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Liberal Doctor

  • Homeopathy prescribing set to be blacklisted under NHS England plans

    Liberal Doctor's comment 11 Apr 2019 2:14pm

    It's quite clear to anybody disagreeing with you, Christopher Ho, that this issue is NOT about money. The figure is miniscule. In today's news is an article suggesting that psychotherapy can be effective in IBS - something obvious to holistic doctors for several decades. I believe homeopathy works but even those who think that it's the consultation quality and some sort of 'hypnosis' is the therapeutic ingredient, even then it would be cruel to act like this. Fact is that OUTCOME STUDIES show that people seeing homeopathic doctors do get better and it's cost effective. Another fact is that it appears to work on animals and yet another that in India there are over 350K qualified homeopathic practitioners and a minister in the government for homeopathy and CAM. And yet another is the Swiss decision to let the people decide for themselves on this issue - as opposed to being told they are deluded by people such as yourself.

  • Homeopathy prescribing set to be blacklisted under NHS England plans

    Liberal Doctor's comment 10 Apr 2019 3:39pm

    @Christopher Ho I did NOT say that NHS or NICE or CCGs are vile. I may disagree with their recommendations but while they are only recommendations I can live with them. But to BLACKLIST (which is what is being suggested) is what would be foul authoritarianism.

  • Homeopathy prescribing set to be blacklisted under NHS England plans

    Liberal Doctor's comment 10 Apr 2019 3:36pm

    Anyone who thinks this is about the money is very wrong or very disingenuous. This is an attempt to discredit homeopathy, nothing more and nothing less.

    The bottom line is that we still believe in this country that doctors are better placed than academics to make clinical decisions about their own patients. The doctor-patient relationship is vital. If a substantial minority of people in the UK (including Queen Elizabeth II and much of her family and corgies) use homeopathy and want it prescribed for them by medical doctors, then the NHS should most certainly fund these ecologically sound and highly inexpensive medicines although I'm prepared to debate whether the Royal corgies should have to pay for it themselves. The Swiss actually voted for this principle in a referendum and I believe a democratic vote here would not deny CAM for those patients who want it and whose NHS doctors would be prepared to prescribe it and take responsibility of their decisions. Last Thing: If you are going to make jokes about homeopathy here, can you please raise the standard and stop repeating very old and stale gags.

  • Homeopathy prescribing set to be blacklisted under NHS England plans

    Liberal Doctor's comment 10 Apr 2019 11:15am

    Completely agree with and endorse the views of Do good. The vile authoritarian views also expressed here are disappointing. Homeopathy is NOT quackery. OUTCOME STUDIES show very convincing clinical results (eg Spence et al) Any doctor with a conscience would be mindful of that and recognise that homeopathy (which includes an in-depth holistic consultation does indeed work - even though HOW it works is most certainly open to debate. Countries such as Switzerland show a much more tolerant view of this and the view of its citizens. Of course any doctor who does harm by not using conventional treatment when it's really needed, can and will be disciplined. It is to homeopathy's credit that this very seldom happens and doctors using alternative medicine are in the lowest bracket of fees for indemnity insurance which shows that actuaries and people who study statistics rather than express their opinion vituperatively seem to understand the 'danger' of doctor using CAM a bit more intelligently. Unfortunately here we don't seem to care much about what the people want and what they say they want. This is unfortunate for a country in which great liberals such as John Stuart Mill once walked.

  • NHS England welcomes court victory on homeopathy prescribing ban

    Liberal Doctor's comment 06 Jun 2018 6:21pm

    Most NHS homeopathic prescriptions cost less over the counter than the routine NHS charge. So if a patient is benefitting or thinks they are benefitting from homeopathy they will simply pay for it themselves. UNLESS of course they are young, old, disabled or for any reason do not pay for NHS medication. The main effect of this humane decision by NHS ENGLAND will be to discriminate against just these people.

    It's interesting to note that in Switzerland they had a referendum on exactly this issue and the people voted overwhelmingly to forced all insurance companies (equivalent to the NHS) to pay for homeopathic consultations and medications IF they are prescribed by a medical doctor. https://www.swissinfo.ch/eng/society/complementary-therapies_swiss-to-recognise-homeopathy-as-legitimate-medicine/42053830

    Seems the Swiss are a bit more democratic on this than us I guess.

  • GP practices with low prescribing quality rating more likely to prescribe homeopathy

    Liberal Doctor's comment 20 Apr 2018 1:15pm

    If homeopathy is a 'joke' what is this? A sick joke?

    https://medium.com/@drjasonfung/the-corruption-of-evidence-based-medicine-killing-for-profit-41f2812b8704

  • GP practices with low prescribing quality rating more likely to prescribe homeopathy

    Liberal Doctor's comment 19 Apr 2018 9:16pm

    @Northwestdoc
    1. Read the seminal piece of literature in homeopathy, The Organon by Samuel Hahnemann.
    2. Acquire an encyclopaedic knowledge of the effects of minerals and herbs on healthy volunteers and the forensic knowledge gained in accidental poisonings. Warning: This is onerous. Most homeopaths think of it in terms of decades of study.
    3. Be able to take a detailed medical history as well as a rudimentary assessment of psychological health and be particularly interested in your patients' subjective experience of their symptoms as well as being careful to take a good orthodox medical history and examination when needed.
    4. Give your patients enough of the most precious commodities you can offer - your time and caring.

  • GP practices with low prescribing quality rating more likely to prescribe homeopathy

    Liberal Doctor's comment 19 Apr 2018 3:35pm

    Agree with Do Good above. Using EBM as a blunt instrument against homeopathy exclusively is ridiculous. And so is this study. Maybe we should compare the efficacity of prescriptions made by doctors who believe in God compared to those who don't. Meantime EBM itself got a hiding in this article which quotes sources of the highest repute. Starting with evidence for angioplasty. Or lack thereof. https://mail.google.com/mail/u/0/#sent/162d28aac81ec0f9

  • GPs set to be banned from prescribing homeopathy

    Liberal Doctor's comment 24 Jul 2017 12:00pm

    Hi there comedy docs! How about some NEW jokes about homeopathy? The ones here are really stale - although each doc presents his/hers as if it were on Comedy Central. How about hunting down the truth about the efficacy of SSRIs? Read Kirsch et al? (https://goo.gl/YpFaU8) Not much evidence beyond the placebo effect for these multi-billion dollar breakthrough drugs for depression but hey, they serve a useful function. You stop patients talking by putting the on one a day and asking them to be patient before the medicine 'kicks' in. Now that's what I call a positive outcome - for us doctors at least. This latest proposed medical diktat that distrusts the individual discretion of GPs and is an insult to all doctors, is a major win for the pharmaceutical industry. Read the BMJ's CLINICAL EVIDENCE to see how few of THEIR products have the requisite 'evidence' behind them. It's less than 15% with incontrovertible evidence and less than 50% with any evidence at all.

    Scientism and hypocrisy rules!

  • GPs set to be banned from prescribing homeopathy

    Liberal Doctor's comment 23 Jul 2017 0:21am

    This proposed 'legislation' is unnecessarily cruel and authoritarian. People of all ages and creeds are interested in natural remedies recommended by doctors. What this diktat from above down means in practical terms is that old, young and disadvantaged people will now have to pay for these remedies even if they are recommended by the patient's GP . Less than kind medicine in this commentator's opinion.

  • Continuing to fund homeopathy is irresponsible

    Liberal Doctor's comment 26 Nov 2015 11:34am

    Fine words, Dr Thomas. I could not support you more.

  • Continuing to fund homeopathy is irresponsible

    Liberal Doctor's comment 26 Nov 2015 11:34am

    Fine words, Dr Thomas. I could not support you more.

  • Continuing to fund homeopathy is irresponsible

    Liberal Doctor's comment 25 Nov 2015 6:18pm

    'Based on fantasy' ? So the author of this article presumes that NHS funded treatment should be evidenced based? Well so do I.
    However, all that needs to be done to ensure this is to SET A LEVEL OF EVIDENCE for any treatment to be included on the NHS. But this clearly has not been done. Q: Why?
    A: (imo) Because many non-evidenced based 'conventional treatments' would have to be excluded and this would not suit a lot of interests would it? For example the makers and prescribers of SSRIs would not like it if the major meta-analysis of Kirsch et al (http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.0050045) was used to remove SSRIs from the hands of GPs and allow them only to be used by psychiatrists for 'severe depresssion' which Kirsch et all admit they sometimes are necessary for - after other methods haven't worked!
    The BMJ's Clinical Evidence handbook shows that at most 13% of conventional interventions are absolutely evidence based and another 23% probably of benefit and the rest harmful, unknown effect etc. Nobody is calling for those to be banned even though the NHS expenditure on SSRIs is about 30x it's entire homeopathic budget!
    The hypocrisy here is mind-numbing. There is also a flagrant disrespect for democracy and the wishes of the people who benefit from homeopathy - no matter HOW it works. And as for the fact that the homeopathic hospitals in the UK were built by benefactors of homeopathy and INVITED TO BE PART OF THE NHS by the Clement Attlee government of 1948 is not of concern to anyone? Fine to keep the hospitals and throw out the homeopaths is it? Even though homeopathy was controversial then too.
    What this is all about is not money. It's the wish of those who are 'offended' by homeopathy on the NHS and would never use it themselves preventing doctors from sending patients to other doctors who, taking full medical responsibility for their actions, would treat people with homeopathic medicines.
    Meanwhile the REAL waste of money on the NHS goes on elsewhere.

  • Continuing to fund homeopathy is irresponsible

    Liberal Doctor's comment 25 Nov 2015 6:18pm

    'Based on fantasy' ? So the author of this article presumes that NHS funded treatment should be evidenced based? Well so do I.
    However, all that needs to be done to ensure this is to SET A LEVEL OF EVIDENCE for any treatment to be included on the NHS. But this clearly has not been done. Q: Why?
    A: (imo) Because many non-evidenced based 'conventional treatments' would have to be excluded and this would not suit a lot of interests would it? For example the makers and prescribers of SSRIs would not like it if the major meta-analysis of Kirsch et al (http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.0050045) was used to remove SSRIs from the hands of GPs and allow them only to be used by psychiatrists for 'severe depresssion' which Kirsch et all admit they sometimes are necessary for - after other methods haven't worked!
    The BMJ's Clinical Evidence handbook shows that at most 13% of conventional interventions are absolutely evidence based and another 23% probably of benefit and the rest harmful, unknown effect etc. Nobody is calling for those to be banned even though the NHS expenditure on SSRIs is about 30x it's entire homeopathic budget!
    The hypocrisy here is mind-numbing. There is also a flagrant disrespect for democracy and the wishes of the people who benefit from homeopathy - no matter HOW it works. And as for the fact that the homeopathic hospitals in the UK were built by benefactors of homeopathy and INVITED TO BE PART OF THE NHS by the Clement Attlee government of 1948 is not of concern to anyone? Fine to keep the hospitals and throw out the homeopaths is it? Even though homeopathy was controversial then too.
    What this is all about is not money. It's the wish of those who are 'offended' by homeopathy on the NHS and would never use it themselves preventing doctors from sending patients to other doctors who, taking full medical responsibility for their actions, would treat people with homeopathic medicines.
    Meanwhile the REAL waste of money on the NHS goes on elsewhere.

  • Are doctors pushing patients into the arms of homeopaths?

    Liberal Doctor's comment 23 Apr 2015 8:44pm

    Veterinary homeopathic success is hard to explain with the 'homeopathy is placebo" hypothesis.

  • Are you a NICE doctor, or a fan of the alternative?

    Liberal Doctor's comment 23 Nov 2012 4:47pm

    You have to read Ernst and Singh's book to realise how biased it is. It misleads in that it gives the impression that conventional 'modern' medicine is all evidence based. It most certainly is not. According to the BMJ's handbook on Clinical Evidence (which I have with me at all times) only 11-13% of commonly used conventional medications have the highest level of evidence to back them. The major 'bunkum' and quackery in medicine is withing the sphere of the orthodox I am afraid.

  • We now call these cold little crawlspaces 'complementary therapies'

    Liberal Doctor's comment 17 Nov 2012 5:37pm

    There is a simple difference between polite disputation and ugly, lip twisted jeering and sneering - the very tone of this article. It is however, entirely typical of the position of the detractors of Complementary Medicine: Lay the contempt, scorn, ridicule and insult on with a trowel, but start whining and moaning when someone gives them a tiny (may I say 'homeopathic') dose of their very own medicine.

  • We now call these cold little crawlspaces 'complementary therapies'

    Liberal Doctor's comment 16 Nov 2012 5:12pm

    Compliments to the blogger for changing 'Complimentary' to 'Complementary'. Pity about not changing your egregiously offensive opinion about whole person approaches in medicine./

  • We now call these cold little crawlspaces 'complementary therapies'

    Liberal Doctor's comment 16 Nov 2012 11:31am

    @David Colquhoun
    So in spite of the Government recognising NHS homeopathic treatment, you feel free to accuse me of being a 'fantasist' and of 'medical misconduct'. A doctor attacking another doctor in that way comes very close to ethical 'medical misconduct' according to GMC guidelines. But I forget, you are NOT a qualified medical doctor are you Prof Colquhoun?