| Jason Johnson 2006-10-12, 2:32 am |
| In article <nbgri2116qb07ej5fmleuocu5fd4iejvbg@4ax.com>, Larry Krzewinski
<Feerless_Freep@madmagazine.com> wrote:
On Wed, 11 Oct 2006 10:07:14 -0700, Sando <sando!@cox.com> wrote:
>I posted all that information to HELP users of this group. That
>cannot be said of REP. It's his way or NO way. The 1972 law covering
>renal failure changed the entire ball game. Now that doctors and
>hospitals are guaranteed MONEY, how do you think their decisions will
>go? "Follow the Money", REP.
>
>Most doctors now say there are only two treatments for CRF, dialysis
>or transplantation, Dr Walser AND OTHERS say there is a third option.
>The dietary approach. All he says is that it should be the first line
>of defense. Since there is no harm in it, why not? In 6 weeks on it
>my creatine and BUN both dropped far more than could be accounted for
>by a lab anomaly.
>
>Doctors always right? Gimmee a break.
Allow me to cite two examples in REP's defense. The five doctors who
owned my dialysis center told me that I was an excellent candidate for
a kidney transplant while my local nephrologist in my non-profit HMO
advised against it over and over again. I had to go over my local
nephrologist's head to get on the transplant list but the odds were
five to one that he was incorrect. The five doctors stood to lose
money if I received a kidney transplant while the doctor in my
non-profit HMO did not stand to gain a dime. I received my kidney
transplant in March of 2001.
As a second example I'd like to cite the case of one female who
dialyzed at my center. In the eight years and eight months I was on
dialysis I saw only her allowed to discontinue dialysis using dietary
constraints while hundreds of others had to continue with zero hope of
a dietary reprieve. The doctor who allowed her to discontinue
dialysis stood, once again, to LOSE money by allowing her to
discontinue dialysis.
You can believe what you choose. I choose to believe what I saw with
my own eyes and heard with my own ears.
Doctors are right far more often concerning medical matters than we
lay people. Listen to what your doctor tells you or chance the
consequences. The choice is yours. I listen to my doctors and follow
their advice. They've kept me alive 14 years longer than I would have
lived without them.
Larry
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Larry,
My opinion is that a nephrologist should explain ALL of the treatment
options (including the low protein diet) to predialysis patients. The
patient should be able to decide which of the treatment options that is
best for him or her.
If you want your doctor to make all of the decisions related to your
treatment, that is your choice. It appears that your doctors made the
correct decisions related to your case. I am glad that it worked out well
for you.
Believe it or not, not all doctors are as wise as your doctors. Dr. Walser
discusses some of those doctors in his book.
Jason
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