This is highlighted in this issue by the letter from
College of Physicians and Surgeons of Ontario (CPSO) in Canada:
“In
Ontario, it will mean the end of MDs practising anything other than
pharmaceutical medicine and surgery. Physicians and medical students in
Ontario who have the ability, will move to another location if they want
to practise anything other than the convention or, they will quit
practicing integrative medicine altogether. This is leading edge
medicine that incorporates many modalities that improve patient outcome
and reduce reliance on medications and surgery. This approach not only
controls symptoms but also has been shown to resolve the problem.
“This is a very serious matter for all of us no matter what your role in the health care field.
“Patients
need to be able to make informed choices about decisions that will have
a significant impact on their lives. Much of health cares upward
spiralling health care costs are related to care provided to patients
based on the preferences of providers (the College of Physicians and
Surgeons of Ontario want to dictate what that will be). When patients
are provided with impartial, balanced information regarding health care
choices, research has found that they tend to choose less invasive less
costly treatments than they might otherwise have selected (Dartmouth
Medical School). Informed choice is also closely aligned with the
concept of patient autonomy, the concept of informed consent and the
value of self-determination that sits at the centre of Canadian and
American constitutional liberalism.”
We have long been aware of the views of segments of the
medical profession who regard only certain procedures and disciplines as
‘real medicine’, whereas other techniques and disciplines are merely
placebo, despite any research indicating their efficacy. So medical
disciplines and procedures including surgery, chemotherapy, drugs,
physiotherapy, MRI and ultrasound scans and immunotherapy and gene
therapy are part of the conventional toolkit, but most less invasive
approaches including most Complementary Medicine therapist, such as
nutrition and herbal medicine, bodywork practices such as massage,
osteopathy, chiropractic, reflexology are not. And the issue of
Research is yet another can of worms – only randomized controlled trials
(RCTs) are counted as ‘proper’ research, relegating the entire
historical archive of other types of research – case histories, case
controlled studies, many laboratory studies - to the dustbin, including
the vast majority of clinical research undertaken by conventional
physicians.
When one explores these dichotomies further, we discover
that massage is complementary, yet physical therapy which uses massage
is conventional, or that immunotherapy or vaccination which use diluted
products to provoke immunity, but that DNA sequences which delivered
homeopathically exert changes come under the label of homeopathy ‘not
flavour of the month’ or century. See an update regarding DNA, Gene Expression and Homeopathy in this issue.
Indeed Homeopathy is deemed impossible because of the
degree of dilution involved; however when physicists, ‘real scientists’
discover that an anomaly in the Speed of Light and that neutrinos may
violate a cardinal rule of science, that doesn’t invalidate Physics, but
shows that science is dynamic.
There has been much discussion regarding attacks by the
ASA (Advertising Standards Association) upon many Complementary
Therapies, recently discussed by the CMA (Complementary Medicine Association) and the ANH (Alliance for Natural Health).
This has involved allegations that a group has been
trawling the internet sites of complementary practitioners, searching
for invalid claims and testimonials made by practitioners. Following
complaints by the ASA to the alleged offender, the practitioner would
have to ‘prove’ the veracity of the claim. In certain instances where
faith or spiritual terminology is involved, the practitioner would be in
the hopeless circular argument of “if you can’t prove that God exists”
than how can you have faith.
There are, and always have been, prudent strategies to
avoid being attacked, prosecuted and prevented from helping your
patients with complementary medicine. These include:
- Following the remit of your professional qualifications and professional associations;
- Your ability or not to diagnose and treat certain ailments;
- Your duty to liaise and communicate with your patient’s doctor(s);
- Your ability to discriminate between what constitute ‘serious illnesses’ and chronic complaints;
- Documenting your practices and keeping proper notes;
- Publish claims in articles or websites with proper reference to evidence.
If you are attacked, seek support from your professional
association and reply robustly. There is a complete chapter devoted to
how to defend yourself in Martin Walker’s Dirty Medicine The Handbook,
available from www.slingshotpublications.com
Coming back to this Oct Issue 187, there is one heart
warming feature about how a long-term sufferer of ibs and candida was
finally brought back to health, not by magic, but a diligent combination
of nutrition, herbal medicine, aromatherapy and massage - www.positivehealth.com/article/colon-health/surviving-candida-a-patient-s-perspective this is why we all work so hard to help make people’s lives better.