Does Your Doctor Always Know Best?

90+ How I Got There!

Faced with a medical decision, patients normally allow their doctor to decide on treatment, assuming he or she “always knows best”. But “Consumer Report on Health” claims that this approach rarely works anymore. Doctors simply are unable to keep up with the flood of new information on medical therapy. Consequently, some medical decisions must be based on the patient’s priorities, not just the doctor’s. This process might even decrease the cost of medical care.

Often the problem is communication. For instance, a study of 1,057 doctor/ patient visits, including 3,552 clinical decisions, found that only 9 percent provided the patient with enough information to make an informed choice!

So how do you figure out what is best for you? Potential traps are the now common operations of cataract surgery, and knee or hip replacement. Remember, these elective procedures should only be done when the physical condition affects your quality of life by inability to function. Not when the surgeon says, “I can fit you in.”

It’s also been reported that about one in seven women who have a hysterectomy don’t need the operation. So, ask if there are other procedures such as endometrial ablation that either remove fibroids or remove the lining of the uterus to decrease excessive bleeding.

Be cautious about long-term therapy such as the treatment of hypertension. Rather than submit yourself to a lifetime of prescription drugs, ask how lifestyle changes such as losing weight and exercise can be helpful. Taking a magnesium pill or a powder such as MagSense can relax arteries, decreasing blood pressure. So does the natural remedy Neo40 which, by increasing the production of nitric oxide, also relaxes arteries, thus decreasing hypertension. In addition, studies show that high doses of vitamin C and lysine will slowly remove atherosclerosis from arteries, a main cause of high blood pressure. Your Health Food Store will inform you of the various choices available.

Screening tests also cost our health care system billions of dollars annually. Some are of questionable benefit and may cause unintended complications. One study showed that 40 percent of checkups involved tests which were unproven. For instance, if you don’t have a family history of heart disease or coronary symptoms there’s no need for a stress test. Some authorities also believe the PSA test to diagnose prostate cancer should never to be done as it causes more complications than it saves lives. And women in their forties should discuss the pros and cons of mammography before agreeing to one.

Every year a large numbers of MRI’s are performed for low back pain. But they are not needed unless the procedure is required for a treatment decision. It’s well known that an MRI may show a disk problem, but it may not be the cause of the pain. Many patients have this abnormality without back pain. Besides, most back pain subsides without any treatment.

90 percent of hernias occur in men but how many require surgery? For years it’s been standard practice to operate to avoid bowel obstruction. But a study which followed several thousand men for several years discovered that, contrary to medical opinion, only one percent per year suffered from this complication.

Of course you must always ask your doctor, “What happens if I decide against treatment?” For instance, an 80 year old man with early prostate cancer may live another 15 years without treatment. In the interim he may die of something else. He may also decide that he does not want to take the risk of surgery and end up in diapers.

For women with early breast cancer a “lumpectomy” may be an option rather than complete removal of the breast. Some however, feel more assured if the entire breast is removed. The main point is to be an informed patient so there are no surprises.

Michael Barry, Professor of Medicine at The Harvard Medical School studied 2,600 adults age 40 and older who faced decisions about surgery, medicine and screening tests. He reports that their level of knowledge was low. Many did not even know why they were undergoing a specific procedure.

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EP = a2 Has Killed More People than E=mc2

90+ How I Got There!

It’s been said Einstein’s E=mc2 (energy=mass x C speed of light squared) is the world’s most important scientific equation. Unfortunately it created the atomic bomb that killed thousands in World War II. But I believe my equation EP = a2 (extra pounds = atherosclerosis squared) is the world’s important medical equation. Regrettably, it’s killing more millions every year than E=mc2.Think again if you believe this is exaggerated.

Consider human obesity. Nothing, including the thousands of books on weight loss and diet, has been able to stop the epidemic of obesity which gets worse world-wide every year.

Nor does anyone have the solution to the problem of increasing numbers of people developing Type 2 diabetes. The U.S Centers for Disease Control and Prevention reports that one in 13 North Americans have diabetes. And one in four over the age of 65 suffer from this disease.

Then there are an estimated 14 million people in North America who don’t even know they have diabetes!! And millions more have prediabetes, just one step away from diabetes and its complications. All these figures increase every year.

So how does this combination kill? It’s because EP (extra pounds) = a2 (atherosclerosis), causes the rust that collects in all of our arteries as we age. We have known for years that people who are obese or have diabetes or both always develop more of this deadly rust that is composed of fatty deposits and cholesterol.

The deadly trio of obesity, diabetes and heart attack will eventually bring our health care system to its knees. Years ago this scenario was rare. More people died from infection. Now, since we live longer, the Gifford-Jones law has a major effect on longevity with the development of degenerative diseases. Gifford-Jones law states that one disease often leads to another, and another. The best example is that obesity leads to Type 2 diabetes and 50 percent of diabetics die of a heart attack due to atherosclerosis.

The problem isn’t complicated. If all the toilets in the country stopped flushing due to plugged pipes, civilization as we know it would quickly end. If the organs of our body lack oxygenated blood due to plugged arteries, our own lives on this planet end.

It’s been said that you can whip a tired horse only so long before it drops. Extra pounds similarly put tremendous stress on the pancreas. It eventually collapses and stops producing insulin.

When I graduated from The Harvard Medical School 65 years ago only 5 percent of people had Type 2 diabetes and 95 percent was due to genetics. Now, 95 percent develop Type 2 diabetes (better called lifestyle diabetes) due to obesity. And obese children usually become obese adults. This means they face the increased risk of blindness, kidney failure, leg amputation and heart attack.

Atherosclerosis is therefore the ultimate destroyer, gradually decreasing the amount of oxygenated blood and other nutrients that are necessary for all organs. Just as a car cannot run without gas the pancreas and other organs falter without oxygen.

So what is going to happen in the future? The answer is that EP=a2 will continue to kill more than Einstein’s equation. The blunt truth is that only draconian measures by government and citizens will stem the epidemic of obesity and Type 2 diabetes. Hell will freeze over before that happens.

But there is a simple, natural way to put a dent in the progress of the nation’s number one killer, heart attack. Research shows that high concentrations of vitamin C and lysine, now available as Medi-C Plus in Health Food Stores, can reverse atherosclerosis. It’s a revolutionary discovery that deserves the Nobel Prize. But it’s a national tragedy that this research is collecting dust and is being ignored by the medical establishment, particularly cardiologists who should be aware of it.