Vulnerability

Being vulnerable is what makes us human.

 It makes us REAL.

It is also good medicine.

This is what our patients feel.

We must also feel it so we can stay connected through our hearts.

Connection is the only REAL experience we have on EARTH.

It contains within it the most powerful force for healing -

the most powerful Medicine there is.

We must all make an effort to connect in REAL ways every day so we remain in our hearts

and in LOVE.

The world needs more of this.

Imagine our world in LOVE.



http://www.ted.com/talks/brene_brown_on_vulnerability.html

The Dark Side of Healthcare

Most people don’t realize what it is like to maintain a private practice in today’s health care climate.  I applaud and honor any physician who has the courage and audacity to do so.  As a private practitioner myself, I know and love the challenges of growing and maintaining a medical practice.  I know what it takes to swim upstream and settle for a fraction of what employed physicians get paid.  The trade-off they make is a large salary with little to no freedom to work from the soul.  They work for a system that is heartless and expects them to meet quarterly projections.  Many physicians feel trapped by the organizational limitations placed upon them, but have difficulty leaving to work independently.

It would be accurate to say that private practitioners belong to a sacred tribe, one that is preserving the heart and soul of Medicine.  I have experienced being an employed physician long enough to know that the heart and soul of medicine are absent in corporate health care.  After 6 years of practicing in that setting, I left that system and have never looked back.  I remember the immense initial adjustment this took. I had to rearrange my definition of success and put meaning in the forefront.  I remember feeling the tension between the financial freedom that being an employed physician offered versus the financial stresses of being in private practice. I also remembered the tension between what the ‘system’ expected of me –patient numbers- and my longing to be able to truly connect with my patients – a sense of meaning.  I opted for the latter, sacrificing the former.  The payoff was priceless.  15 years later, I can’t imagine working any other way.  My life is simple and sustainable.  My medical practice also operates from a model of sustainability.  Most importantly, I don’t work for the medical system’s financial projections.  I work to serve my patients, the vocation of medicine and the health of my community.

Two decades ago, our medical system embodied the scientific method, valued the doctor-patient relationship and practiced from soul.  Today, money and profit is what health care is serving.  Neither health nor care is its goal.  It is a ‘sick care’ system that manages symptoms in the ‘name of health care’.  The scientific method has fallen by the wayside.  Health care today has become a ‘closed system’ where even scientific evidence of harm is sidestepped in the name of profit.  Preventive medicine is a conflict of interest for this model.  Symptom management does not involve patient education, lifestyle change, patient responsibility or healing.  It involves using prescription drugs to manage symptoms.

Today’s health care consumer is waking up to the reality of this dark side of health care.  When people experience the lack of care from their physician who practices under pressure within a corporate health care system, they look elsewhere for a doctor who can take the time to problem solve with them.  Many people want more than what the current distortion of healthcare is offering. They want to learn what made them sick, how to heal, how to stay healthy and how to live consciously.  This is what patients, the consumers of health care, deserve.

One of the biggest crises in America today is the contamination of our food supply by the food industry.  We are all discovering that the large corporations running our food industry are no different than the pharmaceutical industry.  Our food supply is contaminated with hybridized plants, chemicals, pesticides and additives. If food is medicine, eating these foods is making us sick.  The incidence of food related illnesses in our country has skyrocketed.  The medical systems answer to this is pharmaceutical management.  Today’s medical paradigm still does not see the connection between food and health.  One broken system supports another.

The solution to this seemingly insurmountable problem is already underway.  A critical mass of people is formed and demanding change.  They are simplifying their diets.  They are eliminating chemicals and processed foods from their grocery lists.  They are eating clean, organic and local foods. They are living more in harmony with nature.  They are making choices to promote health.  They are discovering that many of their diseases are diseases of lifestyle; that the body is more resilient and regenerative than they have been led to believe.

Healing and transformation require work.  As adults, we must recognize that our choices will determine the kind of world in which our children will live.  We must do the good and hard work of creating a shift in our current societal paradigm.  Society and all of its systems are currently broken.  They have gotten so far off course that the lack of soul is palpable within them.  But I and many others, who refuse to compromise health and meaning in favor of money, are changing the organizational sickness by serving what is important and real.  I encourage all of you to see through the illusion of our health care system, demand the kind of care that you rightfully deserve and do the hard work required to restore the soul of our world by making personal choices for health and healing without compromise.  It is the only solution for correcting our collective course and restoring wholeness to our personal and collective lives.

As Margaret Meade said, “Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.”

We are those people.  This is our time.

The Hippocratic Oath is NOT Served by the Corporate Healthcare System

This is the oath physicians honor when they graduate from medical school.
This is the oath that I have served since I graduated 30 years ago, that I hold sacred and expect the healthcare system to also serve.
I also expect all hospital administrators to remember that this is the oath that they serve, not the policies that are based on power and greed.
Employed physicians are unable to serve patients from this oath when administrators that control them have an agenda that is not in alignment with the Hippocratic oath.

THE HIPPOCRATIC OATH (modern version)

I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.

I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment and therapeutic nihilism.

I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.

I will not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery.

I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God.

I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.

I will prevent disease whenever I can, for prevention is preferable to cure.

I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.

If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.

—Written in 1964 by Louis Lasagna, Academic Dean of the School of Medicine at Tufts University

http://opinionator.blogs.nytimes.com/2013/10/02/who-will-heal-the-doctors/