Most, if not all, of U.S. medical doctors, make their clinical decisions based on "normal" laboratory values. If the "normal" laboratory reference range of your important test is between 2 and 8, for example, and yours is a 2.5, most doctors will do nothing for you because they say that it is still within "normal" limits. But, if you suddenly develop chest pain, severe headache, or you can't raise your arm up because of your less than optimal condition then you should go to the hospital's Emergency Room immediately - that's their standard disclaimer or excuse. Why do patients have to wait until they have chest pain or a severe headache and can no longer raise their arm before their doctors help them? If by giving patients some form of treatment early, such as drugs, vitamins, supplements, herbs, or whatever, they can raise their patient's lab value to 3.5 or more and avoid the chest pain, severe headache or possibly a heart attack, why not do it? Why don't they want to give their patients something, anything, that can optimize their lab values and make them feel better instead of harassing them by giving them the runaround? Why do American doctors who claim that they have the highest quality of medical education in the world have such ridiculous tunnel vision that can only cloud their logic and common sense - and look only at what is "normal" instead of what is "optimal"? Do they believe that "normal" is the same as "optimal"? Have they never heard of preventive medicine while in medical school, or are they just plain lazy and don't care about their patients? To illustrate, the "normal" passing grades at U.S. elementary or public high school is a "D, C, B, or A." If you get a "D," for instance, that is still "normal," and the school will do nothing about it. Why, because it is still within the "normal" range? But when you get an "F" grade, then you should panic.
Should patients, particularly the elderly, wait until their health status deteriorates to "F" grades before their doctors would help them? Can't they read "between the lines" every time when they see their patients, or is their clinical skill limited only to reading "laboratory reference range"? Sad!
Is it any wonder why we have so many college dropouts? Is it any wonder why we see so many sick and dying patients? Are you surprised when you read in the newspaper or see on television that patients sued their doctors every day? Do you want to know the reason why? One common reason is that many textbook doctors don't know what they are saying or doing, see here. They are just guessing. For example, if you are obese and chubby your doctor might say that you eat too much, or you need to exercise more and quit eating potato chips; but if you are skinny regardless of what or how much you eat, ask your doctors for advice and see what they will say. They will be guessing. They have to give an answer to every question that you ask even though they have no clue about what you are asking. If your doctor tells you that you are fine when you are not - your back hurts, your head hurts, your fingers feel numb, you get leg cramps when you walk, his word that you are "fine" should give you a hint that he doesn't know what's wrong with you.The other reason is that we trust our lives too much in the hands of doctors who look only at what is "normal" and not at what is "optimal." Should we not look at medical doctors with some degree of skepticism and sarcasm instead of total reverence as if they are the almighty God?
Stated differently, I look at all medical doctors as malpractice suspects until proven otherwise. They can read, but they don't understand what they read. They can hear, but they pay little or no attention to what their patients tell them. Two of my close friends died, one of cancer, and the other of a heart attack. Their doctors told them that "everything is fine" a few weeks before they died. Most HMO doctors areTEXTBOOKDOCTORS.They practice from their textbooks, not from their experience. Why? Because they have no experience - next to nothing. Lack of experience coupled with laziness is my definition of TEXTBOOK DOCTORS. All that they do is peddle drugs. For example, I received a call today from the wife of my best friend. She told me that her husband got a heart attack. A couple years ago he told me that he took Atorvastatin from his doctor to prevent a heart attack. But, now he has a heart attack. How does the doctor know about Atorvastatin? It must be from his textbook, and not from the Bible, or from his experience.The doctor has no experience with the drugs that he gives to his patients. It takes more than Atorvastatin to prevent a heart attack that the doctor did not explain to his patient. Why? Because either the doctors don't know, don't care, are too lazy, or all of the above. That's why?
I believe I am correct when I say that the majority of physicians are"textbook doctors." These doctors are good at talking to their patients in English, but never or rarely good at listening to their patients in any language. They know little beyond what they have read in a medical textbook in school. Their big ego obstructs their limited critical thinking skills. Their relevant continuing education knowledge is almost next to nothing. For example, here is part of a CBC blood test of a patient from 2014-2017.
I want you to focus on the MCV (volume, or form). The RBC volume keeps "ballooning" since 2014. The most common reason for this condition is a deficiency of the B12 vitamin or folic acid - according to the medical textbook. This patient's doctor, however, did not care to order a blood test to rule out the cause of this problem - the increasing MVC value. The patient was concerned and asked to see a specialist. The specialist doctor, a D.O., ordered the tests for the Folic Acid and the B12 vitamin. Both were normal. Now, what next? Doesn't the PCP (Internist) want to know what is the cause of the problem, or does he want to wait until the patient's condition deteriorates to an "F grade" and then refer that patient to some other specialist? Studies have shown that high MCV levels in older adults are associated with poorer cognitive function and predictors of stroke and mortality.
No wonder the incidence of Alzheimer and stroke mortality is on the rise. Why do doctors want to wait until their patients' MCV grow to the size of a camel or an elephant before they would do something about it? Why wait until their patients' cognitive functions deteriorate to an "F grade", or die from a stroke before giving them something now, such as drugs, vitamins, nutritional supplement, herbs, or anything that can improve their patients' current condition and prevent future complication? Is it because they are lazy, stupid, arrogant, or all of the above? Don't these textbook doctors know that there is more than one way to treat a health problem, or to diagnose a disease? Don't they know that the answers that they might find in their textbooks may be obsolete, not complete, or even inaccurate? Who do they think they are, the almighty and the all-knowing God? For example, I recently discussed with a Kaiser specialist, endocrinologist, about an abnormal blood test that was obtained from a blood sample done separately at a national laboratory - LabCorp. The endocrinologist said that according to the "results" obtained from a sample of blood test done at Kaiser many months ago, they were "normal." He claimed that the result from Kaiser's laboratory was more "accurate" than other labs, e.g. LabCorp. I asked Dr. Heymann, the endocrinologist, who made Kaiser's lab, God? Is that why it was more "accurate" than other labs? Neither he nor Dr. Samuel Paw, the Internist who referred the patient to Dr. Heymann, can answer the patient's question. Moreover, Kaiser had never performed that specific blood test in question that they claimed was "normal." And we have the evidence to prove it. When I asked Dr. Samuel Paw if he can order for me a blood test called "free testosterone," he said that there is no such test ANYWHERE. Various lab sources, however, had told me that the blood test has been on the market for years - FDA approved. Instead, he sent to me a letter with the results of my Albumin, Total Testosterone, and SHBG that were done some time ago, suggesting that I should figure it out myself if I want to know my "free testosterone". He makes the money, but he wants me to figure out how to do the work. I think it must have something to do with his Kaiser yawning.
I have good reasons to suspect that as men get older, most will have a hormonal imbalance, specifically their testosterone level. That was the primary reason why I want it checked. Dr. Paw ordered Total Testosterone, and it was "normal." He apparently doesn't know that someone with a normal Total Testosterone may still have testosterone deficiency. And so, I asked him for a Free Testosterone blood test. Apparently, my request for another test is perceived as a challenge to his proud ego. He believes that what he says is inspired by God and that no human patients can challenge him. So, instead of respecting my request, he gave me, a man who is older than he is, the runaround. He provoked my anger. I agreed to see a Urologist that he wants me to see. I asked the Urologist if he can order a "Free Testosterone" test for me. He said, "No." He told me to ask my Primary Care doctor for the test. After hearing that, I know for certain that Dr. Paw has no respect for me - except for my money. I ask the Urologist what then can he do for me? He said, "I am a penile implant specialist," or something to that effect. I only want a "Free Testosterone" test that cost $50.00 that I am willing to pay from my pocket, but they offer me a penile implant procedure that I don't want that cost up to $20,000.00 that Medicare will have to pay. Sad!
What has Dr. Paw to lose if he orders the "Free Testosterone" test that I ask? Nothing. In fact, Kaiser makes money. And so, I have to spend my out of pocket money to do the test at a national laboratory. And it shows that it was abnormal (low), as I suspected. When I sent the result to my doctors, Dr. Heymann wrote that the test is inaccurate. I should do the test at Kaiser's lab because they are more accurate, so he wrote. Why is the test done at the Kaiser's lab more accurate, I asked? Did God make the Kaiser's laboratory? None of the two doctors can answer my question.
Here is more example of a health care provider's incompetence and greed. I visited the home of a friend. His wife told me that her husband frequently falls while walking. Consequently, she is afraid to take him anywhere with her for fear that he might fall while walking to the parking lot. He weighs about 200 pounds, and she is a skinny 110 pounder and is 80 years of age. She can still drive a car.
His doctor refused to prescribe a wheelchair for him because she believes that the wheelchair will make his walking worse. He will have less incentive to walk, she argued. Instead, she sent him for physical therapy treatment, but nothing good came from the two weeks of treatment.
What now? He is back sitting in his chair watching movies on the television. His wife warned him not to walk around in the house when she is not at home.
You see, how stupid is this doctor? She has no clue what else she could do with her patient other than referring him to a physical therapist – the patient whose legs are too weak to stand up or walk. Has she not taken a course in human development while in college or in medical school? Has she forgotten the stages of development that all little children have to master before they can go to the next level? First, they crawl. Then, they learn to sit. After that, they stand up. Next, they walk. Finally, they run, in this order. You still remember this, right?
Without a wheelchair, the patient cannot move anywhere in the house, not even to the toilet, without risking falling and hitting his head against something hard, such as the edge of the toilet, and possibly incurring a concussion, skull fracture, and laceration.
My friend’s legs are too weak to hold him up – standing - because of prolonged sitting in his chair in front of his computer screen, and watching the television each day for more than 10 years. Standing up, and do nothing more, therefore, is the first exercise that he needs and must do. Standing up for 10 minutes, 20 minutes, 30 minutes, 40 minutes, and gradually longer. Before this patient can walk, he must be able to stand up. How can you teach a "paralyzed" individual to walk who cannot stand on his legs/feet? But, there are no "CPT" billing codes that doctors and physical therapists can use to bill insurance companies for the “standing up” only exercise. So, they won’t encourage their patients this prolonged “standing up” only exercise – a simple but effective treatment that can take the patient to the next level - walking; but there is no money for the doctors, therapists, and nurses for telling the patient to stand up only. They have to do something for the patients in order to get paid.They are all in the business of making money, not to help their patients. Sad! Some patients have to crawl on their knees and hands before they can walk again. Some patients have to squat and stand up and squat again for 10 to 15 minutes before they go to bed at night. Learn what little children first do before they can stand, walk, and run. They crawl. Crawling is good for your arms, neck, back, and legs. Enough of sitting and lying. When the time comes, you will get your turn to lie indefinitely - in a box. But for now, you want to show to everyone that you can stand and walk. Finally, be careful when dealing with HMO doctors. Some will collude with their colleague and other doctors within the system to protect each other's butt (ass) and ego whenever they can - and they all will tell you that your lab values are "fine" even though they are not. They'd rather make their friends and colleague happy than their patients - you. Besides, they have nothing to lose. Their monthly salary is guaranteed by their HMO employer.
If they show any sign of concern in their patient, it is usually a half-hearted interest, or because of fear that they might get fired or sued for malpractice. Be extra careful with textbook doctors. They may say that you are fine, that nothing is wrong with you regardless of your persistent symptoms. When somebody finally did discover what's wrong with you, you have only six more months to live. Sad!
Finally, I am sure that the recent story about Larry Nassar, the gymnast's doctor who abused his female gymnast patients for years is still fresh in your memory. Remember, what you don't know about your doctors could hurt you.
I beg you - please stay away from "textbook doctors."Instead, learn and be your own smart Patient Advocate. Or, find a doctor who knows much more than just his textbook. My deceased brother was an excellent doctor when he was practicing medicine. He cares a lot about his patients. He is truthful with his patient. His patients love him. He was a family practitioner and a general surgeon. He is always striving to give good care to his patients. In fact, because of his desire to help his patients, he went back for more medical training; he took acupuncture while he was in China and Japan. And while in Europe he mastered the science of homeopathic medicine. Also, I heard that he has a number of patents registered to his name.
He listens to his patients, unlike my doctor who yawns at me by nodding his head or giving short unsatisfactory answers when I ask him questions.