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Patients Making Medical Decisions

There's been a lot of research bearing on the trend toward more patient-led health care. Here are some of the highlights.

An English chap by the name of Tony Lobl recently wrote an article published in the Huffington Post UK on a topic I’ve been excitedly exploring for years: patient-led care. The most intriguing aspect of his article was when Lobl described a future health care system as being patient centered. Instead of the medical/drug industry deciding what a patient needs, the patient of the future would be an active participant – being the final decision maker in what he or she needs. This seems like a natural outcome of much research I’ve been reading about. Here are a few trends from that research:

Patients have access to a health team – physicians, chaplains, and patients all working together, but the patient is the decision maker. (Templeton-funded GWish Project)

Conventional medicine has been and continues to be too expensive and less effective overall. (Escape Fire)

Alternative therapy (CAM) has been the choice by many, with 40% of Americans spending $34 billion per year. (NIH)

At 49 percent, prayer is found to be the most used of the 10 alternative medicines. (NIH)

Conventional medical adherents’ longstanding objection to “unscientific validation of alternative medicine” is being challenged – and the scientific community is now realizing that it needs to find ways to measure alternative medicine's effectiveness. (Rand corporation report – alternative therapies)

This concept is further explored in an article in Allnurses.com:

“During the last century, as the science and technology of medicine advanced exponentially, spirituality became less and less a consideration for nursing and medical practitioners working with ill patients. In fact, addressing spiritual issues has even been looked upon as inappropriate in some medical settings.

"But there is now substantial scientific evidence supporting the important role of spirituality in health and illness and suggesting that medical providers might be causing harm to their patients by overlooking these factors.”

Studies of health care strongly indicate that there are many in the medical profession as well as members of the public who desire changes in the concept of health care and how it’s delivered. UCLA is involved in a project studying how physicians, chaplains, and patients can help facilitate these changes for faster and better healing.

When I discussed the progress of this project with the director, she indicated that not only the functions (past practices) were of concern but also attitudes (who’s in charge). If patients are decision makers, then information sharing, choices, and alternatives become major issues. The GWish project has developed guidelines for what physicians and health care workers should ask the patient in order to obtain appropriate information about faith and spirituality. However, they are just beginning to share this information with others and determine applicability.

Author Karen Wyatt lists in this same article five spiritual concepts western medicine must embrace. Number one on the list is prayer (an alternative medicine) followed by unconditional love, forgiveness, meaning, and spiritual practice.

I have had many opportunities to experience the healing resource that resides within each of us. But my first eye-opening experience, which changed the course of my life, occurred when I was in college.

I was part of a fraternity house pledge sneak and found myself running through a dark field. Unfortunately, I tripped over some tangled wire and hit the ground with the full weight of my body on my hand, which really mashed my fingers and hand. The hand and arm swelled up and it was not a pretty sight.

My frat brothers insisted that I go to the local hospital emergency room. The doctor on duty felt it was best not to perform any surgery on the hand until the swelling went down. So a cast was placed on the arm from the shoulder to the hand and I was released for the time being.

One of the college students I had met earlier on a blind date suggested that I might like to pray about the injury. She said prayer had helped her many times.

Although this hadn’t crossed my mind, I was struck by the sincerity of her statement, so I decided to give prayer a try. The idea that I prayed with was from the first chapter of Genesis, “God made man in his image and likeness.”

As I prayed about the hand, almost immediately I felt the bones, cuts, and bruises begin to heal and knit together – so much so that within a few days I had cut the cast off and was going about my regular duties at the frat house. To this day, I can’t tell you which hand was involved. There has never been any problem with my hand despite the doctor’s concern that the injury would require surgery.

Today, that use of prayer would probably be classified as alternative medicine. Because I am very interested in our ability to heal, I have been excited to see the dramatic strides the medical community has been making in the field of holistic medicine.

As my colleague in England observed, “When we stop seeing ourselves primarily as machines in need of fixing, a more holistic approach is emerging – one that celebrates a patient's often overlooked understanding of their own needs and the best way to meet them.”

Don lives in Laguna Beach with his wife and they are both Christian Science practitioners. He brings his years serving the public in education to his work as a liaison of Christian Science, where he maintains contacts with the media and legislative offices. Don blogs on spirituality and health and you can read more at www.csinsocal.com.

Article first published in Blogcritics

© GLOW IMAGES

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Patrick Fetzer May 16, 2013 at 01:21 pm
I don't think it was a mistake. The City is leading by example. Keeping sidewalks clean andRead More unbroken from roots....there are LOTS of trees around. Its not there aren't. Besides, who's to say they won't later plant Olive trees or something that won't jack up the sidewalks and take away views!
Stan Jacobs May 16, 2013 at 11:52 am
Laguna changed for the worst when residents who loved Laguna were, over time, displaced by those whoRead More love themselves.
Joanne Sutch May 15, 2013 at 02:11 pm
There is certainly a case, Rich, for buckling sidewalks and safety (which is what City CouncilRead More claimed...along with a $300,000. payout for slip and falls over the past 5 years.) That being said, there are other far less drastic measures that could (and should have been taken years ago). The ficus trees in front of the old persian rug store were not a mistake, they were a request by the new tenants who are trying to "historically" recreate the old building. I'd like to know what trees were "historically" there. They certainly were not New Zealand Christmas trees ( the City's planned on replacement tree.) I object to the City selecting the trees, as there seems to be a "patchwork quilt" effect that is happening. Just like the main entrance to Laguna, we need a new, well thought-out, hammered out tree plan. We also need the City to fund and maintain our trees, which has been sorely lacking (due to budget and lack of any importance being placed on them). I wonder what else we're going to find out re: what other payouts we've been making for other things. (For instance, how much have we paid out for people being hit in the crosswalks? I'll bet that it's a lot more than $300k in 5 years. If not, I'd be pleasantly surprised. ) Perhaps our City officials should be more up front with us about this kind of information, as well as about budget matters. That transparency seems to be missing in the last year or two. If I'm not mistaken, the $ in our capital budget for improving and repair/replacing some of the street end banisters is being re-routed for the beginning funding of the parking garage on Broadway and Forest. Know that more trees are in peril, so, in addition to blogging, everyone please take a moment to express your concerns to each of our council members and our city manager via e-mail or personally. They don't even seem to think that these tree removals deserve to be on the City Council Meeting Agendas (or at least not until the 12th hour). Thanks.
ms.sc. May 14, 2013 at 05:06 am
Wow! There are some hungry, imaginative "sales people" out there! And the ego's behindRead More their "gypsy wagon beliefs" is costly to fools who part with their bank accounts only because of their grief of a loved one has not progressed thru the stages of grief. I wonder what "tonic" is next out of a "psychic's" circus tent? Sick.
El Toro Resident May 14, 2013 at 12:49 am
Thanks Louie, I was just having fun with you.
Louie Wilson May 12, 2013 at 08:01 pm
You guys are a riot. You seem to want to debate me on the subject matter when all I did was complainRead More that the article that Rich wrote is badly written. We're not discussing mediumship; we're discussing bad journalism. Rich doesn't seem to understand why I think what he wrote is unfair. I guess it's his prejudice against the subjects that is blinding him. If an Orange County surgeon left a scalpel in a patient's body, would he write an article about that surgeon and start off by saying: "Well, it's been a bad week for surgeons."?
elizabeth May 10, 2013 at 08:39 am
Ya apasado un mes de la muerte de mi padrastro alberto casique solo espero q la persona q causo suRead More muerte page el abernos quitado a un hombre tan trabajador y respetuoso y alegre estrano mucho llegar y que mediga "todo bien" descansa en paz Alberto.
Eric Garcia April 13, 2013 at 04:59 pm
Hi diana lynn im juniors brother and told me he couldnt log in into the account anymore his numberRead More is 7147243020 thank you
Diana Lynn April 12, 2013 at 02:17 am
Dear Junior, I'm so sorry for your loss. It seems that Armando was a really wonderful person.Read More Everything I've read about him is just awesome. If you are comfortable with contacting me, I know someone that has some information about this tragedy and would like to share what they can with you and his family. Again, I'm so sorry for the loss to your family.
Joanne Sutch April 14, 2013 at 12:35 pm
Everyone, please e-mail all of our council members and city manager with your opinions. Things getRead More changed when their e-mail is flooded. Then, show up at the next City Council and voice your concerns. While your at it, take a look at the downtown plan that is being implemented as we speak, and the trees we'll be losing. There must be a better way!
Joanne Sutch April 13, 2013 at 10:45 pm
It's heartening to hear so many concerned and fiscally responsible Lagunans. I, too, am concernedRead More and would like more time and information before agreeing to dig. Did you know that Councilwoman Iseman has an alternate plan, using the tennis courts as part of the parking. Instead of a 29' parking structure hers would be an 18'foot structure, with additional parking across PCh at the tennis courts. I want to hear more about her plan before committing $38 million+ to this project. As we speak, the 10-year capital plan is being revised to accomodate $5 million for the next 2 years for this project. I would like to know what is being wait-listed for this project. Who suddenly deemed this Laguna's #1 concern? I urge everyone to immediately: 1) go to the next City Council meeting and voice your concerns and 2) e-mail each and every council member and our city manager. Be heard. No offense, but I want more than our Council and City Manager determining such life-changing moves in Laguna. Remember-they are constrained by governmental constrictions (eg: the low-bidder on projects). We have a superior community and deserve top notch planners, builders, etc. As for the people in town, I totally commiserate. However, know that the next 3-5 years will be an absolute nightmare with this work. One of our biggest parking problems nowadays is construction vehicles and also construction workers own private vehicle parking.
Laguna Streets April 9, 2013 at 01:50 am
Mark: There are dozens of alternatives to the automobile, you can find some of them posted atRead More LagunaStreets. There are even more outside the bubble of Laguna, municipalities are adopting alternative mobility plans all over the US and Europe. The resistance to alternative mobility comes from city hall, from community leaders who stubbornly refuse to consider new ideas and acknowledge success in other communities. They don't even listen to professional advice they paid for. I parked my car in the garage in 2006, have not driven it since. I live and work in Laguna and live on "top of the hill", I regularly reach any point in Laguna - most frequently by bicycle, often by scooter or bus. The health benefit from riding a bicycle around Laguna should be obvious.