Bruce Calise: 1
Jules Ashbach: First, "holistic medicine" is not a separate field as many people would have you believe. There are some that use the term to describe alternative medicine techniques, but the concept of "wholism" or that the patient is a boligical, psycholigical, sociological, and religious being in whom all needs need to be met in order to make the patient well is now a commonly accepted concept in most medical schools. The two conceptual models for health care provider which actually stress this most are osteopathic physicians, and nurse practitioners, who believe that wellness, nutrition, and physical conditioning, as well as the psychological aspects of health are as important as the treatment of illness. It is less common now for health care providers to be taught by a purely illness model as was common in western medicine in the past.If you wish to strongly incorporate both western and eastern medicine concepts, as well as naturopathic and ma! nipulative techniques into a practice, you should look into integrative or complementary medicine.It is great to advise your patient on nutrition, and to know herbal, and natural treatments, as well as eastern and western techniques. But a patient with a severe infection rarely gets well with nutrition or naturopathic techniques, they are fine for mild conditions but do not have the potency needed for significant conditions. It is at those times when knowledge of medications becomes important.In my practice, I incorporate physical medicine practitioners, such as chiropractors, physical therapist, and accupuncurist, and nutritionist, naturopaths, psychologists, and applicable spiritual advisors as needed for each patient. We have conferences and discuss how best to meet the needs of the patient from each aspect of the patient, and then consider how these will interact.Remember it is very important for a western medicine provider to understand naturopathic and herbal, and ! even local folk remedies, as many of these can have significan! t interactions with pharmacueticals. Often patients and even many herbalist and some naturopaths work from the "if it is natural, it is safe" frame of mind.Nobody can advise you on what your individual salary would be, as it will vary dependent on expenses, and type of patients seen. Additionally, many "holistic" medicine practitioners make most of their money by selling homeopathic remedies, most of which have no scientific basis or medicinal value from a herbal, nutritional or pharmacuetical basis. Some provider who have attended allopathic and osteopathic medical schools, and decide to provide alternative care, prescribe in office treatments which are not covered by insurance, are usually expensive, and have little health value, but they look impressive, or are suitably uncomfortable to make the patient feel they are getting some value. As this can be said to be placebo it is not necessarily improper, but is questionably ethical.I fully endorse your desire to provide! more than just medications, but make sure that the patients are getting your best effort and do not have their conditions prolonged or worsened by your efforts.Incidentally, with the advent of primarily generic medications, I don't remember ever getting a bonus for prescribing a medication. The current regulations have stopped the old practice where pharmacy representatives gave physicians season tickets to NBA games, or took them on week long tours of Hawaii. Though on occasion they will provide dinner when a lecturer provides an educational offereing which describes the use of the medication they produce. However, where in the past it was common for the physicians to bring their spouses, the new regulations limit these dinners to health care personnel only....Show more
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