Facebook Twitter RSS
Home Uncategorized Episode 209: Acute Care
formats

Episode 209: Acute Care

Published on September 5, 2013, by in Uncategorized.
Play

IMG_0212 We wanted to discuss a topic that gets less attention in the ND realm.  That is acute care.  It’s pretty important, but we discovered we may know less than we thought we did.  Message us with some of your favorite acute treatments.

 

 

 

References:

Wikipedia states that  “Well-controlled scientific evaluation of iridology has shown entirely negative results, with all rigorous double blind tests failing to find any statistical significance to its claims.”

Effect of an outpatient antimicrobial stewardship intervention on broad-spectrum antibiotic prescribing by primary care pediatricians: a randomized trial.

definition of “elicit”

The good folks over at the American Journal of Clinical Dermatology stated in June 2011 that there is biologic evidence to support the use of honey in modern wound care, and the clinical evidence to date also suggests a benefit.  In Feb 2013, however, the Cochrane Collaboration stated that although honey might be superior to some conventional (burn) dressing materials, there is insufficient evidence to guide clinical practice in other types of wounds.

Stats on sinusitis

More info on sinusitis

2 Responses

  1. Hi Docs!

    I love this conversation!

    1) On the topic of self limiting viral infections and should we still prescribe natural remedies for it slash will it even make a difference if you do…

    If we’re prescribing homeopathic remedies, herbs, or UNDAs correctly – we’re supporting the terrain and the compromised organ systems (URI – Immune, Lungs, possibly Adrenals if there’s a stress picture – which there almost always is), right?

    So maybe the patient gets better faster. Or maybe not. Maybe it still takes 7 days, but they feel better during the course of illness and the compromised systems are supported – thus undergoing less stress and damage (lessening the chance of weakened systems being subject to future infection or other illness).

    2) OH MY GOD! REALLY? I love how worked up Dr. Noska gets about the statement that NDs who aren’t prepared to prescribe antibiotics aren’t primary care docs. I just flat out disagree and have nothing nice to say about that statement!

    To me, the use of any pharmaceutical is EMERGENCY MEDICINE. We are trying to create a world where primary care is different – where primary care is preventive and focused on following our knowledge to support biomedical physiology using therapies that address the cause and do no harm.

    Pharmaceuticals may be the standard of care, but they are the standard of care in a world that values emergent care as every day care. We need to help shift this.

    I don’t yet know where I’ll be practicing when I graduate. If I’m the only doc in town, then I will need to prescribe drugs. If there’s a Zoomcare or MD right down the street, I might decide to build a healthy referral with them and let them handle it.

    I think the optimal scenario for an ND in an acute would be: 1) PARQ – what the does the patient want? Are they going to be compliant with natural therapies? 2) Prescribe the natural remedy and if necessary, call in a back up pharmaceutical. 3) Check in with the patient in 24 and 48 hours and if necessary, they can pick up the drug you already called in for them if symptoms show no change or are worsening.

    What do you think?

  2. ncadmin

    Hi Sara,
    Great points about how natural medicine interventions can support organ system structure and function for long-term health even if they aren’t necessarily decreasing duration of reported symptoms. And I love (and share) your vision of practicing a different kind of primary care. :)
    Your truly,
    Mark

Leave a Reply

Your email address will not be published. Required fields are marked *