Cards on the table, I haven't been to the doctor for a physical in a few years. I never liked my old doctor and my interactions with him had been deteriorating for a few visits. His response to "I am not going to take a statin, I am betting my life that the cholesterol hypothesis is wrong" made the agenda that many/most doctors have crystal clear. I don't assume anything nefarious, just fear of being sued if they go off script.
That is what I thought about in real time during the last cholesterol conversation, it was like Spinal Tap.
Regarding cholesterol, there are mountains of research showing that nominally high cholesterol is not the problem. Instead it is sugary/carby diets that cause the cholesterol to gunk up which results in clogging us up. I first clued into this in 2004 when I read something that concluded statins don't prevent a first heart attack. I'm not trying to convince anyone of anything here, I have invested tons of time, advocating for myself, and this is the conclusion I draw for myself. To be clear though, it is factual that research on this has been done if you are curious enough to seek it out.
I turned 60 a few months ago and I need to start up getting physicals. Prescott has shockingly few doctors, I knew this would be close to impossible in Prescott but, we're down in Tucson quite a bit, it shouldn't take too long. Wrong. The first appointment I could get was March 11th.
The system is broken. Six months is absurd. No wonder people get sick and die. So I did something kind of crazy on Wednesday of this week. I signed up for Amazon One Medical, had a Zoom consultation with a doctor on Friday and am going for bloodwork on Monday afternoon. I will then have a follow up with the doctor in a couple of weeks. So the doc I met is listed through Amazon, which is like Teledoc I suppose. The Amazon One Medical program seems like a sort of concierge service that costs $99/yr and I can add my wife for $66. The $99 (or $165) allows for quicker or maybe better to say more convenient access to some very simple things.
Part of my willingness to go this route is that I don't have a lot of faith in the healthcare system's ability to treat chronic maladies as opposed to acute problems. So the doctor doesn't need to be great. The system seeks to manage chronic conditions with medications that require taking other medications to manage the side effects of the first medication even though for some conditions, the answer could be to just eat less sugar. Two fire trainings ago, I asked one of the firefighters to look up and read out the side effects of Jardiance and of course they sounded awful. I then said to the group "or...or...or you could just eat less sugar." Then at the next training I asked another firefighter to look up and read out the side effects of Zepbound which were similarly awful. Or...or...or you could just eat less sugar.
I don't know if my doctor is any good but reading tests results and using AI (I just assume doctors use AI, younger doctors anyway) is manageable even for a so-so doc. God-willing there's nothing wrong, I can dance the cholesterol tango with this guy and be done.
The prompt for this post is an article from the NY Times about exercise helping cancer patients better endure treatment and reducing the incidence of recurrences of illness. If that gets people to exercise, that's great but vigorous exercise can play a crucial role in preventing cancers and other illnesses. Of course I bang the drum constantly about lifting weights. Go follow PD Mangan on X to learn about the various metabolic processes triggered by weightlifting that greatly reduce the odds of getting sick.
I am big on the idea that it is up to us to prevent/solve our own problems. That sentiment is about inputs, not outputs. You can exercise, eat well and generally do the right things and still get sick but odds for avoiding illness improve dramatically by having a flat stomach and building and then maintaining muscle mass/strength. This doesn't mean being jacked like an action figure, just lean with some muscle/strength.
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