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Not haters, but skeptics. Skepticism is well founded, and essential to protect your personal health IMO. Many industry practices, and far too many physicians and health care professionals give good reason to distrust. My skepticism comes from personal experience, as well as history of performance, attitudes, practices and outcomes.

Perhaps one of the most hazardous attitudes encountered is blaming the patient. This is common, and in many cases wrong. Sure, there are patients who are a pain, who don't follow direction, and who engage in unhealthy habits. But there is also a lot of very bad advice being dispensed under the label of healthy lifestyle choices that turn out not to be healthy. There is also a widespread use of "lifestyle choices" as an excuse not to seek underlying causes that are, in many cases, not lifestyle.

Compounding this the pattern of sticking with bad advice despite overwhelming evidence that it is harmful. The 2020-on experience is hardly surprising given the record of the industry.

Do you continue to advise the "low sodium" diet? This has been shown to be helpful for a very small number of patients with specific conditions, and harmful to the vast majority of humans. Yet it remains in the "guidelines" and preached day in and day out. It continues to be public policy. There are many examples of the "eat right" being bad advice...occasionally the medical industry even admits this and changes the advice (remember when carbs were good? When we were told the egg yoke contained the important good stuff and the white was useless? I do).

Another example is statin drugs. The actual science (evidence) shows that for certain patients with established vascular plaque, statins slow the progression of accumulation. For patients in which accumulation has started. No one has yet figured out why some people will accumulate plaque and others will not. The common use of statins does not follow from the actual scientific evidence. Statins are used simply to achieve a target number in the blood test. Hit the number and don't ask any questions. And don't discuss the risk of statin drugs with the patient. In the same pattern as with COVID non immunizing vaccines, the risks of statins is seldom discussed with the patient. There are many. One of which is using the drug to mask a symptom of an underlying problem, such as liver malfunction.

We see the same with other conditions blamed on the patient. Blamethe patent, no need to dig further. Ignoring things like weight gain as signals, and missing the underlying causes. When we can blame the patient, why look for physiological causes?

Ultimately the most obvious source of distrust is the common disdain one gets from docs when asking questions. It's hard to trust someone who responds to reasonable questions with disdain and dismissal.

To be clear, most of the MDs I've met do sincerely strive to help people. I have met MDs who are independent thinkers and don't subscribe or succumb to pressures to not think, not dig, not understand. It seems the system places much pressure to conform to directives and not ask too many questions, and that is the main root of my distrust.

Dec 16, 2022
at
12:57 AM

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