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Originally Posted by srmb60
I really struggle with giving folks advice that doesn't jive with what their doctors are telling them. That's one of the reasons I've gone incognito.
Personally, I listen to my Doc and work with what I know about my body. We have a wonderful relationship and I know he'd listen to me but I also know that he'd tell me I was wrong if my physical findings said so. And I would listen.
I don't know a doc who would disapprove of South Beach.
Thanks for the perspective of someone working in the medical profession. I appreciate what you're saying about encouraging anyone to go against medical advice. I've been very fortunate that the few MDs I've dealt with have been open to what I've had to say and willing to discuss my concerns.
There are some areas of medicine where the protocols are well-established and clearly effective , and others that seem to require a lot of trial and error and best guesses (mental wellness, for example). The knowledge about the human body is always evolving. I don't think we'll ever understand everything about such a complex system. There will always be more intricacy and more detail to understand. One hundred years from now, some of what passes for expert opinion will be considered a breakthrough, some will be considered absolute rot. But it's the best we've got right now.
I certainly think docs could be more open to alternate approaches for limited time periods. I've worked out "deals" with my MDs -- I'll do it this way for "x" time, and we'll re-evaluate (tests, etc). We talk about the risks of say 6 months of doing it "my" way, maybe I change my mind. If my way works, maybe I change the doctor's mind! My deals always include the promise, "If my way hasn't produced an improvement after time "x", I'll do it your way for a similar period of "x" and let's re-evaluate." I've probably been very lucky because I only once had to do it "their" way (SSRIs and it was sort of my idea) so far!
The more I think about this, it's about risk management. Understanding what the best guess of the risks is and what the time frames are for re-evaluation and "course correction," is critical. Maybe that should be the focus of the discussion with our doctors, making educated decisions about the risks. (Of course the risk of malpractice looms largely in the background of these discussions)
And of course, it's easy for me to say all this. At 46, I'm very healthy except for having been seriously overweight for 8-10 years, and now just overweight and on my way down. Trying to think if I've ever had to see a medical specialist. I have had out of spec cholesterol and triglyceride levels, largely induced by my (hopefully) former lifestyle. I expect that my blood results will look much better for having been lower carb for the last 3.5 months as well as having dropped almost 60 lbs.