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Textbook Doctors

INDONESIAN  CUISINES  - Soytempeh

 

 










  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 "normal." 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 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 deteriorate to an "F" grade before their doctors would help them?
   
  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. 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" before they died. 


  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 deteriorate 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? Don't they know that the answers that they might find in their textbooks may not be complete, or even accurate? Who do they think they are, the almighty and the all knowing God? For example, I recently discussed with a Kaiser endocrinologist about an abnormal blood test that was obtained from a blood sample done independently 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 endocrine specialist, who created or made the Kaiser's lab, God? Is that why it was more "accurate"? 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 he claimed was "normal." And we have the evidence to prove it.

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. 
 
 I 
beg you - please stay away from "textbook doctors." Instead, learn and be your own smart Patient Advocate.