Physician Assurance reduces the patient's symptoms

placebo is an inert substance, but words have a rich, lively and powerful meaning; They are anything but sluggish.

In short, a single sentence of the assurance of a doctor reduced the reviews of the subjects in terms of itching/irritation of a histamine reaction compared to the control group.

practice implications

The placebo effect "I will fall" was determined in a study from 1955 as clinically significant and it was assumed that it results from the role that our brain plays for physical health. ^{1 its use in medicine officially goes back to 1811, although some claim that Samuel Hahnemann has in the 1790s in patients and examiners (met Voluntary) empty lactose pellets. A medical dictionary from 1811 defined placebo as a nickname that is given to every medication that is more suitable for delighting the patient than beneficial. George Washington was calmly left within 8 hours and died that evening (December 14, 1799), while Wolfgang Amadeus Mozart was left to the vein at least once and died the next day (December 5, 1791).}

dr. Arthur K. Shapiro spent a large part of his career studying the placebo effect. He was interested in the first time when he recovered at the medical faculty of mononucleosis in his second year, as a double-blind placebo studies to examine antipsychotic, antidepressant and fear-resolving drugs. He defined placebo in part as "every therapeutic procedure that is given 1) in order to achieve an effect, or 2) unknowingly has an effect on symptom syndrome, illness or patient, but is objectively without specific activity for the condition to be treated." Placebos cause the placebo effect. 7 Dr. Shapiro is also known for his work with Tourette syndrome, which proves that it is more of a neurological than a psychological illness.

The presentation of the doctor or doctor's costume, stethoscope, manner, style, language, examination table and medical devices influence the result as well as diagnosis and forecast. ^{9-12 The doctor's message is essentially the therapy or becomes part of the therapy. This was referred to as the “response to meaning”. 13 placebo is an inert substance, but words have a rich, lively and powerful meaning; They are anything but sluggish.}

As a clinician, we saw this meaning reaction in our clinical practice, but we underestimate their strength. Outside of a research study, we do not take the time to formulate the words, bends and body language that convey the message that our patients should hear or believe. We simply move from a visit to the patient to visit the patient to ensure the best possible care. The administration of an inactive placebo brings certain moral and ethical concerns that differ from the statement about a treatment or contact result, albeit similar.

In the background documents not published in the magazine article, the establishment of the examination room in the form of a medical examination room, the doctor's clothing and the exact punishment that is to be announced to each treatment member is noted. So while this was called a placebo study, it is actually a study on the "meaning reaction", a term that was shaped by Moreman and Jonas in their overview of the placebo effect. 13 In fact, they argue that modern medicine is based on the simplification of pain treatment by losing the connection, for example, the connection to birches and winter green, from which Salicylate can be obtained. ¹³ or, in connection with this study, to express allergic reactions to histamine, medicine has lost the nuances of the language that could give our patients meaning, consolation and relief under certain painful circumstances. We spend too much time looking at a computer screen or laboratory or study results, and not enough time to look at the patient and to tell him sincere words of the consolation. I still remember John Bastyr, ND, who said a small group of us at the end of a clinic layer at the National College of Naturopathic Medicine in 1990 how important it is to touch every patient as part of the therapeutic process. Much of today's medicine has lost and ignored the subtle nuances that can make up the difference between a result and a very positive result. We should not stage our patient reactions, but we should speak from the heart and offer appropriate, honest hope that can benefit our patients. The delivery of our therapy is just as important as the therapy we deliver.

summary

In this study, both groups were given a Histamine-Prick allergy test with a quintip lancer dipped in 10 mg/ml histamindihydrochloride on the forearm. After 3 minutes, the doctor examined the forearm and explained in the trust group: "From this point on, your allergic reaction will decrease and your rash and irritation will disappear." Nothing was said to the control group. The different reaction between the 2 groups based on the self -assessment was significant after 9 minutes. The language of the doctor seemed to reduce the itching and rash for those who received the positive confirmation.