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Silversea Water Cooler: Part 3, Welcome!


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Greetings Coolers!

 

This looks interesting J! Is this a guessing name like "Name That Tune?" except it's for food? "Name That Dish"? :)

 

No guesses here. My dish knowledge is limited but my enjoyment is not! :)

 

Have a great day all!

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Good morning........I went to the Dr yesterday. I have to go back to the lab for another set of tests.:eek: He wants to make

sure the kidney number is still in the good range before changing anything else. I did ask questions but he is not sure

why the glucose went up to begin with.......it was my A1C that went up. Well, then it got better. He seem to think it

might be due to my cancer meds (which I am NOT stopping) and he doesn't expect me to. It just seems the glucose

number is higher in the morning but it is in the good range in the afternoons........we discussed going to a specialist

but I really don't want to:(.......that Diabetes folks will probably say I have to do Insulin........but if I can control this with

diet and meds I want to do it this way. So, I am just continuing what I am doing now for the time being. He doesn't

want to give me any new meds yet until we see the kidney numbers again.

So, for 57 years I was doing quite well health wise..........the 58th/59th years have totally gotten a mess:(

 

Sorry for rambling:eek:

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JP .... you should have said! Our supermarket now sells a sache of fresh katsu curry and it is delicious. So much stuff these days makes you not need to scratch prepare. Could have done with two though!

 

L, a few years ago I had some bad highish pre-diabetic readings and was given the monlogue of death by my doc. He is old school and believed as he put it that it's progression was inevitable etc and told me so. I told him I thought it was a temporary blip due mostly to a seven day nuts and punch safari in Vienna where I had abused myself and taken in as much alcohol and fruit and syrup as anyone known in history. I had a reading a few months later and it was just below. I'm supposed to have annual checks, but I don't because I do all I can anyway and if it were higher I do not want any more medications in my life.

 

I am not giving YOU advice, but I believe that when we reach a certain age I think we can be a little more circumspect about all this prevention malarky. What many seem to forget is that all of us are going to go at some point and avoiding one possible cause that has say a 1% greater risk if we ignore it, doesn't prevent the medical bullet with our name on it finally getting us at a date of it's choice. I made the decision some years ago of cutting out the annual blood tests etc and keep an eye on my own blood pressure. It was all stressing me and in many ways still does. When I think of it. We must also remember that the readings are seemingly apporached as though they were cliff edge. A slight bit under a number you are healthy, a slight bit over it is serious enough to justify medications. Risk isn't really like that. These things must be put in a wider context and in perspective about life generally and we should be prepared to accept some risks and not take medication. The last few months my knees are giving in and my hearing is finally taking what wifey calls Status Quo desease.

 

A hundred years from now doctors will look back on practices today in the same way they do today about a hundred years ago. No disrespect, but they do the best the can given current knowledge (which are more beliefs than knowledge as they are based on research and not given facts) and practices and a lot of research much of which can be taken with some caution. Perhaps one of your challenges is that you face these concerns by yourself whereas some of us have the opportunity of a sensible spouse to say "stop worrying". Don't apologise for rambling and treat your cooler mates like a well intentioned and nagging spouse.

 

:)

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A hundred years from now doctors will look back on practices today in the same way they do today about a hundred years ago.

I guess you could apply that to just about any scientific pursuit. Even in the 40 years since I qualified the nature of medicine has been evolving at a helluva lick!

No disrespect, but they do the best the can given current knowledge (which are more beliefs than knowledge as they are based on research and not given facts)
Can you suggest how the facts might be determined other than through research? In fact, good medicine is predicated on scientifically verifiable practices. Evidence-based rather than anecdotallly-based and that approach is drilled into young practitioners right from the off.

a lot of research much of which can be taken with some caution.
Indeed, at least as far as UK and Europe are concerned (and almost certainly all other developed countries) being able to assess the validity of research is a cornerstoone of both undergraduate and postgraduate medical training. Unfortunately it tends to be the headline-grabbing research of dubious or no value that underwrites the scare-mongering headlines in the gutter press (for which read just about every medical exclusive you read in any newspaper). Remember the MMR fiasco? Nobody with the right to call themselves a qualified medical practitioner saw that as anything other than utterly unsupportable by nature of the deeply flawed so-called research by a somewhat questionably-motivated attention-seeker.
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Hi All......yummy dish Jeffers.....wish l had more get up and go in the galley but I'm too impatient!!

 

Lois.....don't ever worry about rambling.....we all do and it's good to share worries...just hope you can get sorted.

 

Agree with Jeff about the way our health system is going...the target age seems to be 60 when they try and attack with BP and Statin meds. Our Dr's seem to be governed by what they call the "powers that be"

Just recently l needed antibiotics for a chest infection....l knew I needed them but it took three visits to actually get them and then Doc had to refer to the computer to see what he could prescribe by which time I felt like sh..!

Going for the bi annual check up is stressful so I've learned to fight back a bit and have started refusing to be taken in as is my right to do so these days.....one knows their own body......

 

Ah well......😊

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Can you suggest how the facts might be determined other than through research? In fact, good medicine is predicated on scientifically verifiable practices. Evidence-based rather than anecdotallly-based and that approach is drilled into young practitioners right from the off.

 

 

My main objective was to provide some solidarity to Lois rather than provoke anyone, but yes I do have some observations. They fall into several main areas, but I suggest five to start.

 

Firstly, to much research is provided by those financing research and have vested interests and this is now more wider than appreciated. There has to be a more robust process before stuff becomes NICE and more widely accepted. This also produces too much research that is willfully dramatised so that researchers can become "famous" and they seek publicity and paid for research.

 

Secondly a fair amount of research findings have a logical reasoning that seems to need to be more closely questioned. Two examples I give to illustrate are (1) it is a fact that a third of all serious road accidents are caused by people under the influence of alcohol. This therefore proves that it is the sober drivers that should be banned and drinking encouraged as that would cause less serious accidents and (b) that the average person in the UK has 1.99999999 legs but there is not a single person with that exact number. Anyone can argue their way out of these two examples because it relies on common sense. Medical research requires knowledge that most do not have and much therefore goes unquestioned. Where this most applies in what I see when I read data of medical research is where more questioning about other factors should be included mostly when profiling data groups of participants where one group (for example) is much more likely to be leading healthier lifestyles and diets as well as the use of the medication. For example when people look at how exercise bebfits people they overlook that people that exercise are more likely to eat well and people that do not exercise are more likely to eat badly. So the conclusion is that exercise is the fdactor and not the healthy lifestyle of those that exercise. I wish I could remember some specifics I have read through but I'm afraid my memory ........ :D

 

Thirdly very often the research uses extrmely small number of participants and the use compound percentages. So for example a piece of reasearch might take a group of say 100 people that have a 10% chance of suffering from some outcome and a medication reduces that by say 20%. They will focuys on the 20% reduction (20 people) and not the 2% overall ie 2 people. So they will suggest that more people ie 100 medicate for an issue that might potentially benefit 2% of a population. Super surveys compound flakey base research.

 

Forthly many GP's are incentivised to almost treat pateints like crops to be harvested. So they earn more if someone is treated with a chronic desease such as diabetes or hypertension. This is simply outrageous.

 

Finally, too many conclusions are not contexturalised. Doctors should be prepared to tell patients more that "something is going to kill you and it will probably not be this - so the decision to medicate must be seen against that background".

 

The essential thing is that it isn't just one of these factors that makes much of research and it's application stink, it is the compound effect of all these factors and many more.

 

Forgive the hurried response but the final lunch prep beckons .....:)

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Morning from blustery and rain sodden south Florida.

Seems we are getting a tropical wave with some gale force winds.

Looking at the weather churning in the gulf, and it's a bit worrisome for a certain upcoming cruise.

 

Jeff, there is a new book coming out about bread, five parts, 2000 pages and 625 US dollars. That's a chunk of change for a book! It's called"Modernist Bread", written by Francisco Migoya. It's discussed in today's food section of the NYTimes...thought you might enjoy it.

Sorry I can't do the link to it.

 

I rescued a very ornate wrought iron table and four chairs someone had put out to be trashed. Each chair weighs over 25 pounds! I am redoing them all, removing the rust and rehabbing. I have a lovely spot in the sun garden for them once complete.

This gives me purpose right now and time to reflect on the world, and to be able to fix something that I can.

 

Enjoy this day all.

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Thanks Spins,

 

I had a look at that collection - it is certainly meaty. I love cookery books and have so many ones on bread and yeast and flatbreads ....... so if you wish to buy me an early Christmas present.

 

Hope you take piccies before and after and post them. Intriguing. :)

 

A lot of flames today ....

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Edited by UKCruiseJeff
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Greetings Coolers!

 

Spins...What a find! And your project sounds like a wonderful way to de-stress and it will add some "light" to your world.

 

Interesting medical related topics this morning! Lois, I hope things get sorted out for you. When I was about 48 years old my doctor sent me for a bone density assessment as a "baseline". It turned out that I was osteopenic. She put me on Fosamax and I took it for about 7 years. In the meantime I was reading about strange thigh bone fractures in women who had taken Fosamax for an extended period of time. Then I read an article suggesting that Fosamax was not very effective for women diagnosed as osteopenic. I tried Actonel which did not work for my body and then tried 2 shots of Prolia which also did not work for my body. At that point I said "Enough!". It is a tough call to disregard doctor's orders and in my case I am happy with my decision. Time will tell if it was the right one.

 

Hope you are getting your relaxation time in before the next cruise rail event. :)

 

Have a great day all!

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