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Have Belgium Apologised?

Firestormm

Senior Member
Messages
5,055
Location
Cornwall England
Google Translation of Newspaper article dated 5th December 2012: http://translate.google.co.uk/translate?hl=en&sl=nl&u=http://www.demorgen.be/dm/nl/2461/Opinie/article/detail/1544168/2012/12/05/CVS-is-te-lang-geminimaliseerd-de-patienten-zijn-te-lang-miskend.dhtml&prev=/search?q=http://www.demorgen.be/dm/nl/2461/Opinie/article/detail/1544168/2012/12/05/CVS-is-te-lang-geminimaliseerd-de-patienten-zijn-te-lang-miskend.dhtml&hl=en&safe=off&tbo=d&biw=1280&bih=719&sa=X&ei=a7bIUNz5NIaG0AXs64GQAg&ved=0CC8Q7gEwAA

Original Article: http://www.demorgen.be/dm/nl/2461/O...seerd-de-patienten-zijn-te-lang-miskend.dhtml

CFS is too long minimized, the patients are too long ignored

OPINION - 05/12/12, 7:52

Being right is more important than the solution, put John Crombez, Maya Detiège and Christine Van Broeckhoven fixed. Crombez's Secretary and former member of the Welfare Committee in the Flemish Parliament; Detiège is an MP and member of the Health Committee, Van Broeckhoven is professor and biologist.


"Vilvoords hospital wants CFS doctor dismiss," headlined The Morning yesterday. We are not medical tribunal, about the reasons for the redundancies can and we do not want exhausts. But the discussion is unfortunately symptomatic of the Cinderella treatment of chronic fatigue syndrome (CFS) and the CFS patients. The struggle within the medical world between doctors and specialists rages - for example the 'psychiatric' treatment versus the "physical", like Doctor Francis Coucke - (h) recognizes the importance of the patient even more. Being right is more important than the solution.

It can also be different. The number two of the Norwegian Ministry of Health, hit not long ago mea culpa because Norway CFS patients for years has left to their fate. He is not alone. U.S. President Barack Obama gave this summer National Institutes of Health and Department of Health and Human Services instructed to give priority to research into CFS.

In Belgium, it is too quiet. The latest news - the controversy in Vilvoorde - was that Inami funding of university reference centers for CVS will put stop. Only a veto by Health Minister Laurette Onkelinx (ps) is the draining of the centers still in the way. We hold no plea to the centers in their present form to maintain, but amidst this type of administrative discussions, nobody still the question of where the patients still can go. We only hear ominous reports about Inami that CFS patients have their benefits reduced. "Two kilometers to walk 'is sufficient for a benefit to lose. Only a limited number of CFS patients is supported by a distribution of that group pushes Inami still have a part in the misery.

Uncertainty and despair
How many people suffer from CFS, we do not know. Each year must report 750 patients with the reference centers, but they are only the tip of the iceberg. Indeed, not all patients find their way to the reference centers. Various estimates indicate that the actual number of CFS patients is about 25,000. All these people have in common that they through the forest in the fog should go. One by one.

The lack of research and treatment caused uncertainty in CFS patients. Desperation often. The miracle therapy does not exist. Hopefully they ever found, but that guarantee you never have. Now the CFS patients, however, on their own to find anyone who can give them a glimmer of hope, it will focus on their own. Often with extensive therapeutic and financial consequences, sometimes even dangerous. Because of the lack of clear guidelines for the treatment to be followed (and) put the door at least ajar for charlatans on the back of searching, sometimes desperate patients trying to earn money. Or worse, that they foist a therapy that they are worse off.

We advocate a clear primary contact for all patients with suspected CFS. Further research should ensure that they are there as soon as you can get a conclusive diagnosis and reliable information about the best treatment they follow. The lack of research into chronic fatigue syndrome attention to it but not to investigate and not to treat - as is likely to happen - is twisted logic with far-reaching consequences for the CFS patients.

Clear approach
People with CFS are not looking for healing, especially in the beginning. Do to improve. To a place where they can go, to people them with knowledgeable guide, for people accompanying them. CFS patients do not ask much, but even those simple questions, we are far removed.

Sp.a asks parliamentary hearings with all parties and opinions: doctors, scientists, reference centers, Inami and of course the CFS patients themselves. These hearings should result in a different, better approach to CFS. No reduction of research, no savings in treatment and above all not in the towel, but clarity and uniformity of approach. About the different governments around, without - and this mistake is all too often made - that we make the choice on how that happens.

We need thousands of people to apologize for what happened not too long. CVS is too long minimized, the patient too long ignored. Tired - tired - is unfortunately no choice.

Picked up from a post on IiME Facebook earlier. Not seen this before. Anyone care to comment?

Well, I guess then they are asking for an apology as opposed to apologising - which was how it was posted on Facebook.
 

Marlène

Senior Member
Messages
443
Location
Edegem, Belgium
Interesting article indeed. However it is just ONE article.

In the meantime, the minister of Health is ignoring ME-patients. She does not even honor her own words. Doctors defending the CGT-GET model refuse to discuss the "benefits" in front of an audience because they know they are none. Meanwhile people are still excluded from medical coverage as usual, scientific proof is denied, ...

People die from lack of medical assistance too.
 

Esther12

Senior Member
Messages
13,774
Not too sure I understood that translation... I think it broke my mind.

Independent assessments are such an important thing. If we leave it to BACME to collect and analyse their own data, we can be pretty confident that they are not going to find themselves to be rubbish - just as homoeopaths are relentlessly impressed by their own successes, or use the fact the people like feeling cared for and tend to report some improvements in subjective health when this occurs, even if more external measures do not improve.

Without a more sceptical and accurate approach towards making claims about efficacy, it's impossible for patients to be able to give informed consent for these approaches.

Some of the 2006 Belgium assessment is available in English. It's linked to here, and Tate Mitchell pulled some bits of interest out: https://listserv.nodak.edu/cgi-bin/wa.exe?A2=co-cure;31f5ed0a.1203c
 

Firestormm

Senior Member
Messages
5,055
Location
Cornwall England
Was 'chatting' to a mate from Belgium last night and asked for a summary interpretation of this article. Did my head in too Esther :)

He had this to say:

A secretary of state (fraud), a member of parliament and a professor (molecular genetics) (all members of the socialist party) have written a column about CFS and patients.

How CFS has been downplayed and patients marginalised. They don't take a stand against the biopsychosocial approach (and the closing of the CBT-based clinics) nor do they defend the biomedical approach.

They state that the conflict between both approaches have ignored the interests of the patients. They refer to the promise of Obama and the apologies of the Norwegian health official in contrast to the lack of policy and attention in Belgium.

The closing of the centres (CBT) without an alternative will leave patients worse off. No official policy, no support, no research, no treatment, no attention, ... will result in people losing disability and left to their own devices in their despair they are an easy prey for quacks and could try out therapies that are not only very expensive (could lead to financial ruin) but also potentially harmful/dangerous. (they have done their homework).

The message is: don't abandon patients, don't cut back on research, it's not about doctors or who's right, but about helping people, ....

The phrasing of the last paragraph is interesting if you read it carefully. They don't say "We apologise ...", but "We must apologise ..." which IMHO means someone else should do the apologising. Still, it is probably the most balanced article/column on CFS I have read in a Belgian newspaper.

It's a message of hope. The secretary of state is an up an coming politician. The member of parliament doesn't carry that much weight, but the professor is well-respected and has won several awards.

The current minister of health is member of the french-speaking socialist party so they should be on "speaking terms". The approach is original, not about ideas, but about patients. The flemish socialist party is on a losing streak though.
 

Esther12

Senior Member
Messages
13,774
Thanks a lot for that Fire. The translation made me realise how little I understood of the original.

it's not about doctors or who's right, but about helping people

I hate this mentality: it only ever seems to be pulled out when those with power have got it wrong! The key point is that those taking money for 'helping people' have not really done so. What sort of income will be given to those who have spent their time wrongly reassuring patients and making false claims about the efficacy of the treatments they provide? Why should they be able to retire to greater financial comfort than the patients they manipulated? So long as there is no accountability for quackery, patients will go on being mistreated by those taking money for 'helping people'.