The Heroes of the Siege of the Phoenix VA

I have been harshly critical at times of the Phoenix VA Medical Center. Given what has been happening both with respect to covering up the neglect of veterans, many of whom have combat related or service connected disabilities and conditions along with the systematic mistreatment of diabetics I believe the criticism has been both warranted and necessary. Marxists, darwinists, and freudians under the command of a Kenyan socialist have routed that garrison and are now committing fratricide at I suspect every VA medical center in the nation.

I’d be remiss however if I did not acknowledge the heroes of the siege of the Phoenix VA including the nurses and the staff of Wing B where I stayed during my most recent hospitalization, Dr. Frykberg and his staff at the podiatry clinic, Dr. Donald Boles my own primary care physician along with his staff at the Gold Clinic, Dr. Andy Bell and his staff at the outpatient pharmacy, Dr. Katherine Mitchell a sixteen year veteran of the Phoenix VA, and of course Dr. Richard K. Bernstein who has been fighting for diabetics in Satan’s War on America since marxist forces first established their beachhead inside the American Diabetes Association.

I would like to thank the entire staff of the Phoenix VA hospital Wing B and especially the nurses along with Dr. Frykberg my admitting physician and podiatrist for our unprecedented and successful effort to allow a diabetic to to self administer his own insulin while hospitalized at the Phoenix VA. I know this was challenging because this type of policy poses a threat to the established order and because my diet and pharmacological regimen is unorthodox. Together we proved not only that self administration of insulin while hospitalized makes sense in certain situations for some patients, but also that blood sugar normalization is neither dangerous or impossible while following a very low carbohydrate diet.

I would like to thank Dr. Donald Boles, his staff at the Gold Clinic, for their support not only in my recent endeavor while hospitalized, but also for supporting all of my efforts at blood sugar normalization since I became his patient. Dr. Boles’ willingness to defy convention by writing me the prescriptions and helping me procure the medications necessary to follow a program of blood sugar normalization have been inestimable. Dr. Andy Bell and his staff at the outpatient pharmacy were also of great value to me in this regard.

My thanks also to Dr. Katherine Mitchell a sixteen year veteran of the Phoenix VA Medical Center and former Chief Physician of the Emergency Department who, in keeping with the highest traditions of the various uniformed services was instrumental in exposing the “secret list” and who despite great personal and professional risk while under attack from the mutineers who were keeping the secret list and without help from the law enforcement agents charged “to protect those who served” prevented and stopped the destruction of evidence relating to an ongoing inspector general’s investigation. In a particularly poignant moment Dr. Mitchell appeared on Fox News with Megyn Kelly. As she related the story to Ms. Kelly of what was happening and what she did to stop it I could tell she was ashamed about what had been happening. Dr. Mitchell, you have nothing to be ashamed of. Thank you for standing up for us.

A very special thanks to Dr. Richard K. Bernstein an eighty year old type one diabetic, 65+ year type one diabetic, and clinical endocrinologist who like me was dying from complication of diabetes in his late thirties. At a time when most of the contemporary medical literature did not support the necessity or benefit of blood sugar normalization in diabetics, Dr. Bernstein developed a program of blood sugar normalization by pioneering self blood sugar monitoring and basal / bolus insulin dosing while following a very low carbohydrate diet despite the conspiracy by the marxists at the ADA and pharmaceutical company profiteers to force feed high carbohydrate diets first to diabetics, then to the general population in order to weaken our nation in advance of a Soviet invasion and control the population. Without his definitive text Diabetes Solution I would not have been able to figure it out on my own nor would have I had the textual support necessary to advance my position. Indeed everything I know about blood sugar normalizaiton has come from Dr. Bernstein. I didn’t make any of this up on my own including the diet I follow and the medications I use and how I use them. While I am not a patient of Dr. Bernstein’s everything I do is based on my best interpretation of the guidelines and protocols detailed in his book. Many of those who are fortunate enough to be Dr. Bernstein’s patient and even many who only have his book and other published works to work with achieve and safely maintain glycated hemoglobin A1C values between 4.2% and 4.6% reflecting an average plasma glucose level as indicated by fingerstick measurement at or near 83 mg/dl.

Last but not least my deepest gratitude to all the Veterans who treat at the Phoenix VA, particularly to those who died fighting one last battle for themselves, their families, and their nation. Uncommon valor was a common virtue.

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After Surgery

I got out out of the Hospital on Thursday. This is a summary of what happened while I was there.

1. My first metatarsal was ressected and the open wound was closed.

2. The infection appears to be under control now.

3. There has been an abatement of insulin resistance and my requirements for insulin have decreased and my blood sugars have continued to improve.

Thanks to the staff at the Phoenix VA for helping me show blood sugar normalization doesn’t have to be dangerous if done correctly, and that diabetics can administer their own medications and monitor their blood sugars while hospitalized.

Thanks also to everyone who prayed for me and liked or commented on my posts while I was in the hospital. Your support was very encouraging and greatly appreciated.

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I wanted you all to know today I will have surgery. This is what I expect to happen:

1. The remaining infection secondary to a diabetic ulcer on my left foot where my big toe used to be will be removed.

2. With the infection gone I will be able to finish completely normalizing my blood sugar.

3. What’s left of my foot (should be most of it) will now be able to heal.

4. With normal blood sugar I should be able to prevent any progression of any other diabetic complications I currently have and prevent any new ones from happening.

This has been what I’ve been up to for the last couple years and why I dropped off the face of the earth for a minute. The dangers I’ve faced have been very real. Much of the danger has been unnecessary and was caused by unnatural forces acting with deliberate malice against me and our country. He was a liar from the beginning not holding to the truth.

When I began this struggle I pledged to myself that my aim would be victory. Victory at all costs, victory in spite of all terror, victory no matter how long or hard the road may be. I fully expect victory in this struggle to be realized in large part today and am thankful that whatever happens a much larger victory over the same enemy that will last for eternity has already been won for me and for those who believe in His Name by my Lord and Saviour Jesus Christ at Calvary.

Whenever you have surgery there always exists a possibility that something could go wrong just in case something does, this is what I want you all to know.

1. The Marine Corps was my honour. Truly it was and I thank all of you for the opportunity to serve in that way. I would have never had the courage and confidence to get up into the faces of the dumb motherfuckers who were unwittingly acting in collusion with the enemy and tell them; “High blood sugar isn’t low blood sugar, normal blood sugar isn’t dangerously low blood sugar, not even for a diabetic, saturated fats don’t cause heart attacks, cows don’t cause global warming.” I would not have had the courage or confidence to do or say what I’ve done if I hadn’t been tossed over a few footlockers by a “Few Good Men.”

2. I wouldn’t have made it in the Marine Corps for as long as I did if I hadn’t grown up in Bancroft Nebraska and been raised by my now deceased father Maurice A. Grone and my mother Vera Grone who had the help of people like my brother Steve, my sister Rhonda Anderson, Staff Sergeant Kevin Bruning, Dr. Jon Cerny and many others including many of you.

3. I am deeply grateful to Senator John McCain and his aide Tom McCanna. We were all a little pissed at John when he lost to the Junior Senator from Illinois and as he has admitted himself he is an imperfect servant of our great Nation but, he has continued to fight with us particularly those of us Veterans who treat at the Phoenix VA.

4. I am also grateful to Dr. Richard K. Bernstein who while under attack from the same enemy figured out how to normalize his own blood sugars and now helps many others do the same in his clinical practice and through his teachings and writings particularly with his definitive text on blood sugar normalization Diabetes Solution. Dr. Bernstein did this at a time when much of the prerequisite knowledge of how to do this had been lost to Western medicine or was being covered up by the very authorities who were supposed to be helping. Dr. Bernstein has proven once again that theories, no matter how pertinent cannot eradicate the existence of facts.

5. I am also grateful to my own Primary Care Physician Dr. Donald Boles who provided me with critical support at a time when I had begun to despair and to Dr. Katherine Mitchell who, in keeping with the highest traditions of the various uniformed services had the courage to stand up and expose those who were keeping a secret list at the Phoenix VA.
4. Everyone should spend:

at least one football season in Nebraska, playing it preferably but if not, watching the Huskers and their local High School Team.

a summer in the Rockies

a winter in the desert.

I hope this finds all of you well, and look forward to seeing you all soon.


Ryan D. Grone
LCpl USMC (retired)

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Dropping the Big One

Once I sent the last letter posted to Senator McCain and that letter was forwarded by his office to the appropriate officials at the VA, I started to see results. Senator McCain received a letter from Sharon Hellman, the Hospital Director now on administrative leave pending the outcome of an Inspector General investigation into the Phoenix VA “list scandal” which could include a recommendation that criminal charges including treason, sedition, perjury, mutiny, and murder be brought against Comrade Director Hellman.
This letter indicated that the diluent for use with Novolog insulin had been ordered.  Apparently this caused a big ruckus between the bureaucrats at Novo Nordisk and the VA bureaucrats over paperwork.  The vials were still forthcoming and in typical fashion someone made the assumption that I would no longer need a prescription for Regular insulin. This is the type of insulin I primarily use for meal boluses, indicating that there was still a failure on the part of some to comprehend the basis for my requests and thus necessitating this final letter to the Senator.

Dear Tom and John:

I went to see my Dr. at the VA last week and we made some changes.  Unfortunately what ended up happening was what I knew would happen because this kind of thing always ends up happening when you try to force everybody into the same system and the people who run the system are making decisions for everyone based on fundamentally flawed assumptions:

This is what I need:

A prescription for Levemir Insulin for use as basal insulin:
Basal insulin injections are doses of insulin designed and intended to maintain level blood sugars through the fasting state. I currently do have this prescription which is something of a minor miracle.  I didn’t even think it was part of the VA formulary and hence covered because most Dr’s. prescribe Lantus because its been marketed as a 24 hour insulin.  It’s not.  Furthermore Lantus has been linked to an increased risk of cancer and costs more.  Dr. Richard K. Bernstein, an eighty year old type one diabetic and clinical endocrinologist states in his definitive text Diabetes Solution,  “Why use an insulin that has even a very small risk of promoting cancer when an equally good and less costly one already exists?” Why?*

A prescription for Regular Insulin for meal boluses
: This is what Dr. Donald Boles, my VA primary care physician, has prescribed for me to use for meal boluses. Bolus insulin injections are doses of insulin designed and intended to maintain level blood sugars during the fed state or used to correct high blood sugars to target. According to Dr. Richard K. Bernstein, if on a very low carbohydrate diet, Regular insulin is more effective at maintaining level blood sugars when used for meal boluses rather than the faster acting analog insulins such as Novolog. Dr. Bernstein insists that low carbohydrates are essential to the treatment of all diabetics and my own Primary Care Physician Dr. Donald Boles of the Gold Clinic concurs.

A prescription for Novolog Insulin and appropriate diluting medium for correction boluses
:  While Novolog insulin can be used for meal boluses when time is tight such as when dining out, its primary purpose is for correction boluses.  Unfortunately, it is one and a half times more potent than regular insulin and according to Dr. Richard K. Bernstein a single unit can be expected to lower the blood sugar of a 140 lb. type one diabetic whose pancreas produces no insulin by 60 mg/dl.  When I recently performed a series of fingerstick measurements of my blood sugar when elevated and while fasting in accordance with my best interpretation of protocols set forth by Dr. Bernstein in his text, I discovered that one single unit of Novolog lowered my blood sugar by 75 mg/dl over a six hour period.

Without diluting medium I am unable to correct elevated blood sugars unless it is elevated at least 75 mg/dl above my target blood sugar level thus making my attempts to normalize my blood sugar unnecessarily difficult and dangerous. When using Novolog insulin diluted at a 5:1 ratio I can safely make corrections when my blood sugar level is elevated by as little as 13 mg/dl.

A prescription for empty sterile vials:  In order to prepare and store diluted insulin I must have a way to contain it.  According to Dr. Bernstein empty sterile vials are appropriate for the preparation and storage of diluted insulin.

A prescription for 30 unit insulin syringes with 1/2 unit markings:  When I saw Dr. Boles last he entered the prescription into the system but now there is not even an active prescription listed for insulin syringes in the system.  Furthermore, I suspect the next time I receive a supply of insulin syringes they will not have 1/2 unit markings as I suspect the pharmacy does not stock them.  When I previously asked for syringes with 1/2 unit markings from Comrade Wlatka Peric-Knowlton of the endocrinology clinic she told me they were not stocked by the pharmacy because the were more expensive. This is a lie. They aren’t more expensive, I know because I’ve purchased them before.  Because most Dr.’s and Diabetes Educators inexplicably deny the value of normal blood sugars and erroneously insist diabetics must consume a very high carbohydrate diet in order to avoid an increased risk of heart disease and severe hypoglycemia, dosing in 1/2 unit increments is not prescribed.

A prescription for glucose tablets:  While I do have a prescription for glucose tablets my repeated verbal and written requests for this prescription were routinely ignored or denied prior to beginning treatment with Dr. Boles. Even still it has not been prescribed correctly in accordance with our best interpretation of guidelines set forth by Dr. Bernstein in “Chapter 20 How to Prevent and Correct Low Blood Sugars” of his definitive text “Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars”.  According to Dr. Bernstein, a single gram of glucose will raise the blood sugars of a 140 lb. type one diabetic whose pancreas produces no insulin by 5 mg/dl.  Through self testing this is how much I have found a single gram of glucose will raise my own blood sugars.  If I consumed 16 grams of glucose in accordance with label directions this would spike my sugar by some 80 mg/dl over a forty-five minute period.  Furthermore, the label directions instruct to repeat if blood sugars are not above 70 mg/dl in fifteen minutes.  This would result in a net increase of 160 mg/dl. If blood sugars were very low at the beginning of this sequence, say 40 mg/dl, and considering that insulin resistance is encountered once blood sugars exceed 140 mg/dl the net result would be a value of some 200 mg/dl perhaps even higher. Insulin dependent diabetics should consume enough glucose to raise their blood sugar to target when blood sugar values drop below their target.

My present target blood sugar as determined by Dr. Boles and myself using our best interpretation of the guidelines set forth by Dr. Bernstein is 100 mg/dl before, during, and after meals. Dr. Richard K. Bernstein concludes, “Americans now eat an average of about 156 pounds of added sugar per year, something the average human would not have experienced in a lifetime 10,000 years ago.  Nowadays fast-acting carbohydrate accounts for the largest part of energy consumption, So if we ignore elevated blood sugars that may be encountered shortly after high carbohydrate meals, a “normal” value would be 83 mg/dl, perhaps even lower…… Since those who inject nontrivial amounts of insulin cannot turn off injected insulin as their blood sugars drop, there always exist the possibility of going too low (hypoglycemia).  I therefore throw in a small safety factor and ask such such individuals initially to shoot for a target of 90 mg/dl…..we try to correct blood sugars when they are above or below a target.  Since we follow a very low carbohydrate diet OUR TARGET REMAINS THE SAME BEFORE, DURING, AND AFTER MEALS…..” (my emphasis added).

Dr. Bernstein goes on to discuss a number of reasons why he might set an even higher target for his patients.  Dr. Boles and I have set a higher target than what Dr. Bernstein initially recommends for his patients because Dr. Boles was also unfamiliar with the intricacies of Dr. Bernstein’s methods prior to treating me, because I have not always been  meticulous in following what I have learned from Dr. Bernstein’s text, and because there continues to be a great deal of difficulty in securing all of the prescriptions I need in order to follow his methods precisely.
In summary I need a prescription for both Regular Insulin and Novolog Insulin in addition to the appropriate diluting medium for Novolog, along with empty sterile vials, and syringes with1/2 unit markings. It doesn’t really matter to me what the label says on the glucose tablets because I am going to do whatever it is I am going to do and I can always purchase glucose tablets at the store. The Truth both in its personification in the person of Jesus Christ and its manifestation in the teachings of Dr. Richard K. Bernstein regarding the treatment of diabetes has made me free. Nevertheless these prescriptions should be written properly because many of our Veterans do follow label directions because they naively believe that label directions are written with the patient’s best interest in mind.  Instead these directions are written pursuant to the best interests of marxist politicians and pharmaceutical company profiteers.

I sincerely appreciate and acknowledge the efforts of those at the Phoenix VA who have recently worked diligently to secure a supply of appropriate diluting medium from Novo Nordisk, particularly Dr. Donald Boles and the entire staff of the Gold Clinic along with many staff members of the pharmacy. We can’t sit back and watch another Marine die because the American Diabetes Association, the United States Department of Agriculture,and the Department of Health and Human Services have scaremongered most Doctors and Pharmacists into believing they’ll be sued for malpractice if their patient’s die of severe hypoglycemia and have scaremongered most diabetics along with the general public into believing that diets high in saturated fats cause heart disease at the insistence of the marxists, darwinists, and freudians who have upended and ransacked our colleges and universities.  In the Corps, we have a word for what is going on at the Phoenix VA its called fratricide.  You’re shelling your own troops with this bullshit. High blood sugar isn’t low blood sugar.  Normal blood sugar isn’t dangerously low blood sugar, not even for a diabetic. While the dangers of low blood sugar are grossly overstated by the marxists, darwinists, and freudians who have seized control of a number of key government and paragovernment institutions including the American Diabetes Association, hypoglycemia can be genuinely life threatening and is almost always caused by industrial doses of insulin prescribed in conjunction with high carbohydrate diets. “It’s only logical…” Dr. Bernstein states, “…. to look to elevated blood sugar and hyperinsulinemia for the causes of what kills and disables so many of us.”.

I hope this has shed some light on these matters and look forward to hearing from you and continue working with you.

Ryan D. Grone

LCpl USMC (retired)

So now my prescriptions are as fixed as they are going to get.  Of all the changes I requested only syringes with 1/2 unit markings have not been provided.


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Storming the Beaches

As indicated previously the letter I sent previously was not effective.  After being dumped by my previous primary care physician I was assigned a new one.  In a closed system like the VA or Kaiser Permanente you do not choose your own doctor.  One is assigned to you.  In a single payer system where everybody will be forced into one closed system like the one in Canada or the UK, not only will veterans get fucked over, everybody, except perhaps the richest and most powerful will.  Even if Doctors are allowed to provide care on a fee for service basis, only the richest will be able to afford both the cost of fee for service care and “insurance” where “premiums” (taxes) must cover the cost of cosmetic surgeries such as abortion, unnecessary statin drugs of dubious value, and dangerous, costly, and ineffective treatments such as insulin pumps. No one, not just economically disadvantaged vets will be able to tell their doctor to go get fucked and go down the street and find a doctor who does not believe high blood sugar is low blood sugar.

Fortunately for me and for the Republic, there are still a few Doctors inside the VA system with enough common sense and courage to stand up against this tyranny. When I told my new primary care physican, “You guys can’t normalize anybody’s blood sugar if your shoveling 200 or 300 bloody grams of carbohydrate a day down their throats.”, Dr. Donald Boles immediately acknowlged this was true.  In my first encounter with Dr. Boles, he wrote me a prescription for both Regular and Levemir insulin in favor of Lantus and Novolog.  While this still wasn’t everything needed, it was an important step in the right direction.  After Senator McCain and his aide Tom McCanna agreed to fight with me, I sent them this memorandum which was forwarded to officials at the VA.      

To:            Senator John McCain and Tom McCanna

From:        Ryan D. Grone LCpl USMC (retired)

Date:         January 23, 2014

Subject:     Diluent and Empty Sterile Insulin Vials
In order to avoid and reverse diabetic complications, diabetics must normalize their blood sugars.  In fact diabetic complications can often be reversed with consistently normalized blood sugars over an extended period of time.  This is what I am trying to do.  I have made great progress however there are a few little hangups I am still having.  These hangups can be overcome quite easily I believe with the proper tools i.e. the right kind of insulin, the right type of equipment etc.

The mainstream medical community in general does not believe that blood sugar normalization can be achieved safely because of a perceived threat of coronary artery disease and the perceived increase risk of severe hypoglycemia or very low blood sugar when attempting to normalize blood sugars.  These increased risks, which pale in comparison to the risks posed by hyperglycemia, or high blood sugar, are believed to be secondary to the high fat, high protein diets that must be used to normalize blood sugar levels in diabetics. 

As a consequence all of the protocols and guidelines used at the VA and indeed by almost all other medical professionals and medical institutions in the west are designed to accommodate the very high carbohydrate diets typically prescribed to diabetics.  This presents additional institutional and bureaucratic barriers to diabetics and physicians whose goal is normal blood sugars as the tools used to employ the methods ones uses to normalize blood sugars are far less widely available.  For example most of the various types insulin available today are too potent by several orders of magnitude because the common dietary recommendations which call for diets that consist mostly of carbohydrate.  Carbohydrate turns into sugar in the blood.  Protein also turns to sugar in the blood but much more slowly while fat does not turn to sugar in the blood (nor does it raise bad cholesterol in the face of normal blood sugars but instead only raises bad cholesterol in the face of abnormally elevated blood sugars. In the face of normal blood sugar low carbohydrate, high fat diets only raise good cholesterol and high fat, low carbohydrate diets also depress triglycerides another blood lipid like cholesterol.  Elevated triglycerides are the most reliable predictor of an increased risk of coronary artery disease with respect to blood lipids).   

In order to have insulin of the appropriate potency I must dilute it.  The diluent I need is available free of charge from the manufacturer if it is requested by a Doctor or Pharmacist.  However in order to dilute the insulin I must have a container to hold the newly diluted insulin.  Eli Lilly used to provide empty sterile insulin vials free of charge to their diabetic patients upon request.  They no longer do this because of recently passed federal legislation which imposes burdensome reporting requirement and now these vials must be purchased from a pharmacy or medical supply store.  The VA does not provide these vials because they do not see the value in normal blood sugars. 

As indicated previously I hope you can help me get the VA pharmacy to reverse its position and provide me with the diluent and the vials.  Considering the diluent I am requesting is provided free of charge from the manufacturer Novo Nordisk, and also taking into account that the insulin regimen I have been currently prescribed is cheaper and more effective than the insulin regimens commonly prescribed in conjunction with high carbohydrate diets, I believe the small cost of the vials is more than justified particularly considering that diabetics with normal blood sugars do not develop any of the costly and disabling long term complications of diabetes.   


Ryan D. Grone

LCpl USMC (retired)

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Warren Buffett’s Nine Top Dividend Stocks

24/7 Wall St.

Warren Buffett After finishing last year strong, U.S. equity markets had a volatile start this year, pulling back from all-time highs. Stocks have recovered since and, so far this year, the S&P is up — if only just barely. Some investors are concerned that the current valuation of many stocks is excessive. Such investors may decide that now is the time to reduce exposure to more risky investments and instead target high-yielding, defensive stocks.

For active investors looking to change the exposure of their portfolio to make it less risky, sector rotation is often a popular play. This involves moving from volatile sectors that disproportionately gain as the market rises, such as technology and biotech, to sectors that are less exposed to changes in the market, such as utilities, telecom and consumer staples.

Another strategy investors may consider is to target income. Investors can achieve income by investing in shares that offer…

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Moving Forward

As you might imagine the letter I sent to Doctor Patel was not effective.  Shortly after sending the letter I was informed by an employee of Dr. Patel’s clinic that she would no longer be treating me and that I would be contacted by a clinic at the main VA Hospital and get a new primary care physician.

Dr. Patel’s undue emphasis on lipid control was what ultimately doomed our relationship.  This undue emphasis is typical and has infected all of mainstream diabetology which teaches that blood glucose control, blood pressure control, and lipid control are all essential to preventing long term diabetic complications.  What the American Diabetes Association, the Academy of Nutrition and Dietetics, and pharmaceutical company profiteers don’t tell these people is that blood pressure control and lipid management follow strict blood glucose control and do not function independently of each of each other in most diabetics. You don’t control your blood pressure and blood lipids by restricting salt and fat from your diet,  you wreck your fucking blood sugar.

Doctors, diabetes educators, and dieticians are ruthlessly indoctrinated by marxist professors teaching darwinian and freudian psuedo-science.  If everybody can’t or won’t eat a healthy diet no one can eat a healthy diet.  That would be unfair to poor people.  All life on earth is lineally descended from a single common ancestor.  Animals are our brothers and sisters.  It is murder to kill an animal therefore, it is unhealthy to eat an animal.  Cows cause global warming.  Since its been scientifically proven there is no God, the only thing people have to live for is stuffing food in their faces and engaging in deviant sex.  Those who don’t engage in deviant sex or gluttony are judging those who do.  Jesus, wasn’t really God incarnate but instead just a cool dude that taught us not to judge.  This is the type of specious metaphysics masquerading as science that these people are bombarded with in formal educational settings for up to a quarter century.

Dr. Patel was far less obsessed with the grossly overstated dangers of hypoglycemia than others I had to contend with and was more supportive of my attempts to normalize my blood sugar.  While the diabetes education provided at her clinic was still based on a number of fundamentally flawed assumptions, these flawed assumptions are more a reflection of the disastrous state of affairs in diabetes treatment and management worldwide and less a reflection of the quality of diabetes education provided at her clinic.

Furthermore, the interpretation and dissemination of current dietary guidelines and treatment protocols provided by the diabetes educator and the sexy little dietician at Dr. Patel’s clinic was far more intellectually rigorous and reasonable than that being forced onto diabetic veterans by the Phoenix VA endocrinology clinic.  Rather than insisting that one limit their fat consumption and insisting one consume at least 200 bloody grams of carbohydrate per day, counting carbohydrate accurately to the gram and being consistent in the amount of carbohydrate consumed was stressed.  This makes far more sense than telling diabetics to estimate carbohydrate content in fifteen gram increments. Unless starvation diets of 800 calories or less are employed, restricting fat consumption is only going to increase the amount of carbohydrate consumed or speed the glycemic impact of carbohydrate.

With all due respect to Dr. Patel I must concede that she wasn’t stupid.  While I never called her stupid to her face she may have taken some of my comments as a challenge to her intelligence.  I can assure you that I had no intention of being either harsh or cruel in my treatment of Dr. Patel. My sole purpose was to try to restore in her some sense of appreciation of her obligations as a Doctor charged with the care of our Veterans. “If one could shame a Doctor that had been brainwashed,” I felt, “one might help her to regain her self-respect.” This was on my mind.  Now, I freely admit that my method was wrong, but I hope you can understand my motive, and will accept this explanation and this apology.


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