Postby vilca11 » Wed Apr 23, 2014 7:50 pm
In 2007 or about, when I asked my PCP to measure my Vit D level, she asked me "why" - that is in Johns Hopkins, a good teaching physician, Assistant Professor. Then I told her that 400 IU is a very low daily dose, and she said "really?". And this March, when I went to see my oncologist and told her about Dr. Lin - she had no idea who he is and how Xeloda/Celebrex are supposed to help cancer patients - she is the best colon oncologist of Johns Hopkins.... If doctor Kemeny sees 50 patients a day, how much time you think she has to do research on the newest in anything that directly does not affect her specialty?
You probably do not know what it means to practice medicine in the big centers of the United States - your doctors do not have a life, they are burried under legal requirements to documentation from Medicare and other insurers, hospital quality control organisations from the States, Federal Investigation Units, audits, internal hospital Compliance Dept with continuous auditing, etc, etc... They do not have time and stamina to even want to know what is going on until it becomes just an absolute necessity for their specialty. I am asking my best friend who is a urology surgeon if he knows about this or that - you know what he says? "When I need to know it will be written in the standard of practice" That means - 10 years after it has been written about here or there...
So, yes, you have to talk to your doctor on many issues pertinent to his specialty, but when it is just one step outside - you would be surprised how little they know. Half of my close friends are physicians. I worked on high level position in Johns Hopkins for many years. I've read literally tons of documentation written by physicians of all specialties and helped them fight all kind of "dangers" that they right now face from EVERYWHERE just because they practice medicine. United States is the only country in the world that creates an absolutely impossible burden for majority of physician in practicing medicine and keeping their interest to anything new, emerging, promising, etc...
Well, enough said. Unlike many, I do not believe in the American mantra "doctor is a God" and I have damn good reasons for it, as an industry insider. I myself am responsible for EVERYTHING what is happening to me - that is my life position. And when it comes to being sick, who would have your best interest at heart if not you? I read, research, ask my doctors lots of hard questions (that most of the time they have no answer for) and believe in possibilities... I think, that is the way to relate to a doctor - not just opening your mouth and worshiping every word he says... Do your homework and not just on Pubmed...
"At the time GrassrootsHealth performed the studies that resulted in this increased dosage recommendation, the optimal serum level was believed to be between 40 to 60 nanograms per milliliter (ng/ml). Since then, the optimal vitamin D level has been raised to 50-70 ng/ml, and when treating cancer or heart disease, as high as 70-100 ng/ml, as illustrated in the chart below. " See chart in the article
http://articles.mercola.com/sites/artic ... rcent.aspxHugs, Vilca
11/2005 CC stage 1, F,50yo@dx
Mod dif adenocar, MSS, APC, TP53, CEAs1.6-4.8
1/12 1met liver@Vena Cava, RFA, 3oxi,11 5FU
8/13 2 mets same place,SBRT
4/14 2 Xeliri+Avastin
5/14 Nano Knife liver same 2 mets
6/14 2 Xeliri, ADAPT
4/15 PET, 2 same mets,Cryo Liver
5/15 MJ Oil, Herbs, Suppl, ADAPT
10/15 PET, same area, doubled in size, high SUV
10/15 RH, HAI, visceral involv., no LN
2/16 red FF, 50% red dose FUDR, CEA trends up
3/16 CT, PET, MRI L.Lobe all in small tumors
4/16 No acceptable options, going home