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“ The "real world" is a construct, and some peculiarities of scientific thought become more intelligible when this fact is recognized ... Einstein himself in 1926 told Heisenberg it was nonsense to found a theory on observable facts alone, saying "In reality the very opposite happens. It is theory which decides what we can observe." ” - D. O. Hebb

James aspires to practise ‘good medicine’. He believes this means providing expert therapy in a warm-hearted, perceptive, human way.  For almost any health problem, there are a bewildering variety of treatments that claim to be useful. Finding one’s way through this maze requires a huge amount of knowledge that needs constant updating. James has a personal database of over 19,000 research articles. On average he spends about three hours weekly scanning thirty or so key journals in his fields of interest. So much new research is being published all the time. GP's and hospital doctors rarely have the time to read very much of this important work. Complementary therapists may be unaware it's available. Once the therapies that have the best chance of helping you have been selected, James will either carry out the treatments himself or refer you to an expert in the relevant field.

It’s great to have therapy that’s highly appropriate and delivered with significant skill. If however treatment is all head and little heart, the results may well not be nearly as helpful as they otherwise could be. James believes that knowledge evolves, but the heart of medicine remains constant in the care and sensitivity with which it is practised.