disease causes and disease mechanisms

[Guest guest]

< wrote:

 

We are also the experts at identifying the causes. If the

cause is not removed the PMs will

return. And in many cases, even if the cause is removed,

the PM's may

have become self-perpetuating. We should feel no shame if

we focus

ourselves narrowly on being experts at identifying the cause

and

rectifying the PMs. We can always refer out for psychology

and

nutrition.

 

 

Great post, Todd. I agree that we need to refer out more. I

may be misunderstanding this part of your post, but I don't

think we're necessarily 'the experts' at identifying the

causes of the pathomechanisms. If I have a patient who is SP

Qi xu and LV Qi Depression and she overindulges in sweets as

well as in the 7 emotions, how am I to ascribe the relative

contribution of those causes? And what of other possible

'causes' like childhood emotional trauma, a genetic

predisposition, heavy metal toxicity, depleted serotonin

causing sugar addiction . . . . don't I need to be the

expert in nutrition and psychology (and genomics and . . . )

to get at the relative contributions from these possible

causes? Few patients can afford to see a bunch of

professionals. For those who can afford it, a good referral

network can help them avoid seeing several practitioners

with conflicting perspectives. Teamwork under one roof seems

the best approach. I imagine the success of such clinics

rests on finding a very compatible team of

people/approaches.

 

Marian

 

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