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The patient vanishes

One fundamental difference between alternative and conventional medicine is the way each treats the patient.  To the alternative practitioner, every patient is different, and presents a unique array of symptoms; to the conventional doctor, the patient’s case is one of many other similar ones.

To an extent, conventional medicine defines disease by its similarities, and so seeks to treat these, while alternative medicine looks more for the unique features of an illness, as this may provide the key to the problem.

These differences became stark at the beginning of the last century with the rise of the pharmaceutical industry, and its mass production of chemical agents.  An industrial production line needs a mass market, which, in turn, requires common features.

To facilitate this, medicine adopted the raiments of science, and the double-blind, placebo study.  To catch everyone within its net, the double-blind study succeeded merely in catching nobody in particular, and created a generalised hodge-podge of the typical – but non-existent - ‘patient’.

It’s little wonder that a senior GlaxoSmithKline executive has estimated that his company’s drugs work in just 30 per cent of cases (and, in reality, probably even less).

Similarly, the double-blind uses the measurement of ratios and percentages.  This is another trick in which the patient vanishes.  Just one per cent of people died while taking the drug, the study might conclude, but that one per cent is, in fact, perhaps hundreds of people who died fully and completely.  One hundred per cent, in fact.

These thoughts came to me this week after reading the latest Lancet journal, which quotes an extract from Tolstoy’s The Death of Ivan Ilych.  It reads: “To Ivan Ilych only one question was important: was his case serious or not?  But the doctor ignored that inappropriate question.  From his point of view, it was not a question of Ivan Ilych’s life or death, but one between a floating kidney and appendicitis.”

Ivan - and his unique and individual concerns - had vanished.

 

 

 

 

 

 

Published 30 May 2008 15:29 by Bryan Hubbard

Comments

 

appendicitis symptoms said:

June 2, 2008 11:26
 

Graham Ewing said:

Medicine is based upon a series of assumptions. These assumptions are based upon the prevailing knowledge which is based upon the state of understanding e.g. of how the body works. Even if today something new was discovered it would take decades for this to filter through to medical school where doctors are trained.

To illustrate the point: in dyslexia there is a cerebellar deficit theory yet there is not yet an accepted explanation for what the cerebellum does!!!!!!

Conventional medicine is focussed upon the treatment of disease. There is no such thing as a National Health Service - it is in fact a National Disease Service.  It pays little attention to the basic mechanisms which keep most of us well.

Indeed, that there is a mechanism which keeps us well is puzzling for the medical profession.  Where is the proof of such a mechanism?  How can we measure it?  How can we use it?  Of course those that lead a healthy life and are healthy are the proof that such a mechanism does indeed exist but this is a non-statistic.

Enough of such simplistic ramblings, back to the serious stuff: hacking and chopping people when their is no other choice but to remove the diseased parts,  injecting people with poisonous and toxic drugs, treating them with tablets and potions!!!!!!!!!!!!!!!!!!!!!!!!  Of course anything new must be evidence-based (yet only a very small part of what is practiced by the doctor is actually evidence-based).

Even the peer-review process considered by most medical researchers to be impartial is now heavily influenced by medical politics and ultimately by big business which finances most research.

With such differing points of view it is sometimes difficult to keep a balanced perspective.

G

June 3, 2008 10:34
 

Ann J White said:

Dear G,

On reading the above , I reflected on my own career, as a nurse, and was well aware that many of the dis-eased patients presented with 'stuff' not in the textbook exactly; over the years I stored all this in my brain, and have been able to draw on this knowledge to be able to understand each individual person with problems. Later, in my career, as I learnt far more re the broader picture of spritual, social and mental care, the individual aporach is esential !  I already had a love of the land, gardening and its preservation, so the progression to training for a Comp.therapy, and taking patients back to the roots for healing followed automatically; By the time one is 'here', the individuality of the patient is paramount to healing; also the bigger picture must be included which takes one to the realms of political decisions, climate and the the whole world, basically!

I found a lot of resistance in my own profession to my aproach, although they were always after advice in the end.  they also had to admit I got results;

I was very sad, and somewhat worn down by the attitudes of my own profession;

am now retired, and continue to keep up the good work with the grandchildren in the passing on of knowledge re what creates a good healthy invironment to alow maximum healthly humans and animals etc

The tools to aid healing are all still here; we need to help the 'therapists' to become aware of them.

We need to spread the word- - 'patient ,heal thyself '

As you say,business and politics get in the way, or stop the process;

Do hope there are enough of us young enough to continue to educate and 'fight the good fight'

Am off to re-organize some plant pots in my courtyard, and get some pleasure, and peace for the morning!

Sincerly, Ann

June 5, 2008 09:34
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