I am just a 68 year old simple old-time back woods country doctor, MD, from the mountains of southern California. Just a nobody from nowhere. I am not an endocrinologist, nor any other kind of fancy expert about anything (except ADHD maybe), but I did have an excellent Ivy League medical training way back in the day, now long gone, when excellence was the only acceptable standard directing the practice of medicine.
These days it’s HMO. Anybody know what that means? Wrong. HMO means Hopefully Mediocre Outcome. Mediocrity, not excellence, is the standard of today’s corporation-driven medicine, and getting even that is in general the patient’s best hope. “Acceptable” medical practice today would have been loudly proclaimed as grossly negligent back in my day.
Anybody get that I’m not quite your ordinary doc? Yeah, I guess I’ve always been a bit of a rebel in a very non-rebellious profession, and I’ve frequently gotten into unpopular positions by sticking up for, listening to, and even actually examining and caring about the patient, not the currently established doctrine of treating the patient’s medical chart and lab work.
Most of my patients have been those with no money, no insurance, no ability to pay for lab tests, x-rays, specialty consultation, etc. Given this reality, I do what is now old fashioned medicine. I listen to and examine my patient, then take my best guess (aka diagnosis) and treat the patient accordingly. Verification of my diagnosis (or not) is established by the patient’s response to treatment, not lab tests. I have developed a term for this simple, some would say primitive method of medical practice, namely diagnosis by response to therapeutic trial. Take my best guess, treat it, and see if it gets better. Of course, many complex, serious, or emergent problems are beyond the scope of this kind of practice and my expertise. There is only so much I can do with my ears, hands, stethophone, (do you listen to your telescope, look through your telephone?), pen and Rx pad.
Sometimes I’m not medically aware enough about a problem to know that it can’t be done, so I just continue on logically as I was taught in medical school and treat it, usually successfully, much to the astonishment or harrumph of the “experts”. This certainly has been the case lately.
I would like to retire, but I must first get the medical world to hear, understand, and accept the incredible discoveries I have made recently by accident.
Despite the fact that the public health implications are HUGE, I have been so far completely underwhelmed by how much the medical world and its experts care. I know patients would care a lot, but that’s not the concern of modern medicine today, is it?
So anyway, here I am, trying to get the world to see what’s happening right in front of their faces with Public Health Enemy Number One, (Obesity and it’s resultant high cholesterol, hypertension, diabetes, heart attack, and stroke), so I can fade off back into the woods and quietly disappear, leaving the world a much healthier place with PHENO much more under control.
Most cases of obesity, high blood pressure, and chronic fatigue/fibromyalgia can now be easily and effectively treated.