My complaint to
The Ontario College of Physicians and Surgeons
and Health Canada
involving 12 doctors and their unbelivable responses

Would you believe me if I told you that almost all doctors do not consider, treat or understand the leading cause of premature death in humans worldwide? It really sounds unbelievable, but it is true. Practictioners of modern medicine have generally paid no attention to diet, or to excercise, what I call 'Vitamin X'. Health Canada doesn't consider water a food, which it clearly is (no pun intended), and the national food guide completely ignores proper water intake even though they advise eating more fibre than most already consume, which without an increase in water intake will often cause dehydration. Yes, following Canada's Food Guide can make you sick! Just ask me...

This is a true story about how an overweight guy found an easy way to loose weight, and discovered just how incompetent the medical establishment really is. I asked a simple question, and got a load of incredibly retarded answers. I was, am still, flabergasted. I had to consult a thesaurus for more adjectives. I feel like shouting this from the rooftops, and this is my way of doing it. I challenged my doctors to an explanation, and they responded by...well just read this!

First of all, all of the doctors identities have been masked. I have completely changed their names. This story may cause people to get very angry, and the internet is a dangerous place. If these doctors have done anything wrong, they should be held to account by the College of Physicians and Surgeons of Ontario, not by anyone else. I have been waiting over a year for closure to this complaint by the College, and I believe this means that the College, or CPSO, is understaffed, incompetent, or both. People should focus their concerns towards them. I also think that this ordeal shows there is a widespread problem that involves doctors in general, and these doctors are not unique.

It all started one day in early July, 2013. There I sat a in pain on my toilet. After radically changing my diet to a very healthy, mostly plant-based diet, I could not understand why I had been pushing so hard to crap. I had started the diet in August, 2012, and within a few months I noticed an increase in how hard I was straining on the crapper. I didn't mention this to my doctor - I wasn't in pain and I just hadn't gotten around to it. I was strong enough to push anyways, so I scratched my head and continued on. I experienced a sting during and after urinating sometimes as well. This only happened every few weeks it seemed and my family doctor, Dr. Green, did a test on my urine looking for infections and what not. Nothing was found.

So back to the toilet. Around this time in early July, before what I call 'the event', I sometimes would spend 15-20 minutes trying to get that piece of poop out, working it back and forth until it exited. Like I said, it wasn't painful, so I just bared it. But this time was different, it was painful. It stayed painful and got worse. I had noticed a lump before in that area, and again because it didn't hurt I didn't complain and I thought that lump went down anyways. I was in real pain now, and I knew I had to do something. It was a Sunday I think, and I could not see my doctor so I decided to get some stool softeners at the drug store. After getting a little relief, I scheduled an appointment to see Dr. Green. I mentioned that I had hemorrhoids and after unsuccessfully trying to look, he gave me some suppositories.

I knew that this was a temporary solution, and so were the stool softeners. I had this funny feeling that wasn't so funny, that this may come back again, and boy that might really be a problem. I don't know what was causing the constipation, and that didn't give me any comfort. I took the medicines and kept my fingers crossed, convincing myself that it might go away. I was right the first time because three weeks later, another episode of brick stool. My ass was on fire. I was doing the salt bath, trying the heat pad, the ice pack, and freaking out.

It was torture, and my doctor wasn't helping me. He told me to stay away from bananas and peanut butter, which I've eaten all my life with no problems. Ok, I'm pretty good with the computer, so I started looking for answers unaided. At first I found that a leading cause of constipation is dehydration, which made sense except I wasn't thirsty, so I ignored that information. Just going over and over all the internet material in my mind gave me a thought: "Is it possible to be dehydrated and not thirsty?".

Note to self: Google that when you get off the toilet. This is the moment that changed everything. Not only was it possible, but with increasing age, it was likely. I had just discovered a most amazing fact about people - that most of them are apparently at least mildy dehydrated chronically. I immediately started drinking lots of water, following some online recommendation relating to body weight. Unfortunately, even with poop of normal consistency, it still hurt like hell.

So I still had tremendous pain, and I had just inflamed watever it was twice, and it was hurting everytime I went to the toilet. It was like being stabbed by a knife in my asshole everytime I pooped. It would often hurt more a couple hours after, which I couldn't understand. Within a few weeks, I was also feeling better mood wise, and my stuffy nose which I always seemed to have just got better. Hydration, my cure. It wasn't long after that I started to ask myself what other problems I had that also could have been caused by dehydration. I had been on what I call 'psychic' medication, for depression, anxiety and bipolar disorder. Dehydration causes negative moods and anxiety attacks - Holy smokes!

I was diagnosed with sleep apnea. Surely being dehydrated would affect that diagnosis. My stinging urination. Yes, dehydration can cause that too, although that wasn't the cause directly, as I learned, but it was the cause. So my stuffy nose was addressed by an allergist and a ENT specialist, without success. The ENT doctor advised me I could have a septoplasty, an operation, to correct my stuffy nose. Does dehydration cause stuffy noses? Yes. I went to see a urolgist after having a sharp pain in my penis and noticing a red drop from my urethra. I checked out fine at the urologist and after I pressed him for a cause, he said it could have been a kidney stone. Guess what the number one cause of kidney stones is? Yes, dehydration.

You guessed it, not one of my doctors ever asked me how much water I drank. Not one of them suggested I could be dehydrated. The psychiatrists that had treated me, if you call it that, that had prescribed Lithium, had never even told me how dangerous it was to be dehydrated while taking it. Now I was pissed right off. It was time for a letter of complaint to The College of Physicians and Surgeons of Ontario.

Click Here to read that letter

This initiated an investigation of nine doctors (to be expanded). I was assigned an investigator, Cameron Vale. She proceded to compose a letter of inquiry, a "summary of concerns", basically asking the doctors to answer to charges that they failed to inquire about my water intake while treating and diagnosing me.

Click here to read the Summary of Concerns

So the process is: the doctors get a chance to answer for their actions and I in turn will get to comment on those responses. All of this will then be received by a 'commitee' at the CPSO for the higher ups to evaluate. As you can read, I had sent my original complaint out to nine doctors, with a copy to the CPSO. Although I wondered what the doctors would say about these charges of incompetence, I was really shocked at their responses. I am going to first separate two responses, that of Dr. Mayfair the Allergist and Dr. Mosley, the sleep doctor and professor of psychiatry (although never my psychiatrist). The first response I received came from Dr. Mayfair, and basically said thanks for pointing out my deficiency. Then I knew whatever happened next, I had affected a change, an improvement in the future care of his many patients at the very least. Dr. Mayfair responded to me before even the summary of concerns was sent to the doctors, and he cc'd his response to the CPSO.

Dr. Mosley had the longest response, 11 pages. All the other resonses were one or two pages. He spent a lot of effort reminding everyone concerned of his vast medical qualifications before summarizing with a threat that I may be jeopardizing ever receiving medical care by complaining. Along with the rest of his explanations, this letter was truly unbelievable.

My comments to the CPSO on the responses of these doctors were prefaced. My preface is here:

Click here to read the Preface

So here are the doctors responses:

Click to see the response of Dr. Mayfair
Allergist

Click to see the response of Dr. Green
Family Doctor

Click to see the response of Dr. Montreux
Sleep Specialist

Click to see the response of Dr. Cross
Otolaryngologist

Click to see the response of Dr. Spade
Urologist

Click to see the response of Dr. Dandy
Psychiatrist

Click to see the response of Dr. Kaylan
Psychiatrist

Click to see the response of Dr. Rainah
Psychiatrist

Click to see the response of Dr. Mosley
Sleep Specialist/Professor of Psychiatry

During this process, I mentioned another doctor, Dr. Rowan, and the College suggested I include this doctor in my complaint. I then did so, and decided also to include a few other doctors as well. Originally I was thinking that 9 doctor complaints would suffice to make my point, but the College requested specificity, so I got specific and tried to be fair and inclusive. Here are the other doctors and their responses:

Click to see the response of Dr. Rowan
Director of the Xxxxxxxxx Sleep Clinic

Click to see the response of Dr. Shanna
Psychiatrist

The following psychiatrist was the first to put me on medication, first paxil and then Luvox. He also insulted my mother and since I was complaining about him and other doctors, I decided to add that complaint as well. It is embarrassing, to have to admit I did not confront this doctor physically, and I do feel bad about that. I was in a terrible mental state at the time and I would not have a leg to stand on as a psychiatric patient if I did. I was abused.

Click to see the response of Dr. Ibanez
Psychiatrist

My comments to the CPSO on the responses of these doctors were summarized. My summary is here:

Click here to read the Summary .

So the doctor's responses really speak for themselves. Let me begin by giving my opinion on possible intelligent responses that these doctors could have given.

  1. I'm sorry. I may have not considered Mr. Bird's water intake or hydration status in my diagnosis. I regret this shortcoming. I apologize and will take this into consideration with my future and past patients.
  2. I did in fact dicuss water intake with Mr. Bird. I regret he did not understand or remember or receive this advice from me.

Dr. Mayfair used the first one, the honest response (without the apology). The other doctors admitted that they didn't look at my hydration needs because it wasn't important or neccessary. My family doctor, Dr. Green, defended himself by telling the college that he did recommend Weight Watchers, and on their website they have advice on water intake, even though he never pointed this out to me. Hard to understand that response. Discussing water intake is obviously something he never does. Another thing he never did was properly diagnose my dehydration, and never took dehydration into account while diagnosing other problems.

Dr. Montreux does not also consider hydration in his diagnosis of sleep apnea.

Dr. Cross, ENT specialist, explained that he did discuss the septoplasty with me, but after a return visit which never happened, advised me against it. He also freely admits that he never inquires about water intake and doesn't consider dehydration period. It is hydration that makes the nasal system work in fact. Astonishing response from a very experienced doctor.

Dr. Spade, urologist, explained that he never told me that I had passed a kidney stone, so advice about water intake was not necessary. I would never have left his office without an explanation as to why I had blood coming out of my penis, I can assure you. I have the clearest of memories of the event where he suggested that I could have passed a kidney stone. Maybe this was his way of "getting out" of this accusation. The thing is, I did have symptoms of a possible benign kidney stone, and this should have initiated an inquiry as to my water intake anyways, regardless of whether or not he actually told me that it could have been a kidney stone or not. Again like I stated before, good advice was not a part of his treatment.

Dr. Dandy, psychiatrist, states that "the issue of dehydration was never discussed". So another psychiatrist that doesn't understand the link between dehydration and mood disorders. He prescribes medication that is dangerous without adequate bodily hydration. Very sad.

Dr. Kaylan, psychiatrist, I ran out of adjectives already. Just read it. It really made me angry. According to the CPSO website, as from February 25, 2013 "Dr. Kaylan has voluntarily ceased to practise medicine in all jurisdictions." I understand he had political ambitions, I really hope he pursues them. I am glad he is not practicing medicine anymore.

Dr. Rainah, psychiatrist, no help to me, and of course, doesn't understand hydration and mental function.

Dr. Mosley, professor of psychiatry/sleep doctor, believes that complaining about doctors in an official manner may result in not receiving medical care. Really. It must be really easy to become a professor of psychiatry. I sent an email to the Universtity of Calgary and the other places he claims to hold qualifications from. They didn't respond, but I think they got a message. This is the most unbelievable piece of verbose diarrhea I have ever read.

Dr. Rowan, Director of the Xxxxxxxxx Sleep Clinic, didn't know I had nasal congestion despite the fact that I had ongoing discussions with other doctors in his clinic about it and was actually given a full face CPAP mask for that very reason. Again no understanding of respiration and hydration.

Dr. Shanna, psychiatrist, doesn't understand the connection between common dehydration and mood disorders.

Dr. Ibanez, psychiatrist, as well as insulting a family member, also does not seem to understand the connection between hydration and mental problems. He claims that he cannot recall events 18 years ago, although his response was actually typed by a typewriter, proving that he did in fact have a good recollection of events 18 years ago.

So all in all, I rest my case. These doctors were a danger to me. These doctors represent different ethnic and educational backgrounds and represent a slice of our health system. We are in trouble. I am doing my part in trying to get the message out, but if nobody listens, I will only be guilty of failing to get my message across. A lot of these doctors didn't even get the name of the investigator right, Cameron Vale, in their responses. This was a comedy of errors, without the comedy. The thought crossed my mind that these doctors too might also be suffering from dehydration, as they seem to exhibit the symptom of confusion. But this is all really sad. Not for me - I have a happy story; my "doctoritis" is cured. It's all of their other patients who need our sympathy and help.

The Kicker

So now the kicker. As this investigation proceeded, it became apparent by me that I had completely missed a possible leading cause of my depression and bipolar disorder diagnosis. I had the realization that I had been for years sleep deprived. In the summer of 2011, I suggested to my family doctor that I be tested for sleep apnea. I had long lasting headaches and was at wits end. I was getting sick and dizzy from taking tylenol 3's, which were prescribed for what my family doctor believed were "muscle tension headaches". I tested positive for severe obstructive sleep apnea (when you stop breathing in your sleep, the more common form that occurs when throat muscles relax). Generally, up to 15 apneas an hour is considered normal, 15-30 is moderate and above 30 is severe. I had 131 apneas per hour. I was sleeping in access of 12 hours and I still didn't feel refreshed. What happens when you have an apnea is you wake up from a deep sleep to a lighter sleep, until your breathing continues, then you try to go back a deeper sleep. You don't realize this, and these interuptions prevent you from getting a proper rest. You end up in fact, sleep deprived. I wonder if these doctors, at least the psychiatrists that treated me before I got tested, Dr. Ibanez, Dr. Dandy, Dr. Shanna, would not consider sleep deprivation a major factor in mental disorders?

So I asked for another investigation of those doctors. Still waiting for both of these investigations to conclude. I was treated by psychiatrists with medication for mood disorders while I was suffering from sleep deprivation. Something tells me I wasn't the only one. So even if you thought that the dehydration argument was thin, which it is not, surely anyone would agree that chronic sleep deprivation needs to be addressed long before putting someone on psychiatric medication. Who would disagree with that? This in my opinion is blatant malpractice.

So now I'll step through the probable scenario of my health problems.

In 1996, I went to see a psychiatrist due to depression. It was likely I was suffering from sleep deprivation from sleep apnea, and was possible I was somewhat dehydrated. The psychiatrist, Dr. Ibanez put me on Luvox, or as I call it LUV OX. I was on LUV OX for 5 years and it seemed to improve my ability to function and concentrate, although it was not a joy ride. In 2001 I had a serious manic episode, lasting for more than a month, which culminated in being brought by the police to a Montreal hospital. I was diagnosed as being bipolar, as I had met the criteria by having clinical depression and one manic episode lasting that long. I had been taking probably an overdose level of LUV OX in a manic state as I realized it was making me feel high. I was taken off of LUV OX and put on Lithium and Zyprexa. In a few weeks, I was released from hospital.

It is even more likely that I was suffering sleep deprivation at the time of my manic episode as I was having problems staying awake driving to and from Montreal. I also had a long history of loud snoring, which in itself doesn't mean sleep apnea necessarily but it could, and as I learned later, disappeared when my sleep apnea and snoring was solved. I had to get up every day for work and encouraged to work overtime, and I was obese, which is a big factor in ostructive sleep apnea. I was not tested for sleep apnea at the time, nor was I asked about my water intake by any psychiatrist ever. I also was not washing my nasal passages out, I had gotten out of the habit. I believe this also contributed to my sleep apnea. I remember nursing staff and other patients in that Montreal psychiatric ward commenting to me about my loud snoring, telling me it sounded like I was choking. I thought is was just normal for me, and so did they.

Over the course of the next 6 years or so, I remained on Lithium alone except for one or two isolated mood crises. I was gaining more weight, and my diarrhea stabilized a bit to only once a day. There was no other GI problems like cramping or anything, and I assumed I had to bear this side effect.

I was about 300 lbs when my psychiatrist, Dr. Dandy, told me to get on the scales, and told me he was sending me for a diabetes test. Considering he had prescribed Zypreza to me, I think he should have done this sooner, as Zyprezxa can cause diabetes anyways.

I tested positive for Type 2 diabetes. At 300lbs I'm sure my sleep apnea was at its worst. I tried to loose weight, and took Metformin to control my blood sugar. I started to turn my attention away from technical interests and focus on my health. I'm computer savvy and I began to realize how bad Diabetes is. I was not happy.

During this period I also experienced long lasting headaches, heart palpitations, indigestion, acid reflux, skin tags, anxiety attacks lasting for weeks, sore knees, and was diagnsed with LVH, a heart condition. Now for a guy that has always wondered what he was doing in a doctor's office, because I was always healthy, I seemed to be suffering alot of major health problems. I remember thinking to myself, "What the fuck is going on?"

I was tired of taking tylenol 3 for headaches, and I learned about sleep apnea. People around me told me that I made loud strange noises when I slept. I asked my family doctor to send me for sleep testing. I was diagnosed with severe sleep apnea, 131 apneas per hour. I was given a CPAP machine to try, and I ended up buying one. My sleep duration immediately reduced to 8 or 9 hours, sometimes less, from 12-15 hours or so before. I was more refreshed, and I noticed I was not as hungry for some reason, in the first few weeks. I used to feel guilty about sleeping so much, as if it was my fault because I was lazy or something. My headaches disappeared. Major step forward. I hated using the mask, and not being able to breath through my nose made using a full face mask necessary. I consulted an allergist and ENT doctor to see if there was anything I could do to improve this condition. Surgery was suggested, a septoplasty, and I was given nasal sprays which worked a bit, but not really. I refused the operation and gave up using the nasal sprays. Of course at this time I was not ever asked about my water intake, and was still taking Lithium, which requires adequate water intake to prevent toxicity, and Lithium affects thirst also.

After a few years of Metformin and a weight loss of 45 lbs followed by a weight increase of 25 lbs, I was around 284~lbs. My blood sugars were better, and I was taken off of Metformin. I was now prediabetic, which is a great improvement. I did not realize that prediabetic was also not normal or good, and focused on the fact that I no longer it seemed suffered from diabetes; I was not on medication for it and I felt much better about that. It was 2009.

I was on Crestor for a few months in 2007-8ish? I stopped it as I had a borderline cholesterol level. My doctor was iffy about me stopping it. I don't like being on medication. It makes me feel ill.

So in August of 2012, I went back to see my family doctor. I was expecting again to pass my cholesterol and blood sugar tests, however slight. I was upbeat. Dr. Green said that I was still not in the diabetic range, but my cholesterol was high and if it didn't change in the next three months, I would have to start taking medication for it again. I was very upset.

I went back to the computer to find ways of changing my diet to lower my cholesterol. Now, over the few years after my diabetes diagnosis in 2007, I had tried with small success in losing weight. Diet starts on Monday, ends on Sunday, when my scale refuses to co-operate with my efforts. At this point in time, beginning August 5, 2012, I began to successfully loose weight. Very successfully. I had found the answer, I was not going to be a fat slob forever. I started loosing around 2 lbs per week without hunger. Returning to the doctor, I knew that my cholesterol was going to pass, and I was going to surprise the doctor with around a 20lb weight loss. Things were looking up.

And so began the next chapter. I was on to something here. As my weight continued to drop, I became constipated. My Lithium level shot up to near 1.5, a toxic level. I cut back to maintain proper Lithium blood levels as my blood volume was now less because of the weight loss. I didn't know that loosing weight would cause any problems with Lithium, no one told me.

I started experiencing painful urination once in a while. I had a test on my urine and it found nothing. I had no idea what it was. I was still trying to understand why I was constipated on such a healthy diet. Now I'm strong enough to push hard, and it wasn't painful, and I did get a little swelling there for a bit but since I wasn't in great pain, I ignored it and didn't talk about being constipated to my family doctor.

I started excercising more, walking outside. In June of 2013, an incredible pain said hello from my anus, after pushing dry bricks out. I swear I was spending 15-20 minutes trying to work hard turd out. Yes, on the hottest month of the year, I was dehydrated. I remember seeing dark urine around this time as well, and thought to myself, "I can't remember what that means - I should look it up." As soon as it got a little better the next pee, I completely forgot about it. I feel pretty stupid now, getting a sign like that before a major event. And so I believe I opened up an anal fissure, which I assumed to be a hemmerhoid, because I had little knowledge about fissures. One thing they say is that people often remember exactly when an anal fissure occurs, and the pain looking back was unreal. It was like someone stabbing you in the asshole, everytime you poop. The pain then continued for hours, days, then repeated over and over again for months. It took almost a year to get it under control.

The control of the pain started with the realization that I needed to have diarrhea. Even poop of normal consistency was very painful. I knew that I should not take any stool softeners for more than a week, and after the first week of Docusate Sodium, it stopped being effective anyways. After unsuccessful treatment and diagnosis by my family doctor, I had another epoisode of dry brick syndrome. Being a computer guy, I started using this tool. I discovered I may be dehydrated, that my thirst may be out of alignment, so I drank a lot more water. I stopped pushing dried bricks, but I was still in pain. And there was that stinging urination. Drinking water didn't cure that.

A few months of almost getting better, then returning to pain, I tried all kinds of positions on the toilet. My poop was certainly softer, but varied between slightly hard and diarrhea. No more dry bricks however. I wondered what part Lithium was playing, since I know it had caused diarrhea city for 11 years. Could it be switching back and forth in hardness now as a result of a major dosage change (because I lost weight, I dropped from 1500mg/day to 900mg/day)? I had to consider it as it can cause both constipation and diarrhea. Was I fooled by the long-term side effect I had of diarrhea, thinking that constipation could not also exist with this drug? Could a side effect change?

By this time my blood sugar levels were normal. I had lost 60lbs before I had become normoglycemic. At 225lbs, I was arguably not diabetic. Now some doctors will say that you still are, arguing that later on it will come back to bite you, as people often experience a weakening pancreas in later life. My research taught me that it is very rare to reverse a diabetes condition. The CDC has only records for ten years in individuals that have successfully done this, so I will assume the best. My understanding is that I did not beat diabetes. Diabetes is a pancreatic disease, and that's why it doesn't get better. The diagnosis of diabetes though is made from measuring blood sugar (glucose). There are other things that can cause high blood sugar, which can lead to a false diagnosis. That's why doctors perform two tests to verify the results, and should consider stress, glandular conditions and medications in their diagnosis. There is also what I refer to as obesity-induced hyperglacemia.

Obesity-related hyperglacemia is the number one cause of type 2 diabetes melitus. It goes like this. A certain large percentage of the population, let's just say a third (?), have a predisposition to having a rise in blood sugar when and if they become overweight/obese. They first turn prediabetic, then eventually diabetic. This stresses their pancreas. It's like reving your engine to maximum. High blood sugar can cause your pancreas to overload, and self-destruct. This can cause real diabetes, the pancreatic disease. If this condition is found early, as I believe it was in me, and the person does something about it, like loosing weight/exercising, taking meds like Metformin temporarily, they can stop pancreatic damage early on. They can return to normoglycemia. High blood sugar can damage other internal organs as well, it's really not healthy - period. Of course people can just have diabetes the pancreatic condition to start with, and be of normal weight.

I believe that I was lucky. I also believe that returning to normoglycemia is rare because of two things:

  1. Doctors do not test for diabetes enough. All adults and maybe even teens, especially the overweight/obese, are major candidates.
  2. People who need to loose weight, especially after a doctor has advised them to, don't loose weight. Apathy and genuine difficulty in changing their diets are to blame.

I wasn't tested until I was 40, even though I was obese for years. Some argue type 2 diabetes is hereditary. In fact, obesity-induced hyperglacemia often is hereditary. The point is, I have reversed my problem, and 7 years after my diabetes diagnosis, I have gotten better to the point of normality. I think that if I continued my crappy diet and obesity, I would have probably ended up on insulin, with no chance of returning to normal blood sugars. So that's another thing I've fixed. And so I continue...

I started with another family doctor, who was worse than the previous one. Just my luck. She didn't have a clue about any of my health issues.

Back to rear. In around November, 2013, I came up with a plan to soften my stool without dangerous drugs. I thought that it was water that changed stool hardness, so I decided to inject water up my ass. Vaseline was to thick, and constant use and absorption was not good for the liver. Besides, my fingers weren't long enough to reach where I needed to go. Water is the lubricant of choice in the rectum, I theorized. Out comes the monoject 412, distilled water and a 1/4" vinyl hose. A microenema is in order. I used glycerin to lube the hose for entry. The hose was 14" long, that should reach. It wasn't unpleasant, and brought on a sense of urgency. Just to clarify, I don't use this orifice for sex, but I can see this type of problem ruining a relationship.

It worked! It was wet and wild! Like a torpedo, I was sending those turds to a watery grave. I had started in October logging my painful urinations, and couldn't figure out why they were happening, and why I had a huge event on October 4. I was scratching my head - I had to get to the bottom of this. After doing the microenema for few months, I noticed that I only had the urination stings on days that I had missed doing the microenema, days that I had strained more on the toilet. Bingo. While researching online, I put in the search engine "constipation and stinging urination" to see if there was a connection, and came up with bladder spasms.

Bladder spasms? They are the opposite of orgasms. They hurt, reaching a climax as the urinal sphincter closed. I named them "bladdergasms". I would start to pee, and I would sense that this was about to be a stinging release. The pain would begin to climb as I peed, then as I stopped, the urinal sphincter closed and a sharp rise in pain from the pressure of the contracting bladder buckled me over for 10-15 seconds and then released. I didn't get the typical urgency to pee from these spasms, but I'm sure that's how they manifested themselves in me.

And so explained why on October 4, 2013, I had a very large spasm event. I was at the doctor's office the day before, and didn't want to return the next day to complain. The doctor gave me anal analgesics for my pain in the ass. That deadened the area, the muscles relaxed, and I had no feedback to how hard I was pushing. Like slamming a screen door without a damper. Keeping the log of my spasms allowed me to figure out exactly what was going on. Anal analgesics to a person with constipation? No way. Fix the constipation first.

It feels pleasurable to find an answer that you've desperatly wanted, especially when you discovered it. Now I had fixed my stinging urination. I saw a couple of specialists about the ongoing pain as even with the microenema, pain would come and go as this chronic anal fissure lingered. It was weird. After pooping, I would get increasing pain for the rest of the day until I went to bed. It would start at 2-4 hours after pooping, and last for hours. It wasn't the pooping that hurt so much anymore, but the after effect. So again I wondered what the hell could cause a time delayed pain reaction in my anus? Google was stumped. I thought about this a lot, and then one neuron fired. My anus was wet when I pooped, poop is wet and wets the rectum on exit. My mini-enema assured even wetter pooping, but the rectum does not stay wet, it is normally dry. After a few hours, the rectum which became wet during pooping, would dry. When it dried, it would chaff and bind, and a chaffing binding rubbing anal fissure irritates, preventing healing. I needed lubrication, after I pooped. Now water is good, but I don't want to keep on squirting water up there all day. I discovered coconut oil, which can be used as a enema nozzle lubricant. That might last longer. It is a nutrient, it is anti-viral, anti-bacterial and anti-fungal. Did I mention my farts smelled like coconut? So there I was, in front of my more recent family doctor explaining the need for post defacatory lubrication. I was writing medical dictionaries as the doctor stared at me with an empty, distracted understandng. I wondered why I wasn't getting paid for the appointment for training. The thought occured to me that only a nerd could invent the term "Post Defacatory Lubrication".

So 5cc of coconut oil was administered inside the rectal zone. This "after-pain" completely disappeared. Now my fissure could heal faster. I also noticed at this time that if I leaned forward, I could reduce pain when I pooped even more, practically eliminating it as I was closing the fissure at that angle. I could also prevent diarrhea after-burn, when my strange poop cycle went to soft mode. Adios anal fissure. After almost a year of fissure pain, I had conquered it, with no help from 4 doctors. Actually, with hinderince from them.

Now for the sleep apnea. As I lost weight, I also started to have hyperventilation problems using the full face CPAP mask. The restriction of breathing that the mask imposed made me gasp for air. If I was in a deep sleep, the restriction had no effect as my breathing was slower. Getting to sleep was the problem. I found that if I fell asleep first without the mask, and then put it on in a half-awake state, I could fall back to sleep with the mask. This was hard to co-ordinate. I stopped using the mask after I dropped 25 lbs and it did not increase my sleep time. From then on, I went without it. My apneas were never causing a blood oxygen problem, so I decided that since I was on my way down in weight, it would only get better. I decided to begin nasal irrigation as once I had done, decades before. Dry nasal passages causing bad breath got me a reputation. When they were really dry, I could knock out an elephant at 20 feet. I didn't know about this nasal solution until I was 25.

So as I started this nasal washing, a mild bad taste started to disappear from my mouth. I knew I should have been doing this before continuously. At the onset, I was sleeping about 9 hours a day, a vast improvement from 12-14. As I continued the nasal irrigation, I started sleeping 6-7 hours a night, and more refreshed. I realized that the lubrication to the nasal passages was mitigating my apneas. And why not? It makes sense that a valve that is lubricated doesn't stick. I even got rid of my morning cough, which I was told by the family doc was "nothing". It was something all right. Post nasal drip is very important for proper breathing. It all made sense. I would have thought the sleep clinic would have tested for these problems before diagnosing me, and what about others with dry sinuses and sleep apnea? Maybe some don't need a CPAP machine. What a concept. My snoring disappeared as well! With a combination of weight loss and nasal wash, I had fixed another major health problem. And so I move on...

Let me see, what's next? I started getting large skin tags, and I learned that high blood sugar can cause this, although not the only cause. Skin tags are unsitely and can irritate if there in a region that rubs, like under the arms. I have quite a few, and large. I had them around the neck, under the arms. They were big enough that removal practically constituted surgery. I had some removed and I removed the rest. I read that high blood sugar can cause them, and since they appeared around the years leading up to and after my diabetes diagnosis, they very well could have been caused by high blood sugar. After removal, they did not return, and the smaller ones disappeared.

Now to LVH - Left Ventricular Hypertrophy. This is a heart condition that was only found after a thorough heart test at the hospital. Because I was experiencing heart palpitations, possibly because of sleep deprivation (sleep apnea) and/or dehydration, my family doctor decided to eliminate any physical cause without checking for the obvious. This heart test took hours, and the result was that all was fine, except I had this LVH, a thickening of the heart muscle. Similar to when your bicep gets bigger with exercise, my heart was saying ,"I'm working too hard." This condition is not a disease in of itself, but a symptom of another problem, like high blood pressure. I didn't have high blood pressure, strange as it might be for a fat guy, but there is also a link to obesity alone. Weight loss should cure that, and it did. Another one down. I bet lots of obese people have that condition and don't even know it.

Ok sore knees. One day when I was real heavy, I felt an incredible pain as I ran up the stairs. My leg seemd to collapse at the knee. Ever since I had knee pain in the left knee going up or down the stairs. It wasn't really bad, but noticable. Walking was not a problem, even brisk walking for an hour. Dr. Green said it was normal. No x-ray, no treatment. It was a few years until I started stretching exercises. I noticed after the first day or so that the pain going up stairs had lessened. I realized I was giving myself physiotherapy, and then I researched specific knee stretch exercises for pain. After a few months I was pain-free. After creating a complete lower leg and body stretch routine, I also noticed that the bumps in my lower legs, muscle herniations, went down almost completely. I should have been advise to perform stretching exercises, or sent to physiotherapy.

Acid reflux was happening every couple weeks before I was tested for sleep apnea. I would wake up gasping as acid rose to my mouth. I didn't know what it was, and again I didn't talk to the doctor about it. It seemed like I was dying when this happened. I later figured out that when I experienced obstructive sleep apnea, I would gasp for breath and would suck my stomach acids up my esophogas. This can also lead to other medical problems. This would happen when I was falling asleep, which is when the throat muscles relax and you start gasping for breath but you are sleeping enough not to know you are gasping. Again, loosing weight and lubricating my sinuses completely cured excessive sleeping and acid reflux. As well, a morning cough that was brushed off by my family doctor disappeared as well. Another one bites the dust.

The cause of indigestion is hard isolate sometimes. There are many causes, and being overweight is definately one of them. It's easy to get used to the antacids, the Tums, the Pepto, etc. I was taking them multiple times per week. I condsidered it normal. With those multi-coloured tablets, it just seemed so much like harmless Pez candy. In a recent study, it has been shown that long term regular use of antacids can result in a reduction of viamins and nutrients being absorbed by your digestive system due to a reduction of your stomach acids. You will not break down your food as well when your stomach acids are neutralized. This affects your entire body. Enough said. Wait loss should be your first step here - worked for me.

Bipolar Disorder. I would often tell people I didn't have bipolar disorder, I had a Lithium disorder. The bipolar part was working fine. The thought occurred to me, especially later on after researching, that it was possible I was not bipolar. If you look at the definition of bipolar disorder, you'll see that someone that experiences total textbook mania is considered bipolar. I had suffered depression and I had experienced total mania, so I was considered bipolar. Simple enough. The thing is, SSRi drugs, such as LUV OX, are known to cause mania themselves. The DSM, the bible of psychiatry, is chock full of inconsistencies and contradictions, and ommissions. The DSM-V states that an episode of mania that is caused by a substance that can cause mania is not the definition of bipolar disorder. Here's an exerp from the DSM-V:

One of the criteria of a Bipolar 1 diagnosis is: D. The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or to another medical condition. Note: A full manic episode that emerges during antidepressant treatment (e.g., medication, electroconvulsive therapy) but persists at a fully syndromal level beyond the physiological effect of that treatment is sufficient evidence for a manic episode and, therefore, a bipolar I diagnosis."

What a load of crap. Now if you find this definition hard to follow, just imagine a psychiatrist trying to figure it out with their mental handicaps. What this critereon means is that if an episode of mania should emerge during SSRi treatment, and extends beyond the effects of the SSRi, in other words, if the mania continues after the SSRi has been discontinued, then you can diagnose bipolar disorder. If the mania subsides as the effects of the SSRi dissipate, then you can claim the episode was substance induced. The problem here is, if someone experiencing a manic episode on SSRi's presents themselves to an emergency ward psychiatrist, the first course of action the psychiatrist is going to take is going to be to immediately take that person off of the SSRi's and administer some drug to control that mania. This will take away the ability of the psychiatrist following the DSM-V to determine whether the mania could have persisted beyond the effects of the SSRi because the drug that the psychiatrist administers to control the mania will probably take effect before or at the same time that the effects of the SSRi will wear off. It will be impossible to diagnose bipolar disorder or a substance induced mania as the mania could have been controlled with the other medication. No psychiatrist will take someone off of a SSRi and wait around to see if the person's mania subsides within the timeframe that the SSRi's effects could still be experienced, lets say a month, or even a week. This critereon basically and practically makes no sense.

Unfortunately I cannot determine under the DSM-V if I had a substance-induced manic episode or if I am bipolar for that reason. I don't believe I have bipolar disorder for the same reason I don't think I have anxiety disorder. Just because I had anxiety attacks, doesn't mean I have a permanent condition. If the triggers for anxiety attacks can be found and eliminated, things like caffeine, stress, dehydration, and yes, sleep deprivation, and anxiety attacks cease, then arguably you do not have an anxiety disorder. The link between sleep apnea and bipolar disorder and mania is an obvious one. Starve the brain of sleep, the brain will get sick. Unfortunately psychiatrists generally do not recognize sleep apnea as a major trigger for a psychiatric episode, nor do they consider treatment for sleep apnea as treatment for psychiatric disorders. As well, psychiastrists also do not understand that common dehydration affects mood. I do. That automatically makes me a better psychiatrist than all the psychiatrists I have been under, about 8. I never studied medicine at university - I guess my common sense comes naturally and is much more powerful than the sense of an educated idiot. I would suggest that proper diet, exercise and sleep could solve many mental disorders, but who would support a study to prove it? Certainly not drug companies, who are only interested in holding patents for cures, and selling medication.

The fact that looking back I was working long overtime hours, most likely suffering sleep deprivation because of that and of course sleep apnea as I was even then in the obese range, without nasal lubrication, and that I very well could have been dehydrated, I believe is a good reason why I suffered mania on a psychiatric medication. Sleep deprivation in the 131 apnea/hour rate discovered later is in my opinion the trigger for my psychiatric disorder. I think that the fact that none of my psychiatrists ever sent me for sleep testing, or asked me about my fluid intake, gives me reason to believe I was not treated properly and should question all of their advice and diagnoses. I believe now that poor diet, exercise, hydration and sleep are the cause of most pshychiatric disorders. Even if it's less than that, it is a trajedy that psychiatrists do not consider any of those in their diagnoses whatsoever; not sleep apnea, not proper water intake, not exercise, not diet. Something tells me that there's a good reason why they call them 'quacks'. I have learned that sleep apnea is as common as depression. After my major lifestyle change and the subsequent elimination of so many health issues, I decided that I needed to test whether or not I was bipolar. If I was not, I certainly didn't need to take Lithium and suffer the side effects. It didn't run in the family either. I also by this time decided I never wanted to see another psychiatrist ever again. It all made sense. I needed to come off of Lithium, and see whether I would experience depression or mania. I was prepared for either. If I was told in the beginning what mania was, I would have been prepared and would not have taken myself seriously when I experienced it. I had suffered the worst bouts of depression, and the best bouts of mania, I knew what I was risking. It was time to taper the medication. Getting a family doctor now was going to be virtually impossible as a person diagnosed bipolar on Lithium for 13 years who has decided to stop seeing a psychiatrist and go off of his medication is one hot potato. A non-conforming psychiatric patient is what a family doctor will stay the hell away from. If they could only see my point of view, if I could only tell them that psychiatrists are harmfull doctors and have them believe me. That really puts me without any care, save for the walk-in clinic; praise the walk-in clinic. If I'm right that I'm not bipolar, and my health problems have all been solved, I will walk away unscathed. If I am in fact bipolar, I'll need to see a wacko-quacko, to get more Lithium, and that's not good. Of course a guy like me can always fake a prescription, but doing a blood test for Lithium levels will be a little more difficult, that may take me some effort. But I think I could probably do that too. So it's all or nothing. I'm not a high-cycler, so it may take time to prove I'm mentally sound. I've been subtherapeutic for a while now and I've never felt better, well except for when I was manic, I felt better then! Lithium is a mood stabilizer, and it puts a wall around your emotions. You may never cry on Lithium, but your highs will be trimmed as well. This is why I never felt 100% on Lithium, maybe 75%. Life's highs are not as high as they were, and that trimming off of your highs lowers the average level of your happiness. Coming off of Lithium gave me these highs back and raised my overall mood, making me feel better. I know that psychiatric problems don't lend themselves to self-diagnosis, but I have also realized that psychiatric disorders aren't effectively treated by psychiatrists. It's all or nothing at this point, I'm going to be my primary care physician. I've done pretty good so far.

So I conclude that my health problems started when I saw Dr. Ibanez in 1996 for depression. He didn't understand that depression could be both caused by and exasperated by common dehydration, and sleep deprivation. Had those conditions been considered, the next 18 years of my life would have been very different. From doctor to doctor, from specialist to specialist, from psychiatrist to phychiatrist, I experienced a true comedy of errors, without the comedy. If there is to be any good that comes from this, it's firstly that I should pay more attention to my health, I realize I am the best doctor I know. I do use doctors, for their experience and their ability to prescribe medication. I keep track of my medical issues like I previously expected my family doctor to do. I use the walk-in clinic, and before I go I research all I can about any problems I have before I see a doctor, for my own protection. I think modern medicine is great, but the practitioners of modern medicine are not doing it justice. I think that in many cases, one is more likely to be harmed by a doctor than helped, especially if that doctor is a psychiatrist - what I refer to as a 'wacko-quacko'. That being said, that only leaves the first cause of premature death, apathy.

Speaking of words with pathos in them, my doctors often brushed off some of my complaints as being idiopathic. This word is derived from the words "idiot" and "pathetic", which is what a doctor is when they fail to understand the cause of your condition, a pathetic idiot. It's a fitting word.

I encourage everyone reading this to ask your doctor why he/she doesn't give water intake recommendations.

I think that it is important to tell this story to help others. No doctors seem to understand that it is their job to understand dehydration and diet, and to make recomendations. Since Health Canada does not advise proper water intake, the ignorance just trickles down. My journey takes me there...

Health Canada &
The Dietitians of Canada

So I figured I would tell Health Canada of my anal fissure, and how that by following their food guide, I became sick. What would they say?

Click to read the response of Health Canada
and The Dietitians of Canada

***
Steve Paikin and The Agenda
I contacted TVO's public affairs program, The Agenda, with no luck. It seems that the team there doesn't believe water intake is important to overall health, just like these foolish doctors. I'm admit though it's very hard to diagnose your own dehydration when you are in fact yourself dehydrated. You need a properly hydrated mind to think with first.
***

SUGGESTIONS

I think this episode in my life teaches an important lesson, or lessons. Firstly, you cannot rely on a doctor to give you water intake guidelines, nor can you rely on Health Canada for water intake guidelines. If you suffer or will suffer from any form of dehydration, from mild to wild, getting a correct diagnosis probably will not happen. Of course people who we typically think are at risk for dehydration, like atheletes, who suffer obvious signs will probably have a better chance of a diagnosis, usually by themselves. The majority of dehdrated people are not atheletes. The notion that thirst should guide your water intake is just that, a notion. I think I have proven that to be false. Looking for darker urine is like noting a cars 'idiot light', by the time it goes off, you are well into a problem. I was seriously constipated before my urine turned dark, as symptoms of dehydration can take a different order in any particular person.

If someone should ask me how much water should people drink, since I seem to know a bit about the subject, I always tell them, "The right amount." Water intake guidelines vary between sources of information, from 2 litres a day to over 4. If we were to only consider a minimum, we can easily find many people, especially the eldely, that don't even meet that requirement, or even come close to it. That's one reason why the elderly have more medical issues, undiagnosed dehydration. Just ask some senior you know how much water/fluid they drink. It is also possible to drink too much water, and I will add that I have never seen a water intake guideline that has a maximum. I do believe this subject should be investigated much more thoroughly. I see in the future a simple way to check one's hydration status 'on the fly' with some kind of device, and I feel an invention coming on. I'll post it on this website if I ever do invent one. I think in the future we will have 'smart toilets' which will analyze our urine and feces and immediately give us a status report (possibly printed out on toilet paper?).

I think that it is right now easier to check input, not output, and more accurate and individualized water guidelines will really help. To me, the government or other health professionals that give guidelines on salt, sugar or red meat intake really need to be considered carefully, as those authorities can't even decide how much water we should drink. It's a lot like believing our scientists can tell us what our weather will be in fifty years due to global warming when the top experts can't predict our weather with any serious degree of accuracy a week ahead. If we change our environment in obvious ways, it's obvious our environment will change. If we change our diet, we should also expect change and concluding that better diet means better health is generally correct. Undergoing blood tests or analyzing our moods may not provide us with obvious conclusions about the causes, the same way that analyzing our weather conditions may not lead us to an obvious conclusion about how we may be changing it. Again, we should look more at input and draw conclusions rather than output. I don't care about scientists who claim to predict environmental problems because I think that over a billion cars pumping out toxic fumes will change the environment. I need no proof, especially when I can smell it everyday. I remember when environmental change was labelled pollution. With a less morbid name like 'global warming', I suspect that even more than before it will be ignored. I digress.

I think that any adult should be regularly tested for type 2 diabetes. I was 40 when I was tested. I think I should have been tested earlier, especially since I was obviously obese for years before. I think also that if people are tested more, and if people actually were to loose weight upon this diagnosis (before would be ideal), more people would, like myself, fit into the category of those that have reversed the main symptom of diabetes, hypergycemia. Preventing pancreatic damage from obesity-induced hyperglycemia will lead to a reduction of diabetes sufferers.

For those that suffer from psychiatric or any mood disorder, headaches, excessive sleep, tiredness, sleepy driving, irritability, acid reflux, or possibly even snoring, you should consider being tested for sleep apnea. I do not of course recommend the Xxxxxxxxx Sleep Clinic, but sleep specialists in general do have great equipment to check for this condition. You should also insist on seeing an ENT doctor, to have your upper respiratory system inspected, if a diagnosis of sleep apnea is made. Of course being properly hydrated comes first. If you are a mouth breather or a person that snores, you should talk to someone about this. For years people around me told me I was a loud snorer, and I just thought that it was normal and I was just a person that snored. This went on for decades, and now I realize I am not a snorer, I am actually a silent nose-breathing teddy bear. Nasal breathing is very important to your health, so get it checked out. Nasal washing can cure snoring, help you to breath nasally, and help sleep apnea. If you are under a psychiatrist for a mood disorder, get a sleep test.

The experts will insist that psychiatric disorders like bipolar disorder cannot be cured, and treatment must include medication. Since psychiatrists don't seem to include proper hydration and proper sleep in their diagnoses, we really cannot pay much attention to their conclusions. Not one of my 8 psychiatrists have ever inquired about my water intake, or sent me for a sleep test. I now know that this is common. This is why black magic is more scientific than psychiatry.

Just remember one thing about doctors and psychiatrists; although many may be incompetent, as I have pointed out here, that doesn't mean their treatment doesn't work. I wouldn't want people to think that a person taking psychiatric medication should just throw their meds away and drink more water instead. Just because psychiatrists are quacks, doesn't mean your medication isn't useful. Similarly, just because your doctor is a bozo, doesn't mean the flu shot your doctor gave you won't protect you, and that the antibiotics won't cure an infection. I'm hoping this material here will make people realize they should take more of an active role in their health, and to not rely on health professionals to consider some obvious steps we can all take in getting a more accurate diagnosis from a doctor. In a storm of stupidity, there has to be vortices of intelligence, somewhere. Look for them.

If you have aches and pains, and even if you don't, you should be performing stretching exercises everyday. I cured knee pain that I had for years, and greatly reduced some leg bumps I believe are called 'muscle herniations' with simple stretching excersises. You can start with a 10-minute stretch - just look it up online. You have to get old, but you don't have to get rusty.

Update: I have also tried without success to initiate an investigation of 2 other psychiatrists that had treated me in Montreal, through the College des medecins du Quebec. They refused to entertain an investigation stating they did not see a just reason. Those two psychiatrists, Dr. Doors and Dr. Hope are responsible for diagnosing my apparant bipolar disorder and putting me on the diarrhea inducing fast release Lithium Carbonate. They of course also did not inquire about my water intake, and did not consider sleep deprivation. They as well as the College des medecins du Quebec need to be educated about their incompetence. I will try my best, and I will post any updates to that situation here. It doesn't look like these doctors want to take the bait and embarrass themselves, and are going to try to hide under their provincial health authority. I feel sorry for Quebecers.

And so, I am waiting for the CPSO to hear this complaint. Obviously they are understaffed, incompetent, or both. It's been over a year. Totally unacceptable. If this complaint ever gets closure by the CPSO, I'll post their conclusions. I've already made my conclusions.

If anyone would like to comment on this situation, I'll open a comment page up and post them, word for word. It would be interesting to hear from other doctors, or anyone with similar experiences. As for me, I have no real health problems at this time. I don't have a personal physician per se, I am trying to fill those shoes myself. I think I have done great so far, far better than the doctors that have treated me. I keep a medical log and I go to a walk-in clinic when and if I need a blood test or some advice. I always listen to the fool, because it's better than talking like a fool. I look for the little vortices of intelligence that inevitably comprise any idiot's conversation. I hope others extend to me that same courtesy. And, once again, I find myself waiting for a doctor asking myself, "What the fuck am I doing here?!"

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