Food for Thought Friday: Modern Medicine Rant






Pop Quiz:

The failure of institutions such every bit the American Diabetes Association, American Heart Association, in addition to American Medical Association non simply to acknowledge the undeniable efficacy of saccharide restriction for myriad chronic wellness complications, but also their failure to do what they should hold out doing—which is shouting it from the rooftops louder than whatever ol’ no-name blogger, in addition to actively encouraging people to give it a try—is the final result of which of the following:

A)  Stupidity
B)  Willful Ignorance
C)  Conspiracy
D)  Narcissism
E)  Malpractice 
F)  All of the above


Yeah. You tin run into where today’s rant is headed.


1.


I’m a pretty level-headed gal. (Or thence I similar to think.) I do my best to refrain from mudslinging, sensationalist headlines, in addition to black-and-white thinking hither on the blog. Perhaps it is naïve of me, but I don’t to a greater extent than oftentimes than non subscribe to conspiracy theories. Since I unremarkably harbor no sick volition against anyone (with exceptions, of course…we all have got a few), it’s hard for me to believe that other people don’t experience the same way. The thought that someone would deliberately withhold helpful information from someone else, or actively steer them inward the opposite direction—both of which may crusade someone serious bodily harm, is hard for me to comprehend. 

This is peculiarly truthful when helpful—no, non simply helpful, but potentially lifesaving—information is withheld inward a medical or other healthcare setting. After all, doctors are supposed to help people, right? Sure, at that topographic point are some bad apples who travel into medicine entirely to brand coin (or to appease their strict parents – “According to Jewish tradition, the fetus is non considered feasible until it graduates from medical school” … *ba-dump-tsch!*), but again, me beingness the Pollyanna that I am, I’d similar to recall most physicians, nurses, dietitians in addition to nutritionists travel into their respective professions to aid people get well if they travel hurt, injured, or sick, or to aid them stay well, if they’re already healthy. So, assuming this is true—that most healthcare professionals (which I’ll have got to include the whole gamut—MDs, NDs, DCs, DOs, RNs, NPs, PAs, RDs, nutritionists, in addition to hamlet shamans) have got their patients’ in addition to clients’ best interests at heart, I tell again:  it is darn close impossible for me to sympathise why some type of dietary in addition to lifestyle modulations leaning inward the management of Paleo, Primal, low-carb, ketogenic, or full general “ancestral health” are non presented every bit the very freaking start intervention, rather than what they are typically presented as: either a in conclusion resort after all the conventional methods have got failed, or non fifty-fifty a in conclusion resort, but something healthcare professionals actively warn people against trying.

Twenty years ago, I could have got understood this. (Maybe.) But now? When at that topographic point is story afterward story, afterward story, afterward story (after story!) of people alongside “chronic in addition to progressive” illnesses, morbid obesity, in addition to who were on a slew of medications in addition to darn close completely debilitated, who have got experienced turnarounds that tin legitimately hold out called miraculous?

Miraculous, that is, only to people who are completely ignorant of the no less than stunning metabolic turnarounds that tin occur upon reducing dietary carbohydrate, controlling insulin levels, in addition to going slow on the “vegetable oils.” Because, see, for those of us who do sympathise these effects, they’re not stunning. They’re non fifty-fifty the to the lowest degree chip surprising. They’re goose egg to a greater extent than than the most basic human physiology in addition to biochemistry. This is materials it doesn’t have got a medical flat to figure out. insulin), grains in addition to dense starches are most probable off the menu.


Case inward point: posted here, alongside permission from Steve Cooksey, the “Diabetes Warrior.” He’s said this to a greater extent than powerfully (and succinctly) than I can:




How many of these “anecdotes” have got to accumulate earlier they arrive at a critical mass? I know personal stories are non information in addition to never volition be. But shouldn’t someone sit down upwards in addition to start taking notice? How many thousands of anecdotes have got to pile upwards earlier they travel “anecdata?”

As most of us know, at that topographic point is a huge in addition to growing-ever-huger trunk of scientific literature to back upwards the efficacy of low-carb in addition to Paleo diets. And this isn’t nebulous, black-magic, smoke & mirrors-type materials that nosotros don’t understand. We do sympathise the mechanisms. They brand sense. In the lite of the most basic, substitution principles nigh how the human trunk works, they Just. Make. Sense.

So why is it that healthcare professionals have got such a roadblock to agreement what whatever high schoolhouse kid armed alongside a biochem textbook tin run into acre every bit day? After all, these people aren’t stupid. The dumbest someone who gets to telephone band him/herself an “MD” is all the same pretty damn intelligent. (Or maybe they’re simply adept at memorizing sh*t, which isn’t the same thing.) Why do logic in addition to mutual sense completely autumn apart when it comes to practicing medicine?

Okay, yes, doctors are pimped out influenced yesteryear the drug companies. Bought in addition to paid for, inward many cases. I know. I understand.

But still.

Facts are facts. Human metabolism is human metabolism. The liver is the liver; the pancreas is the pancreas. While sure enough things mightiness hold out opened upwards to a keen bargain of widely varying interpretation, ultimately, facts are facts.


2.


Confession: I am a terrible nutritionist.

No, really, it’s true. I’m non simply maxim that. If whatever of yous happened to have got clicked on my “Services” tab inward the in conclusion yoke of months, you’ll have got noticed that I’ve temporarily taken downwards my shingle. Closed upwards shop. (And at this point, I’m non sure enough nigh the “temporarily” business office anymore.)

Why?

I suck at nutrition life.
Well, yous mightiness recall from my weblog posts that I kinda sorta have got some vague thought of what I’m talking about. I believe I’m a adept writer, in addition to I recall 1 of my strongest skills is inward translating the scientific in addition to medical gobbledygook into acre English thence that nosotros tin all sympathise what are otherwise some pretty complex things nigh the human body. (Based on the feedback I acquire nigh the blog, this is what you, love readers, taste nigh my writing. Plus, my sarcasm in addition to wry wit. I love you, too!) But I tin assure yous that, regardless of whatever cognition my to a greater extent than pop posts arrive seem like I have, my career every bit a nutritionist giving one-on-one consultations has been a long string of failures, uninterrupted yesteryear fifty-fifty 1 success. So it seems that piece I’m halfway decent at agreement the basics of human metabolism, in addition to conveying that information to others inward writing, when it comes to helping people apply that cognition inward their ain lives inward lodge to acquire the results they’re after, I am one footstep shy of totally incompetent.

Why am I telling yous this? Why am I advertising the fact that I’m a consummate failure every bit a nutritionist?

One thing yous volition ever acquire from me is honesty. I tell yous when things are going great, in addition to I tell yous when things are not going great. So inward what is mayhap my biggest chip of honesty to appointment hither on the weblog (even bigger than this one), allow me portion alongside yous the thought that right away comes to take away heed when I acquire an initial e-mail enquiry from a potential novel client: “Oh, great, someone else I tin fail.”

Is it me? Is it them? Is it Saturn rising inward Aquarius? Probably all three. (No, simply kidding nigh that in conclusion one. It’s the start two.) I am, inward fact, going to reopen my practise soon, in addition to I volition hold out doing things really differently. I’ve met alongside some mentors to run into how I tin aid people hold out to a greater extent than successful, in addition to I’m looking frontwards to them and me feeling amend nigh all this. 

But I digress. The reason I’m telling yous all this ugly materials nigh me is because the means I experience nigh my ain career makes it impossible for me to sympathise how these doctors alive alongside themselves. When healthcare practitioners have got an endless slew of patients who never acquire better, who only acquire worse in addition to worse, who postulate to have got to a greater extent than in addition to to a greater extent than drugs, in addition to have got ever-riskier surgical procedures, why do they never experience similar failures? Do they simply assume the patients are either non next “doctor’s orders,” are lazy and/or stupid, or that their illnesses truly are SO TERRIBLE, and SO PERMANENT and irreversible, that it truly doesn’t matter what a physician says or does, because the patient is going to acquire worse in addition to worse regardless?

Is that how these people tin slumber at night? By absolving themselves of whatever in addition to all responsibleness inward their patients' outcomes? Is it because they never engage inward introspection, in addition to wonder if maybe what all their sick-and-getting-sicker patients have got inward mutual is having them every bit their doctor? 

Okay, yes, some physicians have got a “God complex,” in addition to fully believe themselves infallible in addition to to a higher house reproach inward all ways. But non all doctors are giagantic jagoffs that arrogant. Why do thence many of them never inquiry their methods? Why do thence few of them ever halt to wonder if maybe it’s them? Their methods that are failing? Their interventions that are useless (or worse, counter-productive)? I gauge this where I’ve been going incorrect every bit a nutritionist: when my clients don’t acquire results, I assume, every time, that it’s my fault. Rightly or wrongly, I have got personal responsibleness for it to the betoken that I've convinced myself I have got no correct to hold out a nutritionist at all. (It's all good, though. No llores por mi, Argentina. See the postscript at the destination of this post.)

As for the doctors, I can’t imagine how demoralizing it must hold out to run into patient afterward patient—someone’s father, someone’s mother, someone’s sister, someone’s son—get sicker in addition to sicker, have got to a greater extent than in addition to to a greater extent than medication, in addition to travel to a greater extent than in addition to to a greater extent than debilitated in addition to unwell—often piece doing just what they’re telling them to do. People follow their advice, yet travel sicker and more debilitated. Does that audio similar a fun, fulfilling, satisfying, uplifting profession to hold out engaged inward solar daytime inward in addition to solar daytime out?  (No wonder they pass every bit much fourth dimension every bit possible on the golf game course!) It must hold out especially bad considering these people took an oath to “do no harm.” Granted, they in all probability don’t recall they are doing harm—at least, non intentionally. But the total in addition to utter lack of people getting better suggests that they’re non just doing a whole lot of good, either. 

But maybe they simply endeavor non to recall nigh that. It’s much easier to bury their caput inward the sand, “shut upwards in addition to color,” in addition to a few other phrases that interpret roughly to “ignore the awkward facts in addition to travel nigh your trouble organization inward lodge to avoid crippling cognitive vibrations for every bit long every bit it takes to pay dorsum your massive pile of medical schoolhouse debt.”

When some of these professionals run into patients who say…
  • “Doc, y’know, I stopped eating wheat a few months agone in addition to I’ve lost forty pounds.”
  • “I stopped eating dairy, in addition to my IBS is gone.”
  • “After 3 years of failing to conceive a child, I gave upwards in addition to decided to focus instead on cleaning upwards my diet. I tried that Paleo thing, in addition to to my surprise, I’m 2 months along now!”
  • “Doc, I’ve started the Atkins diet, in addition to I recall I mightiness postulate to lower my insulin dose, or maybe quit taking it altogether, because when I attempt out my blood refined saccharify now, sometimes it's truly going a footling too low.” 


Your A1c went from 10.2 to 5.3?
TELL ME HOW, TELL ME HOW,
TELL ME HOW!!!
…They shouldn’t simply nod in addition to grinning patronizingly. THEY SHOULD BE THE ONES THE MOST INTERESTED inward how it happened, because they are the ones inward the best seat to aid others. Instead of dismissing it every bit “just 1 of those weird things that happens at nowadays in addition to then,” they should hold out saying, “HOLY COW! I have got a hundred other patients simply similar you: obese, diabetic, arthritic, infertile, alongside acne, in addition to chronic fatigue. HOW THE HECK DID YOU ACCOMPLISH WHAT YOU’VE ACCOMPLISHED? TELL ME EVERY SINGLE DETAIL, SO I CAN TELL EVERYONE ELSE. In fact, allow me adapt a talk, thence yous tin speak to them yourself. Bring some “before” pictures if yous have got any. I’ll impress out your labwork thence nosotros tin present everyone how far you’ve come. Better yet, I’ll invite some of my colleagues, thence they tin learn, too!”


3.


Okay. That was a overnice jaunt through fantasy land, wasn’t it? Back to reality. Obviously, 1 of the larger reasons doctors have got a hard fourth dimension believing these “miraculous” transformations is because, sure, they’re rare. Those of us who are immersed inward the LCHF/Paleo/Primal/WAPF worlds have got a distorted stance of healthcare in addition to nutrition. You in addition to I mightiness recall this is all “normal” in addition to totally minute nature. It’s easy to recall this, when every blog, website, magazine article, in addition to Twitter feed nosotros read keeps us surrounded inward our comfy bubble of existent food. But inward the larger basis out there, this materials is almost unheard of. The vast bulk of healthcare professionals in addition to dieting disciples are all the same preaching the virtues of healthywholegrains in addition to condemning arterycloggingsaturatedfat to the 9th circle of hell. The chief message coming through nigh weight loss in addition to amend wellness is still to “eat less in addition to movement more,” despite decades upon decades of this advice having been proven over in addition to over to hold out a total failure. 

And when patients follow this advice—and have got a slew of “blockbuster” pharmaceutical drugs—yet continue to acquire sicker, I gauge maybe it is logical for doctors to conclude that see disease, type-2 diabetes, rheumatoid arthritis, multiple sclerosis, in addition to more, truly are progressive in addition to irreversible. After all, they almost never see it reversed. (And on the rare occasion they do see this, it’s because someone did something absolutely nuts, similar eliminate grains in addition to corn fossil oil from their diet, but everyone knows grains in addition to vegetable oils are good for us, thence there’s no way there’s a connector there.) So either those weather condition truly are decease sentences, or maybe the patients are simply lying. All of them. Liars, liars, pants-on-fire. Maybe that see illness patient is not using margarine instead of butter, similar the physician suggested. Maybe that type-2 diabetic is not eating a bowl of fat-free, high-fiber whole grain cereal alongside skim milk, every bit the dietitian in addition to “certified diabetes educator” recommended. No 1 ever gets amend because no 1 truly does what the professionals tell them to do. No 1 truly wants to alter their diet. Everyone simply wants a pill. H5N1 quick fix. Every unmarried patient. They want to have got medication. They want to inject themselves alongside insulin 3 times a day. That obese, diabetic patient alongside coronary see illness is obviously not next the recommended "heart good for yous diet," because if he was, he wouldn't be obese, diabetic, in addition to have got see illness anymore.

Are the ties betwixt the pharmaceutical manufacture in addition to the medical profession really that strong? Has “Big Pharma” really managed to convince doctors—who, despite the jokes nosotros brand in addition to the insults nosotros hurl, truly do pass years studying human anatomy, physiology, in addition to biochemistrythat illnesses in addition to dis-eases that are caused yesteryear dietary in addition to lifestyle factors cannot hold out treated in addition to reversed via the same? Then again, unfortunately, it’s in all probability not good advertised inward medical textbooks that my mother, they are non content to simply follow doctor’s orders piece they maintain to spiral deeper into a bottomless pit of declining wellness in addition to disappearing vitality. They are taking matters into their ain hands, in addition to are experiencing improved wellness that should, but does not, travel out doctors, dietitians, in addition to nutritionists completely astounded. (The link at that topographic point is classic. If yous have got some time, scroll through the comments in addition to run into the American Diabetes Association acquire its *ss handed to itself, courtesy of type-1s [and a few type 2s] chiming inward nigh stellar blood glucose command achieved yesteryear doing the opposite of the traditional ADA dietary advice.) People are experiencing wonderful feats of healing in addition to undergoing incredible transformations inward their overall cardio-metabolic wellness non yesteryear next doctors' orders, but yesteryear ignoring them. In many cases, people are regaining their wellness in addition to vitality non because of a doctor's advice, but in spite of it.

There is hope!
Fortunately every bit well, at that topographic point are doctors in addition to dietitians who acquire it. The listing grows longer every day, but the ones that come upwards to take away heed right away include Theodore Naiman, Rakesh “Rocky” Patel, Jeff Gerber, Jason Fung, David Ludwig, William Davis, Sarah Hallberg, Michael Eades, Aseem Malhotra, Malcolm Kendrick, Andreas Eenfeldt, Georgia Ede, David Perlmutter, Stephen Phinney, Eric Westman, Jeff Volek, Franziska Spritzler, Miriam Kalamian, in addition to Beth Zupec-Kania. (I was going to post links to each of their sites, but yous tin observe them easily plenty on your own.) And the argue these practitioners are well-versed inward low-carb, Paleo/Primal, in addition to ketogenic diets is because they did do the introspection I've talked nigh here. Whether it was because they, themselves had travel sick or overweight, in addition to the conventional advice failed to yield the expected results, or something finally made them halt in addition to examine why thence few -- if any -- of their patients ever got better, they started questioning their measure operating procedures. (Maybe, similar me, they got tired of feeling similar failures inward their profession. They're intelligent people. They're dedicated in addition to hardworking people. They're good doctors. So why was no 1 ever getting better? Fortunately for the multiple thousands of people they have got at nowadays collectively helped, they were also humble and inquisitive enough to realize that something simply wasn't right. If only all healthcare in addition to nutrition professionals were imbued alongside these same qualities, eh? )


As I oftentimes do, I’ll travel out yous alongside a link to a post similar to this one, but written yesteryear someone who is far to a greater extent than succinct than I am capable of: It’s all MY FAULT! (by Tess Kissack Howell.)



P.S. Yes, I know darn good that lots of people do want the medication. The quick fix bullsh*t temporary solution. I sympathise that doctors are presented solar daytime inward in addition to solar daytime out alongside people who are not going to quit their Mountain Dew habit, or surrender their cereal in addition to huckleberry muffin breakfast. Okay, fine. But at that topographic point are plenty of other people, who, if presented with advice that mightiness actually work, instead of the same quondam bullcrap consume less, movement to a greater extent than nonsense that has failed them time in addition to again, thence maybe, just maybe, they'd hold out to a greater extent than opened upwards to making some changes.

P.P.S. About the nation of my nutrition practice: don’t experience bad nigh me putting things on hold. Can I in addition to volition I hold out doing things differently when I reopen? Yes. Do I recall these changes volition aid my clients acquire amend results? Yes. But I am also going to halt belongings myself personally accountable for whether someone else loses weight. (Or feels to a greater extent than energy, or whatever else.) While I tin guide someone every bit much every bit I can, in addition to aid them tweak & alter things every bit necessary, ultimately, all I tin truly do is render the most accurate information I can. I’ve realized that one-on-one consultations aren’t my strong suit. That’s non a grapheme flaw, simply the uncomplicated truth. I’m non cutting out for them. It takes a sure enough temperament in addition to personality type to hold out a “cheerleader” in addition to a adept hand-holder, in addition to I don't have got it. No biggie. It seems I tin serve people amend through sticking to my strengths: writing, in addition to maybe teaching. (I similar giving talks inward the community, in addition to I’d similar to acquire into didactics at a community college or something. Maybe some “lifelong learning” classes, where it’s non a formal flat program, in addition to I could simply walk people through some basic anatomy & physiology, basic materials nigh digestion in addition to fuel partitioning…and driblet a bunch of cognition bombs along the way.) My betoken is, piece I initially felt similar a gigantic failure, I’ve come upwards to price alongside things. I tin best participate inward this manufacture piece capitalizing on my strengths.








Remember: Amy Berger, MS, CNS, NTP, is non a physician in addition to , LLC, is non a medical practice. The information contained on this site is non intended to diagnose, treat, cure, or preclude whatever medical condition. Links inward this post in addition to all others may straight yous to amazon.com, where I volition have a minor amount of the purchase cost of whatever items yous purchase through my affiliate links.

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