After serious self-reflection, is there redemption for Dr. Oz?

After serious self reflection, is there redemption for Dr. Oz?

Recently, Dr. Oz has come under scrutiny for his information on a number supplements that he alleges help with weight loss. Over the past 2 years, he has presented information about 3 diet supplements: green coffee extract, raspberry ketones and garcinia cambogia. After reviewing the available information, I can not agree that there is compelling scientific information to recommend these products. I am a bit bewildered that Mehmet Oz, a very well trained cardiothoracic surgeon, currently a professor of surgery and former full-time academic physician at Columbia University, would repeatedly go out on such a limb.

Recently, our government became involved. Members of Congress raked Dr. Oz repeatedly over the hot coals, perhaps for good reason. They said that Dr. Oz misrepresented the facts, and that he should know better. Really? Our elected officials, who the Gallup polls repeatedly show that our nation does not trust, are calling Dr. Oz out? Isn’t the pot calling the kettle black? Now that is hypocrisy at it’s best. Nevertheless, I think Dr. Oz got the message. But just to be clear, Dr. Oz maintains that although he may use flowery language, he still believes in the products he presented.

So who is Dr. Oz anyway? By all accounts, both written and from three of my colleagues who know Dr. Oz well, he is a fine person and physician. You might find this article from the New Yorker; I found it fascinating. Essentially, this well-written article describes a brilliant, compassionate man who evolved from being a physician to arguably the world’s most famous physician communicator.

Physician influence and power: Do all physicians recognize their power?

I can see how Dr. Oz got into this controversial situation. I can share a similar experience in my own evolution as a physician. From the time you begin medical school, you learn, on a daily basis that you are doing serious, important work. Generally, you become keenly aware that people are interested in what you say, and that how you say it can make a difference. You learn that, at least while wearing the doctor’s white coat, you are a little different than everyone else.

Years ago, when I was training, nurses would even get up and give you their chair. That blew me away — and I stood. Hard-working nurses need their rest too. In fact, it took me a while to appreciate (it’s an evolution) that every link of the health care chain is important, not just the doctor. When I would get home after a hard long day of work, I was just Dad, or Harry, or leader of my pack of dogs — it was back to reality. That began to happen less and less for Dr. Oz; he became the LeBron James of medicine and perhaps, as a superstar, he lost his way.

So how do I feel about Dr. Oz? At various times, I was frustrated by him. At other times, I was impressed at his ability to communicate complex ideas to his audience. So yes, if you think of his story as a book, there are some chapters that, in hindsight, he would perhaps write differently, just like the rest of us.

However, if you look at the overall book, I think you can see the theme; he is trying to make the world a healthier place, and he practices what he preaches. We all know that obesity is the biggest problem in America and Dr. Oz has helped us to understand what we can do to change that. And I for one applaud that.

The consistent Oz message, obesity and America, who can argue with that?

All of you know that reaching an ideal healthy weight is something I have been talking to patients about for 27 years. And over that time, I have been refining my views on diet, exercise, sleep and stress reduction. To that end, I have been writing a book that I am hopeful will be completed by this fall. In my book, I try to make my recommendations on evidence-based medicine. But it’s not all black and white. The gray areas that I talk about come from the years of doctoring and determining what works and what does not. Nonetheless, we, as physicians, have a duty to you, the patient, to be very careful with the information in the gray areas.

The trip to the Land of Oz and the voice behind the curtain: Can we see how we portray ourselves?

Throughout our lives, we get messages. They come in many ways; some directly, some indirectly, some from painful experiences. I believe that his recent public scrutiny has really rocked Dr. Oz. I watched his facial expressions during the Congressional criticism, and I bet he realized — maybe for the first time — that he was looking like a snake-oil salesman rather than a physician. It appeared to me that he was in serious pain. Self-reflection, I believe, is the mark of a good person and physician. I think that by being called on the carpet, Dr. Oz was jolted by an image of himself that he was not entirely comfortable with. I wonder if he saw that, in his zeal to help, he may have enthusiastically misrepresented the facts. I would wager that he now understands, more than ever, his tremendous power to influence his patients: the audience.

When you self-reflect, who do you see? Do you see the same person everyone else sees? Do you remain consistent despite your audience? Does everyone else perceive you the way you perceive yourself? In the Land of Oz, the Cowardly Lion always had courage, the Tin Man always had a heart, and the Scarecrow always had a brain. We, the audience, saw that, even though each of them did not. Hence, the importance of self-reflection.

So to me, it’s still OK to follow the yellow brick road; stay tuned for a different Oz.

Harry A. Oken is an internal medicine physician. 

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  • John C. Key MD

    Self reflection is of value for all. We may disagree with Oz and some of his marketing, but he is definitely not alone. And really, are all of our high-priced, FDA-approved treatments really all that effective? Humility is helpful.

    • MarylandMD

      If you feel that in order to show appropriate humility you need to pretend that you are even close to the shameless hucksterism of Mehmet Oz, then I feel sorry for you.

      We physicians have our faults, and sometimes we don’t always have a clear sense of the science when we make our recommendations, but even the weakest physicians I work are at least **trying** to do the right thing. To me, the honest, if flawed, efforts of those decent doctors are tarnished by anyone pretending that they are in any way like Mehmet Oz.

  • http://www.amerechristian.com/ Ron Smith

    Hi, Harry.

    On the ohter hand, I think that its hard to stop being a snake-oil salesman when you’ve lost the love for the real thing. It would be a hard sell to convince me that he’s changed.

    I certainly would never quote him to a patient for anything medical that he recommends. It would be like quoting Andrew Wakefield on the latest and greatest vaccine that is out, and how he’s sure that its administration must relate to autism.

    Warmest regards,

    Ron

  • Patient Kit

    Dr Oz is a bit of an enigma to me. But, in general, except for very extreme cases, I believe that the mistakes people make and the questionable, even bad things we do, do not negate the good things we do. The good and bad co-exist in most of us grey human creatures. I don’t see why Dr Oz should be any different.

    • MarylandMD

      This kind of attempt at being even-handed in discussing someone like Mehmet Oz only succeeds in saying nothing.

      I am sure good and bad coexist in people who rob banks, but they are still crooks. I am sure the friends and family of a thief can appreciate the good in him, but we still need to convict him and throw him in prison for his crime.

      I can tell you why Mehmet Oz should be any different–because he is smart and a trained physician and he knows darned well that what he is saying is rubbish. And in promoting bunk he allows uneducated and trusting people to be fleeced, or, worse, distracts them from getting real therapy for what ails them.

      • Patient Kit

        As a cardiothoracic surgeon, I’m guessing Dr Oz has saved a few lives and also trained a few doctors in how to do that surgery. I think that still counts for something. I haven’t seen much of Dr Oz’s show and I’m not familiar with the products he pushed. But it’s hard for me to believe that what he did is so bad that all the good he’s done means nothing now.

        And frankly, the outrage coming from the medical community seems a bit over the top and hypocritical to me, coming from doctors who have written tons of inappropriate antibiotics scripts for virus-caused colds and flus because their patients wanted or demanded them, because it was faster and easier than explaining why antibiotics don’t work on a virus. That rampant inappropriate antibiotic prescribing has done real harm. So, call me “even-handed” (LOL!) but I would ask every doctor who wants to burn Dr Oz at the stake, how many inappropriate antibiotics scripts they have written.

        • guest

          Agree with this completely. We physicians have a long and illustrious history of promoting medical theories which turn out not to be true. My favorite example is that when I was in medical school, we were all taught that gastric ulcers were almost always due to “psychosomatic illness” and that we should take a more careful than usual social history and consider getting psychiatry involved.

          Right after I graduated, research proved conclusively that the vast majority of gastric ulcer disease was the result of a bacterial infection.

          My point is that for some reason, doctors have a very poor comfort level with entertaining the notion that there are a lot of things that we just don’t know, because medical science is incomplete. And similarly we have a low comfort level with the idea that things that we believe to be true may later turn out to be wrong. The rush to condemn Dr. Oz for promoting supplements (or whatever he is promoting, I don’t watch his show, although we did go to medical school together) seems somehow to be related to this inability that we as a profession have for tolerating uncertainty in our knowledge base. I

          see it as being also related to how vehemently we all as a general rule rail against people taking nutritional supplements. I have been surprised to read long scholarly-appearing editorials discussing how taking nutritional supplements may actually be “harmful.” The fact is that there is very minimal risk to the vast majority of supplements. Why do we feel so strongly about them? The benefits are not clear, but the harms are minimal. I can’t help but wonder if it doesn’t have something to do with irrational feelings that we have about patients taking decisions about their healthcare into their own hands.

          • Patient Kit

            You make a lot of interesting points. I’m kind of amazed at the intensity and level of distain for Dr Oz for “tarnishing” the community of “good” doctors who always try to do the right thing for their patients and who would never want their patients to waste their hard-earned money on unproven supplements — or on inapppriate antibiotics or on unnecessary expensive tests in the name of defensive CYA medicine. So many pots and kettles throwing stones around in glass houses! The hypocrisy is palpable.

          • MarylandMD

            Those doctors who are overprescribing antibiotics or ordering unnecessary tests are wrong. Very wrong. Much of the time it is an educational issue and the medical community must do better. But Mehmet Oz gets special attention and extra disdain because he asks for it. He has made himself a public figure and is making millions promoting worthless supplements while pretending he is a man of science.

          • guest

            I have not really paid that much attention to him, but are you sure that he’s making money from promoting supplements? I would suspect that as a member of the faculty at Columbia, he would be expected to not have involvement in direct promotions such as those. Certainly he is making a lot of money from his TV show, but that’s slightly different.

            And, I still agree w/Patient Kit that it comes across as hypocritical for the house of medicine to be in such full cry against someone who’s promoting relatively harmless interventions, when we as a profession routinely prescribe interventions that are associated with significant harm, sometimes for relatively weak indications.

            P.S. This is not to say that I am a supporter of alternative medicine, at all. There’s a lot of quackery out there. But when you get distinguished members of our profession writing strongly worded opinion pieces about how bad it is for our patients to take main-stream vitamin supplements, I really do think we run the risk of appearing both dictatorial and hypocritical to the rest of the world. Not to mention judgmental.

          • Patient Kit

            I’m not clear on what you mean when you say that “much of the time it’s an educational issue” when referring to the rampant prescribing of inappropriate antibiotics and the ordering of unnecessary tests by mainstream doctors. What kind of educational issue? I’m sure that all those men and women of science know that antibiotics are inappropriate for viruses when they prescribe them. .And it’s not some minor problem. It’s extremely widespread behavior in the mainstream scientific, evidenced-based medical community. And it’s harmful way beyond financial harm. The overprescribing of antibiotics is causing antibiotic-resistant bacterias like MERSA. Science. And unnecessary tests as a pre-defense against potential malpractice suits, I.e. defensive medicine? It’s widespread in mainstream medicine, but how is that an “educational issue”?

            I’m not saying that what Dr Oz did is right. I’m just saying that the science-worshipping, evidence-based mainstream medical community has some major moral issues of it’s own to get in order, including things that are at least as bad as promoting questionable supplements. So, I’m not seeing the higher moral ground here that all the intense outrage is coming from.

          • DeceasedMD

            And his name is such a great marketing tool. Dorothy thought the Wizard of Oz had all the answers as well. Sadly some people are not getting what they need from medicine and then believe the tv gurus.

          • goonerdoc

            Kit, Dr. Oz has a platform that reaches millions of households on a daily basis. He knows the claims that he makes have no scientific validity yet he still makes them anyway. If any one of my colleagues was doing this he/she would be villified in the same way, but Dr. Oz does this daily and the effect is multiplied exponentially given the sheer numbers of his audience. Overtesting and inappropriate prescribing of antibiotics is a problem, indeed. You have to admit, though, that given Oz’s influence his actions fall under a much different umbrella.

          • querywoman

            Antibiotics are appropriate for many illnesses. Does garcina cambioge have an appropriate use, on as large a scale as antibiotics?
            Once I tried to without antibiotics for an ear infection and ended up in severe pain till my eardrum ruptured/

          • Patient Kit

            Of course antibiotics are appropriate for many things. I was only talking about the rampant inappropriate prescribing of antibiotics for virus-based illness like colds and flu.

          • Patient Kit

            Yes, I agree that celebrities with a platform that gives them influence with millions of people do have a special responsibility. Because of his influence as a role model on millions of kids, I wish A-Rod was more like Derek Jeter and Mariano Rivera. I probably don’t know enough about the details of what Dr Oz was promoting. But the collective harm that many doctors have done on the inappropriate antibiotics front, is not a mini-problem compared to Dr Oz’s alternative medicine. And I feel like, most doc commenters here are minimizing my valid comparison of docs doing serious harm with antibiotics while they hone in on their passionate condemnation for the celebrity doc and deflect. If we’re talking about doctors doing the right thing — for their individual patients and for the bigger picture — I think both Dr Oz’s supplements and many doctor’s use of antibiotics are equally bad behavior.

          • MarylandMD

            Well-meaning physicians trying to give the best advice and treatments they can with the information they had at the time are not the same as a doctor who knows better but chooses to cynically make millions selling worthless placebos to an unsuspecting public.

            And don’t pretend that supplements and other alternative medicine therapies are harmless. They aren’t. 1) They can be expensive, draining resources from people who may not have much money. 2) They can give false hope and distract patients from seeking appropriate therapy for their conditions. 3) We don’t know what is in supplements because there is no way to make sure the bottle contains what the label claims, so in fact people could be taking toxic chemicals for all you know (can you say “L-Tryptophan”?). And 4) Promoting alternative medicine also promotes an anti-science logic and worldview that leads down many other avenues such as worthless cancer therapies and anti-vaccine hysteria.

            Do yourself a favor, go to the Science-Based Medicine blog and read some posts.

            Just because medicine has been misguided in the past doesn’t mean that we have to be kind to a present-day doctor who knows better but still promotes quackery.

          • querywoman

            I know that the medical profession is slow to progress and dismisses too much stuff as psychological. Nevertheless, I still can’t stand Mehmet Oz.

          • JR DNR

            I just wanted to tell you I appreciated this comment: “My point is that for some reason, doctors have a very poor comfort level with entertaining the notion that there are a lot of things that we just don’t know, because medical science is incomplete.”

            First time my doctor said “I don’t know” I knew I found a keeper.

            You comment here a lot, could you choose a nickname to distinguish yourself? All the guests get confusing.

          • guest

            Thanks for the positive feedback! I have chosen a nondescript nickname because I do comment here a lot and I don’t want my comments to be associated with a specific persona or identity, but would prefer to remain as anonymous as possible.

      • James O’Brien, M.D.

        I understand why studio audiences fall for what Oz is preaching, but why do educated M.D.s fall for some of the nonsense pharma-conflicted KOLs preach? Like it’s OK to give out Vicodin like TicTacs?

    • Patient Kit

      As a cardiothoracic surgeon, I’m guessing Dr Oz has saved a few lives and also trained a few doctors in how to do that surgery. I think that still counts for something. I haven’t seen much of Dr Oz’s show and I’m not familiar with the products he pushed. But it’s hard for me to believe that what he did was so bad that all the good he’s done means nothing now.

      And frankly, the outrage coming from the medical community just seems a bit over the top to me and hypocritical, especially coming from doctors who have, for many years, written a ton of scripts for unnecessary antibiotics for patients with virus-caused illness like colds and flu because their patients wanted or demanded antibiotics, because it was easier and faster than explaining why antibiotics don’t work on a virus. That rampant inappropriate antibiotic script-writing has caused real harm. So, call me “even-handed” (LOL!), but I would have to ask each doctor who wants to burn Dr Oz at the stake, how many inappropriate antibiotics they have given to their patients.

  • James O’Brien, M.D.

    I’d focus on Oprah who is influencing a lot more people with her reckless advice.

    • DeceasedMD

      What kind of reckless advice does she give? Afraid to ask.

      • James O’Brien, M.D.

        Yo yo dieting, Jenny McCarthy, superficial relationship advice, telling people that the universe revolves around their feelings

        • DeceasedMD

          Spot on. I guess all these celebrity types with oodles of endless advice are narcissistic. Dr. Phil? You’d have to be whacky to take relationship or dieting advice from her. LOL.

          • James O’Brien, M.D.

            Michael Jordan or Derek Jeter or Ben Carson or someone with a real talent other than for self promotion would be the butt of endless jokes if he did half of the narcissistic nonsense Oprah gets away with.

            http://www.alternet.org/story/145084/10_good_reasons_you_should_hate_oprah_winfrey

          • MarylandMD

            Ben Carson is doing quite well at making himself the butt of endless jokes now that he has quit his day job and started dabbling in politics.

          • James O’Brien, M.D.

            Oprah is a wretched materialist/naricissist with intimacy issues that somehow gets away with a generous phony earth mother kubaba priestess persona. She knows nothing of nonmaterial spiritual happiness or relationships yet is a trusted pop culture expert in both. I guess Americans have mommy issues as much as daddy issues these days.

            I put her in the category of the guru Osho who owned 96 Rolls Royces.

          • DeceasedMD

            great link. Amazing how the public so idealizes her that they would pay that kind of money and support this nonsense.

        • SarahJ89

          I really cannot even fathom the head space of a person, any person, who puts their own picture on a magazine month after month. It’s simply mind boggling.

      • Eric Strong
        • DeceasedMD

          thanks for that article. When she finds the fountain of youth please let me know.

          • James O’Brien, M.D.

            What’s ethically worse, giving bad medical advice without or with a license? At least Oz is qualified to be wrong.

          • DeceasedMD

            LOL. the noble truths are true BS.

            It is a sad commentary on our culture that either of these charlatans are respected so much. Not sure what is worse. But i think people are more likely to believe Oz ‘s advice as an MD which is misleading. But both the O’s are disturbed and disturbing.

    • MarylandMD

      But Oprah doesn’t pretend she is a doctor or a scientist. As much as I dislike the hogwash spewed by Oprah and her guests, at least she is honest that she is an entertainer.

      • querywoman

        I have never been able to watch Oprah for more than a few minutes. She is so self-righteous that she just turns my stomach.

      • querywoman

        You left off Dr. Phil and a few others.

    • Reese

      Funny, I was just thinking that part of Dr. Oz’s problem is he has the taint of Oprah. I wonder if Oz would still have become a legend in his own mind had he not had Oprah building him up in the public’s perception.

  • MarylandMD

    You are being way too kind. If Mehmet Oz had any capacity for the kind of self-reflection or insight you are looking for he would have changed his tune a long time ago. He had Dr Steven Novella on his show back in 2011, and on that show Mehmet Oz was told that his supplement and other alternative medicine claims had no basis in science. But Oz forged ahead with his bogus nonsense anyway. He even had the gall to put up a long afterward at the end of the show reiterating his pseudo-science without having the pesky Dr Novella around to respond. Here is Dr Novella’s conclusion from his brush with the great Oz:

    “If there were any doubt where Dr. Oz is ideologically, he removed it during this episode. He clearly staked out the anti-scientific ground that most defenders of alternative medicine use to dismiss criticism of their claims.”

    Watch the video and read Dr Novella’s thoughts over on the Science-Based Medicine blog. And you can read plenty of other thoughts on Dr Oz and his ilk while you are there. The fact is that Science-Based Medicine is but one blog of many who for years have been criticizing the garbage spewed by Mehmet Oz. I strongly believe that the only reason Mehmet Oz looked shocked and pained when he was being shamed by congress was that he realized he wasn’t surrounded by fans and he couldn’t control the message like he can in the safe and lucrative world of his TV show.

    Maybe Mehmet Oz is a prince of a guy and a brilliant surgeon. But even if he is, that doesn’t change the fact that he is a snake oil salesman who is tricking ignorant people into wasting their money on supplements and treatments that are nothing more than placebos. You don’t get to where Oz is by “losing your way.” You get there through a long process of crafting your message and seeing what sells and/or gets you the type of attention you want. Oz is a corporate entity with a clear sense of mission.

    So don’t waste your time wringing your hands or trying to cut Mehmet Oz any slack. He doesn’t deserve your time or attention. And if you defend him, you will just look like a chump–and all the while Oz will be laughing his way to the bank.

    • James O’Brien, M.D.

      https://www.youtube.com/watch?v=KbPfS8gxI1c

      Even though this clip is edited for some reason I can’t understand notice the complete intellectual dishonesty of Oz in his questions…as if mainstream medicine doesn’t endorse exercise and diet…and as if mainstream medicine won’t adopt treatments like high quality fish oil once these are proven by studies. BTW, the other guest deserves no slack either…she is a phony using straw men as well…

  • Lisa

    I don’t watch TV so have never seen Dr. Oz. However, those marketing products he supposedly endorsed have been responsible for a large percentage of the spam I recieve. For that alone, there is no redemption for him.

  • Eric Strong

    Please don’t drag Sanjay down to Oz’s level.

  • PJ Dew

    I am so sick of my patients wanting some crap medicine being hailed by Oz as a “miracle”, I want to puke. He is pathetic.

    • querywoman

      His spam has replaced that of a certain infamous real spammer in my primary email box. I won’t mention the other guy, less it curse my box.
      I delete the Ozball stuff promptly.

    • querywoman

      “Puke” is always my chosen word for Oprah. I don’t say “vomit” or “throw up.”

      I say “puke,” and you have the same reaction to the Ozball.

      You are brilliant!

  • kidmodel

    Recall when Oz was hawking human growth hormone as an anti-aging wonder drug? AACE came out and clearly reiterated to the public that Oz’s ‘advice’ was patently dangerous and that indiscriminate use of HGH was known to be carcinogenic. Oz did not retreat from his snake oil pitch nor did he caution his viewers accordingly. He may have begun as a decent human being but has long since slid down the chute of quackery and has morphed into the Kato Kaelin of medicine. He cannot be considered legitimate. His privileges should be suspended and his academic affiliations cancelled in light of his years of despicable charlatan antics.

    • LeoHolmMD

      Has anyone reported him to the board?

      • querywoman

        A patient would have to complain. That’s very interesting because, in Texas, I have heard of docs leaving the room during social discussions, meetings, or whatever discussing quackery, for fear of their licenses.

    • querywoman

      I think Kato Kaelin is a bit too good to be compared to the Ozball.

  • James O’Brien, M.D.

    It’s not just Oz, anyone who gets too close to Oprah’s court flatterers gets sucked into the void:

    http://www.salon.com/2009/05/15/oprah_winfrey_health/

    The lesson is do not take health advice from anyone associated with a cult of celebrity.

    • querywoman

      Again, Oprah has also made me want to puke! She doesn’t help my digestion at all.

  • James O’Brien, M.D.

    Hey I like Suze Orman. At least she is a realist and makes sense when talking to people about their dopey financial fantasies.

  • James O’Brien, M.D.

    I know but at least she has the guts to tell people what they don’t want to hear instead of pandering.

    Good thing she doesn’t have to deal with patient satisfaction surveys.

  • DeceasedMD

    Interesting discussion. unfortunately, I think the public in this day and age plays a role in Oz. Medicine has let people down and cause them to mistrust in our current system. And there is a lot still unknown in medicine. Many people are searching for answers outside of medicine as a result. This feeds alternative medicine which Oz thrives on.

    And his name is such a great marketing tool. Dorothy thought the Wizard of Oz had all the answers as well.

  • Dorothygreen

    Dr. Oken,

    Another diet book? – just what is needed on top of the hundreds that
    have already been written on diet.

    There are 2 basic types of diet extremes that seem to have shown the ability to sustain humans without chronic disease – Paleo and Vegan. For vegan the major book is Preventing and Reversing Heart Disease 2007. This is a high carb, very low fat diet (although in an interview, the author admitted to eating wild salmon). For paleo the major book is The Wahls Protocol, how I beat secondary progressive multiple sclerosis with Principles of functional medicine and paleo principles-2014. This is low carb, very low glycemic, high fat. The base of both diets is vegetables – lots of them.

    There is no place in either diet for processed sugar. There is no place for Omega 6 vegetable and seed oils, hydrogenated fats, refined wheat grain and industrial animal meat. These are all linked to chronic diseases and obesity. Processed sugar has no nutrient value and the the potential to be addictive especially when combined with refined grain and fat. Well known since Dr. David Kessler’s book – The End of Overeating 2009.

    These substances need to become more expensive to produce and consume than vegetables and fruit. If you, Dr. Oz, or anyone in the medical profession who is serious about a healthier world then it is urgent and necessary that you unite in an effort akin to what Dr.
    Koop and most physicians did to reduce the production and consumption of tobacco. Use the tobacco model, call it a RISK model–
    an excise tax (as amount/gram on these substances), warning labels, stop taxpayer subsidies for corn and wheat and sugar, remove ads for sugary products, stop allowing their purchase with SNAP, and subsidize vegetable farmers, inclusive of those who grow on rooftop and vertical farmers. Think Hippocrates – “Let food be thy Medicine and medicine be thy food”. If “physicians united” do not take on big ag and big food who can believe that you are not part of the problem, making mega bucks from treating chronic preventable diseases without fighting to stop the major risk factors?

    • querywoman

      The new medicine, Victoza, has curbed my serious carb cravings, like what made me eat half a cake.
      I still eat the same stuff, smaller amounts, so there is no deprivation.
      My doctor and I think that’s important.
      I am still the same person I always was.

      • Jewel Markess

        I’ve always thought that a good way to lose weight is to eat in expensive restaurants (no I can’t afford to do it regularly, but then I am normal weight but could’ve used to lose 5 pounds for cosmetic reasons).

        Jokes aside, did anybody notice that when eating out the portion size is inversely proportionate to price? You go to a cheap diner and you pay under $15 for an entry that could feed 3 people. You go to a moderately nice place in say Manhattan (not even expensive by Manhattan standards), and a single entry for $40 may consist of for example 3 scallops (“Bay Scallops”) prettily arranged in the middle of large, but mostly empty plate with two tiny heads of broccoli, a tiny bit of sweet potatoes nicely tucked around the scallops and surrounded by a thin line of supposedly “truffle” sauce. Everything is surrounded by a clean white space of the plate. In a French place nearby, you can order “duck confit” for the same amount. Very fattening, but not in the amount roughly equivalent to the size of a 5 oz can of cat food, maybe slightly larger by one inch or so in diameter and about as high. Sure you can add an appetizer for maybe $17-22, but don’t expect to get a lot of it. Or you can go even more expensive and try “truffles by the ounce”. No, I haven’t done it yet, though I’d love to try it at least once to know what the fuss is about. If you do it, you’ll run out of money before you can consume enough calories to gain weight, but hey all the supplements cost money too. I wonder how many calories are in an ounce of truffles (no, I don’t mean the chocolate variety)?
        I think my way of losing weight is no less effective than supplements but a whole lot more pleasant.

        Maybe I should be selling this method of losing weight?

        • querywoman

          Heh! I learned a long time ago that I really don’t like expensive food. My father was a fine high fat southern cook, who taught it to my mother.
          Food presentation does help.
          I was raised on round steak, and I don’t like expensive steak.
          My problem was always carbohydrate binging. I never understood why I couldn’t stop on cake, cookies, and bread. It’s easier to talk about it post-Victoza, now that eating half a cake is no longer a routine experience. I eat maybe a piece of cake and it’s enough for me.

  • SteveCaley

    But he is of the nobility – he is one of the Elect. He is a Name. Our ethical world nowadays has different rules for the Authorities than for the Plebeians. He will be vindicated; he will be cleansed, like Don Imus and John Ensign and all who have the claim to being A Name.
    Don’t worry, he won’t suffer the indignity of being cast down amongst us.

    • querywoman

      I know you are being sarcastic, but you sound a tad loony here.

      • SteveCaley

        I was going for something between the prophet Jeremiah and the Rt. Rev. Hunter S. Thompson.

  • querywoman

    Oz is a a strange cases. He’s supposed to be a brilliant surgeon who has done transplants, so why is he advocating these supplements?
    I just hate all his spam, like lots of others do. Garcina cambioge and all that other pure dee cr@p.
    A top notch standard medical doctor is not necessarily contradictory with alternative medicine. But, there are limits.
    My own brother died early as a noncompliant diabetic who had three amputations and heart attacks about 6 months after the 3rd amputation. He lived almost 2 1/2 years in a nursing home after that.
    He treated his diabetes with echinachea and his gangrene with colloidal silver. Needless to say, I have a strong aversion to echinachea and colloidal silver.
    Once I told my brother that insulin wouldn’t have been invented (identified) if the natural stuff worked. He screamed at me, “Not necessarily.”
    Oz just goes too far. I put olive or some other pure vegetable oil on my skin for a full body rub with my derm’s blessing. That’s not quackery. The oil has no added fragrances or chemicals. Oil is also a time-honored skin treatment. Dermatological agents are dispersed in oils/fats or water.
    So Oz believes in prayer. So do I, to a certain extent. People in wheelchairs are exceptionally vulnerable to the faith healers. Most of them never come out of their wheelchairs, and then get blamed for a failed healing.
    I just get so sick of seeing and reading him everywhere.
    I don’t watch TV. My mother did. Oprah has always made me want to puke anyway.
    Mama said she saw Oz on Oprah once discussing intestinal gas, aka f@rts.
    One women raised her hand asked something like, “I f@rt a lot. How do I get rid of the smell when I’m with other people?”
    Oz said it stays in your clothes a while and suggested she move around.
    I know f@rts are a fact of life, but I’m still yucked out at this.
    I saw one article on him that said he’s popular because he discusses things others won’t, like what a proper bowel movement looks like. I think I learned that before I went to first grade.
    I’m always leery of media wh0res.

    • Suzi Q 38

      “……I know f@rts are a fact of life, but I’m still yucked out at this…..”

      I know you would not watch him again, but maybe this endears him to others….
      He talks about subjects that no one (let alone a respected physician) would talk about on T.V., hence the taboo shows about farts and BMs.
      These subjects get us interested, LOL.

      Every female who has multiple brothers as siblings KNOWS what a fart is. AS for a BM, I learned about those when I was about 3.

      • querywoman

        Yep, boys love f@rts. A friend said f@rts only matter if you live with someone. Oh yeah, sometimes I stink.
        And we all know that a large, well-formed, not really stinky BM is best.

  • James O’Brien, M.D.

    http://www.doctoroz.com/videos/alternative-medicine-controversy-pt-3

    The skeptic was bright and reasonable and Oz was Oz. The video speaks for itself. Oz calls him dismissive which is classic projection.

  • Sara Stein MD

    Alot of the nonsense on Dr. Oz are paid product placements. Basically infomercial. He becomes the infomercial host. Probably in his contract.

  • Suzi Q 38

    He is laughing all the way to the bank…..

    • querywoman

      How could a respected surgeon who does the really complex stuff deteriorate like this?

      • Suzi Q 38

        You know why, querywoman.

        Just follow the money trail……

  • querywoman

    Wow! Thank you!

  • querywoman

    I researched infamous quackster Kurt Donsbach. He did go to chiropractic college. He claimed to have practiced as a chiropractor, but I don’t see him licensed anywhere as a DC. He claimed to have a naturopath license, without any proof.
    Contrast to the Ozball’s classic medical education. Oz is hucking the same kind of stuff that Donsbach did weird.
    I don’t have any program with being a shaman: incantations, rattling beads, and waiving feathers. Modern medicine does it too. The incantation is mammograms, colonscopies, cholesterol testing, etc.
    But convention modern medicine has its value too! Oz is a least taking time from the surgery, at which he is supposed to be so gifted, to huck stuff!