We’re All Just Winging It

I was raised by two parents who believed if you were sick, you saw a DOCTOR. A “DOCTOR” was someone who’d been to Medical School and had graduated with a Medical Degree.

A PhD wasn’t a DOCTOR. A chiropractor wasn’t a DOCTOR. A naturopath wasn’t a DOCTOR. These principles were driven into my head from an early age.

For my entire adult life, I’ve handled health issues the same way. Over the years, I’ve seen cardiologists and gastroenterologists. I’ve had surgery and taken (and continue to take) pills prescribed by DOCTORS. This approach worked pretty well.

Until I got Parkinson’s Disease.

DOCTORS don’t know what causes Parkinson’s. They don’t know how to cure it, or prevent it, or stop it from progressing. Over a million Americans have the disease, and we’re all just winging it.

Which is why I found myself at a B1/Thiamine Therapy seminar on a recent Saturday morning, surrounded by other smart PWP’s impatiently looking for answers.

The seminar leader wasn’t a DOCTOR, or a nurse, or a medical professional of any kind. She was an ordinary woman with Young Onset Parkinson’s who’d decided to find another way to tackle the illness.

Dissatisfied with the results she was getting from the traditional approach, she chose to do her own research and follow her own path.

She’d read books, done internet research, joined online communities, and made her own decision. And now, once or twice a week, she injects herself with thiamine she purchases from a pharmacy in Canada.

She is very happy with the results, reporting a significant and consistent reduction in her symptoms.

A note before I continue: I am not endorsing B1 therapy. While there have been some promising small studies, We don’t yet have conclusive scientific evidence that it works. I haven’t tried it. Also, I’m not a DOCTOR.

The presentation I attended is part of a movement author Susannah Fox describes in her book Rebel Health. Patients, loved ones, and others are taking matters into their own hands, communicating, offering advice and experimenting outside the boundaries and supervision of the medical establishment.

In her book, Fox tells the story of the #WeAreNotWaiting diabetes community, and quotes their manifesto:

• #WeAreNotWaiting to bridge disconnected data islands.
• #WeAreNotWaiting for competitors to cooperate.
• #WeAreNotWaiting for regulators to regulate.
•#WeAreNotWaiting for device manufacturers to innovate.
• #WeAreNotWaiting for payers to pay.
•#WeAreNotWaiting for others to decide if, when, and how we access and use data from our own bodies.
•#WeAreNotWaiting to build applications that focus on design and usability.
•#WeAreNotWaiting to compel device makers to publish their data protocols.
• #WeAreNotWaiting to make it easier to get data off of devices.
• #WeAreNotWaiting for the cure.

Many of us with Parkinson’s have taken a similar tack. In books, in blogs, on social media, and the Turnto app, we’re comparing notes, experimenting with different supplements and medications, and sharing advice.

Facebook has several Parkinson’s discussion groups; a private B1 Therapy group has almost 12,000 members. While not all of them are actively trying the approach (some may have signed up just to learn more), it looks like there may be hundreds, if not thousands, of “mini clinical trials” happening at any given time.

Results appear to be mixed.

  • Some people report significant, long-lasting improvements to their symptoms.
  • Some got good initial results, followed by a return to their previous condition.
  • Some people got better, but have wound up worse
  • There is no agreed-upon standard dose. Too little, and you don’t get results. Too much, and your PD symptoms return with a vengeance. “Too little” and “too much” are different for each person.

This shows the pros and cons of the Rebel Health approach — B1 appears to have promise, but the data is lacking. The hope is that all of these mini-trials will give conventional researchers information they can use in more robust studies.

Not long ago I stumbled onto Fred Phillips’ My Journey With Parkinson’s blog. A retired martial arts instructor and spiritual teacher, Phillips was diagnosed in 2008. He has an unusual theory of what caused his Parkinson’s — a childhood filled with fear and shame, followed by a very stressful early-adulthood..

As a one-man Rebel Health gang, he has mostly treated the disease “holistically.” This very long post describes his journey.

It is both fascinating and exhausting to read. The sheer number of things he’s tried is beyond impressive.

Massage therapy, qi gong, the fruit diet, the Keto diet, vitamin D, vitamin B12, krill oil… the list goes on and on. And on.

I don’t mean to make light of this. Phillips takes Parkinson’s seriously, and is willing to try almost anything that might have a chance to fix it. He’s encountered several people who have seemed to reverse the course of the disease, and tried to implement their approaches.

Over time, his symptoms have gotten better. And then worse. Then better. Then worse.

By the end of the article, it’s possible to conclude that he’s wasted a colossal amount of time and money, ending up with what most of us have: a relentlessly progressive disease that will not be defeated.

It’s also possible to share his belief that he’s getting closer and closer to a breakthrough.

Me? For the moment, I’m sticking with my DOCTOR-approved regimen of exercise and medication, which seems to be working for me.

But I’m loosening up a bit. I’m trying to implement naturopath Laurie Mischley’s PRO diet, and watching her online lectures in Parkinson’s School.

And I reserve the right to implement B1 Therapy, or anything else — approved or unapproved — if the stuff I’m doing stops working.

Nobody know anything, as William Goldman said. We’re all just winging it.

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BONUS FOR THOSE WHO READ TO THE BOTTOM

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Kenny Rogers/Dolly Parton’s romantic hit “Islands In the Stream”… reimagined.

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From the I Had No Idea Desk: Apparently, Japan has a small but thriving bluegrass scene. Redbull’s playing is top-knotch, and their accents are charming.

7 responses to “We’re All Just Winging It”

  1. mmmeow60 Avatar

    Love the bluegrass and thinking outside of the box. I think we all have to be our own best advocate.

    Like

    1. shakinstreet.com Avatar

      I suspect the cure will turn out to be something like Thousand Island Dressing…

      Liked by 1 person

  2. Russ Spencer Avatar
    Russ Spencer
    1. It would be interesting to know how, or if, A.I. is being used to aggregate and analyze this data. I understand that in the broader world of pharmaceutical research A.I. is having a significant impact on analysis and outcome modeling of potential treatments/cures of disease. The challenges to applying this technology may be, as you pointed out, the lack of understanding of the mechanism of disease of Parkinson’s, as well as the diversity of information around the various “alternative’ treatments. A collection of stories from various folks trying various methods with different data points, i.e. age, ethnicity, length of experience with Parkinson, diet, other co-morbid conditions, medications etc. etc. could be a real barrier to meaningful analysis and discovery. I don’t know the answer to that challenge, but if a solution could be devised it seems like there is a powerful tool that could be applied.
    2. I am seriously impressed by the Japanese Bluegrass band. As a Bluegrass fan, I may not be able to define a high quality performance, but I know it when I see it!

    Like

    1. shakinstreet.com Avatar

      I don’t know the answer to your question, Russ. Most of what i have encountered and read about involves, unrelated individuals doing their own thing — overwhelmingly anecdotal. The Facebook message boards can be chaotic. I don’t know how or if AI can bring order to the chaos, and would invite any readers with a better handle on AI to weigh in.

      I couldn’t find the quote in Rebel Health, but the author suggested that pharuaceutical researchers could follow the discussions online and at conferences, watch for patterns, and use any evident patterns to design formal research studies.

      On Japanese bluegrass: many years ago Michele and I saw a Japanese rockabilly band called the Black Cats open for the Go-Go’s at the Paramount Theater in Portland. Five Japanese guys in black leather jackets and pompadours to the sky opened the show with an absolutely on-fire version of Johnny Burnette’s “Rockabilly Boogie.” The singer had a very heavy accent, and the band had the form perfected — they were no joke, they were the real deal. It remains one of the greatest things I’ve ever seen. Unfortunately, this was the early 80’s, and I’ve never been able to find any video of those guys. This bluegrass video brought back the memory.

      Like

  3. Tim Bowersock Avatar
    Tim Bowersock

    Another thought-provoking installment, Phil. After decades of you referring to yourself as “Dr. Phil Bernstein”, having you underscore that you are NOT a doctor is an irony not lost on any of us.

    Russ Spencer’s comments about using AI to bring order to the data chaos are spot on. There are so many medications developed/taken to treat one set of symptoms that had a serendipitous impact on other conditions. Famously, meds to help with ED were stumbled upon. The current weight loss drug craze is based on the use of drugs designed for diabetes. The trick is getting data on the unintended benefits of medications, diet, lifestyle, etc. In the meantime, let us know how the Thousand Island Dressing experiment works for you.

    Like

    1. shakinstreet.com Avatar

      As I move from advertising to Parkinson’s, I am beginning to think it may be time to retire the “Dr. Phil” schtick. But I’m not all the way there yet.

      Your mention of diabetes drugs being repurposed for weight loss hits close to home: Lixisenatide, a diabetes drug in the same class as Ozempic, appeared to slow disease progression when tested on early-stage Parkinson’s patients in a recently-published clinical trial. Another clinical trial of the same medication has been going on for two years, and is supposed to be published soon.

      My Thousand Island Dressing project has not panned out. I may switch to Velveeta, or Hunt’s Manwich Original Sloppy Joe Sauce.

      Like

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I’m Phil Bernstein

I was diagnosed with Parkinson’s Disease on May 25, 2023. At the time, I was only vaguely aware of Parkinson’s — primarily from articles in People about Michael J. Fox. And I didn’t know anyone with the disease.

Now, I know a lot more about the illness, and I’ve joined the Parkinson’s community in my hometown of Portland, Oregon.

I’ve found that writing helps me think through challenges, and this illness definitely qualifies as a challenge. I’ve started Shakin’ Street to help me think through the various obstacles, tools, and resources that a newly-diagnosed Parkinson’s patient encounters along the way.

I hope some of these posts help you address and tackle your own challenges.

Let’s connect