Another backlash begins

Read from beginning to end. The backlash in America has not been nearly so strong as in the UK, which is a pity.

Dr. Malcolm Kendrick

Recently I was the author, and co-signee, of a letter sent to NICE (the National Institute for Care and Health Excellence) asking that their recommendations on primary prevention of cardiovascular disease should be withdrawn. Mainly the advice on the use of statins for those at low risk of a heart attack, or stroke. Those in the UK may have seen a bit a stir in the media.

Others who signed this letter included: Sir Richard Thompson, Chairman of the Royal College of Physicians, Dr. Clare Gerada, past president of the Royal College of General Practitioners and Dr. Kailash Chand – deputy chairman of the British Medical Association. [I have included this letter for you to read, if you wish]

So, we are not talking about a bunch of mavericks here – apart from me, of course. When people who are as much a part of the ‘establishment’ as this are…

View original post 3,012 more words

2 responses

  1. Very interesting. I practiced as a physician in the UK for 22 years then in Canada for 9 years so I’ve had the chance to compare cultures. My first reactions to the above:

    I wouldn’t take cholesterol lowering drugs either, unless there was a really strong indication, for example if I had already had one heart attack or stroke and I was trying to prevent another. I certainly wouldn’t take them to treat what someone else tried to tell me was a biochemical abnormality (actually pal, that cholesterol level may be normal for me).

    I think one reason there has been less backlash in North America is because people here like taking medications more than in the UK (although that gap is closing). For example, on literally my first day of practice in North America I was struck by the large number of people here who take regular Vitamin B12 injections, compared to the small number who do so in the UK. If the populations are similar genetically, the disease rates are probably also similar, so this difference is probably mostly a cultural one.

    • Sorry for the delay in responding – finals, broken truck, life seem to interfere with online communication at times 🙂

      ETA: Lordy do people here EVER like taking pills over making lifestyle changes.

      I’m glad to hear that you wouldn’t take them either. I rather suspect that even if cholesterol can be somehow linked to CAD it’s more because of sedentary lifestyles and overweight than it is to direct cholesterol or even pure diet. By that last I mean if one eats grassfed or organic meats in moderation, milk and butterfats from the same sorts of animals eats home grown or organic in general, (rather than GMO factory farmed stuff) I think a diet considered ‘unhealthy’ may in fact be healthy, it’s what our ancestors ate after all. And their biggest killer was sickness, not heart disease. I read not too long ago about medieval English; if they lived past childhood they generally lived until their 60’s. Which isn’t that different than us, without “benefit” of beta blockers and statins. And they didn’t have nearly the levels of dementia we do either.

      I used to take B12 injections and am thinking of starting again. I think maybe people in the US (even more than Canada or the UK) have much higher stress levels as a rule. Rating wise most to least, I would say US, Canada, then UK.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s