For the past 12 years I have answered the question “What is a naturopathic doctor?” more times than I care to count. As my understanding has changed so has the answer. Before I started school I answered with a list of the modalities of medicine that we focus on… herbal medicine, nutrition, homeopathy, massage, joint manipulations, counseling, hydrotherapy, ultrasound, etc… and I’d toss in that we also learn to use pharmaceuticals and minor surgery just like any other family practice doc (for some reason it takes this for people to feel comfortable that we learned ‘real’ medicine). Once I started school I discovered that those things are not what make us who we are. It is our philosophy that sets us apart. This blog is about relating that difference…


Friday, June 11, 2010

Holistic

Now there’s a buzz word if ever I saw one! With all sorts of holistic medicine practices popping up, it is not very exciting to say that Naturopathic medicine is holistic anymore. Yet, there is a difference in what we mean when we say that we are holistic, compared to what most mainstream thinkers mean when they say it.

To most mainstream healthcare providers, ‘holistic’ means they have assembled a multidisciplinary team to give your case a broad perspective and to provide you a one-stop-shop for all the specialties that you could need. In essence, what they are really providing is fortified healthcare. You might recognize ‘fortified’ from food labels at the grocery. When food is processed, a lot of important nutrients are removed from it. Manufacturers started getting pressure to put them back afterward because of the potential health problems that could (and in some cases did/do) happen. Basically, they took it out realized you need it so then they put in a supplemental dose to try and make up the difference.

In medicine a similar thing is happening, western medical science has dissected the human experience and the human body down to the smallest levels we are able in an effort to understand how we work and how to fix us when we don’t work right (an exercise that I find tremendous value in doing); creating specialties and subspecialties (and their existence has saved countless lives). When they realized that humans need to be treated as the whole being that they are, they began moving all the specialists for each little part under one roof and call it a holistic practice. It takes about 15 specialists to make a holistic practice in this model and if you don't make an appointment with all of them, some aspect of you will be left out of the picture. 

Interestingly, mainstream medicine has a ‘specialty’ in holistic medicine but most of the schools have either discontinued their programs or severely cut them back because students are rarely attracted to it anymore. It is called family practice. Naturopathic medicine is built on a family practice model. We are not specialists in any one part of a person’s experience; we are specialists in the big picture. Jacks/Jills-of-all-trades, masters of the combination.

Many of the alternative medical practices for our culture are mainstream practices in other cultures and have maintained the importance of the generalist role so we call them holistic. Chinese medicine, Yogic medicine and Ayurvedic medicine are examples.

For western medicine, Naturopathy continues that holistic, generalist tradition. We look at your entire picture and help you to notice which pieces are pulling you away from your health goals as well as which ones are working well. We look not only at the disease processes going on, but also at your experience of them and how that is further impacting your health. We look at the totality of the effects of your treatment plan and how they are impacting your health as well, whether those effects are the intended ones or the ones ‘on the side’. No part is left out and when a specific area needs additional help, we make the appropriate referral to those amazing specialists out there.

Tuesday, June 1, 2010

The Naturopathic Medical Model

1. Good health is the constant and natural state of being
2. Ill health is an adaptive, natural response to disturbance in the organism
3. Removal of disturbing factors will create the basis for a return of good health
4. Intervention should involve the least force necessary to stimulate the self-healing mechanisms

This model indicates that at every point in your life, you are in the best state of health possible based on your personal circumstances. That is how we operate as human beings. Always being the best we can be. Even ‘disease’ is the current best state of health available to you. Put another way. Despite what you may have come to believe about yourself, YOU ARE NOT BROKEN. You are working exactly as you are supposed to, even in the face of what may be some very unfortunate circumstances.

Knowing this little secret, naturopathic doctors work with you to improve your circumstances so that your state of health improves. This allows our interventions to be less dramatic, less heroic, more subtle and gentle. Not to say that everything will come up roses and sunshine. Frankly, the process of healing usually sucks for a while! It can hurt; it can make you smell and feel funny; it is usually at least a little disorienting; and it requires a lot of energy and intention to overcome years of habit- of thought, belief and behavior.

And then, suddenly it doesn’t.  You wake up one morning and discover that it is now more difficult and requires more energy to put the obstacles back in place.  You have new habits of thought, belief and behavior that are as easy to maintain as the previous ones had been, but these promote a greater level of health.