Journal of IiME Volume 2 Issue 2 www.investinme.org P Plluuss ççaa cchhaannggee,, pplluuss cc’’eesstt llaa mmêêmmee cchhoossee “ “TThhee mmoorree tthhiinnggss cchhaannggee,, tthhee mmoorree tthhiinnggss ssttaayy tthhee s saammee”” B Byy DDrr BBrruuccee CCaarr rruutthheerrss Dr Bruce Carruthers Bruce Carruthers held an internship at the Charity Hospital of Lousiana, New Orleans, residencies in the Internal Medicine at the Hospital of the University of Pensylvania, Philadelphia, research fellowships at the American Diabetes Association in Philadelphia, and at the Clinical Investigation Unit of Shaughnessy Hospital, Vancouver. He also had a fellowship of the Royal College of Physicians and Surgeons of Canada - specialising in Internal Medicine - and was a Research Scholar of the Medical Research Council of Canada. He has specialised in diabetes and metabolic disorders and continuing clinical research in cellular information processing, diabetes mellitus and metabolic problems with a special interest in chronic fatigue, chronic pain problems of soft tissue origin and health enhancement. From 1999-2003 he was the principal author for Canadian Consensus article 'Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Clinical Case Definition, Diagnostic and Treatment Protocols' which was published in Journal of Chronic Fatigue Syndrome 2003, 11: 7-115. Until the present day Dr. Carruthers has continued to follow research interest in the role of consciousness in the clinical activities of Diagnosis, Prognosis, Treatment and Prevention. He produced in 2005 Myalgic Encephalomyelitis/Chronic Fatigue Syndrome : A Clinical Case Definition and Guidelines for Medical Practitioners - An Overview of the Canadian Consensus Document. Dr Carruthers presented at the IiME ME/CFS Conference in 2006 in London (available on DVD from Invest in ME). Invest in ME (Charity Nr. 1114035) In the way that aphorisms have, the above saying describes a struggle between complementary attitudes towards reality that has been ongoing at least since around 500 B.C. in a disagreement between the Greek philosophers Heraclitus, who said the reality was change, and Parmenides, who said that reality was unchanging. This aphorism emphasizes that while being mutually exclusive by definition, the two approaches are both necessary in practice. The practice of medicine is guided by many aphorisms to reflect the complexity of the many complementary approaches essential to proper clinical decisions, which, while remaining mutually exclusive, are both necessary (1), including this aphorism. The practice of scientific medicine also embodies this complementary struggle- while searching for the invariant laws of nature responsible for the mistakes of nature in the form of disease and dysfunction (contranatural), it changes all the time while remaining complementary to the practice of clinical medicine which, while observing the vagaries of an individual’s anecdotal experience of disease and (continued on page 20) Page 19/74
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