'Fat chance of that.'
You know my doctor personally, then, I guess.
'Do you know your current 25(OH)D level? If not why not?'
I already have posted that my doctor checks my Vitamin D level as part of all the other routine chemistry assays he routinely orders. Grrrrr. I wish I could remember WHICH of these discussions about 'how doctors don't know shit from shinola about Vitamin D' I posted that in....
And he's a 'best practices,' middle-of-the-road doc I've been seeing for almost 30 years. I've also said that.
Better yet, he's kept my mouth in working order so I can speak up and ask him if I have a question about anything. If you see a doctor, you have that option.
I posted about my low level of last year, which, after 12 months of supplementation, has risen to be barely .70 ng/ml from sufficient, and my surprise that all my supplementation ONLY got me there. I recall mentioning that I rarely go out in the sun except in daily travel, and my mother, who died of cancer, was a sun-worshipper who sunbathed every day that the sun shone.
I never had to ask for the vitamin D test to be done; it was routine. It was discussed because it was low; so, I took a supplement. This all was discussed in my doctor's office.
'If the advice they were offering were effective surely the effects on their own staff would be demonstrable.'
I've been spending a lot of time in the hospital, visiting, lately. I see a staff that is on the slimmer end of the population's weight spectrum. The patients are on the fatter end of the spectrum. I wondered why - then I remembered seeing this recently in Mary Dan Eades' blog (she prefaces her argument with, 'I know what we said about exercise and we're not changing that, BUT....')
http://www.proteinpower.com/drmd_bl...ounds/#more-608
In particular,
'For quite some time now, this very idea–standing more–has been something that Mike and I have discussed at length in our ongoing search for what changed in our lives (and the lives of our peers) during the quiet slide from 40 to 60. What happened that could account for the difficulty so many of us clearly experience in holding the line against weight gain (let alone losing weight) as we age, even in the face of a eating about the same amount of food and doing about the same amount of exercise as we did in our younger years.
One of the things that has changed, for us at least, is what we do for a living and the lifestyle differences that shift engendered.
Thirty years ago we first went into clinical practice and for the next nearly twenty years after that, our days were spent working 10 to 12 hours a day, 5 to 7 days a week, seeing patients in the clinic. A day in our lives as clinic doctors looked something like this: walk to exam room door, pick up chart, go into exam room, sit on a backless stool for about 5 or 10 minutes coning down on the patient’s chief reason for being there, stand to wash hands and examine the patient, sit again (or often continue to stand) beside the patient to discuss findings and recommend testing to be done, walk out of room, track down nurse to carry out the orders, walk to the x-ray suite to check developed films or to the lab to check results, all done standing, walk to the next exam room, repeat the process 50 or more times a day. We were in and out of rooms, up and down and up and down all day long, with a whole lot of it spent ‘up’ and not much spent sitting. Most of those years, we spent almost zero time ‘working out’ or doing any formal kind of ‘exercise’.'
At the hospital, I see the staff doing just all that activity - and it shows. If someone sits at the nurses' station all day, answering the phone, that shows too.
Also, I take the stairs, always, and in the hospital, those stairs are crowded with staff (doctors, nurses, techs) going from floor to floor.
So my opinion of hospital staff differs from yours.
Global, schmobal. Save the whales.