Polite Requests.

I delivered a large wad (0.25"/6mm thick) of studies with a covering letter to my mum's new GP on Monday 17th Jan 2011. Here's what I wrote in the covering letter:- Personal information deleted.

"Dear Sir/Madam,

I have some requests concerning Mrs *****.

1) Please monitor Mrs *****’s serum B12 & homocysteine. Until Jan 31st 2010, Mrs ***** was receiving 1,000ug/day methyl B12. This was stopped by the management of Lashbrook House after I complained too much. Long-term use of PPIs in old people can adversely affect B12 absorption (evidence attached).

2) Please advise the staff at Acacia Lodge to walk Mrs ***** using the 3-wheeled rollator that I bought for her as often as she is able. Prolonged inactivity results in Insulin Resistance (IR) in skeletal muscle (evidence attached). IR results in hyperinsulinaemia on eating sugars & starches. Hyperinsulinaemia results in drowsiness and stupor (which makes it more difficult for Mrs ***** to do anything).

3) Please advise the staff at Acacia Lodge to reduce Mrs *****’s intake of sugars & starches. A low-carbohydrate/ketogenic diet is beneficial for people with impaired cognitive function (evidence attached). I have recently persuaded Acacia Lodge to give Mrs ***** cooked breakfasts and have supplied Acacia Lodge with Burgen Soya & Linseed bread (12g carbs/slice). This has resulted in improved cognitive function in the mornings.

I don’t want to impair Mrs *****’s quality of life, so she can still have chips or mashed potato (not both in the same meal as happened on Fri 10th Jan, after which I found Mrs ***** asleep in her wheelchair slumped over with her nose squashed against the arm of the chair). She can also have desserts and the occasional chocolate and/or biscuit.

4) Please allow Mrs ***** to have 5,000iu/day Vitamin D3 (provided by me), as UVB cannot penetrate window glass. 5,000iu/day is much greater than the RDA of 600iu/day but it’s a safe amount (evidence attached). That amount of Vitamin D3 has many beneficial effects (rather a lot of evidence attached!) other than bone health (for which 600iu/day is sufficient).

Thank you,

Nigel Kinbrum (son & attorney)
01252 ****** (24-hr Ansafone)
07768 ******"

The GP phoned me on Friday 21st Jan. He's taking my requests seriously and has asked for a week to read all of the evidence that I provided. Here's hoping!