Being on Low Dose Naltrexone

As we’ve mentioned, one of our readers, a retired GP, says that, historically, there have been four really significant medical breakthroughs – Antibiotics, Antidepressants, Anti-inflammatories, and Immunization. And further, that to these four can now be added a fifth, which he says is as significant as any – Low Dose Naltrexone. And we’re getting the impression that Low Dose Naltrexone may be the most significant of them all!

It has been estimated that if everyone in Australia was on Low Dose Naltrexone, we’d need 20% less doctors – people would be consulting their doctors less often, they would be spending less time in hospital and so on and so on.

Is this an explanation as to why so few doctors seem to be getting into the business of advising on and perhaps prescribing it? why it’s so hard to find one who is? Whatever the explanation, to us, the extent to which so few doctors seem to be doing this is just remarkable.

There’s such a conflict of interest – so many vested interests, huge Pharmaceutical companies, and perhaps many doctors, interested in there being more sick people, not less.

It’s going to be interesting to see how this all plays out. For instance are our politicians ever going to be doing anything about the fact that LDN perhaps could be saving taxpayers billions and billions of dollars? Or perhaps whether it’s more important to them to have the doctors onside?

But whatever happens, it’s got nothing to do with the fact that we the people, you and I, can be experiencing the benefits of being on LDN today, right now.

Comments and/or questions? Email us at info@questionsmisc.info.

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Another story of misdiagnoses 2

If you use this link you will be taken to an account put together with one of our readers of his experiences in dealing with the problem of red blotches on his penis – also quite extraordinary!

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Another story of misdiagnoses 1

If you use this link, you will be taken to an account put together with one of our readers of his experiences in dealing with the problem of wetness and itchiness around his anus – quite extraordinary!

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Reward systems

We, ourselves, live under what can be called “reward systems,” and all day every day, we deal with people and organisations that operate under them – some things that we and they do and say are rewarded more than others, making it more likely that we and they will do and say the things that get rewarded the most.

They are related to what one famous management writer describes as “The Greatest Management Principle in the World” – “THE THINGS THAT GET REWARDED GET DONE.”

An illustration of what we’re talking about is provided by the Andrew Brooks, Sydney Urologist, story.

As we’ve reported before, one of our readers reports that he was referred to Dr Brooks for help with what is called the “frequency problem” – he was having to get up 2 or 3 times a night to go to the toilet, which made it harder for him to get a good night’s sleep.

Dr Brooks’ diagnosis was that it was because his bladder, as he’d become older, had, for various reasons, become reduced in size so that it’s capacity was less than 200 mls, so that every time his bladder had 200 mls of urine in it it was full, and he had to get up and go to the toilet.

As our reader was to find out afterwards, the diagnoses provided by other Urologists, (which subsequently proved to be the right ones,) were completely different – that, as our reader had grown older, his bladder had become too weak to empty itself properly, so that after he’d been to the toilet it was still partly full, and so it was full sooner than it had been in the past.

Dr Brooks’ advice was that, if he carried out a TURP operation on him, his bladder would return to a more normal size comparatively quickly, and when our reader underwent the TURP it didn’t fix the frequency problem in any way!!! as Dr Brooks subsequently admitted in writing. And the advice of other Urologists would have been that very little could be done about a weak bladder at his age – something that is still so.

BUT! and this is the point – Dr Brooks got a fee of $3,200 for carrying out the TURP operation, whereas, if our reader had seen the other Urologists, the fees they would have got from him wouldn’t have been much, for providing the advice that nothing could be done. In other words, Dr Brooks got rewarded more for doing the wrong thing, than the two other Urologists did for doing the right thing!!!

(We could give many other examples of this sort of thing, and will try to do so in due course.)

Our reader reports that subsequently, when he made the comment to the GP that had referred him to Dr Brooks that, “I think he’s just wanting to build up a nest egg for his retirement,” the GP just laughed, saying, “I think Dr Brooks would have lots of nest eggs already!”

If, as we suspect, if Dr Brooks was/is filthy rich, and the other Urologists to whom we have referred were/are not nearly as well off, we’re sure it wouldn’t surprise anyone – and if this is how it is, it would be because of of the reward systems under which Sydney Urologists work.

More later.

Email us at info@questionsmisc.info.

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Dr Andrew James Brooks – Sydney Urologist 7

An email just sent, (on 10 May, 2019,) to Dr Brooks.

We’re not expecting a response as we’ve sent him at least 20 other emails asking for “his side of the story” which haven’t even been acknowledged, let alone responded to – but we’ll let you know if he responds to this one!!!!

A 15 May, 2019 update: A few weeks ago we had a phone call from one of Dr Brooks’ henchmen saying that what we were putting up on our blogs and websites was starting to affect his practice and that we owed Dr Brooks an apology!!!!!?????. Our readers will guess how we responded – that we would be more than happy to put up on them his side of the story if he could send it to us. As we’ve said, we’ve sent him at least 20 emails inviting him to tell his side of the story, but he doesn’t even acknowledge them, let alone provide any responses. And the email shown above is yet another one, that 5 days later, he hasn’t acknowledged, let alone provided a response to.

Of course, even though our emails have been sent to two email addresses we have for him, and they haven’t come back, we realise that, if it ever became relevant, Dr Brooks would deny receiving them.

What we’ve learnt the hard way, and say now, is that if we send an email to any one, and it’s not even acknowledged within 14 days, even if we haven’t got one of those emails back saying that it can’t be delivered, that, if ever it becomes relevant, the addressee will ALWAYS deny that he or she got it.

Email us at info@questionsmisc.info.

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Finding the best medical specialists to deal with

To find the best medical specialists to deal with, what we strongly recommend, (and do ourselves,) is that readers send an email to at least 20 of those who may be able to help them along these lines:-

And if they do this, we will be very surprised if they don’t feel it’s fairly easy to decide, from such replies as they get, which may be the best one or two specialists for them to at least have an initial face-to-face consultation with.

We strongly believe that if we had always been doing this ourselves over the last ten years it would have saved us from having three major operations that didn’t help in any way, and countless consultations with specialists that wasted our time and money.

To us, if a doctor, or someone on their behalf, provides a good response to such an email, it indicates:-

That they are into communication– many doctors aren’t into communication if you’re sitting right in front of them.

That they are likely to be prepared to put things in writing– which makes them ACCOUNTABLE for what they do and say. If a doctor is NOT prepared to put things in writing, it probably indicates that they themselves know that the advice they’re giving is not very good.

What we do and recommend is that after we’ve had a consultation with a doctor we write to them along these lines, (obviously if they have an ordinary email address, this makes it easy to do,) “In our consultation today, I understood you to say blah blah blah, blah blah. Have I got this right?”

If they’re not prepared to answer something like that, you’ve almost certainly wasted your time and money in seeing them.

Of course, the time consuming part in what we recommend, is putting together the email addresses that are needed to do it – we find that if these are readily available, it’s not hard to send out 40 emails in less than an hour.

To help with this problem we have started putting together the names of various medical specialists – we are up to 25 on our lists of Sydney Gastroenterologists, up to 37 on our list of Sydney Neurologists, and up to 40 on our list of Sydney Dermatologists, all with ordinary email addresses.

Email us on info@questionsmisc.info.

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South Derm – dealing with

We don’t think we’ve ever come across a worse website that this Dermatology practice’s website. We could just about write a book about all that’s wrong with it.

And it hasn’t even got a fax number, let alone an email form or an ordinary email address, to contact anyone about any of it’s problems! Come on guys, we’re in the 21st Century?

We’ve certainly given up any thoughts of trying to help ourselves, or anyone, deal with any of the ten practitioners they list.

(When you Google the name of one of them, Dr Geoff Wilksek, the results indicate that he’s an Ophthalmologist, not a Dermatologist at all!!! But we can’t find an entry for him on the Australian Health Practitioners Regulation Agency’s website, which might resolve the matter one way or the other??? Perhaps he’s not registered to practice medicine at all??? Perhaps there’s no such person???)

In the words of Donald Duck, “Such dumbness might be catching.”

Help!

Email us at info@questionsmisc.info.

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Dee Why Skin – dealing with

We’ve found that with most Sydney Dermatologists, their entry on the Australian Health Practitioners Regulation Agency’s website shows something like this.

i.e. a “Fellowship of the Australasian college of Dermatologists” over and above the basic “Bachelor of Medicine / Bachelor of Surgery” qualification?

But this is not the case with any of the six doctors shown as practicing at Dee Why Skin.

Is this significant? Does it matter? We would love to know.

On 27 Apr. 2019, 8 days ago, this was sent in an email to the doctors there.

We would have thought that anyone considering consulting any of the doctors there was entitled to an answer to this question.

Email us at info@questionsmisc.info.

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Dr Clare Koh, Sydney Dermatologist

A Dr Clare Koh is shown as one of the dermatologists at Green Square Dermatology.

But we have been unable to find an entry for her on thc Australian Health Practitioner Regulation Agency’s website confirming that she is registered to practice medicine.

See this result.

We have just, on 2 May, 2019, sent her an email saying.

It will be interesting to see how this turns out. You would think there are only 3 possibilities – either (1) we have been at fault in some way as we’ve sought to find an entry for her on AHPRA’S website, or (2) the person calling herself Dr Koh isn’t registered to practice medicine, or (3) AHPRA is at fault in some way.

One thing is certain – and that is that if AHPRA turns out to be at fault, they won’t take too kindly to this being brought to their attention.

We’ll keep you advised.

A 22 May 2019 update: Not even an acknowledgement of the above email yet – 20 days later. We’ve just sent a reminder email. It would seem that there’s no one at Green Square Dermatology who’s job it is to respond to such emails.

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A General Comment

To summarise a fair bit of what we’ve been saying in this blog so far.

If a doctor is not prepared to put anything in writing, they should probably be avoided, other things being equal.

At the very least, after you’ve had a consultation with a doctor, you should be able to send them, (by “snail mail” if need be,) something along the lines of, “In our consultation today, I understood you to say, blah blah blah. Have I got this right?” and get an appropriate response. To us, if you don’t get a response to something like this, you’ve almost certainly wasted your time and money in seeing them, as it indicates to us that even they aren’t sure that what they’ve told you or recommended is helpful – that they certainly don’t want to be held ACCOUNTABLE for it.

And further, it is to be noted, that if they haven’t got an ordinary email address, they’ve only got an email form, it’s not very likely that you’ll get a response, and if they haven’t even got one of these, they’ve only got a fax number, it’s even less likely that you’ll get a response, and if they haven’t even got a fax number, just a phone number, and you have to resort to sending them a letter by Australia Post, it’s virtually certain that you won’t get a response.

(Of course these things apply just as much to other people and organisations that we may be thinking of dealing with.)

In saying this, it seems impossible to find GPs who will put anything in writing – at least in Sydney, Australia. It’s left to us, the people, to scratch around hoping that we’ll find one who won’t lead us too badly astray.

But, in relation to medical specialists, at least, modern communication technology provides means which we believe make it relatively easy to locate the 10 out of 10 doctors and to avoid those who deserve 1 or 2 out of 10 at best – means which we find INCREDIBLY EXCITING.

Email us at info@questionsmisc.info.

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