When I started this blog, the concept behind the format was the 5 paragraph essay taught to my children in middle school. In my case, more like the 7 to 9 paragraph essay. The idea behind each entry is one idea, one concept, which can be difficult because many articles concerning pseudo-medicine are the proverbial target rich environment.

For example: Integrating naturopathy: can we move forward? The short answer is no. The long answer? That may require an SBM length discussion, although I have discussed both naturopathic education and ND fitness as primary care providers in the past.

The jist of the article is he wants to dump all his difficult to treat patients on to the naturopaths.

With so many of our patients presenting with chronic pain, functional disorders, and other difficult-to-manage chronic conditions, allopathic primary care physicians clearly need more compelling options for managing chronic disease...Naturopaths would seem ideally positioned to fill this partnership role.

Clever in a Machiavellian kind of way. Play up the "holistic" BS and send them off to the mostly harmless, although mostly fantasy-based, therapies that make up Naturopathic practice. If you have a troublesome patient what could be better than to identify another practitioner who can take care of them better than you?  As a resident transferring a patient to another service (from medicine to surgery was most common) was not only for the patients benefit, you had a transient dip in the work load and no longer had a patient whose issues (bad gallbladder) you were not comfortable to manage.  

The only problem is referring to Naturopathy as a credible source of medical diagnosis and treatment doesn't make it so.

To say

Naturopathic medicine is a distinct method of primary health care—an art, science, philosophy and practice of diagnosis, treatment, and prevention of illness.” In stark contrast to a narrowly interpreted biomedical model, where pharmaceuticals are administered to battle disease, “Naturopathic physicians seek to restore and maintain optimum health in their patients by emphasizing nature’s inherent self-healing process …. This is accomplished through education and the rational use of natural therapeutics.” The naturopathic physician thus uses holistic approaches to enhance and restore the body’s own innate healing systems. Naturopaths undergo a 4-year graduate-level course of study but are generally not residency trained.

Ignores the fact that they are trained in unproven, often irrational,  fantasy: nutritional supplements, homeopathy, acupuncture, hydrotherapy and electrical stimulation. There is no nonsensical therapy that is not in the naturopathic armamentarium. That is part of the problem with naturopathy: any and all medical magic is in their purview.  And they are usually anti-vaccine.

The author recognizes there are "conflicting paradigms" between the medicine and ND's. You think? Despite his suggestions that education and medical standards could somehow integrate ND's into a reality based practice of medicine, to do so ND would have to abandon the fantasies they have invested time and money in.  I doubt that will happen.

Establishing and improving lines of open, respectful, constructive communication will be a first step toward developing the type of collaboration between allopathic and naturopathic physicians that our patients deserve.

Our patients do not deserve naturopathic practice, although the lateral pass of the difficult patient might make clinic easier. To paraphrase Simon Singh, just because there are problems with airline industry doesn't mean you rely on magic carpets. And to quote me, if you mix cow pie with apple pie, it does not make the cow pie taste better; it makes the apple pie worse.  

Points of Interest 8/27/2014
Points of Interest 8/26/2014