Here is the rub.......most primal folks I speak with are and healthy and are doing the big things things correctly. When the discussion turns to older paleos that have screwed the pooch and are no longer optimal (Insert my clinic patients).......do the rules of evolutionary biology for the primal GenXers still apply?
Bloodwork, and thyroid meds. That's pretty much the only reason I see my ND, but have no interest beyond that.
I find that I do a lot better planning my own health and figuring a bunch of stuff out on my own through experiments and info from around the web. For instance, I don't see an allergist or dermatologist since I went on my leptin reset experiment (BTW, thanks for the info!) and experienced a relief of those symptoms.
However, I'm hoping that the leptin reset protocol lets me get rid of the thyroid meds once I hit optimal. I want to live thyroid med and doctor free. :)
As for the chiropractor? I see a active release technique specialist who's also a chiropractor once in a while. I find it's helpful when I'm a bit too aggressive "playing". Though since I religiously actively stretch, foam roll and use the mobility wod's, I'm finding less and less need to go visit him.
I could see a need for consistent visits to a doctor or such if you're trying to hit "optimal" later in life, but I'm jaded. I'm not convinced that there's that many smart doctors out there who know what optimal looks like. I have to ignore some of my doctor's orders and take more D3 to hit higher levels or play with my nutrient intake to hit what I think is optimal.
If my doc knew that I was on a ketogenic leptin reset protocol she'd probably freak, but I've gotten past the point of caring. I am more concerned about my health and well being than her opinion. Besides, worrying about it increases my cortisol ;)
TQ, Evolutionary biology is a great framework for understanding where we came from. Our history tells us so much about how to stay healthy, and why everyone is so sick today (obesity, chronic disease rates,etc). It is easy to forget that outside this community there are hundreds of millions of people that think HBP, heart disease, osteoporosis, and more are either genetic diseases or the result of the natural aging process.
The root of the word doctor means teacher, and it is our responsibility to teach people what it means to be healthy. Our 'health care' system has the average senior citizen on 7 prescription drugs. These people are definitely different having lived a sickness lifestyle for so long. If someone with a deranged metabolism that is medicated goes fully Paleo, they can quickly get in trouble as the medication is still having an effect in lowering blood pressure, blood glucose, etc.
I tell these people they need to have someone monitoring them. I tell them to tell their medical doctor that they are implementing some lifestyle changes and that they need help managing their drugs as they get better.
This site, AHS, and the rest of these great efforts are the natural result of health care professionals failing to teach communitites what is necessary to be healthy, and literally failing to comprehend what it means to be healthy. When we have seventy year old patients that come back from medical exams, they say the entire team of doctors and nurses are shocked to see a healthy seventy year old, and no prescription drugs. They are literally shocked.
In regards to the specific question, I think the game does change for certain people that are heavily compromised in some way due to long term lifestyle, injury, or medical treatment. There is a certain amount of 'pooch-screwing' that can occur. I don't think the rules change entirely, but some things do change. I think their ultimate health potential is changed. I also think they have to work much harder to get their relatively smaller portions of health potential back. I'm thinking of the people that can't digest vegetables, or fruits, or can't walk, or can't sleep, etc. Not being able to implement the right changes creates some big changes. Of course, seeing thee people if they an turn it around is a transforming experience.
I would say it doesn't hurt to have someone who is your go-to person where you are on file (I happen to prefer an ND), if only because of those not quite emergency room situations when you want ND care, but not Urgent Care Unit (take these 6 prescriptions, and here's your $300 bill for a 5 minute appointment) care. It is really hard and miserable to get into the system when you are feeling unwell because more often than not I've found very few of my insurance approved practitioners to be taking new patients, and being put on hold all day while your UTI keeps getting worse sucks in a big way. At least that is why I decided to get someone as my designated GP.
But other than that, probably not....well, other than some chiro/physical therapy work after falling out of treehouses and other fun-induced injuries.
I need someone to make a prescription for my thyroid medication every 3 months (I had most of my thyroid gland removed years ago) and who does my bloodwork.
And I will need someone for first aid - just in case...
The downside of going barefood at home are glass splinters in your toes if you drop a glass bottle.
I'm 49 now.
Medicine is useful, no matter its flavor. Each flavor has something to offer. The biggest value of standard medicine is its ability to legally use people as guinea pigs to explore human physiology (not good if you are one of the subjects), of orthomoleculary--to promote the notion that optimal levels of vitamins/minerals are far above that which induce final deficiency, of homeopathy--that we should be open minded and explore alternative ideas (nothing weird in homeopathy more than let's say quantum physics), of Chinese medicine--that treating body as a system rather then collection of black boxes is the way to go, and so on ....
So, the one doesn't need doctors - one can learn from mistake of others, but WE, as civilization, do need doctors as much as we as civilization do need wheat. As always, what's good for us as a whole has nothing to do with individual--just ask any apoptic cell and its cancerous friend.
So I say we need them all and more of them.
I think the more important shift needs to be in paradigm - open source medicine, no matter the flavor.
I really appreciate the docs and practitioners who share their knowledge on the web.
IRL, I've had much better results doing my own research and self-experimentation.
With the information access of the internet and the ability to order my own lab tests, I haven't found any need for a RL doctor/ND for the last three years.
I kicked asthma, allergies, insomnia and digestive issues without their help. Most of these pre-Primal.
They do come in handy for some things (like broken legs), but I think I trust myself more than any other practitioner for health care.
When I retired from the military at age 41, I was a total metabolic wreck. The VA doctors made me even worse over the next 5 years. They treated every symptom individually and gave me really bad diet advice (don't eat red meat, eat lots of whole grain). I fired them, but ended up going to Tri-Care providers in a military hospital who are pretty good at fixing soldier's with twisted ankles and delivering the babies of soldier's wives. These guys are just as bad as the VA. Same bad dietary advice, no time to spend with patients, no interest in history. I think they just want to get through the day without being the direct cause of someone's death.
As I am now off all meds and feeling great, I think I will take a long break from doctor visits. My next big hurdle will be the seemingly mandatory colonoscopy at age 50, but I have 4 years to figure out how to get out of that one.
I feel really sorry for all the senior citizen vets I see in the waiting rooms and pharmacy who are 100lbs+ overweight, on oxygen, in wheelchairs, and generally look like they are following a military/VA doctor's advice on health all the way to the grave.
I am a chiropractor and promote and follow a minimalist Paleo/Primal or as I like to call it an innate lifestyle. I get regular dental care, blood-work once per year, work out at a gym and I also receive chiropractic adjustments as part of my approach to general wellness.Every once in a while a patient will ask me something like this: "Hey doc, primal cultures don't have chiropractors so why should I see you?" Manipulation of the spine as a treatment has been documented throughout recorded history. I'm sure there was a paleo version of me as well! Most of us sit and work way too long in postures that, in spite of "regular" exercise, are detrimental to our bodies and promote altered movement patterns. Alteration and limitation of proper motion promotes accelerated degenerative changes. In our practice we focus on identifying altered motion patterns and functional joint restrictions. Treatment is aimed at restoring proper motion, to the degree possible, with spinal manipulative adjustments, soft tissue release techniques and instruction on exercises to address faulty movement patterns.
Here in Canada I am able to visit my GP at any time at no expense, which is great. Ad he's a young guy who listens. However, I too learn a lot from the web, including this site and totally appreciate the thought that people put into responses. With suggestions from others, I figured out, for example, that some discomfort I felt was too much protein and not enough H2O. As soon as I adjusted those, all is good again.
I read stuff by "the Quilt" and all you folks, taking some and leaving some as I need.
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