Oracle Oy

I’ve been trying to write this post for 6 weeks.  Then, just when I’d come to the horrible conclusion that I’d lost my Oracle mojo, came a Big idea!

Here’s what I wrote 6 weeks ago:

When last you tuned in, I was about to schedule a surgery to repair my fractured femur.  The bone wasn’t growing together in the way it needed to.  The I Ching Online had declared that the surgery would be miraculous because I was miraculous.   In fact – well not in fact but In Ching – I am the transcendant spirit of the age.

So I was not a little disgruntled when a bone specialist advised against the surgery.  It would be too hard on me, he said.  Instead, he recommended – urged – a bone-building drug called Forteo.  He showed me a model of a slice of pelvic bone before and after.   The change was seriously dramatic, like Times Square Before Disneyfication (BD) and After (AD).

FULL DISCLOSURE:  The Oracle liked the BD Times Square better.  Also, she has a bias against prescription medicines.   You take one, then it causes some new problem, then you need a new prescription medicine, and so on ad nauseam…and then you have to take anti-nauseam medicine.

Plus when I asked,  turns out it took 18 months for the pelvic bone to get from BD to AD, although in my case, the doctor assured, the bone might heal enough in 3 to 6 months for me to start getting my life back.   Great.  By then I’ll have been in a wheelchair for almost a year!  I’ll have missed the INK conference in India in mid-October and the TEDx in Budapest at which I’m supposed to present.  Oh, and did I mention that I’d have to inject myself with this drug every day for 2 years?  I know surgery ‘s invasive but if it’s a choice between one big invasion and two years worth of little ones – or, as my son-in-law-to-be Jared put it, a choice between an itch for two years and a punch in the face – I’ll take the punch every time.

But the punch was not to be.  My primary care doctor whom I had to see for the pre-op check-up opted instead to use the time talking me out of surgery, raising the spectre of POCD – post-operative cognitive decline.  Five doctors later, including my own surgeon and a friend who’s a surgeon (Ken Kamler, a hand-surgeon and extreme medicine doctor (www.ted.com/talks/ken_kamler_medical_miracle_on_everest.htm), a plan was agreed upon: take the drug for two months, then do images.   If the drug is working the way the medical doctors think it will, I can avoid the surgery and start getting on with my life.   If things go the way the surgeons think, the bone will be in better shape for the surgery they think is inevitable.  As Ken explained, while the Forte may grow bone, there’s no proof that it grows bone together.

Talk about a punch in the face!!!!

FULL DISCLOSURE:  The Oracle is furious.   Two doctors advocated passionately for a course of treatment without telling her there’s no proof it will work.   Maybe they thought I was too irrational to make a good decision.  Possibly they don’t accept the I Ching Online as a reliable prognosticator.  Also – truthfully –  I hadn’t really registered the severity of my condition,  how – to use their technical term – “mushy” the bone was and how difficult the surgery would be.   I was focused on getting to India and Budapest .  Perhaps that struck them as, well, insane.   Whatever.  The point is they might have felt, since I seem to have abandoned reason, that their job was to guide me to the right decision.

But even if they were acting in my best interests, and even if using Forteo is the right decision – which, by the way, it is, I’m not contesting that – I’m still angry.    I’d felt good – okay, bragged – about my relationship with these two doctors.  Both seemed to respect my intelligence and worked with me as an active partner to maintain my health. Now I feel manipulated.  My trust in them is eroded.   And – did I mention – I’m furious!!!

FULL DISCLOSURE:  This is where the Oracle stopped writing 6 weeks ago.   Fury doesn’t inspire Oracle visions.   Also, since then, I’ve gone on the medicine, been exercising daily in my sister’s pool and moved from one thought-frame to another.   From a New Thought-Frame to a New New Thoughtframe.

The Old Thought Frame was based on the Active doctor and the Passive patient.  The word “patient” even comes from a Latin word that means “she who suffers,” “she who suffers having things done to her, she who is penetrated.  (Think tongue depressors, speculums, CAT scans – don’t get me started.)

The New Thought Frame features the Active Patient.   The Active Patient does research, has access to his medical records, and according to this week’s New Scientist, “self-tracks” with technology, keeping daily records of  heart-rate, blood pressure, food-intake, number of steps he has taken each day – whew.  And I thought it was the medicine making me tired.

But here’s what makes the New Thought Frame old: quantum physics.   The Heisenberg Principle of Uncertainty!   I’ll explain Heisenberg some other time – when we’re all on Vicodin – but long story short, there is no Active and Passive.  There’s only Interactive.

Okay, maybe that was too short.

Basically, thanks to Heisenberg, the Doctor/Patient relationship is now interactive: the Doctor-Patient Relationship.   Doctors impact on Patients and vice versa.   The relationship evolves over time through interactions. You don’t break up with your Doctor just because he does one thing you don’t like.   You work through your issues.

Aaarrgggh!

FULL DISCLOSURE:  This is where I stopped writing yesterday when I realized how much work the Interactive Doctor-Patient Relationship was going to be – like all relationships.  The very reason the Oracle avoids them.

But then today, the New York Times featured readers’  letters about this very issue.  It’s not just me, other people are grappling with this.  And – finally – I had a Big Idea.  A new healthcare specialty:  Doctor-Patient Relationship Counselors.    They’d be licensed.  Certified.  Think Dr. Phil.  Plus think of number of Counselors you’d need – talk about job creation!  This Idea heals people and the economy.  Now all we have to do- and when I say “we”, I of course mean “you” –  is to persuade the Insurance companies to cover it.

Good luck!

 

 

 

 

4 thoughts on “Oracle Oy

  1. Please try to begin writing again, even if you don’t think it is “beautiful.”
    Get back on that probability wave. Please, please, please. The world IS waiting.
    Thank you for making us laugh as we think, and then rethink it all as we laugh some more.
    cp

  2. Type 2 diabetes took me by surprise yet my doctor seemed unconcerned.

    He put me on an oral med called metformin. Meanwhile my feet began to experience “pins and needles”, an indication of nerve damage.

    My doctor remained unconcerned. He poked my toes with a metal probe and asked “did you feel that?”. I did, and he said everything was fine.

    Meanwhile the “pins and needles” evolved to periods of significant pain in my feet.

    I moved on to a new doctor, who immediately added insulin. I found an article claiming the “new” approach to diabetes was more aggressive.

    The insulin was the kick I needed, and my blood sugar spent more time in target ranges.

    Then the strangeness started: I heard my doctor talk to himself, and he mentioned removing metformin and getting by on the insulin alone.

    I found time to look into the latest research regarding diabetes. And what a surprise that was:

    1. I found there are concerns from injecting insulin over a long period of time
    2. An anti-aging expert recommended
    EVERYONE 40 and older should be on metformin.
    3. A five year old study showed diabetes type 2 could be REVERSED through diet. Why didn’t my doctor think to mention that?

    I am paying $1,800 a year just to see this doctor, yet he is behind the times like every other doctor I’ve tried.

    I asked him more info regarding the reversing diabetes study and he had not responded. I also found out he has never heard of the Sinclair Method, which is saving lives of alcohol addicts every day.

    I’m sure he used to be an excellent doctor. Some people claim the large pharm companies have taken over the flow of information to US doctors in order to enhance their bottom line.

    I am no expert regarding that, however there does seem to be a glitch in the free market system: US medical care has dropped to, what was it, like 20th in the world?

    Don’t recall exactly, but like more people I am for minimal government. Yet this is obviously a situation where the government needs to step in and fix.

    How low are we prepared to allow our medical system to drop? And why do we allow big Pharm to stop effective new drugs developed by smaller firms?

    Obviously the old adage “Money talks…” applies.

    Curiously when our country was forming there were no democracies that we could model ours on, so our forefathers studied Plato’s Republic, an approach that emphasized prevention of the wealthy from influencing government.

    The Republican platform opposes this sage advice, and Democrats are also happy to accept money from powerful lobbies. Meanwhile quality of life declines and the gap between the vast majority of Americans and the wealthy continues to grow.

    During the last 20 years American corporations have grown, yet middle class salaries remain stagnant. Where has the money gone? To the wealthy. It has not “trickled down”. President Reagan lied to us. What is amazing is despite the facts, many Americans continue to support politicians who propagate these myths, while the vast majority of Americans suffer.

  3. Just read in “New Scientist” that “Americans die younger and experience more injury and illness than people in other rich naions, despite spending almost twice as much per person on healthcare.” This “health disadvantage” was spread across “men and women, rich and poor across all races and ethnicities.” In other words, you’re right!

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