One Doctor’s View of Personal Science: “You Won’t Learn Anything”

Bryan Castañeda, who lives in Southern California, told me this:

The law firm I work at specializes in toxic torts. We represent people who have been occupationally exposed to chemicals and are now sick, dying, or dead. Most of our clients have been exposed to benzene and developed some kind of leukemia. We sponsor various leukemia charities, walks, and other events. [On January 21, 2012] in Woodland Hills, CA, the Leukemia & Lymphoma Society held its first annual Blood Cancer Conference. Although the speakers were mainly doctors, it was a conference meant for laymen. The chair was an oncologist from UCLA Medical Center.

After introductory remarks and the keynote speaker, there were several breakout sessions. I attended a session on acute lymphoblastic leukemia and acute myeloid leukemia. The speaker was [Dr. Ravi Bhatia,] a doctor specializing in leukemia from City of Hope in Duarte, CA. His talk was almost exclusively about new drugs and clinical trials. Very dry and dull. Things got more interesting during the question period. At one point, [Dr. Bhatia] told an attendee not to experiment on his own because “you won’t learn anything and others won’t learn from it, either.”

I would have liked to ask Dr. Bhatia three questions:

1. What’s the basis for this extreme claim (“you won’t learn anything and others won’t learn from it”)? Ben Williams, a psychology professor at UC San Diego, wrote a whole book (Surviving “Terminal” Cancer, 2002) about taking an active approach when faced with a very serious disease (in his case, brain cancer). Likewise, the website Patients Like Me is devoted to (among other things) learning from the experimentation of its members. Lots of forums related to various illnesses spread what one person learns to others. MedHelp has many forums devoted to sharing knowledge.

2. What’s so bad about “learning nothing”? Why should that outcome stop one from trying to learn? It doesn’t seem like a good enough reason.

3. Do you have a bias here? In other words, what do you want? Do you prefer that your patients not self= experiment? Doctors may prefer that their patients not experiment for their (the doctors’) own selfish reasons. When a patient self-experiments, it makes their doctor’s job more complicated and makes the doctor less important. If Dr. Bhatia is biased (he wants a certain outcome), it may bias his assessment of the evidence.

Vitamin D3 in Morning Increases Energy Levels: Story 9

I know Robin Barooah from Quantified Self meetups. When I learned he had started taking Vitamin D3 early in the morning, I asked him what happened:

I’ve been taking it since December 20. I initially thought of trying it immediately on my return from London because I thought that it might help to reduce jet lag, given its apparent coupling with the circadian rhythm.

It didn’t seem to have a dramatic effect on my jet lag – which was as bad as I usually experience it for about the same number of days (around 3-4). However it had a very pronounced effect on my general energy levels. At first I was almost hyperactive, yet my concentration was good. I was using 5000 IU per day, at 7:30 am. The hyperactive feeling subsided but the dramatic improvement of my energy levels (and increased concentration) continued until I decided to reduce the dose to 2000 or 3000 IU per day [from 5000 IU/day]. My mood has improved too, although I think indirectly though feeling more capable and productive.

I decided to reduce the dose because I was concerned that my sleep wasn’t noticeably better than before taking the D3, and might have been worse. Reducing the dose caused a huge reduction in my energy levels and concentration, and no improvement in sleep. After a week of that I went back to the 5000 IU dose, and again am very happy with the effects. The improvement in sustained concentration is so dramatic that it’s disturbing to think of how much this could have changed my life had I been using it for years (assuming the effect lasts).

It’s possible that my sleep quality has improved in some way that isn’t reflected in my subjective experience of sleeping, and this has caused the improved energy and concentration. I am sleeping about the same length of time, and waking up in the night just as often and feeling about as rested as before I started (which is not quite as rested as I’d like to feel, despite having a lot of energy). I am not taking a multivitamin, so it’s also possible that I’m not getting all of the possible benefit.

Without doubt, this is one of the most effective things I’ve ever tried.

Emphasis added. He takes Now Foods Vitamin D3 (easy to buy on Amazon), the 5000 IU and 1000 IU softgels. He also said:

I used to get quite severe tiredness (enough to need to lie down) at numerous times during the day. Now I seem to get tired just a little in the afternoon, and then progressively so into the evening. There’s a very distinct slowdown in my energy that happens very obviously around 5pm, which is coincidentally around dusk here at the moment.

I have noticed something similar. Before Vitamin D3 early in the morning, I used to get really tired around 10 am. Enough to make me lie down. This happened on more than half of all days. Now that I am taking a lot of D3 (8000 or 10000 IU) first thing in the morning (8 or 9 am) it doesn’t happen at all. (I may eventually go down to a lower dose, such as 5000 IU/day.)

Vitamin D3: Which is Better, Gelcaps or Tablets?

I have been getting good sleep improvement from Vitamin D3 (early in the morning) using tablets. However, Tara Grant and Paul have gotten good results with gelcaps. Apparently both formulations work. Which is better?

This story, from a woman I’ll call JMW, suggests gelcaps are better:

Sorting out all the nutrition for [celiac disease], about 3 years ago, [my two boys and I] started taking D3 – 2000 IU of Solgar in capsule form. That first winter, NO ONE had seasonal affective disorder [= depression]. I had had it since I was 21, can’t remember further back than that, the youngest had had it since he was 4 yrs old, can’t remember the others.

We unintentionally proved it needs to be in capsules (i.e. oil) rather than tablets when I mistakenly repeat-ordered with tablets, and everyone got worse until I got the capsules again.

Vitamin D3 First Thing in Morning: Story 6

In November, I wrote about Tara Grant (aka Primal Girl)’s discovery that taking Vitamin D first thing in the morning rather than later improved her sleep. Then several people commented that they had observed something similar — some in response to my post (my post led them to try it), some independently. Perhaps people who tested her observation and found it wasn’t true didn’t comment.

One way to assess this possibility is to ask people who have tried it what happened. In the comments to one of my posts about this, Tyler Tyssedal said he would try it. A few days ago I asked him what had happened. Here’s his reply (shortened):

I have been tweaking the timing of my Vitamin D3 intake since I made that comment [on December 13 — one month ago]. I have also made a few other life changes (such as supplements), so the changes I’ve experienced cannot be attributed only to Vitamin D3 (5000 IU) timing. But yes, taking D3 first thing in the morning instead of later noticeably improved my sleep quality. I have been experiencing perpetual, involuntary biphasic sleep on and off for years. I would go to bed around 11 and wake up every day between 4 and 6 am, conscious enough to check the time and sigh. I had been taking my D3 with lunch or dinner, sometimes never. I changed my D3 intake to first thing in the morning. Within a week I noticed I would wake up two out of three nights, around 6 (so a little later), a marked improvement.

I am a 6’2″, 160-lb male. I live in Minneapolis, Minnesota. Desk job, lift 2-3 times per week, 45 min-1 hr per session with 15 min walking to and from gym. I typically eat two meals a day (1-2 pm and 6-8 pm). In the morning (between 7:30 and 10am) I consume about 20-30 oz of coffee with 1-3 T cream. I also eat 1 T coconut oil with my coffee and 1 T of it with my dinner.

When I changed my 400 mg magnesium citrate supplement to early afternoon rather than right before bed, I experienced even better sleep. After all these changes, I no longer wake up in the middle of the night. I sleep straight through. A week and a half ago I started taking ALA and NALC with my D3, coconut oil and coffee in the morning. The results have been fantastic and I feel a strong clear headedness in the morning.

Here’s a summary:

WAKE (7:30-9:30am): 5000 IU D3, 500 mg acetyl l-carnitine, 250 mg alpha lipoic acid, 1 T coconut oil, 20-30 oz coffee, 1-3 T cream.

LUNCH (12-2pm): 30% food for the day, typically lowish carb, 400 mg magnesium citrate, 1.2 g EPA/DHA fish oil (on days I don’t consume sardines or salmon, which is 2-3 days a week), Vitamin K2 (1000 K2 MK4, 1000 K2 MK7).

DINNER & POST DINNER: Rest of food (100-150 g carbs post workout workout days; 50-100 g non workout days). On restless nights, 2-5 mg melatonin.

I’ve been pleased with 2-5 mg melatonin before bed on days when I am not heavy eyed by 9:30 pm. I have taken melatonin on and off for years and would still experience biphasic sleep, with or without it.

Vitamin D3 and Sleep: More Good News From Primal Girl

Late last year, Tara Grant (aka Primal Girl) considered the possibility that taking Vitamin D3 has the same effect as sunlight exposure. For example, taking Vitamin D3 at 7 pm is like getting sunlight at 7 pm. This idea — with my advice about how to sleep well (get an hour of sunlight first thing in the morning) ringing in her ears – led her to try to improve her sleep by taking Vitamin D3 first thing in the morning. It worked:

I usually took my supplements mid-afternoon. I vowed to take them first thing every morning. If I forgot, I would not take the Vitamin D at all that day. I tried it the next day and that night I slept like a rock. And the next night. And the next. Days I forgot and skipped the D3, I still slept great. That was the only change I made to my lifestyle and my sleep issues completely resolved.

I called this “ a stunning discovery” and have blogged about it several times. I recently asked Tara for details and an update. She replied:

I am so happy to hear that 1) other people didn’t make the connection easily so I’m not a little slow and that 2) there seems to be something to my discovery. :) I’ve had a few comments from people who have said it has worked for them too. So let me answer your questions:

[What type of Vitamin D3 do you take?]
I take Trader Joe’s brand of Vitamin D3, which is a 1000 IU gelcap, in olive oil. 180 capsules for $4.99. Best deal I’ve found. I tried the tablets years ago and they had no affect on me (even on 8000 units a day plus tanning twice a week my blood levels were only at 58.)

[Has your sleep remained solid?]
My sleep HAS remained solid. I have not had ONE night of bad sleep since I started paying attention to when I was taking my Vitamin D.

[How much do you take?]
I was initially taking 10,000 units a day. After about 2 months, I cut that back to 5000 units to see if there was a difference. I did not wake up quite as rested, but I still slept soundly through the night. On days that I increase my dosage, I sleep better, deeper and feel more rested the following morning. I’ve tried this several times, even when I’ve been spending the night away from home, and it has made a difference. I have also tried eating sugar shortly before bedtime and caffeine in the afternoon (both things that would always make my sleep restless in the past) and I still sleep well!! I’ve also thrown exercising into the mix to see if it makes a difference but it doesn’t change the quality of my sleep – it just makes me tired earlier in the evening. I continue to change my dosage randomly and monitor the results.

Peter Lawrence on the Ills of Modern Science

Peter A. Lawrence is a British biologist who has written several papers about problems with the way biology and other areas of science are now done. In this interview a year ago he summarizes his complaints:

  • Scientific publication “has become a system of collecting counters for particular purposes – to get grants, to get tenure, etc. – rather than to communicate and illuminate findings to other people. The literature is, by and large, unreadable.” There is far too much counting of papers.
  • “There’s a reward system for building up a large group, if you can, and it doesn’t really matter how many of your group fail, as long as one or two succeed. You can build your career on their success.” If you do something on your own it is viewed with suspicion.
  • There is too much emphasis on counting citations. “If you work in a big crowded field, you’ll get many more citations. . . . This is independent of the quality of the work or whether you’ve contributed anything. [There is] enormous pressure on the journals to accept papers that will be cited a lot. And this is also having a corrupting effect. Journals will tend to take papers in medically-related disciplines, for example, that mention or relate to common genetic diseases. Journals from, say, the Cell group, will favor such papers when they’re submitted.”
  • Grant writing takes too much time — e.g., 30-40% of your time. “There is an enormous increase in bureaucracy – form
    filling, targeting, assessment, evaluations. This has gone right through society, like the Black Death!”
  • “Science is not like some kind of an army, with a large number of people who make the main steps forward together. You need to have individually creative people who are making breakthroughs – who make things different. But how do you find those people? I don’t think you want to have a situation in which only those who are competitive and tough can
    get to the top, and those who are reflective and retiring would be cast aside.” I’ve said something similar: Science is like single ants wandering around looking for food, not like a trail of ants to and from a food source. The trail of ants is engineering.

I agree. I would add that I think modern biology is far too invested in the idea that genes cause disease and that studying genes will help reduce human suffering. I think the historical record (the last 30 years) shows that this is not a promising line of work — but modern biologists cannot switch course.

What explains the depressing facts Lawrence points out? I think it is something deep and impossible to change: Science and job don’t mix well. The demands of any job and the demands of science are not very compatible. Jobs are about repetition. Science is the opposite. Jobs demand regular output. Science is unpredictable. However, jobs and science overlap in terms of training: Both benefit from specialized knowledge. They also overlap in terms of resources: More resources (e.g., better tools) will usually help you do your job better, likewise with science. So we have two groups (insiders — professional scientists — and outsiders — everyone else). Both groups have big advantages and big disadvantages relative to the other. In the last 50 years, the insiders have been “winning” in the sense of doing better work. Their advantages of training and resources far outweighed the problems caused by the need for repetition and predictability. But now — as I try to show on this blog — outsiders are catching up and going ahead because the necessary training and tools have become much more widely available (e.g., tools have become much cheaper). And, as Lawrence emphasizes, professional science has gotten worse.

 

Assorted Links

Tokyo Restaurant Recommendations — and Why They Might Be A Bad Idea

An earlier post asked for Tokyo recommendations. A kind reader (Andrew Clarke) provided the following recommendations of off-beat restaurants:

One place I always recommend is Andy’s Shinhinomoto, in Yurakucho: https://www.frommers.com/destinations/tokyo/D61101.html. I have never seen a travel show that has covered the place, but it’s a best kept secret within the ex-pat community. Its menu is a standard Japanese Izakaya (pub) menu with some of the freshest sashimi (and fish in general) in Tokyo, and the strangest thing – it’s ran by a long-term British ex-pat, who is so renowned for his ability to pick good ingredients that he selects and delivers fish for several local sushi shops. Upstairs seating is best for atmosphere, but the food is the same downstairs. They have an English menu, and I’d also recommend the fish head and tempura. It’s also not super expensive, somehow I never manage to spend more than 7000Y with alcohol.

Teyandei is another one that I would generally recommend: https://www.bento.com/rev/2133.html. You’ll be lucky if you manage to find this one, most taxi drivers I have ever asked couldn’t find it even with GPS, it’s located in a residential area of the back of Roppongi. Great atmosphere, and again Izakaya style but not fish oriented, and not strictly traditional. The most memorable dish I had was a french baguette, vanilla ice cream and maple syrup slider – which was very good, but to be enjoyed occasionally. Outside of that they have many great dishes, with more of a meaty or stuff on sticks vibe.

Last general recommendation is for sushi: https://tokyofood.blog128.fc2.com/blog-entry-52.html. I used to live in Tsukiji town and this place is a friendly joint that attracts many locals in the evening. Probably because it’s not super-expensive, but great quality and I particularly recommend the Uni if that is your thing. Their ‘aburi (blow torched)’ dishes are great too, and the Aji (mackerel) and the tsuki maguro (marinated tuna).

[follow-up:] The Moroccan place, I’m not sure why I didn’t include this the first time, as it is possibly the most strange and off-the-beaten-path: https://www.dalia58.com/d_map.html. Google Maps. The owner is a Japanese lady who spent 1 year in Morocco on a home stay. She loved the home cooked food and fastidiously learned to replicate them the way only Japanese people can. I learned about from a Moroccan co-worker who swears it’s the most authentic Moroccan food he has had out side his homeland. You definitely need to book ahead, there are only maybe 12 seats in the place and only 4 of those are not on the ground. The menu is fairly small and changes every once in a while as the owner travels back to Morocco regularly, but usually I have the meatball tagine (best), fish tagine, freshly baked wheat bread and vegetable couscous. I have never been there alone, you’d need at least two people to eat all that.

Alexandra Harney, author of The China Price, who has spent years in Tokyo, recommended:

My favorite watering hole: Asahi Shokudo in Nogizaka, near Tokyo Midtown. Unless you speak Japanese, the best thing to do is probably to have someone call ahead, make a reservation (a very good idea) and fax you a map. Their tel: 03-3402-6797. GREAT food, very good atmosphere, sake good too. It’s not fancy, but authentic and creative.

Tyler Cowen’s forthcoming book (An Economist Gets Lunch: New Rules For Everyday Foodies) says a lot about Japanese food and restaurants. In an email he said “Pierre Gagnaire Tokyo was the best meal I’ve ever had…that is expensive, though.”

I am in Tokyo now. Last night I took a long walk around my hotel (Hotel Changtee), which is in Ikebukuro. I have stayed here three times before. On my walk, for the first time, I noticed a Spanish restaurant (Agalito) a few blocks from my hotel. In Beijing, I often have Japanese food, so I decided to try it. The menu (mostly tapas) looked good. It wasn’t expensive (Ikebukuro is full of relatively cheap restaurants).

I had seven dishes. Every one surprised me and tasted great. I had pickles, a vegetable terrine, deep-fried shrimp and avocado (the avocado was also deep-fried), mackerel, a dish of large mushrooms and bacon, marinated cherry tomatoes (skins removed), and baked/grilled cheese and tomatoes. Far better than the tapas I had in Barcelona (or anywhere else). Far better than the tapas at a Berkeley restaurant (Cesar) next to Chez Panisse owned by Alice Waters’ ex-husband. The pickles were a small dish of carrots, cucumber, cabbage, and red pepper. The best pickles I’ve ever had, and I’ve had pickles hundreds of times, as anyone who knows my passion for fermented food will understand. They are a staple of Japanese and Szechuan cuisine. I’ve had Japanese pickles at dozens of places. The carrot pickles were so good, such a great blend of sweet and sour, so perfectly crunchy, that I want to start trying to recreate them. I didn’t know carrot pickles could be that good.The tomato and cheese dish also opened my eyes. I never knew that cheese and tomatoes could go so well together. I want to get special equipment (the baking pan) just to make this one dish. I want to try many different cheeses and tomatoes to find the best pairing. No meal at Chez Panisse or anywhere else has pushed me to do two new things. A tiny number (five?) have pushed me to do one new thing.

This restaurant is a few blocks from my hotel. No one recommended it. The meal, with drink, cost $60. I’m told that if you ask a Tokyo resident what are your favorite restaurants? they look at you blankly. Now I see why. There are so many great restaurants it doesn’t matter. This meal also taught me that recommendations may be counter-productive. Recommended restaurants are often expensive. Expensive food is likely to require lots of labor, special tools, and expensive ingredients. Making it harder to copy and thus less inspiring. Whereas this “plain” meal, with cheap ingredients and relatively little labor, will continue to influence and teach me whenever I do stuff it has inspired me to do.

Ten Interesting Things I Learned From Adventures in Nutritional Therapy

A blog called Adventures in Nutritional Therapy (started March 2011) is about what the author learned while trying to solve her health problems via nutrition and a few other things. She usually assumed her health problems were due to too much or too little of some nutrient. She puts it like this: “using mostly non-prescription, over-the-counter (OTC) supplements and treatments to address depression, brain fog, insomnia, migraines, hypothyroidism, restless legs, carpal tunnel syndrome, and a bunch of other annoyances.” In contrast to what “the American medical establishment” advises. Mostly it is nutritional self-experimentation about a wide range of health problems.

Interesting things I learned from the archives:

1. Question: Did Lance Armstrong take performance-enhancing drugs? I learned that LiveStrong (Armstrong’s site) is a content farm. Now answer that question again.

2. “If you return repeatedly to a conventional doctor with a problem they can’t solve, they will eventually suggest you need antidepressants.”

3. “When I mentioned [to Dr. CFS] the mild success I’d had with zinc, he said it was in my mind: I wanted it to work and it did. When I pointed out that 70% of the things I tried didn’t work, he changed the subject. Dr. CFS’ lack of basic reasoning skills did nothing to rebuild my confidence in the health care system.” Quite right. I have had the same experience. Most things I tried failed. When something finally worked, it could hardly be a placebo effect. This line of reasoning has been difficult for some supposedly smart people to grasp.

4. A list of things that helped her with depression. “Quit gluten” is number one.

5. Pepsi caused her to get acne. Same here.

6. 100 mg/day of iron caused terrible acne that persisted for weeks after she stopped taking the iron.

7. “ In September 2008 I started a journey that serves as a good example of the limits of the American health care system, where you can go through three months, 15 doctor visits, $7,000 in medical tests, three prescriptions and five over-the-counter medications trying to treat your abdominal pain, and after you lose ten pounds due to said pain, you are asked by the “specialists” if you have an eating disorder.” I agree. Also an example of the inability of people within the American health care system to see those limits. If they recognized that people outside their belief system might have something valuable to contribute, apparently something awful would happen.

8. Acupuncture relieved her sciatica, but not for long. “By the time I left [the acupuncturist’s office] the pain was gone, but it crept back during my 30-minute drive home.”

9. Pointing out many wrongs does not equal a right. She praises a talk by Robert Lustig about evil fructose. I am quite sure that fructose (by itself) did not cause the obesity epidemic. For one thing, I lost a lot of weight by drinking it. (Here is an advanced discussion.) In other words, being a good critic of other people’s work (as Lustig may be) doesn’t get you very far. I think it is hard for non-scientists (and even some scientists) to understand that all scientific work has dozens of “flaws”. Pointing out the flaws in this or that is little help, unless those flaws haven’t been noticed. What usually helps isn’t seeing flaws, it is seeing what can be learned.

10. A list of what caused headaches and migraines. One was MSG. Another was Vitamin D3, because it made her Vitamin B1 level too low.

She is a good writer. Mostly I found support for my beliefs: 1. Of the two aspects of self-experimentation (measure, change), change is more powerful. She does little or no self-tracking (= keeping records) as far as I could tell, yet has made a lot of progress. She has done a huge amount of trying different things. 2. Nutritional deficiencies cause a lot of problems. 3. Fermented food is overlooked. She never tries it, in spite of major digestive problems. She does try probiotics. 4. American health care is exceedingly messed-up. As she puts it, “the American medical establishment has no interest in this approach [which often helped her] and, when they do deign to discuss it, don’t know what the #%@! they’re talking about.” 5. “Over the years I’ve found accounts of personal experiences to be very helpful.” I agree. Her blog and mine are full of them.

Thanks to Alexandra Carmichael.

More Her latest post mentions me (“The fella after my own heart is Seth Roberts, who after ten years of experimenting . . . “). I was unaware of that when I wrote the above.

Acne Cured By Self-Experimentation

In November, at Quantified Self Europe, Martha Rotter, who lives in Ireland, gave a talk about how she cured her acne by self-experimentation. She summarizes her talk like this (slides here):

When I moved to Ire­land [from Seattle] in 2007, I began to have skin prob­lems. It began gradu­ally and I attrib­uted it to the move, to stress, to late nights drink­ing with developers and cli­ents, to travel, to whatever excuses I could think of. The stress was mul­ti­plied by the anxi­ety of being embar­rassed about how my face looked, but also because my new job in Ire­land involved me being on stage in front of large audi­ences con­stantly, often sev­eral times a week. A year later my skin was per­petu­ally inflamed, red, full of sores and very pain­ful. When one spot would go away, two more would spring up in its place. It was a tough time. I cried a lot.

Frus­trated, I went to see my homet­own der­ma­to­lo­gist while I was home for hol­i­days. He told me that a) this was com­pletely nor­mal and b) there was noth­ing I could do but go on anti­bi­ot­ics for a year (in addi­tion to spend­ing a for­tune on creams and pills). I didn’t believe either of those things.

I was not inter­ested in being on an anti­bi­otic for a year, nor was I inter­ested in Accu­tane (my best friend has had it mul­tiple times and it hasn’t had long term res­ults, plus it can be risky). What I was inter­ested in was fig­ur­ing out why this was hap­pen­ing and chan­ging my life to make it stop. I refused to accept my dermatologist’s insist­ence that what you put in your body has no effect on how you look and feel.

I began sys­tem­at­ic­ally cut­ting things out of my diet to see how I reacted. First chicken and soy, based on a recom­mend­a­tion from a food aller­gist. Over the course of a year I cut out sugar, glu­ten, carbs, starches, caf­feine, meat, fish until finally the magical month of Decem­ber 2010 when I cut out dairy. My skin was my own again by New Year’s day this year.

It took a year to fig­ure it out. It was com­pletely worth it. There’s noth­ing wrong with Irish dairy, it just doesn’t work for me. I drink Amer­icanos instead of lattes now, I don’t eat cer­eal; none of that is a huge deal. For what it’s worth, I can drink goat’s milk.

A great example of the power of self-experimentation compared to trusting doctors. One quibble: I’ll be more sure “there’s nothing wrong with Irish dairy” if she finds that American dairy also causes skin problems. The evidence so far (she didn’t have skin problems until she moved to Ireland) suggests that at least for her American dairy (i.e., dairy where she lived in America) is better than Irish dairy. I have heard Irish dairy praised. They sell Irish butter at Beijing stores near me. I won’t be buying it.

At the end of her post she makes a very important point:

Quan­ti­fied Self isn’t for every­one, but every­one should feel they have the power to change things in their body and their life for the better.

I agree. By learning about examples of people who have done just that — such as Martha — we will come closer to having that power. Right now, as far as I can tell, most people feel helpless. They do what doctors or other experts tell them to do, even if it doesn’t work very well.

Long ago, hardly anyone could read. This left them in the grip of those who could. But eventually came mass literacy, when the benefits of reading finally exceeded the costs (e.g., because more books were available at lower prices). Reading is primitive science: if you read about things that happened, it is information gathering. It resembles doing a survey. Nowadays, almost everyone (in rich countries) reads, but almost no one does experimental science. This leaves them in the grip of those who can do experimental science (e.g., drug companies). I think my work and Martha’s work suggest we are close to another turning point, where, for nonscientists, the benefits of doing experiments exceed the costs.

Thanks to Gary Wolf.