Comments on: Cardiologist urges doctors to take patients’ wishes more into consideration https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/ A health-focused blog that makes sense of science, and offers accurate, trustworthy and practical advice about all aspects of healthy living. Thu, 01 May 2014 19:46:35 +0000 hourly 1 https://wordpress.org/?v=6.2.11 By: Magarietha https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203977 Thu, 01 May 2014 19:46:35 +0000 http://www.drbriffa.com/?p=6292#comment-203977 In reply to Dave P.

Ya know Dave, it’s like they’re all the Stepford medics. When you come with a legitimate curved ball, their heads start spinning around. Sorry that I sound so fragile and aggressive but my son’s chest got slashed up and I hve to hear the same old story everywhere.

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By: Magarietha https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203976 Thu, 01 May 2014 19:43:42 +0000 http://www.drbriffa.com/?p=6292#comment-203976 In reply to Rita.

Thank you so much Rita. CANNOT believe this. Here I find a cardiologist and I get this Eureka feeling and then that’s also another damp squib.
I tell ya I DO want a nice cardiologist. Can’t find them. They don’t even have to know about my diet (it’s my biz after all), but because of our ailment (which I have now grown to hate totally because my son was SO hurt by it) we need cardiologists in our lives. Honest to G-d I just want a nice doctor. I don’t need him to be my shrink, I need him to just answer when I ask something and NEVER to shrug ever. Why are gynacologists so nice? So what’s the diffs. I don’t understand what a lipid specialist is. When I do research them it’s sweepingly a case of STATINS for YOU madam and low fat diet. So what is it that makes them a specialist since there is NO further science for us since when Cholesterol was discovered. Do you know what, I wish these doctors (when we’re not physically ill) will call us clients instead of patients. Perchance then we won’t have to have our hearts beat even faster when we enter that dreaded room.

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By: Rita https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203970 Thu, 01 May 2014 16:47:17 +0000 http://www.drbriffa.com/?p=6292#comment-203970 In reply to Magarietha.

While I hate to rain on your parade, because I have the same views you do with regard to LCHF, the thoracic surgeon you link to above (Dwight C. Lundell), no longer practices medicine in the US because his license was revoked. This gives him more time to publicize his views on heart disease, but doesn’t do much for his credibility.

Here’s the link:
http://www.healthgrades.com/physician/dr-dwight-lundell-258m6/background-check

“Professional Misconduct (11/14/2008)
Action Taken: Revocation
Allegation of Complaint: Dr. Dwight Carl Lundell; License # 6960
Nature of Complaint:

The board established that the physician failed to maintain adequate medical records in the physician’s operative report of a patient. The physician also failed to cool the patient’s anterior wall which was harmful to the patient’s health and resulted in the death of the patient. The board also established that another patient died as a result of the physician’s failure to order blood type and cross match the patient and obtain O-negative blood prior to proceeding with surgery. The physician also failed to initiate insulin infusion during another patient’s surgery and monitor the patient’s sternal wound closely after the physician saw evidence of infection. The board also took into consideration the physician’s ten year disciplinary history with the board.

Action Taken:

The board has Revoked the physician’s license to practice allopathic medicine in the State of Arizona and shall pay hearing administrative costs.”

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By: Magarietha https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203934 Tue, 29 Apr 2014 10:31:15 +0000 http://www.drbriffa.com/?p=6292#comment-203934 Okay, I have written to every single cardiologist and heart foundation to try and find a thoracic surgeon who promotes LCHF. (I do know of Dr. Donald Miller) but somewhere tucked away on the internet I also came across THIS guy, who just like Tim Noakes apologises for always having gone the low fat route. He’s at http://thecureforheartdisease.net/articles1-p2.php – he is a thoracic surgeon and for my people with FH that’s what I’m looking for. Just a pity he’s in the states and not one of his ilk in South Africa, where I live, will give me an answer. We HAVE to see cardiologists because of our ailment, but I refuse the low fat nonsense they keep badgering me with. Oh well…

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By: Bill UK https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203582 Wed, 09 Apr 2014 08:55:51 +0000 http://www.drbriffa.com/?p=6292#comment-203582 With LDL of 4.1 and HDL of 2.019 I was told by the nurse at the local surgery I should be treated.

Blood-sugar (think HBA1c) was 4.7. Blood pressure normal, at normal weight for my height.

I follow a strict LCHF diet.

My jaw dropped and them I just smiled and said thank you for the information.

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By: Dave P https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203555 Mon, 07 Apr 2014 19:39:13 +0000 http://www.drbriffa.com/?p=6292#comment-203555 Took em once never again, Both GP and Spec nurse have tried the line. I respond how will that help me, it will lower your cholesterol level……” how will that help me “…… ad nauseum.

It usually ends with ” Oh well its your choice”………… too right !! but I never ever get a thought out answer !!!!

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By: Fiona https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203551 Mon, 07 Apr 2014 12:23:48 +0000 http://www.drbriffa.com/?p=6292#comment-203551 Dear Friends, couldn’t you just pick up the prescription and pretend you’re taking the medication (and of course pack the pills when you go abroad). Terrible waste of money, I know, but the NHS wastes so much already I don’t suppose your discarded pills (statins, anyway) would make that much difference.

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By: Jennifer https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203548 Mon, 07 Apr 2014 09:03:17 +0000 http://www.drbriffa.com/?p=6292#comment-203548 In reply to Matthew Smith.

Matthew, you have raised a very important point. I ‘went it alone’ last April, after my GP had a dicky fit when I suggested that I wanted to come off all meds. The response I received was just so contrary to the type of relationship we had enjoyed for 15 years, and I was quite taken aback, and will never return to that particular GP unless no one else is available. So….here I am 12 months down the line….fit and healthy as not experienced during 10 years of multiple medications…BUT not attending diabetic clinics etc, etc, …I think my new found health status is all down to a complete change in diet and lifestyle that i am now following with the likes of Dr Briffa, and certainly in opposition to the NHS guidelines prescribed at the surgery. BUT, when I went abroad in February, it caused me much angst as to what would happen if I was poorly?
I seem to be in a difficult situation if I fail to strictly adhere to “guidelines”, which I do not agree with, and I wish I knew how to get round the problem. If the GP point blank refuses to even discuss the matter, just what am I supposed to do? I am contrained by geography to keep with the same surgery, and no matter which Dr I see, it is the same Practice Nurse i get sent to, who religiously follows the NHS dogma, again, without any discussion. I am between a rock and a hard place. Fortunately, I am now in excellent health,….but…..but….but…what if? I am getting older…and things do change, so where do I turn to?

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By: Matthew Smith https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203530 Sun, 06 Apr 2014 10:35:00 +0000 http://www.drbriffa.com/?p=6292#comment-203530 Does turning down medication have further repercussions? Let’s say you have high cholesterol and notify the travel company accordingly, go on holiday and have a heart event. The travel insurance company then contact your GP and take from the notes that you turned down the ‘opportunity’ to take a statin.

Is the travel company then entitled to deny the claim as they could allege you contributed directly to your heart event?? I know it sounds far fetched to a group such as this but where does one stand when turning down medication from a GP.

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By: Jennie McGinlay https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203509 Sat, 05 Apr 2014 19:17:57 +0000 http://www.drbriffa.com/?p=6292#comment-203509 All credit to my previous GP (I have since moved to a different part of the country) – a few years ago, I asked her if I should have a cholesterol test (I knew no better then!) and she said no, I didn’t need one unless I had a family history of high cholesterol. Good for her!

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By: Judy B https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203507 Sat, 05 Apr 2014 16:20:41 +0000 http://www.drbriffa.com/?p=6292#comment-203507 In reply to Jennifer.

Brava, you expressed my views on this subject perfectly!

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By: Soul https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203501 Sat, 05 Apr 2014 12:14:10 +0000 http://www.drbriffa.com/?p=6292#comment-203501 I personally have not experienced a hard sell for a drug. I’ve heard of it happening from others, but it has not happened to me personally. The strangest push of a pharmaceutical that I can recall occurred to me when I visited a new physician about taking an anti-depressant. At that time I had read that anti depressants can cause constipation, or as I jokingly call it the dream disease. I have a sever, debilitating GI condition that far to often leads to the other end result, D. So I go the appointment. She was a doctor recommended by another doctor to see about sever GI conditions.

I get there and I do my sales job mentioning my desire to take an anti-depressant in hopes that it would help me control my GI issue. Oh, I can help! she says. She then went over to a drawer, pulled out a couple sample boxes of an anti-depressant and handed them to me. She then went on to explain that it would take two weeks before I noticed the drug helping. She added that this anti-depressants was different from how many others work in the body. These samples she gave worked on raising dopamine levels (I believe) while most others work by raising some other brain mood altering chemical.

She then went on to explain side effects. The main side effect that jumped out in my mind, setting off alarm signals, is that the samples she gave me can sometimes cause diarrhea! (No mention about constipation!) I laughed when she said that. I then joked and laughed that this would be a new experience, having diarrhea but being happy about it.

The doctor was not amused. No she was not. I bombed with that one. I could see her face pucker up, and she became quite agitated. Crazy came to mind. She needed the anti-depressant more than I did! I did hand them back to her. (Maybe stressed might be a better description of her at that time). Regardless, next thing that I know she says I needed a liver biopsy. No reason given why. She set up the appointment. I left, with my father, he was in the room with me at that appointment, not intending to follow through on the biopsy. Happily a few days later the hospital called saying I didn’t need a liver biopsy. Strange appointment that one. Never saw that doctor again.

I imagine with the new statin guidelines that a soft sell will be used more often. In America we of course have our newer health care system. With it comes a stipulation saying that those with high cholesterol, what ever that is determined to be, can be penalized and charged higher insurance rates. Imagine those with higher cholesterol will be given statins automatically. Those with low cholesterol levels might hear a mention that he/she needs to be careful. If their cholesterol levels happen to rise to high, a penalty kicks in, insurance rates go up. A statin might be able to avoid that from happening. That is just my guess of what some might see.

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By: Moy Peralta https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203488 Fri, 04 Apr 2014 23:11:02 +0000 http://www.drbriffa.com/?p=6292#comment-203488 “My body, my life, my decisions” indeed… agree… whilst we are able. But medicine at gunpoint by state decree is alive and flourishing elsewhere.

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By: helen https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203485 Fri, 04 Apr 2014 21:09:42 +0000 http://www.drbriffa.com/?p=6292#comment-203485 In reply to Jennifer.

Well said Jennifer………….. I believe you have just put the whole thing into perspective ….choices is what it is all about.
And call someone with a crystal ball making predictions a kook but call someone with a degree and a computer making similar predictions and they are experts??
I think any prediction is still just a guess, no one can determine another’s fate or say what is good for them.
So what is wrong with death? We all end up there eventually and living in joy doing what you love doing is way better than living in fear of “the end”. Crikey sometimes I think there are more dead people walking around in physical than any we have seen off to non-physical.

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By: heather machin https://www.drbriffa.com/cardiologist-urges-doctors-to-take-patients-wishes-more-into-consideration/#comment-203484 Fri, 04 Apr 2014 20:43:34 +0000 http://www.drbriffa.com/?p=6292#comment-203484 In reply to Jennifer.

hear hear.

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