whygetfat on Nostr: Dr. Ted Achacoso: "Say I am a patient. […] I go to you, and it's decentralized ...
Dr. Ted Achacoso: "Say I am a patient. […] I go to you, and it's decentralized medicine for a particular disease, choose your favorite one as an example. Walk me through how a decentralized medicine system would work.
Dr. Jack Kruse: "Well, let's take the simplest one […] Let's think about hypertension.
"Hypertension is a huge problem. Most of us know the reason why it's a big issue, because it can lead to bad medical outcomes that are very, very expensive. And dealing with someone's blood pressure is simple. […]
"The first thing we have to do is define what a high and low blood pressure would be for the patient's age. And I would like to say haplotype, because in my practice we'd tie it to their haplotype, their latitude. Are they mismatched?
"For example, […] if a guy from Somalia comes into my clinic in Toronto, that guy's not getting medication. OK?
"Now if it's a guy from Nairobi who's coming to see me in my clinic in Nairobi, and he has high blood pressure, and his Vitamin D level is really good, I'm probably gonna default to medication on him sooner than the other guy.
"You understand that nuance. But guess what? The people who listen to this who are not doctors say, 'I don't understand what Jacks just said.' This is the whole point of my system. Doctors will begin to understand what's really important.
"The single most important thing for high blood pressure should be education that's done in the operatory.
"For example, I would sit down that guy in Toronto who's from Somalia and make him watch the TED Talk of Dr Richard Weller from 10 years ago. He's a dermatologist that basically said, 'It seems like most of the people in Edinburgh are dying of problems related to hypertension because they don't have enough nitric oxide production, because they don't get enough sun, because we live at the 59th latitude.'
"So my discussion with the patient would start right away. 'Tell me what you do. Oh, you're an IT worker. OK. Tell me about your day.'
"In other words, you're doing an environmental biohack on them as part of their demographics, something that never gets done in a centralized system or even a functional medicine system.
"'Well, tell me how long you spend under blue light and around non-native EMF. OK, so that explains why your vitamin D is 13, and your blood pressure today was 159 over 87.'
"'I will tell you what I think we need to do first. Let's mitigate your environment as best we can. We'll get you some blue blockers. We'll have you wear turtlenecks, cover your body all over. And I'm going to ask you to go out and see the sunrise every day. I'm going to ask you to try to ground. And I'm going to have you try to get at least an hour of sun on 80% of your skin. I want you to be like Uncle Jack is right now. And then I'd like to see you back in one month to see what your blood pressure is.'
"I'd also give them a blood pressure cuff, teach them how to do their blood pressure at home, because I'd want them, in a book, to write down for me what the trend is, and how much time they spent in the sun. I'd introduce them to the vitamin D app that Michael Holick has. I'd explain how to use that in their latitude.
"And then they'd come back and see me in a month. If the blood pressure showed a good trend, then I would tighten up the environment more. If they did everything that they were supposed to do, then I would consider a first generation pharmacotherapeutics for that patient." —Dr. Jack Kruse with Dr. Ted Achacoso @ 57:41–01:02:01 https://youtu.be/OJaR2XgTmPI&t=3461
Dr. Jack Kruse: "Well, let's take the simplest one […] Let's think about hypertension.
"Hypertension is a huge problem. Most of us know the reason why it's a big issue, because it can lead to bad medical outcomes that are very, very expensive. And dealing with someone's blood pressure is simple. […]
"The first thing we have to do is define what a high and low blood pressure would be for the patient's age. And I would like to say haplotype, because in my practice we'd tie it to their haplotype, their latitude. Are they mismatched?
"For example, […] if a guy from Somalia comes into my clinic in Toronto, that guy's not getting medication. OK?
"Now if it's a guy from Nairobi who's coming to see me in my clinic in Nairobi, and he has high blood pressure, and his Vitamin D level is really good, I'm probably gonna default to medication on him sooner than the other guy.
"You understand that nuance. But guess what? The people who listen to this who are not doctors say, 'I don't understand what Jacks just said.' This is the whole point of my system. Doctors will begin to understand what's really important.
"The single most important thing for high blood pressure should be education that's done in the operatory.
"For example, I would sit down that guy in Toronto who's from Somalia and make him watch the TED Talk of Dr Richard Weller from 10 years ago. He's a dermatologist that basically said, 'It seems like most of the people in Edinburgh are dying of problems related to hypertension because they don't have enough nitric oxide production, because they don't get enough sun, because we live at the 59th latitude.'
"So my discussion with the patient would start right away. 'Tell me what you do. Oh, you're an IT worker. OK. Tell me about your day.'
"In other words, you're doing an environmental biohack on them as part of their demographics, something that never gets done in a centralized system or even a functional medicine system.
"'Well, tell me how long you spend under blue light and around non-native EMF. OK, so that explains why your vitamin D is 13, and your blood pressure today was 159 over 87.'
"'I will tell you what I think we need to do first. Let's mitigate your environment as best we can. We'll get you some blue blockers. We'll have you wear turtlenecks, cover your body all over. And I'm going to ask you to go out and see the sunrise every day. I'm going to ask you to try to ground. And I'm going to have you try to get at least an hour of sun on 80% of your skin. I want you to be like Uncle Jack is right now. And then I'd like to see you back in one month to see what your blood pressure is.'
"I'd also give them a blood pressure cuff, teach them how to do their blood pressure at home, because I'd want them, in a book, to write down for me what the trend is, and how much time they spent in the sun. I'd introduce them to the vitamin D app that Michael Holick has. I'd explain how to use that in their latitude.
"And then they'd come back and see me in a month. If the blood pressure showed a good trend, then I would tighten up the environment more. If they did everything that they were supposed to do, then I would consider a first generation pharmacotherapeutics for that patient." —Dr. Jack Kruse with Dr. Ted Achacoso @ 57:41–01:02:01 https://youtu.be/OJaR2XgTmPI&t=3461