The Ineptness of Medical Diagnosis

I spent significant time reflecting on the events that led me to visit the M.D. and was well prepared to share my story so that together we could figure out why I was having painful joint swelling. I didn't however, get the chance to share that story, and felt somehow slighted. Shouldn't I feel grateful to be sent home with a speedy diagnosis of gout and a bag full of sample drugs? "No problem, we'll put you on Allopurinol, one a day for the rest of your life."

That's it? I've got to tell you, the phrase "we'll put you on" didn't really sit too well with me. As if I had no say in the course of action to be taken. It had been so many years since I visited an MD that I don't really remember if it was always like that. I suppose that it's socially accepted and even expected that we are not responsible for our own health. Judging by this doc's presumptuous delivery I'm guessing he probably didn't get a whole lot of resistance from his average patient.

It's not that I have a problem with the practice of medicine, it's the way medicine is being practiced that I'm questioning. It seems as though the most common phrase I hear is "my doctor put me on or took me off this or that medication." I don't know how many people realize the significance of a statement like that. Not very empowering.

Since my practice is in the wellness paradigm I prefer term client or practice member to that of patient. Patient has come to mean victim. A pawn to the good and evil forces that direct one's life. While it may appear the easier route it may not be the most beneficial. One of the aspects of being well is empowerment.

Before I even accept a new client I spend two hours getting to know them and explaining exactly what we're going to do and why. At the end I always ask if what we discussed makes sense and if they think it would be beneficial to begin care. Having the opportunity to tell their story is an important part of the healing process. My very good friend and colleague Dr. Wayne Leyshon used to say "people just want to be gotten," meaning of course that they just wanted to be understood.

Getting to tell their story is a cultural right of passage and when patients are denied that by their doctor it's like saying "what you feel going on inside you is not important." Health researchers are finding that's not the case at all. Terms like Wellness and Quality of Life are emerging as we find things like emotional and psychological well being and the ability to adapt to stress and enjoy life are as important in overall health as the physical lab values.

And you never know, taking a person's history (his story) might actually give some clues as to why the symptoms are occurring and what to do instead of or in addition to just treating the symptom. I think the main problem with treating a symptom without any attention as to why it happened is... well, just that. No attention to why the body is expressing the symptom. If someone comes in and I wave a magic wand over them and make all their symptoms go away, did I really do them a favor? Perhaps I robbed them of the opportunity to figure out what part of their life needs attention. In my case.... What sequence of events have led me to these symptoms and how do I keep from repeating the cycle? What if it's a symptom of something more serious? Is it a product of life style or even a deep seeded emotional pattern? Who knows, but I think it's worth looking into.

He was a really nice guy too, so I can't imagine he would withhold if he new any better. Aside from the prescribed one a day, he also suggested I stay away from wine , cheese and nuts. My subsequent research revealed a much larger list which surprisingly didn't include cheese.... There is a god. Nuts were fine (and even important) too, as long as they weren't cooked in oil. There are also a ton of supplements and foods that reportedly work as well or better than the drug.

Moral of the story.... If you want more information, you'd better look for it. Wouldn't it be nice though, if your M.D. worked with you to get to the bottom of your health concern? Maybe they should have a contract that says "we're only here to treat your symptom, enhanced well being not included."