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An Important Letter About Trust

trust, physicians, alternative medicineI recently received the following letter from a Mercola.com reader. The name and specific profession of the writer have been withheld by request.


Dear Dr. Mercola,

Your last newsletter discussed "trust." I'm there on the front lines, providing primary care in an urgent care setting since 1977. In addition to being a licensed health care professional, I've been a serious student of alternative and complementary medicine since 1980’s.

A few years back I saw a gentleman in the clinic with diabetic neuropathy who had no feeling at all below either of his ankles. His feet were OK, free of ulcers or infection. He was on the usual blend of mainstream medications which were not helping.

I'd known him for years, so I suggested that he try two supplements:

* Alpha Lipoic Acid: Standard of care therapy for neuropathy in Europe. In fact, in Germany, it's malpractice NOT to prescribe Alpha Lipoic Acid for a patient with neuropathy.

* Adaptrin (also available as Padma-Basic): This is an ancient blend of 18 herbs which has a remarkable effect on the microcirculation. In other words, it works in the capillaries themselves to improve blood flow and oxygenation. Among its numerous benefits, many neuropathy patients have all feeling returned to their feet after two weeks on this stuff.

He asked me to write them down, so I did, having every expectation that he would be better in two weeks. When he asked his daughter to get these items, she took the list and rushed over to administration and complained. Next thing you know, I'm defending myself in a professional review action. I was condemned, in my own handwriting, by the suggestions I'd written down for the gentleman.

The issue was not the efficacy of the supplements. The committee didn't care whether they worked or not. Alpha Lipoic Acid may be the standard in Europe, but it's NOT the standard here. Their concern was that any deviation from the official mainstream published "standards of care" exposes the facility to liability. And Dr. Mercola, the sad part is, they're right.

By agreeing to stick with the "standards of care" in the future, they decided not to terminate me. I was officially counseled to NEVER discuss that "homeopathic stuff" with any patients. As a result of this experience, when I'm on the clock, I'm totally mainstream.

The take-home lesson of this experience is this: Trust works both ways. All it takes is one complaint from a patient or a family member to shut down an alternative provider. Even praise will do you in. If a patient tells another doctor, "Boy, that Sambucol really works. I never catch a cold." I'm in trouble again.

I'm not totally shut down. If a patient ASKS me about some alternative therapy, I will give them an honest and well-informed answer. But if you don't ask, I cannot tell. Another suggestion for a patient is to ask something like, "If you had my illness, what would you personally use to treat yourself." That I can answer honestly, because I'm not telling you to do anything.

Very few of the 38 percent of American adults that use complementary medicine ever show up here. The reality is that patients who go to mainstream clinics expect mainstream care. That's just the way it is. And I have to meet their expectations. The bottom-line is this: When you're a seeing person in a blind world, it's unwise to rearrange the furniture.

[Name and position withheld by request]



Dr. Mercola''s Comments Dr. Mercola's Comments:

Personally I have never held back providing everything I know when caring for patients, either in my practice or in information I provide on the web. However this story reminds me that many health care professionals have similar beliefs and approaches but their employment circumstances prevent them from applying what they know to be true and effective.

This is an unfortunate consequence of the society we live in, and until we change the system from the bottom up, which is what I seek to do with this newsletter -- by educating you as a health care consumer, then this scenario will remain unchanged.

The Hippocratic Oath – the promise to Do No Harm – is, I believe, what most physicians indeed strive to live up to. Whether or not they succeed is another question. What this reader brings up is important point though: Even when physicians want to, and try their hardest to help their patients improve their health through safe, effective and oftentimes inexpensive alternative means, it is not always possible to do so.

The conventional medical system is simply not designed to give them that freedom.

Unfortunately, that does place a certain amount of responsibility onto you, the patient. Because although there may be much safer means to help with your ailment, if you go to a conventional physician, he or she is likely not going to tell you about them unless you ask, and ask in an appropriate way, as highlighted above.

Can Your Doctor Trust You?

According to a Gallup Poll from December of 2006, medical doctors rated “very high” for honesty and ethics, and were fourth from the top of the list of professions included in the poll. 69 percent of people polled believed their doctors were honest and ethical, and 85 percent of the people polled believed they could trust their doctors.

And yet, one-third of adults with health problems have reported mistakes in their care in 2007, and doctors are, according to some studies, the leading cause of death in the U.S. in combination with prescription drugs.

Clearly, there seems to be a disconnect between the amount of trust given to doctors, and the results you get in return. But, as far as I know, there are no studies showing how involved patients are in their own care and how well they understand the system, and I believe that’s part of the crux here.

You clearly need to take responsibility for your own health, and also become aware of the many limitations placed on conventional care facilities, if that’s where you go.

An estimated 38 percent of U.S. adults now use some type of complementary and alternative medicine. And many are opting for alternative medicine because their conventional physicians don’t agree with using natural alternatives like supplements instead of prescription drugs. In fact, about one in four patients thinks his physician sometimes exposes him to unnecessary risk, according to a study published this year in the journal Medicine (cited in an article in the New York Times).

But then there ARE conventional physicians, like the professional who submitted this letter, who are more than willing to provide their patients with the safest and most effective care, yet simply cannot due to the rules of the medical infrastructure.

This is not the physician’s fault,  I agree: trust must go both ways in these situations. But above all, you simply must make the decision to take responsibility for your health, and knowing HOW to ask your doctor for advice on matters relating to alternative medicine is just as important as knowing there may be alternatives to drugs in the first place.

Fortunately, Universities nationwide are increasingly focusing on complementary and alternative medicine. According to the Association of American Medical Colleges, more than 95 of America's 125 medical schools require some kind of complementary and alternative medicine coursework.

So maybe, sometime in the not-so-distant future, you will be able to ask your doctor for a non-toxic remedy, and he won’t have to withhold the information for fear of losing his license.



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Comment on This Article Community Comments (68)
 
 
Posted On Jan 08, 2009
Unfortunately I don't think this person is the only one trying to help patients being persecuted for suggesting something other than mainstream medications.

 
Reesacat
Savvy User Savvy User, Joined On 1/2007
Reesacat  
 
 
 
Posted On Jan 08, 2009
This letter lends new meaning to the phrase "Sad but true."

 
Dekalb
Savvy User Savvy User, Joined On 6/2006
Dekalb  
Replied

bmc
Savvy User Savvy User Joined On 2/2007
bmc  
 
Posted On Jan 09, 2009
"Sad but true". Yes, just think, there could be many people who wish to practice alternative medicine but are afraid of persecution/prosecution. Then there are the many ill people who would rather stick with standard treatments that are failing to work, than take a chance with something new.



KelleyEidem
Apprentice User Apprentice User Joined On 11/2007
KelleyEidem  
 
Posted On Jan 30, 2009

The doctor's story is exactly why we need to have the Access To Medical Treatment Act passed.

stage4cancercure.blogspot.com/.../daschle-and-access-to-medical-treatment.html


 
 
 
Posted On Jan 09, 2009
There are a lot of lessons to be learned from this doctor's letter. A great deal of importance rests in simply asking the right questions. I hope it gets the widest exposure possible. Forward it to your friends!

 
Islander
Moderator User Moderator User, Joined On 3/2007
Islander  
Replied

WellnessMom
Savvy User Savvy User Joined On 6/2006
WellnessMom  
 
Posted On Jan 10, 2009

Great Idea Islander. The more people who know the right questions to ask, the better. Although, I have had my own doctors totally shut me down when I did ask them about alternatives. That's when I decided I should get a second, third or fourth opinion if it was necessary!


It truly is a sad thing that this happened to a medical professional who was trying help someone's health rather than hurt it.



Running_Stick
Novice User Novice User Joined On 10/2008
Running_Stick  
 
Posted On Jan 31, 2009

Islander, one thing keeps coming to mind here: Lawyers and health end up mixing just like diesel and fertilizer. One must be very careful to understand this system and work around the problem. I like the line about asking the doc what he would do for himself/family members if he/they had the same condition. I now look for and try every possible alternative to correct an issue myself. As the very LAST resort I MIGHT try and see what a mainstream doctor would SUGGEST.



countryclassic49
Novice User Novice User Joined On 2/2008
countryclassic49  
 
Posted On Jan 31, 2009

Rest assured I will be forwarding this article to my friends and family here in Canada and in the US.

I totally agree with Dr. Mercola that we have to be responsible for our own health care. It would help greatly if physicians were free from attack to guide their patients; to work with them to find alternatives to the side-effect laced "mainstream" pharmaceuticals. This will hopefully happen with a more health-educated public.

Once again I thank Dr. Mercola for providing this site which is so very informative, and thank all of you very informed site users.

Cheers, Kate


 
 
 
Posted On Jan 08, 2009
Wow!  Thanks for sharing that sad letter. 

 
samurai
Savvy User Savvy User, Joined On 4/2007
samurai  
 
 
 
Posted On Jan 09, 2009
It really is a tragedy this patient did not get a chance to try something that i'm almost certain would have in the very least helped him.....
 
That said this healthy care practioner was rather fortunate not to have been terminated by his/her mainstream mongrels as is the norm and i imagine the many years of dedicated service had played a part in the decision not to terminate...

The good news is this information is now made public so we can forward wildely to educate the masses....

And i really feel sorry for this patient ill informed daughter; "someone" please send her a copy of this newsletter so she can sign up and educate herself..

 
seg
Savvy User Savvy User, Joined On 11/2006
seg  
Replied

Reverend Alan
Apprentice User Apprentice User Joined On 12/2007
Reverend Alan  
 
Posted On Jan 31, 2009

Hello seg, I seriously doubt that the "ill informed daughter" has any interest in educating herself. It seems that by running to the Administrator she thinks she already knows it all.

I have seen people get really really angry about some of the suggestions that are cheap and shown to be effective that have been presented here at Dr. Mercola's site. They are convinced that the body is not to be worked with and cared for but over powered by dangerous expensive drugs and anyone who does not agree is going to hear about it from them. Calling these people over reacting hot heads is putting it mildly.

The truth does not matter, what ever is the latest new fad drug is what she wants, no questions asked. And she had bettered get it or dedicated, caring doctors are going to get fired.

Can you imagine how much the FDA loves her! And the love is mutual, too! Oh joy!


 
 
 
 
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