Posted tagged ‘pain’

Ethical Dilemma

November 4, 2010

I find myself in an ethical dilemma.  I use this blog to share my cases and what I am seeing out there in the medical consuming public.  It is not primarily a place to rant and rave about a specific profession or problem.  Ideally, this blog serves to share with people how I came about some of these conclusions based on my medical training/background and most importantly clinical experience.  By now, after all these posts, I hope that you have gathered that I am a minimalist in my medical philosophy and in life, generally (primarily because of my immigrant background).  I find there just is much too much  of having things done to the body.  Once things have been done, it is hard to go back.  After an initial injury, the sane, minimalist immigrant approach is to leave it alone, let it calm down and….go back to work, or in Our Most Natural State, forage for survival.  Here in the US, because of the vast medical consumption possibilities, it is very rare that I get a patient who is a pure unadulterated mechanical strain.  It does happen occasionally and these people find OMT to be “amazing” and my hands “miraculous” after just one visit.  But most of the time, I get these “go-go-go” personalities who “research” and believe nonsense about how this or that can help.  They are in pain from some past mechanical trauma and they think that massaging, chiropractic, PT yanking, ultrasound, deep tissue pummeling of their muscles, beating them into submission is going to resolve anything?  Or even worse believing that  injecting, cutting, inserting a battery/external electrical source (nerve stimulator) will help?  People! wake up!  With just these words, please visualize what these other people propose to do to you.  In your debilitated pain state do those ‘treatment modalities’ not sound more…..traumatic?  That is why OMT is so powerful.  It is gentle simply because the mechanically traumatized and strained body wants precise removal of that traumatic force.  It looks so easy.  Let me tell that it is not.  It took me a long time to comprehend the beauty of Osteopathy and this is 11 years after graduating as a pediatrician.  Please beware.  There plenty of fakers and wannabes out there who think they can do it because it looks so simple.  Ha-ha joke is on them.  They think they can take a stinky little weekend course here and there from a less than successful sellout DO (ie, inferior in skill/talent) and claim to offer you OMT (only a DO can legally render OMT).

Once the damage is done, please just back off.  The body needs time to recover.  Once it recovers, then with osteopathic treatment it has a chance to heal.

My dilemma is should I keep my mouth shut?  I keep seeing the same thing, over and over again.  People need to be warned about the damage that other people can unwittingly force upon already debilitated bodies.

There is Something Wrong With My Baby!

May 25, 2010

I find myself  in this most unusual of positions.  I am going crazy, ready to pull out my hair.  My baby is 3 months old now.  I have not slept a full 8 hours in the last 3 months.  I am sleep deprived.  I am sore from nursing exclusively because she will not take formula and not even a bottle with breastmilk.  She is voraciously pacifier hungry; but I will not give in and force her.  I tried giving her one once and she spat it out.  Very rarely does she pass gas on her own.  She occasionally poops on her own.  She will not sleep on her back – she kicks and then starts screaming.  She cannot initiate sleep on her own.  She needs to fall asleep in the carseat.  Rocking the carseat will not do.  We have to swing the car seat.   And if that doesn’t work, more often than not, she needs a 3 mile car ride to go to sleep.

She has been treated by three different colleagues.  I have treated her myself several times with temporary relief and once given her a severe treatment reaction that had to be corrected by one of the three.  With that one exception, every time I treat her she is calmer, she nurses very well and empties me completely.  I can then fall back into bed for a 3hr respite.  When I was scared to touch her for fear of harming her, she was really bad.  She would not nurse and empty me completely so then I would have to get up and pump for fear of losing my supply.  She is now coneheaded.  Her anterior fontanelle is not soft, it does not pulsate.  Most people will say, “Oh, it is colic. She will outgrow it.”  Then they offer the standard advice.  Nothing has worked.  My baby is in pain. I know it. 

When other mothers come to me for help with the same complaint, I have not ever blown them off.  Colic is pain. Colic is headache.  Colic is gas.  I am able to help them.  Their baby sleep better, latch and nurse better, burp easier, reflux is reduced.  I freely admit that I cannot help my own baby.  I am a better mother to her than a doctor.  Why can’t I be both.  My Kathleen, the 20 month old – she got better with my colleagues’  help and I then continued treatments conservatively.  She sleeps fine without any problems.  Why oh why can’t Ihelp this one?  I have one last straw to grasp.  The opportunity will hopefully be available in 2 weeks.