Posted 05/28/2012 I went to medical school in London for awhile and quite honestly didn’t learn much. But it was the 1960s and if you were going to be anywhere on the planet, central London was the place to be. The fact that the hospital to which I was assigned had a pub in its […]
Category: Integrative Medicine
Six Commonly Missed Diagnoses: Vitamin D Deficiency
Posted 05/21/2012 Much of medical care is hampered by the black-and-white thinking of doctors. You either have a condition (symptoms confirmed by positive tests) or you don’t (symptoms, but no useful test results, and therefore “nothing’s wrong with you”). Doctors are uncomfortable with grey zones, like when test results seem normal but on closer inspection […]
Six Commonly Missed Diagnoses: B12 Deficiency
Posted 05/14/2012 You’re pretty sure you know your body and you tell your doctor you’re just not feeling right. You’re tired, maybe a little depressed, a bit achy. Maybe your digestion is “off.” The list of foods you can’t seem to enjoy is definitely longer. Your doctor’s empathic, not at all dismissive of your symptoms, […]
Welcome Casey Kelley, MD
Finding Dr. Casey Kelley has been an 11-year project for me. That’s how long I’ve been scanning the horizon for the perfect holistically oriented MD associate. And believe me this project was no walk in the park.
Overall, newly minted MDs avoid primary care specialties (family practice, internal medicine, pediatrics) because by choosing one of them they’ll earn barely enough to pay off their medical school loans. Each time I’d actually locate a well-trained primary care physician, I’d quickly discover that while he or she might “like” the idea of integrative medicine the number who’d actually be willing to devote their professional career to a holistically oriented practice was excruciatingly small.
Lady Gaga, Madonna, Andy Warhol, and Me
There’s an exhibit opening next month at the Victoria and Albert Museum in London entitled “Postmodernism: Style and Subversion 1970-1990.” You’re puzzled, I’m sure, by how a subject as confusing as Postmodernism could relate to a health tip, but it actually does, in a big picture sort of way.
The Extraordinarily Persistent Patient
Despite my admonishments to stay well if you want to avoid the multifarious problems of our health care system, sometimes–and through no fault of your own–you’ll get sick.
Your best chance of emerging unscathed from whatever ails you is having what’s called a “self-limiting condition,” namely, one that goes away by itself, with or without doctoring. With any condition that brings the phrase “if symptoms persist, see your doctor” to mind, well, best of luck. Most of the time, the gods will be on your side, your doctor will figure out what’s wrong, and you’ll do just fine.
Doctors and Lab Tests
When I was in pre-med (back in the Pleistocene Era, to many of you), I worked as a lab technician in a small hospital. All those blood and urine tests you’ve had whose results are now fully automated were once processed slowly and painstakingly by hand (mine among them). The so-called metabolic profile of about 20 tests that today takes a few seconds to complete would have occupied me for nearly a full workday.
Biography as Biology
I’d first come across this phrase during a lecture by psychologist and medical intuitive Carolyn Myss, PhD, at a meeting of the American Holistic Medical Association and later reading some of her books, especially Why People Don’t Heal. In it she explores the common problem of people with chronic symptoms and negative test results, delving into how these symptoms develop and what might be done to help them.
Another Mystery Rash
In last week’s Case of the Mysterious Rash, a young man’s near-daily eruption of hives turned out to be triggered by a latex sensitivity he’d developed while walking the sandy beaches of Hawaii wearing rubber flip-flops.
This brings to mind another patient. Liz, too, had seen a bevy of dermatologists, none of whom could identify the culprit behind her hives. Liz knew from her internet research that the trigger is discovered in only about 60% of cases. Still, she persevered. There had to be something behind her rash, which had been coming and going for years.
The Case of the Mysterious Rash
Although dermatologists are very good at what they do–glance at a rash, make a diagnosis, and write a prescription–it has always (very mildly) irked me that they do this so quickly.
Flu Shots, Mercury, and Ideologic Medicine
I must say I was surprised by the degree of hostility I received when I recommended flu shots.
Should I Get the Flu Shot?
When it comes to flu shots, I admit I take a far more conventional approach than many patients at WholeHealth Chicago and regular readers of these Health Tips might expect of a doctor who calls himself “alternative” or “integrative.” I’ve recently been reading some of the alternative medicine newsletters online warning people away from flu shots. The conclusion often seems to be “…and I’ve got this product you can buy instead.”
Bedbugs! (and a PS on Ticks)
I could sense anxiety in her e mail: These…things…on my skin. I don’t know what they are. Red itchy blistery things. They just appeared. Because they’re all in a line up my leg, a friend said she thought it might be shingles and to contact you.
Fibromyalgia: An Almost Natural Approach
One of the best ways to envision fibro is as a generalized anxiety disorder of the muscles, initially triggered by a stressful event and then perpetuated by the pain of the muscles themselves.
Preventing and Treating the Flu
All in all, the news is generally good about H1N1 (swine) flu. We’ve got both a vaccine to prevent it and an antiviral prescription medicine to treat it. Epidemiologists have concluded that if you had the “regular” flu last spring, you actually have some protection from this year’s epidemic of both regular and H1N1 flu. The odds are in your favor that you won’t have two bad flu years in a row.
Functional Medicine
Functional medicine is personalized medicine that deals with primary prevention and underlying causes instead of symptoms for serious chronic disease. It is a science-based field of health care that is grounded in the following principles:
Second Opinions
Second Opinions
A lot of my patients recently are relating stories of having surgery that I regard as unnecessary. More charitably, these are surgical procedures whose chance for producing symptom relief is iffy at best.
Most of my fellow internists do believe that too much surgery is being performed, and that the symptoms people are hoping surgery will cure can often be handled by lifestyle changes instead.
Thinking Out of the Box
Posted 06/23/2009 Patients linked me to a couple of interesting articles last week, one from Newsweek (a magazine I thought no one read anymore) bashing the health advice given on Oprah’s TV show as harmful to your health because it was unscientific and unproven. The other, a thoughtful rebuttal by Dr. Deepak Chopra, was posted […]
Natural Healing from Trauma
Click here for the Health Tip link. Since the Vietnam War, there has been a growing awareness that modern warfare produces terrible psychological wounds. Last year, a RAND corporation study found that 20% of soldiers back from Iraq and Afghanistan report symptoms of post-traumatic stress disorder (PTSD). That’s 300,000 soldiers. PTSD symptoms typically include nightmares, […]
Osteopathy
Osteopathy is a holistic approach to the practice of medicine. It emphasizes that all systems of the body are interrelated and that any adverse changes in one part of the body may impair the functioning of other systems or organs.