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<p class=MsoNormal><b><span style='font-family:Arial'>WHY
“MEDLINE” IS OBSOLETE <o:p></o:p></span></b></p>
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<p class=MsoNormal><span style='color:red'>Medline Obsolete<o:p></o:p></span></p>
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<p class=MsoNormal><a href="index.html">Home</a></p>
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<h1 style='margin:0in;margin-bottom:.0001pt'><span style='font-size:11.0pt'>Medline
Obsolescence <o:p></o:p></span></h1>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>by Andrew
W. Saul and Steve Hickey <o:p></o:p></span></p>
<pre><span style='font-family:Arial'><o:p> </o:p></span></pre><pre><span
style='font-family:Arial'>(Reprinted with permission from <i>J Orthomolecular Med</i>, 2007. <span
class=spelle>Vol</span> 22, No 4, p 171-174.)</span><b style='mso-bidi-font-weight:
normal'><span style='font-size:11.0pt;font-family:Arial'><o:p></o:p></span></b></pre>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>“<i
style='mso-bidi-font-style:normal'>Freedom of the press is guaranteed only to
those who own one</i>.”<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>(Abbott
Joseph Liebling, <i>New Yorker</i>, 4 May 1960)<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>By
excluding the <i style='mso-bidi-font-style:normal'>Journal of Orthomolecular
Medicine</i> and certain other journals from its Medline/PubMed indexing services,
the U.S. National Library of Medicine (NLM) has limited doctors’ access
to information. At one time, limits were understandable; only 239 journals
were indexed when Medline first went online in 1971. Medline became freely
available on the Internet in June of 1997, and now, ten years later, indexes
over 5,000 journals. Interestingly, it is the Internet itself that has made
Medline obsolete. The ‘net offers numerous search engines and indexing
services for professionals and public alike. Preeminent among these is Google
Scholar. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><b style='mso-bidi-font-weight:normal'><span
style='font-size:11.0pt;font-family:Arial'>Google Scholar<o:p></o:p></span></b></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>The
meteoric rise of Google over the last decade has helped people instantly
access a substantial proportion of the world’s knowledge. As Google has
become more successful, it has diversified into specialist areas. One of its
more recent search engines, Google Scholar (<a
href="http://scholar.google.com/">http://scholar.google.com</a>), is now a
primary resource for scientists and academics.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>Google Scholar
indexes Medline itself, but this constitutes only a fraction of its
information base. Google Scholar will also show webpages for a journal, the
authors, and frequently an independent PDF copy of the article itself.
Furthermore, Google Scholar allows libraries and publishers to index their
collections, including abstracts and direct links to obtain the complete
article. Google Scholar also indexes government sites, university lecture
notes, academic presentations, scientific conferences and, potentially, any
relevant material available or linked to the Internet. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>With the
advent of Google Scholar, medical information access has reached a tipping
point.<a style='mso-endnote-id:edn1' href="#_edn1" name="_ednref1" title=""><span
class=MsoEndnoteReference><span style='mso-special-character:footnote'><![if !supportFootnotes]><span
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EN-US;mso-bidi-language:AR-SA'>[i]</span></span><![endif]></span></span></a>
It is no longer possible for agencies such as NLM to control rapid access to
journals it chooses to exclude<i style='mso-bidi-font-style:normal'>. </i>Those
who want information can find it just as fast via Google Scholar as they can
with Medline, and Google Scholar is far more comprehensive. That is why, for
many researchers, Google Scholar provides the initial portal for online
searches. Google Scholar indexes the <i style='mso-bidi-font-style:normal'>Journal
of Orthomolecular Medicine. </i>Indeed, any Internet search engine can find
the new online <i style='mso-bidi-font-style:normal'>JOM </i>archives at<span
style='mso-spacerun:yes'> </span><a
href="http://orthomolecular.org/library/jom">http://orthomolecular.org/library/jom</a>.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial;
mso-bidi-font-weight:bold'>The French Institute of Scientific and Technical
Information (</span><span style='font-size:11.0pt;font-family:Arial'>Cat.inist)
searches “about 13 million bibliographic records of documents held in
the INIST/CNRS collections and covering all fields of worldwide research.”
(<a href="http://international.inist.fr/rubrique4.html">http://international.inist.fr/rubrique4.html</a>)
It is provided by the Centre National de la Recherche Scientifique, part of <st1:country-region
w:st="on">France</st1:country-region>'s Ministry of Research, the largest
fundamental research organization in <st1:place w:st="on">Europe</st1:place>.
INIST indexes the <i style='mso-bidi-font-style:normal'>Journal of
Orthomolecular Medicine</i>. And, a<span style='mso-bidi-font-weight:bold'>mong
its more than 20,000 journals,</span> so does <span style='mso-bidi-font-weight:
bold'>British Library Direct (<a href="http://direct.bl.uk/bld/Home.do">http://direct.bl.uk/bld/Home.do</a>).
</span><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>EBSCOhost
(<a href="http://www.epnet.com/titleLists/aw-complete.htm"><span
style='color:windowtext;text-decoration:none;text-underline:none'>http://www.epnet.com/titleLists/aw-complete.htm</span></a>)
and the Allied and Complementary Medicine Database (AMED) (<a
href="http://www.bl.uk/collections/health/amed.html"><span style='color:windowtext;
text-decoration:none;text-underline:none'>http://www.bl.uk/collections/health/amed.html</span></a>)
also index <i style='mso-bidi-font-style:normal'>JOM</i>. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>But not
the U.S. National Library of Medicine. To be fair, it must be admitted that
in May 2007, NLM acknowledged that it does have <i style='mso-bidi-font-style:
normal'>JOM</i> on its shelves, saying in correspondence: <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>“While
we hold the <i style='mso-bidi-font-style:normal'>Journal of Orthomolecular Medicine</i>
in our print collection here at NLM, it is not currently indexed for
MEDLINE/PubMed.” <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>One might
well wonder why NLM, a taxpayer-supported public library, physically archives
a journal, and yet refuses to index it. <i style='mso-bidi-font-style:normal'>JOM</i>
Associate Editor Harold Foster has wryly observed that “Medline treats
the <i style='mso-bidi-font-style:normal'>Journal</i> like a dirty magazine:
to be read privately, but the fact kept hidden from the public.” <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><b style='mso-bidi-font-weight:normal'><span
style='font-size:11.0pt;font-family:Arial'>The old information age<o:p></o:p></span></b></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>Researchers
have found it hard to publish research on nutritional medicine since the 1960’s.
Abram Hoffer, a psychiatrist with a PhD in biochemistry, reported that
content, not quality, of research was the primary disqualification. For
example, a representative of the <i style='mso-bidi-font-style:normal'>Journal
of the American Psychiatric Association</i> told Hoffer that the journal
would never publish articles from his group. In response, the US and Canadian
Schizophrenia Associations started the <i style='mso-bidi-font-style:normal'>Journal
of Schizophrenia</i>, later the <i style='mso-bidi-font-style:normal'>Journal
of Orthomolecular Psychiatry</i>, to provide a vehicle for research into
nutrition and psychiatry. As interest in nutritional medicine expanded, the
name was changed to the <i style='mso-bidi-font-style:normal'>Journal of
Orthomolecular Medicine</i>.<o:p></o:p></span></p>
<p class=MsoNormal style='margin-top:12.0pt'><span lang=EN-GB
style='font-size:11.0pt;font-family:Arial;mso-ansi-language:EN-GB'>NLM’s
reluctance to index <i style='mso-bidi-font-style:normal'>JOM </i>may be
historical, rooted in the controversy ensuing from Linus Pauling’s
promotion of vitamin C. Notably, Pauling coined the term <i style='mso-bidi-font-style:
normal'>orthomolecular</i> in an influential paper to <i style='mso-bidi-font-style:
normal'>Science</i> in 1968.<a style='mso-endnote-id:edn2' href="#_edn2"
name="_ednref2" title=""><span class=MsoEndnoteReference><span
style='mso-special-character:footnote'><![if !supportFootnotes]><span
class=MsoEndnoteReference><span lang=EN-GB style='font-size:11.0pt;
font-family:Arial;mso-fareast-font-family:"Times New Roman";mso-ansi-language:
EN-GB;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'>[ii]</span></span><![endif]></span></span></a>
However, if Hoffer is correct that Medline excludes journals based on
content, then medical practitioners and scientists interested in the
therapeutic uses of nutritional substances are being denied access to the
relevant literature. Papers in this and related disciplines are indexed only
when published in journals such as <i style='mso-bidi-font-style:normal'>Medical
Hypotheses</i>, which Medline deems acceptable.<span
style='mso-spacerun:yes'> </span><o:p></o:p></span></p>
<p class=MsoNormal><b style='mso-bidi-font-weight:normal'><span
style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></b></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>Medline
is a selective filter, aimed at physicians and academics who are too busy to
manually trawl the literature. The benefits are obvious, the dangers less so.
In legal matters, defendants would be ill served if their attorneys relied on
an electronic database of <i style='mso-bidi-font-style:normal'>some</i>
court cases. In medical research, progress depends on the availability of a
broad range of information. If sources are limited, then searches are biased
and patients will suffer. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>Medline
limits access to scientific data by exercising control over which journals it
includes. Bland extraneous publications, like <i style='mso-bidi-font-style:
normal'>Reader’s Digest</i> or The <i style='mso-bidi-font-style:normal'>Times
</i>newspaper, are included. Conversely, important publications that show
maverick tendencies, such as the<i style='mso-bidi-font-style:normal'>
Journal of American Physicians and Surgeons,</i> <i style='mso-bidi-font-style:
normal'>Medical Veritas</i>, and the <i style='mso-bidi-font-style:normal'>Journal
of Nutritional and Ecological Medicine,</i> are excluded from Medline. The
idea that the <i style='mso-bidi-font-style:normal'>Reader’s Digest</i>
is of greater clinical utility than these journals is clearly absurd.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>NLM
excludes journals by employing a Literature Selection Technical Review
Committee (LSTRC). Since Medline’s inclusion criteria are vague,
committee members exercise a high degree of subjective choice.<a
style='mso-endnote-id:edn3' href="#_edn3" name="_ednref3" title=""><span
class=MsoEndnoteReference><span style='mso-special-character:footnote'><![if !supportFootnotes]><span
class=MsoEndnoteReference><span style='font-size:11.0pt;font-family:Arial;
mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:
EN-US;mso-bidi-language:AR-SA'>[iii]</span></span><![endif]></span></span></a>
Proposers of rejected journals receive the results of a simple point system,
without detailed justification of the reasons for exclusion. There are no
hearings, no public input, and no appeal mechanism to challenge the decision.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>Members
of the LSTRC are selected, privately, for eminence in particular fields of
study. Such selection is an established method for biasing group decisions.<a
style='mso-endnote-id:edn4' href="#_edn4" name="_ednref4" title=""><span
class=MsoEndnoteReference><span style='mso-special-character:footnote'><![if !supportFootnotes]><span
class=MsoEndnoteReference><span style='font-size:11.0pt;font-family:Arial;
mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:
EN-US;mso-bidi-language:AR-SA'>[iv]</span></span><![endif]></span></span></a><sup>,<a
style='mso-endnote-id:edn5' href="#_edn5" name="_ednref5" title=""><span
class=MsoEndnoteReference><span style='mso-special-character:footnote'><![if !supportFootnotes]><span
class=MsoEndnoteReference><span style='font-size:11.0pt;font-family:Arial;
mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:
EN-US;mso-bidi-language:AR-SA'>[v]</span></span><![endif]></span></span></a></sup>
In legal cases, both prosecution and defense lawyers have the right to
exclude jurors.<a style='mso-endnote-id:edn6' href="#_edn6" name="_ednref6"
title=""><span class=MsoEndnoteReference><span style='mso-special-character:
footnote'><![if !supportFootnotes]><span class=MsoEndnoteReference><span
style='font-size:11.0pt;font-family:Arial;mso-fareast-font-family:"Times New Roman";
mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'>[vi]</span></span><![endif]></span></span></a>
Neilson and Wilson studied the effectiveness of such “peremptory
challenges”.<a style='mso-endnote-id:edn7' href="#_edn7" name="_ednref7"
title=""><span class=MsoEndnoteReference><span style='mso-special-character:
footnote'><![if !supportFootnotes]><span class=MsoEndnoteReference><span
style='font-size:11.0pt;font-family:Arial;mso-fareast-font-family:"Times New Roman";
mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'>[vii]</span></span><![endif]></span></span></a>
They found that if the defendant belongs to a minority group, and wrongful
conviction charges are large, then it may be optimal to allow the defense to
exclude more jurors. By analogy, a minority view such as orthomolecular
medicine should be given fair representation on the committee. In fact,
orthomolecular medicine does not have <i style='mso-bidi-font-style:normal'>any</i>
representation on NLM’s Literature Selection Technical Review
Committee. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>Selection
of Medline review committee members allows them to be chosen to represent a
particular viewpoint. For example, avoiding indexing journals in the
orthomolecular field might involve selecting doctors with a disdain of
alternative and complementary medicine. All committee members are appointed
by NLM. Notably, when asked, NLM was unable to provide details of <i
style='mso-bidi-font-style:normal'>any</i> committee member with a background
in orthomolecular medicine.<a style='mso-endnote-id:edn8' href="#_edn8"
name="_ednref8" title=""><span class=MsoEndnoteReference><span
style='mso-special-character:footnote'><![if !supportFootnotes]><span
class=MsoEndnoteReference><span style='font-size:11.0pt;font-family:Arial;
mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:
EN-US;mso-bidi-language:AR-SA'>[viii]</span></span><![endif]></span></span></a>
This suggests that, at best, the Medline committee lacks experience in the
fields it is reviewing.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<h2 style='margin:0in;margin-bottom:.0001pt'><span style='font-size:11.0pt;
font-family:Arial'>The new information age<o:p></o:p></span></h2>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>Until
recently, Medline’s suppression of publications, such as the journal <i
style='mso-bidi-font-style:normal'>Fluoride</i> (</span><span lang=EN-GB
style='font-size:11.0pt;font-family:Arial;mso-ansi-language:EN-GB'>the
journal of the<i style='mso-bidi-font-style:normal'> </i>International
Society for Fluoride Research</span><span style='font-size:11.0pt;font-family:
Arial'>), was a powerful restriction of data that challenged the medical
status quo. However, the advent of the Internet has opened up vast
informational resources to the public. This explosion of data availability is
unstructured and largely uncensored. The result is an abundance of health
information sources of widely variable quality. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>Until
recently, most patients had limited access to medical information and, to a
greater or lesser extent, were subject to screening and interpretation by
medical practitioners. Nowadays, however, it is possible for patients to
truly be more informed about their disease and its treatment than their
doctor is. This changes the doctor-patient relationship. A major criticism of
such increasing patient empowerment is the lack of quality control on the
Internet. Even if patients find an accurate site, they may not have
sufficient understanding or experience to apply the information to their
particular condition. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>The
counter-argument has been described as the “wisdom of crowds”,
which is related to the cybernetic concept of requisite variety.<a
style='mso-endnote-id:edn9' href="#_edn9" name="_ednref9" title=""><span
class=MsoEndnoteReference><span style='mso-special-character:footnote'><![if !supportFootnotes]><span
class=MsoEndnoteReference><span style='font-size:11.0pt;font-family:Arial;
mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:
EN-US;mso-bidi-language:AR-SA'>[ix]</span></span><![endif]></span></span></a><sup>,<a
style='mso-endnote-id:edn10' href="#_edn10" name="_ednref10" title=""><span
class=MsoEndnoteReference><span style='mso-special-character:footnote'><![if !supportFootnotes]><span
class=MsoEndnoteReference><span style='font-size:11.0pt;font-family:Arial;
mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:
EN-US;mso-bidi-language:AR-SA'>[x]</span></span><![endif]></span></span></a></sup>
Surprisingly, it has been shown that a population of independent agents can
be more effective at analyzing data than any single expert.<a
style='mso-endnote-id:edn11' href="#_edn11" name="_ednref11" title=""><span
class=MsoEndnoteReference><span style='mso-special-character:footnote'><![if !supportFootnotes]><span
class=MsoEndnoteReference><span style='font-size:11.0pt;font-family:Arial;
mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:
EN-US;mso-bidi-language:AR-SA'>[xi]</span></span><![endif]></span></span></a><sup>,<a
style='mso-endnote-id:edn12' href="#_edn12" name="_ednref12" title=""><span
class=MsoEndnoteReference><span style='mso-special-character:footnote'><![if !supportFootnotes]><span
class=MsoEndnoteReference><span style='font-size:11.0pt;font-family:Arial;
mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:
EN-US;mso-bidi-language:AR-SA'>[xii]</span></span><![endif]></span></span></a></sup>
This finding underpins economic free market systems. Any single person might
be mistaken, but, on average, a diverse group of independent individuals can
present a more accurate and complete interpretation of the available data.
Abraham Lincoln was right: you cannot fool all of the people all of the time.
<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>Those
physicians complaining about patients accessing the Internet for information
may be chastened by the thought that, on average, their patients may be more
right than wrong. Such “wisdom of crowds” effects have promoted
and sustained orthomolecular medicine since its inception.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<h2 style='margin:0in;margin-bottom:.0001pt'><span style='font-size:11.0pt;
font-family:Arial'>Medline’s dominance ends<o:p></o:p></span></h2>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>When it
began in 1971, Medline was the only game in town. We are now witnessing the
end of Medline’s era as the premiere source of medical information.
While it remains heavily used, it is fast losing its dominance to Google
Scholar. Given time, additional indexing services will enhance delivery of
information to doctors, scientists and medical professionals. <o:p></o:p></span></p>
<p class=MsoNormal style='margin-top:12.0pt'><span style='font-size:11.0pt;
font-family:Arial'>Authors can overcome censorship of individual journals by
publishing elsewhere or by starting their own journals. However,
scientists’ careers depend on the visibility of the papers they
publish. Medline exerted a powerful disincentive for career-minded scientists
to submit papers to excluded journals. Journals indexed by Medline have had
greater prestige. Inclusion of a paper in Medline meant that it would be
noticed more easily, and referenced more often. Medline was not just
censoring the journal’s output; it was also preventing papers being
submitted to excluded journals. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>The U. S.
National Library of Medicine appears to have forgotten that human beings are
historically intolerant of censorship, and have rarely responded positively
to it. "In the long run of history,” wrote Alfred Whitney
Griswold, “the censor and the inquisitor have always lost.” (13)<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>We are
now entering a new era of medical informatics. The wide availability of
information on the safety and effectiveness of nutritional therapies is
changing healthcare. People have tried orthomolecular medicine for themselves
and found it effective. Before too long, the wisdom of patients, backed by
the pressure of hundreds of millions of Google Scholar searches, may drag
conventional doctors, kicking and screaming, into the orthomolecular
information age.<span style='mso-spacerun:yes'> </span><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'>It will
be a birth worth attending.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p class=MsoNormal><b style='mso-bidi-font-weight:normal'><i
style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;font-family:
Arial'>(References cited are at the very bottom of this page.)<o:p></o:p></span></i></b></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></p>
<p><b style='mso-bidi-font-weight:normal'><span style='font-size:10.0pt;
font-family:Arial'>Andrew Saul is the author of the books <i>FIRE YOUR
DOCTOR!</i> How <i style='mso-bidi-font-style:normal'>to be Independently
Healthy </i>(reader reviews at<i style='mso-bidi-font-style:normal'> </i><a
href="http://www.doctoryourself.com/review.html">http://www.doctoryourself.com/review.html</a>
) and <i>DOCTOR YOURSELF: Natural Healing that Works.</i> (reviewed at <a
href="http://www.doctoryourself.com/saulbooks.html">http://www.doctoryourself.com/saulbooks.html</a>
) <o:p></o:p></span></b></p>
<p><b style='mso-bidi-font-weight:normal'><span style='font-size:10.0pt;
font-family:Arial'>For ordering information, <a href="order.html">Click
here</a></span></b><b style='mso-bidi-font-weight:normal'><span
style='font-size:10.0pt'> .<br>
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border=0 width=55 height=60 id="_x0000_i1029" src="images/e-mail.gif"></span></a><br>
<a href="contact.html">Andrew W. Saul</a></p>
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<p class=MsoNormal><o:p> </o:p></p>
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<td style='padding:0in 0in 0in 0in'>
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<hr size=2 width="100%" align=center>
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<p class=MsoNormal><span style='font-size:7.5pt'>AN IMPORTANT NOTE:
This page is not in any way offered as prescription, diagnosis nor treatment
for any disease, illness, infirmity or physical condition. Any form of self-treatment
or alternative health program necessarily must involve an individual's
acceptance of some risk, and no one should assume otherwise. Persons
needing medical care should obtain it from a physician. Consult your
doctor before making any health decision. </span> </p>
<p><span style='font-size:7.5pt'>Neither the author nor the webmaster has
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<div style='mso-element:endnote-list'><![if !supportEndnotes]><br clear=all>
<hr align=left size=1 width="33%">
<![endif]>
<div style='mso-element:endnote' id=edn1>
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