Skeptics with a K: Episode #300


Episode 300! Where Alice talks about the new NICE guidelines for management of chronic pain, Marsh tackles Jordan B Peterson’s claims on medical errors, and Mike has a confession to make.

Mixed and edited by Morgan Clarke.

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  1. #1 by Joe Dixon on April 15, 2021 - 17:37

    I can honestly say, this is the best 300th episode of Skeptics with a K you have ever done.

  2. #2 by Suzanne Thorson on May 12, 2021 - 13:30

    Hi Gang,
    I was so interested to hear Alice’s perspective on the NICE guidelines. I am a physiotherapist with special interest in chronic pain and sympathize with much of what she had to say. The medical world needs to learn a lot about how to listen to patients (or clients or what ever term is preferred). I did want to add a couple of things. Unfortunately for those suffering with more unusual pain states, the vast vast majority of chronic pain is chronic, non-specific, low back pain (sometimes abbreviated to CNSLBP). It is the number one cause of ongoing pain. It is also the condition that was the proximal reason for the opioid crisis, at least in North America. Family GPs have struggled for many years with methods to assist folks with this condition and Purdue pharma offered an ‘easy’ solution with tragic consequences. I highly recommend the book “Dreamland” by Sam Quinones which gives a detailed overview of the whole ‘crisis’. So, the NICE guidelines fit with the current knowledge regarding chronic low back pain but not necessarily for the less common chronic pain issues.
    I would like to recommend you to contact current UK practitioners of physiotherapy who are highly informed on this topic that might help illuminate more the guidelines. Ben Cormack at corkinetic and Adam Meakins, the sports physiotherapist. Both have big (in the physio world) online presence. Further, I would also recommend looking at the work of both Lorimer Moseley in Australia and Peter O’Sullivan in Australia both pioneers in chronic pain and physiotherapy, I think it would be worth your while.
    Alice, your insights into the pain management setting was invaluable. If I were queen of Canada, I would make these clinics freely accessible to anyone with any ongoing issue of pain, but alas, I am not in this position.
    Keep up the great work.
    Suzanne Thorson

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