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Adverse Reactions

  • The consent that is never sought

    Aside from death and taxes, life’s only other certainty is that you have a body, over which you have complete sovereignty and which is protected by law, including human rights legislation.  If somebody attacks you, the assailant will be prosecuted and punished – indeed, any action on your body carried out without your full consent is a criminal offence.

    The only people who seem to disregard this absolute right are doctors, as our Special Report this month explores (http://www.wddty.com/the-dark-heart-of-medicine.html).  They pay lip service to the legal concept of consent, especially before surgery and other interventions, but their requirement is nothing more than a signature at the end of a long document, almost never read by the patient.

    However, the doctor has to negotiate two hurdles before any procedure can begin: not only must he seek consent, that consent has to be fully informed.  In other words, the patient should understand why the procedure is needed, its success rate, its risks – no matter how small – and any alternatives.

    Of course, true informed consent rarely happens.  The doctor argues that he doesn’t have time to go into enormous detail with every patient, and some patients feel they shouldn’t bother the doctor who always seems to be too busy.  Some doctors still hold to the paternalistic belief that they know best, and that talk of risks would only worry the patient unnecessarily.  Unless the risk becomes an actuality, of course, but by then it’s too late.

    Doctors sometimes don’t bother seeking consent of any kind, informed or not.  The most routine practice by any doctor is the writing out of a prescription – but he almost never points out the drug’s risks or success rate. 

    Radiologists don’t even bother with any pretence of consent.  As a medical screening is part of an investigative process, usually requested by another doctor, the radiologist perhaps believes that consent is not required.  Yet each screening subjects the patient to some level of radiation, and, in the case of a CT (computed tomography) scan, that can be similar to levels monitored at Hiroshima when the A-bomb was dropped. 

    If doctors did follow their legal requirement to achieve truly informed consent, most surgical procedures would never happen, and some patients would seek out safer alternatives if they were told the real risks of prescription drugs.

    Doctors know this, of course.  That’s why they don’t tell.

  • First, do something

    Breast cancer is one of the major ‘ladykillers’ – and so governments want to be seen to do something, not least because it affects half the electorate.  For the past 24 years – and at a total cost of £2.3bn - women in the UK over the age of 50 have been invited to have a regular mammogram screening in order to detect early signs of breast cancer.

    The genesis of the UK’s mass screening programme was the Forrest report of 1986, headed by Prof Sir Patrick Forrest, who had been commissioned to answer two primary questions: would a mass screening programme benefit women and, if so, which technology should be employed?  Forrest’s answers to both were emphatic: mass screening for the over-50s would reduce deaths from breast cancer by a third and with “few harms”, and, to the second, the best technology was x-ray mammography.

    Unfortunately, there is no connection between the two answers.  Screening might reduce the rate of breast cancer deaths, but mammography isn’t the technology to achieve it.

    This started to become apparent just eight years after the mass screening programme was introduced.  One of the programme’s guiding lights, Prof Michael Baum, pronounced that he feared mammography was doing more harm than good, and was putting women through the trauma of a ‘false-positive’, when cancer is wrongly detected.

    Since then, we have discovered why.  Researchers at Southampton University recently revealed that Forrest’s recommendations had been based on limited, and false, data, and had been collated at a time when the concept of a false-positive result was alien to radiologists.

    Forrest also asked all the wrong questions about mammography’s competing technology, thermography.  Before Forrest, the two were often used in conjunction in order to get the ‘complete picture’: mammography sees mass, thermography sees activity.

    As it is, mammography’s harm is far outweighing its benefits – it is seeing cancers that aren’t there, most notably instances of DCIS (ductal carcinoma in situ), which is invariably benign.  Worse, it is unable to see fast-growing cancers that are invariably fatal.

    Others since have echoed Baum’s concerns, most notably Cochrane researcher Peter Gotzsche, as our Special Report this month explains (http://www.wddty.com/the-great-mammogram-con.html). 

    But will our government be brave enough to act – or is it politically more expedient to be seen to be doing something, even if it is hopelessly wrong?

  • The science of profit

    Imagine you’re a Venusian paying a visit to Earth, and I’m in the welcoming party.  Over a bubbling Martian cola I tell you we have a major health problem on the planet – cancer.  Our standard therapies kill cancer in 40 per cent of cases – if caught at the earliest stage – and around 5 per cent overall.  In other words, most people die from cancer.

    Even for a civilization as primitive as ours, this is very poor, you say.  Don’t you have anything else?

    Well, we don’t really know, because we’re not allowed to know, I respond.   After much digging and investigation, I’ve discovered some excellent studies – double-blind, placebo ones – that demonstrate homeopathy is a powerful cancer fighter, far more effective than our standard treatments (as covered in our Special Report this month).  Unfortunately, nobody talks about them, even though they’ve been funded by the US government, and carried out by researchers at an American university.

    Why not, you ask, this is good news for all humans, no?

    Yes, I say, but nobody believes it.  Homeopathy isn’t a science, its detractors tell us.  This is because the science behind it doesn’t make sense, so any response must be down to a placebo effect.

    But a placebo effect isn’t powerful enough to defeat cancer, you say.  So it must be working, which means you’ve got the science wrong – or, more kindly, your physics is incomplete.

    There’s something else, too, I say.  Money.  Cancer care is controlled by the drugs industry, which, in turn, funds the research and the academics who proclaim that their medicine is the best, even if it doesn’t work very well.  They’re always the ones who shout down homeopathy, too.  The drugs industry makes a fortune from its chemotherapy drugs.

    So let’s get this clear, you say.  Cancer is killing most humans, you have a therapy that works against it, nobody adopts it although the science confirms it works, and that’s because it’s not scientific – rather, it’s impossible according to your limited science.  Then you have people making a great deal of money from people’s deaths and sufferings, and they are paying off academics to keep the lid on things, and to keep their inadequate products as the only available choice.  None of this is science – it’s prejudice, belief systems and profits before people.

    Shaking your two heads in utter disbelief, you climb back into your Venusian craft.  Strangely, you haven’t been back since.

  • In the pocket

    Our main feature this month (http://www.wddty.com/kill-not-cure.html) highlights two disturbing statistics about Big Pharma: in 2011, it was recorded as the most fraudulent industry group in the world, while its drugs became more lethal than traffic accidents, killing one person every 14 minutes in the United States alone.

    These worrying facts beggar two obvious questions: why hasn’t the media featured them?  And why aren’t our politicians jumping up and down, demanding immediate controls?

    The answer lies in another statistic from the drugs industry: for every pound and dollar it spends on research and development, it spends two on ‘promotion’, which includes political lobbying and media influence.

    Rupert Murdoch’s The Australian newspaper recently accepted an undisclosed sum from the drugs industry to run a series of ‘independent’ health policy articles.

    Murdoch’s son, James, sits on the board of UK drug giant GlaxoSmithKline’s corporate responsibility committee to review “external issues that might have the potential for serious impact upon the group’s business and reputation”.  External issues such as The Times, The Sun, The Sunday Times and Sky TV, perhaps, all a part of the News International empire, which James helps to control.

    It works the other way, too.  Doctors sit as ‘independent’ consultants on editorial panels that determine the broadcasts that are fit and proper for us to read, see and hear.  Lynne McTaggart’s ‘regular’ column in The Sunday Times lasted all of one week before the Chief Medical Officer intervened, and the column was stopped.

    Its influence extends to all areas of media, even advertising.  It is contrary to the UK’s advertising standards to run any advertisement that might affect the sacred relationship between patient and doctor, even if that which is being stated is true.

    The drugs industry is the biggest political lobbyist in the world, ensuring damaging legislation controlling its worst excesses are never passed into law.  When the lobby system fails, it has enormous capital clout, and can threaten to close processing and manufacturing plants, as it did recently in the UK.  Prime Minister Cameron quickly saw sense, and withdrew plans to slow the process for new drugs approval.

    Back in 1989 when we launched WDDTY, The Times described us as a “voice in the silence” (James was a mere boy of 17 at the time).  We still are – and we’re still among the few reporting on Big Pharma’s excesses, and the damage they may do to you.  And now you know why.

  • When miracles happen

    Praying for another’s wellbeing is problematic, even at this time of year when our thoughts might turn to miracles and healings of the sick.  It’s not a problem for the sender or receiver, but it most certainly is for the scientist, the researcher, the doctor and the sceptic, especially the sceptic.

    Prayer and its other distant healing cousins, such as reiki, faith healing, spiritual and remote healing, shouldn’t work – but, on balance, the evidence suggests they do.

    For the sceptic, this is impossible.  To suggest that prayer works also requires a new science of biology and a complete overhaul of what we think we are.  And we won’t even get into the existence of a God who answers prayers.

    The science already exists, of course.  It’s quantum mechanics, and more specifically, non-locality, which suggests that something can affect something else even though it may be miles away.  As Einstein rather unkindly put it, it’s “spooky action at a distance.”

    The trouble for medicine is that its own science of measurement is hopelessly cumbersome and inappropriate to capture such elusive effects.  This perhaps explains why the studies that have tried to monitor distant healing and prayer have been so contradictory.  Some say prayer works, others say it doesn’t; a few even suggest that prayer has a negative effect, and the condition of the person being prayed for actually worsens, which, at least, suggests some effect, I suppose.

    But when researchers carry out meta-analyses of all the ‘good’ studies, they invariably discover – possibly to their own astonishment – that prayer does work.  Even arch-sceptic Edzard Ernst had to admit as much when he researched the subject.

    And what are the metaphysical implications of this discovery?  Does it mean God exists, or that people have remarkable self-healing powers that are released when they know they are being prayed for, or that all of us are connected by some force?

    This is the stuff of our Special Report this month – Spooky Healing at a Distance – (http://www.wddty.com/spooky-healing-at-a-distance.html) - and it should give us all pause.  It brings to mind Hamlet’s famous quote: “There are more things in heaven and earth than dreamt of in your philosophy.” 

    And if belief is a constituent part of successful prayer, perhaps including it in our philosophy increases its possibility.

  • It's an ill wind

    The West is going through financial turmoil.  Its governments are bankrupt, and are being forced to cut back on public expenditure.  For David Cameron’s UK government, the National Health Service (NHS) presents a special challenge: not only is it the nation’s premier cash drain, costing the taxpayer £100bn a year, it is also its most sacred, and appears to be untouchable.

    Prime Minister Cameron admitted as much when he pronounced he would ring-fence the NHS from the swingeing cuts being administered to all other government departments.  Despite these public assurances, in 2009 he commissioned the management consultants McKinsey to look for cost savings.  They identified up to £20bn of cuts that could be achieved over a five-year period by eliminating inefficiencies and treatments that are ‘relatively ineffective’.

    Many medical procedures and drugs are, of course, relatively ineffective – and there are alternatives that are more effective and far less expensive, as the Department of Health is beginning to realise.

    Ignoring the bully boy tactics of some doctors and academics, the politicians and NHS bureaucrats are prepared to introduce more effective alternatives.  They recently ran a beauty parade, and we know that several of the therapies being reviewed have featured in WDDTY.

    The UK government is not alone in its reforms.  Iceland – which is even more broke than the UK – is much further down the path of introducing alternative therapies into its healthcare system, and one WDDTY panellist is acting as an advisor.

    Canada has published a consultative paper about alternatives that could be introduced as complementary therapies into its own healthcare system.

    Vitamin supplements – the subject of this month’s Special Report (http://www.wddty.com/why-you-need-to-take-supplements.html) - are playing a key part in the UK government’s rethinking on healthcare reform.  Paradoxically, EU bureaucrats are still taking a different view, and want supplement potency and novel applications to be curbed.

    Doctors are doubtlessly rolling out their standard argument that we get all the nutrition we need from the food we eat.  That’s true only in theory; in reality, the food we eat is so lacking in nutrition that we need to supplement.

    The fact that most of us are malnourished is one of the contributing factors to the escalating costs of healthcare systems around the world as they continue to perpetuate illness - using drugs that treat symptoms but never cure – instead of understanding the causes of disease.

  • The expert-free therapy

    We live in an age of complexity. We switch on the lights in our home, but don’t really understand how the electricity works. We turn on the taps in our bathroom, without completely grasping how water can run through the pipes. We’re probably vague about how television images are transmitted to our screens. Or even how our car works. 

    This age of complexity has brought forth a new breed: the expert. The expert makes the complex work, even if he doesn’t make it understandable. He fixes the TV, the electrical and water systems in the home to make them function safely, and our car to run. He stands at the gates to the complex, acting as our intermediary to the unfathomable. 

    The complex has made our lives more comfortable, and electricity has replaced the candle, water systems the pump and bucket, the car for the cart. But the complex has also placed life at one remove. We don’t have direct access or control any longer. 

    This is equally as true for the way we treat our ailments. Once, we relied on self-help therapies, herbs and tinctures. Today, in our age of complexity, we have an array of drugs that we don’t understand, and so we rely on the doctor as interpreter and guide. So, it is refreshing that this month’s special report explores a new therapy that couldn’t be simpler to implement, and which already has garnered a wide array of successful case studies.

    Its creator, Clint Ober, calls it ‘Earthing’—and it merely requires you to take off your shoes and socks, and put your bare feet on the grass, earth or sand, ideally for 30 or 40 minutes every day. The theory behind this simple therapy seems to make sense.

    Our bodies are electrical systems, and are subject to the same ‘interference’ as electrical products in our homes. That’s why all electrical items are grounded—in other words, they are in constant and immediate contact to the ‘zero ground’, rich in electrons and negative ions. Without this grounding, electrical equipment would suffer interference. And, claims Ober, the same happens to us—but because of our modern lifestyle, we are insulated from our ground, and so are more likely to suffer from interference, which manifests as disease, such as inflammation and heart problems. 

    A simple therapy that all of us can do—and we don’t need the expert, whether he is the doctor or, indeed, the electrician. 

    Read the full article, The Body Electric: Is Earthing the missing link to beat disease? :http://www.wddty.com/the-body-electric.html

  • Zen and dementia

    This is the 22nd year that we’ve been producing a monthly issue of What Doctors Don’t Tell You, and people always seem to ask: Don’t you ever run out of things to write about? Thus far, we don’t seem to have any problems, but thanks for asking. 

    It’s never a question I ask myself. But here’s one that I do ask myself: After writing about this stuff for 22 years, how come I still get angry about it every time? And it’s true, I do. I get angry about the number of people who die while taking a drug they believed was safe; I get angry that nobody ever gets called to account; I get angry that nobody seems to care. 

    But anger’s counterproductive. So I developed for myself a Zen-like mantra to soothe my raging heart: Medicine is a delivery mechanism for drugs. 

    Doesn’t sound like much, but it works. Because when you get that, everything else falls into place. Why don’t doctors take alternative treatments more seriously? Because medicine is a delivery mechanism for drugs. Why don’t they take a more holistic view of the patient and his or her illness? Because medicine . . .

    I had to repeat the mantra several times over while researching our latest Special Report on dementia, one of the diseases that most of us fear over anything else. Now, the drugs don’t work for dementia. You might choose to point out that they don’t work for most everything, but they really don’t work for dementia and its main manifestation, Alzheimer’s. 

    But that doesn’t matter to medicine, because medicine is a delivery mechanism . . . And, because it is just that, it isn’t very interested in other therapies. Tragically, when it comes to dementia, there are many alternatives that work so much better. 

    In the Special Report, we champion one in particular: SPECAL. It’s had enormous success in helping patients and carers, so much so, in fact, that the disease usually doesn’t worsen, even though medicine has codified it as progressive and incurable. 

    My Zen mantra explains why doctors have utterly ignored it, but it does not help us to understand the peculiar attitude of the Alzheimer’s Society towards it. The society—which purports to exist for the benefit of the dementia patient and carer—has vilified the therapy on its website, successfully starving the SPECAL charity of cash. 

    Mantras for supposed ‘patient groups’ are welcome.

    We also start a new column this month on pet health. As the veterinary profession in the UK is run along the lines of America’s healthcare system—aggressively interventionist and funded by insurance companies—we will have a rich field of material to mine.

  • The MMR believers

    Pity the poor parents who want to do the right thing when
    it comes to vaccinating their child. Even suggesting that
    they have concerns about side-effects can be likened
    to questioning the existence of God to a 12th-century
    pope—such is the doctor’s belief in vaccinations.

    Vaccines are medicine’s greatest success story, or so
    doctors are told almost from their first day at medical school.
    With just a jab, children are protected from diseases that once
    would have killed.

    Apparently, vaccinations are just one of life’s ‘good things’,
    along with water and the Harlem Globetrotters. Any wavering
    from the true path is met with the modern-day equivalent of
    the stake—the General Medical Council—as Andrew Wakefield
    found to his cost after merely suggesting that there may be a
    link between the MMR vaccine and autism.

    Even the burning of the occasional heretic doesn’t dissolve
    that flicker of doubt that many a thinking parent still has. And
    this is the heart of the matter: can we trust our doctors to
    always tell us the truth when they are vaccine zealots?

    Flippant as it may sound, that is precisely the attitude of
    the drug-company scientists and ‘health guardians’ who
    attended a secret meeting to discuss the troubling findings
    that vaccines were causing neurological problems in infants.
    As one attendee said, vaccines are fundamentally good, so
    anything and everything must be done to hide any hint that
    they harm.

    And hide it they did. Within three years, data were
    massaged, some children were eliminated from the study and,
    hey presto!, a major problem became a statistical blip when
    the data were finally published.

    As our Special report this month amply demonstrates, when
    zealotry replaces rationality, no amount of proof will sway you.
    Scientists—if medicine was ever a science to begin with—
    become brothers of a faith. And when that happens, children
    can suffer permanent harm—or, as our article suggests, even
    die—and it won’t shake their fundamental belief. They have
    been unfortunate collateral in a process that, ultimately, is
    benefiting the majority, so sweep it under the carpet and keep
    on reassuring parents who, anyway, just can’t see the ‘big
    picture’.

    When you are a true believer, there is never a moment when
    good ceases to be so.
  • Support independent journalism

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    The fact you read What Doctors Don’t Tell You (WDDTY) or its website suggests you support independent journalism – whether you realise it or not.
    Journalism is itself enduring some bad press right now with the fall-out from the phone hacking scandal engulfing Rupert Murdoch’s News International.

    I became a journalist many years ago because I believed it mattered.  Journalism, as I saw it, is supposed to be for the people and against the wrongdoings, cover-ups and corruption among multinationals, powerful groups and politicians.

    Events in recent days within News International empire might suggest otherwise.  Stories have slowly emerged about the hacking of mobile phones of murder victims, of those killed in the London terror attack of 7/7 and even possibly of those slaughtered in the 9/11 attack in New York.

    Suddenly the media is against the people.

    This doesn’t mean that journalism should be sidelined.  It still has an essential role to play in helping shape a fairer society – and WDDTY is one such voice.

    For years we have uncovered scandals in the drugs industry and, with our next issue, the chemicals industry, too.  These industries regularly put profits before people, and your health – even your life – is an acceptable price to ensure the shareholders get their dividends.

    So we tell you about it – and that means WDDTY matters.

    If you value independent journalism, please support WDDTY.  It makes us strong and helps us continue fighting on your behalf.

    Please follow this link:
    www.wddty.com/upgrade

    to ensure independent journalism is around tomorrow.

  • Fat profits

    The cancer at the heart of medicine is its need to serve two masters: the patient and the pharmaceutical company’s shareholders. In an ideal capitalist system, this does not necessarily present a problem. The very best drugs will become the most popular because they are the most beneficial, and so the company and its shareholders are rewarded. 

    Unfortunately, medicine does not operate as a free market. The patient—or consumer, to use market-speak—does not have a choice. Instead, the doctor, as the expert, makes the purchasing decision—often based on the flimsiest evidence or none at all. 

    And because this expert channel to the market exists, the drug company exploits it. It funds ‘research’ that is little more than PR, it arranges ‘conferences’ in exotic locales, it ‘sponsors’ the doctor’s surgery with free PCs and other gadgetry. It also pays the doctor to participate in ‘early-stage marketing trials’—a good way to get a new drug launched. 

    Truth and the scientific method become distorted. Ultimately, they are harnessed to enhance a drug’s sales and so reward the shareholders. Truth plays second fiddle to profits in a market that is controlled. The best product doesn’t always win, but the one that is best supported just might. 

    When you have billions of pounds and dollars of drug company revenues at stake, you have a problem. When you have two powerful industry groups involved, you have a black hole from which truth cannot escape—so great is the pull for profit. 

    This has happened with the cholesterol theory, the subject of our cover story this month. It claims that if you eat a diet that is high in fats, you will increase the level of LDL or ‘bad’ cholesterol in your system. This ‘bad’ cholesterol will stick to your artery walls until they become clogged, thus causing a heart attack. 

    This theory has created two massive markets: statin drugs, the most profitable drug sector in the world; and the low-fat industry, which also generates billions of pounds and dollars every year. 

    The cholesterol theory is not true; it has been disproven many times by the scant amount of independent research that is allowed to see the light of day. Worse, new research is demonstrating that ‘bad’ cholesterol isn’t bad at all—it plays a key role in healing inflammation and, ironically, in preventing heart attacks. 

    As we age, cholesterol becomes even more important. It helps to build muscle and keeps our brains sharp. The attack on ‘bad’ cholesterol could be behind the rise in dementia in the elderly, and may be causing the very thing it is supposed to protect us from. 

    But when it comes to profits or people, guess which comes first. 

  • My back phages

    Pity the poor general practitioner. He doesn’t have the tools for the heroic gesture, unlike his counterpart in emergency medicine who saves lives, patches people up and generally performs miracles on a daily basis. The general practitioner deals with the chronic problems, those persistent health issues that never get better. All he can offer are drugs to make the patient comfortable, less aware of his symptoms perhaps—but the underlying problem doesn’t go away. No heroics there. 

    That’s all true—except for one class of drugs that’s been available to the doctor for the past 60 years. The antibiotics have made a hero of the general practitioner. With these wonder drugs, the doctor has made health problems go away, and with a scribble on his prescription pad, he’s been able to write off disease. 

    No wonder, then, that he has just kept on writing out those prescriptions. Got a sore throat? Try an antibiotic. Your child has an ear infection? Take some penicillin. Got a cold, a fever, or a cough? Well, have some methicillin, just in case. 

    This overuse, or abuse, of medicine’s greatest triumph has its consequences—the superbug, which is resistant to antibiotics. As our cover story reveals, we have developed, through our own stupidity, the ultimate superbug—one that creates superbugs out of any bug, and is resistant to even the most powerful antibiotics. 

    Alexander Fleming, who discovered penicillin by accident in 1928, predicted this day would come. He knew that his discovery was a frozen moment in time of an evolutionary process that had been waged for billions of years. When he looked down his microscope, a fungus had the upper hand over the bugs. Had he left it for 50 years, the bugs might have demolished the fungus. 

    At around the same time—in Russia—a scientist had also made an accidental discovery, and one that showed similar promise. George Eliava discovered that certain viruses could kill bacteria. As he delved deeper, he found that each deadly bug has its unique viral nemesis. The virus closes in on that bug alone and destroys it. 

    These viruses are called ‘bacteriophages’ (literally, ‘bacteria killers’), and they form the basis of phage therapy, which has been neglected for the past 30 years. It has a number of advantages over antibiotics, but the major one is that it harnesses natural processes. The virus is alive and adapts as quickly as its bacterial prey, so—in phage therapy—there can never be a superbug or, at least, not for long. 

    Man, or the general practitioner, may be smart. But Nature is smarter. 

  • Because they say so

    Before the discoveries of Copernicus and Galileo, the Sun orbited the Earth. It didn’t, of course, but everyone accepted that it did because the popes and the Roman Catholic Church told them so.

    Medicine operates in a similar fashion. Its governing bodies determine the measure and tempo of disease, which we all go along with, and the pharmaceutical industry pockets the profits.

    One good example of medicinal decree is the definition of high blood pressure, or hypertension, the subject of our main story this month. This autumn, America’s National Institutes of Health will meet to discuss whether the determinants for hypertension need to be changed once again. Right now, a ‘healthy’ blood pressure reading is 120/80 mmHg. In 2003, a normal reading was 128/80 mmHg and, before that, common sense prevailed.

    Much pivots on the decision. The pharmaceutical industry is pushing for an even more conservative definition because profits improve when a new band of people is suddenly classified as ‘ill’ and so in need of their products. But there’s a minority band of researchers who are calling for the re-introduction of common sense. They are suggesting that medicine has had blood pressure seriously wrong for all these years. They argue that only the systolic level matters in the over-50s, the major target group for antihypertensive drugs.

    Others argue that it’s almost impossible to get an accurate blood pressure reading as levels fluctuate wildly during the day, and even from arm to arm. Many also suffer from ‘white-coat hypertension’—their blood pressure races up just from being in the doctor’s surgery. In short, blood pressure levels are not a constant, so hypertension is not necessarily a disease in the sense in which we understand the term.

    What is very clear is that many millions of people are taking a powerful antihypertensive drug—such as an ACE inhibitor—unnecessarily. Around 45 million Americans were suddenly caught up in the hypertension net when the readings were changed in 2003, and many millions more are taking the drugs needlessly if the systolic theory is correct. A new report suggests that up to 40 per cent of people diagnosed with hypertension don’t have the problem at all, but are merely victims of ‘whitecoat hypertension’.

    This is potentially bad news for the drugs industry, which is currently selling around $26 billion of antihypertensives every year. Of course, nothing is likely to change. The Sun will continue to go around the Earth, and millions of ‘patients’ with high blood pressure will still have the problem after the National Institutes of Health meets.

  • The superficial science

    Philosophy is the art of asking the difficult question, and it is the engine room of most of the sciences.  Physicists, astrophysicists and biologists, for instance, are driven by the quest to understand the complexity of life and how it began. 
    Medicine, on the other hand, doesn’t ask the fundamental questions.  It’s down to the patient to be the philosopher in the relationship with his or her doctor.  Told that you have a life-threatening condition, the first – and most obvious – questions are: why do I have the disease, and how did it start?

    The doctor isn’t interested in the whys and wherefores.  Instead, he is trained to examine the presenting symptoms and come to a diagnosis as quickly as possible so that treatment can begin. 

    As a result, medicine will always be a superficial science, if it can even be considered a science.  It treats symptoms – it makes life bearable and comfortable for the patient – but it rarely cures.  It is only when medicine looks beyond the immediate symptoms that a cure becomes possible. 
    One example is multiple sclerosis (MS), a disease that seems to affect a tiny minority of people, and the subject of our special report this month (WDDTY, April 2011 - for subscriptions, see: http://www.mcssl.com/SecureCart/ViewCart.aspx?mid=1C466A3E-932D-4B3E-87E7-F916476CE7B7&sctoken=1247346512c44cdda4f48b4a8154a546&bhcp=1

    Medicine doesn’t understand the cause of MS beyond suggesting it is an autoimmune inflammatory disease, possibly due to genetic factors but more likely the result of stress or infection.

    When his wife developed the condition, Paolo Zamboni, a professor of vascular disease, wasn’t prepared to accept the prognosis of inevitable decline.  When he investigated, he discovered that 90 per cent of MS sufferers had blocked cerebral veins, which caused blood to flow back and leave iron deposits in the brain.  This, he conjectured, could be a cause of inflammation.

    Hundreds of MS sufferers have undergone the Zamboni therapy of cerebral vein angioplasty, often with startling results.  Despite these successes, researchers have been unable to find any link between blocked veins and MS, and Zamboni’s work is now being discredited.

    Nonetheless, Zamboni asked the question, and he has taken the MS debate to a new level.  Thanks to his investigations, we do know there is some association between the functioning of the venous system and diseases of the central nervous system.  This suggests that several neurodegenerative diseases have a common genesis – and that MS, Parkinson’s, Alzheimer’s and dementia are related, and the result of degeneration and inflammation.

    We are beginning to understand that the neurodegenerative conditions are not autoimmune diseases, but autoimmune responses.  MS, Parkinson’s and Alzheimer’s are not progressive and incurable, but diseases that can be controlled and reversed once the response trigger has been identified.

    It’s amazing what you learn when you start asking the basic questions.

  • Mass-production medicine

    By the early years of the 20th century, mass production processes were being refined.  Soon, factories would produce thousands upon thousands of items inexpensively – from bottle tops, cola drinks, processed foods, to bicycles and motor cars.  Suddenly, everyone could have the same thing!

     

    These new industrial processes weren’t restricted to consumer fare; they were also being introduced in the burgeoning petro-chemical industry, which would produce parts, components and pharmaceutical drugs.

     

    Now everyone could have a new bicycle – and a drug, too.  Mass production created a new phenomenon – mass pharmaceuticals, the one-size-fits-all drug.

     

    While the bicycle unarguably takes you from A to B, pharmaceuticals are supposed to deliver their own benefit.  They have to suppress symptoms or, heaven forefend, cure.  And this has to be demonstrated.

     

    So, mass production spawned mass pharmaceuticals – which spawned mass medical science.  To demonstrate the efficacy of the mass-produced drug, scientists needed a mass of people who would display benefits from taking the very same pill everyone else was taking.  And, just to prove it really does work, they introduced the idea of a placebo, and nobody would be told what it was they were given.

     

    Because of the elevated place that medicine holds in society, with its influence firmly established in the worlds of academia, politics and the media, the double-blind placebo mass drug trial quickly established itself as the gold standard of medical scientific rigour. 

     

    This was muscular science, true science; everything else was quackery and wishful thinking.

     

    The trouble was – mass medical science wasn’t delivering great results.  Soon, it was enough that a drug could outperform a placebo by a few percent for it to be an enormous success.  Often, results were stopped after just a few months of a trial – so what happened to the patient after a year or more?  Nobody knew.

     

    Sometimes the results were just awful.  When they were, the trials weren’t even published.  Instead, they were put away into a filing cabinet, and this happened even when the researchers knew the drug was killing people.

     

    Sometimes the results were ‘doctored’ – I wonder where they got the term from? – or academics were paid to put their name to research they hadn’t written.  Sometimes the whole thing was made up, and yet published in prestigious medical journals, nonetheless.

     

    A GlaxoSmithKline executive famously let the cat out of the bag when he said at a private meeting that pharmaceuticals work only 30 per cent of the time.

     

    Mass medicine helps some people some of the time, and nobody all the time.

     

    What’s gone wrong? 

     

    Mass production works fine when we deal with simple things: most of us are blessed with two legs to use the mass-produced cycle.  However, our body ‘inside’ – the organs, muscles, immune system - is not simple: it is complex and dynamic.  We are the sum of our genes, our environment, our diet, our disposition, and much else besides – and it’s a constantly moving target. 

     

    Mix up that matrix, and its many variables, and you discover that each one of us is unique.  There’s nobody quite like you on the planet.  As your own eco-system is unique, so any one disease – despite being given a general description, such as lumbago or asthma – has its own special expression in you. 

     

    Fascinating, but hopeless for mass-production medicine. 

     

    So far, so bad, but what is the alternative, our medical researcher might ponder.  It’s the only show in town.  Everything else – alternative or complementary therapy – is non-medicine because it’s just quackery, a placebo dressed up as medicine.  It’s just not science.

     

    Let’s quickly remind ourselves of our equation:  mass production + mass medicine = mass medical science.  In other words, the science was invented to legitimise mass production processes for a mass market.

     

    Now let’s look at the other equation.  Genes+environment+diet+disposition = unique individual.  If each of us is unique, and changing, we cannot run a mass scientific trial and hope to get a consistent result. 

     

    Yes, medicine – and I include all of medicine in this, alternative and allopathic – is scientific inasmuch as it looks for a cause/effect, even though – in a complex system – cause A can have effect Z.

     

    But let’s not confuse that with mass-production science.  Medicine is a one-case-at-a-time process, a hit-and-miss blend of science, art and intuition.

     

    This has always been the position of natural medicine, which has not been overly troubled by mass production processes.  So the question is: do I want a medicine that thinks I, and my disease, are the exact same as everyone else’s, or do I want one that recognises my uniqueness, and treats me as such?

     

    Do I want a pharmaceutical drug that probably won’t work – and because of its chemical toxicity may do me great harm – or utilise a therapy that probably will in time?

     

    I might want a bicycle like yours, but I don’t want your drug. 

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