Hi and Lo

The high vs. low protein debate has kicked off again, not that it ever really went away or is likely to for some time to come. Since people don’t fundamentally change it reminds me of the debate that went on between British doctors in the late 19^th century on the action of chloroform. English doctors said that chloroform affected the patient’s heart and it was essential to monitor the pulse. Scottish doctors said it didn’t affect the heart but the respiration and monitoring the pulse was a dangerous distraction that could kill the patient. The arguments became quite abusive! It was like a kind of warfare in which people sat at opposite ends of a field lobbing the occasional missile. ‘No man’s land’ was exactly that, they just didn’t meet in the middle. Many years passed and many people died under chloroform before the matter was finally resolved by the invention of modern monitoring equipment. Most of the protagonists were dead by then so at least no-one had the embarrassment of admitting he had been wrong (or the task of trying to prove he was still right.) Historically I know that it is not always the person who shouts loudest, or is best qualified, or the one who believes in something with an incandescent passion who is proven to be right. Only time can determine that. The famous Baron Lister was never going to agree with humble Dr Clover about how to deal with a choking patient, (he described Clover’s advice as ‘pernicious’), but time has awarded the palm to the quieter man. On the current debate, I have read the posts and the articles to which they refer, and have sufficient education to be able to follow quite a lot of what is being said. I can see that both sides are arguing from different kinds of studies and different sets of data but how much weight to give to the different studies and how to interpret them is beyond my capability. That is something I have to leave to the experts, and of course the experts disagree. The matter is so crucial that I would have thought that a conference on that subject alone might be the way to go, though attendees should beware of the shrapnel!

Oh and the chloroform thing? Both sides were right, it affects both the heart and the respiration depending on how it is used.