Consultation with Dr Semelka, part 2.
- 8 minutes ago
- 3 min read

A physician with GDD sent me a posting from Reddit today that an apparently ignored patient consulted me and paid $300 and I never responded. I checked through my paid clients and did not identify anyone who I did not respond to. That said, as I posted in a prior Blog, I receive perhaps 200 emails a day, and sometimes an email does not get seen/addressed, etc, for all the vagaries inherent in emails, social media, etc.
If you do consult me and pay for consultation, if I do not respond shortly email, me again, and sometimes 3 is a charm. It is fair to say of all physicians in the world I am likely the most attentive to individuals suffering from GDD. So I actually try not to ignore anyone, even those who cannot pay.
I have taken a few months off from posting blogs as I am recovering my energy from writing my book. Heavy Metals. The White Sabbath of Toxins. You also should be aware that when you contact me you are contacting the world authority on GDD and treatment, which turns out to be the world authority on heavy metals and treatment in general, as Gadolinium toxicity is the experimental model for all heavy metals. It is the only heavy metal administered in a controlled setting like an experimental model.
Unrelated to the above but still on the GDD subject. Now 10 years into writing on GDD, I no longer find it acceptable that MR technologists misinform patients that all the Gd comes out of them in 24 hours. Similarly it is unacceptable and unconscionable that physicians and especially radiologists consider that GDD does not exist. How is it even possible to consider that? If toxicity can arise from lead, Cadmium, mercury, etc, which are taken in generally in small amounts and often through the GI tract where bioavailability is low. In part because of molecular reasons and in part because of host defences, how in God's name is it impossible to experience toxicity when dealing with a heavy metal administered iv and at a fast rate. Infact if anything it is amazing that more people are not overtly toxic, as I estimate 1 in 10,000 suffer from mild GDD, and maybe 1 in 100,000 sufferer from severe GDD after 1 GBCA injection. Taking GDD as the scientific moidel then other heavy metals also likely have a similar incidence. Since everyone has lead in them in the USA that means roughly 350 thousand people have lead toxicity, and the great majority are undiagnosed.
Returning to the first point, I am exceedingly generous with my time when people consult me. At some point in the not too distant future I will stop. May be you don't want to be the final annoying dishonest person to convince me to stop. One reason I have not yet stopped is there is no one that I see on the horizon who has the academic standing (I am rated by Scholar GPS in the top 0.05% of all scholars on all subjects, # 10 for my career in MRI, and #12-16 for diagnostic imaging, which in case you are wondering is extremely extremely high, so even a fraction as accomplished would still be a highly rated successor), conviction, courage and strength to take up the role of the physician protecting all patients from misrepresented health care. When you consult me you are consulting one of the most highly accomplished physicians in all history, including the present time. Most people end up paying $30-50/ hour for my time when they consult me, which ofcourse is ridiculously low.
Richard Semelka, MD







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