Friday 13 January 2023

Dear Laurie Taylor and the BBC

 

Dear Laurie Taylor,

I have listened to your show for many years. Working at home enables me to prepare a meal for the family at the time your show comes on. It is thought provoking and on the whole balanced on the side of the professional that should know better than the - put down and silenced public.

After listening to your weekly show on Wednesday 4th January 2023, I thought the time has come to write in and explain the reality of social conditioning; with its foundation in the belief that the patient is to blame, the marketing and gatekeeping of wellness-based healthcare by a few that have the ear of the Government and the DWP. The connection here between psychiatry, the pace trial and health is discussed by Brian Hughes (hughes, 2021), the damage of the Mental Health practitioners who are taught Medically Unexplained Symptoms (MUS) but don’t understand the autoimmune response after viral infections. Jackson and Kroenke discuss the issue of not looking further than MUS  (Jackson & Kroenke, 2006) after reading this look at the list of autoimmune diseases and the complications of not addressing or understanding post viral diseases, which needs to be discussed on your program in Covid times.

The impact on mental health and autoimmune is well known the inflamed brain is also well known but ignored Edward Bullmore discusses this in his book (Bullmore, 2018). Edward Bullmore MB PHD FRCP FMedSci trained in medicine at the university of Oxford and St Bartholomew’s Hospital, London; then in psychiatry at the Bethlem Royal and Maudsley Hospital who has just published a new paper (lynall , et al., 2022) on the Genetic variants associated with psychiatric disorders are enriched at epigenetically active sites in lymphoid cells.

To understanding complexities of post viral conditions such as Long Covid and ME and the work to dismiss the long-term impacts on health and mental wellbeing, you need to understand the ever-changing names such as Functional Neurological Disorders; once called conversion disorder or Medically Unexplained Syndrome which again was once called somatization disorder, and how these impacts on the NHS and care. We should know enough about infections by now to understand the damage done. What has AIDS, Celiac, Migraines, rheumatoid Arthritis, Stomach Ulcers, and diabetes taught us?

You once had a program on the placebo effect, where you called people like me activists, you also used the term cfs another way of hiding the disease that Myalgic Encephalomyelitis (ME) is known to be.  You used this terminology again as some sort of derogatory label on Wednesday’s program, a put down, which I find offensive.

I wanted to explain why a difference of opinion in science, does not mean the patient/advocate or as you put it activists are wrong. The harm of demanding mental health over physical disease, has been written down over hundreds of years. Science should be based on “prove you are wrong and if you can’t then you must be right”. To use this in its proper context, first you must explore all the facts and possibilities and not rely on the foundation of opinion without the lived experience, which mental health has done with ME.

First and foremost, the derogatory term of “activist” was used on women suffragettes. Since this time women have been fighting against mental health disorders to get the right information and the right healthcare - just look at heart attacks and endometriosis with long history of social conditioning that women have “mental liabilities”.

The word activist has been used on advocates like me, who have made changes for those with autism that were put and still are in asylums or as we now know them as homes, and those who suffered from many; now known conditions that are still medical unexplained but accepted like diabetes and celiac disease.  On Wednesday’s program it was pointed out how women are targeted and held to account by society with the mind, body, wellness beliefs that have infiltrated our healthcare.  This impacts women like me, who become mothers that have children who dramatically decline into disability, with no real testing, empathy or understanding - just judgment and opinion that goes against all the science. A nurse who looked back on the Royal Free outbreak takes us through the transference of medically accepted understanding to mental health opinion used for political purposes (Ovenden, 2004) what we saw back then is being repeated again with ME and Covid.

My son was 8 when he had an obvious post viral condition, his blood showed signs that were ignored of celiac disease, which was two years later picked up. However, there were other signs of his body under stress. Instead of testing and looking for physical disease, they gave me their opinion and him CBT and dismissed his physical symptoms as somatic disorder. The harm inflicted on him is there for all to see in his lived experience, the history of medicine, and by thousands of others over decades that have been treated just like my son, starting most notably from the time of the Royal Free outbreak.

This has led to a difficult situation and long-term physical and mental care problems, not only for my son but also to me. Being accused of Fabricating or Inducing Illness (FII) is hard to fight when family courts only have to think you may cause emotional harm in order to take your child away, backed by opinion with no evidence. If a mother restricts a diet for instance, she is automatically assumed guilty even with Drs notes giving clear evidence of autoimmune diseases. Unbelievable you would think but the evidence is all around us. It is written in case studies, in the voices of the young people able to speak out on social media. How many are hidden that are frightened and fighting for the truth.

Please stop using inflammatory words such as activist, when you have not fully understood the problems by alluding to those who are on the internet or on social media. We have seen the damage when a general opinion about misinformation is put out by journalists, professionals, and medical professionals the PACE trial shows this. You did touch on professional misinformation but I feel you need a program to look further into this. We need robust understating of what wellness and mental health is going forward especially when evidence points to the reality spoken by activists like me.

You also stated about abuse on the medical professionals from advocates in the ME community on the program about the placebo program. However, this has been disproven and the last time this accusation was used on the ME community it was by Professor Crawley who held up a poster done by an artist who asked Professor Crawley not to use his work in her TED talk. Fabrication in the medical world it would seem is allowed, but those using science and facts are called FII supporters or activists, so please put the record straight, the facts are here (Lowe, 2017)

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Remember science, healthcare providers the government get it wrong and do politicly chose to misinform the public and there is a balance that needs to be met here by respected people like yourself, it is your duty, especially as we go through this difficult pandemic time. Patients can be more informed about their condition than those who say they treat the condition.

As a balance and redress of the issues I have raised around activism, wellness, and healthcare in this letter it would be good to have Brian Hughes who is an academic psychologist and university professor in Galway Ireland. He specialises in stress, health, and the application of psychology to social issues. He has written widely on the psychology of empiricism and of empirically disputable claims especially as they pertain to science, health , medicine and politics. Along with Edward Bullmore MB PHD FRCP FMedSci the balance of our understanding, thinking and wellbeing would be balanced with what we know.

If you could let me know in good time, when this much need balanced program is to be aired, I would be grateful. We all have to take responsibility for the facts of science to protect the population and patients in particular – Health is a balance of diet, social standing, environment, physical and mental impacting on genetics stressors and should be seen as a whole, not in part or bias opinion.

 

Yours Sincerely

 

Tina Rodwell