81 Comments
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Russell Schierling's avatar

I've been writing about this for decades. But to see the whole enchilada in one place..... Devastating! You've done it again, Unbekoming!

INGRID C DURDEN's avatar

While living in Belgium for 40 years my blood pressure was measured about 4 times. 'bloodwork' was done twice, both times before surgery. I had never seen the doodah on your finger that supposedly measures oxygen. When I came here I was astonished of how many unnecessary tests were done. In Belgium you see the doctor - there is no sign-in paper, questionnaire and 2 or 3 nurses who ask you what you filled out on the questionnaire again. You tell the doc what is wrong, and are asked relevant questions. the numbers there are still a few years behind - I will still ask when the doc here tells me this or that is too high or low, and he laughs and says, they consider that bad over there? Jeez! You are fine, don't worry.

Exactly like you explain to the 6 year old what happened. I absolutely love that part of your articles! It is a meme in words.

Henry Lahore's avatar

Of the 12 thresholds, 4 were initiated by WHO. Of the remaining 8, only 2 (Diabetes and CKD) were generally accepted by other countries, and 2 were ignored by most other countries. https://claude.ai/share/917b9ac6-0f00-4c49-b533-63c7b27dee36

Canute's avatar

"....unnecessary tests.....?" There are 19,600 lawyers in Belgium. In the U.S. there are just under 1.4 million of them. There is the reason for the unnecessary tests.....U.S. lawyers file malpractice suits as frequently as the normal person urinates. Tests are a CYA protocol, nothing more.

INGRID C DURDEN's avatar

As always. Follow the money!

Canute's avatar

Exactly.....allopathic "health care" in the US has almost nothing to do with human health.

Rebal's avatar

Where are these when real, life changing errors were made, not just once? Cant get them, in my area, to take a medical malpractice case

Very Private Investigator's avatar

Good to hear about the differences which I often wonder about.

When I hinted him, our doc here in Belgium once claimed, "We heal," "We *are* allowed to heal." This while you read every single day from docs and nurses they are *not* allowed to claim that in the U.S. I wonder if that is a difference as well or if our doc painted outside the lines and I can bust his a**... :) The guy gets on my nerves BIG TIME!

INGRID C DURDEN's avatar

Health care in the US is sick care. Most doctors make sure you come very often. I know people who go to different docs 3 times a week. It is crazy, even those without any coverage from insurance run down the docs door. And when you have something urgent, you have to wait 2 months! Thankfully I found one who is in an emergency clinic, they will take you whenever someone does not show up or is late for an appointment. I hear it got way worse in Belgium in the 23 years since I left, but Dad 's retired doc made it a point to keep his old patients, which I appreciate greatly. Trust your doc he does not exaggerate

Very Private Investigator's avatar

I've read too much to ever trust a doc again... ;) OTOH, I've managed to keep ours out for over a year, and only then he became pushy as he has to record mum's blood sugar, I understand that. No new prescriptions from him so far (after the last doc). The previous doc damaged her thyroid and a heart valve with a Cipro abx prescription -- a criminal product!

But again: good to hear the difference -- thx. I guess it's like "everyone" having a psychologist in the U.S. while I have hardly known anyone here who went to one. I do get a feeling it's increasing a little here too.

I think the long waits only started after Covid here -- not sure. Probably it was already going on because of less medics available in general. I hear you can't just pick any doc anymore here -- they have to be from the neighborhood, like in Holland, AFAIK.

Maybe in the U.S. you can still pick anyone?

INGRID C DURDEN's avatar

Sad to see damage done!

Psychologists are merely for the rich who have time to go. Regular people here, cashiers, workers, etc. have no time for that crap. Some have to work 2 jobs to get by. 40 hours a week still here, after 2 years you get the first 2 weeks off. Day work, late and early shift, night shift, all at the same lousy pay (in this state still 8 $ an hour). White and blue collars very differently treated when it comes to holidays, too. No income at all when sick. I fell off my chair when I heard all this LOL. Workers just a bit better than slaves and don't even realize it. Some doctors offices are only open 4 days a week, taking Friday off. You can go to as many doctors as you want here. The more the merrier! I know that Dutch system has been in use for many years, I even know people who moved because of that. We only have that here with state schools - kids get picked up by the bus from the school. Only private (very expensive) schools you can chose and then have to bring your kid yourself.

Rebal's avatar

Foif in dust reaw web bo woo ton. New frontier

Clark Savage, Jr.'s avatar

My question is did the expansion of criteria result in improved patient outcomes?

The answer appears to be that some expanded categories include patients whose clinical outcomes demonstrably improve with treatment. However, the incremental benefit of moving the diagnostic boundary is often uncertain, particularly among the lowest-risk people newly included. Vitamin D insufficiency and mild TSH elevations offer especially weak support for routine treatment; selected osteopenia, cardiovascular, and kidney-disease populations offer clear evidence of benefit.

Financial conflicts warrant scrutiny, but they do not settle the outcome question. The strongest defensible criticism is that each expansion should demonstrate a favorable balance of benefit, harm, and burden in the newly included population. The article substitutes a universal claim of failure for that category-by-category assessment.

Barbara Charis's avatar

America was # 1 in World Health In the 1940s and people were far healthier than they are today. There was no obesity. People did not go to doctors regularly; only if they had an accident or problem. I believe the reason for this was...the majority of people had less money for food; and did not eat out. In addition, as people did not go to doctors regularly, they were not on drugs and did not receive vaccines. Intelligent people who have done any research in regard to the human body know that the only thing, which belongs in the human bloodstream are nutrients from natural food; not lab-created products designed to enrich manufacturers..

fuzzi's avatar

The food wasn't designed to addict, either. Most students in my high school weren't overweight, we ate well, were active. Fast food arrived, sugar was removed, corn syrup and HFCS replaced it. There's more, but imo that was the start for increasing health issues.

Barbara Charis's avatar

Processed food has been deliberately designed to hook people's taste buds...with the added sugar/HFCS, salt and fat. Most people in the 1940s did not have the money that came along later...which made it easier to get things one shouldn't eat or do, like drugs.

CD's avatar

Very well-stated!

Robyn S's avatar

Ah, the good old shifting of the goal posts. Never ceases to amaze me how easily people fall for it!

Sometime my chiropractic patients would bring in their blood tests so I could have a clearer view of what was going on. I watched goal posts shift a lot over the years: cholesterol levels, iron levels, TSH levels; it all just kept changing. I even found out that certain levels eg for iron, was determined by looking at studies on...men! I mean, women menstruate. And they're smaller. Surely we should expect different levels between the sexes? But no, it would seem the medical cartel/pathology clinics did not think so..!! I'm sure some (better) clinics do, but the local blood test results I viewed always had both men & women with the same iron range. So many women felt just fine, yet were under the normal range of iron and told by their doc they needed to supplement with iron...and most just got constipated, even taking the iron supplement with vitamin C! I explained what was going on and they were a lot happier after that.

When it comes to BP medication, I actually found quite a few patients were moving towards lower BP after a while. Their chiropractic care got them on the right track, but they were still taking the 'same' level of BP meds. It seemed all too often I was telling patients they probably needed to drop their BP med level and go back to see their doc to get the script sorted! And then of course I also had those patients being 'treated' for high BP, and their systolic BP was up near 150 most of the time, and I had to ask, are the pills working?! I had to do WAY too much of a medico job in the country town I used to work in. I swear I should've been paid double! I was doing their bloody job for them half the time!

I was seeing a medico once, to (foolishly) figure out my health problems, and my TSH had dropped from 1.5 down to 0.5. Even with seasonal fluctuations, this was more than that. But because I was still 'in range', he said there was no problem! I'd lost a fair bit of weight, I was having gut issues, and then some. Turns out I am Coeliac. I head into hyperthyroidal territory if I get glutened too often. So now I'm SUPER careful about my food (never eat out; I make my own. House is also completely gluten-free), my weight stabilised, and I don't see medicos any more!

I'm sure some people have a good doc who's fairly on the ball, but most docs out there have NO idea about what Health is - because they just follow 'protocol' and don't even bat an eyelid when the goal posts shift.

Unbekoming's avatar

Thank you for this. Practitioner data from years of patients trumps almost any single study, and what you're describing (BP patients over-medicated as they improve, TSH "in range" missing coeliac) is exactly the pattern the essay's arguing about — the numbers on the page not tracking what's happening in the person. The iron-range point is a good one and wasn't in the twelve; I'll note it.

Robyn S's avatar

Ha ha, EBM (Evidence Based Medicine - for ppl who don't know that one) would suggest that practitioner data is 'low evidence'! Yet again, another goal post that the medicos like to shift, as well as rely heavily upon (because Big Pharma can afford to fund expensive double-blind 'gold standard' trials - but lone practitioners can't!).

But like you, I also find practitioner data far more useful than most studies! You work long enough, and see enough patients, and patterns arise. Then you talk to other cluey practitioners about this, and realise your patterns are...similar...

Thanks for noting the iron range. Doing basic searches now, there do seem to be differences for iron/ferritin etc levels suggested for the sexes & ages, but that wasn't the case up to 5 years ago in the locality I used to work. The path labs really did provide just one standard range for both sexes, and no-one seemed to much care about what age the patients were.

fuzzi's avatar

I have read that people are suffering from an excess of iron, and that the only way to lower it is by donating blood. Would love to read more about that.

Natalie Riehl's avatar

I have tested high for ferritin. My naturopath has given me therapeutic phlebotomies to lower the ferritin. He took only 250 cc instead of the 500 cc that they take with a blood donation. In the US, any bread or flour sold commercially has added iron, so that would be one reason people have excess iron. I felt better after the phlebotomies, especially energy-wise. It's been 18 months and my ferritin is again creeping up. Look up hemochromatosis, a supposedly genetic condition that causes high iron. However, I shelled out the dollars to have a test, and I was negative. Then, my naturopath told me that other factors could also account for the inability to move too much iron out of one's system.

Mom2theG's avatar

Hi - could you expound on what you were recommended to do to naturally move more iron - terrain, out of your system? Ty

Rebal's avatar

Several.people I know now. What IS that?

Sheila Wise's avatar

I was diagnosed with Osteopenia in 2019 and given a prescription. Once I read the prescription insert about the femur bone breaking, I got rid of the prescription.

In the early 2000's, I was told I had high cholesterol and put on a statin. Within 30 days my body was in such horrible pain, I stopped taking the statin. It took about the same amount of time for my body to get back to feeling normal.

Since 2020, I have been kicked out of and banned from different medical facilities for refusing tests and medications.

I am healthier now than I have been in decades.

Quit listening to the drug dealers/pushers.

Rebal's avatar

Same same! Keep it up!

Jillian's avatar

This is an excellent article. I love that it provides the original numbers and shows how recently it changed. I can use the older numbers!

Crixcyon's avatar

All these silly numbers are suggestions. No two people have the same exact make up and the same things going on in their bodies.

Sheila Wise's avatar

That's the biggest problem, everyone being treated exactly the same. It's textbook care. They never heal anyone and the words "First, Do No Harm" have no meaning any longer.

David Kukkee's avatar

I have experienced the doctor's goading on several of these 12 categories. The most amusing was last year, a Nurse Practitioner was assigned to give me an annual medical for my license renewal. However, according to the "chart" I was recorded as being "obese". This is hilarious, because I am not even close to being obese, or even 'fat'. I am visually regarded as 'slender' or 'fit', and have been included in the top 5% in North America for a long time, regarding proportions of lean muscle to body fat. But, the chart says what it says. This year, another Nurse Practitioner announced on the form that I have "heart disease", and my license is now in danger of suspension if I don't prove otherwise by the end of the month of October. I do not have any heart disease. My Cardiologist says he will send the corrections on to the authorities next week. In is rather disturbing that some bureaucrats and some doctor wanna be's have such power to obfuscate the truth and create havoc in one's life. One is inclined to wonder if it is done intentionally.

Sheila Wise's avatar

Nurse Practitioner are incompetent licensed puppets.

Rebal's avatar

Many trained to follow the protocol. I love mine from her being in the ED when I broke my ankle. Dang PA, trying to prove his worth, I imagine, heard it was a dislocation and marched right in, grabbed my leg and yanked as hard as he could. He didnt seem to have heard it was a compound fx. Ended up being trimalleolar. Still today the muscles/tendons feel twisted. I often wonder if he caused some damage. 5 years later, still very stiff and painful.

Sheila Wise's avatar

You just said it, "trained to follow protocol!"

Just give me the book they read and I can take care of myself, if their book was correct! 🤔

Rebal's avatar

She went on to become APRN and opened her own clinic. I can see her w/o the very long wait to see my dr, even in emergency.

Rebal's avatar

I have also had some new "anomolies" added to my chart

Debbie Brant RHN's avatar

Another great article. The only thing I would mention is that it's not the worst thing to lower the TSH threshold to 3 because by the time it rises to 5, many women have been dealing with fatigue and other mystery symptoms for a while. Not that Levothyroxine is the answer but at least having an idea that the thyroid gland needs support is helpful.

Very informative on the osteopenia medication side effects…shocking actually.

Very Private Investigator's avatar

Yeah, it is a weird entry, so to speak :)

AFAIK, they deliberately sabotaged the timely detection of hypothyroidism since the TSH test from 1971 by defining margins that were way too wide. IIRC, they started with even 10 or 12 still being "fine" or "subclinical." Even if they lowered it a few times since, it is still too wide.

According to Ray Peat you start producing mucin and having effects with TSH 1. Ideally you should have between 0.4 and 1, or to be generous: at least under 2? Anything above should get your attention, IMO.

You would expect them to lower the margins to sell more levo, but the problem is it would come close to start healing a true cause of so many problems bringing in money. OTOH, not really, as for most levo doesn't seem to help much at all. I've read that only 1 in 5 women's livers can convert T4 to T3. Doses would be too low too. In that way they are safe to lower the margins -- more sales, healing very little...

The danger of the lower margins may be that people could start to wonder more what is causing their TSH* to rise -- as this is caused by many meds/supps damaging the thyroid and wrong (dietary) advice. My suspicion is they set margins wide so that wouldn't be suspected and they can go ahead damaging the thyroid, bringing in WAY more money from people trying every med in existence in hopes of relieving their "mysterious" illnesses...

* I know TSH isn't the only thing and a knowledgeable person will look at many parameters.

Debbie Brant RHN's avatar

Yes some many points to consider. I think you're right about taking at closer look when TSH rises above 2. That's when the other thyroid tests should come into play to get a better picture and get a handle on it sooner. It would have personally saved me well over a year of dealing with 'mystery symptoms'.

Sheila Wise's avatar

Iodine! It's what the thyroid needs! It's what the government took out of people's lives many years ago!

Sheila Wise's avatar

Thresholds are one of the biggest scams in medical history!

Luc Lelievre's avatar

It’s truly devastating to see such people rise to the top of our nations.

ZuckerRat's avatar

How about breast cancer? How many healthy women have been killed by chemo, treating a cancer that likely would never have advanced fast enough to affect them??

Natalie Riehl's avatar

I spoke with a woman recently who was proud to be a "cancer survivor," along with two of her daughters. I thought (incorrectly) that she must have found a lump as big or bigger than a pencil eraser on her monthly self-check exam, that is, something she could actually feel. Nope! Her cancer was (maybe) the size of a pinhead. It was itty-bitty. But she had a total mastectomy! And six months of chemo and radiation. And is now, at her last check-up, cancer-free! When I last refused a mammogram, the doctor said derisively, "So you are turning down all treatment for cancer if you have it?" What a f*ing weird question!

Shelley Hendrix's avatar

My favorite diaGNOSIS is “pre.” It’s non-information. It’s a seed to drive you in a direction but it is non-information because we are all pre-death if we are alive and something will cause our deaths.

You can have zero “pre”-fill in the blank health issues and still be pre-death from an airline crash later that day.

So we are always pre-something. Gnosis is crap - diagnosis and prognosis. The secret things belong to the Lord.

David Rinker's avatar

Big Pharma offers the only cure for Predeath Syndrome, that is death.

Luc Lelievre's avatar

Indeed, that is the exact timeline it followed... I fell into all of these traps, except maybe one. The COVID-19 vaccine psyop... enough was enough.

INGRID C DURDEN's avatar

The only thing the new doc could try on me was metformin, and I got so sick from it I thought I would die. So I dropped her and went somewheres else. She tried to get me on blood pressure meds but I bought a measure myself and found it normal most of the time. Haven't been back, but at least this one was less pushy. We have the luck to have a vet who only requires the mandatory rabies shots, will take the 3 year (exactly the same as the one year but more expensive) and will even tether before injecting it. I told him I might just go there and be registered as a big white ape.

Tatiana's avatar

I always suspected this chicanery ,back in the day when i did go to doctors( mainly for blood tests ,I wanted to see if it was any changes in my chemistry as I went from being a semi vegetarian to a paleo ishy Weston A Price way of eating ) my vitamin D always came back below normal ,like 26 ng/ ml ,my cholesterol was always around and over 400, of course I did receive recommendations for drugs and diet changes( back to a plant based diet) ,which I did neither , that was 30 + years ago and I’m doing very well thank you very much

on the other hand , all my friends that followed their doctors recommendations are softly imploding and on more drugs .

It’s not complicated ,eat real food ,use your own brain and trust your beautiful god given beautiful design.

Thomas's avatar

We are all in grave danger unless we go to The gatekeepers of health and life and receive our shots of salvation and our magic bullets.

fuzzi's avatar

From birth, even.

eileen's avatar

The goal is to get everyone on some sort of drug to start the cycle of toxic side affects, creating more prescriptions for more side affects, until your insurance company says no (when they can no longer manage the risk for profit). The more pills, the more money that gets sucked out of your wallet into their bottom line to bribe more health officials to approve more drugs for made up diseases and syndromes.

When we say no, they use our animals and capitalize on our desire to do what's best and use fear to get us to accept putting poison into our pets. Being good neighbors, we pick up our pet's waste and voila, now we are infected with the latest designer, lab grown bug. Maybe from China, but more likely from Ft. Deitrick. A question that always bothered me: was China scapegoated for COVID?

Solution: stay away unless you suffered trauma and refuse all life saving treatments including blood transfusions while there. Use the money you save by buying better quality food, if you can and cook your own food. This provides a great incentive to learn how to cook. If you have a pet, ignore the vet's notice to vaccinate and if the vet refuses to see your pet, take one of those online classes in how to be your own vet and when you need to see one bite the bullet about the vax. Make your pet's food; it doesn't have to be raw.

Rebal's avatar

My friend finally found a home for her beautiful cat. She had 2 brothers- littermates. 3 years old. Very well cared for, indoor only. They loved each other well...until. about a year ago they went to the vet, got all their vexxxes, cause thats the good cat momma she is. Immediately one went mad! No story...behavioral training, ceiling to floor gates put in, waking several times in the night to make sure both cats were cared for..one forever traumatized, the other eternal mad cat, attacking w arched back, fur standing on end. Even tail all puffed out, attacking his brother.

About a month ago, during a tv football game, the cat went wild again, after s few good days- so they both were out.

I think he may have attacked her, but she wont talk about that.

Immediately she put the healthy, but traumatized one up for adoption. After several interviews, she found a hopeful family- two young people just planning their lives together ...and know and love cats.

Its quite crazy! But I did have a couple clients who seemed to go through that also, following the...uhmm...who ha

fuzzi's avatar

When I was in high school, mid 1970s, I recall learning about our health. Normal blood pressure was 120 plus your age over 80.

Ever wonder how that changed?

🤑🤑🤑

Yep.