Last week I alluded to how Jimmy’s family practice Doc in the Box, his FP-DIB, reacted when I had made several suggestions reflecting what Jimmy wanted that may help him which basically involved slowly weaning him off of the psych meds and since we had labs that proved he was deficient-introducing thyroid and transdermal T. In this section I’ll tell you how some docs are more like tyrants when it comes to their patient’s rights.
Well Anaximander how far away are they? This is where the statement made famous by I believe either John Fathom or the Twains, Mark and his sister Shania: “It’s best to keep your mouth shut and have people think you are a fool rather than open it and convince them of the fact,” really applies. He (the FP-DIB), like the mythical cyclops with a spear in his eye, went “limbic” and fired Jimmy as a patient and reported me to the state of WI for insurance fraud on labs that a naturopath ordered which of course had the name of the doctor right on the top of each page for all to see. Sorry but I was in California. Again since my suggestions that we should attempt to wean him off Seroquel were over-the-top I was viewed as a threat to Mankind and Good Medicine in general. That also apparently painted a bull’s-eye on my chest and seemed to empower this DIB to greater liberty than his baseline cowardice would have normally permitted.
Rather than admitting he didn’t know something (actually anything) about bioidentical hormones while relying on his endocrinology from his underwhelming medical school and residency program he shot the messenger (me) and fired the patient. OK, now I’m not perfect but say what? Who kicks out his patient? Besides what the hell did Jimmy do wrong? For heaven’s sake he finally made the commitment to try to get better and BAM this happens! I didn’t expect that kind of response. I have to admit he caught me with a ham-fist from my bum-eye periphery. He even took the time to write a note to Jimmy as he made the unprecedented move of canning him from his office stating that many of these claims (that I made with all references available) are in direct opposition to the literature he is familiar with on anabolic steroids and that testosterone is a dangerous anabolic steroid.
Of course it’s in opposition to what you know that’s why you need to read more.That statement is still widely accepted as medical fact among doctors that don’t read. It was the pervasive mis-information in the 80’s but it clearly isn’t accurate today. In a morning spent online researching the modern use of bioidenticals he would have known better. Go to Holtorf Clinic and start reading. Also read Dr. Abraham Morgentaler’s books on men’s health. He’s the Harvard professor and world authority on the use of T.
In Jimmy’s case his doctor didn’t really understand the “new,” emerging concept, and medical sub-specialty of bioidentical hormone replacement therapy, which is now decades old. He was confusing supra-physiologic doses of synthetic testosterone such as methyltestosterone with physiologic doses of bioidentical testosterone-the same one your body produces. If he was correct then every testosterone amped teenager in the world would be suffering toxicity from their own T. Actually I should qualify that statement because teenagers are toxic on T; at least my generation was, but not in the way the oaf above imagines.
The strange thing was how he responded to Jimmy and how he reacted to one of his peers with fear, suspicion, anger and outrage. But why? Did I touch upon a perceived deficiency in his knowledge? Probably so. What I have personally witnessed is that whenever a person really gets loud and obnoxious over a simple thing like this it’s due to insecurity or fraud. Perhaps being exposed for not knowing something he felt he should have known, he took the time from his busy practice to throttle both Jimmy and I. Also probably because I introduced too many novel things at once challenging the status quo and that unhinged him. This doctor, and there are thousands just like him, represents everything wrong with the Commercial Sick Care System. Jimmy’s doctor seemed interested only in castigating someone who dared suggest a different way and then settling the score.
By doing so he revealed himself as a person not devoted to patient care but more akin to a rapacious, unstable businessman or worse: someone who has deep psychiatric issues that interfere with hisjudgment. Rather than being persuaded to try something new at the behest of both Jimmy himself and a relative MD-through a kind and solicitous letter-he punishes his patient by refusing to ever see him again. That to me is shocking, bizarre and totally uncalled for. Keep in mind that this is not drug-seeking behavior for scheduled narcotics either. Months earlier this same doc had Jimmy on insulin: a far more dangerous and disabling anabolic hormone than T could ever be.
Because of Jimmy’s complacency and the fact that I was out of town he probably felt he could berate and insult me without any repercussions-like I was a criminal. Convinced I was second rate, he snubbed my suggestions as being dangerous and substandard. Then he threatened me. I don’t get it but I certainly heard my share of horror stories from other patients who were insulted in a similar fashion by their DIB so it’s not that uncommon. Again we must ask ourselves why would doctors supposedly devoted to making suffering patients better react in such a contradictory fashion? Rather than being open minded and working with another physician whose sole purpose is the welfare of a blood-relative he lashes out with hatred. Why not simply ignore me if I was so dodgy? He even looked me up in every database he could find. A cowardly action yet increasingly relied upon taking time away from patient care to find a chink in my armor.Through his actions he gives himself away. That’s a lot of work for lowly old me. I’m flattered.
I really was taken aback and felt somewhat ashamed of myself for having even bothered trying to deal with this dude. Jimmy will continue to get second rate medicine. If there had been another name attached to the letter would the response have been any different? If I were in town working at the community hospital would that make him feel better? Maybe California just rubs him the wrong way so anyone from there is an avocado hugging, tree eating, Bravo channel watching, pot smoking weirdo. I do notice the intimidation factor go up (in Milwaukee) in men only when I mention I’m from the Sunshine State. They always feel they have to make some sort of slightly insulting comment thinly veiled as humor. Look, this is for another blog but the next time some Wisconsin porker that feels inadequate with himself has to make a derisive comment to me he might be eating more than a bratwurst that day. I’m sick of it and it’s very common at least with me. Let’s get back to Jimmy.
Every time I have the misfortune of being in a hospital I get reminded of how far away the Box and those in it are from me and my philosophy. In an update recently in early Jan 2013, Jimmy bumped his head, just bumped it mind you. A few hours later he had a seizure which prompted his girlfriend to call an ambulance. Only minutes later in the emergency room he needed to be intubated and put on a ventilator as he approached death with a massive bleed inside his head. This has a complicated genesis but the bleed was certainly fueled by his SSRI (yes I have the study and it’s already noted in the book) and Plavix which he was put on 2 years ago. What had happened was that a tiny blood vessel broke inside his head and started to fill his subdural space with blood. The dura is a wrapping around the brain. So much so that it started causing a mass shift of his brain to one side and a herniation of brain contents within the skull. This is the kind of thing you don’t recover from.
His pro-inflammatory state required that he be put on Plavix a few years earlier to help prevent another heart attack. That’s all that was needed when he finally hit his head to cause extensive interminable bleeding.
As we near the end of poor Jimmy’s story I will let you in on the finale of Jimmy’s brain surgery for better or for worse. Next week I will also summarize what 20 years of chronic antipsychotic and antidepressant use can do to one’s brain, body and mind. Armed with that information multiply it millions of times over and you will get a feel, just a slight feel, for all the souls who have been destroyed by these “miraculous new drugs that have revolutionized modern psychiatry.”