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Fri, 1 Aug 2003 08:22:10 -0500

WC Douglass

Worse than the disease

 

Daily Dose

 

August 1, 2003

 

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A word to doctors: Walk a mile in your patient's shoes...

 

I'll bet you've never heard me say this before: I just read a

great medical article in the New York Times!

 

Yep, you read that one right: Loathe as I am to give kudos to

such shameless purveyors of mainstream (see also liberal)

claptrap, I must confess that a recent article in that

hallowed rag made me stand up and cheer...

 

Because it made a point I've been trumpeting forever and a

day!

 

That point is this: Before conventional doctors (or alt-

medicine docs like me, for that matter) prescribe a course of

treatment for any illness - whether mild, severe, real or

imagined - they should consider the effects of that decision

on the PATIENT'S LIFE! I've been shouting this for years

about so many mainstream procedures I can't even remember

them all. To me, this seems second nature - even sacred; part

of what I was trained to do in med school...

 

But I wonder if today's docs even bother to consider side

effects before breaking out the pills and scalpels? Consider

the typical outcomes of the TURP surgery for prostate

problems (impotence and incontinence)... The devastation of

chemotherapy for cancer sufferers...

 

Or the weight gain, lethargy, acne, and depression that can

accompany Lithium therapy for bipolar disorder. (In the olden

days, we called it manic-depressive disease) That's what the

New York Times piece was about - how such mainstream therapy

has ruined the life of a formerly happy, attractive,

optimistic doctor (psychiatrist) once she was diagnosed

as " bipolar. " It chronicled her struggle with the condition,

the downsides of mainstream treatments for the disease, and

the fact that these life-changing side effects carried little

weight with her prescription-happy doctors.

 

Now, she overeats because the drugs stimulate her appetite.

She can't exercise much because the drugs siphon away all her

energy. She can't get a date. It's a struggle to get up in

the morning. She can just barely stay in practice...

 

It's a shame, too, because she may not even need the drugs at

all. Bipolar disorder is among the more commonly misdiagnosed

of mental illnesses today. And really, how bad could her case

have been if she successfully completed medical school and

started her residency before it was diagnosed? It's also a

shame because there are safe, natural alternative treatments

that wouldn't have made her overweight, miserable, and

dysfunctional... .

 

It shouldn't be too much to ask your doctor to see life

through your eyes. If your doc won't, look for one who will!

 

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A fitting eulogy for a fallen friend...

 

I've written before about Dr. Robert Atkins, the pioneering

father of the modern low-carb, high-fat diet that's helped

millions lose weight and improve their cardiovascular health.

But no tribute I could ever render would dignify the late

doctor's work as much as the one that appeared this past

month in the hallowed pages of the New England Journal of

Medicine...

 

Finally, after 30 years, the medical mainstream grudgingly

acknowledged the good doctor's advice about the dangers of

the low-fat and high-carbohydrate diet so rampant in the 70s

and 80s. It seems that the last decade's groundswell of

popular support for his ultra-successful nutritional

blueprint for weight loss and heart health has forced the

mainstream to undertake what's been billed as the very

first " controlled " trial of the Atkins diet...

 

That's right: A 12-round heavyweight championship bout

between titans of the dieting world - the low-fat conformers

vs. the low-carb reformers. It doesn't take a bookmaker to

predict who's going to prevail here. Why do you think

conventional medicine resisted staging this little rumble for

over 30 years? After 12 month-long rounds, the scorecard

reads like this:

 

* Atkins subjects had lost more weight than their

conventional-diet counterparts at every measured interval -

3, 6, and 12 months.

 

* After 12 months, Atkins subjects had more than 6 TIMES AS

MUCH HDL (good cholesterol) as conventional dieters.

 

* Triglycerides had dropped 27 TIMES AS MUCH in Atkins

dieters as in the high-carb, low-fat control group.

 

* The Atkins dieters showed identical levels of LDL (bad

cholesterol) as the control group - with absolutely no

fluctuation in either group over 12 months.

 

Looks like we've crowned a new heavyweight diet and heart-

health champion - by a knockout, no less! But it's such a

shame that my good friend Dr. Atkins wasn't here to see his

life's work validated by his foes...

 

But we are, and let's not forget him.

 

Treating patients as people,

 

William Campbell Douglass II, MD

 

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