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MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME

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407<br />

PACE Trial is about “Health economics and societal costs” (Bergen, October 2009) and people with <strong>ME</strong>/CFS<br />

currently cost the State a great deal of money.<br />

The current edition of the General Medical Council’s “Good Medical Practice” requires that every registered<br />

medical practitioner must “Keep your professional knowledge and skills up to date” (http://www.gmc‐<br />

uk.org/guidance/good_medical_practice/duties_of_a_doctor.asp).<br />

To reiterate: s<strong>in</strong>ce the general body of knowledge known about by other cl<strong>in</strong>icians and researchers<br />

work<strong>in</strong>g <strong>in</strong> the field of <strong>ME</strong>/CFS is now so great, the question repeatedly asked is: at what po<strong>in</strong>t will that<br />

body of scientific knowledge be so great that it will be considered serious professional misconduct to<br />

ignore it and to cont<strong>in</strong>ue to deceive patients by pretend<strong>in</strong>g that it does not exist?<br />

On 27 th January 2010, The Independent carried a feature on <strong>ME</strong> <strong>in</strong> which Jane Colby, Executive Director of<br />

The TY<strong>ME</strong>S Trust, said: “Unfortunately, we are <strong>in</strong> a situation where professionals <strong>in</strong> medic<strong>in</strong>e, education<br />

and social services still do not know how to recognise it and where its terrible severity goes unrecognised”.<br />

One of the Trust’s young members was quoted as say<strong>in</strong>g: “Doctors appear uncomfortable with the entire subject<br />

and are often dismissive and judgmental. Itʹs completely isolat<strong>in</strong>g… even family members get tired of hear<strong>in</strong>g how<br />

utterly ill and bone weary you feel… They say you have good days and bad days; you donʹt: with <strong>ME</strong>, you have bad<br />

days and worse days mostly. You get tired of always feel<strong>in</strong>g ill and not be<strong>in</strong>g able to do anyth<strong>in</strong>g”.<br />

N<strong>in</strong>e years ago, the <strong>ME</strong> Association’s Medical & Welfare Bullet<strong>in</strong> carried an item about doctors’ attitude to<br />

patients with <strong>ME</strong>/CFS: referr<strong>in</strong>g to a previous article <strong>in</strong> the April 2000 issue of Medical Matters about the<br />

same problem, the <strong>ME</strong>A Medical Advisor, Dr Charles Shepherd, wrote:<br />

“Problems with rude, hostile or disbeliev<strong>in</strong>g doctors brought <strong>in</strong> one of the largest responses of the year. Unfortunately,<br />

it seems that when a formal compla<strong>in</strong>t has been made about unacceptable professional behaviour, it becomes extremely<br />

difficult to get anyone <strong>in</strong> authority – even the General Medical Council – to take the matter seriously. Even so, I still<br />

th<strong>in</strong>k that people should make a compla<strong>in</strong>t where a doctor’s attitude has clearly been objectionable or prejudicial to good<br />

cl<strong>in</strong>ical care” (<strong>ME</strong>A Medical & Welfare Bullet<strong>in</strong>, Issue 2, 2001, page 17).<br />

In 2010, little seems to have changed for the better for the hapless <strong>ME</strong>/CFS patient <strong>in</strong> the UK and the<br />

Wessely School myth seems to be alive and well, as evidenced by two registered medical practitioners’<br />

published views about patients with the disorder.<br />

Far from be<strong>in</strong>g “the militant <strong>ME</strong> brigade” as described by “Dr Crippen” (Guardian, 3 rd Feburary 2010) or<br />

the “the Terrorists of Health <strong>in</strong> full jihadist mode” as alleged by Dr Mark Borig<strong>in</strong>i (Psychology Today; 20 th<br />

January 2010), people with <strong>ME</strong>/CFS are immensely courageous; they do, however, seek to dispel once and<br />

for all the Wessely School myth that <strong>ME</strong>/CFS is a mental disorder and they seek urgent change <strong>in</strong> the<br />

perception of <strong>ME</strong>/CFS <strong>in</strong> the UK.<br />

They must now take heart from the message of the President of the International CFS/<strong>ME</strong> Association,<br />

Dr Fred Friedberg, about the removal of Dr William Reeves from his post as head of (<strong>ME</strong>)CFS at the<br />

Centres for Disease Control <strong>in</strong> the US:<br />

“I believe that the leadership change effort of the IACFS/<strong>ME</strong> over the past several months was critical to<br />

this successful outcome. In particular, strong and compell<strong>in</strong>g testimony from a number of high profile<br />

(<strong>ME</strong>)CFS professionals…played an important role <strong>in</strong> publicly air<strong>in</strong>g the long‐stand<strong>in</strong>g problems with the<br />

CDC (<strong>ME</strong>/CFS) programme. The success of this effort shows that the (<strong>ME</strong>)CFS community can help to<br />

shape and move forward the scientific agenda that confers to (<strong>ME</strong>)CFS the recognition that it truly<br />

deserves” (3 rd February 2010: http://www.iacfsme.org/ : Co‐Cure NOT: 4 th February 2010).

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