INCOMPLETE MEDICINE VS. INTEGRATIVE MEDICINE: OUR HABIT OF ACCEPTING LESS (ISSUE 129) MAY 20, 2014

By Diane Gold

Integrative Medicine is the new buzz phrase that refers to medical doctors’ looking at biology, psychology, exercise, social adjustment, spiritual balance and nutrition to conclude the best way to work together with a patient on her health.

This is not a new concept; it focuses on a stronger doctor-patient relationship, the way it used to be back when patients weren’t rushed out after 5 minutes of appointment time. It focuses on prevention and upon uniting all the factors that affect health, also not new concepts. The rise in popularity of integrative medicine comes from the movement of patients managing their own health care due to lack of one medical professional to do it, which includes not trusting over-prescription of pharmaceuticals and not accepting ludicrously minimal face time with the actual doctor.

OLD VS. NEW

When I was in my teens, we went to a psychiatrist to talk. Now, people go to a psychiatrist to get drugs. It’s not that shrinks don’t like talk therapy. It’s that the “Western health care system” pays next to nothing for talk and lots for the prescribing of pharmaceuticals. In my mother’s day, people would go to the doctor and have long conversations about what felt bad, what was going on at home, at work, at school, in the town.

Today, traditional medical doctors are always looking at the clock and rarely taking the time to get to know a patient. The initial visit is usually the last time any real conversation takes place. Furthermore, general doctors or family medical doctors are typically underpaid and overbooked because specialty pay is higher so there is a shortage of plain old generalists.

Thus, the growth of integrative medicine, the way Western medicine used to be and Chinese medicine still is.

SELF-EXPRESSION AS HEALING

Because part of healing has to do with self-expression, integrative medicine includes counseling and discussing what is going on in the life of the patient or how the patient feels. Yes, we pay for the time since we may be billed at the highest tier should we touch upon 5 subjects that ail us instead of 1; but we have the ability to have a full and complete session with an expert. Hallelujah.

And when was the last time anyone got to see a nutritionist and a exerciser as part of standard treatment? Not all doctors bill by time and number of subjects discussed, but more time means fewer patients so compensation deserves to be higher.

THE INTEGRATIVE MEDICAL DOCTOR I SAW

The integrative medical doctor I saw was one of the best doctors I have ever seen. Here’s why.

Since I study nutrition, I know the importance of proper food for the body, mind and spirit. Almost all medical schools require an inferior amount of courses in nutrition as a requirement. How pathetic is that? The outcome is that each doctor who understands the importance of nutrition has to make some time and study it on her own. Pretty shabby when nutrition is a daily factor  for every patient.

After $250,000 worth of debt (from med school), not all doctors are motivated to do more studying even though all know that nutrition matters.  The doctor I saw had learned about food and was able to converse about it while being an expert in internal functions of the body. This was the first time I had been to a doctor who had any professional knowledge of nutrition. Being vegan, which is the minority, I always look for someone who understands the no meat and no dairy way. I lucked out. The doctor whom I saw had been exposed to my kind of eating through his family’s vegetarian Indian roots and his own due diligence.

As part of the general appointment, this doctor had an exercise physiologist and a nutritionist on staff as well as assistants to help with the regular vital signs. Each of his patients was asked to see each of these other professionals so that the doctor could get a fuller picture of the health systems of the patient. Unfortunately for me, but not to my surprise, the nutritionist had no idea how to discuss a vegan diet or even a vegetarian diet. This failure motivates me to study plant-based nutrition with more zeal.

INCOMPLETE  MEDICINE VS. INTEGRATIVE MEDICINE

Having been aware that the health care system compartmentalizes each area, many of us have known that the infrastructure of medicine as it has been displayed and taught to us is out of balance and incomplete medicine. We who know what mind/body disciplines can do for health are thrilled to see the continued popularity of integrative medicine.

Imagine if integrative medicine were the standard. It will be. It will take time, but, if we talk about it, we can spread the word and get the secret out. It’s not really a secret that medicine includes the entire life of the patient, that whole medicine consists of Western medicine, Chinese medicine, the tai chi mentor, the herbalist, the masseuse, the personal trainer, the nutritionist, the meditation mentor, even the music therapist. We know that lots of factors affect our health. So how can we believe that isolating one piece of the body for study would be the most accurate way to diagnose, treat, heal, mentor? We know it’s not. Let’s talk about it.

CONCLUSION

Those of us who have been brought up remembering we can always go and talk to our doctor who is our friend are coming full circle. With integrative medicine coming out in full force, we may have that opportunity again. Those of us who were born in or after the 1990s may have been brought up with some of the integration that balanced medicine deserves. Talking, trusting, getting comfort are all things the doctor provides. Are we getting these at every visit?

This nurturing from medicine will happen again with the mainstreaming of integrative medicine. Not all at once because things take time to change. But change is coming, and it is long overdue.

ACTION STEPS

Here are several steps that may help with the understanding of true health care and integration.

1) Talk about integrative medicine with friends, family, colleagues. Have actual discussions about what each of you would do to further our medicine from a disease management system to a true health care way.

2) Attend TheWorldsStage.com’s Virtual Conference. More info at http://theworldsstage.com/#!the-story/c1wgz
which will including presentations by change makers including integrative medicine. There is no charge for this amazing virtual experience.

3) Consider the way you are treated when you go to the doctor. Question all your health care providers about integrative medicine. They will be happy to talk about it, even if they only know about Western medicine. It will be an informative conversation. Either you will inform your medical provider or she will inform you.

4)  Join our virtual discussion about how to spread the word so that doctors include other disciplines for the benefit of our healing. Click HERE!

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DIANE GOLD, PUBLISHER AND AUTHOR

Diane Gold, Founder of Warriors of Weight, Turning Habits Into Health, is a mentor in tai chi, kung fu and meditation, a music, fitness and stress expert, dedicated mom, studying plant-based nutrition and habit change.

She has been talking about how medicine involves the whole person since she received her Masters in Music Therapy in 1976. She says,

“The name Integrative Medicine is fabulous. It attempts to bring medicine full circle, combining all that we know from the West and the East and cultivating those with many other disciplines that study various parts of a patient’s life.

“Each patient is different and responds to different approaches uniquely. The philosophy of Integrative Medicine desegregates knowledge for the benefit of the patient, intermixing mind/body work with herbs, drugs, chiropractic, music, nutrition, exercise and anything else that is or that will be available. Its job is to expand medicine rather than coop it up in little cubby holes, labeled by specialty.

“The concept is great. Let’s get the word out so it gets more popular!”

HABITS AND MEDICAL CARE: PART ONE – WHAT CERTIFICATE IS THAT? (ISSUE 81)

By Diane Gold

M.D.s vs. D.O.s

When we first come out, we go to a doctor who specializes in kids. If we’re on public assistance, we go to whomever we get on an infrequent, if not inconstant, basis. We don’t always remember the experience, depending upon our memories. My son probably remembers his first encounter, whereas I have scanty recollections.

In the old days, when I was a child, we were taught that only doctors with the initials M.D. after their names were qualified. D.O.s, Doctors of Osteopathic Medicine, were thought to hold less qualification than the allopathic doctor, even though they went through the same training, sometimes at the same schools, definitely at the same teaching hospitals, for the same amount of time. Who promoted the inaccuracy? The habit of continuing to believe it, even though we know it is not true, requires exposure to the truth, research and, like any habit, continual maintenance.

FYI: in 2008. the AMA, American Medical Association, resolution 302a states,

“H-405.969 Definition of a Physician

“The AMA affirms that a physician is an individual who has received a ‘Doctor of Medicine’ or a ‘Doctor of Osteopathic Medicine’ degree or an equivalent degree following successful completion of a prescribed course of study from a school of medicine or osteopathic medicine. (CME Rep. 4-A-94; Reaffirmed by Sub. Res. 712, I-94; Reaffirmed and Modified: CME Rep. 2, A-04)”

DRUGS FIRST?

Through the medical model to fix what ails, doctors are schooled in drug therapy. This is super fantastic since drugs are miraculous helpers. But, there are preventive disciplines that have little to do with pharmaceuticals; they teach us how to live and thrive without drugs.

A perfect example of the old way of thinking is that when I looked for an image under “medical,” most of them showed pills, syringes and drugs.

Awareness and training are changing on this point, but doctors, to date, usually do not study to be qualified to insert a nutrition and fitness regimen that prevents problems, minimizes disease initiation or flat out switches off a gene or inhibits the release of a chemical that causes negative conditions in our body (or mind).

Since there is no nutrition requirement in medical school, the latest and greatest discipline, integrative medicine, whose time is overdue, but we’ll take it, is looking to correct this failure. Unfortunately, doctors who provide nutritional and exercise physiology specialists along with their services, are few, are often not connected with an insurance plan and usually charge triple as to make the appointment cost prohibitive.

In time, hopefully medicine that looks at a person and not what money can be made by each industry separately while treating the person, will become the standard that should have always been. I’m grateful it exists now, but couldn’t we say it is the public relations way of saying,

“Oops, we, in medicine, made a mistake. We forgot to include nutrition, exercise, rest and peace of mind as crucial coursework in medical school,”

without admitting we made a mistake? And we will all know what is happening behind closed doors,

“Look what this means to us, fellow doctors? We can profit from our mistake. We can name a new discipline, Integrative Medicine, charge triple for it, get a percentage from each discipline provider including the gyms, and maybe no one will ever notice we left this stuff out of a standard office visit. But, at least, we will won’t have to admit that we left something out and can still maintain the label of the Almighty Doctor.”

Don’t get me wrong. Getting through medical school is a bear. I just watched my precious daughter graduate vet school after eight years of diligence with extra work many summers. Her resume is longer than mine, and she is just starting out. I am told the severity of study is similar to med school, or worse.

Much respect to everyone who does it.

THE OTHER MEDICINE

Because of the lack of completeness in the medical model, or due to a myriad of other reasons including personal choice, different philosophy, poor grades, limited funding or indecision early in life to go to medical school); there are lots of folks who go into other medical disciplines. Because most are not standardized into one association or even one association per discipline, there’s a lot of variation in what people learn and what each certification actually means.

Here’s a non-medical example: mp3s are the most common audio file format. There are 30 or so others offered that were manufacturer specific. If we didn’t use a player by our particular manufacturer, we couldn’t play our song. People spent extra time working on converting files or buying duplicate hardware, rather than listening to music. Until the people spoke: peer sharing was born.

Here’s a medical example: people have taught us to reach for a pill. If they had been taught nutrition and exercise education from early childhood, they would be in the habit of preventing whatever it is that is causing them dis-ease so that they would be looking for relief from sickness far less. They might also be familiar with the myriad of options to healing, other than the pill.

CONCLUSION

Of course, there are loads of habits we have developed over the years. They are so ingrained, sometimes we can’t identify which are based on learned facts, on nebulous supposition, on familial traditions.

The method of change is still the same. Take one step in the direction of the new idea, and we are one step closer to change.

Below are action steps that are fun and educational. They are meant to stimulate your thinking so there are dynamic learning and flowing habits in your daily living.

ACTION STEPS

1) If you had a child today, what would you teach this child about proper nutrition? Whatever it is, go learn this nutrition now, for yourself. You are worth it. Or so that you will be up-to-date for the sake of your child.

2) Do you have one food habit you have that goes against scientific evidence? Such as, do you eat a food that you know is bad for your arteries?

Here’s one: I could mention that combining proteins on a plant-based diet has been scientifically proven not necessary. Many books incorrectly talk about this outdated information that I, only recently, corrected in my own skill set.

There are many habits we have developed by believing in food manufacturer’s ads or antiquated principles or by just plain hedonism. Find one habit, research it and see whether you wish to change it.

3) If you defined the role of the perfect doctor, what expertise would your doctor have? Can you make a list of what is missing in your current doctor’s education? If you have the perfect doctor, please pass her on so we can know about her.

4) What do you do on a daily basis to relax? As with food nourishment, relaxing daily is a must. If you don’t have a daily relaxer, consider one. Want a suggestion? Just ask here.

5) If you could change one thing about medical care, what would it be? How can you contribute to making it happen?
_____

Hope you enjoy going through these action steps.

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Please leave a comment and LIKE.

DIANE GOLD, AUTHOR

Diane Gold, Founder of Warriors of Weight, Turning Habits Into Health, is a mentor in tai chi, kung fu and meditation, a music, fitness and stress expert, dedicated mom, studying plant-based nutrition.

She has been around the medical profession as a music therapist and as a mentor in two very defined systems of personal development, kung fu and tai chi. She says,

“The more I learn, the more I see the subtleties of how we form habits. We get them when we are young, not by osmosis, but by repetition. We see an action, hear a philosophy, we act as if it’s ours; and then it is ours. This happens at any age the same way.

“I’m reminded of the Jim Carrey movie where his character, Truman, is raised in a town that is a TV Production Set. Every social encounter this character has had has been with an actor playing a role without his knowing it. His life is on TV 24/7 for other people’s entertainment. and his producer’s profit. When some of the actors on set let Truman overhear their acting commands, he learns his life is not real. With this new discovery, he changes his habits to escape and have a new life.

“When we learn new information where changing a habit would support us more efficiently, it might be time to change that habit.”