I agree with your post Scott.....I cannot think of any other area in which I regularly get more frustrated with other doctors as my emphasis on nutrition and what I refer to as "original living".
I put it this way. I am on my lunch break now, and I have said some derivation of this 6 times already today:
"There is nothing, not a single part of your health, regardless of pre-condition, that is not affected by your diet.....it is all an input and output system, just a very complicated one that we don't fully understand. What I can say is that the main inputs are how much you move, what you put in your mouth, and how you sleep. Before we talk about drugs or surgeries or anything else, we need to square away changes in those 3 inputs."
It is wrong to assume laziness, when a lot of times it is just that no one has quite put it that way. The "Big 3" as I call them are talked about as adjuncts, not primary interventions, and this contributes to their being ignored.
I think that if every doctor put it like that, to where my "3 inputs" are not peripheral, but taken as the primary means to improve one's health, we would all be in a much better place.....I do believe that many doctors don't fully recognize just how instrumental it is, but I think it is wrong to remove the primary reason to me, which is that many docs do not want their patients to resent them. They feel like it is piling on, and that a lot of people realize that they are in poor health overall.
The reality though is that most people have very rose-colored glasses about their health, and it really DOES make a big difference to be brutally honest with people. If you package it the right way, especially if you involve family and supporters of the patient, you can become their hero rather than that mean doctor they saw once and never went to again.
I prefer something like: "For a really long time I imagine a lot of doctors have BS'ed you. Don't be mad at the first guy to tell you the truth."
But I am not in primary care, where this kind of messaging would do the most good. For me, most of my patients are in pretty dire straits to see me in the first place....they are usually very afraid of where this all will be going, so I get a higher bully pulpit than most docs get.
"They now look to a single and splendid government of an aristocracy, founded on banking institutions, and moneyed incorporations under the guise and cloak of their favored branches of manufactures, commerce and navigation, riding and ruling over the plundered ploughman and beggared yeomanry." - Thomas Jefferson, 1826