Hilary's Desk

In the Sunday Star Times today, Judge David McNaughton delivered a swift message to Starship doctors about predictive and substandard medical care, and the presumption of guilt without good cause.  The Judge found Famaile Lino not guilty of abusing his six month old child after Starship jumped to conclusions, and robustly defended their own preconceived mindsets.  The Lino's lawyer said, " "It's a very important case. It shows how suddenly a person can be at home with their feet up looking after their children, and a nightmare commences."  Here's the rub though.  Court cases like this USUALLY only happen to people like the Linos or the Kahuis.  Starship doesn't usually go after people who know what's going on; the limitations of the medical profession; and how to defend themselves.    Starship are of course, scuttling into a "risk management" position, by defending the indefensible: Continue Reading

 "Surprise: Scientists discover that inflammation helps to heal wounds".  Interesting headline, huh? Remind you of anything?  Like "Fever helps the body successfully fight disease, and using drugs to reduce fever, gives the infection the advantage." ??  So why did the medical mantra of treating sprains with RICE (Rest, Ice, Compression, Elevation), become so popular? Because the ONLY mantra acceptable to the medical profession, is, "Don't stand there, do something!"  It's never a question of "Should we?".  It's one of, "Can we? And if so, what?"  Researchers have finally caught up with people who have experienced the fact that ICING a sprain hurts it more, and leaving it alone heals it quicker. The body hates ice on a sprain, and it's is a stupid treatment.  Continue Reading

In his book, "How Doctor's Think", Dr Jerome Groopman describes an ultrasound doctor, who detects in a baby, inside a woman 5 weeks from giving birth, a strange shaped space inside the baby's brain which should look like a tear-drop with sharp edges, but just doesn't look quite right.  Not badly wrong, but just not quite right. Because the shape is pretty near normal, she almost doesn't tell the mother.  Two things change her mind. She wants to protect any obstetrician from being charged with causing damage to a baby, should it turn into something significant... and she also thinks parents should know in advance in case they need to consider the realities of bringing up a damaged child. The mother has an MRI, and a brain haemorrhage in the baby is discovered, so the birth is attended by paediatric neurologists.  Continue Reading

You don't think you need to know?  Well, according to Dr Jerome Groopman, you do.  Dr Groopman belongs to a rare species in medicine who tell it as it is - perhaps because he's been at the butt end of a few medical bum deals in his day. He knows what it feels like to be run over by his own medical system, and has the clout to write about it.  His writing is vitally important, and utterly frustrating in the same breath.  It's vitally important, because everyone who ever walks into a doctor's surgery needs to read this book, but most never will. It's frustrating, because  Groopman misses a very important issue - which is what the next blog will be about. But first, the book itself. Continue Reading

Warning.  Having an opinion is dangerous.  Have you noticed the plethora of "needed" (choke) rules, regulations and safety requirements which stalk anyone who might want to do something adventurous?  Take for instance a group who sets up a children's adventure camp.  They analyse any possible problems, and try to cover every eventuality. Parents sign their kids up, (great, pay money, someone else can baby-sit my kids), but there's an accident, and a child dies.  Fingers are pointed and people are sued.  Therefore, in future there will be disclaimers. "We've done our best, but if you sign up, it's your risk." Everywhere we turn now, we see disclaimers.  And the cultivation of an assumption that anything without a disclaimer could invite liability. Continue Reading

Mannnnny years ago (1984 - 86), I wrote an article on obstetricians dogmas on cord cutting in hospital ,which landed up in various incarnations in several journals worldwide, finally landing up in Mothering Magazine.  The thrust of this article was that obstetricians had their heads firmly located in the pavement, and that babies of any age, and condition are not born with a scissor deficiency and do not need their cords immediately clamped and cut.  Can you imagine any other mammalian species, like cats, dogs or sheep, frantically asking their peers for a cord clamp and scissors? Wouldn't you think it would occur to medical people that our bodies might have been designed correctly, to do a job efficiently and correctly?  Wouldn't you think they'd wonder what might go wrong if they "interfere"?  Of course not.  But then, I also know mothers who believe that if a clamp isn't used, all the blood will leak back out of their baby, who will then die.  Sigh.  Today, a group of fossilised medical non-thinkers, enraptured their world with the news that delaying cord clamping for babies born before 28 weeks is a good thing.  Perhaps they will get the Nobel Price for this priceless discovery?  Interestingly, they have no questions or shame about their "findings".  Indeed, they say they don't even understand the "mechanism" [choke], when it's blindingly obvious.  By their enthusiasm, you'd think they were telling the world about a new, previously un-thought-of miracle!  But note this... before they implement this, they will require many more multicenter studies to be done....!!!! - kaching.... which might take how long???? : Continue Reading

In a brilliant article called Lies, Damned Lies and Medical Science (pdf) a bright light was shone upon the reality of medical practice across the board, .... by what I thought was an almost extinct species - honest scientists.  Thank goodness that some actually exist. It gives me hope for the future!  The fact that medicine is often damned lies, is something we've been talking about for decades. But the question is, Why do people believe that medical practice is automatically the truth with halos? Continue Reading