It's one of the reasons that a truly integrative center would be amazing. There is actually a hospital here that has a monthly meeting that is focused on integrative medicine. The resident brings the cases and meets with the board which consists of an MD, and osteopath, an herbalist, an acupuncturist and OMD, a homeopath, an therapist that uses TAT, a massage therapist, a personal trainer etc. and discusses the 2 or three cases each month. The patients selected get the benefit of all the perspectives.
I would love this on a larger scale but more full time. I think every difficult case should demand this kind of scrutiny. There is no way in ANY modality to see the whole picture. You see what you were trained to see and as much as we'd like to think so there is no one perfect modality. There are several great modalities and if the practitioners are open enough to hear input and have "alliances" if you will (yes, survivor starts tonight
) with people in other fields healthcare could look VERY different.
Some people will have affinities for certain kinds of care. There was a case in the office I precept in where a patient kept coming in looking for one modality, but it wasn't working. IN the appointments her language and manner indicated another medium altogether. Because the doctor was trained in both she simply dropped the one that wasn't working and used the one that the patient seemed subconsciously drawn to. If you yourself can't offer that but can refer to someone who can....the possibilities are endless.
As you well know we move through phases. Some people need nutritional intervention, some need energy medicine, some need structural work and so on and so forth. Instead of cramming a square peg into a round hole because it's your specialty it should be a dynamic system where patients are supported and nurtured where they are so that they CAN move forward in healing. If that means someone comes to me for homeopathy but clearly needs an adjustment I'm not going to waste their time. I would rather be upfront and let them make an informed choice rather than insisting I can diminish pain with homeopathy (I can....but the underlying problem won't be addressed.) Once they have been adjusted perhaps they will come back and the case will then be more clear.