Guest guest Posted May 19, 2007 Report Share Posted May 19, 2007 , " Alon Marcus " <alonmarcus wrote: > >I know many functional problems are helped and i see this every day, but again i still say many patients tell us they feel much better even when clinical assessment does not show much change. Perhaps my expectation are two high, i was told that by students and friends someof whom are on this list. Maybe they can put their 2 cents worth. .. . . . . . When I was in TCM school, I walked out of a clinical theater class, and a classmate commented to me about the excellent progress in the patient's condition. I had seen little progress. Had we not observed the same interview? I'd always been the 'skeptic' and this was another instance of that, I thought. Maybe I was too optimistic initially about a 'cure' and when I didn't see it, I jumped to a 'pessimistic' conclusion about the ability of TCM to help people. In the decade since then, I've moderated both the optimist and the pessimist within. I try not to depend on obtaining a 'cure' while I use my perhaps overly critical thinking to problem-solve. I've developed a more genuine, realistic kind of optimism that I believe nurtures healing. Healing is often facilitated by clients being honest with themselves and their helper/healer. If I thought a client were lying to make me feel better then I'd look for a way to make them feel comfortable to be more honest. Being 'honest with themselves' may be mundane like being mindful of the position in which they sleep or drive their car. Or, it may be something emotional or spiritual -- In many cases, mindfulness and honesty help heal--sometimes they even define healing. Among the vast spectrum of factors involved in healing, only a small portion are acknowledged, let alone tracked. I think 'healers' give their method more credit than it often deserves. I'm an acupuncturist, so when people heal, I credit acupuncture--so does the client. The other factors are partly mysterious to us, partly out of our control ... so we 'attach' to what we know. It's ego- driven. Perhaps if we give too much credit to the method, we miss an opportunity to discover and nurture those other factors. And we're less motivated to develop superior methods. I think I share your skepticism about healing methods, Alon, but I'm focusing more on the 'other factors' these days--partly because they fascinate me and partly because I'm tired of searching for the 'best' method. I applaud skepticism--I think it provides an impetus for developing better methods. If I think a client's inclined to see an improvement in 'signs' as an important measure, then I look for that. But I'm most interested in figuring out what will ameliorate their 'suffering' and sometimes that has little to do with the signs. Marian Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2007 Report Share Posted May 20, 2007 Hi Marian Your story reminds me of so many similar experiences i had at school and when i was following other doctors with other students. Many times i just could not believe i just heard the same story a patient was telling as other students. Too often people were just caught in the presenting symptoms of each appointment never really assessing the overall outcome. We never tried to use any objective measurements. At our school much of the problem was students lack of prior exposure to medical pathology, natural course of diseases etc. At this point i am a little less patient than you and also mostly interested in purely physical aspects of treatment. I tend to refer pt to get other level of support. Especially in the pain clinic i work at i see people with severe pain syndromes and it would be almost impossible to take on all aspects of their care, especially mental. Many of the pt have serious psychiatric comorbidity and need extensive mental health interventions from very patient care takers. As you know i like fast results. - Marian Blum, L.Ac., DNBAO Saturday, May 19, 2007 5:29 PM Re: Nocturia - LV Qi Stasis/ healing , " Alon Marcus " <alonmarcus wrote: > >I know many functional problems are helped and i see this every day, but again i still say many patients tell us they feel much better even when clinical assessment does not show much change. Perhaps my expectation are two high, i was told that by students and friends someof whom are on this list. Maybe they can put their 2 cents worth. . . . . . . When I was in TCM school, I walked out of a clinical theater class, and a classmate commented to me about the excellent progress in the patient's condition. I had seen little progress. Had we not observed the same interview? I'd always been the 'skeptic' and this was another instance of that, I thought. Maybe I was too optimistic initially about a 'cure' and when I didn't see it, I jumped to a 'pessimistic' conclusion about the ability of TCM to help people. In the decade since then, I've moderated both the optimist and the pessimist within. I try not to depend on obtaining a 'cure' while I use my perhaps overly critical thinking to problem-solve. I've developed a more genuine, realistic kind of optimism that I believe nurtures healing. Healing is often facilitated by clients being honest with themselves and their helper/healer. If I thought a client were lying to make me feel better then I'd look for a way to make them feel comfortable to be more honest. Being 'honest with themselves' may be mundane like being mindful of the position in which they sleep or drive their car. Or, it may be something emotional or spiritual -- In many cases, mindfulness and honesty help heal--sometimes they even define healing. Among the vast spectrum of factors involved in healing, only a small portion are acknowledged, let alone tracked. I think 'healers' give their method more credit than it often deserves. I'm an acupuncturist, so when people heal, I credit acupuncture--so does the client. The other factors are partly mysterious to us, partly out of our control ... so we 'attach' to what we know. It's ego- driven. Perhaps if we give too much credit to the method, we miss an opportunity to discover and nurture those other factors. And we're less motivated to develop superior methods. I think I share your skepticism about healing methods, Alon, but I'm focusing more on the 'other factors' these days--partly because they fascinate me and partly because I'm tired of searching for the 'best' method. I applaud skepticism--I think it provides an impetus for developing better methods. If I think a client's inclined to see an improvement in 'signs' as an important measure, then I look for that. But I'm most interested in figuring out what will ameliorate their 'suffering' and sometimes that has little to do with the signs. Marian Quote Link to comment Share on other sites More sharing options...
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