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Experience Has A Price

A giant ship’s engine broke down and no one could repair it.  So, the owner hired a mechanical engineer with over 40 years of experience.
The engineer inspected the engine very carefully, from top to bottom. After seeing everything, the engineer unloaded his bag and pulled out a small hammer.
He gently knocked on an area of the engine with the hammer.  Soon, the engine came to life again. The engine was fixed!
Seven days later the engineer submitted his bill to the owner: the total cost of repairing the giant ship was $20,000.
“What?!” said the owner. “You did almost nothing. Give me a detailed itemized bill.”
The engineer responded:
1. Tap with a hammer: $2
2. Knowing where to knock and how much to knock: $19,998
The importance of appreciating one’s expertise and experience cannot be stressed enough. . . Because, that experience is the result of years of struggles, hours of trial and error, experiments, thousands of hours of reading, sleepless nights, pain and even tears.
If I do a job in 5-10 minutes it’s because I spent 20 years learning how to do that in 5-10 minutes. You owe me for the years, not the minutes.

Is Your Celebration of Independence Day a Deception?

Our celebration of Independence Day is a deception.

Laying beneath the fireworks, barbecue and fun is the hard to swallow truth . . . It’s all a sham.

Are you and I really independent anymore?  No. Not anymore.

243 years ago, the British oppression was a threat. It was singular, visible and involuntary.

Now, the threat we face daily is an entirely new form of tyranny, infinitely more complex.

The scary thing is that oppression is now:

  1. Fractionated
  2. Invisible
  3. Voluntary

Fractionality of Our Millennial Tyranny

Slavery has changed.  The oppressor previously owned the slave individually. However, with time we learned that when there are multiple owners, the burden of ownership is lessened.  Joint ownership became the norm. Now we have joint ownership of our condos, boats, and jets.  The burden of slave ownership was the risk of revolt and revolution.

If ownership of debt can be spread among the masses, the individual risk is mitigated.

Our fractional oppression is spread throughout the legion, and the tyranny is masked as a principle of the great “free market.”

BIG FOOD sells cancer, diabetes, heart disease and fatigue through the FOMO of fake food.

BIG MEDIA sprinkles us with malaise, despair, anxiety and post-traumatic stress with lurid half-truths, click-bait shock value, and salty emotion all with the intent to sell us more advertisement.

BIG PHARMA peddles side-effects, addiction and false hope convincing the feeble mind, created by BIG FOOD, that a pill is necessary to prevent us from experiencing the pain, emotion and struggle of life – that same life that BIG MEDIA keeps ever present in the palms of our hands.  In bed with BIG GOVERNMENT, their evangelism recommends medicating instead the more difficult learning from struggle and failure.

BIG GOVERNMENT covers us with red tape to stop the financial bleeding and hemorrhaging of the tumor’s growth it stimulates, through greed and invasion of individual inalienable right.

BIG MONEY circles us on wings of dread and fear singing a song of doom, all the while sampling emotional cookies and Danishes of immediate gratification, while slipping the “plastic card with a security chip” shackles over the wrists of the enslaved.

BIG EDUCATION preys upon our children with glib platitudes, group-think, and participation trophies.  It teaches the weakened minds to prize test-taking, rote memorization, and fact regurgitation above problem-solving, creative thinking, and learning from failure.  They prepare our children to work as drones on the factory floor of cyberspace instead of art and enterprise.

And, that’s just the beginning.

Look no further than your bank statement to see how the oppression is itemized.  Each line item takes it’s pound of flesh round the clock each month.

Invisibility of Oppression

“None are more hopelessly enslaved than those who falsely believe that they are free.” -Goethe-

200 years ago, the shackles were visible.

Today the shackles are disguised. Independence is a deception.

We are smarter than an outright shackle.  So, they were re-tooled, re-imagined, re-formed, and hidden like landmines in cyberspace:

  • 0% APR
  • Matching contributions
  • Free Miles
  • Free Samples
  • No Money Down
  • 84 Month Installments

These are just grease on the slaughterhouse chute.

It Can’t Be Oppression if You & I Now Volunteer?

Forced slavery is no longer acceptable in our “free society.”  The dark genius of modern oppression is the creation of cultural norms, rituals and addiction that invite us to PUT ON OUR OWN CHAINS.

Modern slavery is now VOLUNTARY.

“No one put a gun to your head or forced you to buy our product or service,” is the mantra of the oppressor while billions are spent on engineering conditions that make the shackles look like icing on your cyberspace cake.

But there is an escape . . .

Massive in scale, fractional, and nearly invisible, there is still a choice.

CHOICE IS THE ESCAPE

So, this evening, as the cardboard tubes of fireworks lay discarded in the park grass, and the toy flags lay rolled up on top of the fridge, awaiting their return to the attic for storage, let your Independence Day celebration be much deeper. Choose.

Let your Independence Day stir the same indignation for oppression that our fore-fathers felt.

Cultivate within yourself the desire to fight and win a second Independence Day.

You will need every ounce of resolve and strength you can muster.

Today, there are no chains, hangman’s noose or firing squads, there is but chemistry, habit, choice and instinct.   The Oppressor will attempt to use it against you. You can still see it if you look. You can still choose.

Have the courage to flip them the bird of indignation as they present you the “standard American prepackaged life.”

Reject What Isn’t Real

Reject the drama and depletion of paycheck-to-paycheck living . . . instead, create wealth. Save a few dollars each day.

Reject the cardboard food in the grocery store and eat real food: bloody, fresh and wild. It will re-energize you.

Reject the FOMO of the dutiful consumer and become a CREATOR. Create the world you dream of by small and simple daily choices.

Reject the fake new, fake government, fake food, fake medicine, fake success, fake friendships, and fake happiness that encircles us.  Create a life that is REAL.  You’ll know it’s real because you can feel it, beyond the pain of trial and error and failure, REAL encompasses heart, mind, body and soul at the same time.

Take off the blinders so that you may see the leeches and parasites sticking to you.  Rip them from your body and warm yourself as you burn them in the fire.

Only then will you escape the clutches of the modern tyrant.

Only then will you be free.

[Adapted from Bryan Ward and his “Third Way Man” series]

 

 

Adam S. Nally, D.O. (aka DocMuscles)

 

 

 

 

 

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What You MUST Know about Total Cholesterol & LDL-C on a Ketogenic Diet

Is following your Total Cholesterol and LDL-C really that important?

You may be quite surprised.

Watch as we discuss the important markers of heart disease and vascular disease risk.  We will talk about how these markers can help you understand what your body is doing in the process of making or reversing atherosclerosis (plaque in the vessels).  And, should you really be taking that STATIN (cholesterol lowering) drug?  Get the scoop here as Dr. Nally very simply points out how the right diet can and will lower your cholesterol without the use of medications.

Research in the last 10 years points to the small-dense LDL particle as the atherogenic component of cholesterol (Hoogeveen RC et al., Arterioscler Thoromb Vasc Biol, 2014 May; Ivanova EA et al., Oxidative Med Cell Longevity, 2017 Apr). Studies in the last five years have identified that elevated small-dense LDL cholesterol correlates much more closely with risk for inflammation, heart disease and vascular disease (Williams PT, et al. Atherosclerosis. 2014 April; 233(2): 713-720.)

Recent research in the last three years demonstrates that small dense LDL cholesterol is a better marker for prediction of cardiovascular disease than total LDL-C (Hoogeveen RC et al., Arterioscler Thromb Vasc Biol. May 2014, 34(5): 1069-1077l; Ivanova EA et al., Oxidative Med Cell Longev. 2017).

Additionally, higher LDL-C is actually predictive of longer life and has been demonstrated to correlate with longevity (Ravnskov U et al., BMJ Open, 2016 Jun 12;6(6): e010401).  And, a low LDL-C actually increases risk of early mortality (Schwartz I et al., Lancet 2001, 358: 351-55).

It is commonly understood that LDL-C will rise with increased saturated fat intake on a ketogenic diet. This has been know and reported in the scientific literature for over twenty years. This is to be expected, because LDL-C is really a measurement of three different LDL sub-particles (“big fluffy, medium, and small dense”). Increased saturated fat intake, while at the same time lowering carbohydrate intake, actually causes a shift in these low density particles to a bigger “fluffier” particle conformation (Griffin BA et al., Clin Sci (Lond), 1999 Sep).
The 2015 British Medical Journal, referenced above, analyzed the relevant 19 peer reviewed medical articles that included over 68,000 participants. This review showed that there is no association of high LDL-C with mortality (meaning that an elevated LDL-C does not lead to an increased risk of death from heart or vascular disease). I realize that, in stark opposition to the landmark review above, The American Heart Association’s Presidential Advisory published their position in the June 20, 2017 issue of Circulation. They stated that saturated fat is the cause of increased LDL-C and they further extrapolated that elevated LDL-C is associated with an increase in death by cardiovascular disease. This boldfaced claim is only based on one single small four year (2009-2013) literature review completed by the World Health Organization with a total of only 2353 participants, most of these studies only lasting 3-5 weeks (not nearly long enough to see fully effective cholesterol changes) and none of which had any focus on carbohydrate intake, insulin levels or LDL sub-particle measurement (Mensink RP, Geneva: WHO Library Cataloguing-in-Publication Data, 2016).

Based upon the most current scientific evidence above and my clinical experience, the large body of evidence above demonstrates the use of total cholesterol and LDL-C to determine vascular disease risk to be ineffective tools. A low carbohydrate/ketogenic diet lowers small dense LDL cholesterol, triglycerides and blood sugar and in many cases, the use of cholesterol drug (STATIN) therapy is not needed and ineffective in comparison with a ketogenic/carbohydrate restricted lifestyle.

 

Cured . . . by Definition.

Cured Ham Low Carb Humor

A friend posted this image and I couldn’t help but think about this little cartoon throughout the day.  In the 15 years that I have been in medical practice, it was re-emphasized to me that my definition of cure and the patient’s definition of cure may at times be notably different or even in opposition.

I am reminded of a sweet a patient in her early nineties that was brought in by her three well meaning and very caring daughters.  This patient was a type II diabetic and, for the most part, her blood sugar was in pretty good control.  To put it in medical terms, her morning blood sugars were in the 120 range and her Hemoglobin A1c (HbA1c) was a 6.4%.  She was obese by the standards of her body mass index (BMI) and her cholesterol was elevated.

The concern of her three daughters, “there to rat her out,” as the patient put it, was that she was eating donuts for breakfast each morning for the last few months. I noted that her HbA1c had gone up from 5.9% at the last visit.  We discussed the fact that the change in her dietary intake appeared to have caused the rise in her blood sugar and her cholesterol.

With my affirmation of the cause as ammunition, the patient’s daughters began to individually take shots at her choice of meals over the last year. They did it, I could see because they loved and cared for heir mother.  But I noticed the patient’s demeanor change suddenly, and a bit of trust between me and my patient began to slip.

This sweet centenarian turned and looked at me, square in the eye, and then proceeded to give me an education.

“Dr. Nally, do you know how old I am?” she asked.

“Why, yes, you are 93 years old,” I replied.

“And do you know how much longer I am going to be alive on this earth?” she inquired.

“Well, no. I do not know how much longer you will be alive, but I can tell you that you have out lived most of your peers and the average age of most Americans.”

“Then, why the hell are you, and my daughters, worried about me eating a damn do-nut?” she yelled.  “My blood sugar is still pretty good and I figure that if I have to be around on this earth any longer, then by stars, I am going to enjoy my favorite breakfast. If it kills me, then so be it. I am going to enjoy it.”

Well, that was that.  The cure was to enjoy her last few years upon this earth.

She did just that.