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My son is starting his 3rd year of medical school and that stat about female doctors is spot on. I did not go to medical school because I wanted to have a family and didn't see how it could be done. So I went to law school and our attrition rate is even higher:70% quit by 7 years. I didn't have a clue what my alternative profession was like, and had I known, I would have felt a lot better about med school! So I am here, paying you $5 a month to gain access to the medical info I want and to be entertained by the drivel.

MD was self employed, so that's a huge difference, she had more control. That's key. All the female attys and doctors I know who are happy are all self employed,myself included. Life is too short to deal with all the bureaucratic bs you get working for someone else. Kudos to you for starting your own clinics, the sous vide company, MD's fiction, the PP books.

With fewer private practices, I suspect the percentage of women getting out will escalate if they can afford it. My sense is the attrition rate is actually lower than it could be because average med school debt is $250k. Some has to pay that back.

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I didn't realize the attorney attrition rate was that high. You're probably right about the private practice in terms of doctor dropouts. Once you've made the investment to start up a practice, signed leases and all that, it makes it tougher to quit.

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"One of the other almost absolutes in medicine is the triglycerides divided by HDL levels give a pretty good indication of cardiovascular health." I told that to my Doctor a couple of weeks ago since he wants me to start taking statins even though my triglyceride to HDL ratio is less than 1. He says that ratio has nothing to do with cardiovascular health. This is a Reagan UCLA Medical Center faculty practice Doctor of more than 20 years experience. He also doesn't want to prescribe Metformin for "pre-diabetes" because "pre-diabetes" is not a disease. And he thinks it doesn't matter how high your liver enzymes are as long as they are within the acceptable range. Yikes. How do I go about finding a clinician I can trust? This is a real problem for those of us who don't have a doctor in the family.

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Finding a good clinician is almost like finding a good spouse. It's a matter of luck. Unlike a spouse, it's a lot easier to ditch a bad clinician and find a new one. In my experience, the more academic merit badges a clinician has, the more he/she tends to hew to the guidelines, which, as I have written, are basically set by the drug companies in an effort to sell drugs.

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I have Dignity Health insurance with Mercy Medical Group for medical care. I also have VA health care benefits. I have come to conclusion that all of the doctors are required to follow Mercy's policies and guidelines with independent thinking not allowed. Same for the VA. I think this is probably the same for all of the big medical groups. Maybe Medicare, for us seniors, would be better insurance, allowing us to choose independent doctors. Do you know of any drawbacks to using Medicare for primary care?

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I don't know any drawbacks to using Medicare for primary care. But I'm not an expert on Medicare.

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As for Doctor crisis, one solution is to have nurse practitioners handle more of the routine medical care. Nurses are predominately women and they seem to have extended careers.

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That's already happening right now. Nurses and Physician's assistants.

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I still find PTG annoying as hell, supercilious and smug, so I'm not surprised that he puts himself in the group of "real thinkers" but I think he is just another leftist shill. My take is that Democrats think they can beat Trump, so they think the indictment will help Trump win the Republican nomination but keep him from winning the election.

I'm still waiting to see which of us is closer to the truth about the War in Ukraine. I think events are moving in my favor, but I expect PTG will have a clever explanation for why whatever happens is what he predicted would happen when looked at the right way.

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I enjoy PTG's ruminations. And I really enjoyed his book. I think he has a lot of knowledge about the various supply chains, demographics, manufacturing capabilities, etc, of many countries throughout the world. But, like most people who are politically inclined (myself included), he lets himself be influenced somewhat by how he wants things to be rather than how they are.

As to the war in Ukraine, he has always been of the opinion that the Russians are going to ultimately prevail, if for no other reason than they have countless troops they can throw at Ukraine. But he may be changing his mind. Here is a video from just a couple of days ago: https://youtu.be/qEe6yySL6ps

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I tend to discount anyone who brings up the Treaty of Westphalia, a sign of the pedant. But I have friends who like soap operas or horror movies. I just don't understand the appeal.

I can't seem to find the thread of our earlier exchange but I thought we left it with PTG and I having opposite views of the likely outcome of this war, and reality would be the final arbiter. My view has always been that there is no possibility of Ukraine winning this war or of Russia losing it. If PTG thinks Ukraine has any chance at all, then his position hasn't really changed. If I say anything more I will easily slide into a rant. As Mary McCarthy said of Lilian Hellman, "Every word (s)he writes is false including "and" and "but".

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That Mary McCarthy quote re Lilian Hellman is one of my favorites.

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"Get a terrific tech customer service lady who again puts me through the troubleshooting process with one additional step that solves the problem. Bam. All the power is back."

Dr Eades, don't leave us in the dark (ha!), what was the additional step?

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A breaker needed to be reset. Sounds pretty basic, but it was not like it sounds. One of the breakers was in the neutral (for lack of a better term) position. I told both of the Tesla tech folks I talked to about it. They both asked me if I could push it to the right, and I told them I couldn't. I asked if that could be the problem. They both said they didn't really know and had me doing more checks on this and that.

When I finally got to the last lady--the really knowledgeable one--she put me through all the paces and asked about the breaker. I told her it was in the middle, but that I couldn't get it to click into place when I pushed it to the left to match the other breakers. She told me to push it to the right. I told her both the other reps had asked me to do that, and that I had tried pushing it to the right at least 20 times. She told me to push really hard, which I did and it didn't move. She said it may take pushing it to the point that it feels like it might actually break. But it won't, she said. So I threw all my weight behind it, and, Bam, it clicked to the right. I then threw it to the left, and all the power came on. Without her encouragement, I would never have pushed it that hard.

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My guess, based on some anecdotal evidence, is that the dramatic relation between carbohydrate intake and triglyceride is unknown to most physicians. (I work in a medical center and everybody knows the impact of evidence based on lunch tine conversations). Insofar as it's true it is because it not widely taught or discussed. An indication is a review a couple of years ago by American Heart Association on triglycerides that did not mention low-carbohydrate diets. Of course, the people that wrote the reviewer may have been unaware of that fact. It is hard to see how you would do research on triglycerides and not come across that but that's how it is. .

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It truly does beggar belief that someone (or many) would write a paper about triglycerides and not mention carbohydrates. I have not seen that paper. Or, if I have, I immediately forgot about it.

l love "evidence-based medicine." You can find 'evidence' for whatever you want to do. Just like it was "evidence-based" that the Pfizer mRNA vaccines were 95 percent effective.

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Just want to say that I love and look forward to your articles every week now and I just found you. Worth every penny to subscribe and support and just want to show my appreciation. 🙏🏻

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Thanks very much for your support. I really appreciate it.

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The scam is worrying, especially checking if you are old, with all that detail about the Tesla problem. It's always good to post about this to keep reminding us all that criminals are inventive.

As your praise of female medics, I always have my hair cut by a woman.

I will give Workona a go, please give further feedback when you get stuff sorted.

On a ketogenic diet Thomas Dayspring recently posted “Dramatic elevation of LDL cholesterol from ketogenic-dieting: A Case Series”: https://www.sciencedirect.com/science/article/pii/S2666667723000363 It seems to me you are meant to assume that LDL & that cholesterol are bad, but in this case maybe that LDL elevation is doing something needed. I know Dave Feldman has done a lot of work on lean-mass hyper-responders.

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Thanks for the Dayspring link. He is a lipidologist. No lipidologist wants to believe that lipid levels don't matter all that much.

If you try Workona, make sure to watch the videos first, so you can avoid what happened to me. Of course, I doubt that many other people will have 300-500 tabs open at one time.

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I started watching the videos.

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It just occurred to me that removing all that visceral fat would need transport by LDL.

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Not really. Fats released from fat cells travels through the blood attached to albumin, a protein made in the liver. Albumin drops the fats where needed and facilitates its uptake.

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Thanks for the correction.

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Love the drivel. And look at the bright side. At least the guy who wrote that to you didn't misspell it. I'm sure you know what I mean...

As for that attempted scam or whatever the hell... You really had me doing the no. no way, holy shits! as you're on the phone, guy is screaming out of eyeshot, and sounds like dogs...not YOUR dogs, mind you...are tearing him limb from limb while another guy on the phone is admonishing that you call YOUR dogs off ...and THEN....

Gotta be true. You couldn't have made that up.

LOL.

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Apr 7, 2023·edited Apr 7, 2023Author

It was definitely not made up. The issue for me--after it was over and I thought about it--was why did the guy do it. He wasn't trying to scam money out of me. He obviously was familiar with the Tesla roof system. He never called back after I hung up on him. I don't know what is game was. A practical joke? How did he even know the Tesla roof wasn't working in the first place. The whole situation was unreal.

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Yep, and you conveyed all that so well in the post—in case you have any doubt—that I feel entirely as bewildered as you do. It's like a great mystery you want to solve because it just makes no damn sense.

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Apr 7, 2023·edited Apr 7, 2023

Dear Mike - I very much enjoyed reading the Tesla roof power drivel this morning, though I’m sure you didn’t enjoy the hassle you had to go through. It does sound like a very strange practical joke rather than a scam, especially the sound on your phone of the guy Scoby being attacked by dogs….but what would be the purpose of a scam like that ?

Re women doctors - the same kind of thing is happening here in the UK, but here many women doctors become GPs and work part time which is not so good for patients. I have a wonderful GP, one of the best GPs I’ve ever had BUT she only works one and a half days a week. She gets booked up way in advance and patients often have to see one of the other GPs at our practice - all part time women apart from one man - and that means less continuity of care - a patient’s medical notes are one thing but getting to know the patient means real continuity of care which is being lost in UK general practice.

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I totally understand about the continuity of care issue. There is a big problem looming over here in the veterinarian business. I have some real insight here as I am close to an insider. People have gone pet crazy in the US. And they all treat their pets as it they are part of the family instead of, well, pets. Consequently, the vet business is booming. But most vets who have large practices are men in their late 50s/early to mid 60s, who are thinking of retirement. Or at least looking for someone to come in as a partner to their hugely busy practice. 85 percent of graduates from vet school are female. Most want "lifestyle" jobs. In other words, the want to work only a couple of days a week. Or want to quit at 2:30 to be able to pick up their kids from school. It has created a crisis. These older vets want someone to partner with or to take over their practice, and instead of hungry young vets who would pounce on the opportunity, they have to deal with people looking for "lifestyle" careers.

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Dear Dr. Eades, I would greatly appreciate if you would start with your ideas around cancer and low carb/keto next week. I bought and read The Cancer Code, great suggestion, everyone should read it. I’m a big fan of your writing and thinking, now quit teasing me about this topic and it done! Melinda

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I'm going to try my best.

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Dr. I have a question about a housekeeping issue. I have been enjoying the arrow since it’s inception. I am especially thankful that covered the whole Covid fiasco. I talked about what you were saying often enough that my husband recently decided to start reading the arrow. Now that you have begun a subscription status, I was happy to subscribe. But does my husband have to pay a separate subscription so that he will also get the full version? I read on my Chromebook, but he reads everything and watches everything on his iPad. There must be a simple way around this, but I haven’t figured it out yet. Thanks.

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Your comments on Presidential voting are appreciated. I note that a favorite I have for next year 2024 is RFK Jr., whom Bloomberg called a 'vaccine quack'. I would reserve that description for Dr. Fauci, and would welcome the Kennedy era's re-opening - this time on RFK's promise to separate Congress from corporate America. I think he can win, but the DNC won't allow it, as he'd take their lobbyist T-Birds away. Can it happen?

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I was so involved in writing the newsletter that I missed that RFK, Jr. had thrown his hat in the ring. I didn't read about that until after I had hit Send. I think RFK might give Biden, whose approval ratings are in the basement, a run for his money. It would also put the neocons and the uniparty in a tough place. They might actually prefer Trump to RFK. Jr, and they loathe Trump.

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I liked your comment about hate and divisiveness. My friends in English Department say that self-reference is the sign of real art. We go way back so I’m used to it but if you think there is anything that the defendant could have done that offsets the evil, you’ve really lost it.

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Apr 7, 2023·edited Apr 7, 2023Author

I'm not sure who you mean by the defendant. Trump? If you are referring to Trump, please elucidate the evil he has perpetrated. Mean tweets? Hassling the press? They gave as well as they got. I'm just curious.

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That's what we call him. If you have to ask...well, one possible. I believe he killed Hydroxychloroquine. This of us who knew it was helpful, hesitated. And as for the base. I bet none of them took it because they assumed he was lying. Just a guess.

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"If you have to ask..." is a cop out. Trump did not kill hydroxychloroquine. In fact, he issued an executive order to make the national stockpile of hydroxychloroquine widely available to the public. He was thwarted by Dr. Rick Bright. You can see Bright talking about what a hero he was to do so right here: https://www.bitchute.com/video/WHIktyjGEPcF/

You can't blame this one on Trump.

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My mistake. Prefer to cop out. After all, manners is just political correctness.

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Hi Mike - I think the "scam" was in the bit about you being old (what a joke!) - whoever they were sending out was really going to get into the house while you were out trying to find the dogs and Scoby and perhaps rescue him - or walk a long way off looking for him? Who knows but I don't think it was anything innocent. However, your writing about it was hilarious. Please keep up the drivel, if that's what it was - and I don't think so. How, for instance, did they get your kids' cellphone numbers? Too weird by far. And thanks for the information about fat - being on prednisone for 2+ years has made it an annoying battle. But clearly a worthwhile one. As far as the chunky basketball player goes? Maybe his sheer girth keeps other players off guard and further away from him than they would be from the rest of the group. That said, his passes were brilliant. Thanks again for your wit and wisdom.

Marcia

just a few typos - hope I didn't miss any:

MD got online to check in an outage had been posted

. . . if an outage had been posted

learned how to us the app.

learned how to use the app

The beat goes on When I tried

Need a period after on

McCarthy was on the Fox news show of a real anti-Trumper.

did you mean "as a real anti-Trumper"? (I didn't know Fox News had a real anti-Trumper on their staff - and here's a good one: each time I tried to write anti-Trumper, auto-correct changed it to "anti-trumpet"! As they say in the old country, WTF??)

Which he then did, McConnell told him

need a semi-colon or period after did

Before we get leave this section

drop "get"

I could even go ahead an operate.

and operate

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Fixed them all. Thanks.

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"You don’t want far right and far left judges on the bench." Which far right judges have been appointed and confirmed to the U.S. Supreme Court? More like far left and moderate centrists. In this world feelings and intentions prevail, and leftists have the noblest of intentions. They want to make everyone safe, to make people feel good and to do it with an ever-increasing bureaucracy regardless of the cost. The "nuclear" option favored the far left who otherwise would not have gotten judges appointed.

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I agree re "far" right and "far" left. If I were to go before a judge (god forbid), I would much prefer he/she didn't have a political dog in the fight. In the old days, when judges made a ruling, it was reported as a judge ruled this way or that. Now it's reported as Judge so an so, an Obama appointee or a Trump appointee... Which makes people feel the decision was politically biased.

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