This morning, over sad coffee, I read through the recent posts in a Keto group I'm a member of. (This group is scientifically oriented, and is based on the work of Drs. Phinney and Volek.) The NSV (non-scale victories) are amazing -- off of blood pressure medication, off of insulin, off of statins, off of anxiety medications, no longer categorized as diabetic/pre-diabetic... the list really does go on and on. Daily. The weight stabilization (both gaining and losing, to find optimal) is impressive. Every day, people are getting their lives back, and the healing that's happening in this group comes straight from the learning, growing, and taking control that the members are engaging in to save their own lives. It's my morning read, and is such a place of encouragement for me.
And yet, weekly, I also read stories of doctors who (essentially) won't take notes. They acknowledge that their patients are improving in ways they hadn't expected, but they won't acknowledge or record what their patients are doing differently to see such drastic results. (I have, personally, had the same experience with my new oncologist -- he won't listen to what I'm doing, claims it has no impact, and then when things go far better than the evidence would suggest, or than he expected, he shrugs and says it's a fluke. Sometimes, flukes are part of a pattern you're not seeing.) Some doctors threaten to fire their patients for going off the USDA (or the ADA) recommendations. I don't get that. (And, to be fair, many doctors are saying, "Whoa. Wait a minute, here. What's this?" They have a special place in the hearts of every patient who has healed and gotten his life back.)
I get that a physician has a responsibility to provide a certain standard of care for his patients, and that this standard is described by protocols in place. But we must always be learning, and taking notes to facilitate knowledge and understanding is not precluded by that mandate. If what you're recommending isn't working, and something else works, you don't have to become a kool-aid-drinking-total-believer. But take notes. And if you see it happen again, take more notes. Look for patterns, and if you start to see a pattern emerge, pay attention. Have the mind of a beginner. Why is this not the norm in the medical profession? Was it ever? (I want to say it was, but then I think back on my antibiotic-happy family physician and reconsider my stance... the truth is that I don't know.) I do know that most people become physicians because they want to help people. They want to improve lives, facilitate health, be an integral part of making this world a better place. But it's easy after a while to defer to protocol and forget that we're still learning.
Am I saying Ketogenesis is the answer for all the world's ailments? No. I'm not. Do I think it merits a serious look for some ailments, particularly diabetes? Yes. Do I wish that more people were taking notes and comparing them? Yes. Do I wish I'd gone into research and learned to take better notes, myself? Oh, goodness, yes.
While teaching the kids science over the years, my mantra has always been,
"Once you start acting like you know all the answers, you stop asking questions. Don't be that guy."
Because while there is SO much we know now, there is SO much we do not know.
When I'm an old lady and you see me in the street, yelling, "Take notes! Pay attention! Look for patterns! Talk to others!" Well, you'll know why.