How Good Have Your Annual Physicals Been? Not Good.
Majid Ali, M.D.
You annual physicals which you may had for 20 times, thirty times, or more have wasted your time and money, and have not helped you. So say The New England Journal of Medicine.
Improving Value in Health Care – Turning Against Annual Physicals.
In October, 2015, the first article in The New England Journal of Medicine raised its powerful voice against annual physical. Interestingly, it claimed that annual physicals wasted money and lacked benefits. (NEJM 2015;373:1485-87.) Surprised!
If the Journal Misguided You for Decades, Will It Serve You Right in the Future?
Please read this short article completely and then decide if I seek cheap thrills in this article. And if you should trust the Journal in the future.
How Could the Journal Advise Annual Physicals for Decades, Then Reverse Itself?
The answer: The journal advice was not based on the clinical experience of integrative physicians or clinical nutritionists. It was based on doctors who limited thgeir work to drugs.
Seriously, What Was the Real Reason?
Yes, seriously that is the real reason? The Journal never recommended that the doctors do to the right thing in annual physicals. Specifically, the Journal completely and by design ignored the following crucial issues:
- Neglect of specific questions about the ingredients of breakfast, snake, and meals which cause insulin toxicity.
- Propaganda that fats are bad for health and so fanned the fires of insulin toxicity which led to obesity and diabetes.
- The fraud in focus on cholesterol and dangers of cholesterol drugs.
- Do the most sensitive laboratory test for liver toxicity – urine hipuric acid.
- Its doctor-readers completely ignored initial rises in the blood creatinine levels because they believed they could not reverse kidney failure.
- Its doctor-readers rarely, if ever, taught their patients effective methods of self-regulation (slow breathing, meditation, and others). They only prescribed more and more drugs.
- The above is also true of anxiety and mood disorders.
The above list is long. I address these issues at length in my free courses, most notably:
- Dr. Ali’s Deep Healing Course
- Dr. Ali’s Oxygen Course
- Dr. Ali’s Fermentation Course
- Dr. Ali’s Molecular Biology of Oxygen Course (for professionals)
- Dr. Ali’s Insulin Toxicity Course
- Dr. Ali’s Diabetes Reversal Course
- Dr. Ali’s Hypertension Course
No, The Journal Did Not Apologize
Having put millions of Americans through the fear, frustration, and wasted time and money spent on annual physicals for over five decades, the Journal offers its putatively “authoritative” advice to discontinue annual physicals. It did not find it necessary to apologize for having misguided people.
Consider the Following Text from the Journal published on October 15, 2015:
“Acknowledging the heterogeneity in the content of the visits studied, two systematic reviews summarizing both randomized trials and observational studies showed that annual physicals do not reduce morbidity or mortality.”
“Past calls to simply eliminate annual physicals have proven ineffective in changing clinical practice.”
“Second, primary care providers could change their approach to ensuring that patients’ preventive care is up to date. Many physicians see the annual physical as a stop-gap measure for providing preventive care. But the majority of preventive care is ordered or provided at visits outside the annual physical,1 and passively waiting for patients to come in for physicals has not been an effective strategy — as evidenced by the low rates of receipt of preventive care in the United States.”
“But it is evidence-based prevention that’s key, and the annual physical is not evidence-based: research has demonstrated both its minimal benefit and potential harms. We believe it’s time to act on this evidence and stop wasting precious primary care time by having a third of the adult population come in for such visits. Eliminating coverage for annual physicals, shifting our approach to preventive care delivery, and creating and reimbursing for a visit whose sole goal is to establish primary care relationships are key first steps to move us forward.”
Suggested Readings and Links
How Good Were Your Annual Physicals?
How Lead Medical Journals Betrayed Americans
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