tag:blogger.com,1999:blog-7410445500476013619.post5965516161628545859..comments2024-03-29T05:12:07.517-04:00Comments on Type 2 Nutrition: The Nutrition Debate #289: Physician: “First, do no harm” (Primum, non nocere)danbrownhttp://www.blogger.com/profile/00119737446791634173noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-7410445500476013619.post-68068272655570671222015-03-06T16:28:47.929-05:002015-03-06T16:28:47.929-05:00Well, said, Jan. It's convenient for "the...Well, said, Jan. It's convenient for "them," and frustrating for "us." It's another reason that we need to take charge of our own "healthy eating pattern," to use the current vernacular. After all, when it comes down to it, it really doesn't matter what THEY believe.danbrownhttps://www.blogger.com/profile/00119737446791634173noreply@blogger.comtag:blogger.com,1999:blog-7410445500476013619.post-57119116589136788402015-03-06T16:09:02.079-05:002015-03-06T16:09:02.079-05:00Many (not all) people who adopt a "calorie re...Many (not all) people who adopt a "calorie restricted, balanced, low fat diet" DO lose weight, initially. But the chances of someone strictly maintaining such a diet in the long term and remaining successful on it with all of the metabolic insults that it causes are very low. Meanwhile there are a percentage of "naturally thin" people who think that their so-called "good" diets are responsible for their staying slim, instead of recognizing their good metabolisms which really maintain their slim figures despite their dietary choices.<br /><br />But because of that initial (but short-lived) weight loss and health improvement success for those many and because some people manage to stay slim because they are naturally slim in the first place thanks to good metabolisms, many doctors think that the patients who don't succeed in the long term are therefore non-compliant, lazy, stupid, and liars. They absolutely believe the conventional advice will work, "if only" their patients will bother to really follow it. They mistrust patients who say they ARE following the conventional advice to the letter when they are not successful at losing weight and gaining health. <br /><br />So yes, despite the evidence-based studies and what they see right before their very own eyes, they continue to believe their own bad advice. JanKnitzhttps://www.blogger.com/profile/06178703790352191912noreply@blogger.comtag:blogger.com,1999:blog-7410445500476013619.post-23460005099781669042015-02-24T14:05:52.818-05:002015-02-24T14:05:52.818-05:00Topol's the MD who created Medscape, right? De...Topol's the MD who created Medscape, right? Definitely going to get that book. Thanks for the lead.<br /><br />My doctor, whose office is on my email list for the blog, generated a message, a day after I posted this one (#289) that they no longer, for privacy reasons, can respond to emails addressed to them. I wonder -- was this a coincidence of timing, or his sense of humor, or did I tick him or his nurse off. I wonder...danbrownhttps://www.blogger.com/profile/00119737446791634173noreply@blogger.comtag:blogger.com,1999:blog-7410445500476013619.post-36333127274322870312015-02-24T08:59:26.345-05:002015-02-24T08:59:26.345-05:00It is interesting that you bring up the Hippocrati...It is interesting that you bring up the Hippocratic Oath and the creed "do no harm." It is only in the last century that the medical ethics have changed to recognize that the knowledge and expertize of doctors is really limited and can be terribly faulty and harmful. A study in 2000 found that doctors were actually the third leading cause of death in the US. While the current AMA ethics recognize the rights of the patient we still must battle the thousand year old patronizing attitudes of many healthcare professionals. Even though they think they have knowledge and expertise it is at times horribly flawed and as patients we have a right to protect ourselves from being harmed, not just by doctors but by the entire profession.<br /><br />ps. You might find Eric Topol's book "The Patient Will See You Now" very interesting.bschttps://www.blogger.com/profile/09399322458049165128noreply@blogger.com