#77 Complimentary and Alternative Medicine (CAM): At the Bedside Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 15 October 2020

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

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Summary

What leads patients to search for alternative treatments than those offered in Western Medicine? How can we provide patients with safer complimentary interventions? How do we prioritize what is important in our patients health? Show notes, Transcript and References: https://www.coreimpodcast.com/2020/10/15/approach-to-patients-with-cam-beliefs/ (https://www.coreimpodcast.com/2020/10/15/approach-to-patients-with-cam-beliefs/) Time stamps: * 01:49 Intro * 04:54 What is CAM * 06:29 Prevalence of CAM * 08:01 Holistic approach to patient care * 11:09 Patient empowerment * 14:38 Integrating CAM * 18:34 Risks and Benefits * 19:50 Caution patients * 22:29 Indirect Risk * 23:45 Big Picture * 26:04 Therapeutic Alliance * 27:27 Conclusion Tags: IM Core, CoreIM, supplements, homeopathic, naturopathic, Ayurvedic medicine, mind-body interventions, massage, acupuncture, and chiropractic manipulation, qi gong and Reiki Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	I've disagree with patients before. I've struggled with unrealistic expectations for aggressive ICU care
0:06.3	and seen plenty of patients ignore the advice I've given them for weight loss or smoking.
0:10.6	But I've never seen a play out so painfully in front of me or felt so helpless to stop it.
0:16.6	She was in her mid-30s, among the youngest I've seen with metastatic breast cancer.
0:21.4	Even so, she had reasons to be hopeful.
0:23.4	Survival for her disease has never been better.
0:25.7	At least five years with the latest combinations of treatments and probably more.
0:30.3	But she wouldn't let us talk about those treatments. and it wasn't her first time hearing about them.
0:35.0	She'd been to offer them seven months ago but she chose instead to seek treatment in Mexico
0:39.6	where she could get IV Vitamin C and instructions on a diet that would starve her cancer.
0:44.6	And despite the growing back pain and the leg weakness, she continued down that road.
0:49.7	When she could finally no longer walk, her parents literally dragged her into the hospital.
0:55.0	I met her there to discuss the obvious.
0:57.0	Metesthetic cancer had eaten away at her spine,
1:00.0	and the inevitable fracture has now compromised her spinal cord.
1:03.6	She took this all in with absolute clarity and just as calmly asked me when she could leave.
1:09.0	She didn't want surgery, radiation, chemotherapy, or even simple hormonal-based treatments.
1:14.4	Despite what she was living through, the pain and the ability right in front of her.
1:18.3	She saw a better way out than what we in conventional Western medicine had to offer. This was one extreme example of something I came to see
1:25.2	over and over again. The patient's quest for outside cures for new or different answers to the
1:30.8	problems we as doctors were describing to them.
1:33.0	What were we doing wrong that let so many people astray?
	...

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