Guest guest Posted March 23, 2009 Report Share Posted March 23, 2009 Dr Bruce M. Carruthers (see below) belongs together with Anil Kumar Jain, Kenny L. De Meirleir, L. , G. Klimas, A. Lerner, Alison C. Bested, Pierre Flor-Henry, Pradip Joshi, A. C. Powles, A. Sherkey, and Marjorie I. van de Sande to the authors of the best ever written ME/CFS case definition: Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols. (2003) This systematic clinical working case definition is drafted by *Health Canada* order. This definition encourages a diagnosis, based on characteristic patterns of symptom clusters, which reflect specific areas of pathogenesis. (Diagnostic and treatment protocols, and a short overview of research are given to facilitate a comprehensive and integrated approach to this illness). This guideline can be found on the the website of the of the ME Society of America: http://www.cfids-cab.org/MESA/ccpccd.pdf For private members this definition is, together with the Witness Statement of Dr Bruce Carruthers versus the NICE guideline Judicial Review ( Fraser and Short) attached as pdf documents. ~jvr ```` From: contact@... Via: CO-CURE WITNESS STATEMENT OF DR BRUCE CARRUTHERS FOR FRASER & SHORT V NICE. Dear All, In his witness statement provided for Fraser and Short for the UK High Court Judicial Review of the NICE 'CFS/ME' Guideline (CG53) Dr Bruce Carruthers, lead author of the International ('Canadian') ME Diagnostic & Treatment Protocols thoroughly dissects, assesses and then condemns the Guideline. In conclusion he unequivocally states the following: " The NICE document does not aid the clinician by offering guidance about the defining symptomatology of ME/CFS as an aid to diagnosis and treatment: all it does is to offer a cook-book diagnostic process that must be followed, and then it recommends two non-specific behavioural approaches that are not treatment-based and which are non-specific to the disorder under review. Overall, the process and the resulting Guideline are, in my opinion, detrimental to both patients' best interests and to best clinical practice. The present Guideline cannot by any standards be considered as providing " best practice advice on the care of people with CFS/ME " nor is it " based on the best available evidence " as it claims. In my opinion it should be withdrawn. " Such outright international condemnation from someone of Dr Carruthers' professional standing and experience ought to ring alarm bells in any right-minded person. Dr Carruthers' full witness statement for Fraser & Short is now published with his permission. It is available now as a .pdf download at the web addresses below. Best wishes, Short. contact@... http://www.angliameaction.org.uk/NICEJRdocs/Bruce_Carruthers_WS.pdf http://www.meactionuk.org.uk/Bruce_Carruthers_WS.pdf Quote Link to comment Share on other sites More sharing options...
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