when.
No, leeches only had an ignorant use back when, or in any traditional use now*.
It is only comparatively recently that the anticoagulant properties of leech spit was found to be useful in surgical repairs such as in reattachment of digits, burns grafts, or other cases in which microvasculature is often compromised, given that local anticoagulation/anti-platlet action is often safer for the patient than systemic.
Don’t get me started on herbs, many of which (I’m looking at you St. John’s Wort) can be dangerous when used with real medicine.
*(see Hirudotherapy, the practitioners of which claim leeches can cure nigh every ailment known to man: “Medicinal Leeches applications are one of the leading Alternative & Complementary modalities in the World. – Detoxification, Rejuvenation and Blood Purification with preventive Hirudotherapy became a very popular form of natural healing.” – George Washington was unavailable for comment.)
Next time I need a hip replacement, I’ll travel down to OZ and consult on the First Peoples’ surgical techniques and recovery stats.
Health really is overrated, no? I mean it is so oppressive and colonial as a concept.
…said Ms Blow, standing to get her PICTURE taken against the polished granite tile wall of the MODERN OFFICE BUILDING.
Perhaps Ms Blow will henceforth be required to limit her consumption of medical services to those supplied by the ‘First Peoples’ thereby leaving more resources available to those of us who are sane.
Disrupt that, swampy!
.said Ms Blow, standing to get her PICTURE taken against the polished granite tile wall of the MODERN OFFICE BUILDING.
No one had the heart to tell her that the wall and the modern office building were almost certainly built by … white male imperialist oppressors.
The horror.
And for the love of God, don’t tell her who invented and built indoor plumbing.
Speaking of Australians with odd theories, this sociologist discusses “…race, gender & ableism in Joker and how to situate a critical reading in the local Australian context…”, however she is an applied sociologist, not some mere academic sociologist, so I am sure her theories are sound.
All sociology, of whatever stripe, is a joke.
Golly, lily-white Witch Lady! Give us a shout when your disruptive and decolonized First Peoples get around to inventing the wheel using their indigenous “ways of knowing, being and doing.”
Meanwhile, to protect your spiritual integrity, you need to immediately cease the cultural appropriation of wypipo’s medicine, science, technology, and language.
Related.
Related.
Gee, wouldn’t have expected a comment like that from a “democratic” socialist who supported Ralph Nader and John Kerry.
Yeah, profit, that is the reason, given the glut of sick and injured people out there, let’s prey on the healthy.
Aside from the fact that teeth can go bad in a remarkably short period of time, a full set of digital bitewings is 0.02 mSv, so you would need 2500 of them a year to reach the maximum allowable level for a radiation worker, but I guess the hyperbole gets more clicks amongst the luddites.
You know you are reaching when you have to crank up the Outrage-o-Meter by comparing a colonoscopy to a rape as other than a stale joke. Versed, BTW, is not “known as the date rape drug”, reported to have been used, yes, but Rohypnol and Ambien are the most common in the US, The reason Versed is used for conscious sedation for procedures such as colonoscopies is that it is short acting, so generally no recovery room needs, and it gives retrograde amnesia for the event.
I could spend all day on this mess; you don’t want to have a test because you are 78, don’t have it, but don’t advocate for everyone not to have access because you don’t “feel” it is necessary because of some claptrap about the tests mainly being done just for a fast buck. If that were the case, there is a hell of a lot more money to be made by not doing tests and treating big cancers than, say, nipping a polyp during a colonscopy. Of course then our author would have to kvetch about evil doctors not trying to prevent or detect disease early.
you don’t want to have a test because you are 78, don’t have it, but don’t advocate for everyone not to have access because you don’t “feel” it is necessary
Yep. I’m thinking this gal is trying along of the lines of Dr Zeke Emanuel who figures dying by 75 should be a goal. And I’m NOT buy this:
My mother-in-law died of that in 2016, at home in hospice – the end was ugly, painfilled and as uncomfortable as hell for her. Unfortunately, there is NO real screening test for it, which I would pray for cuz her own mom died of it and it has me worried for my husband.
Interestingly the conscious sedation drugs do NOT work on me, so it propofol for me – colonoscopy on the schedule in 9 days, and since I’m consenting, I reject the “rape” analogy.
In a resource constrained system, money spent on flummery is money not spent on a needed resource… For a country as huge as Australia to fritter away money on this sort of thing while having fewer MRIs/capita than Tennessee… is probably not the best health care budgeting decision making.
Well, again, despite attempts to romanticise and exaggerate aboriginal medicine – “But look, eucalyptus!” – the persistent differences in health and lifespan speak for themselves. If aboriginal approaches, untainted by “Western paradigms,” are so praiseworthy and desirable, one wonders why aboriginal people suffer from alarming rates of diabetes, cancer, tuberculosis, chlamydia and any number of other diseases and afflictions – from cardiovascular problems to hearing loss and disastrous oral hygiene. And the less contact they have with those “colonial organisations” and “biomedical models,” the more pronounced the disparities seem to be.
Being “disruptive” and “the antithesis of colonial” doesn’t appear to be working out terribly well.
Darleen, you cannot consent to it as you will be ‘under the influence’ when it happens.
Seriously though, all the best with your procedure 😊
Seriously though, all the best with your procedure
Indeed. Best of luck. I’m assuming there’ll be some kind of slideshow afterwards.
Slideshow…
A few years ago my wife had arthroscopic surgery on her shoulder. Three tiny holes, one for fluid tube to inflate the joint to get working space, one for video camera, and one for combo roto-rooter / suction tool. They gave us a DVD after. Too cool for words. But I was most amazed by a bit before surgery started, while the vidcam was laying on a sterile tray. You can clearly see the contents of a shelf at least ten feet away, even though the vidcam is normally focussed only a centimeter or so from its lens during the procedure. Maybe the presence / absence of surrounding fluid makes that difference.
Anyway, I’ll bring (better) snacks if the slideshow materializes.
Also (sigh) I too am supposed to schedule one. Not looking forward to that, no sir.
…like the orthopedist who upon receiving a diagnosis of pancreatic cancer immediately closed down his practice and went home to die in relative comfort and peace.
I’ve heard of similar cases. Just in my circle of friends, there is one who works in health and has experienced cancer both as a nurse and in her own family – she holds a similar position; after a certain age she won’t bother with tests anymore and if she gets cancer she won’t try to fight it aggressively.
And some treatments can be positively awful. Just to take an obvious example, chemotherapy can leave you sick for months. It has huge associated risks.
Would it be any wonder if medical professionals, aware of the risks and the likely outcomes, might sometimes choose to avoid treating their disease?
The relevant word there TimT is aware.
Modern medicine makes you aware, and you make your choices. Sometimes those choices aren’t great.
“Traditional” medicine makes you choose blind. Which means you might die of something that turns out to be preventable.
Yep, I’m not speaking about the original article that kickstarted the thread.
I find it striking that in some cases, those best-positioned to be aware of their condition, and to make choices – ie medical officials diagnosed with life-threatening conditions – might choose to forgo any treatment and let the disease take its course.
For schmucks like me, I hope when the time came I’d be able to have a full and thorough conversation with my doctor to know of my choices.
Releant:
https://www.youtube.com/watch?v=Nt0NcaxmGHo
Equity of ideas or worldviews of health and wellbeing should have mutual respect, without hierarchy of knowledge systems.
So the thing that doesn’t work (or makes it worse) should be ‘respected’ as much as the actual cure? Very progressive.
So the thing that doesn’t work (or makes it worse) should be ‘respected’ as much as the actual cure? Very progressive.
Well, quite. Because we mustn’t have a “hierarchy of knowledge systems.” But if the primary cause of the health disparities is the arrestedness of aboriginal culture, and it would seem it is, then demanding medical deference to aboriginal beliefs – in the name of “equity” and “disruption” – doesn’t sound like the best way to improve health outcomes for aboriginal people.
Regarding the doctor and others with cancer who want to get on the proverbial ice floe and drift off from the village, let me address a couple of points brought up.
True enough, depending on the cancer and the chemo, but the ultimate associated benefit is not being dead, which brings us to:
The tale of the orthopod notwithstanding, and having been amongst them most of my adult life, I’ve never even heard of a doc who forewent treatment of a cancer. The flip side of our friend on the ice floe, anecdotal as it may be, is the case of one I know who statistically should have been dead 20+ years ago from a particularly aggressive and late diagnosed brand but who has undergone so many courses of chemo and surgeries for mets and complications, I have lost count of each, yet despite the miseries of chemo, agonies of surgical recovery, and debilitation of the disease itself, the doc is as mentally sharp and feisty as ever, and when the inevitable time for more chemo and/or surgery comes will continue to raise a middle finger to Herr Reaper.
That having been said, if your time comes, and you are not getting the info you need to make your own informed decision, go to another doctor, it is your life, and if doc A is cheesed because you go to doc B, oh well, he can sulk.
Regardless, the thing is, if you do nothing you know what is going to happen, chemo and/or surgery might make you miserable for a while (not everyone gets the full package insert of side effects) but extend your life quite a bit – even if it is pancreatic short of stage III or higher.
Darleen – there is screening available for familial pancreatic cancer that include MRIs and endoscopic ultrasound, with genetic testing still in development.
Well, quite. Because we mustn’t have a “hierarchy of knowledge systems.”
Funny how the leftists who rail against “hierarchies” all want to impose hierarchies of power with themselves at the top and us under the boot.
One reason for the compulsive urge to test and screen and monitor is profit, and this is especially true in the United States, with its heavily private and often for-profit health system
I’m inclined to agree, to a very, very qualified degree, with this. The colonoscopies and such, especially for people such as myself whose family histories (though always at an advanced age) justify it. But there are risks with some of these tests that the medical system tries to pretend isn’t there. I can’t help but suspect that repeated sedations my mother had for two cancer surgeries near the end hastened the onset of her dementia. Not that the surgeries weren’t well worth the risk but I think there’s a lot that isn’t being questioned in this regard. I also see a lot of people going in for back surgeries and similar where the slightly better (if that, sometimes worse) outcome was never worthy of the risk and where weight management would have likely been a much better option. Similar with bariatric or wtf it’s called stomach surgeries to help with weight loss.
While the medical profession and medical science is far superior to this witchdoctor BS, as someone indicated above the biological science on which some of it is based is highly questionable. And especially the obsession with diet and even in some cases exercise (when taken to extremes), it’s not like medical science, through it’s arrogance, hasn’t set itself up for much of the criticism, warranted and not, that it is receiving today.
One reason for the compulsive urge to test and screen and monitor is profit, and this is especially true in the United States, with its heavily private and often for-profit health system
That is just typical socialist “gimme free health care” garbage. Disease is more expensive, and would thus generate more revenue, than testing and prevention. Period. Cost, for example, to the patient of a PSA, about 20 bucks (of which the doc may see 2*, the lab get to keep 5 after costs), cost of prostate surgery low 5 to low 6 figures depending on where you are and what stage it is. It is the same across the board.
I don’t doubt there are a few docs who perform needless procedures to make an extra buck or order superfluous tests because they are unsure of themselves (I have known a couple), but they are the exception, and every profession has a few unscrupulous – except lawyers, politicians, and actors, where they are the rule, not the exception.
…as someone indicated above the biological science on which some of it is based is highly questionable.
If by questionable, you mean constantly evolving, yes. The difference between medical research (above the biochemical/cellular level) and chemistry and physics, is that individual people are much more intrinsically variable, and subject to extrinsic variables, than molecules and atoms (and if you want to get into questionable, let’s look at what theory of physics past basic mechanics is in fashion on any given day). The fact is that there are differences between the sexes, races, people who live in Maine vs. Texas vs. France, old vs. young, and so on, so yeah, reproducibility can be an issue, as can getting sample sizes, and the gamut of stuff one needs to conduct research on people. Chemistry research goes wrong – oh, well, start over, medical – “yeah, sorry about arm growing out of your forehead” just quite isn’t the same.
*(less the material cost for blood tubes and phlebotomy equipment)
I don’t doubt there are a few docs who perform needless procedures to make an extra buck or order superfluous tests because they are unsure of themselves
Or protect themselves from lawsuits – many of them of “you followed protocol but I still don’t like the outcome” variety.
there is screening available for familial pancreatic cancer that include MRIs and endoscopic ultrasound, with genetic testing still in development.
Thanks for the info. It just would be nice if there was a simpler, non-invasive, way of testing.
[ Cough ] Slideshow. [ Cough ]
Or protect themselves from lawsuits…
That too. Regarding the testing, part of the problem is that given its location, physical exam is nigh impossible so you need something else. An MRI is non-invasive (and open ones for the claustophobics), and they have other stuff in the works, the problem is that you have to find some kind of marker so you can develop a test with high enough sensitivity and specificity to be reliable across all populations (blacks, for instance, have a 25% higher incidence than wypipo, and Asians lower still).
Speaking of questionable science, the entire world is warming faster than the rest of the world.
Scroll through the whole twit – fun for the whole family, but as St. Greta would say “How dare you”.
So, has Ms. Ngaree Blow incorporated any Lucumi healing practices (part of Santeria) yet? How about traditional Cherokee practice?* Why is she engaged in suppressing the other ethno-medicine practices?
*I would gladly send Ms. Elizabeth Warren to Australia for consultation. As long as she stays there.
Medicine must, we’re told, “incorporate” aboriginal beliefs.
Yet despite that, another slap in the face to the various Disruptive Indigenous Medical™ practitioners, the 2019 Nobel Prize in medicine is awarded to three wypipo, and yte males at that. I’ll bet they stole all their knowledge from the itinerant indigenous healers of the Andes who are used to working at high altitudes and the reduced oxygen up there. Yte supremacy will do that every damn time.
I can’t even.
Or protect themselves from lawsuits – many of them of “you followed protocol but I still don’t like the outcome” variety.
Much is made of the problems with health care prices in the US. The state of Texas experimented with a change in the law several years back: they capped damages for “pain and suffering” at $250K. The actual reward amounts for malpractice resulting in loss of life and limb are actually fairly low; they’re determined by actuarial tables. The state-lottery-sized payouts come from “emotional damages”.
There was an interesting ripple effect: since malpractice payouts went way down, doctors ordered fewer unnecessary tests (which they’d been doing to prove they’d done everything possible). Overall costs of treatment of routine ailments went way down. With total financial risk reduced, malpractice insurance likewise became much cheaper; the result was that doctors who previously would only work for a large hospital that could afford group malpractice insurance were able to carry individual malpractcie insurance, and so many doctors migrated out to the smaller towns to practice general/family medicine. For many rural areas, this was the first time they’d had a doctor in the region for decades.
I’m given to understand that the other half of the problem is that individual states are permitted to individually regulate insurance, with the result that health insurance companies have to incorporate and operate discretely in each state. This prevents insurance companies from operating nationwide, exploiting economies of scale and competing with a larger field.
Medicine must, we’re told, “incorporate” aboriginal beliefs.
Wouldn’t that be cultural appropriation?
I’m confused.
Wouldn’t that be cultural appropriation?
It would indeed! This is why it’s so imperative that our government health ministries get busy hiring Authentic People of Indigineity to augment the treatment options available to the hoi polloi. It just wouldn’t be Fair or Equitable if we were to allow a bunch of wypipo to practice or offer advice that their Western training has left them ill-qualified to understand.
Fortunately, Ms. Blow and her compatriots have a credentialing body all ready to start sending appropriate candidates to the ministries. For a modest fee, of course!
Medicine must, we’re told, “incorporate” aboriginal beliefs.
Put me down as a hard no for subincision.
Speaking of cultural appropriation, this from Ecuador.
David, you might consider this frozen treat for behind the bar when the Hump Fat runs low.
this from Ecuador.
[opens travel wish list, deletes “Ecuador”]
Come to think of it, it might work just as well with Hamster. I believe I’ve seen one running loose behind the bar.
C’mon Darleen, Ecuador is great!
Where else can you attend a huge weekend market crammed into the streets around the government buildings, where numerous conveniently placed niches house federal cops armed with Streetsweeper shotguns?
Gave me a warm and fuzzy, I tell you!
But, then there was that annoying cholera pandemic.
Put me right off the raw ceviche.
(A chronic, sad, and totally unnecessary cause of death, since oral rehydration is so easy. Sad sad sad.)
it might work just as well with Hamster. I believe I’ve seen one running loose behind the bar.
They keep down the beetles.
Reminds me of an old joke from the medical profession:
Q: “What do you call alternative medicine that works?”
A: “Medicine”
[opens travel wish list, deletes “Ecuador”]
Having worked this summer to raise funds for a family fleeing to Ecuador from Venezuela, I really don’t think that a couple of weird flavors of ice cream is going to cause them to reconsider their decision.
…I really don’t think that a couple of weird flavors of ice cream is going to cause them to reconsider their decision.
Indeed, it is no doubt a step up from Rata Asada and Selección de Dumpster.
To be fair, gnawing on a tree bark to treat malaria has been found to be efficacious, if that bark is from a cinchona tree. That was the only known cure for malaria, before quinine was isolated and synthesized from that bark.
Of course, once that was known, it became standardized medicine. All I am saying is, don’t necessarily put down gnawing on a tree bark a priori.