Dr. Byron Hyde’s reaction as a reply to the Lancet Psychology re M.E. report re M.E. and exercise compliments of M.E. patient advocate Michael Evison:
“Regarding the Lancet paper, you have to understand who these people are.
It is my understanding that they are primarily in-hospital or in-University psychiatrists, physicians and allied specialists, who to the best of my knowledge have opinions, which will get them or their departments national grants. To the best of my knowledge they toe the financial line for political rather than medical grounds, which is very smart if you wish funding.
Their views to my opinion are dangerous in so much as the mere diagnosis of CFS or M.E. in the UK is sufficient to get patients hospitalized in psychiatric hospitals and the keys thrown away.
Unfortunately I have seen this among UK patients who I have examined, tested or had tested and even brought to Canada for intensive testing. Among these UK patients, one was a lad with an MA in chemistry, who presently is in a psychiatric hospital; none of my confirmed physical diagnoses were treated. They simply gave him antipsychotics and locked him up.
As a physician, it is important to physically examine in a knowledgeable fashion, both with a hands on classical examination (and re-examination) along with a technical examination of every major system and organ. This does not mean a few routine blood and urine tests. It is totally important to take a good history, to listen to the patient: not with this 5-10 minute history, examination pill and out the door or into a psychiatry diagnosis because that is convenient.
To be clear about this, prior to the advent of widely available MRI brain examination availability from 1984 onwards, many if not the majority of female patients with Multiple Sclerosis were diagnosed as hysteria or psychiatric illness. Less so among men, and more so among younger females, younger than 30.
You will recall that Sharpe was amongst the original writers of the failed Oxford Definition of CFS, which has never been used, but was concocted in the hope of obtaining major financial grants from NIH in Bethesda. (I believe they didn’t receive any grants.)
White is also a psychiatrist and I don’t know the occupations of the others but I assume they are all either psychiatrists or allied in some way to that curious profession, or in for the grants.
This is not a criticism of psychiatrists, they are a needed and useful profession, but psychiatrists must not forget, that they are first and above all, physicians and are not a waste basket for non-psychiatric physicians who do not wish to take the time to properly examine chronically disabled physically ill patients.
So once again we have PhDs and MDs who do not examine patients physically and technologically and are working on the basis of a theory. Theory is simply not good enough when you are dealing with the lives of patients. It is my understanding that real M.E. and CFS patients were excluded in the PACE trial, and those who got into the trial by accident and then became ill were then excluded.
Their magical theory of medicine was fine for the period prior to 1800 when anything and everything goes in medicine was acceptable but certainly not since 1900 and certainly not post 1984.
Is it possible that support of this PACE action is part of a criminal action? Remember, the PACE program is essentially about (a) cognitive behavior therapy, (b) graded exercise therapy and (c) cost effectiveness comparisons.
There is a statement among crime investigators of white-collar crime: If you wish to understand what is going on,
“Follow the money”.
Who is to benefit financially from the magical theories developed by the PACE enquiry? Certainly (a) the insurance industry shares a major part in the profit.
Those patients who drop out of the PACE program are “resisting treatment,” so no insurance disability payments need to be made.
Also the UK National Health system doesn’t have to pay for any tests of these chronically disabled patients. National Health can thus continue their non-investigation and non-scientific treatment, but rather their continued abandonment policy of a significant portion of their younger population with smug indifference.
In the near 30 years I have been following these M.E. and CFS patients, and they are not the same, the vast majority of these patients have been (a) teaching professionals, (b) health care workers including (physicians and nurses), and (c) students.
Is this not curious, the professions most in contact with infectious disease are the most represented? Is it not curious that the two professional groups, health care workers and teachers, due to the strenuous academic streaming, which weeds out the physically and psychological prone individuals, are those most effected.
If you wish to know what medicine is about, take one of their names of the Lancet paper and look up Pickles, not the same Pickles, but Will Pickles (1885-1969) of Yorkshire. In his book, Epidemiology in Country Practice (1939), he described one of the first epidemics of Myalgia, CNS dysfunction and dysautonomia, a patient with normal lungs free of infection yet with a respiratory rate of 60/minute. This was in 1883. We have not come very far. Has the UK, the source of some of medicines greatest physicians, stopped seriously examining the disabled?
In the 1990s, I went to the island of Bornholm to see Dr. Sylvest who was still alive to obtain his experiences on the Coxsackie B epidemic on that Island in the 1930s and simply to see if there were chronic patients from that epidemic which had not been written up. There were, and although most had died by then, many had not recovered. Dr. Sylvest was a physician who examined and cared for his patients.
So what do I think about physicians who (1) do not examine patients, (2) do not use the available and less available scientific and technological tools, (3) rely on myth and magic to examine chronically ill patients? Not very much. Nor do I think much of the imaginative papers they write to obtain grants and what terrible things that happen to patients due to their dangerous folly.
Byron Hyde MD, The Nightingale Research Foundation
Dr. Byron Hyde is probably one of the Last of the Mohican’s in not only the M.E. world but all of medicine as U.K psychiatry not only gives medicine a bad name but psychiatrists a bad name.
Dr. Byron Hyde says it in his statement: “When white collar crime investigators make a statement such as “follow the money,””
When you have to “Follow The Money,” its usually a case of RICO!
“The Other Side Of The Stretcher” (c) 2015
This blog is not for medical advice.
For medical advice, you must speak with your physician!
Credit is given for images and also information in this blog by either google images or the creator of the image or source of information.
If you don’t see credit and you see your image or information,
please leave a note in the comments so credit can be given.