Anda di halaman 1dari 79

Life Span, Life

Expectancy & Health

Expectancy.

The Role of the Medical

Establishment in all these.

Professor B. M. Hegde

MD, FRCP (London), FRCP (Edinburgh), FRCP (Glasgow), FRCPI (Dublin) FACC, FAMS.

Editor-in-Chief, Journal of Science of Healing Outcomes. Penn. State, USA & Mangalore, India. (www.thejsho.com)

Visiting Prof. of Cardiology, London University, London, UK.

Affiliate Prof. Human Health, University of Northern Colorado in Greeley.

Former Vice Chancellor, Manipal University.

Former Dean, Kasturba Medical College, Mangalore.

Chair, State Health Society’s Expert Committee, Govt. of Bihar, Patna.

Chairman, Bharatiya Vidya Bhavan, Mangalore Kendra

What is Life Span?

What is Life Span ?

What is Life Expectancy?

What is Life Expectancy?

Life Expectancy UK.

Life Expectancy UK.

What IS health, anyway?

What IS health, anyway?

Health is capacity to “work and love”

Three kinds of love:-- Eros. Phil & Agapi (Agapo)

Health is capacity to “work and love” Three kinds of love:-- Eros. Phil & Agapi (Agapo)

Health is the capacity to work and “love.” Smith R

Health is the capacity to work and “love.” Smith R

What is Health Expectancy?

What is Health Expectancy?

Why does one get ill?

Why does one get ill?

Disease is an accident!

Disease is an accident!

What is Disease?

We might think of a disease as like a species-- something that exists in nature and is waiting to be discovered In fact disease is a medical and social construct--and as such a very slippery concept

The BMJ conducted a survey on the web to

identify "non-diseases"and found almost 200

To have your condition labelled as a disease may bring considerable benefit--both material (financial) and emotional

Is it more complicated?

Is it more complicated?

Social Epidemiology

Social Epidemiology

Health and disease.

Health and disease.

Medical Consultation?

Medical Consultation?

Doctor-Patient relationship.

Like mother and her child.

Doctor-Patient relationship. Like mother and her child.

Where are the limits of medicine: are we turning

the whole world into patients?

What is medicalisation?

Medicalisation of birth, death, and sexuality

Screening: a major medicalisaing force?

What is normal? What is a disease?

Creating “diseases”: disease mongering

Why does medicalisation matter?

What are the forces driving medicalisation?

How should we respond?

Medcalisation

(is pushing the patients into a bottomless pit of anxiety, suffering and hopelessness.)

Medcalisation (is pushing the patients into a bottomless pit of anxiety, suffering and hopelessness . )

Dr. Levine

“Pharmaceutical companies, by enlisting the aid of influential academic

physicians, have gained control of the

practice of medicine in the United States. They now set the standards of practice

by hiring investigators to perform studies

which establish the efficacy of their products or impugn those of their

competitors.”

Throwing light on the scientific fraud!

Throwing light on the scientific fraud!

Evidence Based Medicine?

A socio-historical perspective shows us that medicine has no more and

no less fraud, heresy, schism, and

relative knowledge than any other equivalent forms of knowledge

(Kenneth Jones. Edinburgh University 2003.)

Doctors have lost the woods in counting the trees.

Doctors have lost the woods in counting the trees.

Who is a normal person?

Within two standard deviations of the mean (5% abnormal on every test)

A level that carries no extra risk (we all have high

cholesterol compared with Pacific islanders)

Every one that goes for bone scan has osteopaenia!

Beyond a point at which treatment does more good

than harm (depends on effectiveness of treatment)

Politically or culturally aspired to (homosexuality)

BMJ of 18th June 2002, researchers claim

clinical trials are reported with misleading

statistics. Uffe Ravanskov

.

|

BP

|

 

4S

|

WOCO

 

-

Relative risk reduction %

|

-20

|

-29

|

-21

Absolute risk reduction %

|

-0.8

|

-3.3

|

-0.9

Survival chance without drugs %

 

|

96

|

88.5

|

90.6

Survival chance with drugs %

 

|

96.8

|

91.8

|

91.4

“Lead kindly light-lead thou me on”

John Henry Newman 1833.

“Lead kindly light - lead thou me on” John Henry Newman 1833 .

Cancer Screening?

1000 women have to be screened for 35 years to prevent one death

One nurse performing 200 tests a year would

prevent one death in 38 years

During this time she or he would care for over 152 women with abnormal results 79 women would be referred for investigation, and over 53 would have abnormal biopsy results

During this time one woman would die of cervical cancer despite being screened

Conventional cancer treatment is like jumping off this cliff, like this fall!

Conventional cancer treatment is like jumping off this cliff, like this fall!

Why medicalisation is bad?

People are treated when they are “normal”

Non-medical, perhaps traditional, ways of managing difficulties are devalued and

even destroyed

We see ourselves as victims and perhaps fail to take action ourselves

Doctors need enlightenment in the dark night of therapeutic delusions.

Doctors need enlightenment in the dark night of therapeutic delusions.

Pill pushing for non diseases

“Research into illnesses has progressed so much that it is almost impossible to

find some one who is completely

normal.”

Aldous Huxley 1894-1963.

Science of Modern Medicine

Reductionistic-based on linear mathematics. Statistical science! ?Future Science!

Science of Modern Medicine  Reductionistic-based on linear mathematics.  Statistical science!  ?Future Science!

Future Medical care system

Future Medical care system

Science without sense-statistics.

Science without sense-statistics.

Why is medicalisation bad?

All effective treatments have side effects!

Political and social problems demand political

and social solutions but may be treated

medically.

An increasing proportion of a country’s wealth

is spent on health care.

Doctors are oppressed by being under pressure to “solve” problems they cannot

solve.

% of GDP on Medical care

% of GDP on Medical care

Per capita expenditure on medical care

Per capita expenditure on medical care

Bottom Line Medicine

Richard Stanzack.

Algora Publishers.

Bottom Line Medicine  Richard Stanzack.  Algora Publishers.

Over treatment.

“Nothing is more fatal to health than an over care of it.”

Benjamin Franklin 1706-1790.

Why American medicine(Indian as well) is doomed to fail?

Why American medicine(Indian as well) is doomed to fail?

Fight against false hopes with true love.

Fight against false hopes with true love.

Medical Humanism?

Who Killed Primary Care?

Who Killed Primary Care?

The White Death

The White Death

Rising star of TB.

Rising star of TB.

Incidence of TB in Europe per 100,000

Incidence of TB in Europe per 100,000

Global distribution of TB

Global distribution of TB

What is resistance?

What is resistance?

Death Patterns in the EU.

Death Patterns in the EU.

Economic trends in EU

Economic trends in EU

Health and wealth in the UK.

GDP-Blue. Life Expectancy-Yellow

Health and wealth in the UK. GDP- Blue . Life Expectancy- Yellow

Other Viral infections also.

Other Viral infections also.

CHD Mortality (not related to our efforts)

CHD Mortality (not related to our efforts)

CHD mortality Cross country data

CHD mortality Cross country data

CHD data inter and intracultural.

The case of the missing data BMJ 2002; 325: 1490.

CHD data inter and intracultural .  The case of the missing data BMJ 2002; 325:

Who benefits from Medical Interventions?

BMJ 1994; 308: 72-74 Smith D & Eggar M

Who benefits from Medical Interventions?  BMJ 1994; 308: 72-74 Smith D & Eggar M

Why is modern medicine losing its sheen?

Why is modern medicine losing its sheen?

Doctor Running Away

Doctor Running Away

Medical Guidance.

Medical Guidance.

What is spirituality?

What is spirituality?

Who Heals?

Who Heals?

Praanic Healing

Professor Joie Jones, MD, PhD.,

Professor of Radiology, UC Irvine.

Conclusions:

96% complete healing of cancer in “He La” cells in vitro.

Becomes 100% with good Karma effect added!

Doctor dresses the wound; God heals! (Nature heals)

Doctor dresses the wound; God heals! (Nature heals)

Announcing A New Journal

The Science of Healing Outcomes
The Science of Healing Outcomes
Editor in Chief, B. M. Hegde
Editor in Chief, B. M. Hegde

MD, FRCP, FRCPE, FRCPG, FRCPI, FACC, FAMS. Chairman, State Health Society’s Expert Committee, Govt. of Bihar, Patna. Visiting Prof. Cardiology, The Middlesex Hospital Medical School, University of London, Affiliate Prof. of Human Health, Northern Colorado University, Visiting Prof. Indian Institute of Advanced Studies, Shimla, Retd. Vice Chancellor, Manipal University, Manjunath Pa is Hills, Bejai MANGALORE-575004. India

Co-Editor in Chief, Rustum Roy
Co-Editor in Chief, Rustum Roy

Evan Pugh Professor of the Solid State Emeritus Professor of Science Technology and Society Emeritus The Pennsylvania State University 102 MRL University Park, PA. 16802 Distinguished Professor of Materials, Arizona State University Visiting Professor of Medicine, University of Arizona

To be published in Mangalore, India First issue: Ready for launch.

Editorial Office, Mangalore, India.

Editor in Chief:

BM Hegde

Co-Editor in Chief:

Rustum Roy.

Editor, North America: Ms. Joanna Floros.

Deputy Editors:

CV Krishnaswami CV Raghuveer

Arunachalam Kumar

Managing Editor:

Jairaj Kumar.

Editorial Secretary: Ms. Meenakshi Punja.

Finance Controller:

Jayram Shetty.

Office: “Ganesh” Lower Bendur, Mangalore-575 004. India.

B.M. Hegde, Editor

Visiting Professor, Cardiology University of London, UK

JSHO Board of Editors (as of November 2007)
JSHO Board of Editors
(as of November 2007)

Rustum Roy, Co-editor

Evan Pugh Prof. of Solid State Emeritus

The Pennsylvania State University University Park, PA USA

Iris Bell

Professor of Family and Community Medicine, (Program in Integrative Medicine), University of Arizona

Viktor Inyushin

Doctor of Biology, Professor at Al-Farabi Kazakh State University Almaty, Kazakhstan

Marc Newkirk

President Mobius Sciences Inc., Massachusetts, USA

Tucson, Arizona USA

Juliana Brooks

Senior Managing Director General Resonance, LLC Havre de Grace, Maryland USA

Krishnaswami CV. Retd. Prof. Clinical Medicine,

Head. Diabetology, VHS

centre, Chennai, India

Wayne Jonas

President Samueli Institute for Information Biology Alexandria, Virginia USA

Joie Jones

Professor of Radiology

University of California Irvine

Irvine, California USA

Brian Josephson

Nobel Laureate, Physics Cambridge University, UK

Marilyn Schlitz

Director of Research Institute of Noetic Sciences Petaluma, California USA

Richard Smith

Former Editor of British Medical Journal Editor, Cases Journal,

London, UK

William Tiller

Professor Emeritus of Materials Science Stanford University Stanford, California USA

Barbara Dossey

Director, Holistic Nursing Consultants Co-Director, Nightingale Initiative

for Global Health

Santa Fe, New Mexico USA

Hans-Peter Duerr

Dir., Max Planck Institute Munich, Germany

Bart Flick

Visiting Professor

University of Georgia Athens, Georgia USA

Mark Mortenson

General Resonance, LLC Havre de Grace, Maryland USA

Konstantin Korotkov

Professor of Physics St. Petersburg State Technical University St. Petersburg, Russia

Herbert Nehrlich.

Family Physician, & Poet. Hobart, Tasmnia. Australia.

Vladimir Voeikov

Professor, Vice-Chairman Faculty of Biology Lomonosov Moscow State University Moscow, Russia

Andrew Weil

Director, Program of Integrative Medicine University of Arizona

Effie Chow

East West Academy of Healing Arts

San Francisco, California USA Tucson, Arizona USA

The Science of Healing Outcomes A journal
The Science of
Healing Outcomes
A
journal

Volume 1, Number 1 January 2008

Luke: before the LifeVessel treatment

Luke: before the LifeVessel treatment

Editor in Chief B.M. Hegde

Co Editor in Chief Rustum Roy

Luke: after the LifeVessel treatment

Cover mock-up

Energy Medicine

Life vessel treatment.

Praanaayaama and the heart. Breathing and energy,

JSHO launches a new journal.

The business called medicine

“The business of

health care delivery

in the US

has the same potential

for graft and corruption

as casino gambling and construction rackets!”

Lisa Van Dusen. CMAJ 1997; 157: 1724.

What to do for the future?

Encourage debate and understanding of medicalisation

Help people understand that diseases are

medically and socially created

Help people understand the severe limitations

and risks of medicine

Move away from using corporate funded information on medical conditions/ diseases

What to do?

Generate independent accessible materials on conditions and diseases

Promote non-medical ways of

responding to problems

Spread knowledge--for example, through the internet

Encourage self care

What to do?

Create more organisations like the “Natural childbirth trust”

Resist direct to consume advertising

Resist the constant growth in health

budgets

Paradox of Our Times

Paradox of Our Times
Paradox of Our Times
我们这个时代的尴尬
我们这个时代的尴尬

请点击鼠标左键播放

75

We have more experts, but

more problems; more

medicine, but less wellness.

们的专家越来越多,问题却也

渐增加;药物越吃越多,健康

却每况愈下。

76

We've been all the way to the

moon and back, but have

trouble crossing the street to

meet the new neighbor.

们能够往返于地球与月球之间

却不乐于穿过马路向新邻居问好

77

Let’s tell our families and friends how much we love them. Do not

delay anything that adds laughter

and joy to your life.

不要把对家人和朋友的爱深藏心

中,大胆地告诉他们。对于能给

你的生命增添快乐的事情,不要

押后拖延。

78

Million thanks for being so patient.

Million thanks for being so patient.