Posted 03\/08\/2011<\/p>\n\n\n\n
In medical school, you\u2019re taught that patients either have a disease or don\u2019t: That your patient is either genuinely unwell with a name-able condition (and the positive test results affirming this diagnosis) or not.<\/p>\n\n\n\n
Consciously or not, surgeons would prefer that you have something so they can fix it and you can be eternally grateful to them. This next statement may sound grim, but most neurosurgeons can barely stifle a yawn if your screaming headache turns out to be from muscle tension instead of a brain tumor. Keep in mind that surgeons live to operate. They didn\u2019t go through all that training to give you advice on stress reduction and how to eat healthfully. As you might guess, this urge to cut can work both for and against you.<\/p>\n\n\n\n
Over the years, I\u2019ve repeatedly heard variations on the following sentence from my patients: When my last doctor couldn\u2019t find anything wrong with me, he suddenly lost interest.
I understand this. Unlike our surgical colleagues, we internists rarely fix anything permanently and dramatically. We\u2019re pretty good at the Total Cure for something like strep throat, but don\u2019t press your luck beyond that. Most internists offer advice and \u201cmanage\u201d with a plethora of pharmaceuticals health problems like diabetes, high blood pressure, and migraines.<\/p>\n\n\n\n
Given that the US healthcare system ranks pretty low compared to the rest of the world, if you manage to make it to a healthy old age, it\u2019s not likely to be due to something we doctors did, but rather a combination of genetics and taking care of yourself.<\/p>\n\n\n\n
The vast majority of physician office visits you\u2019ll make in your life are for symptoms that require neither surgery nor medication. These are called \u201cfunctional symptoms\u201d and they don\u2019t arise from any illness, but rather come with the territory of being human. Functional symptoms are so-named because they\u2019re actually your body functioning as it\u2019s supposed to given the circumstances you\u2019ve put it in.<\/p>\n\n\n\n
Most headaches are caused by poor diet or stress. Your back hurts because your stomach muscles are non-existent. Most digestive symptoms reflect either too much stress or too many rib tips. Most fatigue is functional too, as is the common diagnosis of adrenal fatigue. Nothing\u2019s really wrong with your adrenal glands–they\u2019re just pooped out from the tsunami of stress you bombard them with day after day.<\/p>\n\n\n\n
With functional symptoms, your tests come back normal and on your chart your doctor will illegibly scrawl \u201cno disease found.\u201d<\/p>\n\n\n\n
It\u2019s helpful to know the difference between symptoms caused by actual disease and symptoms caused by dysfunction. Here\u2019s the general rule:
\u2022 Disease symptoms always get worse and usually quite quickly\u2014within days to weeks. Sometimes within a couple of months, but always worse.
\u2022 Functional symptoms come and go–often for years. They can be quite uncomfortable and then vanish, only to return months or years later.
When you have symptoms of disease, tests will eventually come back positive (ideally sooner rather than later so you can begin treatment quickly). Tests for functional symptoms are virtually always negative.<\/p>\n\n\n\n
The medical profession is not wildly helpful when it comes to functional symptoms
Remember, doctors are trained to diagnose and treat disease and disease symptoms and they all too often make use of the heavy-hitting choices in their armament to treat functional symptoms. You really don\u2019t want to be operated on if you don\u2019t need to be and you also don\u2019t want to be taking unnecessary pharmaceuticals (replete with side effects) when your actual diagnosis is \u201cno disease found.\u201d<\/p>\n\n\n\n
Alternative practitioners have conventional doctors beat hands-down when it comes to functional symptoms. Think about it: they have no access to operating rooms or prescription pads, so they can\u2019t lean on these \u201csolutions.\u201d As a result, they spend far more time exploring the source of your dysfunction. Once that\u2019s been identified, most are quite good at coaching you back onto the path of feeling better.<\/p>\n\n\n\n
Alternative practitioners–including chiropractors, Chinese medicine practitioners, homeopaths, herbalists, and the array of bodyworkers\u2014also spend far more time on your biography than MDs. They\u2019ll enlist you to play detective and help figure out why things have gone awry for you. They\u2019ll also recommend far more lifestyle changes than you\u2019ll ever hear from a conventional physician. By the time you finish, you\u2019ll have a reasonably good idea of what\u2019s causing your symptoms–often too much stress, not enough good nutrition, or a lack of exercise.<\/p>\n\n\n\n
Most alternative practitioners expect you to be a partner who will participate in the process of feeling better. Not surprisingly, follow this path and you likely will feel better.<\/p>\n\n\n\n
If you start to pay less attention to what\u2019s important, your symptoms might return, but now you\u2019ll be smarter and know what steps to take. Obviously, it\u2019s good advice to see your primary care doctor if symptoms get worse or change substantively. She\u2019ll run some tests and the results will likely be nice and normal and she\u2019ll tell you not to worry.<\/p>\n\n\n\n
Your symptoms are still functional.
Do remember, when it comes to symptoms, the odds they are functional are always in your favor.<\/p>\n","protected":false},"excerpt":{"rendered":"
In medical school, you\u2019re taught that patients either have a disease or don\u2019t: That your patient is either genuinely unwell with a name-able condition (and the positive test results affirming this diagnosis) or not.<\/p>\n","protected":false},"author":2087,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[112,28,2,120,2333,3,43,70],"tags":[142,404,208,1059,677,1229,539,162],"class_list":["post-3819","post","type-post","status-publish","format-standard","hentry","category-acupuncturetraditional-chinese-medicine","category-alternative-therapies","category-blog","category-chiropractic-physical-medicine","category-functional-medicine","category-knowledge-base","category-nutrition-nutritional-supplements-vitamins-herbal-remedies","category-s","tag-acupuncture","tag-chiropractic-physician","tag-fibromyalgia","tag-functional-medicine","tag-headaches","tag-homeopathy","tag-lifestyle","tag-nutrition"],"yoast_head":"\r\n