Wednesday, June 18, 2014

Dr. Oz: Healer or Pitchman?


Both, I think.  A hybrid.  Let me explain.
Yesterday’s testimony before senators on Capitol Hill, which seemed an odd and embarrassing display for a fatigued and slightly disheveled-appearing Dr. Mehmet Oz, was quite telling. The PR spin (or framing) was immediate and discouraging. In the video clips that I watched, Dr. Oz tried to shift the focus away from his own questionable performance to that of the profiteering shady entrepreneurs who've been benefitting from his immensely consumer-influential product pitches. He claimed no financial benefit from his promotions, which really wasn’t the point. Personally, I needed for Dr. Oz to own his share of the problem of making flamboyant and misleading recommendations. Perhaps the posted video clips didn’t show that, so I make no judgment.

My feeling is that, if Dr. Oz wouldn’t try to convince people to buy into his testimonials about “lightning in a bottle” and miracles and fat-busters with guaranteed results, the shady characters would have much less business. Snake oil salespeople and parasitic cottage industries have existed forever, and it’s a societal problem that one person can’t fix. That said, Dr. Oz, you can only change you, and it’s on you to reset the integrity of your show so that it’s back to your original vision of helping the public.
I’ve been watching Dr. Oz’s TV show since it started. As a health care professional it’s important for me to be familiar with my community’s sources of health information, and I was curious in my own right. I watched, and I tried more than a few of his suggestions along the way.  

In the beginning I was surprised by Dr. Oz’s ability to get people talking about their poop. People don’t usually talk about their body waste in public, and physicians often are not known to be great communicators with lay people. Those factors combined to make Dr. Oz a groundbreaking TV show. It was raw, grass roots, for the people, and moderated by a bona fide clinical health care professional. Most importantly, it educated the public in plain language and helped to empower people to take charge of their own health situations. The Dr. Oz Show had the potential to be a dream-come-true for health educators and clinical practitioners – and most importantly our patients.
Even then, however, I wondered how the show would sustain its momentum. Sure, it piqued people’s curiosity that others were discussing private physical matters in public, but you can only stretch a poop so far, so to speak. How long would the public stay interested?  My other concern involved the fact that, although Dr. Oz is a very successful cardio-thoracic surgeon (really quite admirable), he doesn’t have expert credentials in every, or many, aspects of health and wellness. No one does. Is it really fair to ride your MD and your personality to areas where you’re not a bona fide expert?  Doesn’t that make you an entertainer more than an expert? Truthfully, I was trying some of Dr.Oz’s suggestions without experiencing the promised outcome. For example, raspberry extract and super fiber effected no changes in my body, but I quickly noticed that my vitamin store was out of stock of the products that were mentioned on the show. I became increasingly uncomfortable that the show could go down the wrong path.

Over time I realized that Dr. Oz (or the show's decision-makers) had other people conducting research into various topics that would be discussed on the show, and Dr. Oz would apparently read the teleprompter extolling the virtues or so-called miracle qualities of this or that product. Let’s face it – there seems no way he could vet all the reports and topics that were handed to him. There are only 24 hours in a day, and the man is still conducting surgeries and other ventures in addition to filming this show. I felt that he was running on faith, and perhaps being pressured by producers and sponsors to do what it takes keep the show rolling, to the point where the show and its visual demonstrations bordered on absurd. Soon enough, the topics and the product promotions became more and more “out there” with claims of miracles and guarantees, and I started to wonder if Dr. Oz was in control of the show at all. At some point it crossed a line with me, and I stopped watching for a long time, only recently returning to see that some changes have been made that made it even more incredible, and cheesy, in my opinion. At least there were guests with expertise in their health care specialty areas, but they seemed rushed through their presentations and they were speaking medicalese instead of plain language. Even Dr. Oz is sometimes speaking so quickly that he trips on his tongue. Too much information being crammed into too little time, using a language not common to all.
I’m not sure that Dr.Oz’s employer or sponsors would share the idea of slowing things down and reconsidering health literacy and relevant topics, as I continue to suspect their profit motivation as the cause of the shift in the show. Maybe it’s better to walk away.  The Dr. Oz show can do far greater service to the public than to continue as an hour-long infomercial.