All posts by jebrahim2@gmail.com

The Good, The Bad and the Conundrum of Activism

The Good, the Bad and

The Conundrum of Activism

The Trigger: This article was triggered by an interview of Francis A. Boyle, Human Rights Activist and Professor of International Law on CHD TV. What we learn in this interview is that the U.N. banned the use of biological weapons in an International Convention adopted in 1971.The United States signed on in 1972 with both bodies of Congress voting for it. In 1989 the U.S. added to the International Law its own prohibition with the U.S. Code 175-an addition to the Terrorism Act! Code 175 says “whoever knowingly develops, produces, stockpiles, transfers, acquires, retains or possesses any biological agent toxin, or delivery system for use as a weapon shall be fined or imprisoned for life or any term of years

So, it is a criminal offense to be developing these weapons with a maximum sentence of life imprisonment (the lawyers and politicians who drew up the act didn’t like capital punishment lol) And yet since at least the 80’s under Ronald Reagan American scientists have been doing exactly that and keeping it undercover! We can understand their justifications: ”The Russians and the Chinese are doing it so we musn’t get behind”. Excuses, excuses! This is VERY dangerous stuff. And at this point ,I am convinced that Covid-19 Sars 2 is a product of that research! And it could get worse!

The thought immediately came to mind:  ”How could people be so evil, so reckless, so self-serving? I guess I am still naïve! This kind of evil has been going on for a long, long time. The Romans crucifying people and throwing them to the lions. The medieval tortures like the Iron Maiden. The Jews led into the gas chambers. The list goes on and on!

I still remember Sheikh Nazim in Peckham , London during one Ramadan in the 80’s saying “We are now under the hegemony of shaytan” and thinking “I think he’s going too far”! And hegemony was a word that should have been outside of his TurkEnglish vocabulaty lol. But, no, he was absolutely right. And those wooly-minded thinkers like Steven Pinker (“The Better Angels of our Nature”) and their data-analysis approach are sorely out of touch. No news there lol!

So…can it really be that bad?! And the simple answer is “Yes!”. Besides the usual human rights abuses like those of the Uighurs in China, the Chinese harvesting organs from Falum Dung members(that’s a new one but not dissimilar to the Nazis doing “scientific” experiments on Jews and not so long ago the Japanese torturing Chinese and Korean opposition forces, we now have a new slew of evil habits.

Let us name a few. So we have researchers in the U.S. and then in China doing “gain of function” research and calling it vaccine research which it clearly wasn’t. We have American pharma companies, exempt from all legal liabilities, having public health authorities mandating their ”safe and effective” vaccines (which were neither) to the entire population. We have large institutions- private and public- including universities (no surprise there .New and critical thinking left those premises a long time ago.)We have prestigious medical journals blocking the publication of useful research into repurposed medications for treatment and instead publishing misleading research some of which was so bad they had to retract the articles themselves. We have decades of vaccine mandates for children without any placebo-controlled studies and no long-term research on their overall effects on children. The list goes on and on! Man’s creativity in the field of mischief is truly astounding! No lack of new ideas there.

Once our inner vision begins to see all this, we may well feel overwhelmed and hopeless. How could this be and what can we do about it?” we may well ask. In Islam we were recommended to go to the hills with our sheep when the Last Days were approaching! Are we there yet?! We may well be but before we all become forest dwellers and hermits ( but btw the forests are no longer safe either nor the water in remote areas. In the forests we now have a plethora of ticks and Lyme disease and some of the most remote lakes are so contaminated with heavy metals that there are no fish left!) So there is no real refuge left!

There may however be a simpler answer. We need to seriously remember that, in any case, we are only here for a temporary period. As I like to remind myself and others from time to time, “the fatality rate of Earthly existence is 100%!” Sorry for the bad news, but none of us is going to survive anyway! So perhaps we should be thinking of the after-life and how best to be right with our Creator. Nothing else will do and nothing else can be so beneficial. All the religions teach that more or less! As say the A.A. people: ” Let go and let God”. He (the Light of the Heavens and the Earth) is the only trustworthy protector. All the others are destined to fail.

But what I really wanted to address in this article ,since good and evil have been contemplated from the beginning of time, is the question of activism. This question emerges out of the observation of endemic evil and what do we do about. Many times in history social activism and political theories have tried to address and redress the problem. Perhaps the most obvious in recent history was and still is Marxism. According to that philosophy, the problem is the exploitation of the working class and the solution is “The dictatorship of the proletariat”. We see where that got us when we look at Russia and China and North Korea to name but a few examples.

But nowadays we have newer and more limited actors in the field of activism-like “Doctors without Borders” trying to help people in war zones and “Amnesty International” trying to protect political prisoners, and Greenpeace and other environmental groups trying to protect the planet. One thing that surprized me in my practice as a psychiatrist was that the clients I saw who were in intimate relationships with these N.G.O. types were some of the people who were most disappointed by their relationships. It made no sense! Good people, no? Amnesty International, Médecins sans Frontières-how could these be bad people! As I contemplated this conundrum, I realized what was going on. These N.G.O. types were ideologues-people of principle! Often their hearts were dead. In fact they were so insensitive that it took really gross abuses in their environment to be able to fell anything! It sort of made sense!

Btw, I have my own personal history with activism! It started with student newspapers in high school and university, continued with protests against Canadian complicity in the Vietnam war and ended with Marxist medical services in a Community Clinic. It is a long story that I will only be able to tell it adequately when I eventually write my autobiography. Inshallah. But let me highlight a few episodes that eventually led to my disillusionment with this approach.

While I was at the community Clinic in East End Montreal I participated in a legitimate strike at a company called Carter White Lead. Many of the  workers there   were actually suffering from documented lead poisoning. We had a toxicologist on board who confirmed the diagnosis. In my mind I still held the slogan of “the dictatorship of the proletariat”lol. That was our salvation!.Boy can we be delusional at times! As an example it took Sartre, admittedly a brilliant man, more than a decade after being made aware of it  to denounce what was going on in Russia at the time of Stalin . In the meantime he had denounced Camus who was his informant in this matter as “intellectually not up to the task of analyzing the subtleties of the Russian Revolution ”(paraphrasing here).I still know very intelligent scholars who are unwilling to denounce Stalin. Their names will remain anonymous lol

 

When I saw this “proletariat” at Carter White Lead, my gut reaction was: ”These people in charge of our government?! No, thanks!” I had my first breakthrough!

Then I went to China with a group of community workers. That was 1973 and the Cultural Revolution was still going on but well-hidden from our view. We went to a school and when one of my companions, a College teacher at the time, realized that the principal of the school was earning much more than the workers and he confronted the workers about this inequality (which went against all Marxist principle) they said it was alright. He literally had a melt-down and a few hours later had to be rushed to the hospital with acute pneumonia! If you ever needed a clear example of a psycho-somatic reaction, this was a spectacular one. This fellow’s entire world had fallen apart Many people lost their faith in Marxism after that trip! Some melted into the “soft left” like the N.D. P. in Canada . Others, like myself, left activism and politics for good!

The third event that closed the chapter on Marxism for me was a large meeting of leftists, unionists and hard-core Marxist Leninists under the umbrella of a Marxist Group called “En Lutte” . At the head table were all the major leaders of the left wing. And when I saw them, it was obvious. ”No way, José” This group would be far worse than the current government under Robert Bourassa at the time. That was the last straw .Bye-bye Marx.

Another paradoxical thing I realized during these events, and I believe it is still true nowadays, is that the left-wing leaders treated their intimate partners much worse than their conservative homologues! Doesn’t make sense, right?! They are humanists and progressives and yet in their relationships they are egotistical, unfaithful and hedonistic.

You can see the same phenomena in American politics! Compare how the Bush’s and Reagan were with their wives to the string of philandering Kennedy’s all the way down to the present iteration. Yes there were exceptions like Carter and Obama on the Democrat side and Trump for the Republicans. But “the exception confirms the rule” as they say. If you are a woman, I would stay away from progressives lol

There is so much more I could say but the two major points I really wanted to raise in this article were the state of the world -where evil reigns forcing us to adapt to it and the particular conundrum posed by the latest iteration of a Kennedy, in the person of RFKjr,

The latter has presented a particular dilemma for Truth-seekers like myself. On the one hand, I agree with almost everything he says. It is all well-documented and referenced and he is very careful to get the facts right. I agree with almost everything he proposes to do in getting rid of the “captured” health agencies and government institutions. Perhaps the only thing I disagree with is trying to run for the Democratic party. I am convinced they will run him out of the primary as they did with Bernie Sanders in a previous election . But RFKjr. is a very strategic person and may well be using the Democratic platform to gain visibility and then planning to run for a third or fourth party once the Democrats succeed in running him out of town as they are almost sure to do.

None of this is problematic for me! But what is seriously problematic is his “ghoulish” presence! There is something deeply wrong with this man and it has nothing whatsoever to do with his voice. I have tried to come to some convincing conclusion about what that is but for now it evades me. Could it be what he calls “the lust demons” which have been haunting his family including his father and two of his uncles going all the way back to his grandfather?! Or could it be unresolved substance use which he has apparently conquered (Btw I saw a similar thing in the famous Green Bay Packers quarterback Aaron Rodgers and then learnt that he uses Ayahuasca as a means of spiritual upliftment. Ok. Case closed there!)

But there may be another explanation-at least a partial one- which applies to many, many people-Activism!? You see the real problem of activism is that it focuses on the negative. Even though it is attempting to resolve the problems, it can easily become obsessed with them. I saw that in medicine and psychiatry as well. My first wife, a true California Spiritual seeker nlol, confronted me with that: ” That’s the problem with you psychiatrists” she said in a moment of fury. You are in love with neurosis” She had a point.

My own Dad, who was by no means an intellectual, had the same issue. Although he had some dyslexia, I believe, he was so interested in history and politics that he worked his way through the entire set of volumes by Will and Ariel Durant called “The History of Civilization”! His conclusion: “Man is worse than animals ”. That was his final statement about Reality! And despite the fact that his argument is well-taken, it ultimately led him in the wrong direction. My own direction is the opposite! I go, rather, by the statement of Sheikh Hashimi of Damascus. ”Fi kooli shay khairan”(in everything there is good)What a revelation?! God created us, He knows more than anyone else our foibles and our defects. He created us that way. And he will lead us to the right path, if we trust in Him and follow His guidance. If, on the other hand, we follow the god of our own minds we are doomed to failure and disappointment. I am still working on it. And I hope you will be inspired to do likewise. Salaams, Sufi Ibrahim

Greed as Religion!

Let me give you a concrete example- the Covid vaccine! First it started with Trump and Fauci both on an ego-trip. That vice is called “pride ” the top of the line of Christian vices lol! Then the pharmaceutical companies saw windfalls of profit to be made.Yes, that is greed.Then the doctors who were doing just fine financially before the Covid kicked in with their multiple levels of ignorance! Firstly they bought the long-held mantra “vaccines are safe and effective” Ya right! Then they drank the archaic kool-aid that “Reality can only be seen through large-scale randomized, placebo controlled studies published in prestigious, peer-reviewed studies”( I always found that a mouthful lol).Then they refused to see all the nasty side effects of the vaccines( clinical blindness!).All of what they did, and they are the proximate cause of the disaster, was from ignorance mostly( yes, a touch of greed but mostly ignorance!)

One more attemppt here to get the message through lol>America has made “greed” into a religioin.The basic catechism is that “It’s all about the money”! This religion which includes MBA degrees,monetary management,finacial planning etc., etc. is so widespread(can we call it ‘pandemic’ lol/) that even those who are denouncing greed in various places are caught up in the “greedism” religion.I see a parallel with Feminism where even those who say they are not Feminists in effect on a deeper layer really are?! So what is the answer as the pragmatists w-another modernisr
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religion- will ask.Broaden your horizons. Look for other vices.And if you are really courageous look for the positive in all this! That would be truly revolutionary!

Theology?!

Theology is the entry of the philosophical mind-set (i.e “mind productions”) into the domain of religion. It’s cost /benefit ratio is probably nil i.e. the costs( over-riding the need for actual spiritual experience and mysticism in favour of mental gymnastics) is at least as onerous as its benefits- at least when well-done (providing clarity in one’s formulation of beliefs- on which to base one’s behaviour.) Much unnecessary confusion and conflict has been generated by this form of activity!For best effect, it needs to be detoxified by actual spiritual experience-of one sort or another. Salaams,Sufi Ibrahim

Study,Schmudy 2.0

I have come to the conclusion that we need to do a meta-study of studies?! No, not the Cochrane Meta-analysis type but rather a study about the usefulness of studies. Asking questions like: “Did this study change anything in the field?” “How much suffering and pain was reduced by the application of this study?”.Now this could be in medicine or any other field for that matter. I am guessing that the most common result would be ” nil”.But there is the outside possibility, due to the perverse incentives in studies(i.e. greed or professional ambition or pushing an ideological line) that studies would have a negative impact on outcomes. We hear talk about the military/industrial complex and the medical/pharma complex.But no-one is talking about the academic/study complex. It is a huge industry that may outweigh all the others. It certainly does already in reputation. Any volunteers to fund this study?! I doubt it lol
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Making Peace With America

It’s July 4th – Independence Day in America.Now America has a lot of failings no doubt. Many people across the world love to hate America! That is not my feeling. I have always had fondness for our neighbour to the south. Much of what I learnt in Medicine, psychology( of various schools) and Spirituality came through America. I attended countless medical and psychiatric and alternative psychotherapy trainings in America. It was in America that I met many of my spiritual teachers including Pir Vilayat Khan and Bawa Muhayideen and Sheikh Nuh. It was in America that I learnt Chiqong and various forms of Buddhist meditation and Sufi chanting. So there is much for me to be grateful to that country. I would not be who I am without the American contribution to my existence.Their openess and creativity and plainspokeness has become part of my being!For all of that, I am most grateful!

I would just have one request, however, to ask Americans-to stop claiming their country is the greatest country to ever exist. For those who like evidence, most of the evidence, including the annual Human Development reports of the United Nations loudly dispute that claim( lowest ranking amongst developed countries in every single social dimension-like violence and infant mortality and longevity and poverty amongst others)!) So I request a little more humility from Americans. Enough hubris! That would be good for everyone-including Americans themselves.

Herd Mentality and Education

If the real goal of our educational system was not the stated one- of teaching critical thinking- but rather, as proposed by researchers like John Taylor Gatto ( may his soul rest in peace), to generate ” herd mentality” in the population, they have succeeded beyond their wildest dreams! In the field of medicine only the geniuses and sincere Truth-seekers like Andrew Wakefield and Paul Thomas and Pierre Kory and Paul Marik and Peter McCullough and a few others have been able to pierce the multiple layers of propaganda to see what is really going on. Kudos to the Rockefellers and Carnegies that financed this “revolution” in education. They will ultimately have to answer for their mischievous ways. For the rest of us, it is incumbent upon us that we systematically and thoroughly detox our minds and hearts from this academic poison! God be with us!

Why Do They Always Get it Wrong?!

I never cease to be amazed at how the politicians and their propagandists in the mainstream media never seem to deal with the real problems but only look at the surface? Is this simply a problem of Empiricism or does it go even deeper. I’ll let you decide. And please don’t fall for the sop “It’s all about the money”! Another Empiricist spin- as money can be counted lol. No-the ignorance goes way deeper than greed. Even greed, itself, is another form of ignorance. As if money alone can bring you happiness?! So here are a few concrete examples! I know how much people like concreteness lol After all we were educated that way! Who needs Truth when you have numbers, right?Lol So here are a few examples 1) Everyone is yelling about abortion rights but no-one is talkin g about the real problem-promiscuity (Adultery and Fornication in Biblical terms).2) Everyone is concerned about student debt relief but no-one is talking about the outrageous fees of American Universities. Out of line with the fees in any of the “civilized” world! “Civilized” does not apply to America>you might rightly argue lol And 3) Just saw a report on Commercial Real Estate and the rate of vacancies. But no-one is mentioning that ALL these buildings (sealed windows and recirculated air) are sick buildings and accounting for innumerable health effects! ” It’s always been this way” you might argue -falling for another specious argument “if it’s always been this way, it must be normal” Don’t fall for it! Ignorance surrounds us on all sides! Be vigilant and do your homework .Salaams, Sufi Ibrahim

The Four Klesas

The Four Klesas and the Four Responses

The Buddhists have a lot of interesting classifications for states of mind. Most of them are completely consistent with Sufi Islamic principles and in some sense provide a unique and clear formulation that is “actionable” on the spiritual path. One of these formulations is  the 5 klesas.

The 5 klesas (obstacles to Enlightenment) are Attachment/desire, Aversion, laziness,agitation and doubt.For the sake of clarity I have reduced the list to four.I consider both laziness and agitation to be a derivatives of the others-laziness being a product of doubt and desire and agitation being a derivative of fear and anger.I  have also divided Aversion into its two distinct components of Anger and Fear.

So we are left with 4 klesas that we need to struggle against-Desire; Anger/upsetness; Fear/worry and Doubt. So here are the responses we can use as we come up against these four states on a daily basis. This is a formula for serious and effective spiritual struggle that can be done by anyone serious about their path.

1-Desire:

Response: This thought is a lie, a trick of my mind .Even if I managed to obtain the object I am wishing for,I would still not get the ultimate satisfaction it is promising!

2- Anger (upsetness):

This too is from God and has a purpose. How could this have been worse?Allah will bring this matter to its proper conclusion!

3-Fear/worry:

Allah is aware of everything that is happening including this. Do your “due diligence”, follow your inspirations in managing it and trust in God.Tawakultu aleyhi wa hua rabbal Arsh al Atheem.(Trust in god and He is the Best of Managers)

4-Doubt:

There is no Doubt. God Exists, He is aware of everything ,He is Just and He will bring it all to the right conclusion.

So try it out and see how much you can shift your consciousness with this simple formula!

Salaams, Sufi Ibrahim

 

 

3

The “work” trap

Notes on the Spiritual Process

Asalamu aleykum,brothers and sisters. . It is so easy to slip in this way! Once we are solidly set in our goals, we may well be free from major sins like zina and alcohol and drug addiction. However the four klesas of desire, anger, fear and doubt are never far away and we have to be vigilant! That is arguably the biggest part of our work!

However, there is another danger that may be greater than either of the two aforementioned ones! And that is “ghafflat” ((negligence, unawareness) and ironically that “ghafflat” may be about what is perfectly halal or even obligatory! Like doing our work or our studies or taking care of our family . Good works, no?! Yes, but only within proper limits.

When I reflect on North American society ,and this is probably true in all “developed “ countries, there is only one virtue left! All the classic ones of piety and modesty and humility and obedience have been put aside. And all that is left is hard work. An excess of that is called “workaholism” in modern psychology. But it is much more common than many people think. For now, my definition is “any productive activity that sucks up all your energy(which may include getting to work and recuperating from work and preparing for work) and leaves your energy tank empty for your relationship with your Creator. More than 100 years ago the sociologist Max Weber wrote about this subject in a famous book called “The Protestant Ethic and the Spirit of Capitalism”. However this problem now applies to all religions- not just Protestantism. In fact, because of the hegemony of the Anglophone culture first via Great Britain and now via the U.S.A. we could say we are all Protestants lol

So what do I propose here? We must certainly be vigilant. But I will go further and suggest a potential structural solution to this-in two parts. The first being basic Islam and the second being Sufi practices.

1) We have the salat five times daily. However, I would like to reframe this practice -less about obligation and more about opportunity-the opportunity to take a break from work and refocus on our relationship with our Creator (the spiritual project!). Forget about everything else-your worries, your deadlines, your finances) and at five points during the day commune with your Creator. And watch the effects!

2) Dhikr (Sufi practice).Set aside two time periods  in  24 hours  to do your dhikr practices. One of them  should be tahhajjud time and the other a time of your choosing. Some of the Sufis have suggested the time between Asr and Maghrib but that might not work for your schedule. So it could be in the evening-if you have the energy(remember we need to be honest with ourselves as well!).Or after your siesta in the early afternoon. Whatever works for you. The time interval could be anything from one-half hour(least amount to get benefit) to one and a half-half  hours(a total of 3 hours as recommended by the Tijani people and Kundalini Yoga alike).See what you can manage .Build this two-faceted structure into your daily schedule and commit to it -as you commit to your work deadlinesJust don’t slip into ghafflat because your ‘hal’ will definitely suffer for it.

Salaams, keepimg you AND me on our toes lol. Sufi Ibrahim

Epistemology-Based Medicine

Epistemology-based Medicine:

A Superior Formula to “Evidence-based” Medicine.

Everywhere one goes in the field of medicine, and in science in general, we find the term “evidence-based”. They are even trying to use the term in politics and business. And mostly, if it isn’t an outright lie, it’s almost invariably a manipulation. For one thing it is a theory that has never been tested-a kind of medical catechism! For those who say it’s too difficult to test, that too is a lie.

Here is the simple protocol in my own field of psychiatry. Take one group, the experimental group and require that all the physicians justify each decision on the basis of a published article in the peer-reviewed literature-especially the prestigious ones like The American Journal of Psychiatry or The Annals of Psychiatry or the Journal of Clinical Psychiatry or the British Journal of Psychiatry (plenty to choose from lol).Then have the control group use just what they already know, their previous clinical experience and their clinical judgment. Then compare the results in a relatively simple diagnosis- like Major Depression where the rating scales are both valid and reliable.

But, just like the vaccine-mandate issue, which took more than 30 years to study! in the obvious format(anti-vaxxers vs. full CDC protocol vaxxers) no one wants to do this simple design study. They are afraid of the results! Personally, I would predict that the results would be more or less equivalent. But it is also quite possible that the docs using the evidence-based approach would do less well because of the rigidity implied by the model. That would destroy the entire church of “evidence-based science”! And no-one wants that-least of all the McGill University “expert” who completely lost it on me when I dared suggested  this model. So much for objective science lol.

I first came in contact with this problem in the 1980’s when I was asked to teach a course on psychiatric research to the McGill Psychiatry residents. I came across a brilliant researcher who had reviewed the previous 10 years of psychiatric literature. What he did was study the career trajectory and theoretical biases of the lead authors (biological psychiatry, pharmacologically oriented, psychoanalytic and CBT mostly). Without reading the article he came to a conclusion about the authors’ preferred therapeutic approach. Not one of the published articles came to a conclusion contrary to what the bias of the lead author was expected to be! So much for objective science! And I am sure this is true in many other areas of medicine and science as well! Som what like asking a Democrat whether he would prefer Trump or Biden in the next election lol

In fact, there are many, many serious problems with this “evidence-based” approach. One of them was highlighted by a well-known researcher in ADHD who presented at the Canadian Psychiatric Conference ( I will protect her anonymity for now as we have to protect these brave, outspoken members of our medical community!). She stated clearly and courageously: ”Give me a break with evidence-based medicine! We will never have enough well-done studies to cover all the myriad decisions we need to make on a daily basis in medicine” Spot on! Bingo! In fact there are not enough resources in all the research funds available in all the world to do all those studies.

Other serious problems with “evidence-based” approaches include the following:

  • Ideological beliefs of the researchers
  • bias due to the funding of the research. This is probably the most universally recognized issue. Yet little is actually done about it.I know that at Psychiatric Conferences there is a ritualistic practice of citing all potential conflicts of interest. Then the presenter continues as if nothing he stated about his funding had any relevance! Pure and utter hypocrisy!

3) the constant statistical bugaboos of “selection bias” (look at the benzodiazepine studies in my field- almost all designed by anti-benzo activists) and “confounding variables” (no matter how much the researchers say they control for them!)

4) the difference between the study group( especially the exclusionary criteria )and the clinical groups where doctors have to treat every patient -not just selected ones. This was a big issue in psychiatry where research clinics had their set patient groups who were regularly used to test out new drugs. Psychiatrists were complaining that these groups didn’t correspond well to their own patient populations with multiple pathologies.

The list goes on and on..

In the end, these “gold-standard” studies are much less useful than most clinicians and researches believe.  In my estimation, anecdotal evidence- (so disparaged by the fundamentalist scientific mind-set) from patients and other clinicians are far more useful. But that is heresy in the medical, scientific world lol! And if there is heresy, there must be religion hiding under the layers of “objective” science!

Before we proceed to some possible solutions to this dilemma, I would like to add in another data point-another anecdote, actually a series of anecdotes.! When I was working as a full-time psychiatrist, I was called upon to be an “expert witness” for a number of my clients-mostly about salary insurance issues . I noticed something very counter-intuitive as I watched the court proceedings unfold. The judges seemed to understand what was going on with the patients much more than the “expert witnesses” who were almost all doctors! How odd?! These people had legal training but they understood more clinical reality than the people with medical training?!

I thought long and hard about that one and in a way this article is, at least in part, the fruit of that reflection. How could this be?! Then I realized that the judges were taking account of many variables that the doctors were not. They were listening to the patients and their relatives (disparagingly looked at as “subjective” by the scientific community), they were taking account of the individual reports (“anecdotal evidence” as the scientific-minded would be inclined to reflexly think)and they were listening( how unempirical- for those bound up in Scientific Materialism).And yet, they were coming to the right conclusions more often than not. And why is that? And here is the punchline! Their Epistemology was much better and more comprehensive than the docs. They were not burying their heads in the sand of “randomized controlled trials published in prestigious medical journals.” What a relief!

By this point, you are probably catching the drift of where we are going in this discussion. We need a new Epistemology in medical science. When a patient comes out of the doctor’s office and says: ”He or  she didn’t get at all what I was saying” we know we need a new approach. When the management of the Covid pandemic was so dysfunctional and chaotic, we know we need a new approach. And yes, there is a financial factor in all of it but in my estimation the ignorance factor is even greater than the greed!  If you can imagine that.

Before I get into what that would look like I want to share an iconic episode that occurred during my psychiatric practice. At one point I was seeing a lot of Chronic Fatigue Syndrome patients. We lived at the time in a cottage with an in-law extension from where I did my practice. The children were not allowed on the clinical side but one day the cat escaped to the clinic and my youngest daughter ran over to catch it in the waiting room.

When I had finished my day’s work, I went over to the other side and she asked me:  ”Daddy, who was that patient?” ”You know I am not allowed to tell you that, Sara , but why do you ask?” “She looked so sick”(she meant physically). I responded: “You are totally right about that(the patient in question had a cadaveric-green-gray colour to her skin tone)-but you know what is really amazing, Sara.? Two days ago, this lady went to see her G.P. and he looked at her test results and said: ”Madame, you are in perfect health. It’s all in your mind” As if that would help?!

So Empiricism has infected the entire enterprise of medicine so that contemporary doctors are no longer use their ears and eyes skilfully.. Instead they rely on blood tests and imaging! Which leads me back to the question of Epistemology .

What is this arcane Greek term anyway?! Epistemology is the Science of Knowledge. It refers to how you go about ascertaining what is true and what is real. Modernist Epistemology disproportionately favours Empiricism, “objective data” ,huge amounts of it preferably. And it loves statistical analysis and numbers. A recent article in the Lancet(a very prestigious medical journal) about Covid and its treatment had to be retracted because the data had been falsified. This is a rare event for peer-reviewed journals -until Covid at least! But the fraudulent researchers had tempted the editors with huge numbers (over 90,000 patients I believe). It was like candy to a baby. They were salivating at the numbers involved- like prospectors seeing a vein of gold in the rocks. Unfortunately, it turned out to be fool’s gold. Like a horny adolescent boy seeing a young lady with large breasts, the temptation was too strong lol!

Ok. Let’s get serious! What is the Epistemology I am recommending- for Medicine. It has to be much more comprehensive then it now is. The randomized placebo-controlled large scale studies could be part of the mix as well as non-randomized smaller studies( as were so useful in early Covid treatment) but both would have far less importance than they do now. Clinical experience is a far better indicator of what is going on. In my case, when a new psychopharmacological agent came out on the market after using it on 10 patients or less, I had a good idea of what it could do, what it couldn’t and what the problematic side effects were. The big numbers used in studies are used in order to generate statistical significance more than anything else. After all, how many times do you need to drink water to conclude that it relieves your thirst? Or how many friends do you need to question to feel confident that Puerto Vallarta is a good place to vacation in the winter lol?

On the other hand I once had a patient who was very preoccupied about which neighborhood in Montreal was the best place to live.So hev began his research. He visited them all, read all the data about the demographics, thought about it long and hard and eventually became very anxious and totally confused. Sounds like the management of the Covid pandemic to me. Too much information and too much data leads to confusion! The economists call this “the Law of Diminishing returns” The medical scientists haven’t caught on to that one yet. They still glory in large numbers!

My own spiritual epistemology has three doors: 1) hearing, 2) seeing and

  • feeling/intuition.

The Zen Buddhists have come to much the same conclusions. Yes doctors have to start being “mensch”(to use a Yiddish/German term) and stop being robots and bureaucrats applying pat formulas and algorithms.They have to learn to listen. Not to be dismissive of what patients are saying-especially if it doesn’t fit their allopathic, Aristotelian models. They have to learn to see subtleties-like the pigmentation on the skin of the aforementioned patient. In fact, if you read accounts of 19th century physicians and psychiatrists you will see that they were much better observers than doctors nowadays. They didn’t have all those lab tests and imaging studies to rely on.

And last but not least doctors have to develop their feeling functions and their intuition. With those three in place we should have a much more effective medical practice. And then we can then study, if we are still in doubt, whether that works or not lol. My bets are that both Hippocrates and Galen would be on board .And we would all be the better for it!

Salaams, the prodigal doctor, Dr. Ibrahim Kreps