Is Conventional Medicine Ignoring You?

Do you feel like your thoughts about your condition have been brushed off or dismissed at the doctor's office, because they're not relevant to the diagnosis?

You are not alone. The type of thinking that says anything outside of the box is irrelevant to the diagnosis means that critically important information is often missed.

Why does this happen?

Because conventional medicine looks at you as a diagnosis. As a disease.

From treatment to insurance, it all comes down to a precise diagnostic number. In the U.S. today, whatever ails you has to be assigned a number called an ICD code.

Then the tests and treatments you receive are assigned another set of numbers called CPT codes. And the CPT code better match up with the ICD or your insurance will not cover the costs. With the importance of the numbers in the process, you could easily feel stripped of your individuality.

It's as if by focusing exclusively on one single aspect of you, the disease, a positive outcome to treatment will prevail. Except for one thing: the human body doesn't go along with that simplistic formula.

And neither should you.

We all know there are times when the newest therapies and drugs are effective, and we want to benefit from that. But there are many, many times when the newest treatments and drugs just don't work. Or they make things worse.

Conventional medicine usually throws up its hands at this point. After all, it did what is was supposed to do, by the book, to treat the disease. But it ignored the patient, the complex individual with his or her own unique characteristics.

As a practicing physician, I have seen the limits of this approach, because patients' problems are never fully explained by their diseases. There is almost always something quirky or strange that separates each person's illness from the textbook case.

Sometimes there is little correlation between the patient's pain and distress and the pathology that could be measured. Often, the response to treatment is unpredictable, each patient responding as a unique individual.

So why does conventional medicine continue to focus primarily on the disease?

It's because medical schools traditionally teach healthcare professionals to look at diseases, rather than focusing on the person.

Practically, it works like this: A patient presents one or more problems to a physician, who uses the nature of the problems, the medical history and the physical exam to generate a differential diagnosis.

The system kicks into gear to answer the question, "What disease does this patient have?" Laboratory tests, MRI or other imaging tests, and invasive procedures, when needed, help confirm the answer.

The diagnosis guides the treatment: a positive response to treatment works to further confirm the diagnosis.

This highlights the essential blind spot of conventional medicine; it ignores the uniqueness of the person who is sick. It assumes that all people with the same diagnosis have the identical disease.

But illness is not the same as disease diagnosis. Diseases don't just happen, but are the result of complex, interacting factors that act upon the individual.

And each person responds to treatment in his or her own unique way.

Frustrated by the limitations of conventional medicine, I have explored strategies that go beyond the conventional, studying nutrition, psychology and exercise. I have been amazed to discover that although so much of medical relevance within these disciplines has been published in medical journals, little has been included in the practice of medicine.

So I developed a unique diagnostic approach that is organized around the person, rather than the disease. It is called person-centered diagnosis and it's described in detail in my book, Power Healing, Use the New Integrated Medicine to Cure Yourself.

Person-centered diagnosis looks at the identity of the patient, in all relevant dimensions--genetic, environmental, psychosocial, structural and nutritional, to make the diagnostic process more comprehensive and effective and to help doctors and patients understand their illnesses more clearly.

People have an intense need for explanations about the causes of their diseases. Doctors are often content to name the disease and treat it. Patients want to know how they came to be sick, so that they can attach some meaning to the illness. They want to know what to expect from the illness and what they can do to relieve symptoms or speed recovery.

Information can reduce anxiety, increase feelings of personal control, and improve the ability to cope with pain. A study from the Institute for the Improvement of Medical Care and Health at the New England Medical Center found that patients who were encouraged to ask more questions and participate in decisions about their care fared better in the outcome of chronic conditions such as high blood pressure, diabetes and ulcers.

With all the advances in medicine, it's important to remember one simple thing that could make all the difference: the quality of the conversation between the doctor and patient. The authors of the New England Medical study concluded "the physician-patient relationship may be an important influence on patients' health outcomes and must be taken into account in light of current changes in the health care delivery system that may place this relationship at risk."

As a patient, you must be allowed to present your major concerns and to tell your own story. Patients who are given the opportunity to present their concerns in their own words are:

  • More satisfied with their physicians
  • Cooperate more fully with medical treatment
  • Show a greater improvement in health status
  • Lose less time from work
  • Experience fewer limitations of function

To facilitate communication, I have compiled five steps that can help in talking with your doctor.

Five Steps to Being a Proactive Patient

  • Describe the effect that illness has had on your life, your daily activities, the way you perform your work, your recreation, your relationships with those close to you. If your doctor doesn't ask, tell him.
  • Express your feelings about the illness. Your fears, your frustrations, your anger.
  • Present your goals. What a person wants from a medical consultation is usually not obvious from the list of his medical complaints. A study from Temple University School of Medicine of patients in a primary care practice found that seventy per cent were hoping for education about their diseases, forty-three per cent wanted advice about diet and exercise, and twenty-four per cent wanted stress management counseling. If your doctor doesn't ask what you want, tell him.
  • Do not wait until the end of your appointment to express your major concerns. People consulting primary care physicians often introduce new problems, not previously mentioned, during the last minute of the office visit, as the doctor is getting ready to leave the room.
  • Actively participate in developing a therapeutic plan. You are the person who has to implement it, after all, even if it only requires taking pills. The best physicians encourage their patients to take an active stance in their care, so that patients assume a collaborative role. This improves satisfaction, cooperation and level of activity for patients with a wide range of chronic diseases. (6)

Now I'd like to hear from you...

How do you feel about your medical care? What obstacles have you faced in communicating your illness? What improvements would you suggest? Please let me know your thoughts by posting a comment below.

This article originally appeared on The Huffington Post, August 2, 2010.

  • Deb Lavengood

    I have had chronic hives for over 2 years. After 8 doctors, I still have them and do not know why. My most recent doctor said he didn’t know why the hives but was just going to knock them out with meds… that has not worked so far. No one seems to want to read the file I have provided with all of my test results and previous DR interactions. I had an auto-immune situation about 15 years ago. Current doc would not even look at the paperwork I had printed off the internet about the condition I had then. I feel as if I am doing all the work and they are the ones getting paid. Extremely frustrating!

  • Stacey Louise Fuller

    After 22 years of what was diagnosed as ‘chronic jeuvinile inflammatory arthritis’ now ‘secondary osteoarthritis’, I finally had enough of being seemingly helped by professionals who appear to be experts in their field yet laughed in my face at the prospect of a direct link with food and my supposed ‘flare’ ups and advised to increase the only combination left of a mix of Enbrel injections and a concoction of drugs that made me feel worse, ill, depressed and really in despair about what kind of future I might have if I continued to deteriorate, and me, ever the optimist, still had a positive outlook and would try my hardest to keep hope as something deep down just didn’t feel right. The minute I finally stopped listening and feeling dismissed and took that control of my health, researched and focused the anger and disappointment I faced after every consultation I finally started the road to health. I had already spent best part of 10 years playing around with vegetarianism and various other diets but veganism and most importantly the cutting out of dairy products was a jolt in the right direction and although still didn’t connect the sulphites, I had and was thinking more about how to heal through food, and although still very confusing results of trial and error eradication and re-introduction of lots of different foods, food groups I still had so much more to learn and was still on all the medication so I made the decision that as long as I was masking with all the meds I would never really ever truely understand or crack the puzzle of repairing my immune system that seemed hell bent on attacking itself. I knew it was so much more than just the medication and that my mental health/nervous system (b12 deficiency) also needed a complete overhaul and so I began the start of the healing myself by basically ignoring everything the doctors were telling me. After the initial hurrendous experience of finally going ‘cold turkey’ the start of the amazing last 3 years of going from strength to strength, with now, almost, control over the large joint inflammation I am still not in full control and just don’t know how to take it to the next level of finally being rid of this disease but I am on the journey to full recovery from pain, some inevitable disfigurement but pain on the whole is managable. I found it very interesting to read your advice on how to state your ailments and expectations when visiting your consultant as I wish I could have had the confidence to do just that in my earlier years but I was young, mostly alone with the consultant and really intimidated and thought that they were helping me and I had no choice but to follow their orders/instructions. The less drugs in my system the stronger I became but 22years of this reoccurring pattern of worry before the consultants appointment, feeling stressed when in them, leaving them feeling dissapointed and wishing I could go back only to have to wait for the next one 3-6 months later just adds to the frustration and I know most patients are in similar if not worse situations feeling so vulnerable, unheard and dismissed. I wished I’d have trusted myself and my instincts years ago but my opinion about how I was actually feeling didn’t meet their statistics so I was made to feel irrelevant and dismissed and I felt, as so many others do alone, anxious, stressed and depressed, which only added to my problems, of which I had many others, environmental and emotional, physical as a result of the emotional/environmental and vice versa yet no doctors looked at this in all those years and it’s only taken me, not a doctor but an expert in how ‘I’ ‘feel’ and finding what causes those ‘feelings’ just 3 years to get my body into some sort of natural state where I don’t see a wheelchair in the near future. How can this kind of practice be allowed in our medical profession? All over the world?