From: Bonnie MacEvoy <firstname.lastname@example.org>
Subject: Re: Nutrition fraud ?
>some of your statements and with the ADA's approach to nutrition.
I keep wanting to just lurk on this list, but find myself having to defend
doctors all the time. Shame on the AMA for its poor marketing, if any, or
the doctors who do care and do practice good medicine who quietly keep it to
>what about the medical industry money trail? many aspects of >modern medicine
>are not vigorously tested with double blind studies.
But many are and most people in medicine try very hard to adhere to the
strictest standards. Often exclusion of interesting new or very old (ie
herbal) approaches to treatments results from the big bureaucracy that
shrouds our business and most of our society. We are a people who want to
be protected, want professionals to be accountable to the nth degree, and
want it for free. It can't happen.
>modern medicine didn't know how aspirin worked, yet its been
>prescribed for decades.
No surprise. We don't really know how much of what we use really "works" or
why in some people and not in others. However, we try to use studies with
groups or populations of people that give us the best indication of how one
individual patient might do. We have to add to that experience, other
patient factors, some luck and a pinch of fairy dust.
>dr's also promote the idea of a quick fix.
Sorry. Cart and horse here. I am a pain specialist and I can't tell you
the number of people who look at me like I am from Mars when I present to
them a program that may take months to conclude. We try to help people as
fast as we can because in all specialities most of what drives patients to
come in is that something hurts. You bet we want them well quick, but we
want them well, and if it takes a long time, so be it. The body is usually
slow to malfunction, and slower to mend.
>>diagnosis is needed by a physician to determine a true deficiency.
Probably not. But to counter the following response to the above:
>how many dr's are educated about supplements and diet to even >look for a
We all learn about deficiencies and must be ready for questions on our board
exams about them. Are we experts in diagnosing them? Probably not, as most
deficiencies are rare in the U.S. As will all things, skill comes with
experience. Luckily we don't see many deficiencies; unfortunately our time
is spent with diseases of excess.
> Why trust your nutritional needs to someone whose nutritional >background
I know many nutritionists whose medical background is inadequate. One person
cannot know it all. Let's all work together.
>if you've ever had to stay in a hospital or other institution that >is feed
by a ADA nutritionist and get feed artificially flavoured >and coloured
gelatin you know that something is wrong.
Sorry again. I would like to blame the fact that hospitals are being forced
to run like businesses. It is cheaper to feed someone jello and custard and
save on nutrition costs, which funds can then be funnelled over to the
better surgical equipment. Priorities have to be made. Businessmen and
lawyers are dictating the specifics of medical care, and it is scary.
Only get 5 minutes with your doctor? She probably has to see 50 patients
between 8am and 6pm to break even with paying her staff of 5 that she needs
to keep all the different insurance company requirements straight, won't get
lunch, and has to find time for the emergency calls that come in randomly.
Mad that she didn't see your skin lesions or other deficiency symptoms while
looking at your sore throat, or didn't counsel you on better nutrition when
you have cut your hand?
Please, everybody. Doctors don't and can't do it all. Who we are is a
product of our training, the limitations of science, and many, many societal
and professional pressures. Be happy to see us when you need our advice,
believe that our intention is to help as we best know how, and if you don't
think this is true, then you do not have the right doctor. Don't blame the
rest of us for that.
Bonnie MacEvoy, MD