Dan Purser MD - Real Fibromyalgia Rx

Real Fibromyalgia Rx

Fibromyalgia, Chronic Fatigue Syndrome, and Interstitial Cystitis A Pituitary Perspective

Acknowledgments

This book could not have been written without a lot of good people whove suffered, putting their faith in me as a physician. None of this could have been accomplished without the leadership and incredible knowledge of Nabil Gemayel, MD, probably the best and nicest pituitary endocrinologist in the United States. Hes also a cardiologist. Many patients now live fuller and more normal lives because of him. The work of Troy Lund, MD and that of the beautiful and kind LeAnne Swenson, MD of the Salt Lake Clinic were both key to helping this work come together God bless them both. Id like to give a big thanks to Dr. Steven Freestone (MD Pathologist) of the Utah Valley Regional Medical Center in Provo, Utah. He was always available to answer even the most ridiculous questions regarding lab techniques and levels. Thanks to Kimball Crofts, MD, a kind and talented plastic surgeon, for allowing some of this work to move forward in his beautiful office space. Michael Jensen, MD, started all this years ago. He is one of the kindest physicians I know. Richard Rosenthal, MD, of the Nexus Pain Clinic tolerated our endless discussions of the chicken or the egg theory on pain. And I cannot forget Neal Rouzier, MD., of Clinics of the Palm Deserts in Palm Springs. He is a hormone doctor who has taught so many physicians, and is years ahead of everyone else. Thank you Neal this work is for you too.

Also, thanks to the patients and the staff of Aesthetica Preventive Medicine Institute LLC, where a lot of this work was done and ideas proved especially Denise, Brenna and Caroline you rock!

Thank you toy the awesome physicians and staff of the Clinica Medica Familiar in Santa Ana, California for their long-suffering assistance in our research there. We would randomly appear to take over their exam rooms, and they never complained. They are humble and kind practitioners of the healing arts.

I owe thanks to two key pharmacies. First, thanks to MedQuest Pharmacy in Utah (www.mqrx.com). They have been a leader in compounding for decades. They make some of the best hormone products on the planet. Also, thanks to Nayan Patel PhD and his team at Central Drug in La Habra, California. This is the most excellent group of compounding and pharmaceutical geniuses I know. Nayan is a lecturer at the University of Southern California a skill in which he excels. Dr. G is a very talented educator at USC as well. The work could not have moved forward without their long hours of dedicated service.

There are many people who allowed this work to move forward, too many to list. Thanks to you all.

Foreword

After a long day seeing patients and doing testing, I was sitting with Dr. G in a hamburger joint in downtown Santa Ana, California. I asked him what he thought of fibromyalgia. Without a pause he replied, Its pituitary damage thats undiagnosed its a growth hormone deficiency.

I felt shocked by his answer. I looked at him and asked, Really?

Yes, absolutely he said and went back to his fries.

I took his answer seriously. This brilliant man (Dr G) had trained at Harvard in pituitary endocrinology, had worked at the NIH and Walter Reed for couple of decades, and then had been named assistant to the US Surgeon General. He was at USC only after hed completed a cardiology fellowship. Hes a cardiologist and a pituitary endocrinologist. He was one of the pre-eminent physicians on the west coast Id better take it seriously.

Thats how this book began, in a hamburger joint in Santa Ana, California.

This book is not earth-shattering most of my information I obtained from the excellent modern medical literature that already exists, much like in my Program120 book on proactive preventive medicine. I hope that what I have written here and what I have presented in my educational endeavors is solid data, backed by research and by my own clinical experience. Fibromyalgia syndrome (called a syndrome because no one seems to know the cause) is a mysterious disease process to most caregivers and to nearly all patients it should not be. I hope to shed light on this problem. I want to clarify the diagnostic issues involved, and indicate proper therapy that can be applied when a patient is accurately diagnosed. This is root cause medicine (like I teach in my Program120 lectures and textbook) and is exacting in its scope. Fibromyalgia cannot be cured, but with careful skill and caring, the symptoms can be mostly resolved. Patients can go forward and live a nearly normal life.

My approach is not new hypothalamic-pituitary-axis (HPA) problems and issues have been scrutinized as an etiology for fibromyalgia, but I try to connect those dots with a little different eye and experience. Dont think Im being criticalthere are many really good, kind, caring professionals trying to do the right thing. The root causes of pituitary dysfunction or damage are multi-factorial, which adds to the immense confusion I see in this area. Ill try to explain all of those causes. This will lead to clarification in the diagnosis and treatment of this syndrome.

In the following text Ill make my case.

~Dan Purser, MD

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Chapter 1

Fibromyalgia; Theories and Opinions

D iscovering the Meaning of Real Fibromyalgia: Problems with Big Medicine and Big Pharmaceutical Companies

Much of what physicians learn on the job and at so-called educational conferences comes from pharmaceutical companies. Dont get me wrong I believe pharmaceutical companies have improved the modern world with incredible medications, but it is a lazy error by physicians to depend on self-serving pharmaceutical companies to be the sole source of their ongoing education. I remind doctors of the phrase caveat emptor buyer beware. Or in this case, patient and physician beware. Its our responsibility to do our homework, not to rely on pharmaceutical representatives. Its the doctors job to know whats going on. They shouldnt be too busy to figure it out, I believe that handing over our education to drug manufacturing entities, or to hospital chains who benefit from unnecessary surgical interventions, or even to insurance companies that benefit from the belief that no therapies work for these patients, undermines appropriate care of many kinds of patients, especially those with the fibromyalgia syndrome.