We aren't there yet...

“If we look back 150 years, to the paradigms and practices of that time, we are likely to smile indulgently. Many of us can see clearly that the belief systems then operating were inadequate to explain events, and have been overtaken. But too many of us lack a capacity to learn from that observation about our current paradigms. If we go forward 150 years in our imagination and then look back it seems likely that practitioners of that day will smile again at our belief systems. There is nothing wrong with this - we are using the best paradigms we have. They are not perfect and they will be overtaken. We need to be relaxed and ready - and not be prisoners of the paradigms of today."

Peter Baume, The Tasks of Medicine, 1998


AND HERE IS THE CHART OF EVERYTHING, THINGS OUR MITOCHONDRIA DO. The horizontal process is mitochondrial respiration, the efficient production of energy and the great antioxidant carbon dioxide. The vertical process is steroidogenesis, the making of steroidal hormones from cholesterol, the so called 'bad cholesterol'. Popular dogma holds that elevated cholesterol needs to be removed from the blood stream (from where usually to put fat in the liver) but it ought to be seen as a failure of the processes in this chart. These processes are only 1.3 billion years old and still argued about in the cell.


cholesterol

|

plus thyroid T3

and vitamins A and E

|

_______________

/ \

sugar + oxygen ---> | MITOCHONDRION | --> ATP + CO2

\__________________/

|

pregnenolone

/ \

DHEA progesterone

/ | \

androgens testosterone cortisol

/ / \

estrogen estrogen aldosterone


AND HERE IS A LINK TO THE SCIENTIFIC CONFERENCE IN MARCH 2019 WHERE APPEARED EVIDENCE OF DEFICITS OF MITOCHONDRIAL PERFORMANCE IN CHRONIC FATIGUE SYNDROME, FOR WHICH I HAVE ARGUED FOR TWO DECADES AND ON WHICH MY REGIME IS BASED.

Tuesday 29 October 2019

PLEASE START HERE: To provide perspective

In 1998-99 I found a constructive approach to chronic fatigue syndrome and placed several papers on a web site. I do not have that website any more. The papers I wrote then could be improved. But for the record, here they are.

This is an essay about the way we look at health and illness.
-----

In 1998 I wrote a number of papers (to which there are links below) as my ideas on how I might treat my own illness (stress related, producing symptoms of chronic fatigue syndrome and fibromyalgia, though I don't much like such labels) evolved.

The perspective I developed and the approach to treatment seemed to work. I have not left behind the weaknesses and vulnerabilities of chronic illness present for a decade and a half, or more, but it is no longer disabling as it had been. I did not go back and revise the papers I wrote in 1998 or properly update them, initially because I was looking after my wife Margaret, who has the worst kind of brain tumour. 

I was also struck by many of Margaret's symptoms, arising from the tumour itself or from the medications she had, and the way in which they involve those associated with 'chronic fatigue' - leaving aside those clearly arising from brain disturbance from a tumour mass, oedema (fluid) pressure, radiation treatments, and three open craniotomies to remove masses of material the size of a peach. This reinforces my view that modern medicine and our own habits of thought about health and illness are falsely compartmentalised to a degree which prevents us dealing with causes of illness, and alleviating those, and makes for a professional and community focus on the names of particular diseases and their treatment, often without fixing the factors that have precipitated illness. The obsession with naming diseases is evident whenever anyone fills out a medical form at work or for insurance, etc. This obsession has deep cultural roots in Semitic-European culture. It is useful to read the first two chapters of the Book of Genesis, to see the preoccupation with the notion that the right to name creatures and things is a source of power, given to man, while god denies man, in this Jewish account, the right to use god's name. Pity he or she who suffers an unnamed disease, what power will that person have....

My central hypothesis is this:
1: Every organism, including each human, is subject to a myriad stressors (I use the word stress in the broadest sense) and when such stressors strike, the individual's response reflects preexisting qualities and history of exposure to other stressors (bacteria, viruses, nutrition, air and water quality, chemical exposure, family health, mother's health around time of birth (perinatal health), genetic inheritance, family, work and social environment, trauma and accident, etc.) and there is a compounding effect, with health consequences. The critical issue should surely be in assessing the basic health state of the individual, but instead we work hard to classify the reactions instead into categories (notably the separation between psychological and somatic). This seems to me to serve cultural-intellectual preoccupations rather than aiding understanding of illness.
2: In each individual organisms, the response to stressors has impacts of basic kinds on reproductive, immune and nervous systems.
3: These impacts and stresses on basic functional systems gives rise to a myriad different patterns of development, adaptation, degeneration, and often illness and eventual decline.
4: a great deal of the practice of medicine is focused on stage 3, the identification and description of particular forms of degeneration, 'abnormality', deviance or illness. Medicine is practiced primarily as a skill in correction of these outcomes, rather than attempting broader understanding and treatment of the whole individual. Professional specialisation has become compartmentalised, showing extraordinary use of remarkable technological achievements, but too often with a loss of broader perspective or ability to deal with root causes.
5: There is dependence in medical advance upon a style of reductionist research which cannot easily lead to comprehension of whole systems, but rather tends to support the marketing of substances and procedures to correct perceived deficits in parts of health or bodily systems, which may have negative repercussions elsewhere - too often corrected with another layer of medication and treatment, so that is it very difficult, where a person has presented to a number of doctors with a number of symptoms and been variously diagnosed and treated, to know to what extent the health problems were there in the first place and to what extent they are iatrogenic (arising from medical treatment).
6: Faddishness abounds in the pursuit of cause, as in the current expectations of the fruits of genetic research, which absorbs masses of funding, promises much, but is blind to other, neglected issues in biology, and thus flawed.
7: It is possible to try to establish a perspective which allows us to address chronic illnesses. In some cases irreversible changes may have taken place, as with severe arthritis, or, alas, brain tumour. A person with a hard to name, hard to describe illness, with elusive symptoms, may be a very lucky person, and may not be well served by achieving a disease name or a 'marker' for illness.
The papers which are linked to this paper were written in 1998. I had hope to bring them up to date at some time, but am busy. Meanwhile, in response to requests, here they are.

You can follow links below ... also you will find them all in the right column, October 2019.

1: Hypothesis February 1998 How I got to the sort of perspective further developed in later papers, by trying different treatments and notions about my own illness
2: Hypothesis April 1998
3: Perspectives on Health, May 1998
4: Thyroid and mitochondrial function, June 1998
5: Mitochondrial function, June 1998.
6: "Chronic Fatigue Syndrome" - a fresh approach November 1998.


The ideas in these papers have been relevant to my health.
Please do not dive in in search of a treatment to be a magic fix for some problem.
Life's not like that.
But I hope the reader will enjoy the read, find it of some value and meaning
and perhaps relevance to personal health.
Think kindly of me, exposing my ideas on the web, and write with any comments.

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