You know you have one, whether you are aware of it or not.How you behave (be it posture, diet, or even your thoughts) has an enormous influence on long term wellness.Mostly we remain unconscious about these things until there is a problem: like a driver suddenly waking as his tires hit the shoulder of the highway (of course the really obliviousdon't wake up until the car is rolling down an embankment!).
Do we need the heart attack, spinal surgery, or nervous breakdown, to realize we have wandered off the path of good health?What are the means that we can use to recognize our if our needs are being met?Over the next few weeks I shall attempt to give you guidelines that will let you make better informed health choices.
Thursday, July 23, 2009
Thursday, July 9, 2009
Art vs Science in Health Care
Art vs Science in health care
Yesterday I had to "reverse gears' with a patient. She felt fine immediately after her first visit. She came back five days later feeling uncomfortable again, I figured it had been too long between visits. So I did my regular technique based on my previous analysis. She got off the table feeling fine and raving about what a miracle worker I was. Until she came in the next day, Oy Vey, she was worse. I humbly set about reanalyzing her, came up with the same results; so I threw them out. I went to work on the opposite side of the body. and the next visit found her greatly improved.
Science has limits of accuracy, cost considerations, and limited windows of time for usefulness.You can't generally ignore facts, yet you have to recognize their limits and trust your own clinical judgment. It's the person before me that counts for more than some numbers on a test.
Yesterday I had to "reverse gears' with a patient. She felt fine immediately after her first visit. She came back five days later feeling uncomfortable again, I figured it had been too long between visits. So I did my regular technique based on my previous analysis. She got off the table feeling fine and raving about what a miracle worker I was. Until she came in the next day, Oy Vey, she was worse. I humbly set about reanalyzing her, came up with the same results; so I threw them out. I went to work on the opposite side of the body. and the next visit found her greatly improved.
Science has limits of accuracy, cost considerations, and limited windows of time for usefulness.You can't generally ignore facts, yet you have to recognize their limits and trust your own clinical judgment. It's the person before me that counts for more than some numbers on a test.
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