recognize that he used the placebo effect
used the placebo effect with my daughter’s
five years when it falls when it falls
I tell you that about healthy healthy frog ass
you know how it works if it does not heal
today he will swear tomorrow
that’s the same thing you just said
you are what I do with my daughter
if I get my daughter to say tomorrow if
says tomorrow even if they are turned into a
sea of tears
I will have managed to improve
expectations about her wound she believes
that is going to find better that is going to
cure and stop crying and so I put
a technique or sponge that we want more
He also used the placebo effect with
some of my patients like luis luis
is a Parkinson’s patient who was taking
some red capsules to which your doctor
one day he changed his medication and
the races happen to be blue
luis rejected the blue glasses he said
that they did not effect it he wanted his
red capsules after several
weeks without taking the treatment
the doctor decided to make a prescription
of placebo of some red capsules
stuffed with starch we prepare in the
pharmacy this can be done with a
as a master formula with a
recipe when we gave Luis the
red capsules agreed to also take
the blue capsules had received a
placebo and had thought that that was going to
work well some are thinking
and this from the frequent placebo prescribe
placebo
a month and a half ago he launched a survey
on twitter he basically spoke with
healthcare professionals on twitter and
I asked them to prescribe or beige
frequently placebo prescriptions
more than half said no to
they did not use a third placebo
yes but what I could not imagine is what
what would happen next
in the comments , the brown
people were very much outraged people
she was indignant and chasm because she said
which it was good as that of a
doctor could challenge placebo
they thought it was a scam a cheat
they spoke of lack of ethics but the
placebo is not a cheat the placebo is
real there’s science behind the holly and a
mechanism of action that occurs in
our brain very similar to the one
occurs when we take drugs or when
we take drugs for example when
we take marijuana, dopamine is released
our brain is dopamine us
generates a feeling of pleasure generates
a reward system of
gratification
when we take placebo it can be released
dopamine also in the front of
our brain the prefrontal cortex in
the prefrontal cortex is where it resides
The expectations
the ability to think that a drug
can effect us
we have known that this does not work
in all people have been made
studies on people who have been
given placebo has been made a
magnetic resonance and it’s been seen that
those people who respond to
placebo is to say to those who works
placebo are more active in the
prefrontal cortex that those who do not
they work ie the placebo is not
Coffe for everybody
every time we have more evidence about the
placebo effect is real there are studies like
one that was performed in patients with
Migraine was divided to the participants
in two groups a group was given
placebo labeled as prescribe
medications for migraine at the second
group were given receptan but
labeled as placebo
the results were amazing
They were similar in both groups
there was no difference in efficacy between
those who had taken placebo
disguised as medicine and medication
disguised as a placebo
later in that study it was decided to give
to all the participants of Criptana
some were told he was taking
placebo and others were told that
they were effectively taking receptan
in this case the people who were
taking recepttan they knew they were
taking recited and they had more
expectations on the drug in that group
the effectiveness was 50 percent higher
however, they seem more like
interesting new studies that are
they are performing open placebo
open placebo means that the
patient knows that he is taking placebo
it is explained to him in what
insist the placebo and still there is a
therapeutic effect is not well known
what is this you can think that it is for
the attention they receive from the
professional for the ritual but in
any case there is an effect
therapeutic and this opens us a new
universe of possibilities
the placebo is not magic you have to perform
more more quality studies
methodological but we know that the effect
placebo is real and yet if real
because there is so much controversy around
placebo
I think it’s mainly two
reasons in the first place because there are a lot
confusion as to what it is for
placebo not no cure placebo
placebo
they took us a cancer the placebo is not going
to lower your cholesterol level we have
seen how the placebo works and
it works for symptoms that are modulated
in the brain symptoms that can be
subjective and otavalo speak as per
example pain nausea fatigue
insomnia the second cause that creates
much confusion is that in the mechanism
of placebo action is implied to the
suggestion and in suggestion
many factors are involved
factors such as the price
the more expensive your treatment will be
more effective
factors such as the administration that
put some vein is always going to be more
powerful factors like the color of the
capsule as it happened to Luis as the
mark and do not give me a generic that
that is not effective
factors like the symbols where are we going
to compare the therapeutic efficacy of
a spongebob bandage with the
effectiveness of a meat-colored activity
in his management also intervenes what
that a person tells you about
treatments what a person can
read on the internet as in the famous
Google doctor that I like so much in
facebook that says one thing on twitter you
they say another because the suggestion more
beyond the treatments and beyond
of the drugs
there are also positive messages
that can be thrown at people this
it also generates a placebo effect and there
right at that point
in that maremágnum between that we do not know
very well what is the placebo and
between there are a lot of fans
3 that the suggestion intervenes is where
appear the pseudo therapies case of
therapies such as bach flowers
the unicorns reiki that said john
June and there are also apothecaries that
we attack the unicorn horns and
some are thinking good because if
this from the unicorn horns waves or
therapies there’s placebo effect and the effect
placebo is real because we can not
accept the two therapies therapies
alternative therapies are not
admissible for many reasons but
basically because they load two
patient’s principles that are the
autonomy and beneficence
therapies are charged autonomy
because when the patient uses them it is not
autonomous in its decisions is deceived
they sell you that there is a mechanism of
action that does not really exist does not
they say there is a placebo
they tell me that there is a transfer of
energy for flowers like flowers
of bach or an energy transfer
by the laying on of hands like the
reiki the only transfer of
energy by the powerful hands that has
proven effectiveness is when you’re stuck
a slap and beyond that little
more has shown and they are also charged
the principle of beneficence
because when a person is
using or therapies stop using
another treatment that may be more
beneficial and clear of course that the
pseudo therapies work like they’re not going to
work all resources are used
of suggestion
the more expensive the healer is, the more
effect to spend more time than
public health to patients
they use rituals they use symbols
but it’s not acceptable from a point of
ethical view
however the question is and if from the
science we could design placebos
respectful with the patient and that in
instead of interfering with the treatments
could help them go hand in hand
the medicine we currently use
placebo
basically in three situations the
first when the patient is a tired
and this is not with the intention of offending
statistics 95 percent of the
UK doctors confess that
they have prescribed placebo
at the unwarranted insistence of their
patients demand or drugs that do not
they need a very classic example is the
of asking for antibiotics for a symptom
flu
This is a misuse of medicine
we have to get used to that we can
leave the doctor’s office without a
Remember recipe below this arm
when you go to the doctor next
once they are angry because he has
prescribed a syrup for the snot of the
children
the second situations is not used
placebos in people who have lost their
autonomy mentally ill as you
happened to Luis or also in people
older and here there is a lot of controversy
one of the clearest examples are the
seniors asking for their pills
to sleep that sue at night
his sleeping pills but the
doctor is not prescribed because
considers that they are not necessary
you know what many caregivers do with
these patients with these people
seniors give them a tablet of
saccharine and most end up sleeping
like a baby
some said this is outrageous
good another one of the principles of the
medicine is the cousin a non nocere
first do not hurt if the patient has
lost autonomy that is less
harmful to take the tablet
saccharin or not take it and the third
example the third basic situation in
the one that is given the placebo is in people
autonomous as all of us who are in
this room when we really do not have
a better alternative a very case
Everyday is the cough data is a symptom
self-resolving disappears by itself
and also the evidence has seen that
when we can not attack the origin of
lotuses the effectiveness of syrups for
cough is very limited and this is where
comes into play my friend the onion or
race because many of you
you have used there are not many people
who defend with vehemence that there is no
no more effective remedy to calm
the cough that cut the onion in two
halves and put it on the little table is a
remedy as effective as exclusive because
we Spaniards are the only ones
people in the world that we use it in the
rest of the world must be clueless
they do not know that they have a definitive remedy
for cough the supermarket next door or 65
cents a kilo when a person
says he wants to use the onion to
data
I explain the scientific evidence
I tell him it’s not going to work
but when the person pronounces
magic words you know what are
the magic words
it works for me when a person
it says to me it works
I know we have reached the summit of the
pyramid of scientific evidence
sister in law there’s nothing I can do
for that person and if there really is not
a better alternative
and she knows that it’s useless
take the onion and have miles and you
like your house or the aura who for the
morning
I’m not going to interpose that I do say
that me of the table puts it on top of the
kick of dirty clothes like that so
less the plague is a little
localized
I do not know about you but to me this about the
onion for cough of saccharin for
The insomnia
these placebos know me little
they seem decaffeinated I think all the
therapeutic possibilities that the
placebo
we could consider that all
we could benefit from the proposal
I think that on the one hand science and
On the other hand, health professionals
They have a way to go before
come together to improve the health of
patient
On the one hand, the scientific community
should continue to investigate should follow
deepening the mechanisms of action
of placebo and design placebos that are
respectful open placebos in which
the patient knows that he uses the placebo and
still be effective
there is already evidence that this can
happen on the other hand the professionals
health
we have to take advantage of the
healing that involves the media
we work hospitals clinics
pharmacies we can use this in
benefit of the patient
we can tell the patient not
focus as did house not in the
disease
we can do otherwise not focus
in the disease but also in the
expectations of our patients
We can talk to you about how is your
disease of what is the treatment of
what is your prognosis
far from cheating we will be
making it more automor more autonomous
we will be favoring your collaboration
we have health professionals
our disposition the same weapons
that have the perpetrators of the
therapy with our attitude we can
improve the health of our patients and
we are not discovering gunpowder with
this just rediscovering why it does
already two thousand years that means he said that
the desire to heal has always been the
half of health
thank you very much
[Applause]
and
”
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