Convince if possible, confuse if necessary, and corrupt if nothing else works, is THOR complicit?

In the BMJ Last Saturday Anita Jain wrote “Gold jewellery, cars or an exotic foreign holiday, these are among the luxury gifts listed in a parliamentary committee report as being used by pharmaceutical companies to coax doctors into prescribing their drugs”. She goes on to describe the “3C strategy” employed by drug companies. “convince if possible, confuse if necessary, and corrupt if nothing else works”. Many (she says) will say an emphatic no to luxury gifts, but what about discounts, conference fees, hotels and flights?

Since we have been working with more doctors these days (rather than therapists) I am being approached with requests for hotel and flight costs and I confess I have conceded.

Why does this happen?
a) Because this is the world they live in (i.e. it is normal to have industry pay)
b) Academic and educational budgets are tight and industry has more money than it knows what to do with (they think).

So what should I do ?

I have conceded and paid out a few times, but not with any enthusiasm as we are not yet making $ billions in profits, but my conscience wrestles with it. I do not want to be guilty of behaving like bad pharma but then again I want our product to be accepted by mainstream medicine, so what should I do?

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Posted in Rants | 8 Comments

THOR Literature watch for April 2013 Low Level Laser Therapy / Cold Laser / Photobiomodulation PBM –

33 new LLLT papers for you this month including: a review of 21 papers on muscle performance, fatigue and repair, a controlled multicenter trial on male pattern baldness, another trial on oral mucositis and how about this, 810nm laser ameliorates diabetes!
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Posted in Research | on THOR Literature watch for April 2013 Low Level Laser Therapy / Cold Laser / Photobiomodulation PBM –

How THOR pulses affect dose (they dont)

THOR laser and LED treatment probes always give the same average power regardless if pulsed or continuous.

THOR pulses are not a fixed pulse width, the pulses are always 88% on 12% off so no matter what pulse frequency is used the the average power remains the same, even when compared with continuous.

This is because we increase the peak power in pulsed mode to compensate for the period when the beam is off.

At say 2.5Hz the THOR pulse width is calculated  0.88 / 2.5  = 0.352 seconds (352ms)

At say 10Hz the THOR pulse width is calculated 0.88 / 10 = 0.088 seconds (88ms)

At say 100Hz the THOR pulse width is calculated 0.88 / 100 = 0.0088 seconds (8.8ms)

How THOR pulses affect dose (they dont)

Posted in Special Feature | on How THOR pulses affect dose (they dont)

THOR Literature watch for March 2013 Low Level Laser Therapy / Cold Laser / Photobiomodulation PBM

28 new papers for you this month, starting with the most entertaining: “successful management of acute-onset torticollis in a giraffe” which included a laser to reduce “cervical muscle hypertonicity”, an RCT on cellulite (see commentary), an analysis of 589 tooth extractions in patients under bisphosphonate therapy following LLLT, chronic rhinosinusitis, oral lichen planus, combined bone marrow aspirate and LLLT on bone healing, mesenchymal stem cells and LLLT on peripheral nerve regeneration and more …
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Posted in Research | on THOR Literature watch for March 2013 Low Level Laser Therapy / Cold Laser / Photobiomodulation PBM

Unbelievable results

At first glance this cellulite paper looks like a well designed study, but if you are familiar with LLLT parameters then you may notice something odd about them:
6 treatments (3 x week for 2 weeks) this is probably a good treatment interval
8 x 10 inches (516 cm2) that is a very large area
5 x 17mW Green 532nm this is a poor penetrating wavelength
Combined power of 102mW that is a tiny amount of power for such a large area
Irradiance 0.2mW/cm2 that is less than sunshine on a clear day
15 mins twice (two side of the body) that is a long treatment time
Fluence (dose) 0.18J/cm2 per side that is not enough to do anything

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Posted in Rants | on Unbelievable results

Blue Cross and Blue Shield (Kansas) LLLT coding update

Blue Cross and Blue Shield Kansas (BCBS) have updated their assessment of LLLT and it is still considered “experimental” despite referencing the “strong evidence” conclusions in systematic reviews published by the British Medical Journal (BMJ) and International Society for the Study of Pain (IASP). Then there is The Lancet Systematic Review on Neck pain and the MASCC “recommendation” statements, also brushed aside by BCBS.

How can this be when: Continue reading

Posted in Rants | on Blue Cross and Blue Shield (Kansas) LLLT coding update

THOR Literature watch for February 2013 Low Level Laser Therapy / Cold Laser / Photobiomodulation PBM

20 new papers for you this month starting with a laser tissue penetration study (some wavelengths go deeper than others), Laser vs TENS for OA knee, laser acupuncture for TMJD, human sperm motility and laser vs LED for allergic rhinitis.
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Posted in Research | on THOR Literature watch for February 2013 Low Level Laser Therapy / Cold Laser / Photobiomodulation PBM