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	<title>Comments on: Special Challenges of Science-Based Veterinary Medicine</title>
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	<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/</link>
	<description>A Vet Takes a Science-Based Look at Complementary and Alternative Medicine</description>
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		<title>By: zahirul</title>
		<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/comment-page-1/#comment-43216</link>
		<dc:creator>zahirul</dc:creator>
		<pubDate>Wed, 09 Nov 2011 17:18:19 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=548#comment-43216</guid>
		<description>Greetings I stumbled on your blog by mistake when i was searching Live search for this concern, I need to tell you your website is quite useful I also seriously like the design, it is great!</description>
		<content:encoded><![CDATA[<p>Greetings I stumbled on your blog by mistake when i was searching Live search for this concern, I need to tell you your website is quite useful I also seriously like the design, it is great!</p>
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		<title>By: art malernee dvm</title>
		<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/comment-page-1/#comment-3626</link>
		<dc:creator>art malernee dvm</dc:creator>
		<pubDate>Mon, 09 Aug 2010 12:46:16 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=548#comment-3626</guid>
		<description>Art would undoubtedly say simple greed is another factor, and I can’t say he’s wrong, though I’m not convinced it’s as powerful or pervasive motive for not challenging CAM as some of the others.&gt;&gt;&gt;&gt;

What we need is a online BS meter so we can tell who is really BS-ing who.  

 Paul Pion on 04/30/2002 10:50:47 am ET Art,Here you go again -- full of BS --


art malernee dvm
fla lic 1820</description>
		<content:encoded><![CDATA[<p>Art would undoubtedly say simple greed is another factor, and I can’t say he’s wrong, though I’m not convinced it’s as powerful or pervasive motive for not challenging CAM as some of the others.&gt;&gt;&gt;&gt;</p>
<p>What we need is a online BS meter so we can tell who is really BS-ing who.  </p>
<p> Paul Pion on 04/30/2002 10:50:47 am ET Art,Here you go again &#8212; full of BS &#8211;</p>
<p>art malernee dvm<br />
fla lic 1820</p>
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		<title>By: skeptvet</title>
		<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/comment-page-1/#comment-3598</link>
		<dc:creator>skeptvet</dc:creator>
		<pubDate>Sun, 08 Aug 2010 20:45:31 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=548#comment-3598</guid>
		<description>Sorry I haven&#039;t been involved much in this discussion. I&#039;ve been out of town and (gasp!) without Internet access for the last week. 

v.t.,

I think there is a big problem with the vet profession no challenging the legitimacy of CAM. I have plenty of theories about why, but I don&#039;t have any real data, and I doubt there is a single, simple answer. On an individual level, many vets are neutral on the merits of the approaches, taking the all-too-common &quot;Well, it might or might not work but at least it&#039;s harmless&quot; attitude. They are simply too overwhelmed, apathetic, or lazy to look into whether or not their assumptions about safetu and possible efficacy are true. 
And, as you say, explaining to a client why chiropractic is not going to help their dog when the client uses it themselves and believes it works is an unpleasant task. I have such conversations with clients every day, but I understand why other vets may simply find it too uncomfortable or draining to tilt at the windmills I have chosen to battle.
As a profession, our lobbies and organizations, particularly the AVMA, don&#039;t have the will or the motivation to try and supervise in any way the scientific legitimacy of the therapies individual doctors employ. For one thing, there are enough believers and fence sitters that as a practical matter you could never push through any policies with teeth on CAM therapies. And ultimately, AVMA is more concerned with protecting the profession&#039;s turf than getting involved in controversial campaigns against CAM. And let&#039;s not forget what happened to the AMA when they took on the chiropractors decades ago-a stiging defeat in a restraint-of-trade lawsuit that sucked the force right out of any notion that doctors&#039; organizations could try to control what was or was not considered legitimate medicine. 
Art would undoubtedly say simple greed is another factor, and I can&#039;t say he&#039;s wrong, though I&#039;m not convinced it&#039;s as powerful or pervasive motive for not challenging CAM as some of the others.</description>
		<content:encoded><![CDATA[<p>Sorry I haven&#8217;t been involved much in this discussion. I&#8217;ve been out of town and (gasp!) without Internet access for the last week. </p>
<p>v.t.,</p>
<p>I think there is a big problem with the vet profession no challenging the legitimacy of CAM. I have plenty of theories about why, but I don&#8217;t have any real data, and I doubt there is a single, simple answer. On an individual level, many vets are neutral on the merits of the approaches, taking the all-too-common &#8220;Well, it might or might not work but at least it&#8217;s harmless&#8221; attitude. They are simply too overwhelmed, apathetic, or lazy to look into whether or not their assumptions about safetu and possible efficacy are true.<br />
And, as you say, explaining to a client why chiropractic is not going to help their dog when the client uses it themselves and believes it works is an unpleasant task. I have such conversations with clients every day, but I understand why other vets may simply find it too uncomfortable or draining to tilt at the windmills I have chosen to battle.<br />
As a profession, our lobbies and organizations, particularly the AVMA, don&#8217;t have the will or the motivation to try and supervise in any way the scientific legitimacy of the therapies individual doctors employ. For one thing, there are enough believers and fence sitters that as a practical matter you could never push through any policies with teeth on CAM therapies. And ultimately, AVMA is more concerned with protecting the profession&#8217;s turf than getting involved in controversial campaigns against CAM. And let&#8217;s not forget what happened to the AMA when they took on the chiropractors decades ago-a stiging defeat in a restraint-of-trade lawsuit that sucked the force right out of any notion that doctors&#8217; organizations could try to control what was or was not considered legitimate medicine.<br />
Art would undoubtedly say simple greed is another factor, and I can&#8217;t say he&#8217;s wrong, though I&#8217;m not convinced it&#8217;s as powerful or pervasive motive for not challenging CAM as some of the others.</p>
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		<title>By: art malernee dvm</title>
		<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/comment-page-1/#comment-3463</link>
		<dc:creator>art malernee dvm</dc:creator>
		<pubDate>Thu, 05 Aug 2010 15:58:04 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=548#comment-3463</guid>
		<description>art malernee dvm says: 
Your comment is awaiting moderation. 
August 3, 2010 at 4:44 am 

if the Aug3 post of mine does not pass moderation in the next few days those wanting to read what I posted can find it on this webpage using the google Sidewiki software
see
http://www.google.com/sidewiki/intl/en/index-chrome.html#tbbrand=
art malernee dvm
fla lic 1820</description>
		<content:encoded><![CDATA[<p>art malernee dvm says:<br />
Your comment is awaiting moderation.<br />
August 3, 2010 at 4:44 am </p>
<p>if the Aug3 post of mine does not pass moderation in the next few days those wanting to read what I posted can find it on this webpage using the google Sidewiki software<br />
see<br />
<a href="http://www.google.com/sidewiki/intl/en/index-chrome.html#tbbrand=" rel="nofollow">http://www.google.com/sidewiki/intl/en/index-chrome.html#tbbrand=</a><br />
art malernee dvm<br />
fla lic 1820</p>
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		<title>By: art malernee dvm</title>
		<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/comment-page-1/#comment-3374</link>
		<dc:creator>art malernee dvm</dc:creator>
		<pubDate>Tue, 03 Aug 2010 11:44:42 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=548#comment-3374</guid>
		<description>Some science based reporter needs to develop a list of SBM/EBM vets who were kicked off the Altvetskept list and interview them about getting the boot from Philip Johnson before they all die. 
see
Subj:	Altvetskept list 	
Date:	11/13/02 10:56:12 AM Eastern Standard Time	
From:	johnsonpj@missouri.edu	
To:	artjamie@aol.com	
Sent from the Internet (Details)	
	


Dear 

The altvetskept list was conceived and is maintained by members of the
veterinary medical Profession. Although the list is &quot;open&quot; to ANYONE for
discussion pertaining to the SUBJECT NATURE for which the list was set up,
we are not prepared to tolerate irrelevant and on-going posts of a nature
that is unnecessarily abusive to either our profession or other members of
the list.

You have repeatedly used our list to make your point about vaccines,
however, you have also used the list as a forum to make unsubstantiated and
abusive allegations about members of the veterinary profession.  In
addition, you have elected to ignore specific requests to elucidate your
positions and/or for evidence to support your allegations.

One of the primary goals of this list has been and continues to be to
emphasize that medical/veterinary medical &quot;claims&quot; are well supported by
evidence and that those people making &quot;claims&quot; should be required to called
to task to support them (and not simply ignore requests for specific
clarification).  This can be done without resorting to attacks on your
colleagues, and without repetitive posts about what you feel list members
should or should not do.  Please advise if you are prepared to submit your
posts for review prior to seeing them on the list for a probationary period,
otherwise, we appreciate your interest but regret that you cannot abide by
rules of list decorum.



Sincerely,
Philip Johnson
On behalf of the
Management of the ALTVETSKEPT-LIST

Art Malernee dvm
fla lic 1820</description>
		<content:encoded><![CDATA[<p>Some science based reporter needs to develop a list of SBM/EBM vets who were kicked off the Altvetskept list and interview them about getting the boot from Philip Johnson before they all die.<br />
see<br />
Subj:	Altvetskept list<br />
Date:	11/13/02 10:56:12 AM Eastern Standard Time<br />
From:	<a href="mailto:johnsonpj@missouri.edu">johnsonpj@missouri.edu</a><br />
To:	<a href="mailto:artjamie@aol.com">artjamie@aol.com</a><br />
Sent from the Internet (Details)	</p>
<p>Dear </p>
<p>The altvetskept list was conceived and is maintained by members of the<br />
veterinary medical Profession. Although the list is &#8220;open&#8221; to ANYONE for<br />
discussion pertaining to the SUBJECT NATURE for which the list was set up,<br />
we are not prepared to tolerate irrelevant and on-going posts of a nature<br />
that is unnecessarily abusive to either our profession or other members of<br />
the list.</p>
<p>You have repeatedly used our list to make your point about vaccines,<br />
however, you have also used the list as a forum to make unsubstantiated and<br />
abusive allegations about members of the veterinary profession.  In<br />
addition, you have elected to ignore specific requests to elucidate your<br />
positions and/or for evidence to support your allegations.</p>
<p>One of the primary goals of this list has been and continues to be to<br />
emphasize that medical/veterinary medical &#8220;claims&#8221; are well supported by<br />
evidence and that those people making &#8220;claims&#8221; should be required to called<br />
to task to support them (and not simply ignore requests for specific<br />
clarification).  This can be done without resorting to attacks on your<br />
colleagues, and without repetitive posts about what you feel list members<br />
should or should not do.  Please advise if you are prepared to submit your<br />
posts for review prior to seeing them on the list for a probationary period,<br />
otherwise, we appreciate your interest but regret that you cannot abide by<br />
rules of list decorum.</p>
<p>Sincerely,<br />
Philip Johnson<br />
On behalf of the<br />
Management of the ALTVETSKEPT-LIST</p>
<p>Art Malernee dvm<br />
fla lic 1820</p>
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		<title>By: Bartimaeus</title>
		<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/comment-page-1/#comment-3360</link>
		<dc:creator>Bartimaeus</dc:creator>
		<pubDate>Tue, 03 Aug 2010 01:38:44 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=548#comment-3360</guid>
		<description>I think he mentioned it on the altvetskept listserv a while back when The Skept Vet was having a discussion with Dr. Pion about stem cell therapies.</description>
		<content:encoded><![CDATA[<p>I think he mentioned it on the altvetskept listserv a while back when The Skept Vet was having a discussion with Dr. Pion about stem cell therapies.</p>
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		<title>By: art malernee dvm</title>
		<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/comment-page-1/#comment-3359</link>
		<dc:creator>art malernee dvm</dc:creator>
		<pubDate>Tue, 03 Aug 2010 01:07:38 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=548#comment-3359</guid>
		<description>I believe David Ramey was asked to leave VIN &gt;&gt;&gt;&gt;&gt;

That does not surprise me but I cannot find any of Dr Ramey&#039;s post about that in my files. Some science based reporter needs to develop a list of SBM/EBM vets who were kicked off VIN and interview them about getting the boot from Paul Pion before they all die.</description>
		<content:encoded><![CDATA[<p>I believe David Ramey was asked to leave VIN &gt;&gt;&gt;&gt;&gt;</p>
<p>That does not surprise me but I cannot find any of Dr Ramey&#8217;s post about that in my files. Some science based reporter needs to develop a list of SBM/EBM vets who were kicked off VIN and interview them about getting the boot from Paul Pion before they all die.</p>
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		<title>By: v.t.</title>
		<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/comment-page-1/#comment-3248</link>
		<dc:creator>v.t.</dc:creator>
		<pubDate>Fri, 30 Jul 2010 22:56:19 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=548#comment-3248</guid>
		<description>Bartimaeus, thank you for taking the time to explain in greater detail, I appreciate it.  I still like you :)

And you&#039;re right, I&#039;m not naive to believe my little neck of the woods is special, nor am I, but just wanted to share that there ARE indeed EBM, SBM-minded, critical thinking techs out there!  The VIN section for techs I mentioned was just an example of how far out there things can get though, without any supervision, challenge, oversight.  To hear them, you would think they were practicing without their employers&#039; knowledge, now that&#039;s a scary thought.</description>
		<content:encoded><![CDATA[<p>Bartimaeus, thank you for taking the time to explain in greater detail, I appreciate it.  I still like you <img src='http://skeptvet.com/Blog/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
<p>And you&#8217;re right, I&#8217;m not naive to believe my little neck of the woods is special, nor am I, but just wanted to share that there ARE indeed EBM, SBM-minded, critical thinking techs out there!  The VIN section for techs I mentioned was just an example of how far out there things can get though, without any supervision, challenge, oversight.  To hear them, you would think they were practicing without their employers&#8217; knowledge, now that&#8217;s a scary thought.</p>
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		<title>By: Bartimaeus</title>
		<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/comment-page-1/#comment-3247</link>
		<dc:creator>Bartimaeus</dc:creator>
		<pubDate>Fri, 30 Jul 2010 22:25:21 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=548#comment-3247</guid>
		<description>@v.t. I did not mean to suggest that all veterinary assistants/techs are so inclined, but in my area, and many other small towns/rural areas, many of them are trained on the job and often have no other formal training to compare what their employer is telling them with. They often are not provided with any CE or other resources by their employers either. Some vets actively discourage any questioning of their ideas. There are certainly exceptions to this, and the problem may not be as widespread as my personal experiences might indicate.
I agree that this is the fault of the veterinarians at question, not the assistants/techs, and my point was more that a veterinarian who does not want to think critically about his or her practice and knowledge can create an environment where he is seldom challenged. Perhaps the CAM section of VIN is another example of this on a larger scale. At any rate, my comment was not meant as a reflection on the many well trained and competent techs that do exist out there, and there is more opportunity now than in the past for self education. 
Personally I was quite dissatisfied with VIN and canceled my membership after letting the management know why. I believe David Ramey was asked to leave VIN after questioning the experts as well. I suspect that some of the management of VIN are possibly somewhat of believers, if not in CAM then in the money associated with CAM. This is another aspect of the institutionalization of CAM that bothers all of us in this discussion. The financial aspects of CAM in veterinary medicine and the related politics are a complex issue, and there are very few voices speaking out against it at this point, so we are easy to ignore. At the last big veterinary conference I was at, I had a discussion with two old classmates who I consider friends, but apparently politely questioning the efficacy of acupuncture offended them and I haven&#039;t heard from them since. That does not mean I will quit speaking out, but at this point the science and evidence based veterinary community is fairly easy to ignore when desired.</description>
		<content:encoded><![CDATA[<p>@v.t. I did not mean to suggest that all veterinary assistants/techs are so inclined, but in my area, and many other small towns/rural areas, many of them are trained on the job and often have no other formal training to compare what their employer is telling them with. They often are not provided with any CE or other resources by their employers either. Some vets actively discourage any questioning of their ideas. There are certainly exceptions to this, and the problem may not be as widespread as my personal experiences might indicate.<br />
I agree that this is the fault of the veterinarians at question, not the assistants/techs, and my point was more that a veterinarian who does not want to think critically about his or her practice and knowledge can create an environment where he is seldom challenged. Perhaps the CAM section of VIN is another example of this on a larger scale. At any rate, my comment was not meant as a reflection on the many well trained and competent techs that do exist out there, and there is more opportunity now than in the past for self education.<br />
Personally I was quite dissatisfied with VIN and canceled my membership after letting the management know why. I believe David Ramey was asked to leave VIN after questioning the experts as well. I suspect that some of the management of VIN are possibly somewhat of believers, if not in CAM then in the money associated with CAM. This is another aspect of the institutionalization of CAM that bothers all of us in this discussion. The financial aspects of CAM in veterinary medicine and the related politics are a complex issue, and there are very few voices speaking out against it at this point, so we are easy to ignore. At the last big veterinary conference I was at, I had a discussion with two old classmates who I consider friends, but apparently politely questioning the efficacy of acupuncture offended them and I haven&#8217;t heard from them since. That does not mean I will quit speaking out, but at this point the science and evidence based veterinary community is fairly easy to ignore when desired.</p>
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		<title>By: v.t.</title>
		<link>http://skeptvet.com/Blog/2010/07/special-challenges-of-science-based-veterinary-medicine/comment-page-1/#comment-3246</link>
		<dc:creator>v.t.</dc:creator>
		<pubDate>Fri, 30 Jul 2010 22:06:51 +0000</pubDate>
		<guid isPermaLink="false">http://skeptvet.com/Blog/?p=548#comment-3246</guid>
		<description>Thanks for that, Art.  I miss Bob :(</description>
		<content:encoded><![CDATA[<p>Thanks for that, Art.  I miss Bob <img src='http://skeptvet.com/Blog/wp-includes/images/smilies/icon_sad.gif' alt=':(' class='wp-smiley' /> </p>
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