General thread on functional disorders in Denmark

Well, here is a surprise:

2008 | TryghedsGruppen and a new partnership
Tryg i Danmark smba changes its name to ’TryghedsGruppen'. TrygVesta and AXA Corporate Solutions enters a partnership agreement. TrygVesta is now able to use the international network of AXA Corporate Solutions to meet Nordic customers' international insurance requirements.
History | Tryg.com

Those who have been paying attention lately may have seen this

IBC TO LAUNCH NEW HEALTH CARE GUIDE FOR CLAIMS PROFESSIONALS - Insurance-Canada.ca - Where Insurance & Technology Meet

which showed AXA working in collaboration with Arthur Cott to establish national guidelines in Canada in 2001
 
It would be interesting if the TryghedsGruppen could be tied more closely to the "PRISMA" group of aligned insurance companies- whatever that might be, or have been. It would certainly explain a great deal if the Nordic countries are involved.
 
That last post needs some amendment. "PRISMA" appears to have been merely one provider of rehabilitation services. As such it entered into agreement with insurance companies for a particular range of services. It seems probable that insurance companies would, in each area that they covered, seek to enter into similar agreements with the local service provider. This seems unobjectionable if the parties are "at arms length", negotiating on an open basis. In some cases arms may not be of the requisite length. More research is needed.
 
Per Fink is stepping down according to a paywalled article in the medical newspaper Dagens Medicin. He is quoted saying he was targeted because he stuck to professionalism.
He recently resigned as Chief Physician for Functional Disorders at Aarhus University Hospital.
 
Good grief the dude is 71, retire already.

But:
Per Fink resigned as Chief Physician for Functional Disorders at Aarhus University Hospital on May 1. For more than 25 years, he has tried to assert professionalism and a scientific approach to functional disorders. This has at times brought him into the crosshairs when it clashed with attitudes and criticism from medical colleagues, patient groups, relatives and the media.
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Criticism from patient groups is well-known, but the rest would sure be interesting to find out. Especially from medical colleagues. I guess it all happens in secret behind closed doors? Because I've only ever seen from patients, and anything in the media that criticized him came from patients doing so.

Also, did Fink himself write the "For more than 25 years, he has tried to assert professionalism and a scientific approach to functional disorders" or what? Because that's one hell of a framing, about on par with saying of RFK that "For more than 25 years, he has tried to assert professionalism and a scientific approach to vaccine safety". Totes, dude. Totes. Very scientific. Very professional. :rolleyes::rolleyes::rolleyes:
 
Kalliope said:
Per Fink is stepping down according to a paywalled article in the medical newspaper Dagens Medicin. He is quoted saying he was targeted because he stuck to professionalism.
He recently resigned as Chief Physician for Functional Disorders at Aarhus University Hospital.
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From the open part:
Per Fink takes two steps back: "When you stick to professionalism, you easily become a target in public"

Per Fink resigned as Chief Physician for Functional Disorders at Aarhus University Hospital on May 1. For more than 25 years, he has tried to assert professionalism and a scientific approach to functional disorders. This has at times brought him into the crosshairs when it clashed with attitudes and criticism from medical colleagues, patient groups, relatives and the media.
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Way to play the victim. There is nothing professional about anything he has done. He has repeatedly violated every conceivable ethical and scientific standard, and enriched himself at the cost of thousands of patients.

Good riddance.
 
Utsikt said:
Way to play the victim. There is nothing professional about anything he has done. He has repeatedly violated every conceivable ethical and scientific standard, and enriched himself at the cost of thousands of patients.
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They always reach for DARVO (Deny, Attack, Reverse Victim & Offender), every single time. We have never seen any of them admit they got it wrong.
 
Kalliope said:
Per Fink is stepping down according to a paywalled article in the medical newspaper Dagens Medicin. He is quoted saying he was targeted because he stuck to professionalism.
He recently resigned as Chief Physician for Functional Disorders at Aarhus University Hospital.
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Psychologist Peter la Cour, who for a long time has been critical to the term functional disorders and written well informed opinion pieces about ME/CFS has written a response to the celebratory article about Per Fink's career.

I hope the automatic translation is understandable because the whole text is worth a read and was hard to sum up.

Per Finks lægelige selvforståelse bør ikke står uimodsagt
automatic translation Per Fink's medical self-understanding should not go unchallenged

Per Fink has written a response
Svar på kommentar af Peter la Cour
automatic translation Reply to comment by Peter la Cour
 
Fink says:
He [Peter la Cour] disputes that the undersigned does not really want an open debate. A debate is difficult when you are constantly being put in words and attributed with positions that you do not hold. It is my opinion that debates on purely professional issues should primarily take place in professional environments and not in the political system.
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But it is as if, when one cannot get one's views across in the professional environment, one instead tries to influence politicians to impose certain positions on the professional environment. A current example of this is the Danish Unity Party's proposal to the Minister of Health that the symptom PEM (post-exertional malaise) be introduced into the diagnostic criteria for ME/CFS.
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It seems like Fink missed the professional discussions that resulted in the CCC more than two decades ago!
From a scientific point of view, it is not knowledge or facts that we lack. The problem is rather that facts are denied or misinterpreted, and this can make a debate difficult.
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And that denial and the lies are why I’m very happy that he is retired.

Fink also attacks his credentials and brags about his own Pure profile, completely ignoring the point that FND or FD or whatever are mostly circle jerks (my description).
 
Every accusation is a confession with these quacks.

They keep saying false things about us, and when it's pointed out he says it's illegal to criticize him, or whatever.
Per Fink said:
But it is as if, when one cannot get one's views across in the professional environment, one instead tries to influence politicians to impose certain positions on the professional environment
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This is actually something that needs to happen regularly, because medicine often gets stuck peddling nonsense. Plus, that's exactly what they're doing anyway, and he must know that, but feels that it's fine for them, because they know better, or whatever.

Quacks quacking like quacks do. Bye duck, every single thing you worked on will end up in the trash. Hope it was worth it, or whatever.
 
I'm very happy that Per Fink has retired. Please let it be to prune the roses and play with his grandchildren, rather than to join Paul Garner on a speaking tour.

Kalliope said:
Psychologist Peter la Cour, who for a long time has been critical to the term functional disorders and written well informed opinion pieces about ME/CFS has written a response to the celebratory article about Per Fink's career.

I hope the automatic translation is understandable because the whole text is worth a read and was hard to sum up.

Per Finks lægelige selvforståelse bør ikke står uimodsagt
automatic translation Per Fink's medical self-understanding should not go unchallenged
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Thank you @Kalliope. I agree the whole text is worth a read - it is not long. I like the way it gives information, some of which was new to me, not just opinion. Well done to Peter la Cour. For those who can't click through, a few examples of the points:

Secondly, it appears that the articles that cite and are cited in the clinic's articles are, for the most part, publications from the clinic itself. A few other, foreign names also recur and are easily recognized. The articles are hardly cited outside of their own circles.
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Regarding professionalism, I have also not seen doctors from the FL centers at medical conferences about the diseases they claim to be experts in, including ME/CFS. This is the disease where the greatest professional controversy currently exists in Denmark.
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The FL people's professional evidence for the treatment of this disease was refuted in international research several years ago, and it has most recently been refuted again in a specially commissioned official report from the Danish Health Authority, which shows that no beneficial long-term effect can be found from the treatments that the FL centers have used for years, which they have claimed were effective and which they still use and recommend.
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For example, I do not experience open debate at the annual conferences paid for by the TRYG Foundation, which, in addition to the conferences, has also provided a very large portion of the research funding on which FL thinking is based.

The last few years that I attended the conferences myself, there was a complete ban on even a single question from the audience after the lectures, let alone critical considerations in general. From the podium, outrageous things were sometimes said, such as when Per Fink claimed in all seriousness that patient organizations like the ME Association were internationally coordinated and had large sums of money at their disposal. This is notorious nonsense.
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I wasn't sure about this point from Peter la Cour. Functional disorder is of course not a local Danish invention, although perhaps a code in the ICD-10 is. I thought it was worth noting on the forum due to the information about the ICD-11 no longer allowing national special diagnoses.
It appears from the article, among other things, that ICD-10 diagnosis codes have been established for functional disorders. Functional disorder is a local Danish invention, which is sanctioned by the Danish Health Authority in the form of some local Danish special diagnoses. They will disappear when ICD-11 is introduced, as ICD-11 no longer allows national special diagnoses, which disrupt the overview of prevalence and make research non-transferable between countries.
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Hutan said:
I wasn't sure about this point from Peter la Cour. Functional disorder is of course not a local Danish invention, although perhaps a code in the ICD-10 is. I thought it was worth noting on the forum due to the information about the ICD-11 no longer allowing national special diagnoses.
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Thank you for providing some quotes from the text. I don't know of the details regarding functional disorders and codes, but thought it might be of interest to know that Peter la Cour has been Leader of Knowledge Center for functional diseases in Copenhagen from 2013 - 2018. Here's his CV in English.
 
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