Controversially, Dr Chandy believes B12 deficiency must be
suspected in all patients with unexplained neuro-psychiatric symptoms
or unexplained anaemia.

The GP thinks many patients with B12 deficiency fall through the net
because many symptoms are not recognised. These symptoms can
range from severe depression to paralysis.

Several patients on his books were diagnosed with multiple sclerosis,
an incurable degenerative disease, but have responded well to B12
injections
. Others who lost the sight of an eye or collapsed in the
street or at home have also been diagnosed with vitamin deficiency
and have benefited from the injections.

Dr. Chandy has battled for decades to persuade the medical
establishment to listen to his controversial views. He has also
developed a more modern way of diagnosing vitamin deficiency,
which replaces an approach which dates back more than 150 years.

The slightly built 60-year-old doctor hopes to persuade Health
Secretary Patricia Hewitt that the NHS should adopt his new
diagnostic approach. He is convinced this will improve the health of
thousands - if not millions of patients and ultimately save billions in
unnecessary diagnostic procedures and treatment.

A B12 test costs just £3.37 and a six-month course of injections costs
£28.

Betty Ritson is a feisty patient who was suffering from a range of
chronic illnesses until she was diagnosed with vitamin B12 deficiency.

"If it wasn't for you, doctor, I wouldn't be here at all, I would be
fertilising my own flowers," said Mrs Ritson, just one in an audience
of around 100 people, mostly patients, who attended a press
conference earlier this week at Peterlee Leisure Centre.

The event, organised by Dr Chandy with the backing of the B12
Committee, a support group made up of former patients, was to call
for a revolutionary break with medical tradition. According to Dr
Chandy, his innovative approach to diagnosing vitamin B12
deficiency could transform the lives of thousands of patients.

Within a few minutes another patient, Ian Marley, who had
complained of a lack of energy and constant tiredness before being
diagnosed as being B12 deficient, climbed to his feet to blurt out: "I
feel on top of the world, happy-go-lucky. I feel absolutely wonderful.
So thank you."

Another patient - a woman called Jacqueline - rose to her feet.

"I had dizzy spells, pins and needles and felt numb down one side.
Eventually I keeled over in Peterlee town centre," she said, adding
that her hospital consultant suggested her problems were all in her
mind.

But after being diagnosed with vitamin B12 deficiency and being
given a course of monthly treatments, her problems disappeared. "I
feel wonderful after my injections and I know when I need them
because my concentration goes and I drop things," she said.

A few minutes later another of Dr Chandy's patients - a woman called
Rosemary - told her own story.
"I was diagnosed as a possible multiple sclerosis case. I used to fall
over. I lost the vision in my left eye," she said.

Like the other patients, she responded well to the B12 injections and
was restored to health. "If I didn't have the injections I wouldn't be
here. You are the best thing since sliced bread," she said.
The cheers and enthusiastic applause which greeted this comment
showed the unusual bonds which exist between Dr Chandy and his
patients.

Since the early 1980s, when Dr Chandy first put his unconventional
views on B12 deficiency into practice, around 750 patients at his East
Durham practice have been given either B12 supplements or
injections.

Remarkably, Dr Chandy claims the vast majority of his patients have
benefited from his highly unusual treatment regime.

Until recently, NHS hospital specialists have taken a dim view of this
maverick GP's diagnostic approach.

But after a review of Dr Chandy's work, his novel approach to the
diagnosis and treatment of B12 deficiency has been cautiously
approved by Dr. Jonathan Wallace, consultant haematologist at
Newcastle's Freeman Hospital.

His 'pathway of care' was endorsed by Easington Primary Care Trust
in July - although that organisation has been swallowed up by the new
County Durham Primary Care Trust which was established last
month.

Dr Chandy's conviction that vitamin B12 deficiency could be the
cause of many illnesses began when he was a young doctor in India,
more than 40 years ago. He began to wonder whether there could be
any link between the ill health of Hindu patients and their
vegetarianism.

Vitamin B12 deficiency can be caused by a number of factors,
including a vegetarian or vegan diet, because B12 is found in meat,
liver, fish, eggs and milk.

But many people - and Dr Chandy believes this figure to be much
higher than the conventional view - lack the ability to absorb vitamin
B12 from their diet, meaning the only way this balance can be
redressed is by injections.

He experimented by giving some of his Hindu patients B12 injections.
In most cases their health improved.

All of this was still on his mind when he moved to the UK and set up
in practice in County Durham back in 1970.

As a single-handed GP looking after more than 3,000 patients he
didn't have much spare time, but what time he had he devoted to
researching the role played by vitamin B12 in maintaining good health
and what might happen if a patient was deficient. He became
convinced that the threshold of vitamin B12 deficiency used by NHS
doctors to measure this condition was far too low. (
Information on
B12 levels)

It took him a decade before he was able to start treating UK patients.
His first patient - a woman called Glenys - was in the audience on
Monday.

"I was in a terrible state, as weak as a kitten," she said. "I was
diagnosed with pernicious anaemia. Since then I have been getting the
injections for more than 20 years."

Because of difficulties in getting permission from the NHS to continue
with injections, Glenys was denied B12 injections for two years.
"They tried tablets but they didn't work. I needed the injections
because I wasn't taking the vitamins out of my food," she said.

Her health declined during these two years but since the injections
were resumed she says she has enjoyed good health. "I am 60 years
old now and there is nothing wrong with me," she said, proudly.

Dr Chandy believes many people are unable to extract vitamin B12
from their food. The vitamin is known to be essential to maintain a
healthy nervous system and Dr Chandy suspects this is why a
deficiency can cause inflammation of the nerves and dementia.

Dr Chandy's remarkable story was featured in the BBC television
documentary Inside Out.

Catherine Iceton, a 30-year-old mother from Peterlee, told how she
was able to stop using a wheelchair and walk normally again, despite
being diagnosed with MS, after a course of B12 injections. "It is
surreal. I have to pinch myself. I have woken up from my
nightmare," she told cameras.

Another patient featured on the documentary, Jeannette Chapman,
36, from Peterlee, revealed how B12 injections helped her recover
from severe depression and allowed her hair to grow back.

On the same BBC film, the Newcastle-based consultant haematologist
Jonathan Wallace, who reviewed Dr Chandy's methods, said it was
"possible" the GP was right after all.

Dr Chandy may well have the last laugh when his research is
published in a leading journal in the near future.

More than anything, the veteran family doctor wants to be able to
pass the burden on to other, younger doctors.

"I am a tired old man. I can't fight any longer," Dr Chandy told his
audience of admirers. "It is the truth. I love my patients, this is the
reason I have done all this."

6:01am Friday 3rd November 2006

From: The Northern Echo, United Kingdom

www.thenorthernecho.co.uk/features/health/display.var.1001911.0.
my_work_is_a_labour_of_love.php
Family doctor from County Durham in
Great Britain develops a revolutionary
theory with a huge impact for
patient health
http://www.health-boundaries-bite.com
Your fingernails reflect your health --
Learn some warning signs --
Karen Kline
Under-diagnosis is a health boundary that bites.
e-mail this link
enter recipient's e-mail:

(taken from a local paper)
It was clear that something extraordinary was happening. In a
crowded East Durham meeting room one patient after another
was standing up to tell their story of how a simple course of
vitamin injections had changed their lives.

The first to speak at Peterlee Leisure Centre was Betty Ritson,
a patient of Dr. Joseph Chandy, a general practitioner who has
defied medical convention by finding previously undiagnosed
vitamin B12 deficiency in hundreds of people over the last 25
years. According to the family doctor, vitamin B12 deficiency
may affect up to 12 per cent of the UK population, and is
massively under-diagnosed by NHS doctors.

Vitamin B12 plays a vital part in the manufacture of red blood
cells and if the vitamin is lacking, the patient may go on to
develop one or more of a number of conditions.
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