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

Unconventional health care, flawed studies, and biases: Navigating the complexities for optimal well-being

Kara Wada, MD
Physician
June 1, 2023
Share
Tweet
Share

When I speak with my less “crunchy” peers, I encounter a considerable amount of resistance to ideas that have initially gained traction in naturopathic or integrative spaces: food as medicine, making “non-toxic” swaps, meditation, or reiki, to name a few.

As humans, we certainly love a good us vs. them mentality, tribalism and all.

But the reality is, many of us have witnessed harm inflicted on patients who sought care in less traditional spaces. I still remember sitting at a case conference as a third-year medical student, learning about a baby who suffered a catastrophic stroke after a newborn chiropractic adjustment. Now, as an academic allergist/immunologist, it is not uncommon for me to see patients who have replaced a long list of pharmaceuticals with equally long (or longer) lists of vitamins and supplements in an attempt to rebalance or boost their immune system. Since neither approach worked, the patient was referred to me as a fifth opinion—a Hail Mary pass, so to speak—given my focus on using the increasing body of evidence supporting lifestyle medicine as part of my practice paradigm for managing misbehaving immune systems.

Theoretically, practicing evidence-based medicine (EBM) should eliminate the problems associated with anecdotal medicine, right? And yet, all too often, studies are flawed—too small, biased by funding, not focusing on patient-oriented outcomes. The population being studied often does not match the patients we want to apply the knowledge to. How frequently do the artificial conditions imposed on patients and physicians in studies deviate significantly from the realities of budgets, time, and energy in the real world? Or the cultural bias inherent in relying solely on EBM, ignoring the millennia of rich traditions found in non-Western cultures?

So, what are we left to do? We do the best we can with what we have. We assess the strength of the evidence and its limitations. We consider the potential harm of action or inaction. The possible benefits. We look at practicality and sustainability. And a question we ask a bit less often: What are our own biases?

When it comes to supplements, I am open with my patients about my biases. There is nothing quite like turning yellow and having a former intern turned hepatologist insert a big needle into your side to find out that the superfood supplement wasn’t so super after all. It is hard for me to completely set aside that bias, but I do my best.

During these conversations, I am often reminded of the saying, “Those who live in glass houses shouldn’t throw stones.” Harm occurs among our own: missed diagnoses, incorrect dosages or drugs, but even more insidious are the traumas associated with clinicians. It is easy to see how an adversarial visit or gaslighting could drive patients away from medical care, thus delaying diagnosis and treatment.

Sometimes, it is the language that, frankly, I wouldn’t have thought twice about until I found myself on the other side of the exam room—”You look fine to me,” “Labs are normal,” or “Do you think your weight/stress may be causing XX”—that, to someone on the diagnostic odyssey, feels like death by a million papercuts.

We are humans, not superheroes, not Gods. We all have our biases and view our practice of medicine through the lens of our personal experiences and education. We are also increasingly pushed to our own limits by the very dysfunctional system we attempt to function within, and hurt people hurt people.

At the end of the day, we all took that oath to do no harm. Perhaps we need to consider this oath from a more holistic vantage point, one that encompasses our own health, biases, and limitations as we redirect back towards that North Star of non-maleficence.

Kara Wada is a board-certified academic adult and pediatric allergy, immunology, and lifestyle medicine physician, Sjogren’s patient, certified life coach, TEDx speaker, and Dr. Midwest 2023. She can be reached at Dr. Kara Wada and on Instagram, YouTube, Facebook, and LinkedIn. She is a national expert, sought-after speaker, advisor, and host of the Becoming Immune Confident Podcast. She is CEO and founder, The Crunchy Allergist and the Demystifying Inflammation Summit, and serves as the director of clinical content for Aila Health.

Prev

Urgent innovation is needed to address the growing mental health crisis among children and families

June 1, 2023 Kevin 0
…
Next

Why allowing yourself to embrace discomfort is necessary for personal growth

June 1, 2023 Kevin 0
…

Tagged as: Allergies & Immunology

Post navigation

< Previous Post
Urgent innovation is needed to address the growing mental health crisis among children and families
Next Post >
Why allowing yourself to embrace discomfort is necessary for personal growth

ADVERTISEMENT

More by Kara Wada, MD

  • From doctor to patient: my Sjogren’s journey and a challenge to colleagues

    Kara Wada, MD
  • A specialist’s journey in health care advocacy

    Kara Wada, MD
  • Navigating spring allergies in the era of climate change

    Kara Wada, MD

Related Posts

  • How social media can help or hurt your health care career

    Health eCareers
  • Why the health care industry must prioritize health equity

    George T. Mathew, MD, MBA
  • Improve mental health by improving how we finance health care

    Steven Siegel, MD, PhD
  • Proactive care is the linchpin for saving America’s health care system

    Ronald A. Paulus, MD, MBA
  • Health care workers should not be targets

    Lori E. Johnson
  • To “fix” health care delivery, turn to a value-based health care system

    David Bernstein, MD, MBA

More in Physician

  • How New Mexico became a malpractice lawsuit hotspot

    Patrick Hudson, MD
  • Why compassion—not credentials—defines great doctors

    Dr. Saad S. Alshohaib
  • Why Canada is losing its skilled immigrant doctors

    Olumuyiwa Bamgbade, MD
  • Why doctors are reclaiming control from burnout culture

    Maureen Gibbons, MD
  • Why screening for diseases you might have can backfire

    Andy Lazris, MD and Alan Roth, DO
  • Why “do no harm” might be harming modern medicine

    Sabooh S. Mubbashar, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
  • Past 6 Months

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • 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
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How I learned to stop worrying and love AI

      Rajeev Dutta | Education
    • Understanding depression beyond biology: the power of therapy and meaning

      Maire Daugharty, MD | Conditions
    • Why compassion—not credentials—defines great doctors

      Dr. Saad S. Alshohaib | Physician
    • Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

      The Podcast by KevinMD | Podcast

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

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
  • Past 6 Months

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • 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
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • How fragmented records and poor tracking degrade patient outcomes

      Michael R. McGuire | Policy
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How I learned to stop worrying and love AI

      Rajeev Dutta | Education
    • Understanding depression beyond biology: the power of therapy and meaning

      Maire Daugharty, MD | Conditions
    • Why compassion—not credentials—defines great doctors

      Dr. Saad S. Alshohaib | Physician
    • Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

      The Podcast by KevinMD | Podcast

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...