Still I think it's absolutely ridiculous that ANY doctor would recommend drugs before recommending lifestyle change. I mean, there are so many conditions that can be reversed by making lifestyle changes, but it seems the standard is to give someone a prescription for something. Drives me nuts!
Last edited by NZ primal Gwamma; 10-05-2012 at 06:44 PM. Reason: add on
"never let the truth get in the way of a good story "
Does he lack the ability to think of, suggest other menu options? Or is there some sort of all-pizza diet he is on that is the latest fad?
The harm isn't my concern here, more just wondering about your brother's lack of creativity.
15-20 years ago the SATs got dumbed down. The public schools are a shambles. This means the quality of student available to colleges decreased. In addition, colleges, in the face of decreased funding and donations, have to focus more on revenue than quality education. This leads to a lesser quality graduate student, which leads to a lesser quality graduate.
I am not saying that all doctors, lawyers, professionals under 50 are substandard - not at all. I would never be so presumptuous. I am saying that the average doctor/professional comes from weaker stock.
Old joke: You know what they call the person who graduates last in his medical class? Doctor.
I work at a medical centre and I have found that if the docs aren't actively interested in nutrition, then they'll just spout CW and what they've been taught. I suppose it is the way with many things, lack of interest...
They are slowly cottoning on though. Every now and then I hear things in the lunch room that give me hope.
I am having 3 months off work soon and when I come back I imagine I'll be a "socially acceptable" size and maybe then they'll take seriously what I say about how I eat. I have already lost lots of weight but going from stage 3 obese to like stage 1 obese isn't that impressive really (apparently).
There's one man who comes in regularly who is well over 400lb. Can't remember his actual weight but I did see it once.
He can still walk but you should hear his lungs working. The reason he keeps coming in is because he has recurrent cellulitis and ulcers on his legs related to his morbid obesity, so he comes in for an IV of antibiotics and dressing changes every day. He has been battling those infections for over a year. I just get so so sad when I see him. And it's not pity. I just don't know what it is but frustration. That he thinks he's lacking willpower but he just doesn't know that he's following the wrong advice and fighting a losing battle by attempting to be CW healthy and failing over and over again. I saw recently that he is on the waiting list for bariatric surgery. It just kills me that he might not even live past 50 at the rate he's going and all it would take is an alternative perspective on things and some real support rather than a 5 minute lecture about eating more grains and sending him off with a brochure and a doggy bag full of drugs.
I don't have a brother, though I do have a brother in law, and he won't share his family's pizza dough recipe because it's a "family secret." I live in NZ for goodness sakes! Who am I going to tell? LOL
Anyway, he isn't visiting.
I was speaking of my *son*. He's 4.
His grandparents are visiting at christmas (the weirdos who bake with margarine). He has certain designs on the activities thta he wants to do with them, such as go to the park, go to the botanical gardens and feed the ducks, and go bowling.
When we go bowling -- which is rare -- we usually buy pizza. Nearly every "good bye" party that we've had happen there, and we get pizza because it's easy sharing food. So my son connects pizza and that place.
It's not that great, the pizza, but it's better than most of the pizza in NZ.
My husband then mentioned that we could do pizza/bowling on one day of the holiday (probably in their first week here), and then in the third week, we'll be able to do pizza night at the 'good' pizza place. I thought that would probably be a good idea, and that if we could shake DS off the idea of pizza at the bowling alley, we could share with DH's parents the better pizza.
Nevertheless, we'll probably just end up having pizza twice.
Now, everyone else in our family is not paleo, though my parents are doing south beach level 1 right now, with one "cheat meal" per month right now. My ILs are SAD.
There are only two avenues that I can think of that would have some power over a doctor in this instance: A. the insurance companies in whose networks the doctor is in (perhaps they have policies that keep the doctor in their networks?); B. any unspoken agreements with pharma. companies in terms of payment for prescriptions (I think this is actually illegal or some such).
It's likely the insurance issue. Our doctor was out of our network of insurance, and was only able to accept one kind of insurance and as in no other networks. So, that's a possibility.
I mean, when the insurance company sent nurses to the health fair at the office that we went to to get money back for living healthy, they wrote my husband down as "obese" because of his BMI, even though he was obviosuly less than 10% body fat and very muscular. They also lectured us about eating too much meat or (in my case as I was vegetarian), not eating enough meat.
It was stupid, but I suspect that they were hamstrung with scripts that came down through the company.
Gut microbiota, immune development and function. [Pharmacol Res. 2012] - PubMed - NCBI
How long it will take primary-care doctors to catch up with medical research I don't know. Decades possibly.
I do think the insurance companies have a say in it. I can't see them wanting to cover a doctor who tells his patient "odd" things like eating animal fat and ditching whole grains. It's not that I think they buy into the whole CW thing, it's that the patients' families would have a much easier time winning a lawsuit should the patient die, and medical records show the doc told him to eat butter and bacon.
But if the patient continues to be unhealthy, there are still drugs they can offer that CW says should work, and if the patient dies after THAT course of treatment, then the insurance company can show the doctor did everything standard treatment practices say should be done. It just couldn't be helped (and the patient was probably cheating on the diet anyway...)
As always, it most likely comes down to money, not health.