How to Choose a
Qualified Healthcare Provider
As an individual infected with Hepatitis C, it is important that
you choose a health care practitioner who is willing to respect and
encourage your active participation in your healing process. This isn’t
always an easy task, since the typical doctor-patient relationship in
our culture tends to be one of authority instead of partnership. All too
often in a conventional, allopathic, medical practice the doctor is the
“expert” who determines the type and course of treatment, and the
patient is little more than a passive participant in his or her own
recovery. I believe the reason for this one-sided approach is that
doctors, educated by virtue of their Western medical training, learn to
prescribe medications to treat disease or symptoms of disease without
being mindful of how to treat the individual.
In contrast, the approach of natural medicine is to treat the
individual, not the disease. This is a key distinction between a
holistic versus an allopathic approach. Some people with HCV infection
lead completely normal, disease-free lives, while others have severe
liver complications as well as other associated health problems as a
result of infection. The natural medicine practitioner asks why people
respond differently to HCV infection. How come this person suffers from
depression, while another has liver necrosis? Why does this person seem
to respond initially to interferon, only to have their viral titers
(viral counts) skyrocket a few months after the discontinuation of the
therapy? The nutritional practitioner will consider how HCV uniquely
manifests in each individual, and establishes a protocol that addresses
each patient’s specific health needs. Allopathic physicians tend to put
all patients with HCV on one of very few drug regimes, without giving
due consideration to the unique manifestations of HCV infection from one
person to another.
The brain-washed
It is virtually impossible to watch television or listen to the
radio without seeing commercial after commercial advertising various
medications promising to relieve symptoms like acid indigestion,
headaches, yeast infections, sinus infections, allergies, esophageal
reflux disease and menstrual cramps – the list goes on and on. The
problem with such mass societal conditioning is that it reinforces the
myth that symptom suppression equals health.
Pharmaceutical companies target the vulnerable consumer with their
advertisements. The result is a brain-washed consumer who tells his/her
doctor what drug to prescribe. People who watch such advertisements ask
for and often strongly insist on getting the medications they have
learned about from mass media. When symptoms are masked, people fall
victim to a false sense of wellness the cause or causes of symptoms
remain unaddressed and disease silently progresses. And why shouldn’t
they? The predominant message we have all received by our doctors, the
mass media, and even from our loved ones and friends, is that if we feel
well (and have no symptoms) we are healthy. The unfortunate consequence
of a lifetime of symptom suppression is that most of the major chronic
degenerative diseases that afflict human beings are advance unchecked
with increasing incidence and severity. When symptoms finally do
reappear, we often have multiple symptoms or disease “clusters.”
Unfortunately, for all of the scientific research and medication
prescribed today, the incidence of degenerative diseases and conditions
including cardiovascular disease, cancer, infections, depression,
anxiety and autoimmune diseases (i.e. lupus and multiple sclerosis) have
not declined.
Killing the
messenger – Symptom Suppression
Symptom suppression is akin to “killing the messenger.” If
there is a fire in your home and your fire alarm sounds, you would not
simply shut it off and ignore the fire. More likely, you would seek out
the cause of the alarm, namely if there is a fire, and call the fire
department. As simple as this example sound, when it comes to the
symptoms we experience many of us take symptom suppressing medications
and fool ourselves into believing that the “fire is out.” Consider that
our symptoms are many “small fires” which can be handled safely and
effectively with a little natural attention.
A naturally oriented practitioner views persistent symptoms as the
body’s natural defense mechanism that may need a “natural” nudge in the
right direction. Optimal nutritional intake and absorption and
assimilation help to insure that the body has all of the basic materials
for maximum repair and health maintenance. Foods and nutrients are the
building blocks of our health and provide the necessary substances for
all healing. Medications, necessary when all else fails, will likely
work better in well-nourished individuals.
It is important to understand that life’s stressors create increased
nutritional needs. Bodies trying to heal, repair, cope and eradicate an
infection, including HCV, are particularly affected. HCV taxes some of
the body’s metabolic functions, tissues and organs, and increases the
need for proper nutrition. It will become common sense to the reader
that paying careful attention to nutritional needs during times of
increased stress, like that of Hepatitis C infection, will go a long way
towards alleviating or even reversing the manifestations of disease.
The natural point of view
By strict definition doctor means teacher and educator. Perhaps
the most difficult aspect of doctoring is conveying complex information
to those in need of a practical and understandable framework. After all,
what’s the use of new or interesting information if it cannot be applied
by those in need? There’s a famous saying, “Give a man a fish and feed
him for a day. Teach him to fish and feed him for a lifetime.”
Unfortunately, most doctors today are solely focused on “fixing”
their patients’ symptoms instead of working in partnership with them to
develop the skills necessary to prevent illness, to tailor treatments to
their unique needs and to encourage health-promoting lifestyle
practices. A primary intention of this book is to help HCV infected
individuals and health care providers develop the distinctions necessary
to work together to discover healing strategies that can easily be
implemented into daily living and practiced for a lifetime.
How can people learn to be proactive regarding their health choices
if they are not actively involved in creating and discovering them? The
answer is — they cannot.
If you find yourself sitting before a health care provider who claims
that he or she has the only acceptable answers, that is your signal to
find another practitioner. No single branch of the healing arts,
including allopathic medicine and natural medicine, has all of the
answers.
The Complementary Approach: And the problems with the strict medical
paradigm The best health care should involve the integration of all
reasonable options that empower the individual, whether proven in
double-blind placebo-controlled scientific studies or not. It is simply
a fact of life that human beings require optimal nutrition to thrive,
and adequate nutrition to simply survive. Creative nutritional solutions
have developed as a result of the determination of individuals infected
with HCV and health care providers committed to improving quality of
life. Drug solutions that are merely viral focused likely arise from a
narrow-minded concept that killing the virus is equivalent to an
improvement in health. The present medical evidence does not
convincingly support the notion that clearing the HCV virus
in-and-of-itself improves health, or is the appropriate long-term
medical intervention – except in a few circumstances.
Allopathic medicine does not fully appreciate the eventual
physiologic toll that virally based medications have upon the body.
Evidence exists that HCV drug interventions may increase cancer rates as
well as one’s risk of developing other disease conditions. As with all
medical treatments, decisions as to the appropriateness of each must be
determined on a case-by-case basis.
Medications are not panaceas, and neither are nutrients. There is a
proper time and place for the use of each, and for the intelligent use
of medicine as a compliment to natural therapies, and vice-versa. The
natural approach is really a common sense approach. The first step in
addressing a symptom or chronic complaint is to look at lifestyle and
factors that may be at cause or influence. The second step would be to
implement non-toxic, non-drug approaches to enhancing wellness, such as
diet, nutritional and herbal substances and other non-drug approaches
which support the healing process while producing the least troublesome
side effects. Pharmacological drugs and surgical options would be the
last resort because of their relatively high toxic side effects. The
time has come for our disease-focused medical system to transform into a
true health-care system; one that considers the individual’s unique
interaction with his or her internal and external environments. This
system will develop healing options for each person in need, as opposed
to artificially pigeon-holing patients into disease names (diagnoses).
A Diagnoses by any other name…
The present medical system in the United States is based on
taxonomy, what is commonly referred to as the diagnosis. A patient
visits the doctor, who listens to the patient (from the limited
perspective of his or her medical specialty) and chooses the most
appropriate ICD-9 or diagnostic code that best fits the patient’s
presentation. At this point, most allopathic physicians are satisfied
that they have done their jobs. The fallacy, and often fatal error with
the taxonomy approach, is that the diagnoses are treated with the
available medications that are popular at the time, and the individual
person is pushed aside.
HCV is a descriptive term that tells nothing of the unique way in
which the person experiences the infection physically, physiologically,
and emotionally. Nutritional and natural options pay strong attention to
how HCV presents itself in the individual, with the intent of enhancing
the patient’s short and long-term wellness.
Moving beyond the medical bias
Health care providers should be aware that they are as much the
student as are their patients. Practitioners of all healing arts and
sciences should be focused on the needs of their patients and should not
simply be devoted to sticking to the limits of their knowledge, branch
of health care or therapeutic options. Patients are often confused when
their doctor disagrees or belittles their decision to seek out natural
healing options. The denial on the part of the traditional allopath to
consider healing options outside of those deemed medically necessary or
standard is far too common, and almost always based in ignorance and
bias, rather than experience and evidence.
Freethinking in Medicine: A rarity Physicians are trained for several
years to treat disease and not to create health. They are not taught to
think in terms of prevention and non-drug alternatives as a first resort
or complement to medical therapies. It should not seem too strange to a
patient when their allopathic doctor is averse or outright hostile
towards “alternative” therapies. The very word “alternative” presupposes
something other than what is normally known and practiced by the doctor,
and what he or she was taught during formal training. Complementary
medicine may be a better term than alternative as it suggests a blending
of different ideas and concepts – natural and allopathic, not an
exclusion of medical options.
The greatest scientific and political shifts in paradigm occur only
when old, out-dated ways are challenged. This is true of virtually all
new theories. The abandonment of the old methods of thinking is what is
necessary as new ways of doing things develop, and paves the way for
scientific progress. Simply put, science cannot advance if it is
committed to the status quo. This does not mean that certain practices
and knowledge of the past cannot be appreciated and preserved, but old
concepts and practices need to be re-evaluated in light of scientific
advances. Paradigm shifts can be as sudden as universal acceptance of a
single ground-breaking discovery, or as slow as decades of “fringe”
concepts infusing themselves into the mainstream, as has been the case
with nutritional and herbal therapies over the past fifty years.
Now is a very exciting time in the healthcare arena. Today, there is
a definite shift taking place. Conflicts, disagreements, inconsistencies
and arguments between those who favor allopathic medicine and those who
favor natural health care are in themselves evidence that a
paradigm-shift is occurring. The fact that the natural products industry
is billions of dollars annually, and that surveys demonstrate that more
people visit non-conventional health care providers than traditional
medical doctors each year, is further evidence that the shift has
occurred in the minds of the majority of health-care seekers. This
ongoing transformation in thinking has fueled an increased demand for
greater health care choices.
Health care providers of any discipline must maintain an open mind
that allows them to consider and research the merits of new and creative
approaches to healing. This holistic-mindedness is a necessary step
towards considering what is best for the patient, however uncomfortable
it may be to challenge one’s own belief system. The natural options in
this book are broad enough in their design, and varied enough in their
origins, to appeal to all types of health care providers and HCV
infected individuals.
The proof is in the doing
Natural practitioners do not feel that the only useful
information regarding healing can be found in double-blind, placebo
controlled, multi-million dollar, decade long scientific studies. It is
doubtful that Hippocrates, the highly regarded great grandfather of
Western medicine, relied on the double-blind, placebo controlled study
as the gold standard for deciding which treatments he would make
available to his patients. It is more likely that his keen observation,
knowledge of nature, the human spirit, the human healing potential and
good old “trial and error” were his major criteria for recommending
healing methods. Accepting blindly the inherent value of the
double-blind, placebo controlled scientific study is a precarious
endeavor for several reasons. The double-blind approach, the sacred cow
of medicine has inherent flaws.
First of all, it is an ignorant assumption that all scientific
studies are properly performed, interpreted, and free of the personal
biases and financial interests of those who conduct them. One must not
ignore the fact that the majority of therapies utilized in medicine
today are largely fueled by the financial interests of technology
manufacturers and pharmaceutical companies and are not solidly
scientifically based.
Secondly, scientific studies generally use animal models. It is a
fallacy to assume that the results of such studies can be directly
extrapolated to human beings. And while studies performed on humans may
offer more promising possibilities in the understanding of what
therapies may be helpful, it is incorrect to assume that the results of
a study on a certain group of people are relevant to an individual with
his or her own unique presentation of health issues.
Scientific studies by their inherent design utilize a placebo (the
sugar pill) for half of the test subjects and an “active drug” or
nutrient for the other half. A statistical analysis is performed, which
attempts to recommend the “average” dose of the drug or nutrient that
would benefit the “average” individual. In my 10 years of clinical
practice I have yet to meet the “average” individual. Every day I come
across unique individuals whose needs change over time. Scientific
studies should be used to inform the patient and health care provider of
the potential value of therapies and not to dictate or limit treatment
options.
Even within traditional medicine itself, there is serious attention
directed towards the very nature of scientific method and conclusions as
far as applicability to individuals. It has somehow escaped the
consideration of the average medically trained physician that
conclusions based on studies of averages do not necessarily apply to
individuals. Natural medicine practitioners are more likely to view
individuals as unique and not lump them into groups of averages.
Relying only on the “proof” of scientific studies also excludes the
clinical experience of practitioners who work with real patients every
day using the methods and philosophy of natural medicine, and accumulate
their own evidence for what does and does not work for large numbers of
patients.
Furthermore, millions of people report the benefits of naturally
oriented therapies when allopathic treatments had previously failed
them. Evidence of this type is regarded as anecdotal – meaning that it
is based solely upon the reported benefits of the patients. Standard
medicine does not consider anecdotal reports as reliable markers to
judge whether or not a particular therapy is of benefit. Holistically
minded practitioners value greatly whether or not the patient feels
better in response to the therapy. Whether or not the therapy, which
showed benefit, can be proven by double-blind studies is of only minor
significance. To paraphrase a prominent medical author, researcher and
teacher, Dr. Alan Gaby, patients’ responses to therapies are often best
judged by anecdotal evidence simply because a patient’s personal
judgment of what works for them matters – in effect, our lives are
anecdotal! Dr. Gaby’s observation should be considered, however, along
with the thousands upon thousands of scientific studies that demonstrate
the efficacy and safety of natural therapies.
The unique needs of those suffering from Hepatitis C cannot be fully
determined by double-blind studies, anecdotal reports, or clinical
studies alone — some synthesis of these methods of evaluation should be
employed so that safe and preferably natural therapies with the greatest
possibility of benefit can be recommended. The infected individual is in
need of treatment options that are health building and not merely
virus-focused, using high-risk medications. The virus exerts its ill
effects uniquely in each person. The nutritional needs of each HCV
infected person change over time. I fear that toxi-molecular
(drug-based) approaches will eventually be met with disappointing
results in terms of improving the quality of life of those infected with
HCV. Non-toxic, natural approaches focused on one’s overall nutritional
status, stress-tolerance and immune resiliency will enhance both the
quality and length of life. |