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Tuesday, 16 January 2018

Art of Medicine by Eric Topol. January 16, 2018

Medicine is not science. It is not about our health. There is nothing about helping ill or sick people. It is Art. Every MD practice in Medicine according to own understanding and as much as MD want to work on the field he or she chose to work. So, if one does not do the job and patient die as a result of medical malpractice, there is nothing what can be done. No one bring to court an artist. Medicine is Art. So, do not accept that coming to clinic or ER one will get help.
     In reason to get more comfortable in practice Art of Medicine, if patient die or get worse it is better to blame victim that victim did not behave and did not practice healthy life style.  This is one of the posts by Eric Topol, one of the most influential modern medical thinker. According to author 40% CVD, diabetes, cancer, and all other medical condition, name them by yourself, can be prevented if we behave and care what do we eat, do not smoke, and practice active lifestyle. For the reference, one of the woman who lived more then 100 years used to smoke practically all her life, almost 100 years. She stopped to smoke because of she could not light cigarette. She was over 100 years old.This is just for reference about smoking.
Let us take a look at the diabetes, I am very good in this subject. In Medscape there are many publications how right food and active life style help to delay diagnose of diabetes type 2. And I did not get the humor. Why it is so important to delay diagnose diabetes type 2? What is the reason, and how this delay can help to fight high numbers? Diabetes type 2 is progressive. Then older diabetic type 2, or then longer diabetic type 2 has diabetes then more difficult to control high numbers. It is reasonable to diagnose diabetes type 2 as soon as it is possible, and start treatment as soon as diabetes was diagnosed.
Looks like logic does not work in Art of Medicine. Millions of Americans live with not diagnosed diabetes type 2 till they no longer can fight it with right life style or hide from outsiders. When finally diabetes type 2 take over, there is treatment take place, life style modifications. Not insulin even when numbers on glucose meter are very high. Diabetic type 2 with fasting blood sugar level over 400 mg/dl will not be Rx insulin but proper low carb diet and activity.
Diabetics type 2 are those of us who fight acute stage of diabetes and our condition get chronicle. Our numbers go up and down. Numbers go down in Summer, and they are up in gloomy November and October. Numbers are higher in rainy days and better in sunny days. In time of flu season even diabetic does not have flu still numbers are getting up. Then older diabetic type 2 then more difficult to fight flu. For many of us it looks like one set of flu replace another, and we still ill not days but weeks, and even months.
Eric Topol seems does not know about these swings in blood sugar numbers. He sure, we do have high numbers because of eating disorder. Of cause he does eat healthy and right. He is healthy and fit. So simple. Those who are healthy they do behave. We are not. We are ill. We did not behave, and this is why we have diabetes type 2, stroke, CVD, and so so on.
Very interesting point, why he go to dentist? Just stop to eat and there is no problem with teeth.
I suggest another way to look at the healthy life style and behavior. No one MD do know for sure how patient eat. So, if one does not eat right then one would not do it after visit to  clinic. So, simple accept us as we are. Then practice in Medicine, not in Art of Medicine but in Medicine. No one Artist has power to hold human life in hands. MD do has this power. MD hold Life and Death. With proper medicine, insulin, diabetics live almost normal life, long and active. With Junk Medicine and Barking Therapy we gone less then within 10 years of Medical Malpractice.
     So, what is the reason of all Eric Topol blogging and tweets? To bring to court all of us who happened to get ill? He does not have this power. But to practice Medicine he looks does not have lobs or honor.


via Ravenvoron

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