Mainstream intensive care's Waterloo
Napoleonic clues to moronic practices
I love it when I'm able to write about two of my greatest
passions (medicine and history) at once. It doesn't happen
often, but today is one of those days. Here's what I'm talking
about: An intriguing, yet somewhat bizarre study being
launched by scientists at London's University College is
exploring why multiple organ failure - the most common
cause of death in intensive care units - kills some patients
but not others…
And they're using historical data gathered from the battle of
Waterloo to help them do it!
According to a recent BBC News article, the study's authors
were impressed with survival statistics from that brutal,
pivotal battle which took place on June 18th, 1815 in what is
now the Netherlands. Although the carnage from the battle
· which involved nearly 200,000 French, British, German,
Prussian, Dutch and Russian troops - was enormous (nearly
one in four participants of the one-day action perished as a
result of it), a large number of severely wounded soldiers
survived and recovered. This fact is what caught the attention
of University College's scientists.
For example, one particular detachment of British soldiers,
the 13th Light Dragoons, sustained 52 wounded by sword,
musket or cannon. Yet of these, only 2 subsequently died -
despite the lack of medical advancements like antibiotics,
blood transfusions, defibrillators, life-support machines,
lasers, microscopic surgery and the like. They healed more or
less 100% naturally. (Hmmm, imagine that!) It was exactly
this kind of remarkable statistic that led this group of London
doctors to wonder:
Are we (meaning mainstream medicine) doing the right
things nowadays to help the critically ill to recover - or are
we standing in the way of nature's own brand of intensive
care? Do we truly understand how modern ICU treatment
impacts a patient's immunity, inflammatory response,
hormone balance and other factors - along with his or her
ability to heal?
For example: Is it really best to artificially lower a feverish
person's body temperature instead of allowing the fever to
cook to death whatever pathogens are causing disease?
And as shocking as this sounds: Is it really best to try to
counteract something like multiple organ failure? Keep
reading…
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The idea that modern medicine might be adopting and
implementing procedures that hinder true, natural healing is
nothing new - at least not to me! But the fact that a group of
mainstream scientists are giving this notion the time of day is
encouraging. Let's hope their theories aren't dismissed out of
hand by the medical establishment, especially once they hear
this novel notion:
Multiple organ failure may not be an extreme symptom of
trauma or infection, but rather a body's calculated last-ditch
effort at defeating it.
As support for this theory, the University College docs cite
the fact that in those patients who survive multiple organ
failure (not terribly many, granted), the organs themselves
nearly always recover their full functioning - without
apparent, lasting damage - within a few days to several
weeks. In other words, the organs shut down long enough to
beat whatever's threatening them, then restart before they
sustain permanent damage from their dormancy…
This suggests that they may start and stop by some design,
not as a result of stressors.
The UCL team plans to launch a large-scale study of ICU
patients with multiple organ failure as a result of sepsis (an
infection which kills approximately a third of all intensive
care patients in the UK) to try and learn whether new
treatments and therapies can be developed that complement
instead of controvert these and other natural healing
processes.
Unlike so much of the research I read about every day - like
the body odor study I wrote about a few weeks ago - this
sounds like a noble goal for a study…
Always studying (and listening to) the lessons of history,
William Campbell Douglass II, MD
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