Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Our work as physicians and healers is to see the whole patient

Daniel Kinderlehrer, MD
Physician
March 12, 2021
Share
Tweet
Share

An excerpt from Recovery from Lyme Disease: The Integrative Medicine Guide to Diagnosing and Treating Tick-Borne Illness.

As I write this, I am sitting in a hospital room with my wife. She had the sudden onset of severe chest pain and neurological symptoms and was admitted through the emergency room.

The tests showed evidence of cardiac stress but gratefully no heart damage. However, she also has multiple neurological deficits, the worst being that her left leg is paralyzed. When I asked the cardiologist what could account for simultaneous cardiac stress and severe neurological deficits, he said he didn’t deal with the nervous system. When I asked the neurologist about the connection, he had a similar response: he wasn’t interested in heart problems.

I should not be surprised. But the lack of intellectual curiosity concerning what would cause the simultaneous occurrence of cardiac and neurological symptoms was, to put it mildly, stunning. They never asked, “What is the underlying pathophysiology that would explain what has happened here?”

It is a perfect metaphor for, and sad commentary on, the direction of Western medicine today: a reductionist approach that compartmentalizes the body into parts and fails to appreciate that everything is connected. The evaluation of patients is divvied up to specialists and sub-specialists, each with their own areas of competence, but none with the whole picture. In theory, primary care practitioners assemble the specialists’ reports and put it all together. In practice, PCPs see 20 to 40 patients a day; they have neither the time nor the expertise to connect the dots. It’s like the blind men and the elephant—none of these physicians see the whole patient.

Our work as physicians and healers is to see the whole patient. Instead of focusing on one organ system, I want to know everything. The diagnostic challenge is to discern patterns of insults, symptoms, and lab tests that correlate with specific microbes, specific organ dysfunction, specific diet issues, and environmental exposures. We keep asking questions until we detect patterns in the chronically ill patient that correlate with any number of overlapping issues such as infections, hormone deficiencies, immune dysregulation, toxic exposures, and diminished capacity to detoxify. And then we explore the interrelationship of all these problems. Differentiation then integration.

I think of these overlapping patterns on the physiological level as horizontal issues. But there are also vertical issues: emotional health, support networks, resource capacity, belief systems, and spiritual wellbeing. The concept of mind-body connection is a misnomer; the mind and body are one universe, and our perception of self in the world is a template on which we manifest all levels of being.

We who are blessed with the opportunity to help others are obliged to be objective and discerning, but also to hold a space of safety, acceptance, compassion, and respect. As I watch the nurses’ interactions with my wife in this hospital, I appreciate their competence, but I am awed at their depth of caretaking, their kindness, and their humanity. My prayer is that we physicians can dissolve our headstrong egos and be fully present with our patients.

Daniel Kinderlehrer is a physician and author of Recovery from Lyme Disease: The Integrative Medicine Guide to Diagnosing and Treating Tick-Borne Illness.

Image credit: Shutterstock.com

Prev

I remain hopeful: a personal reflection of the pandemic

March 12, 2021 Kevin 0
…
Next

Loved ones are hospitalized and alone during COVID

March 12, 2021 Kevin 0
…

Tagged as: Primary Care

Post navigation

< Previous Post
I remain hopeful: a personal reflection of the pandemic
Next Post >
Loved ones are hospitalized and alone during COVID

ADVERTISEMENT

Related Posts

  • Physicians are trapped between patient satisfaction and unnecessary prescribing

    Richard Young, MD
  • An patient’s ode to healers

    Michele Luckenbaugh
  • A patient’s open letter to aspiring physicians

    David Penner
  • Are patients using social media to attack physicians?

    David R. Stukus, MD
  • Patient bias may endanger both physicians of today and the future

    Olamide Omidele
  • The risk physicians take when going on social media

    Anonymous

More in Physician

  • a desk with keyboard and ipad with the kevinmd logo

    How to advance workforce development through research mentorship and evidence-based management

    Olumuyiwa Bamgbade, MD
  • The truth about perfection and identity in health care

    Ryan Nadelson, MD
  • Civil discourse as a leadership competency: the case for curiosity in medicine

    All Levels Leadership
  • When a medical office sublease turns into a legal nightmare

    Ralph Messo, DO
  • Why the heart of medicine is more than science

    Ryan Nadelson, MD
  • How Ukrainian doctors kept diabetes care alive during the war

    Dr. Daryna Bahriy
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why clinical research is a powerful path for unmatched IMGs

      Dr. Khutaija Noor | Education
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician
    • The truth about perfection and identity in health care

      Ryan Nadelson, MD | Physician
    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why clinical research is a powerful path for unmatched IMGs

      Dr. Khutaija Noor | Education
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician
    • The truth about perfection and identity in health care

      Ryan Nadelson, MD | Physician
    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...