interesting philosophical debate!
I already admitted, that I met Dr. Schelling in the early eighties, and that I was not so much interested in hearing his wild theories about ms... I think we are all prisoners within our own brains. And even those who do research, are looking to their left and right to see what other esearchers do, always observing what position they have in that research community.
On the other hand it seems important to realize, that doctors of the 19th century were as smart as they are today and maybe it does not always need to go more and more into the details like all these weird molecules, but to see "the bigger lines". For my understanding of inflammatory processes, the results of Prof Ricker ("Relationspathologie") in the years from 1905 to 1924 are still valid and he points out the role of the vegetative nerve system. Slow blood flow initiates leuco- and erythrodiapedesis.... But he also concentrated on the "sunny side of circulation" i.e. the arterial part, and not on the the dark side of the moon, the venous system.
Economy is another motor... unfortunately this drives medecine into a market place, where the loudest voice makes the best money.
So, we will see how the paradigm shift will go on. I suppose that there will also be a pharmaceutical approach to venous malfunction (to re-establish the old system within the new one).
Good to hear from you. Thanks for your honesty about hearing Dr. Schelling in the 1980s. Other docs in Bologna admitted the same amount of incredulity.
I've mentioned before that I see the internet and pub med online as the modern day version of Martin Luther translating the bible into the vernacular. We no longer need the high priests to tell us what is good for us, or to sell us indulgences. We can go directly to the source, read for ourselves and e-mail the doctors. We can ask questions and use our own minds and logic to ferret out the truth. We can step back and look at the big picture- to contemplate and learn on our own.
That doesn't mean we're all doctors or researchers....it just means that the high priests can no longer expect us to take their opinion as scientific truth. And the autoimmune paradigm has never been scientifically proven. It has been assumed.
You're point about doctors being just as wise in the 19th century is a good one...they looked at the body as a whole unit, not separating the circulatory system from the organs. And as you said, the veins have been relegated to the "dark side"...even though, as Dr. Lee mentioned in Bologna, veins are so much more important to the health of the body, God made them in pairs!
Husband dx RRMS 3/07
dx dual jugular vein stenosis (CCSVI) 4/09
dual stents placed 5/09
CCSVI in MS