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CHAPTER THIRTEEN
THE LAST WORD:
A talk given for MS
patients and families by the author
Good Evening Ladies
and Gentlemen:
We are here tonight to talk about multiple sclerosis.
But, first things first.
Lets set some ground rules so to speak. I am not a medical man.
I have no doctors degree. So why do I think I have the right to
address you on this particular medical subject?
Because I, myself,
was diagnosed as having multiple sclerosis in 1967 and re-diagnosed as
having MS 8 different times by the VA over the last 21 years. The last
time being December 1988. I was also diagnosed as having MS by a Post
Office contract physician when I briefly went to work as a rural carrier
in October 1986. As a fellow patient, particularly one who has reversed
the disease in his own body and who now plays at tennis, after using a
cane and braces for several years, I feel that I have as much or more
right to address you than my expert whose only real experience
with MS has been as an observer.
We will try and accomplish 3 things this evening:
(1) For the family
and friends of the patient, we will hope to gain a better understanding
of the MS patient. Not sympathy. MS patients dont need sympathy
and certainly we dont need pity, but we need understanding from
those around us.
(2) For the patient,
a better understanding of ourselves. Its time to stop running around
screaming that the sky is falling. That just doesnt help. And besides,
the sky is only falling for us; no one else can see it. The more we cry
Wolf, the less seriously other people will take us.
(3) I will outline
for you what I have done about my own case of multiple sclerosis and how
Ive done it. I will encourage you to try and do the same or something
similar, but I will not deride you if you choose to try and follow a different
course.
The only way I will
look down on any MS patient is if that patient gives up on himself and
just does nothing. Any MS patient who simple waits for someone else to
do something like invent a magic bullet that will just take his disease
away is a loser and probably does deserve pity.
Im talking
directly to each and every MS patient within the sound of my voice now,
so please hear me clearly. Do not, I repeat, DO NOT listen to the nay
Sayers, those prophets of doom who tell you that you can do nothing to
help yourself. That is just plainly not true.
It is very true that
accepted medical science, as we know it today cannot help us. So dont
look to the MS Society for help, or even to your doctor. They cant
help you. Even I cant help you. Oh, I can present a plan of action
to you that helped me and which I believe will help you as well, if you
follow it! But it is up to you to do it. With knowledge and understanding
you can help yourself. But no one else can do it for you. Only YOU CAN
help yourself.
We will get to all
that in a minute, but for now let me address the other people who are
just as involved with your disease as you are.
Lets start
with the family and friends of the MS patient. How many of you non-MS
patients here tonight have ever been in honest fear for your life, or
even worse, in real fear of being maimed? I mean the kind of imminent
fear that causes the hair to stand up on the back of your neck and the
adrenalin to shoot through your body til you almost have to scream
just to relieve the tension?
Those of you who
have actually been in a firefight combat situation in the service, or
who have crashed in an airplane probably can relate to what Im saying.
Maybe if someone here had polio as a child, or has been diagnosed with
cancer or some other so-called incurable disease, that would
probably be a similar feeling. Most of us who have been in traffic accidents
cannot really relate to this type fear because accidents usually happen
so fast that we dont react til after its all over and
by then we know we are still alive.
What you as family
and friends must understand is that the MS patient is in a very unique
situation. He has that fear for his life or at least the quality of his
life, not just momentarily while the shells are going off around him or
as the plane dives for the ground, but all the time, day in and day out.
MS is not static, what a patient can do today he may not be able to do
tomorrow or next week so the fear is always there.
All of us meet and
evaluate the people around us every day. There are all kinds and classes
of people. Rich and poor, weak and strong, pretty and plain. Our senses
and intellect allow us to relate to them all questioning, evaluating,
accepting or rejecting each on his/her own merit. All, that is except
one class of people that we have separated and raised above all the rest.
We call them the Physicians. This seems to be a class of never questioned,
unapproachable, almost God-like super human beings in our society.
Remember, a doctor,
one of these totally respected, even revered men, has given this person
whom we call an MS patient a living death sentence. This human being has
been assured that he does not even have the same chance for an appeal
that the convicted murderer on death row has. He has been told that his
fate is already sealed and it is a fate without any hope. Not even the
hope of a speedy conclusion by death because MS doesnt kill, it
only debilitates. And therefore the MS patients fear is present
all the time.
He has the constant
physical reminders of his fear in the loss of body motor functions. He
feels it whenever some new body function goes haywire. And he knows, because
he has been told by the respected doctors that the disease will never
get any better, only worse.
Yet he can remember
the times when he could run and play, because after all he wasnt
born this way. It just happened to him as a young adult. It probably came
on after marriage and his family had gotten started, when life was just
opening up like a beautiful flower before him.
Then came the first
unknown problems. The loss of balance, the sudden blurring of vision,
the words that seemed to twist in his mouth and come out in strange garbled
fashion.
My God, whats happening?
Then the medical examination
and the words that bring the fear, Im sorry, but we believe
you have multiple sclerosis, an incurable, progressive, debilitating disease.
What? How? Why?
The questions trip over each other demanding answers, but no answers come.
No one know the what: Or the how: Or, even, the why. At the same time
the patient knows that none of this is his fault. Somehow, for some unknown
reason he has just been singled out to carry this cross of physical deterioration.
How does he deal with
it? Who does he blame? Usually he first raises his fist in despair and
curses God. Why me! If you take this illness away Ill change,
become a better person, change my life, anything! But no matter
how vigorous the fist shaking or how bad the curses, they dont take
the terrible burden from him.
So who does he turn
his blame on the, who does he scream at in his frustration? Thats
right, on you, his friends and family. Not because he thinks you can change
anything, not because he believes you are really to blame, but simply
because you are there with your bodies whole and undamaged. In many cases
the patient experiences a complete change of personality. The sweet person
you love becomes someone else. By hurting you he can make you share some
of his mental pain and frustration.
I am not condoning
this type of action, or excusing the actions. But I understand the reaction.
Ive been there. Ive done my share of creaming and hurting
those closest to me. But, I also know that if the family and friends can
ride out the storm of anger and frustration; by allowing for it, expecting
it, ignoring it, that this phase will work itself out in time and tranquility
will return.
The human heart heals
and with the healing
the hurt and the anger are moved to a back burner.
They dont go away, they just become a low level ache like a once
upon-a-time broken bone on a blustery winter day.
Sometimes family
and friends just naturally go with the flow and the storm passes them
by. But all too often, without really understanding why the patient acts
as he does, they find themselves so wrongfully abused by the MS patient
in their life that they break. They respond to the abuse with a growing
hatred in their own frustration. When this happens we really get into
a bad situation.
On the one hand we
have the physically impaired MS patient, sometimes so limited that he
cant really fend for himself and in need of the help and love of
his family more than anything else in the world. On the other hand we
have the family so turned against the patient by his own actions that
they are they give is not the loving care and encouragement needed, but
rather coldly begrudged half-hearted care. The rest of the family feels
trapped because to abandon such a helpless patient is against all Christian
teachings, while to care for them is a hateful experience.
What to do, what to
do? If you find yourself in, or approaching this situation, you need to
get professional help. Quickly. Ignore the expense. This is a critical
situation, which could emotionally scar everyone involved for life.
Hopefully most of
us never reach such a critical stage. If the family can realize and recognize
that the patient is just striking out blindly in his frustration, then
the family in their love and understanding can calmly work through this
period with the patient. Maybe they can even forgive without bitterness.
But everyone must take an active part in working it through. Nobody gets
to sit on the sidelines and just watch the game, everyone is a player
whether they want to be or not: the patient, the parent, the spouse, the
children, the coworkers, the friends, everyone.
Multiple Sclerosis
or any other disease is a tragedy for the whole family. The difference
in MS is, if you listen to the representatives of traditional medicine,
it is slow acting and progressive and there is no hope of reversing it.
This is no place or time for anyone to take the macho role and try and
deal with the problems alone. It needs a total family effort.
Sometimes Ive
heard family members say, but why should I put up with abuse. I
dont deserve it. To which my reply is always, why should
the patient put up with multiple sclerosis, he doesnt deserve it
either. The difference is he doesnt have a choice. It found him
and attacked his system unbidden, but he cant walk away from it.
He cant just quit. He has to live with it the best way he can.
The family members
at least do have a choice. Not a happy one to be sure, but nevertheless,
a choice. If they really want to, they can always walk away. But if they
do, then they may have a burden of guilt just as heavy to carry as the
physical burden of the patient they walked away from. It is always best
to try and face the situation together: as a family, right from the very
beginning. With understanding each can draw strength from the others.
Now let us turn to
the MS patient himself and see if we can give him some understanding of
his situation. The first thing a patient must come to grips with is that
he is out there in a great-uncharted wilderness all alone. No matter what
anyone tells you, nobody understands this disease. No one. Not your doctor,
not the MS Society, not the researchers. You are the only expert
that really counts when it comes to how this disease affects you.
Screaming, gnashing
your teeth, cursing God, running around yelling that the sky is falling,
asking your doctor or the MS Society or your Great Aunt Mini what you
should do all have about an equal value. None.
So its about
time to get ourselves under control. I know it takes a great effort, but
we have just got to reach down and grab ourselves by the bootstraps and
yank ourselves up. We must get our emotions under control. Unless we do
at least that much we can never cope successfully with MS.
We all know we didnt
do anything to deserve this problem. Grousing about it doesnt accomplish
anything, worrying about it doesnt accomplish anything either. But,
if we can take a long honest look at ourselves and at our limitations
we can begin to learn to accept where we are and who we are.
We simply need to
try and accomplish everything we can each and every day: to stretch and
push against our limitations. But we also need to know when to call it
quits and not try and push past our limitations and set ourselves up for
repeated failures. That is the first step.
The second step is
to start reading and studying everything we can get our hands on about
MS. Dont depend on someone else to read and interpret for you, if
at all possible. If you do it yourself, the information will not be colored
bye the prejudice of another person.
My search took me
through medical libraries and health good store bookshelves. Ive
got copies of original research from allover the world, plus Ive
got books that have been written by people like myself who have had some
success in dealing with the problem.
The most striking
thing that leaps out at me from all this material is that nobody has been
really able to scientifically prove anything about any specific cause
or cure for this disease. You would think that someone, somewhere would
have found a cause at least in the last 150 years, but nothing. We have
come up with a big fat Zero! The researchers are still at square one trying
to figure out what causes this thing.
There seems to be
only one thing that every non-patient MS expert has agreed on and that
is that diet cannot and I have to repeat that with emphasis. The so-called
experts will tell you that DIET CANNOT have anything to do with the onset
or the control or cure of this disease.
What is curious to
me about all this unanimity is that there has only been one scientific
study done on diet and MS and it is very positive. That is the study done
by Dr. Roy Swank. Yet everyone of the MS experts not only totally discounts
this work, they also refuse to do any other studies with diet to try and
either confirm or disprove it.
Now isnt that
curious? No other research of any kind has ever shown any modification
of the disease from the statistical model. No exotic drug, no surgical
implant, nothing has ever modified the progress of the disease except
diet and that is the one thing all the experts are dead-set against their
patients doing. Why? That, friends, is a question to which I can only
guess at an answer.
Here is my guess.
But before I spell it out for you I want you to know that I am very angry
at establishment MS medicine. In fact, if you remember the movie NETWORK
well, Im mad as hell and Im not going to take it anymore,
from the establishment. I am fully aware that my next comments
are probably colored by that prejudice.
That said, here is how I see it.
First, our government
and the medical establishment have been saying for years, dont worry
about your nutrition. Just eat a balanced diet and everything
will be all right. Well, in this enlightened age of the 80s, we
all know that is a blatant falsehood. Yet it is the position held by an
entrenched, conservative mindset that unfortunately sits in the seat of
medical power.
Unfortunately it seems
we must live with this unrealistic official assessment of our dietary
life. The only areas in which diet is allowed to be important in medicine
are outright malnutrition, overweight, diabetes and, recently some forms
of heart disease.
In fact, diet and
nutrition are so little thought of that they are not a major part of the
curriculum in any medical school. Diet is just not a part of the mainstream
thinking in American medicine. Let the nurses and dietitians worry about
it, we medicine men are too busy with important things like miracle drugs,
surgery and managing our financial investments.
And in truth, that
is as it should be. Medicine, allopathic medicine (which is what medical
doctors really are) is defined as the treatment of disease via drugs and
surgery.
But why then do we
allow the medical doctors who have neither knowledge nor interest in diet
to become the official gurus of nutrition? If they dont study nutrition,
care about nutrition or believe that diet and disease are related, then
why do we the people allow the doctors to have the power over
official policy on diet and nutrition?
Dont get me
wrong. There have been great strides in the treatment of all types of
disease with drugs. Right now there are literally thousands of people
involved in MS research who are trying to find that miracle drug that
will control MS. And I have no doubt that sooner or later they will find
something.
However dedicated
these researchers are, they are not philanthropists. They are getting
paid the kind of money through greats and endowments that most of us can
only dream about. It is almost like a big BINGO game. The more positive
things they can get on their board the more grant money pours in and everybody
know that someone, somewhere will get the last piece on the board someday
and call out Bingo! Instant millionaire.
Human nature and the
American way is to follow the rainbow looking for the pot of gold at the
end. Thats free enterprise and theres nothing wrong with that.
So back to the question
of why the researchers dont follow up on Dr. Swanks work in
diet and MS. I think the answer is simply that pot of gold. Diet and nutrition
are in something known as public domain. That means they cant
be patented nor are they copyrightable. And no copyright or patent means
no protection of the research investment and that means no grant money.
No grant money means no wage and even researchers need to eat and have
a roof over their heads.
Carrying things one
step further, there has already been millions spent on MS drug research.
If an unpatentable thing like diet is now allowed to surface as a viable
control, then who will buy the expensive drugs when they are developed?
No, I think nutrition research will come, but only after a drug has been
found and the millions of dollars have been put in the bank.
That is the simple
fact of MS life as I see it. If you listen to the experts
you will never try a diet. Yet if you dont use a diet like the one
Dr. Swank advocates you will never modify the progress of your disease
until after someone finally calls Bingo and that hasnt happened
in 150 years of research!
I dont know
how I can simplify my feelings any more than that.
I covered the whole
area of research, theory and diet in my booklet; we wont go over
all that ground again here. What I promised you in the beginning was a
quick outline of what I personally did, not only to modify the progression
of the disease in my body, but to actually reverse it to the point that
I can now do just about anything I want physically that other fat, out
of shape, 55 year old American can do.
First, let me reiterate
that I went through all the fear and anger phases that I talked about
before. But Im a skeptic at heart and a born rebel. I just would
not accept what the experts told me about there being no hope. I was lucky
enough to have Dr. Swank in the flesh to talk to and work with so thumbing
my nose at all the other experts was not that difficult for me once I
decided that diet was the way I had to go. For you, it will probably be
more difficult.
The Swank diet is
a very low saturated fat diet. It isnt easy to follow, but it must
be done totally and at all times. It is hardest in the beginning because
it means giving up many of our (or at lest my) favorite foods. No nice
crisp bacon, or French fries, or donuts. No butter or margarine, pizza
or hamburgers. Not even any whipped cream or cheese, glorious, cheese!
But according to Dr. Swank it is a clear choice between diet and disease.
I suppose the actual
fact was that I was too stubborn, or too stupid or most likely just too
scared to give up. I had seen MS before in my own family and after I was
diagnosed, I saw others all around me with the disease. I just decided
there had to be something that I could do. I wasnt going to tolerate
being an invalid even if it meant suicide. And that really scared me.
So sticking to the
diet was the easier of the options. The longer I was on the diet the better
I felt. Not that the disease just disappeared overnight, I still had MS
attacks, but I seemed to come back after them much better than the doctors
seemed to think I would.
Then I got lucky.
I had the opportunity to go into the health food business. And through
the people I met in the industry and what I was ale to learn about my
body and how it worked, I kept getting even better and better. Sure, I
take a lot of nutritional supplements, I am in the nutritional supplement
business and I believe in how much they help me. If I didnt believe,
I would not have stayed in the business for almost 20 years. Positive
thinking, diet and the supplements only flies in the face of the MS experts.
From the number of
brain plaques the MRI shows I should be at least in a wheelchair by now
groveling at the collective feet of the MS society and the doctors. But
as you can plainly see I stand on my own two feet and thumb my nose at
them instead!
Damn it! How can these
holier than thou experts say that diet cant help people
with MS? How can these so-called healers these physicians
to the sick, sleep nights when they so deliberately mislead MS patients?
A few months ago I
was at a convention in Philadelphia where I was autographing my book.
I met a truly wonderful medical doctor by the name of Bernie Siegel who
was autographing his new book, Love, Medicine & Miracles, in the same
book dealers booth.
He is what can only
be termed as a maverick medical man. A surgeon who deals mostly with cancer
patients, he has seen the heartbreak and literally thousands of families
where one member has the deadly disease. Yet his book is full of hop.
He has chosen to focus on what he terms the exceptional patients.
The exceptional patients
are always the most difficult from a traditional physicians point
of view. They are the ones who refuse to blindly follow medical orders
like sheep. They continually question their doctors decisions, they
read and make suggestions about their own treatment and they never give
up hope no matter what the prognosis.
They take the responsibility
for their own lives; they dont abdicate it to their physician. And
most amazing of all, they are the survivors. They are the ones who are
discharged from the hospital after amazing spontaneous remissions. The
exceptional patients are the ones you read about who send
their doctors greeting cards on the 1st, 3rd, 5th and 10th anniversary
of their medically predicted death.
I guess Im lucky
enough to be one of those he describes as exceptional patients,
a survivor and one of my proudest possessions is an autographed copy of
his book. So that is the way I have approached my battle with MS and maybe
it will help you as well.
I refused to accept
MS as an incurable disease. Then I decided that I would help myself by
believing in Dr. Swank and his diet, not just because he was a doctor,
but because what he said made sense. And I was able to read the research
for myself and in data he has to back it up.
I found it hard at
first to fly in the face of the experts and tell them I was going to follow
Swanks diet and refuse their cortisone shots and any other medication
they might want to try on me unless they could prove to me by research
as convincing as Swanks that it would help me. Before I just arbitrarily
went with Swank I first asked the other doctors (and still ask every doctor
I see), if he has a sure fire cure for my MS.
Up to this point the
answer has always been, no. Next I tell him I am controlling
my problem in my body with the Swank diet and supplements. This usually
brings on a tirade, which boils down to what you are doing is crazy,
it CANNOT control MS.
My answer to that
is then please explain to me why my disease has gotten better instead
of worse. That usually brings a shrug and a dismissal. It is a rare occasion
when Ive found an expert who will discuss the whole
thing with me in a calm, rational way.
When pinned down these
experts always admit that they have never personally read Swanks
work, but they just know from all they have heard about it from the MS
Society that it is not good. Then I ask if the Sank diet will hurt me.
Because they have never actually read Swanks work that forces them
to either read it before answering me or end the discussion.
But recently, I have
changed my tactics and ask them if they concur with the AMA endorsement
of the National Academy of Sciences guidelines for diet recommendations
for the American people. If they do and most would not dare disagree with
the AMA, then I explain that the Swank diet follows those guidelines in
every way. Once they realize what the Swank diet really is, they usually
endorse it heartily, not because of the MS, but because of the AMA.
Once you have that
hurdle behind you, it is much easier to follow the diet because now instead
of following some crazy MS diet that cant help you, you are suddenly
following the type of diet that the AMA recommends for everyone and nobody
should object to that.
The next stumbling
block is the supplements. Here Im afraid you will never get an expert
concurrence. My approach has bee to simply inform the doctor I am taking
these specific supplements in these dosages. This usually brings an even
bigger tirade. If and when he becomes rational enough for discussion,
I ask him for specific objections to my regimen. Most doctors do not have
enough knowledge of vitamins and nutrition to be specific in their objections
and Ive yet to find one who would take the time to look up specific
toxicity data and determine for themselves that everything I take is perfectly
safe.
So you will probably
never get an encouraging word from your doctor on this point, but at the
same time, he will not be able to show you anywhere that you are in danger
from taking the supplements because such danger does not exist. And I
guess what most of us need is simply the assurance that we are not going
to do ourselves in by taking vitamins and other supplements.
The exact supplements
I use are in Chapter 11 of the book so you should have no problem finding
them if you wish to.
So there you have
it, what I have done in my own life to overcome the effects of MS.
(1) Got my head on
straight and quit banging it against a wall. I have MS. Hell, some people
are left-handed, some are redheaded, so what. We just have to accept what
we have and learn to live with it the best we can. It is not going to
go away. But with
(2) The Swank diet,
rigidly followed for the rest of my life, and with
(3) A nutritional
supplement program to enhance the effects of the diet, I have been able
to become physically the best that I can be.
The Lefty will always
be left-handed, the redhead will always have red hair and we will always
have MS, nothing is going to change that. But our MS doesnt need
to be any more troublesome to us than red hair or being backwards with
our hands.
I wish there was something
I could say that would make instant believers out of each and every MS
patient I come in contact with, but I just have not figured out how to
do that. Some of you patients here tonight will leave determined to change
you eating habits right away, tonight and stay with the new habits forever.
But I know that once you get out in the real world of Taco Stands and
Pizza Parlors that many of you will falter. Still others will listen to
one of the so-called experts and stop trying.
But there are a few
of you out there just as stubborn as I am, who will go on the program
and who will get better. It is to you few with the guts to do it right
and do it forever that I dedicate myself. And someday, after perhaps years
of working with the diet and swallowing all those pills, maybe you and
I will meet on the tennis court. And as we serve and volley maybe some
of the rest of these patients here tonight who didnt follow the
program will be there in their wheelchairs watching us, eating hot dogs
and ice cream and saying how lucky we are while they shake their head
in wonder.
To which all I can
say is luck has absolutely nothing to do with it. Tenacity and being one
of Dr. Siegels exceptional patients is the only answer Ive
ever found for overcoming multiple sclerosis.
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