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Archive for February, 2008

Caution on Choice of Health Model

Friday, February 15th, 2008

Whenever I see an ad for medical services in the United Arab Emirates, and the headline or text indicates the key benefit for this clinic or group is that it is AMERICAN, I wince.

I feel a pang of nostalgia for what use to be but is no longer. That is the quality and worldwide status of American healthcare. For several decades American healthcare was the best in the world, and everyone who could afford it went to the U.S. when serious health problems required treatment.

In the mid 1980s one friend worked for the Mayo Clinic in Rochester, Minnesota, and her job was to act as personal attendant to the potenates of the world. She strategized every move of famous (and infamous) patients and their entourages, to details such as seating away from windows in cafes to lessen possibility of assassination. Such was the quality and status of American healthcare. No more.

By the 1990s, the Mayo Clinic realized it had serious competition within the US, and competition grew overseas in the last decade of the 20th century. By the middle of this first decade of the 21st century, medical care for serious health problems (such as heart surgery) is just as good–or better–in select hospitals in India, for example, and the cost is one-tenth of US prices. The Mayo Clinic re-positioned itself by opening up regional offices around the US and depending upon its long-standing reputation for medical care.

American Model: Unhealthy Outcomes
Like many US universities setting up campuses overseas, American medical schools are doing the same. And the American medical institutions are leading their foreign clients right down the same path that has put US healthcare where it is now–at the bottom of industrialized nations. Other nations should learn from our errors–not duplicate them!

The World Organization of Family Doctors met in Dubai this week. Dr. Richard Roberts, a Wisconsin physician and president-elect of the organization, told the Gulf News that the UAE risks making the same mistakes as the US by putting more emphasis on development of medical specialties than on primary healthcare.

This Gulf nation is restructuring its healthcare system–with legions of advisors from Harvard Medical School, Cleveland Clinic, and Johns Hopkins Hospital. Dr. Roberts told the Gulf News, “The UAE is making the same mistakes as the US, listening to (the likes of) Harvard and Cleveland Clinic. It’s like a nuclear arms race. Everybody will be trying to top everybody with their special this and special that.”

Treating the “whole person”
Primary care or family medicine physicians are the doctors trained to consider the whole person. To anyone outside of allopathic medicine (either as a practitioner or a patient), this sounds peculiar. I have compared the medical specialists to blind men trying to describe an elephant–they can only “see” that area that is their speciality and have no comprehension on how the whole system works. This was my experience in diagnosing and treating a chronic illness.

And it is in chronic illnesses, especially, where the US model fails. The World Health Organization (WHO) ranked the US worst among 19 industrialized nations in preventing deaths due to treatable conditions. Indications are that the UAE health officials have heard the message. Let’s hope for this nation they pay careful attention.

Salud!
Beverly A. Jensen, Ph.D.
President, www.WomensMedicineBowl.com

NY Times Letter to Editor–On Fibromyalgia

Friday, February 1st, 2008

I once heard the host on a medical talk show ask the MD he was interviewing, “What is pain?” The MD answered, “Whatever the patient says it is.”

Pain is whatever the patient says it is. That ought to be a guiding principle in practicing medicine.

An estimated eight million people in the US, almost all women, suffer from fibromyalgia. The illness is reason for a large number of disability claims. To the pharmaceutical industry all this looks like an opportunity, and a new drug to treat fibro was announced earlier this month.

The announcement of the drug brought out the MDs who still question whether fibromyalgia is, in fact, a “disease.” A disease, a disorder, a syndrome, the problem lies in trying to label the problem. Since a primary symptom is overal skeletal pain, the allopathic first response is the arthritis specialist. But the problem isn’t with joints. Even a gentle hug is painful. Personally, I didn’t have enough energy to get out of bed when this “disorder” hit in March 1998.

Having a European health plan that covered all medical costs, I didn’t have the added stress of financial costs in seeking an answer to what had gone wrong. All the usual–and some extraordinary–tests were done. The tests indicated nothing.

Fibromyalgia–or fibro–is a “basket” illness. When the MDs can’t put a known label on it–the illness doesn’t exist. They were like blind men trying to describe an elephant, only able to understand their speciality, their body territory.

In 2000, MDs in both professional and social settings told me “fibro is not a disease.” Whatever you call it, the illness/disorder/disease/syndrome destroys lives. One cannot work, causing economic hardship, and relationships fall apart.

One Individual Recovery Route
One health practitioner (not an MD) has successfully treated fibro patients by balancing hormones. That helped but didn’t cure my affliction. My first step in recovery was a systemic de-toxification program (Ultra Clear by Metagenics Labs) and purifying my diet by eliminating all processed foods and sugars–permanently. I experimented with supplements under the guidance of a nutritionist, and several were of critical help in my recovery–for a while.

The body is ever-changing, and it will balance itself given the correct support. Fibro is a very individual affliction, and no drug is going to be suitable for most–if anybody. The MDs are wrong. The drug company is wrong.

After two years of searching for a solution with MDs from Washington state to Washington, DC, I took a long list of symptoms to a Naturopathic physician using Traditional Chinese Medicine (TCM) in northern Virginia. He listened to me and asked if I had other specific symptoms, which I did but had forgotten. He “read” the pulses of the major organs on each wrist to know which were weak, ungrounded or overheated. At last I had found someone who understood the whole body!!

Dr. Paul Yan (703-723-7889) selected herbs which I brewed and took for one week. I continued with three Chinese patent medicines, one of which I continue yet today. With Chinese herbs and supplements I overcame fibro, and Dr. Yan has been the family’s primary care physician ever since.

TCM is individualized according to the patient’s condition that day, and Dr. Yan hasn’t found consistent symptoms in fibro patients.

The MDs are wrong–fibro is a serious illness, whatever the cause. Because they can’t fit it into an already known category doesn’t mean it’s not real.

The pharmaceutical firm is wrong–no pill is going to correct the imbalance that fibro is. Like many chemicals, a drug will only cause further imbalance.

We have many other choices. Take them.

Salud!
Beverly A. Jensen, Ph.D.
President, www.WomensMedicineBowl.com

 
 
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