https://www.lymedisease.org/medical-detective-how-will-i-know-if-i-have-lyme-disease/

MEDICAL DETECTIVE: How Will I Know If I Have Lyme Disease?

This article was originally posted on Dr. Richard Horowitz’s Medical Detective Substack. You can find more helpful content by subscribing to it here.

Lyme Disease. The Great Imitator. Unless you found a tick on your body, you might not even know you were infected! 

Fortunately, a Medical Detective like me can find clues that you’ve got Lyme even without a blood test. How? There are classic signs and symptoms that are specific to the infection, and help differentiate it from other chronic fatiguing, musculoskeletal, and/or neuropsychiatric illnesses.

I listened to these symptoms every day for decades from my 13,000 chronically ill patients, and then decided to create a personalized questionnaire to capture the full scope of their symptoms. Trying to remember them all, including the frequency and intensity,  would otherwise have been a daunting task, not to mention a time-intensive one for a busy physician!

The beauty of this questionnaire is that it ensures I am capturing the broad range of Lyme symptoms, not to mention asking other questions which help me suspect whether someone might also have a parasitic infection, Babesia, making their symptoms worse.

I developed this questionnaire for my first book (published in 2014) and have updated it since. I hope you find it helpful. You can use this questionnaire with confidence, giving you a solid pre-test probability of whether you suffer from chronic Lyme disease, or not.

The full study proving the accuracy of the questionnaire can be found in the International Journal of General Medicine published in 2017. Let’s get started.

The Medical Detective’s Lyme/MSIDS Questionnaire 

Before you start:

All of the points on the list in Section 1 are symptoms that can be seen with Lyme disease. However, they are not just specific to Lyme and can be found in many other diseases as well.

Sections 2 and 3 ask about signs and symptom complexes most associated with Lyme and MSIDS (Multiple Systemic Infectious Disease Syndrome—much more on that to come), which I have compiled after examining thousands of patients in my practice over the years.

Section 4 is based on 2 of the 4 questions in the Healthy Days Core Module used by the CDC to track population trends nationally and identify healthcare disparities. It will help you identify the frequency of your physical and mental health problems in the previous month.

Think about how you’ve been feeling over the previous month and how often you’ve been bothered by any of the following problems. Then answer the following questions as honestly as possible, with symptom frequency and/or severity. (When we validated the questionnaire, both ways of asking the questions were able to determine the likelihood of Lyme and associated diseases.)

SECTION 1. SYMPTOM FREQUENCY AND/OR SEVERITY

SCORE:

0 – Never/Not applicable

1 – Sometimes (or mild symptoms)

2 – Most of the time (or moderate symptoms)

3 – All the time (or severe symptoms)

  1. Unexplained fevers, sweats, chills, or flushing
  2. Unexplained weight change; loss or gain
  3. Fatigue, tiredness
  4. Unexplained hair loss
  5. Swollen glands
  6. Sore throat
  7. Testicular or pelvic pain
  8. Unexplained menstrual irregularity
  9. Unexplained breast milk production; breast pain
  10. Irritable bladder or bladder dysfunction
  11. Sexual dysfunction or loss of libido
  12. Upset stomach
  13. Change in bowel function (constipation or diarrhea)
  14. Chest pain or rib soreness
  15. Shortness of breath or cough
  16. Heart palpitations, pulse skips, heart block
  17. History of a heart murmur or valve prolapse
  18. Joint pain or swelling
  19. Stiffness of the neck or back
  20. Muscle pain or cramps
  21. Twitching of the face or other muscles
  22. Headaches
  23. Neck cracks or neck stiffness
  24. Tingling, numbness, burning, or stabbing sensations
  25. Facial paralysis (Bell’s palsy)
  26. Eyes/vision: double, blurry
  27. Ears/hearing: buzzing, ringing, ear pain
  28. Increased motion sickness, vertigo
  29. Lightheadedness, poor balance, difficulty walking
  30. Tremors
  31. Confusion, difficulty thinking
  32. Difficulty with concentration or reading
  33. Forgetfulness, poor short- term memory
  34. Disorientation: getting lost; going to wrong places
  35. Difficulty with speech or writing
  36. Mood swings, irritability, depression
  37. Disturbed sleep: too much, too little, early awakening
  38. Exaggerated symptoms or worse hangover from alcohol

Tally your answers and record your score. Score: _________________

SECTION 2. MOST COMMON LYME SYMPTOMS 

SCORE:

If you rated a 3 for all the following symptoms in section 1, give yourself 5 additional points:

  • Fatigue
  • Forgetfulness, poor short- term memory
  • Joint pain or swelling
  • Tingling, numbness, burning, or stabbing sensations
  • Disturbed sleep: too much, too little, early awakening

Score: __________________

SECTION 3. LYME INCIDENCE 

SCORE:

Circle the points for each of the following statements you agree with:

    1. You’ve had a tick bite with no rash or flulike symptoms. 3 points
    2. You’ve had a tick bite, an erythema migrans (bullseye), or an undefined rash, followed by flulike symptoms. 5 points
    3. You live in what is considered a Lyme-endemic area. 2 points
    4. You have a family member who has been diagnosed with Lyme and/or other tick-borne infections. 1 point
    5. You experience migratory muscle pain. 4 points
    6. You experience migratory joint pain. 4 points
    7. You experience tingling/burning/numbness that migrates and/or comes and goes.  4 points
    8. You’ve received a prior diagnosis of chronic fatigue syndrome or fibromyalgia. 3 points
    9. You’ve received a prior diagnosis of a specific autoimmune disorder (lupus, MS, or rheumatoid arthritis), or of a nonspecific autoimmune disorder. 3 points
    10. You’ve had a positive Lyme test, such as an immunofluorescent assay (IFA), ELISA, Western blot, PCR, lymphocyte transformation tests (LTT and/ or ELISPOT), and/or borrelia culture. 5 points

Score: __________________

SECTION 4. OVERALL HEALTH SCORE 

  1. Thinking about your overall physical health, for how many of the past 30 days was your physical health not good?

SCORE:

Give yourself the following points based on the total number of days:

0–5 days = 1 point

6–12 days = 2 points

13–20 days = 3 points

21–30 days = 4 points

Score: __________________

  1. Thinking about your overall mental health, for how many of the past 30 days was your mental health not good?

SCORE:

Give yourself the following points based on the total number of days:

0–5 days = 1 point

6–12 days = 2 points

13–20 days = 3 points

21–30 days = 4 points

Score: __________________

TOTAL SCORING

Record your total scores for each section and add them together for your final score:

*Under 25 You are not likely to have a tick-borne disorder.

*Between 25-44 It is possible you have a tick-borne disorder.

*Between 45-62 It is probable you have a tick-borne disorder.

*63 or more There is a high probability of a tick-borne disorder.

*Anyone scoring over 25 should see a healthcare provider for further evaluation. The higher your score, the more urgently you should get evaluated. I can tell you that verified Lyme patients at different stages of treatment scored an average of 59. An online survey of people who self-reported “suffering Lyme now” scored, on average, 89.

Six More Classic Lyme Disease Signs to Watch For

(I wrote about these symptoms in the previous post, but here’s a refresher.)

  1. You have more than one symptom.
  2. You have good days and bad days. A hallmark of Lyme disease is that the symptoms tend to come and go, without you doing anything differently to bring on the symptoms, which can be very confusing.
  3. The pain changes and moves around the body. Muscle and joint pain, as well as the tingling, numbness, stabbing, and burning sensations (otherwise known as neuropathy) not only tend to come and go, but they are often migratory.  For example, you have joint pain in your knees on Monday, pain in your shoulders on Thursday, and pain in your ankles on Saturday. The same symptoms can happen with Lyme neuropathy, where the bacteria that have affected your nerves cause the tingling, numbness, stabbing and burning sensations to migrate to different areas. Lyme disease is the only disorder known in medicine to cause migratory nerve pain, so if you suffer from this particular symptom, it is highly likely that you suffer from Lyme! Since many of our patients also have an overlapping co-infection with different Bartonella species, if you happen to suffer from particularly severe neuropathic symptoms, Bartonella should be suspected along with Lyme disease.
  4. If you’re a woman, your symptoms worsen right before, during, or after your menstrual cycle. Lyme disease symptoms are known to change with fluctuating levels of estrogen and progesterone.
  5. Your symptoms improve when you’re taking medication for other ailments. Patients taking antibiotics for an unrelated problem (such as upper respiratory or urinary tract infection) will often report that their symptoms are much better while taking the antibiotic, and worsen when the antibiotic is stopped. Conversely, some individuals feel much worse on antibiotics, where all of their symptoms are intensified. This is called a Jarisch-Herxheimer reaction, where the Lyme bacteria being killed off temporarily worsen the underlying symptoms.
  6. Blood tests have confirmed a Lyme diagnosis.

More on testing in the future articles. 

Information about Validation for This Questionnaire

The original version of the Lyme/MSIDS Questionnaire was developed by Dr Joseph Burrascano years prior, after he took histories from his chronic Lyme patients.

I then took the questionnaire and divided into 4 parts, asking questions about the frequency and severity of each symptom, while also capturing essential information on whether patients lived in Lyme endemic areas, had been bit by ticks, had EM rashes, asking whether their pain was migratory (a hallmark symptom of chronic Lyme disease), as well as reviewing the number of healthy mental and physical days they had in the past month.

The validation study for the Horowitz MSIDS Questionnaire (HMQ), proving that it is quite accurate, can be found below. It was done in 2017, and validated among 1,600 individuals in three medical practices, who were both healthy and sick, i.e., suffering from chronic Lyme disease.

Empirical Validation of the Horowitz Multiple Systemic Infectious Disease Syndrome Questionnaire for Suspected Lyme Disease. Maryalice Citera*, Ph.D., Phyllis R. Freeman2, Ph.D., Richard I. Horowitz2, M.D., International Journal of General Medicine 2017:10 249–273

http://www.ncbi.nlm.nih.gov/pubmed/28919803

https://www.dovepress.com/empirical-validation-of-the-horowitz-multiple-systemic-infectious-dise-peer-reviewed-fulltext-article-IJGM

The results of a detailed statistical validation study by 2 Ph.D. psychologists at the State University of New Paltz showed that the Horowitz MSIDS Questionnaire (HMQ) showed convergent and divergent construct validity, as well as predictive validity. What does this mean? We can accurately classify the Lyme Status of an individual using the HMQ with an 87% accuracy. Compare that to standard two-tiered testing (STTT) using an ELISA and Western blot, which has an accuracy of about a coin flip i.e., 50%.

Download now

The questionnaire can be accessed and downloaded from my website here.

Then fill it out and give it to your healthcare provider if you scored over 25 on the questionnaire and suffer from a chronic fatiguing, musculoskeletal, cardiovascular, neuropsychiatric illness. In the next few articles, I discuss the testing that is available to confirm a clinical diagnosis of chronic Lyme disease/PTLDS.

This is part one of a two-part series originally published on Substack by Dr. Richard Horowitz. 

Dr. Richard Horowitz has treated 13,000 Lyme and tick-borne disease patients over the last 40 years and is the best-selling author of  How Can I Get Better? and Why Can’t I Get Better? You can subscribe to read more of his work on Substack or join his Lyme-based newsletter for regular insights, tips, and advice.

For more:

https://danielcameronmd.com/lyme-disease-guillian-barre-syndrome/

Lyme disease triggers Guillian-Barre Syndrome

lyme-disease-guillain-barre

In a letter to the editor entitled “Lyme Disease as an Extremely Rare Cause of Guillain‑Barré Syndrome in India,” Sudheer Varma Y and colleagues describe the case of a 50‑year‑old woman who suddenly developed difficulty swallowing, slurred speech, and weakness and numbness in both upper and lower limbs.

Guillain-Barré Syndrome (GBS) is an autoimmune disorder in which your immune system mistakenly attacks the peripheral nerves surrounding the brain and spinal cord. GBS symptoms typically include weakness and/or tingling sensations in the legs, which can spread to the arms and upper body.

This patient also reported having three episodes of loose stools, two episodes of vomiting, and one episode of fever with chills and rigors.

A neurological exam found bulbar palsy of the ninth and tenth cranial nerves, reduced tone in all four limbs, absent deep tendon reflexes in the lower limbs, and absent bilateral plantar reflexes.

“Nerve conduction study suggested a demyelinating sensory‑motor polyneuropathy affecting both the upper and lower limbs, leading to a diagnosis of Guillain‑Barré syndrome (GBS),” the authors state.

The patient then developed lower motor neuron type of bilateral facial nerve palsy, which prompted testing for Lyme disease. Test results were positive and the woman was diagnosed with Guillain‑Barré Syndrome secondary to Lyme disease.

The patient was treated with intravenous immunoglobulin (IVIg), gabapentin, and a 14‑day course of IV ceftriaxone.

References:
  1. Varma YS, Kumar V, Agarwal K, Biswas R, Adil M. Lyme Disease as an Extremely Rare Cause of Guillain-Barré Syndrome in India. Neurol India 2024;72:1102.

For more:

https://petermcculloughmd.substack.com/p/unidentified-flu-like-illness-infects?

Unidentified Flu-Like Illness Infects 376 People, Killing Over 70 in the Past Few Weeks in the Congo

Amidst Warnings from the Biopharmaceutical Complex About Imminent Pandemics

Just as Peter Hotez warns of multiple disease outbreaks beginning on January 21st, 2025

…Authorities in the Democratic Republic of Congo (DRC) are investigating an outbreak of an unidentified disease in Kwango province. Since November, the illness has affected at least 376 people, with reported fatalities ranging from 67 to 143. Key symptoms include fever, headache, nasal congestion, respiratory difficulties, and anemiaAccording to health minister Roger Kamba, almost half of the cases were in children under the age of five. Dieudonne Mwamba, the head of the National Institute for Public Health, said that Panzi was already a “fragile” zone, with 40% of its residents experiencing malnutrition. Also, many residents of this remote area lack healthcare access. This is most definitely a cause for inflated mortality rates. “The Panzi health zone, located around 435 miles (700 kilometers) from the capital Kinshasa, is a remote area of the Kwango province, making it hard to access.”

The sudden emergence of a seemingly highly infectious and pathogenic disease follows warnings from former White House COVID Czar Ashish Jha and Bill Gates about impending bioweapon attacks  (See link for article & video)

Billionaire globalist Bill Gates is facing a massive backlash after casually referring to India as a “kind of laboratory to try things out” during a podcast with Reid Hoffman.  According to Gates, India is where “things are proven” before being unleashed on the rest of the world—a chilling revelation of his approach to using one of the world’s largest populations as a tool for his agenda.

The jury’s out on what the exact pathogen is; however, once identified it is highly probable there will be a major push for more experimental injections and another PSYOP fear campaign.

https://childrenshealthdefense.org/defender/former-fda-commissioner-david-kessler-bird-flu-fear-what-he-gets-wrong

Former FDA Commissioner Stokes Bird Flu Fear — Here’s What He Gets Wrong

Dr. David A. Kessler recently wrote an opinion piece in The New York Times expressing his concern about — and stoking fear of — the H5N1 bird flu. If COVID-19 taught us anything, it was to fear the fearmongers.

scared woman and chickens

Dr. David A. Kessler, a commissioner for the U.S. Food and Drug Administration (FDA) in two previous administrations, the Biden administration’s chief science officer during COVID-19 and co-leader of Operation Warp Speed, recently wrote an opinion piece in The New York Times expressing his concern about the H5N1 bird flu.

Kessler was not necessarily at the helm of the worst regulatory disaster in human history — but he was certainly on the bridge. Kessler’s Nov. 26 opinion piece is designed to stoke fear.

After the last five years, we should all have a healthy fear of fearmongers. Based on fear, in our country alone we have seen: our constitutional rights vanish, internment camps once again built on U.S. soil, lethal countrywide hospital protocols for intubation and a widely used and lucrative drug remdesivir that was too dangerous for Ebola patients, suppression of cheap and effective treatments, mass-distribution of a mandated untested and unsafe vaccine, threats from our political leaders, fractures in society, destroyed careers, destroyed families and destroyed lives.

Almost no one went unscathed during the COVID-19 pandemic.

Kessler’s advice to the incoming administration is out of touch and out of tune with the people who voted President Donald Trump back into office.

“Fear” was in yesteryear’s toolbox for so-called public health. The new administration has nominated a host of leaders who bring integrity, transparency, scientific reasoning and justice to their approach to our common health.

To Kessler’s credit, bird flu is concerning. It is a few mutations away from finding the right combination to become communicable between humans, and a novel influenza virus may cause sickness and death.  (See link for article)

_________________

SUMMARY:

  • Reports of bird flu-related deaths are biased
  • Existing bird flu vaccines only up to 70% effective and our stockpile is inadequate
  • Out-of-control self-amplifying mRNA vaccines will be just as bad as COVID mRNA vaccines
  • Lab leaks are not isolated incidents
  • To date H5N1 is not transmissible between humans

For more:

http://  Approx. 7 Min.

Corporate Influence & WHO Failures

The Bell Review Calls For Global Health Reform

Dec. 5, 2024

Tamara Ugolini discusses a new initiative called The Bell Review, which will scrutinize the WHO’s corporate ties, pandemic response, and transparency issues.

For more:

https://childrenshealthdefense.org/defender/why-oppose-who-plan-centralize-control-global-health/?

‘This Is Stupidity’: Why We Need to Oppose WHO’s Plan to Centralize and Control Global Health

As negotiations around the WHO’s Pandemic Treaty and International Health Regulations restart, we must be vigilant in trying to convince governments, politicians and citizens that centralized, global power and control over human health and health information is not the pathway to better health.

doctor with city landscape and WHO Logo

Article Excerpts:

The COVID-19 pandemic brought to the forefront critical questions about global health governance. You might think this last year or so has offered an opportunity to consider carefully what worked or didn’t work.

One now has to resort to academic publications to see that there is a growing body of research showing that in the face of a global crisis, authoritarian approaches are rarely either the most effective or the most equitable ways of improving health outcomes worldwide.

So please acknowledge the disinformation implicit in the World Health Organization’s (WHO) efforts to justify the so-called “Pandemic Treaty” in the name of “equity.”

In the WHO’s own words, the “treaty” would usher in a “new global system for pathogen access and benefits sharing (i.e. life-saving vaccines, treatments and diagnostics); pandemic prevention and One Health; and the financial coordination needed to scale up countries’ capacities to prepare for and respond to pandemics.”

I want to look at some of the evidence that shows shifting the loci of control over health away from individuals and communities, and putting it into the hands of unelected bureaucrats in the ivory towers of the WHO in Geneva, is the worst thing we could possibly do.

The evidence (for example, here and here) points to the fact that regional approaches, grounded in local contexts and community empowerment, offer a much more promising path toward a healthier future for a lot more people.

But you won’t hear any of this from the WHO because it doesn’t mesh with its plans, and, please remember, we won’t get there if we drop our vigilance and sit on our backsides because the globalists mean business.

Democratic decay and the rise of authoritarianism

The COVID-19 “pandemic” catalyzed authoritarianism in the so-called free world under the guise of public health measures.

Governments and even private corporations stripped millions of their liberties with lockdowns, mask-wearing, social distancing, restrictions on movement, business and school closures, and — let’s not forget — mandatory or coerced vaccinations.

What made matters worse, while governments told the public they were “following the science,” retrospective analysis, such as that laid out masterfully by U.S. journalist Sharyl Attkisson in her new book, shows otherwise.

Or you might like to read the 113-page report just out from the U.S. House of Representatives Energy & Commerce Committee that shows that the Biden-Harris administration wasted $1 billion of taxpayers’ money on their phony attack on so-called “misinformation.”

Had this authoritarian approach been a winner, buy-in for more of the same in a next-time-around scenario might make sense. But the whole thing was a spectacular disaster. Lockdowns, masks and genetic vaccines — contrary to all the promises offered — failed to stop transmission.

….open societies are more likely to have a free press, independent scientific inquiry and transparent decision-making processes, all of which are essential for effective public health interventions. Less autocratic approaches that called for more personal responsibility, as per the Swedish model, also had higher rates of compliance.

Restrictions on movement and economic activity disproportionately impact those already living in poverty, while the erosion of civil liberties created a climate of fear and mistrust.

Despite the WHO’s mandate to promote global health, it’s done very little to help. Instead, it’s morphing increasingly into an unaccountable instrument run by unelected bureaucrats that fast-tracks the global distribution of diagnostics, therapeutics and vaccines, while emerging as the ultimate arbiter of truthful health information in its mission to fight the quaintly-named infodemic.

There is a whole battery of unproven or disproven assumptions that underpin the cousin of the “Pandemic Treaty,” the International Health Regulations (IHR) which were amended earlier this year.

The IHR, which governs international responses to public health emergencies, has historically focused on the notion of containment, aiming to prevent the spread of diseases across borders.

But this approach has never been shown to work when the transmission potential is high (i.e. in a pandemic), and it does the very thing the WHO and its supporters are claiming they want to resolve: it exacerbates inequalities between countries and encourages hegemony.

Doctors who tried to save lives were attacked and struck from their medical registers. This was never about saving lives. It was all about gaining power and control. And that desire among the few has only strengthened since the end of the COVID-19 pandemic was declared in May 2023.

Taking into account what we should have learned from the COVID-19 pandemic, a more holistic approach to managing human health during times of significant infection pressure should, in my view, include at least the following eight things…. (See link for article)

Important quote: 

The “war on misinformation” that should be redefined as any form of speech or communication that does not comply with the WHO and its associated medico-industrial complex, is now a fixture of the WHO’s global powerplay.

This is no time to be stupid. 

Originally published on Rob Verkerk PhD – Natural Musings Substack page.

https://popularrationalism.substack.com/p/popular-rationalism-on-the-quackery?

Popular Rationalism on: The Quackery Foundations of Modern Medicine

Once you know the history of Allopathic Medicine, you’ll never see the medical world quite the same way again. Rationally speaking, we have much to do to Make America Health Again. Feel free to repost

Founding Fraudsters: Prominent Founding Figures with Ties to Questionable Medical Practices

The late 19th and early 20th centuries represent a pivotal moment in the history of medicine. This era witnessed the rise of professional healthcare and pharmaceutical industries, yet it also bore the imprint of practices today deemed unscientific or outright fraudulent. Many key figures in this transformative period straddled the divide between groundbreaking advancements and methods that echoed the quackery of their time.

William Radam, a German immigrant to the United States, became a prominent yet controversial figure with his creation of “Radam’s Microbe Killer.” Radam claimed his solution could destroy all disease-causing microbes in the body, an assertion supported by fervent advertising campaigns. The product, a mixture of water, sulfuric acid, and red wine, was ineffective and potentially harmful. Yet, Radam’s marketing mastery—emphasizing dramatic claims of universal cures—foreshadowed the branding strategies that pharmaceutical companies would later refine, prioritizing trust and appeal over scientific evidence.

Wm RADAM'S MICROBE KILLER NEW YORK CITY 1890s QUACK MED STONEWARE GALLON JUG - Picture 1 of 9

Similarly, Benjamin Brandreth, a New York-based entrepreneur, capitalized on public gullibility with his “Vegetable Universal Pills.” Brandreth promised that these pills, composed primarily of cayenne pepper and other innocuous ingredients, could purify the blood and cure myriad ailments. Despite their lack of medical efficacy, the pills became a household staple, and Brandreth amassed a fortune. His success illustrated not only the public’s willingness to embrace unverified remedies but also the power of colorful, engaging advertising—a practice that became a cornerstone of pharmaceutical promotion.

Image credit: Smithsonian Institution

In the United Kingdom, Dr. John Collis Browne gained fame and notoriety with his creation of “Chlorodyne,” a mixture containing opiates, chloroform, and cannabis. Marketed as a remedy for coughs, colds, diarrhea, and even cholera, Chlorodyne provided symptomatic relief but posed significant risks, including addiction and overdose. The product exemplifies the tension between addressing immediate symptoms and ensuring long-term safety—a debate that persists in discussions about modern opioid use.

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Image credit: Wikipedia

Dr. Thomas Holloway, another British figure, amassed wealth selling “Holloway’s Pills and Ointments,” remedies marketed as cures for conditions ranging from indigestion to tuberculosis. Holloway’s products lacked scientific validation, but his advertisements, filled with testimonials and dramatic imagery, captivated audiences and cemented his legacy as a pioneer of persuasive marketing. His approach to consumer trust and branding heavily influenced the pharmaceutical industry, even as it perpetuated the sale of ineffective treatments.

Image source: Library of Congress

The partnership of Silas Burroughs and Henry Wellcome further illustrates the complexity of this era. Co-founders of Burroughs Wellcome & Co. in London, they introduced “Tabloid” medicines, standardized doses of drugs in pill form. Their contributions to pharmaceutical standardization were significant, yet many of their early products were insufficiently tested, prioritizing marketability over rigorous scientific validation. This dual focus on innovation and profit laid the groundwork for the modern pharmaceutical industry while highlighting its enduring challenges.

In the United States, Dr. George H. Simmons, president of the American Medical Association (AMA) from 1899 to 1924, played a critical role in professionalizing medicine. Contradictions marked yet Simmons’ career; before joining the AMA, he practiced homeopathy and engaged in aggressive advertising tactics often bordering on the unethical. Under his leadership, the AMA advanced scientific medicine, but Simmons’ background underscored the blurred lines between legitimate practice and quackery during this transitional period.

James Morison, a British merchant who styled himself as a “doctor,” founded the British College of Health and became infamous for marketing “Morison’s Pills.” These purgatives, sold as universal remedies, often caused severe complications, including fatalities. Despite public outrage and debates over his practices, Morison’s “Hygeists” traveled door-to-door selling his pills, prefiguring pharmaceutical sales tactics. His story reflects the dangers of unregulated medicine and the enduring appeal of direct-to-consumer marketing.

Have you heard about... - The Old ...

Even respected educators like Dr. William Osler, one of the founders of modern medical education, were not immune to outdated practices. Osler advocated treatments such as bloodletting and purging, inherited from earlier medical traditions. These methods focused on alleviating symptoms, such as fever, while often ignoring underlying pathologies. Osler’s contributions to medical training were profound, but his reliance on antiquated treatments illustrates the slow evolution of medical science from symptom-focused approaches to more comprehensive care.

Dr. John Harvey Kellogg, director of the Battle Creek Sanitarium, also exemplified this focus on symptoms over root causes. Kellogg promoted dietary and hydrotherapy treatments to relieve discomfort like indigestion or constipation. While some of his ideas gained traction, many were later debunked. Nonetheless, his emphasis on symptom management persists in certain aspects of modern healthcare, where immediate relief often precedes systemic solutions.

1916 Kellogg's Krumbles Ad

These figures, both celebrated and controversial, embody the transitional nature of the late 19th and early 20th centuries. Their work laid the foundations for modern medicine and pharmaceuticals but also carried forward practices that blurred the lines between innovation and quackery. Understanding their contributions and controversies offers a critical perspective on how the medical profession has evolved—and how some of its early challenges remain relevant today.

Allopathic Medicine Doubles Down on Treating Symptoms for Mass Profits

The American Medical Association (AMA) emerged in 1847 with lofty aspirations to unify medical professionals and elevate the standards of medical practice. However, by the late 19th and early 20th centuries, the AMA’s role had evolved into gatekeeping within a chaotic and fragmented healthcare landscape. While it was instrumental in defining and enforcing professional norms, its efforts were not without controversy. The AMA frequently targeted medical traditions like homeopathy and eclecticism, branding these practices as quackery to consolidate its authority.

In the mid-20th century, doctors of chiropractic successfully fought a legal and professional battle to distinguish their practice from allopathic medicine and establish their own jurisdiction. The landmark case Wilk v. AMA (1976) was pivotal in exposing efforts by the American Medical Association (AMA) to marginalize chiropractic care through what was ruled as an organized campaign of anticompetitive practices. Chiropractors argued that their focus on spinal adjustments and holistic health addressed root causes of ailments, in contrast to the symptom-focused approaches of allopathic medicine. The courts ultimately ruled in favor of the chiropractors, affirming their professional legitimacy and granting them the autonomy to operate as a separate healthcare discipline. This victory solidified chiropractic care’s identity outside of the allopathic paradigm, enabling practitioners to define their own standards and scope of practice.

The AMA’s strategy of attacking competing professions, while successful in professionalizing medicine, often aligned the AMA with emerging pharmaceutical interests. By promoting treatments supported by these companies, the AMA helped establish and open new marketplaces where the lines between evidence-based care and commercial success were blurred. The organization’s endorsement of certain drugs and therapies, often marketed aggressively by pharmaceutical companies, underscored the extent to which medical practice was shaped by commercial imperatives as much as scientific rigor.

Similarly, the British Medical Association (BMA) faced significant challenges in addressing the pervasiveness of patent medicines. Founded in 1832, the BMA sought to instill ethical standards and unify medical practitioners under a professional banner. However, during the late 19th century, Britain was flooded with patent medicines promising miraculous cures for a range of ailments. The BMA’s efforts to regulate these products were hampered by the lack of legal authority to enforce its recommendations and the public’s reliance on these remedies. Adding to this complexity, some BMA members themselves profited from selling questionable treatments, illustrating the difficulty of disentangling professional credibility from commercial ventures. While the BMA’s eventual success in advocating for stricter regulation of patent medicines helped improve public health, this achievement came alongside the entrenchment of symptom-focused remedies in both medical practice and public expectations.

Pharmaceutical companies played an increasingly central role during this period, often shaping the direction of medical science through their influence on education and research. Burroughs Wellcome & Co., founded in 1880, revolutionized the standardization of pharmaceuticals by introducing pre-measured doses in tablet form. While this innovation addressed the need for consistent dosing, the company’s products frequently lacked the clinical testing necessary to substantiate their claims. Similarly, Parke, Davis & Co. in the United States pioneered standardized plant extracts but marketed addictive substances like heroin and cocaine-based products as therapeutic agents. Both companies engaged in aggressive marketing campaigns that emphasized the reliability of their products while sidestepping deeper questions about safety and efficacy. These marketing strategies shaped public perception of medicine, fostering a culture in which immediate relief was often prioritized over addressing underlying causes of illness.

The pharmaceutical industry’s influence extended into medical education and research, often steering these institutions toward commercially viable treatments. Companies provided funding for medical schools and clinical trials, ensuring that their products became central to medical curricula and practice. This symbiotic relationship between pharmaceutical companies and medical institutions helped establish the dominance of allopathic medicine but also entrenched a commercial model that occasionally undermined scientific objectivity.

The emphasis on treating symptoms rather than root causes, a hallmark of patent medicines, became institutionalized in modern medical practice. The industrialization of medicine during this era created pressure to produce quick, scalable solutions that aligned with the needs of an expanding healthcare system. For example, Dr. John Collis Browne’s Chlorodyne provided effective symptomatic relief for conditions like pain and diarrhea but ignored the underlying causes and contributed to widespread opiate addiction. Similarly, the rise of analgesics like aspirin marked a breakthrough in symptom management but also reinforced the perception that addressing discomfort was more important than understanding its origins. These trends, while addressing immediate patient needs, laid the groundwork for criticisms of modern medicine as overly focused on short-term relief at the expense of long-term health.

The legacy of these historical developments continues to shape contemporary healthcare. The commercialization of medicine, rooted in the practices of organizations and pharmaceutical companies during this period, is evident in today’s debates over chronic disease management, mental health treatment, and the opioid epidemic. The prioritization of symptom management over prevention and the influence of corporate interests on medical research and practice remain enduring challenges. By tracing these issues back to their historical roots, we can better understand the systemic forces that continue to shape healthcare today.

“Allo-pathy”: Come to Me for One Disease, I’ll Give You Another?

The term “allopathy” was coined by Samuel Hahnemann, the founder of homeopathy, in the early 19th century. Hahnemann used the term to criticize the prevailing medical practices of his time, which he believed treated disease by inducing effects opposite to the symptoms rather than addressing the underlying causes. Derived from the Greek words “allos” (other) and “pathos” (suffering or disease), allopathy was meant to contrast with homeopathy, which relied on the principle of “like cures like.” Over time, the term became associated with conventional Western medicine, though it was originally intended as a pejorative label for its symptom-focused methods

The model of perpetual symptom management has become a cornerstone of modern allopathic medicine. By focusing on alleviating symptoms rather than addressing the root causes of illness, the system inadvertently creates a cycle of dependency. This approach not only exacerbates underlying conditions but also generates new health issues that require further interventions. The parallels between 19th-century quackery and contemporary pharmaceutical practices are striking. Just as mercury-laced remedies once sickened patients while offering additional treatments to address those symptoms, today’s medicines often introduce side effects that necessitate more prescriptions, particularly among older adults. This phenomenon, known as polypharmacy, has become a defining characteristic of modern healthcare.

Just Like Doc Grandad

Historically, quack doctors in the 19th century used mercury-based treatments for a range of ailments, including syphilis and skin conditions. While initially marketed as a cure-all, these treatments caused severe toxic side effects, including damage to the kidneys and nervous system. Rather than abandoning these dangerous remedies, practitioners often compounded the issue by prescribing additional drugs to mitigate the damage caused by mercury, creating a profit-driven cycle of dependency. Similarly, in modern medicine, drugs designed to treat symptoms frequently lead to new health issues. Nonsteroidal anti-inflammatory drugs (NSAIDs), for example, are commonly used to relieve pain but are known to cause gastrointestinal irritation and ulcers. To address these side effects, patients are often prescribed proton pump inhibitors (PPIs), which carry their own risks, such as nutrient deficiencies and an increased likelihood of bone fractures. This cycle mirrors the strategies of historical quacks, perpetuating a model that prioritizes symptom management over holistic healing.

Metallic-Tractors

The emphasis on treating symptoms rather than root causes has profound implications, particularly for chronic diseases. Conditions such as hypertension and Type 2 diabetes are typically managed through medications aimed at controlling blood pressure and blood sugar levels. While these drugs provide measurable short-term benefits, they often fail to address underlying lifestyle or environmental contributors, such as diet and physical inactivity. This focus creates a long-term revenue stream for pharmaceutical companies, as patients remain dependent on medication for life.

In the case of autoimmune disorders, the use of aluminum-based adjuvants in vaccines provides another example. Aluminum is employed to enhance the immune response in vaccines. Still, research has shown that it is also used in animal studies to induce autoimmunity for testing drugs targeting such conditions in humans. These findings, detailed in a 2017 IPAK report, raise ethical concerns about the potential long-term consequences of aluminum exposure in humans, particularly for individuals predisposed to autoimmune conditions. The resultant autoimmune diseases require management with immunosuppressive drugs, further entrenching patients in the cycle of pharmaceutical dependency.

This pattern is most pronounced among older adults, where the prevalence of polypharmacy is staggering. Defined as the use of five or more medications simultaneously, polypharmacy is often the result of a cascade of prescribing practices. For instance, chronic pain patients may be prescribed opioids for pain relief, only to develop gastrointestinal issues and depression as side effects. These issues are then treated with additional medications, such as PPIs and antidepressants, each carrying its own risks and side effects. Diabetics on glucose-lowering medications frequently face cardiovascular side effects, prompting prescriptions for statins and antihypertensives, which can lead to fatigue, cognitive decline, and other complications. This layered approach to medication management not only diminishes quality of life but also places an enormous financial burden on healthcare systems.

Regulatory frameworks and institutional practices play a critical role in perpetuating these cycles. Agencies like the FDA approve drugs despite well-documented side effects, often viewing these risks as acceptable trade-offs. For instance, selective serotonin reuptake inhibitors (SSRIs) are widely prescribed for depression but can cause weight gain and sexual dysfunction. These side effects often lead to additional prescriptions for weight management drugs or PDE5 inhibitors like sildenafil, further entrenching the patient in a pharmaceutical feedback loop. Direct-to-consumer advertising exacerbates this issue by normalizing symptom-focused treatments and encouraging patients to request specific drugs. Advertisements for biologics targeting autoimmune diseases, for example, include long lists of potential side effects, many of which require additional medical interventions.

The broader implications of symptom-focused medicine are significant. Healthcare costs spiral as billions of dollars are spent annually on preventable complications and drug-related side effects. Hospitals face mounting challenges in managing polypharmacy-related hospitalizations and adverse drug interactions. Public trust in medicine also erodes as patients become increasingly disillusioned with a system that seems more focused on profits than genuine healing. This discontent is evident in the growing backlash against overreach, including controversies surrounding vaccine safety and pharmaceutical transparency.

MAHA via Root-Cause Medicine and Integrative Pathways to Health (IP2H)

There are, however, alternative models that prioritize root-cause analysis and prevention. Lifestyle medicine has demonstrated remarkable success in addressing chronic diseases like Type 2 diabetes through dietary and lifestyle interventions. Programs emphasizing whole-food plant-based diets or ketogenic diets have helped many patients reduce or even eliminate their dependence on medication. Preventive care models, such as those implemented in “Blue Zones” communities known for their longevity and low rates of chronic disease, offer compelling evidence that addressing root causes is both feasible and effective.

The parallels between historical quackery and modern symptom-focused practices highlight the dangers of a system that prioritizes profits over patient health. To break this cycle, systemic changes are needed, including a greater emphasis on preventive care, root-cause analysis, and patient education. Regulatory bodies must also be held accountable for approving drugs with significant side effects and for fostering a culture of transparency and safety in pharmaceutical development. By learning from history and addressing these issues head-on, the healthcare system can move toward a model that truly prioritizes patient well-being over perpetual dependency.

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https://www.midwesterndoctor.com/p/whos-trying-to-stop-america-becoming?

Who’s Trying to Stop America Becoming Healthy Again?

Untangling the century of dark industry tactics that have poisoned the health of America

Since COVID-19 began, those who tried to warn the public about the clear dangers of how we were addressing COVID-19 (e.g., lockdowns, vaccines, and remdesivir) have been targeted and silenced. While many were initially in disbelief our government could do something like this, more cynical parties (e.g., myself) suspected something like this would happen (as it always does) and caught the early warning signs of it.

In my eyes, beyond the over-the-top marketing throughout the media to promote the COVID boondoggle, there were three particularly noteworthy (and interwoven) facets to this campaign:

1. Widespread censorship of opposing ideas (e.g., GoFundMe deleting fundraisers for individuals who had severe COVID vaccine injuries and nowhere else to turn for help since those fundraisers alerted people to the vaccines not being completely “safe and effective” and most of the news networks refusing to question the COVID narrative). Of note, from the start, I assumed there had to be shadow banning occurring (as I could see the effects of it happen in real time) and coordination between the social media platforms and the Biden administration—an illegal activity which was gradually confirmed by lawsuits (e.g., due to the Twitter file) and other leaks that revealed shadow banning was widespread on the tech platforms.

2. The establishment targeted anyone who dissented against the narrative in a coordinated fashion. For example, many absurd complaints were used to target the medical licenses of physicians who were saving patients from dying from COVID (e.g., Meryl Nass, whose suspension was so absurd that 13 members of Maine’s legislature formally complained to the medical board about it).

3. A very aggressive and coordinated campaign to neutralize anyone who disputed the narrative on social media. Early on, I began to suspect this was happening because I’d see the same bad actors (typically doctors) use the same sculpted talking points. In April 2024, I found out an industry funded group did indeed exist, and that:

  • Many of the people I’d suspected were in a coordinated conspiracy did indeed belong to a secret group (“Shots Heard”) dedicated to fighting misinformation online.
  • That group was tied to the Federal Government and funded by the pharmaceutical industry.
  • That group, one by one, would target dissident healthcare workers and attempt to both get them removed from social media, to have their medical licenses taken away or get them fired from work, and in some cases, to directly harass them at their homes.  (See link for ‘must read’ article)

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Highlights:

  • CNN features anti-vaxxer turned pro-vaccine woman to discredit RFK Jr., but doesn’t disclose links to dark pharma-backed censorship groupsOops.
  • The highly sculpted language is sometimes clever, but is often ridiculously false.
  • John Davidson highlighted how another prominent “grassroots” and “parent-created” vaccine advocacy organization (Voices for Vaccines) takes money from almost every large pharmaceutical company on the planet.  Oops again!
  • Due to cutthroat lobbying, blackmailing newspapers not to support clean food laws, and aggressively peddling paid off scientific ‘experts’ to promote junk science, the first head of the FDA resigned as he felt the only way to create change and a safe food supply was for the public to demand it.
  • Monopolization by Robber Barons like Rockefeller always enslaves and never empowers the public.
  • Monopolization follows a similar pattern and gradually makes it impossible to obtain resources and once competition is eliminated, costs skyrocket and make it significantly worse than what preceded it.
  • Richard Nixon’s Secretary of Agriculture made the decision that America needed to transition from small family farms to large monoculture operations (his motto was “get big or get out”), a policy which coincided with major agribusinesses taking over the farming sector and farming subsidies which entrenched this new status quo.
  • After the tobacco industry suffered devastating defeat in courts they then invested in the processed food industry and used their skills from making cigarettes addictive to now making processed foods addictive.
  • The US completely relaxed all regulatory safeguards regarding patented GMOs which monopolize agriculture, allowing companies to sue farmers who had GMO crops growing in their field due to drifting from a neighbor’s farm, that also require higher amounts of dangerous chemicals, and adversely affect human health.
  • See link for a series of interview clips on Ozempic and the systemic corruption and dysfunction throughout healthcare.
  • See link on how dirty tricks are used against those who expose industry corruption.
  • Read an article by The Union of Concerned Scientists describing the playbook industry always uses to suppress inconvenient science. Also see the flow-chart for government PR campaigns.
  • A common PR tactic is to PAY a third party ‘expert’ to promote the desired message.
  • Protect Our Care is financed by the Sixteen Thirty Funda 501(c)(4), a special type of non-profit that is allowed to engage in political lobbying and more importantly, does not have to disclose its donors. This group in turn, has been used to fund various left-wing political causes and has been repeatedly criticized by left-leaning media outlets (e.g., the New York Times) as a “dark money” organization. According to Politico, the Sixteen Thirty Fund (which received 51.7 million from a single anonymous donor to influence the 2018 elections) was one of the largest television advertisers during the 2018 midterm elections—elections where coincidently a massive number of military intelligence operatives (e.g., from the CIA) ran as Democrats for Congressional seats and completely changed the direction of the party. As such, I feel it’s reasonable to suspect some of those invisible donors also have financial interests in the pharmaceutical industry.
  • Also see link for flow chart of who is funding these dark online groups censoring anyone challenging the COVID cartel.
  • Senator Elizabeth Warren received $821,941 from Big Pharma making her the second most bought-off person in Congress.  Bernie Sanders got $1,417,811.

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