We need a lighter topic today, and I’ve got one appropriate to the season, since many people will be having parties and family get-togethers over the next couple of weeks. And although some of these will be full of scientists, there are others where you might be the lone representative from the world of chemistry, biology, or medicine. That can be a good thing – or not so good, depending on how the conversation turns. A reader e-mailed me an account of a recent encounter with a relative who assured him of the benefits of foot-bath detoxification to cure what ails you. As you'd imagine, he didn't quite sign on to that idea, and the discussion went through a few rocky rapids.
I know that this sort of thing has happened to me several times. I’ve had to deal with the topics of how no, it’s not a conspiracy of the drug companies to make vitamin-based therapies illegal – and how yes, I have been working for X number of years in the drug industry without discovering a single thing that’s on the market, and how that’s statistically rather likely. And I’ve explained how it’s hard to come up with a cure for Alzheimer’s when you don’t even know what causes Alzheimer’s, which argument generally meets with agreement. But that reasonable discussion gets canceled out by plenty of others.
Dealing with the crazier propositions takes some real tact. I’m a pretty even-keeled guy, so I generally take a calm approach, just telling them how it is for me after X years of experience in the drug industry. I've found it's harder for people to spout craziness when there's some reasonable person sitting across the table from them who makes a living on the opposite side of their beliefs. And, truth be told, many of the wilder beliefs in the health field aren't necessarily all that strongly held. Most of them don't stand up to much scrutiny (and contradict each other, to boot), and I've found that people pick up and discard them with relative ease.
But you do run into passionate believers now and then. I'd be interested in hearing from people how they've dealt with conversations like this. My usual progression goes something like:
1. That's interesting - where did you hear about this?
2. No, it's true, I really have been working on those diseases for years now. As far as I can tell, they're pretty hard to deal with.
3. Gosh, that anecdotal evidence sure does sound convincing. Pity the FDA won't let us use any of that where I work. Those nutritional supplement manufacturers sure have it easy since the Hatch-Waxman act, don't they?
4. Hmm, since Fact X seems to be true about Disease Y, based on all that I know about the subject, how do these fit together?
5. Well, you know, the laws of physics/chemistry/math that I learned don't seem to cover that particular effect - have they added some recently?
5. No, I think that if there were any conspiracy that big, I probably would have noticed it at some point. Unless you're suggesting that I'm part of the cover-up?
6. Actually, people in the drug industry die from Disease Y, too. You'd think that if we were sitting on the cure for it, we'd have some sort of employee program or something. . .