As a provider of alternative healthcare, when I explain to someone what is causing their symptoms and how we can help them they almost always ask "Why doesn't my doctor know this?" and when we go over the limitations of what their insurance will cover towards their care, they will ask "Why doesn't my insurance cover this?". Until recently, I did not have a good answer for them. I usually would say something like "I don't know, they should".
I recently came across a great article by the National Hypothyroid Association that does a great job of answering these two questions.
"Historically they (doctors) have failed to adapt new concepts and treatment based on new knowledge or new-found understanding demonstrated in the medical literature....have a long history of guidelines and recommendations that are not supported by the medical literature and fail to adjust or abandon recommnendations when new understanding and knowledge contradicts their recommendations. A doctor who simply follows guidelines that rely on simple laboratory test and ignores the clinical aspects of a patient is not procticing evidence based medicine. This method of practice is consistently rebuked as improper and poor medicine has become the standard of care for a large percentage of endocrinologist and physicians who feel medicine can be related to simply reading "normal" or "abnormal" in a laboratory column" .
According to William shankle, M.D., Professor, University of California, Irvine "Most doctors are practicing 10-20 years behind the available medical literature."
With regard to insurance, the article states; "The current insurance reimbursement system in the United States fosters this thinking, as the worst physicians are financially rewarded by insurance companies. While it is true that the best physicians are continually fighting to provide cutting edge treatments and superior care that the insurance company deems not "medically necessary"........insurance company restrictions on treatments and diagnostic procedures have made the same poor care afforded those of low socioeconomic status the new standard of care for society at large....... the best physicans will seek out and translate both basic science results and clinical outcomes to decide the safest, most efficacious treatment for their patients. Further, the best physicans will continually assess the current available data to decide which therapies are likely to carry the greatest benefits for patients and involve the lowest risks."
I don't want to totally bash medicine but medicine is for acute care. When it comes to chronic conditions (fibromyalgia, migraines, peripheral neuropathies, diabetes, thyroid problems etc.) you have to look at all the systems of the body. You have to look outside the box.
We have the success we do because of our philosophy - "Fix the person and not their diagnosis" and our never ending comittment to provide cutting edge, evidenced based care to our patients.
If you are suffering from a chronic condition, I invite you to find out whether our comprehensive Neuro-Metabolic approach may be righ for you.