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

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71<br />

Such is the <strong>in</strong>fluence of the Wessely School that it is unsurpris<strong>in</strong>g that a litigant <strong>in</strong> the High Court was told<br />

that Judges “regard <strong>ME</strong> as psychological self‐<strong>in</strong>dulgence”.<br />

From the evidence obta<strong>in</strong>ed under the FOIA, the outcome of the MRC PACE Trial may be expected to set<br />

such a belief <strong>in</strong> tablets of stone.<br />

The UNUMProvident / DWP / Wessely School ideology must be compared with what Canadian <strong>ME</strong>/CFS<br />

expert Dr Byron Hyde said <strong>in</strong> 2003:<br />

“Though <strong>ME</strong>/CFS usually represents significant disease processes, the underly<strong>in</strong>g pathophysiologies caus<strong>in</strong>g these<br />

disease processes are so varied that it is unreasonable and perhaps even dangerous to suggest or embark on any uniform<br />

treatment.<br />

“There has been an immoral <strong>in</strong>tervention by the <strong>in</strong>surance <strong>in</strong>dustry <strong>in</strong>to the philosophy of physicians and<br />

health workers treat<strong>in</strong>g this group of disease entities. This corporate <strong>in</strong>surance company <strong>in</strong>tervention has used<br />

the mechanism of sponsor<strong>in</strong>g medical symposiums to produce a uniform <strong>in</strong>surance‐friendly policy….negatively<br />

<strong>in</strong>fluenc<strong>in</strong>g other physicians who may not be aware of this economic relationship”. (The Complexities of Diagnosis.<br />

Chapter 3 <strong>in</strong>: Handbook of Chronic Fatigue Syndrome. Ed: Jason Leonard A et al. John Wiley & Sons, New<br />

Jersey, 2003; see also: http://www.meactionuk.org.uk/Organic_evidence_for_Gibson.htm ).<br />

As Hyde also says: “All moderate to severe <strong>ME</strong> patients have one or more, and at times multiple…vascular<br />

dysfunctions….The primary vascular change is seen <strong>in</strong> abnormal SPECT bra<strong>in</strong> scans…(There is) cardiac<br />

irregularity on m<strong>in</strong>or positional changes or after m<strong>in</strong>or physical exertion, <strong>in</strong>clud<strong>in</strong>g <strong>in</strong>ability of the heart to<br />

<strong>in</strong>crease or decrease <strong>in</strong> speed and pump volume <strong>in</strong> response to <strong>in</strong>crease or decrease <strong>in</strong> physical activity….In<br />

many <strong>ME</strong> patients there is an unusual daytime tachycardia….(There is) circulat<strong>in</strong>g blood volume decrease: this is<br />

a nuclear medic<strong>in</strong>e test <strong>in</strong> which the circulat<strong>in</strong>g red blood cell levels <strong>in</strong> some <strong>ME</strong> patients can fall to below<br />

50%, prevent<strong>in</strong>g adequate oxygenation to the bra<strong>in</strong>, gut and muscles….Vascular dysfunction may be the most<br />

significant causal basis of the multiple bowel dysfunctions occurr<strong>in</strong>g <strong>in</strong> <strong>ME</strong>….<br />

“Drs Jay Goldste<strong>in</strong> and Ismael Mena, us<strong>in</strong>g Xenon SPECT bra<strong>in</strong> scans, demonstrated that the physiological<br />

bra<strong>in</strong> function of an <strong>ME</strong> patient rapidly deteriorates after exercise. They also demonstrated that this<br />

physiological dysfunction could persist for several days follow<strong>in</strong>g any of several stressors.<br />

“Psychiatrists should not ever be placed <strong>in</strong> charge of diagnosis and treatment of <strong>ME</strong> patients. It is simply<br />

not their area of expertise and their meddl<strong>in</strong>g has at times caused great harm to <strong>ME</strong> patients.<br />

“<strong>ME</strong> is always a serious, diffuse bra<strong>in</strong> <strong>in</strong>jury and permanent damage can be done to the <strong>ME</strong> patient by non‐<br />

judicious pseudo‐treatment” (Missed Diagnoses: Myalgic Encephalomyelitis & Chronic Fatigue Syndrome.<br />

Night<strong>in</strong>gale Research Foundation, 2009, ISBN 978‐1‐4092‐7571‐8).<br />

(It should be noted that Dr Ismael Mena is one of the foremost worldwide experts <strong>in</strong> nuclear medic<strong>in</strong>e and<br />

has received the Dist<strong>in</strong>guished Scientist Award of the Western Chapter of the Society of Nuclear Medic<strong>in</strong>e.<br />

It was as long ago as 1992 that he published evidence that a high percentage of <strong>ME</strong>/CFS patients have<br />

cerebral cortical hypoperfusion <strong>in</strong> the temporal lobes, and that the accuracy and reproducibility of these<br />

changes may demonstrate “primary <strong>in</strong>flammatory changes or secondary vascular impairment <strong>in</strong> these<br />

patients”: Study of Cerebral Perfusion by NeuroSPECT <strong>in</strong> Patients with (<strong>ME</strong>) CFS. In: The Cl<strong>in</strong>ical and<br />

Scientific Basis of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, 1992. Eds: Hyde B, Goldste<strong>in</strong> J,<br />

Lev<strong>in</strong>e P; Night<strong>in</strong>gale Research Foundation Press, Ottawa).<br />

That the UNUMProvident / DWP / Wessely School ideology seems to have been bought wholesale by the<br />

British Government is a matter of utmost concern, not least because it is known to be driven by “policy‐<br />

based evidence” rather than evidence‐based policy.

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