Nase & the Medical Profession
NASE & PHYSICIANS
Geoffrey Nase appears to take the view that, as a trained scientist, his own opinion on a scientific matter must be right. If someone disagrees with him, it is because they lack his wisdom and experience. This has often lead to contemptuous comments about the medical profession. Here are just a few examples:
“It has been my experience that 80% to 90% of all "derm rosacea experts" are walking around in a daze all day on a morphine drip.”
“The plain truth is that the average Dermatologist is completely confused by rosacea. If you understand this you have won half of the battle and your sanity.”
“... I stopped listing my favorite laser/IPL doctors a few years ago (and took the list down) because physicians change, their mindsets change and if I cant stay in contact with them at least once a week....... who knows what they are doing or experimenting on.”
“If I am not on sight at the treatment clinic and do not see or am not in charge of the care, then I feel very leary about recommending physicians.”
“When I look back at the 3 dozen derms I saw during my severe rosacea, I would guestimate that 30 out of 36 had no idea what they were doing and if they were horses, would have been put out to pasture and shot.”
“I know that the 60 plus doctors that I saw, probably 50 I only saw once and received a script, but could tell they were in the dark ages.”
(Rosacea Forum, June 16, 2005 'Eyes Wide Open Now - Heavy Heart')
Nase seems to have no real understanding of medical ethics. In June 2005, he became so angry against three women receiving laser treatment from Dr Nicholas Soldo that he tried to get the physician to bar them. To Nase’s fury and disbelief, Soldo refused. Nase had decided that the best way to punish these women was to make them burn and flush and suffer, and he felt entitled to try to bring that about. It is monstrous that a self-styled advocate for rosacea patients would seek to punish people he disliked by having them denied the most effective treatment.
For defending his patients against outside interference, Dr Soldo was thrust into the circle of people Nase was defaming on and off the boards and threatening to "bring down".
NASE & MEDICAL ADVICE
Nase discusses many treatment possibilities, which is absolutely fine. However, most are no more than theories when it comes to rosacea. The fact that a medication or substance should work in theory does not mean it will prove to be safe and effective in a whole group of people.
Trying one unproven medication after another while switching from one doctor to another to do so might be dangerous for some people. We think that Nase should make these points absolutely clear when making his suggestions.
We are particularly concerned that Nase recommends powerful medications like clonodine, klonopin, and macrolide antibiotics to a large group of people, and so often. These are powerful medications being suggested.
- Clonidine is a tremendously strong antihypertensive, stimulating alpha receptors in the brain and causing a decrease in sympathetic outflow from the brain to the periphery, hugely decreasing blood pressure.
- Klonopin is a highly addictive drug - safe if guidelines are strictly followed, but always potentially disastrous.
- The abuse of macrolide antibiotics can lead to super-infections with non-susceptible organisms like fungi, as well as the creation of drug-resistant strains.
With very strong drugs, you have to weigh the upside and the downside. If there is a huge upside, then maybe it is worth the proven risks. We think the possibility of some people suffering negative consequences, much worse than rosacea, is very high. When Nase offers aggressive advice on unproven rosacea treatments, based on theory, there is the potential to hurt rosacea sufferers. He needs to acknowledge this, and should offer the appropriate health warnings real physicians do.