ABSTRACT
Dr. Horowitz had struggled in his care of Lilly Chui during the first 10 years of their relationship. She dismissed his recommendations regarding the treatment of her uncontrolled hypertension, hypercholesterolemia and type 2 diabetes. Lilly wanted to avoid “pills„ and was adamant that “I just want to do it more naturally.„ Yet her lifestyle changes were minimal, and other than light housework Lilly remained quite sedentary. But Lilly was a ticking time bomb. Concurrent with her own health problems, Lilly’s family history was ominous – both of her parents had suffered debilitating strokes secondary to hypercholesterolemia. Her two elderly brothers had died of pancreatic cancer within six months of each other.
