Zeno's Blog

There are a lot of doctors out there, but it can be difficult to know which are properly qualified and registered medical practitioners and who are, well, just quacks.

It’s not really that much of a problem for most of us. If we’re feeling unwell, we make an appointment with our GP. If there is any doubt about their status, you can always verify they are registered with the General Medical Council (GMC) by checking their List of Registered Medical Practitioners (LRMP).

But there are so many other ‘doctors’ out there. Ignoring The House Doctor^®, The Car Doctor and others who have obviously got nothing to do with health, there are many who certainly like to give the impression they are proper doctors — and I have no doubt some of them think they really are.

Take homeopaths, for example.

A simple search of the business directory yell.com shows a large number of homeopaths using the title Dr. Of course, some of them are also medically qualified and on the GMC’s LRMP, but you don’t have to look far to find examples of non-medically qualified homeopaths calling themselves Dr. Again, I have no doubt many of them think they really are doctors and some may well have qualification that entitles them to prefix their name with Dr, but no one should be in any doubt of what they are.

In the UK, Dr is not a protected title: anyone with a suitable qualification can call themselves Dr so-and-so. This is in stark contrast to, say, chiropractors, which is a protected term and its use by anyone not registered with the General Chiropractic Council is illegal under the Chiropractors Act 1994.

Things, thankfully, are a bit stricter when it comes to advertising services to the public.

While some of us were composing our considered responses to the MHRA’s consultation on homeopathy, supporters of the magic sugar pills panicked and urged friends and homeopaths to flood the MHRA with their ill-considered responses.

This orchestrated campaign was leaked last night and gave us all a good laugh.

It was obvious the writer of the original email either hadn’t read the MHRA consultation document or was just unable to understand it and her email no doubt scared many a homeopath to write desperate emails to the named official at the MHRA. Of course, everyone is perfectly entitled to respond and make their views known. It does help, though, if you have some basic understanding of the regulatory framework and what issues the MHRA was consulting on.

The panic email contained many errors, including this gem:

The practice of homeopathy by lay homeopaths is at stake, and if the MHRA changes the wording to the document mentioned below, we will …not be allowed to practice any longer.

The originator of the email appears to be the Administrator at a ‘school’ of homeopathy, so you would have thought she might have better understood the consultation.

Her assertion is — like homeopathy — nonsense: homeopaths are not about to be stopped selling their products. The consultation is about ending the privileged position some homeopathic products were inexplicably granted 30 years ago and about the warning labels on some of them. Of course, I have no idea why homeopaths would want to maintain the status quo…

That’s what all homeopathic ‘medicines’ should say on their labels because that is precisely what they contain: no active ingredients.

Saying anything different is misleading the public.

For various unfathomable reasons, we have the Medicines and Healthcare products Regulatory Agency (MHRA) regulating a non-medicine and a non-healthcare product. They don’t really even regulate homeopathic products. Not in any way that properly protects the public.

In fact, they do the opposite: they give these sugar pills and potions the legitimacy of having MHRA licence numbers — just like real medicines — and ‘Government approval’. This misleads the general public who are unaware that homeopathy isn’t some ‘alternative’ or ‘complementary’ system of medicine. It isn’t a system of medicine at all.

The MHRA are currently asking the public about some aspects of their regulation, including what wording should be on some homeopathic products and this is an ideal opportunity to tell them what we think.

I liked Yeo Valley yoghurt, particularly their vanilla one. Big pots of the stuff didn’t last long.

They are organic, but this isn’t why I used to buy it. I just liked the rich, creamy taste.

Yes, I used to buy it.

On Twitter yesterday, @GhostOMichael, a follower of @RhysMorgan, tweeted a link to a page on Yeo Valley’s website (cached) that I found worrying: it told how Yeo Valley ‘treat’ their cows with homeopathy. (That page has disappeared and has been replaced with this one. Thanks to Jaxxson for pointing it out.)

Very laudable indeed, particularly in these economically tough times — we all need to tighten our belts (so we’re told). But there are sick people out there needing healed.

But this isn’t just any doctor. They want a specialty doctor. A specialty doctor in homeopathy, no less.

Ever anxious to ensure the taxpayer isn’t paying for bogus therapies, I though it was about time I asked my local NHS trust.

I duly sent a Freedom of Information Act request to the North West London Hospitals NHS Trust. I wanted to get a comprehensive understanding of what AltMed therapies they indulged in. Their responses are in italics:

Science and evidence frequently have a hard time surviving in the seat of our democracy, but it seems it is going to become even more difficult in this new session, particularly where health is concerned.

David Tredinnick (Conservative, Bosworth)

The dichotomy must tear some homeopaths apart. They eschew conventional medicine — particularly the link to the ruthless and profit-mongering Big Pharma with all their toxic concoctions — yet they crave the respectability, fame and fortune of mainstream medicine. And in their quest, they seem to have no scruples and even mimic their enemies.

But then there’s the problem of homeopathy not being amenable to randomised controlled trials (apparently), yet they keep citing ‘trials’ published in their own comics. That might fool the layman into thinking there is a good evidence base for the efficacy of their sugar potions, but it fools no one who has even a jot of knowledge of science.

Just two days ago, a fellow Twitterer, Yogzotot,  mentioned a rumour that Boots had removed their homeopathic potions from their shelves.

I emailed Boots, seeking confirmation of this rumour. I got a reply at 09:55 this morning, New Year’s Day!

In Casting the runes, I highlighted the abject failure of OfQuack to reach even their ever-so-slightly modified 2009 membership target. Remember, it started out at 10,000. Then it was downsized to 4,000 — just five months after they opened for business — by re-writing their press release from the previous December. Then, in September, The Lay Scientist announced that their July Committee meeting minutes said they were planning a celebration in the Autumn when their membership was expected to reach the dizzy heights of just 2,000.

Well, now it’s the last day of 2009, how have they fared? For those following the OfQuack Fail widget, it’ll come as no surprise to find that they have failed — spectacularly.