Archive for March 2011

Doctor, My Elbow is Numb!

March 26, 2011

Today, I mentioned this to one of my patients and she…got goosebumps, the creeps, the heeby-geebies.  I am treating her for insomnia.  Her insomnia is so bad, she is off of work and on disability to for it.  The heavy duty prescription sleep aids do not even work for her.  Her psychologist is fearful that she might fall asleep while driving and kill herself.

I described one of my very first cases that confounded me and had me scratching my head for the longest time.  Needless to say, this old case reminded me of the exact same tissue changes I currently feel now.  Read my prior post Cracking is Bad.

You patients out there, it is a small area on the outside of your elbow.  This is a minor symptom of a completely…disrupted…fractured…nervous system.  In short, you are really messed up.   You got a lot of things going on.  They all seem disparate, like lots of separate different things going on in different parts of your body that might require the attention of multiple specialists.  If you had them attended to, then the meds option did not take you too far.  Never fear, there is always an answer.

But why only a patch on your arm?  Again read Cracking is Bad and Ligamentous Laxity.  It will explain pretty much everything.  Your body can recover from the damage you allowed others to do to it.  You can be treated.  You can heal.  You can be cured.   It will take me 3 times as long (if you are fairly young, under 50).  The general rule for most (untouched, uncracked) people is for however many years you are in strain, that is how many months should should expect for recovery to take…well…triple that and that is the probable ball park around which it will take even when you find a really skilled set of hands of a traditional osteopathic physician.

9/19/2011  Update:  since i posted this blog, there have been a few of  you out there inquiring about this specific problem; i suspect that this is not your only problem; i suspect that you guys have neck pain, headache, heavy legs and more; this weekend I flew out to Indianapolis to talk to a very old retired physician and he gave me incredible insight into this issue of the numb elbow.  I have to tell you to look for a couple of things on your body…on the same arm of the numb elbow, dig the fingers of the opposite hand into this armpit.  if you feel tight tendons and sore knots of muscle, these knots are choking off the blood and nervous supply to the rest of the arm.  You can go to your PCP or a neurologist and ask if your exam shows you to be hypertonic and hyperreflexic in the arms and legs.  if yes, then stop all manner of anyone touching you for any sort of pain, stress or tension…you will pay for it eventually.  i am working on developing this issue, sign up to this blog, i monitor traffic, we will work out a plan…eventually.

Aspirations II

March 15, 2011

Supposing that on our road to greatness, we discover that we are not as skilled and we do not get the results that we expect.  What happens then?  Do we turn our backs on this osteopathic stuff that we love so much?  Probably not, it would be too costly.  In addition, it would be an admission of failure.  In any profession,  most people end up compromising. 

In my pediatric practice, I am pleased to say that I have not had to do this.  I do not accept Medi-Cal so that you don’t have to sit in a crowded waiting room, your child exposed to other sick children (sorry, I’ve done my time, mission trips, volunteering in free clinics -this was before children, when i was still young and idealistic).  I have not compromised on my stance regarding informed consent as the basis for a reasonable vaccine schedule (i.e., i have not succumbed to the HMO incentives for vaccination along the CDC schedule; yes, there is one financial incentive – this is another post for another day).

So the lesson of this post is Aspiration is inversely proportional to Compromise; in non-mathematical terms, they are diametrically opposed, they are antithetical to each other.  As you give up aspiring, you end up compromising.  As you compromise (your standards), you have really stomped on any spark that was once aspiration.  What is happening with “healthcare insurance?”  This is an oxymoron.

Insurance, in any other business arena, is just that.  They take your money and you don’t want to have to collect; life insurance is really death insurance and you don’t want to have to collect.  Health insurance, is no longer insurance.  I would call it medical contracts cards, that is what we are buying monthly with our premiums.  People use and consume.   Healthcare is no longer healthcare, it is disease maintenance.  It then, in effect, our premiums purchase a “disease maintenance medical discount contracts card.”  What a mouthful.  Believe it or not, most doctors, we are stuck in this cycle as well and we usually choose not to consume and we ourselves purchase super high deductibles so that we don’t not use.  When we do use, the cost to us at the discounted contract rate is considered a reasonable expenditure for information.

What happens then is that the increased cost of medical insurance comes from usuage.  When usuage increases, the insurance companies squeeze profits from employers, the insured, and the doctors.  So usuage leads to cuts, which leads to decreased quality, increased volume in waiting rooms, less time with patients.

So as you can well guess, insurance and the standard, biochemical, biostatistical model of medicine is not is not compatible with osteopathy.  For those of us who are traditional osteopathic physicians aspiring to greatness, we merely tolerate insurance for a short time…

Again, it is very important for you to share this blog with your friends, co-workers and families…more in the next few posts…

Aspirations

March 5, 2011

Hello all.  It has been a couple of weeks sinces I have posted.  I want to share with you the aspirations of us traditional osteopathic physicians.  By now you have a sense of how special this traditional osteopathic hands on stuff is to me, to us.  We love this work.  It takes so long to be this good.  It costs so much in terms of time, dedication, work, and yes, in dollar terms as well.  We do it because it has meaning.  It is profound beautiful work.  For our patients, we want them to understand their body, connect with the health that resides within, do the best that can be done, naturally and avoiding drugs, needles, scaples as much as possible.  The OMT work serves to guide the patient back towards the roadmap of health.  Once that memory is rejiggered, you no longer need us nor any other doctor or ancillary health care provider (including, podiatrist for arch supports, dentists and bite guards, massage therapists and deep tissue, yes, even, theoretically, glasses and optometrists/ophthamologists).  In what other medical field is the ultimate goal…you leaving us…to go out on your own…to be healthy?  Remember, I have said this before and I will say it again.  The mechanically unstrained body does not need anything or anyone. 

In doing this work we learn from our patients how to be better physicians. Most normal physicians want to spend time with our patients and to be compensated for the investment we have made in our knowledge, skill and experience.  Ultimately, what we want for ourselves is to be able to solve a case in as few visits (for the patient) as possible.  Patients are thrilled!  After wasting their time and money on multiple specialists who charge them, but then don’t get them any tangible results, the $500-$1,000 is the best cash they ever spent.  The trust is that philosophically, we want what you want, which is to not come back because you are better.  While we ambitiously strive for this goal, we continue to develop our treatment skills…we aspire…to greatness…

I will continue this thought in the next post.  In the meanwhile, it is very important that you share some of your favorite past blogs with friend, co-workers and family…