Tag Archives: disease management

Are You Paying Attention?

 

Watching television today, it’s no wonder so many of us are sick.  We’re literally bombarded by advertising for all sorts of different things that sabotage our health.  From fast food, to microwaveable meals, to prescription drug ads, and none of them are making us any healthier.  Have you been paying attention?

Let’s face it, we’re a nation of consumers driven by advertising.  The next time you’re watching your favorite show, count the number of commercials that showcase products which either specifically sabotage our health or promise better health with an alarming potential for side effects.  Have you ever marveled at the prescription drug ads that spend a few seconds (if at all) telling you about what the medication is for but then spend the bulk of the rest of add telling you about all the harmful effects of taking their product?  Sure, it may cure your hiccups, but when your teeth fall out it suddenly doesn’t sound like a miracle after all.

Just open your eyes.  First, there’s the commercial for frozen pizzas and fast food just before the ads for the bag of chips and soda come on.  Then there’s the alcohol commercials.  You know, the ones that make drinking hard liquor somehow glamorous and convinces you you’re a loser if you’re at a party and don’t have a beer in your hand.  I mean, who doesn’t want to be glamorous or sophisticated?  After all, I always drink my bourbon in a tuxedo with my tie undone…every night (kidding).  But wait, there’s more.

Next are the prescription drug adds…the advertising for chemicals to address the symptoms that came about from shoveling all that garbage into your mouth.  High blood pressure? Here’s a pill.  Diabetes?  Here’s a pill.  Can’t poop?  Here’s a pill.  Why take care of yourself?  Here’s a pill.  The problem is that the cause of all these problems is never really addressed.

Then, there are the insurance companies.  A product you’ll definitely need because your health has become a flaming dumpster fire that you keep fueling with bad habits and the treatment you need has become so expensive, you can’t afford to pay for it on you own.  I mean, who can afford to pay the hundreds of thousands of dollars for preventable diseases like diabetes, heart disease, and cancer out of their own pocket?  But it’s really no problem because next, there are the attorneys and they’re itching to sue pretty much anybody, especially the medical companies, because they hurt you.  It’s a nuthouse in a nutshell and so the cycle continues.

So, here’s the translation.  First, you’re bombarded by ads for stuff that poisons you and makes you fat.  Those are followed by the drug companies trying to sell health in a bottle that turns out only to be empty promises of symptom control with a potential for side effects, so you need better insurance to pay for it.  Next, the attorneys are ready to sue just about anybody to get you some money so you can continue to eat more crap and drown your healthcare sorrows in a vodka and tonic.  Still paying attention?

You see, you may have no idea how much of your heath is controlled by the quest for profit.  Here’s a good example.  I would define someone who’s healthy as a person who does not depend on prescription medication or regular medical intervention.  In other words, drugs don’t make you healthy and a healthy person doesn’t need drugs.  A healthy person is pain free, can manage stress, sleeps well at night, and experiences general well-being.  Have you ever wondered how many of the patients that take prescription medications actually become healthier as a result?  Unfortunately, the answer is almost zero.  Remember, symptom control is not the same as health. Just because you’re taking a medication that keeps you blood tests within a certain range doesn’t mean you’re healthy at all. The fact that your symptoms need to be chemically altered to prevent you from dying, by definition, means that you are ill.  So, chew on this: Do you really think that the pharmaceutical companies have any vested interest in getting you well?  They wouldn’t want lose a good customer after all.  How much of their money is spent on advertising versus research after all?

The point is to open your eyes and become an active participant in your health.  Rather than being a sheep, the victim of the next ad or fad, do your own research.  Turn off the boob-tube, the advertising that brainwashes you into a product you really don’t need or want, and start thinking for yourself.  All the tools are there, after all, and most people already know what it takes to become and stay healthy.  They just don’t do it.  But, breaking out of the endless cycle of advertising and gimmicks may be a potent first step to better health.  Be well.

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Are You In The Right Office?

A common question I frequently ask my patients is:  Are the people you’re trusting with your healthcare decisions really a ‘healthcare’ provider?  Seems like a pretty simple question, right?  The problem is that we’re living in a day and age where the lines between ‘healthcare’ and ‘disease management’ are terribly blurred.

For example, on my case history form, I have a section that asks:

What medications(s) are you currently taking?

Then, it asks about their vitamins and is followed by a question that asks:

How would you describe your overall health?     Excellent     Good     Fair     Poor

I’ve been in practice for nearly two decades and it still surprises me to see patients who may take a half dozen or more medications (and no vitamins btw) but describe their health as “Excellent.”  Why?  Because the commercials on TV tell them that if they want to be healthy, they have to take this or that medication.  Because the people that they trust tell them that if they don’t take the medication, they won’t stay healthy.  The problem with both scenarios is that medications are not vitamins.  Whether helping to marginalize your symptoms or not, they’re still toxic and have side effects.  Further, I propose that if you are taking medications, prescription or otherwise, to manage a chronic illness, you’re definitely not in “Excellent” health.  A healthy person doesn’t need medication.

Nowadays, advertising has sold you on the notion that medicine is health.  It’s not.  Medicine is disease management and disease management is not the same thing as healthcare.  Now, I’ll be clear.  Modern medicine is a marvel of crisis care and intervention saving countless lives every year.  But you have to understand that it really stinks for chronic illness.  That’s why so many chronic illnesses are on the rise like cancer, heart disease, and diabetes, despite miraculous advances in medicine and technology.  The interventions we turn to in these illnesses just aren’t helping us to become healthier.

So, how do you know the difference between the two?  Here are a few clues:

You develop some sort of symptom and go to your doctor.  Your doctor performs all the tests, as appropriate, to determine the nature of your issue.  If he/she then:

 

  1. Gives you a pill (Disease Management). This is symptom control.  The pill does nothing to necessarily improve your health but it does at least manage your symptoms enough to make you comfortable and/or prevent you from becoming sicker or even dying.  That being said, all medications are toxic and have variability of side effects.  So, while you’re directly managing the symptoms of your disease, you may actually be compromising your general health in the long run.  So many meds are tough on your liver, kidneys, digestive system, heart, nervous system…etc.  Not only that, many medications breed dependency, meaning that if you take it long enough your own body chemistry may never recover.
  2. Hooks you up to some sort of gadget or gizmo (Disease Management). I run a chiropractic office and we routinely use passive therapies like electrical muscle stimulation and ultrasound to help decrease a patient’s pain.  But this type of intervention is also not healthcare.  It’s pain control.  It’s disease management.  A TENS unit, on its own, does nothing to improve your general health.  It just temporarily covers up your symptoms.  The same can be said for back braces, orthotics, and even hot packs.
  3. Tells you it’s “normal” for your age (Disease Management). Now, this is a total cop-out.  Not only is it false in too many cases, it steals a patients hope and gives them a crutch to justify their illness.  Your body is designed to be healthy.  It will fight with every fiber and molecule of your being to resist disease and stay alive.  So, at what point does “dis-ease” become normal?  Always be wary of anyone who tells you that.  In many cases, what it really means is:
    1. “I see this a lot but don’t have much experience with helping people with it.”
    2. “I don’t know what’s wrong with you. (Here’s an antidepressant.)”
    3. “I don’t know if a referral will help.”
    4. “I’m too busy to help you fix it.”
  4. “Pops” your back when you’re in pain (Disease Management). As a chiropractor, this one also strikes particularly close to home and so many of my peers operate their offices this way:  “Just give me a call when you’re have problems again.”  Seriously?  I thought as chiropractic physicians, our mission was to educate and keep the patient healthy, not just pick up the pieces after everything falls apart.  We should not be mimicking a failing model of disease management and you should expect more from your chiropractor.
  5. “Pops” your back when you’re doing well (Healthcare). Chiropractic care has been shown to help improve a patient’s health above and beyond just pain management.  The problem is that most patients who see a chiropractor for pain don’t maintain their alignment and functionality after the pain subsides.  How can you expect to be at maximum health when your pain levels are never truly stable?  You can’t have consistent health when your pain is in flux.  My experience has shown me that the patient gets the most health benefits from adjusting once they are out of pain.  And, ironically, it’s much easier to keep a person well than get them well.
  6. Tries to help you make meaningful lifestyle changes (Healthcare). Maintaining and restoring health is not mystery.  It’s largely about the choices you make, good or bad.  Truthfully, most people know what they need to do to stay healthy, but they still fail.  Why?  Because becoming sick is easy.  Anyone can do it.  But not everyone will stay healthy.  Additionally, most people don’t have a support system and they’re turning to the wrong people for healthcare advice.  Too many people turn to a disease management provider for healthcare advice.  That’s like asking an electrician about why your sink is backed up.  Listen, I’ve said it before.  Maintaining optimum health is about 6 things: Proper Diet, Exercise, Stress Management, Proper Sleep Habits, Limiting Toxic Exposure, and Healthy Nervous System Function.  But, you may not know how to do those things well.  You need a healthcare provider.  You need a coach.

If all you’re getting from your doctor is a pill or procedure and you’re trying to get your health back, I hate to break it to you: you’re in the wrong office.  If, however, your provider is spending time with you to council you on better nutrition, help you with exercising better, and work with you to better your lifestyle, then you’re on the right track and in the right place.  Think about it.  Almost all of us have a disease management provider, but how many of us have a healthcare provider?  If you can find a good one, you may even surprise yourself at how healthy you can become.

Including Chiropractic: Don’t Skip the Most Important Step to a Healthier You

Why should you see a chiropractor?  After all you really don’t have any back pain, right?  As a chiropractic physician, one of the biggest misconceptions I see in our office on a near daily basis is the assumption that chiropractic care is just for back pain.  This erroneous myth is perpetuated by the amazing success that chiropractors have with caring for patients with back pain in our office.  It’s also the result of a reactive ‘disease management’ system that only treats people after they’re already sick.

To be honest, for a chiropractor, most cases of back pain are fairly straightforward.  Making a difference in the patient’s health and moving them away from ‘crisis management’ thinking is a lot more difficult.  Seeking chiropractic care for just back pain is like thinking about going to the dentist just for cavities.  There’s more to it than that.  The big difference is that you can replace your teeth but you only get one chance to take care of your spine and nervous system.  There’s no such thing as a spinal transplant.

Did you know that the first documented chiropractic adjustment was not for back pain at all?  It was for a case of hearing loss.  Unfortunately, this is a history lesson that is even lost on some of my own colleagues. In 1895, the founder of chiropractic care, D.D. Palmer performed a spinal mobilization on a deaf janitor named Harvey Lillard.  Mr. Lillard claimed to have been deaf for years and believed it began when he felt something shift in his upper back.  Reasoning that if a bone shifting out of place could lead to hearing loss then moving the bone back should restore it, Palmer mobilized the vertebra in Harvey Lillard’s upper back, ultimately restoring his hearing.

In the past 100 years, chiropractic care has established a reputation as an alternative option to traditional medicine.  Today, there are over 60,000 chiropractors in every state in the country.  Chiropractors are so intertwined with treating back pain because that condition produces such a rapid improvement with little residual as to be astounding in many cases.  If you read the research, though, you’ll find that chiropractic care has been shown to be effective for everything from headaches to digestive problems.  It’s even effective for pediatric conditions such as colic and asthma.

Most people regularly accept the importance of diet and exercise in maintaining a healthy lifestyle.  Few however, other than a chiropractor, really teach about the importance of maintaining healthy nervous system function to maintain health and ward off disease.  In fact, less than 10% of the population has even been to a chiropractor before.

Not many people could argue against eating well and getting regular exercise as important to health, but my experience has shown me that most physicians will actually discourage chiropractic care unless the patient has a back pain symptom.  While this approach is in line with treating disease, this is not a ‘healthcare’ approach.  To treat back pain only after it occurs does nothing to prevent the condition in the first place, minimize the risk of back injury, or maintain healthy nervous system function.

To be truly healthy, you have to reject the ‘disease management’ model that is reactive when it comes to health.  To be truly well, you need to take proactive steps to prevent pain and illness from happening in the first place.  I would argue that chiropractic care is most effective when the patient has little to no pain, essentially when the body is not in acute distress and can accept the adjustment and hold it.

We are constantly bombarded by physical and mental stresses.  These stresses can be disastrous to the the body if left unchecked.  How many stresses do you endure on a daily basis that your body has to respond, adapt, and deal with?  Disease ensues when your body is no longer able to counter the stresses in a healthy way.  Chiropractic care helps improve your body’s ability to adapt to stress by decreasing the physical load on the body and removing pressure from the nervous system.

To be truly healthy, you must include all aspects of a healthy lifestyle.  That includes eating well, exercising, and maintaining your body’s nervous, muscular, and skeletal system.  If you want to be at your best, just like regular diet and exercise, you need spinal adjusting on a regular basis.