MD, PhD, MAE, FMedSci, FRSB, FRCP, FRCPEd.

doctors

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The General Chiropractic Council (GCC) has signed a memorandum of understanding with NHS England, the Crown Prosecution Service and the National Police Chiefs’ Council to collaborate where there is suspected criminal activity on the part of a GCC member in relation to the provision of clinical care or care decision-making.

I find this interesting and most laudable!

But I also have seven questions, e.g.:

  1. Does it amount to criminal activity in relation to the provision of clinical care or care decision-making, if a chiropractor explains that the patient’s problem is caused by a subluxation of the spine, an entity that does not even exist? Apparently this happens every day.
  2. Does it amount to criminal activity in relation to the provision of clinical care or care decision-making, if a chiropractor treats a patient without prior informed consent? Apparently, this happens regularly.
  3. Does it amount to criminal activity in relation to the provision of clinical care or care decision-making, if a chiropractor fails to warn a patient that his/her manipulations can cause harm and even put him/her in a wheelchair? Apparently this (the lack of warning) happens all the time, and some chiropractors even insist that their manipulations are entirely safe.
  4. Does it amount to criminal activity in relation to the provision of clinical care or care decision-making, if a chiropractor claims that spinal manipulations are effective for curing the patient’s problem, while the evidence does not support the claim? Apparently this happens more often than not.
  5. Does it amount to criminal activity in relation to the provision of clinical care or care decision-making, if a chiropractor persuades a patient to have expensive long-term maintenance therapy for preventing health problems, while the evidence for that appoach is less than convincing? Apparently this happens rather frequently.
  6. Does it amount to criminal activity in relation to the provision of clinical care or care decision-making, if the chiropractor issues advice that is both outside his/her competence and detrimental to the health of the patient (for instance, advising parents not to vaccinate their kids)? Apparently this happens a lot.
  7. Does it amount to criminal activity in relation to the provision of clinical care or care decision-making, if a chiropractor advises a patient not to do what a real doctor told him/her to do? Apparently this is far from a rare occurance.

I would be most grateful, if the GCC would take the time to answer the above questions.

Many thanks in advaance.

Being a dedicated crook and a liar himself, Donald Trump has long had an inclination to surround himself with crooks and liars. As discussed repeatedly, this preferance naturally extends into the realm of healthcare, Some time ago, he sought the advice of Andrew Wakefield, the man who published the fraudulent research that started the myth about a causal link between MMR-vaccinations and autism.

Early November this year, Trump stated that, if he wins the election, he’ll “make a decision” about whether to outlaw some vaccines based on the recommendation of Robert F. Kennedy Jr., a notorious vaccine critic without any medical training. The president doesn’t have authority to ban vaccines but he can influence public health with appointments to federal agencies that can change recommendations or potentially revoke approvals.

Now that he did win the election, Trump suggested that Robert F. Kennedy Jr., his pick to run Health and Human Services, will investigate supposed links between autism and childhood vaccines, a discredited connection that has eroded trust in the lifesaving inoculations.

“I think somebody has to find out,” Trump said in an exclusive interview with “Meet the Press” moderator Kristen Welker. Welker noted in a back-and-forth that studies have shown childhood vaccines prevent about 4 million deaths worldwide every year, have found no connection between vaccines and autism, and that rises in autism diagnoses are attributable to increased screening and awareness.

Trump, too stupid to know the difference between correlation and causation, replied: “If you go back 25 years ago, you had very little autism. Now you have it.” “Something is going on,” Trump added. “I don’t know if it’s vaccines. Maybe it’s chlorine in the water, right? You know, people are looking at a lot of different things.” It was unclear whether Trump was referring to opposition by Kennedy and others to fluoride being added to drinking water.

Kennedy, the onetime independent presidential candidate who backed Trump after leaving the race, generated a large following through his widespread skepticism of the American health care and food system. A major component of that has been his false claims linking autism to childhood vaccinations. Kennedy is the founder of a prominent anti-vaccine activist group, Children’s Health Defense. The agency Trump has tasked him with running supports and funds research into autism, as well as possible new vaccines.

The debunked link between autism and childhood vaccines, particularly the inoculation against mumps, measles and rubella, was first claimed in 1998 by Andrew Wakefield who was later banned from practicing medicine in the UK. His research was found to be fraudulent and was subsequently retracted. Hundreds of studies have found childhood vaccines to be safe.

Autism diagnoses have risen from about 1 in 150 children in 2000 to 1 in 36 today. This rise has been shown to be due to increased screening and changing definitions of the condition. Strong genetic links exist to autism, and many risk factors occurring before birth or during delivery have been identified.

If Trump does, in fact, ‘outlaw’ certain vaccinations, he would endanger the health of the US as well as the rest of the world. Will he really be that stupid?

If you live in the UK, you could not possibly escape the discussion about the ‘Assisted Dying Bill’ which passed yesterday’s vote in the House of Commons (MPs have voted by 330 to 275 in favour of legalising voluntary assisted suicide). Once the bill passed all the further parliamentary hurdles – which might take several years – it will allow terminally ill adults who are

  • expected to die within six months,
  • of sound mind and capable of managing their own affairs

to seek help from specialised doctors to end their own life.

After listening to many debates about the bill, I still I have serious concerns about it. Here are just a few:

  1. Palliative care in the UK is often very poor. It was argued that the bill will be an incentive to improve it. But what, if this is wishful thinking? What if palliative care deteriorates to a point where it becomes an incentive to suicide? What if the bill should even turn out to be a reason for not directing maximum efforts towards improving palliative care?
  2. How sure can we be that an individual patient is going to die within the next six months? Lawmakers might believe that predicting the time someone has left to live is a more or less exact science. Doctors (should) know that it is not.
  3. How certain can we be that a patient is of sound mind and capable of managing their own affairs? By definition, we are dealing with very ill patients whose mind might be clouded, for example, by the effects of drugs or pain or both. Lawmakers might think that it is clear-cut to establish whether an individual patient is compos mentis, but doctors know that this is often not the case.
  4. In many religions, suicide is a sin. I am not a religious person, but many of the MPs who voted for the bill are or pretend to be. Passing a law that enables members of the public to commit what in the eyes of many lawmakers must be a deadly sin seems problematic.

In summary, I feel the ‘Assisted Dying Bill’ is a mistake for today; it might even be a very grave mistake for a future time, if we have a government that is irresponsible, neglects palliative care even more than we do today and views the bill as an opportunity to reduce our expenditure on pensions.

THE TIMES recently published an interview with (my ex-friend) Michael Dixon, a person who has featured regularly on this blog. Here is a short passage relevant to our many discussions about homeopathy:

“Can I say on the record I’ve never studied homeopathy,” he says. “I’ve never even offered homeopathy. What I have done is said that if patients feel they’ve benefited from homeopathy, what’s the problem?”

The problem, scientists would argue, is that homeopathy undermines trust in real, evidence-based medicine. Homeopathic remedies are made by diluting active ingredients in water, often so that none of the original substance remains. Homeopathy has been banned on the NHS since 2017, because it is “at best a placebo”.

For Dixon, however, this “trench warfare” divide between alternative and conventional medicine is too binary. Even if something is scientifically impossible, as long as it helps his patients that is all that matters, Dixon says. “Many years ago, a Christian faith healer started seeing some of my patients. She made a lot of them better. I didn’t care a damn if it’s placebo — they got better,” he says.

While he thinks homeopathy can serve a purpose on the NHS, he draws a line at the “madness of some of the more wayward complementary practitioners” who will argue for using homeopathy to vaccinate children. “I would always advocate against anyone going for complementary medicine if there’s good evidence-based conventional medicine.”

Apart from

  • the hilarious implication that a faith healer is NOT  a “wayward practitioner”,
  • the fact that, as far as I know, nobody ever claimed that Dixon studied homeopathy,
  • the fact that Dixon does not understand what, according to scientists, the problems with homeopathy are,

his statements seem very empathetic at first glance.

Dixon’s key argument – if patients feel they’ve benefited from homeopathy, why not prescribe it – is an often-voiced notion. But that does not make it correct!

A physician’s duty is not primarily to please the patient. His/her duty foremost is to behave responsibly and to treat patients in the most effective way. And this includes, in a case where the patient feels to have benefitted from a useless or dangerous treatment, to inform the patient about the current best evidence. To me, this is obvious, to others, including Dixon, it seems not. Let me therefore ask you, the reader of these lines: what is the right way to act as a GP?

SCENARIO DIXON

Patient wants a treatment that is far from optimal and claims to have experienced benefit from it. The GP feels this is enough reason to prescribe it, despite plenty of evidence that shows the treatment in question has at best a placebo effect. Thus the doctor agrees to his/her patient taking homeopathy.

SCENARIO ERNST

Patient wants a treatment that is far from optimal and claims to have experienced benefit from it. The doctor takes some time to explain the the therapy is not effective and that, for the patient’s condition, there are treatments that would be better suited. The patient reluctantly agrees and the doctor prescribes a therapy that is backed by sound evidence (in case the patient resists, he/she is invited to see another doctor).

I admit that risking to lose a patient to another colleague is not an attractive prospect, particularly if the patient happens to be your King. But nobody ever said that medicine was easy – and it certainly is not a supermarket were customers can pick and choose as they please.

What do you think?

While medical experts across the world have expressed dismay at Trump’s appointment of Robert Kennedy, the ‘International chiropractors Association’ has just published this remarkable note:

Donald J. Trump made it official that he was nominating Robert F. Kennedy, Jr. to serve as the Secretary of Health and Human Services. Secretary-designee Kennedy has spent his entire career championing the health of the nation through education, advocacy, research and when needed litigation.

Among his many accomplishments are protecting the environment with Riverkeeper and the Natural Resources Defense Council His work at Riverkeeper succeeded in setting long-term environmental legal standards. Kennedy won legal battles against large corporate polluters. He became an adjunct professor of environmental law at Pace University School of Law in 1986 and founded the Pace’s Environmental Litigation Clinic which he co-directed for a decade.

It would be in the Pace Law Review that the landmark paper, “Unanswered Questions from the Vaccine Injury Compensation Program: A Review of Compensated Cases of Vaccine-Induced Brain Injury” (https://digitalcommons.pace.edu/cgi/viewcontent.cgi?article=1681&context=pelr) would be published in 2011.

Kennedy became laser focused on the autism epidemic while giving lectures on the dangers of mercury in fish, he was repeatedly approached by the mothers of children born healthy who regressed into autism after suffering adverse reactions from childhood vaccines, including their concern about the mercury-based preservative, thimerosal, being used in vaccines including the Hepatitis B vaccine given at birth. Kennedy’s approach to the issue was the same as it always, looking at the science. He assembled a team who gathered all the science and reviewed the issues with him. This resulted in the publication of the book, Thimerosal: Let the Science Speak
The Evidence Supporting the Immediate Removal of Mercury—a Known Neurotoxin—from Vaccines.

After establishing and leading the nonprofit Children’s Health Defense, last year Kennedy stepped back from the organization to throw his hat in the ring to be President. Becoming the embodiment of his uncle John F. Kennedy’s famous quote, “Ask not what your country can do for you, but what you can do for your country!”, Kennedy reached out to President Trump to form an alliance to focus on the crisis of chronic disease in the United States, and suspended his campaign to focus on the Make American Healthy Again (MAHA) Initiative.

ICA President, Dr. Selina Sigafoose Jackson, who is currently in Brazil promoting the protection of chiropractic as a separate and distinct profession stated, “Many ICA members have been supporters of Robert F. Kennedy, Jr.’s philanthropic activities and are all in on the MAHA Initiative. The Mission, Vision, and Values of the ICA align with the stated goals of the MAHA Initiative. We stand ready to provide policy proposals and experts to serve as advisors to the incoming Administration and to Secretary Kennedy upon his swearing in.”

____________________________

 

Perhaps I am permitted to contrast this with some health-related truths about Robert F. Kennedy, Jr. (my apologies, if the list is incomplete – please add to it by posting further important issues):

  • Robert F. Kennedy, Jr. has, since about 20 years, been a leading figure of the anti-vaccine movement.
  • During the epidemic, he pushed the conspiracy theory that “the quarantine” was used as cover to install 5G cell phone networks.
  • He claimed that “one out of every six American women has so much mercury in her womb that her children are at risk for a grim inventory of diseases, including autism, blindness, mental retardation and heart, liver and kidney disease.”
  • He wrote that, “while people were dying at the rate of 10,000 patients a week, Dr. Fauci declared that hydroxychloroquine should only be used as part of a clinical trial. For the first time in American history, a government official was overruling the medical judgment of thousands of treating physicians, and ordering doctors to stop practicing medicine as they saw fit.”
  • He pushed the conspiracy theory that COVID-19 had been “ethnically targeted” to spare Ashkenazi Jews and Chinese people.”
  • He claimed in a 2023 podcast interview that “There’s no vaccine that is safe and effective”.
  • In a 2021 podcast, he urged people to “resist” CDC guidelines on when kids should get vaccines.
  • He founded Children’s Health Defense’ that spreads fear and mistrust in science. One chiropractic group in California had donated $500,000 to this organisation.
  • In 2019, he visited Samoa where he became partly responsible for an outbreak of measles, which made 5,700 people sick and killed 83 of them.
  • He called mercury-containing vaccines aimed at children a holocaust. In 2015, he compared the horrors committed against Jews to the effects of vaccines on children. “They get the shot, that night they have a fever of a hundred and three, they go to sleep, and three months later their brain is gone. This is a holocaust, what this is doing to our country.”
  • He repeatedly alleged that exposure to chemicals — “endocrine disruptors” — is causing gender dysphoria in children and contributing to a rise in LGBTQ-youth. According to him, endocrine disruptors are “chemicals that interfere with the body’s hormones and are commonly found in pesticides and plastic.”
  • He stated “Telling people to “trust the experts” is either naive or manipulative—or both.”
  • He plans to stop water fluoridation.
  • He slammed the FDA’s “suppression” of raw milk.
  • He said that a worm ate part of his brain which led to long-lasting “brain fog.”
  • He has a 14-year-long history of abusing heroin from the age of 15. The police once arrested him for possession; he then faced up to two years in jail for the felony but was sentenced to two years probation after pleading guilty.
  • He stated: “WiFi radiation … does all kinds of bad things, including causing cancer…cell phone tumors behind the ear.”
  • He claimed that rates of autism have increased even though “there has been no change in diagnosis and no change in screening either.” Yet, both have changed significantly.
  • He wrote: (Fauci’s) “obsequious subservience to the Big Ag, Big Food, and pharmaceutical companies has left our children drowning in a toxic soup of pesticide residues, corn syrup, and processed foods, while also serving as pincushions for 69 mandated vaccine doses by age 18—none of them properly safety tested.”
  • He stated that cancer rates are skyrocketing in the young and the old – a statement that is evidently untrue.
  •  He authored a viral post on X: “FDA’s war on public health is about to end. This includes its aggressive suppression of psychedelics, peptides, stem cells, raw milk, hyperbaric therapies, chelating compounds, ivermectin, hydroxychloroquine, vitamins, clean foods, sunshine, exercise, nutraceuticals and anything else that advances human health and can’t be patented by Pharma. If you work for the FDA and are part of this corrupt system, I have two messages for you: 1. Preserve your records, and 2. Pack your bags.”
  • He has also aligned himself with special interests groups such as anti-vaccine chiropractors.
  • He stated categorically: “You cannot trust medical advice from medical professionals.”
  • He said he’s going to put a pause on infectious diseases research for 8 years.
  • He promoted the unfounded theory that the CIA killed his uncle, former President John F. Kennedy.
  • He linked school shootings to the increased prescription of antidepressants.
  • An evaluation of verified Twitter accounts from 2021, found Kennedy’s personal Twitter account to be the top “superspreader” of vaccine misinformation on Twitter, responsible for 13% of all reshares of misinformation, more than three times the second most-retweeted account.

 

PS

Let me finish with a true statement: The World Health Organization has estimated that global immunization efforts have saved at least 154 million lives in the past 50 years.

 

 

The BMJ just published an article entitled “Disinformation enabled Donald Trump’s second term and is a crisis for democracies everywhere“. Please allow me to show you a few excerpts from this paper:

Donald Trump did not win the 2020 election, but asserting that he did became a prerequisite for Republicans standing for nomination to Congress or the Senate to win their primaries. An entire party became a vehicle for disinformation. Trump did win the 2024 presidential election, and key to that victory was building on the success of that lie. If you control enough of the information ecosystem, truth no longer matters…

… Readers of The BMJ will recall the huge amounts of misinformation (wrong or misleading content that is unknowingly shared) and disinformation (false content that is deliberately spread) during the covid-19 pandemic, some generated or amplified by politicians. This reduced vaccine uptake, promoted ineffective treatments, and encouraged attacks on health workers. In the past, factually incorrect statements might have had only local consequences, but a lie can now circle the world in seconds. Yet the speed in which disinformation can spread is only part of the problem…

… Part of Musk’s reason for buying Twitter was to influence the social discourse. And influence he did—by using his enormous platform (203 million followers) to endorse Trump, spread disinformation about voter fraud and deep fakes of Kamala Harris, and amplify conspiracy theories about everything from vaccines to race replacement theory to misogyny. Musk’s platform is effective: his endorsement of Trump coincided with Republican leaning posts being algorithmically favoured over Democrat leaning posts. A more mundane example: after Musk published three non-evidence based posts on X that favoured one medication over another, sales of the former rose by 18% while the other fell by 11%. …

The warning signs are clear for democracies around the world. Firstly, governments must regulate social media companies more rigorously. Brazil’s victorious dispute with X shows what is possible, and a major battle between the European Commission and Musk is under way. Beyond that, we must grapple with how to hold the world’s richest people to account when they directly interfere with national and international politics.

Secondly, public health agencies must create robust surveillance systems for infodemics just as they have for epidemics. They must monitor the emergence of disinformation and counter it or, ideally, anticipate and counter (pre-bunk) it among vulnerable audiences (and build population resilience). Independent organisations that are countering disinformation are already being deliberately targeted (https://counterhate.com/). And we must accelerate research on “inoculating” people against the algorithms and content that attempt to radicalise them.

Finally, politicians and the public health community must not be afraid of calling out disinformation, and we must all support and applaud them in doing so. And moving beyond responding to false rhetoric, we must also get on the front foot and create compelling counter narratives of a better politics that can support a kinder, more inclusive, and socially just world.

___________________________

I’d like to thank the authors (Martin McKee, professor of European public health, Christina Pagel, professor of operational research, and Kent Buse, co-founder of ‘Global Health) for their courage to speak out and stand up for the truth. I am in full agreement with them and encourage all my readers to study their excellent paper in full.

Spanish colleagues and I just published an article entitled “Is Osteopathic Manipulative Treatment Clinically Superior to Sham or Placebo for Patients with Neck or Low-Back Pain? A Systematic Review with Meta-Analysis”. Here is its abstract:

The aim of this systematic review and meta-analysis was to compare whether osteopathic manipulative treatment (OMT) for somatic dysfunctions was more effective than sham or placebo interventions in improving pain intensity, disability, and quality of life for patients with neck pain (NP) or low-back pain (LBP). Methods: A systematic review and meta-analysis was carried out. Searches were conducted in PubMed, Physiotherapy Evidence Database, Cochrane Library, and Web of Science from inception to September 2024. Studies applying a pragmatic intervention based on the diagnosis of somatic dysfunctions in patients with NP or LBP were included. The methodological quality was assessed with the PEDro scale. The quantitative synthesis was performed using random-effect meta-analysis calculating the standardized mean difference (SMD) with RevMan 5.4. The certainty of evidence was evaluated using GRADEPro. Results: Nine studies were included in the qualitative synthesis, and most of them showed no superior effect of OMTs compared to sham or placebo in any clinical outcome. The quantitative synthesis reported no statistically significant differences for pain intensity (SMD = −0.15; −0.38, 0.08; seven studies; 1173 patients) or disability (SMD = −0.09; −0.25, 0.08; six studies; 1153 patients). The certainty of evidence was downgraded to moderate, low, or very low. Conclusions: The findings of this study reveal that OMT is not superior to sham or placebo for improving pain, disability, and quality of life in patients with NP or LBP.

As always, it seems important to stress that our review has several limitations. Firstly, the searches were conducted in the most relevant databases; however, some studies not indexed in these sources may have been missed. Secondly, the diverse NP and LBP diagnosis, as well as the lack of data reported by some studies, complicates the interpretation of the results and may weaken our conclusion. Thirdly, the primary studies pragmatically applied interventions based on diagnoses of various somatic dysfunctions, resulting in a high degree of heterogeneity among the treatments applied.

Despite these limitations, it is fair to say, I think, that OMT is not nearlly as solidly supported by reliable evidence as most osteopaths try to make us believe. In essence, this means that, if you suffer from NP or LBP, you best concult a proper doctor or physiotherapist.

The ‘WORLD JOURNAL OF PHARMACEUTICAL RESEARCH‘ just published a paper entitled RESEARCH TRIAL TO EVALUATE THE EFFICACY OF HOMEOPATHIC MEDICINES IN ACUTE PHARYNGITIS- AN OBSERVATIONAL STUDY. It is remarkable, in my view; please let me show you its abstract:

This observational study aims to evaluate the efficacy of homeopathic medicines in the management of acute pharyngitis. Acute pharyngitis, commonly caused by viral or bacterial infections, presents with symptoms such as sore throat, fever, and difficulty swallowing, significantly affecting patient quality of life. Despite the widespread use of conventional treatments, there is a growing interest in homeopathic remedies as a potential alternative. This trial involved a cohort of patients diagnosed with acute pharyngitis who received individualized homeopathic treatments based on their specific symptoms and constitutional type. Clinical outcomes were assessed using standardized symptom severity scales at baseline and follow-up visits. Data analysis focused on symptom resolution, patient-reported outcomes, and overall satisfaction with treatment. Preliminary results indicate a significant reduction in symptom severity and improvement in quality of life among participants receiving homeopathic interventions compared to standard care. These findings suggest that homeopathic medicines may offer a viable complementary approach to the management of acute pharyngitis, warranting further research to establish definitive therapeutic protocols and validate these observations.

Yes, you are right:

  1. This study cannot possibly assess the ‘efficacy of homeopathic medicines’. Its design does simply not allow this.
  2. The results are to be expected due to the natural history of the condition and say nothing about the ‘efficacy’ of the interventions.

Despite these obvious caveats, the authors reinforce their wrong message many times in the article; here are a few further quotes:

  • According to the study, there was significant improvement in 61.67% of cases.
  • Overall, our study emphasizes Homoeopathy as an effective treatment for acute pharyngitis and suggests its wider consideration in clinical practice.
  • Homoeopathy provides a holistic, individualized, and safe approach to treating acute pharyngitis, with benefits such as minimal side effects, long-term health improvements, and enhanced patient empowerment, establishing it as a valuable therapeutic option for managing this common condition.

Who publishes such nonsense?

Surely not professionals with a higher degree!

Wrong! In fact, the authors are three professors:

  • M.D. (Hom.), Phd, Assistant Professor- Department of Community Medicine State
    Government Homoeopathic Medical College, Aligarh, Uttar Pradesh.
  • MD (Hom.), PhD, Associate Professor- Department of Pathology, G.C. Homoeopathic
    Medical College, Lucknow, Uttar Pradesh.
  • M.D. (Hom.), PhD, Professor- PG Department of Homoeopathic Pharmacy S.S. Agrawal
    Homoeopathic Medical College, Navsari, Gujarat.

And what does the ‘WORLD JOURNAL OF PHARMACEUTICAL RESEARCH‘ think they are doing when publishing such scientific misconduct? They think they serve Science & Mankind at the highest levels of Professional Ethical Conduct.

No, I am not kidding; here is a quote from their website:

“The Journal particularly aims to foster the dissemination of scientific information by publishing manuscripts related to current Pharmaceutical Drug Delivery and related fields. We started with a Mission to encourage contribution to Research in Sciences & Technology for achieving better future lives for all. We serve Science & Mankind at the highest levels of Professional Ethical Conduct.”

It has been reported that King Charles is on a secret trip to Bengaluru, his first visit to India since being coronated as king of the United Kingdom on May 6, 2023, at Westminster Abbey, London. Charles arrived in Bengaluru on October 27 and will be at the Soukya International Holistic Health Centre (SIHHC) in Whitefield for wellness treatment till Wednesday (30/10) night, when he is expected to fly to London.

Sources privy to his secret visit said that King Charles arrived in Bengaluru directly from Samoa, where he attended the 2024 Commonwealth Heads of Government Meeting from October 21-26. His visit to Bengaluru was strictly kept under wraps, and he was directly taken to SIHHC, where he was also joined by his wife, Queen Camilla.

According to sources, the couple’s day begins with a morning yoga session, followed by breakfast and rejuvenation treatment before lunch. After a brief rest, a second round of therapies follows, ending with a meditation session before dinner and lights out by 9 pm. They have been enjoying long walks around the campus, visiting the organic farm and cattle shed. Considering the high-profile secret visit, a high-security ring was thrown around SIHHC.

The health centre, founded by Dr. Issac Mathai, is located in Samethanahalli, Whitefield, on Bengaluru’s outskirts. This integrative medical facility combines traditional systems of medicine, including Ayurveda, Homoeopathy, Yoga, and Naturopathy, along with over 30 complementary therapies like reflexology, acupuncture, and dietetics.

Although this is his first visit as a monarch, Charles has visited the centre on nine earlier occasions and celebrated Deepavali on three occasions there. The royal couple has earlier taken wellness treatments, including anti-ageing, detoxification and rejuvenation. On November 14, 2019, the couple celebrated the then Prince Charles’ 71st birthday at SIHHC, an event that attracted a lot of publicity, unlike this visit.

_______________________

The website of the SIHHC modestly claims to be “THE WORLD’S FIRST INTEGRATIVE HEALTH DESTINATION’

As I reported in 2022, at a press conference in Goa it was claimed, that Prince Charles had been cured of COVID-19 after seeking treatment from a Bengaluru-based alternative treatment resort, SOUKYA International Holistic Health Centre’ run by a doctor Isaac Mathai. The Palace later denied that this was true.

And what about Dr. Issac Mathai? This is what he writes about himself:

A journey that began from the hills of Wayanad (northern Kerala) in 1985, started to bloom in 1998, and today is an international destination for Holistic health and wellbeing. When Dr. Issac Mathai embarked on this journey influenced by his mother, a Homeopathy practitioner who “helped people get better”, little did he know that one day he would lead a team to redefine the essence of health and wellbeing.

As a confident youngster aspiring to be an ‘exceptional Homeopathic Doctor’, Dr. Mathai encountered two key turning points in life – one, an internationally well-received research paper on integrating Yoga with Homeopathy to cure respiratory disorders, and two, learning at the Hahnemann Postgraduate Institute of Homeopathy, London.

Later he was made a Consultant Physician at the Hale Clinic in London, where he treated a number of high-profile people. This helped him establish a reputation in the holistic healing community in quick time. SOUKYA, is today, a residential holistic centre comparable to any facility in the world.

In a world that is comfortable with the conventional practice of ‘popping pills’, the world at large practices a combination of self-medication based on preconceived notions about what is wrong with individuals. In such a scenario, Dr. Issac Mathai and his team of experienced practitioners from different streams have achieved an important goal – create awareness about the possibility of prevention of adverse health conditions, rather than just addressing the symptom.

Education:

M.D. (Homeopathy),
Hahnemann Post-Graduate Institute of Homeopathy, London M.R.C.H, London
Chinese Pulse Diagnosis and Acupuncture, WHO Institute of Traditional Chinese Medicine, Nanjing, China
Trained (Mind-Body Medicine Programme) at Harvard Medical School, USA

Of the 3 institutions mentioned above, I could only find the last one: Harvard CME | Mind Body Medicine.

And under MD (Homeopathy), I found this: MD in Homoeopathy is a 3-year long postgraduate course in medicine including a year of house job, and remaining 2 years of research and study.

So, should we be concerned about the health of our King?

What do you think?

I was recently invited to give a lecture to the local medical association in Graz Austria. It was a pleasure to be in Austria again and a delight to visit the beautiful town of Graz. They had given me the following subject:

Mythen in der sogenannten Alternativmedizin [Myths of so-called alternative medicine (SCAM)]

In my lecture, I thought it prudent to relate to the situation of SCAM in Austria which is rather special:

  • The seem to Austrians love the SAM; the 1-year prevalence of use is 36%!
  • In Austria, SCAM is only allowed to be practised by doctors.
  • Often SCAM is paid for by patients out of their own pocket.
  • For many, SCAM is a question of belief.
  • SCAM is being promoted by VIPs and loved by journalists; one politician even sells his own brand of dietary supplements!
  • In Austria, SCAM is heavily promoted by the Austrian Medical Association who currently runs courses and issues several SCAM diplomas.

The Austrian newspaper DER STANDARD then decided to interview me on these issues. The interview has been published today, and I thought I might take the liberty of translating the central part for you:

Q: In Austria, the Medical Association offers diplomas in various alternative methods. Why is this problematic?

A: I am aware of no less than 11 such diplomas offered by the Austrian Medical Association. While in England, France or Germany, for example, homeopathy has been considerably restricted by the medical profession due to the largely negative evidence, in Austria it continues to be promoted by the medical associations. This makes Austrian medicine the laughing stock of the rest of the world. More importantly, it violates the principles of evidence-based medicine. And even more importantly, it seems to me that the Austrian Medical Association is neglecting its ethical duty towards patients for purely pecuniary reasons.

Q: But the Medical Association is only complying with the regulations.

A: The Medical Association boasts that the quality of medical care and patient safety are at the centre of its work. In view of these diplomas, this mission almost sounds like a bad joke. They claim that the diplomas comply with the regulations. But firstly, this is a question of interpretation and secondly, regulations can – I would say must – be changed if they run counter to the quality of medical care. Finally, according to its own statements, the Association is obliged to adapt the Austrian healthcare system to changing conditions. This means nothing other than that it must take account of changing evidence – for example in the field of homeopathy.

Q: And what do the many doctors who use homeopathy say?

A: They often claim that they are only following the wishes of their patients when they prescribe homeopathic remedies. This may be true, but it is certainly not a valid argument. It ignores the fact that it is a doctor’s damned duty to provide patients with evidence-based information and to treat them accordingly. After all, medicine is not a supermarket where customers can simply choose whatever they happen to like.

It should also be emphasised that the practitioners of homeopathy also earn a good living from it. The fact that there is resistance from them when it comes to prioritising evidence rather than earnings in this area is thus hardly surprising.

But of course there are also a few doctors who use homeopathy primarily because they are fully convinced of its effectiveness. I think that these colleagues should consider self-critically whether they are not violating their ethical duty to be at the cutting edge of current knowledge and to act accordingly.

Perhaps unsurprisingly, my lecture prompted a lively discussion. Those doctors in the audience who spoke were unanimously in favour of my arguments. I was later told that many of those people who are responsible for the 11 diplomas were in the audience. Sadly, none of them felt like discussing any of the issues with me.

Perhaps the interview succeeds in starting a critical discussion about SCAM in Austria?

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