Editor's Choice

Beware of geeks bearing gifts

BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2390 (Published 18 May 2017) Cite this as: BMJ 2017;357:j2390

Re: Beware of geeks bearing gifts

Beware of geeks bearing gifts

An interesting article with several facets. I must say that I was surprised to hear that the NHS had been held, amongst many others, to ransom by WANNACRY. The next day I got an email from my security program people (AVG) assuring me not to worry because they already had this malware covered. It raises the question as to why the NHS “experts” had not got similar securityware.

It seems that in the NHS, the absence of a credible safety policy for patients is accompanied by an absence of a suitable safety policy for their data.

The old Windows XP OS is one of the more stable systems that I have used over the years (and still do on my older computer). Windows has always been open to attack. I would have thought in such a critical use a more safe OS would have been used.

The BMJ’s late patient editor (http://www.bmj.com/content/346/bmj.j850 `), describes the bereavement she experienced after a spirit crushing diagnosis of type 1 diabetes

I can certainly commiserate with her on this issue. In my case it was a initially a well controlled Type 2 diabetes that over time, with sundry adverse events resulting in drug changes (diarrhoea is no “nocebo” effect) lead me to request an fasting blood insulin test. Rejected as the NHS apparently does not agree with such a test as the old 1972 based system was considered adequate.

Finally my GP suggested getting a commercial test from Medicheks.com (cost £39) . When this test came back it showed a very low level insulin level (even though aided by a sulphonurea) despite a concomitant high FBG. Following up on this I purchased a book by Dr Robert Kraft (The Diabetes Epidemic and you) which was based on some 14,000+ individual insulin with glucose tolerance tests. Roughly his conclusions were that early diabetes was first diagnosed by hyperinsulinaemia; hyperglycaemia was only apparent in late diabetes. This study was based on hard data.

We are always told by the medical establishment that the earlier a diagnosis is made the better the chances of a cure which certainly be achieved with an early diagnosis of diabetes Type 2 with a suitable diet and therapy protocol.

Question: What percentage of Type 2 diabetes have been cured as distinct from “managed” by the current guideline protocol? There would be massive savings were patients diagnosed early and successfully cured.

I wonder what the following may have to do with “managing” rather than “curing”.

In 1975, Henry Gadsden, chief executive of the drug company Merck, expressed in a candid interview his frustration that the potential market for his company’s products was limited to those with some treatable illness – as ideally he would like to ‘sell to everyone’

(Le Fanu, James. The Rise And Fall Of Modern Medicine p. 503).

Competing interests: No competing interests

19 May 2017
Michael J. Hope Cawdery
Retired veterinary researcher