macgyver - 04 January 2012 06:24 PM
Actually Dr. Oz is an MD but these days he seems to have forgotten his Hippocratic oath and is far more interested in self promotion. To answer your question, there does not seem to be anything legally that can be done about what he does. His defenders will just say its his right to offer a different point of view and the first amendment will back that up. The AMA is not restricted by the first amendment though and they could certainly come out and make a statement, but they won’t for several reasons. First, there are some MD’s who believe in woo or at least believe in their right to profit from it. Second, the AMA would anger a large portion of the public if they came out and attacked one of their darlings. Third, and I think most importantly any attack on Oz by the AMA would most certainly be seen as proof of the conspiracy theorists that big pharma/ big medicine is behind any attacks on sCAM medicine and Dr. Oz would become a martyr in their eyes which would only make matters worse.
As far as the root cause of hypertension (HTN), that is still up for debate to a large degree. I’m not sure what you mean by “dirty arteries”. There is no dirt in arteries. Perhaps you are referring to athersclerosis? That is the deposit of cholesterol and the development of plaque along artery walls. Athersclerosis can make artery walls less flexible and eventually can lead to systolic hypertension ( an elevation in the top number), but there is no evidence that this process can be reversed once it occurs or that doing so will lower the blood pressure.
When atherosclerosis develops it occurs within every blood vessel in the body and is a complicated process that begins in our teen years. The plaques are not simple globs of cholesterol, but a complex structure made up of cholesterol, several different types of cells and proteins all imbedded deep in the surface of the arterial wall. There are many other things that probably contribute to the development of hypertension, and development is the operative word. There are most likely a series of changes that occur over time each leading to other changes that then result in hypertension. Some of these steps are most likely irreversible on some level. Hypertension is primarily a result of two things. Genetics and age. If you’re born with the right genes and you get to the right age you will get hypertension. Environmental factors do seem to play a role in preventing or at least delaying the onset of hypertension, but once you have hypertension the role they play is a minor one.
Luckily treatment for hypertension is very effective, relatively easy and inexpensive ( there are dozens of good generic drugs available). Keeping it under control is one of the most effective ways of extending your number and quality of years on this planet
Dr. Macgyver: It is a joy to read your interesting and to-the-point responses to my questions about HTN. Thanks for the good news: Luckily treatment for hypertension is very effective ... But may I ask:
Are there serious side effects caused by the treatments?
My family doctor, who prescribed HTN drugs for me, for the first time—not long ago—mentioned “swollen ankles” as one side effect.
But he made no mention whether or not this is an OK, or a serious, side effect.
What else should he have added to his comment?
Is HTN strictly a physical disease?
Or are there mental and spiritual components?
Dr. Mackyver, a word of warning to you: I was born asking questions.
Born January 14, 1930, all my life, I have been addicted to curiosity—a compulsive question asker—ever since. Please feel free to cut me off. If you are still in active practice. I want to take it easy on you? Are there other threads here to which you write? Is there a guide in this forum where I can follow what is going on?
ARE YOU A FAMILY PHYSICIAN?
Is it too much for the public to expect that doctors be like?
http://www.patchadams.org/Gesundheit_Institute_speakers
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http://en.wikipedia.org/wiki/Patch_Adams
As a minister (with education in and experience in pastoral psychology) I soon became aware that many family doctors and their families were not what we call “paragons” of health. For example, one family doctor we had—about my age (early 50’s at the time)—took his own life. Another, with serious cancer, had to retire. Any attempt I made to discuss family, holistic and community health with them was met with silence.
ONE FAMILY MD I REMEMBER, FONDLY
I do remember, fondly, Dr. Ed M—a lover of skiing and mountain climbing. When his marriage went sour, he chose to go to Kamloops, British Columbia, Canada. That was years ago. While in North Toronto, he participated in a health-education programs put on by the Family Life Foundation—a volunteer-operated and registered charity http://www.flfcanada.com (founded in 1973) which I helped start.
Dr. Ed.—despite being busy managing a practice—did agree to serve as a member of and a consultant to the Family Life Foundation. He made time to come to our board meetings and—time permitting—he came to group programs sponsored by the FLF. There, we set aside a block of time for people to ask questions about their health and the health of their families. It was an enjoyable time and learning experience for all involved.
Before then, or since then, the King family have not had a family doctor with whom we have really felt at ease chatting about the important issue of health.
ONE FINAL QUESTION—perhaps a silly one: How many other doctors like, DR. PATCH ADAMS, are there out there? Surely there must be one or two in a city the size of Toronto?
Surely, there is more than one of you in a big city like Toronto, eh?