We as patients question care guidelines. I know a 89 year old woman, 4′ 11″, sedentary, weight issue, diabetes issues, and very severe cardiac issues. Her cardiologist insist on a low fat diet, which has translated into a high carb, high starch diet which aggravates her blood sugar issues. She is convince the 1800 calories a day outlined in her diet plan is a rule, which aggravates her weight issue, which in turn aggravates her cardiac issues, along with physical comfort.

The cardiologist has her on a maximum dose of blood thinners which make medical care a planned event. We are all afraid of a fall and the resulting hemorrhaging.

All the doctors are following the rules, but are they caring for the patient?

Steve Lucas