Post details: Do we really know everything about healing?

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Do we really know everything about healing?

June 29th, 2007

by Nick Jacobs

Is it possible that we do not know everything there is to know about healing and health? In 1974 my neighbor asked me to help him with a piece of concrete that had been dislocated by the winter's frosts. We both bent over, lifted the 250 lb. slab, and his instructions were to drop it into place on the count of three. Well, at the count of three I glanced and saw his foot still firmly planted under the concrete. He had planned to pull it out. I didn't realize that, and held onto the concrete. I then could not stand up straight, and was bent like the letter L. Clearly, something had happened to my young year old back.

My neighbor carefully placed me into the front seat of his car, drove me straight to the emergency room, and the treatment began. First an x-ray where the physician asked if I had ever been a professional football player. When I had stopped laughing, I wiped the tears away from my eyes, and said, "Nope, but thanks." We can't miss the nuance of what occurred next. Muscle relaxants and the threat of what has been described as traction resulted in nothing, absolutely nothing. I couldn't walk, couldn't sit, couldn't stand, and felt as if a long hot knife was stuck in my back.

Two weeks later another friend saw me struggling to walk, put me in his car and drove me to a physician's office. This was a doctor that I was not familiar with, but he was pleasant, took my blood pressure, suggested that I have a Martini every night before dinner, looked at my feet and said, "Oh, this is simple, your sacro is out." He pulled on my right foot and said, "Okay, we're done here." I stood up and felt fine.

He was a DO, a doctor of osteopathic medicine who had been trained in manipulation. Although I was a teacher at the time, it seemed perfectly clear to me that medical professionals with varying views on treatments don't necessarily talk much.

In 1997 when I became the CEO of a hospital, my first decision was to become a Planetree Hospital and to create a menu of options for our patients. Because I am not clinical or medical, nothing was particularly sacred to me. My only concern was that our patients got better, and that we didn't fill our halls with quacks and unqualified tricksters.

Consequently, we introduced many aspects of complementary and alternative medicine, but the difference at our facility was that we used only medical professionals to deliver those modalities. We opened our patient rooms to accommodate family members 24hrs. a day, seven days a week. We placed double beds in our OB suites. We employed musicians, aroma and massage therapists. Our therapy dogs are there for the asking.

The concept is to provide a healing environment. The concept is to allow certified accupuncturists, manipulation trained DO's, PT's, OT's and others to provide those treatments chosen by our patients. The United States citizens are spending billions of dollar each year on these treatments, and many times they are administered by uncertified individuals.

It is my desire to give our patient partners choices. If they get better because their loved one is permitted to stay with them around the clock, or if a dog's love moves them back to health, it doesn't really matter to me. Just so they get better.

We use a very strenuous allied health professional credentialing process to approve these clinical specialists. We take medicine very seriously, and we pay out more than a million dollars each year on general liability and malpractice insurance but have paid out, on average, less than $20,000 a year for all claims in these areas because, if you treat people as partners, not patients, if you treat them with kindness and love, and if you don't make them leave their diginty at the door, they will be your partner. If you create a healing environment void of negative energy, mean employees and limited access to their loved ones, they will heal.

As a consumer, does it make you wonder why we all aren't embracing this philosophy?

Comments, Pingbacks:

Comment from: B.E. Rodin [Visitor]
I think your efforts are very forward thinking! There are many "healing" arts that have existed for centuries. Our Western approach of drugging, burning and cutting has its place, but it should not be all that is available to patients. Wouldn't it be great to move from the concept of a hospital to that of a center for healing?
Permalink 06/30/07 @ 11:28
Comment from: Lavinia Weissman [Visitor] · http://www.workecology.com
What an excellent piece of writing. It speaks from the heart and opens possibilities.

I think we spend to much time trying to change things that are not going to change.

In the environmental world, we preach now to grow locally and buy locally and reduce the carbon footprint.

We have not come up with a mantra in all my years of being involved in healing and health care that captures the attention of enough people to impact a change at the roots of community that lines up with the financial infrastructure.

This week, I had over $500 of out of pocket expense for Osteopath work, massage and acupuncutre. I am just back from the grocery story where I bought other goodies related to my care.

I am currently recovering in my new home of Whidbey Island in Washington State from an environmental exposures and electromagnetic radiation poisoning that was "put upon me" in my former home in Boston by Harvard Medical School.

A commercial real estate developer and our building management decided with out putting it to environmental wisdom to

1. rent the roof of the high rise where I live to Sprint and Comcast for antena for cell phones an wireless and

2. call upon a concrete and asphalt company to do $14M of needed repair and not give thought to the exposures it caused the residents.

I chose to move out and get out rather than expose myself for an indefinite time frame up to 2-3 years.

No health insurance company, regulator, legislator, community development person could look at the impact of health of the almost 400 residents in this building. I am luckier I know how to take care of myself and underwrote the expense.

Having good health today is not only about who you see and what resources you select, it is about what money you have and who you know to get at good resources outside what is driven by the financial infrastructure.

I am concerned at this time that Health Care is so financially and technically driven we have forgotten to include the treatment of patients and we have outpriced the average individual who is not corporately employed from having insurance or access to good healing resources.

I don't picture anyone person can fix the problem. WorkEcology, my company is not going to fix it. However, WorkEcology is convening a national group with sponsors to build change through human touch off line and intelligence to put together some very thoughtful community experiments.
Permalink 06/30/07 @ 15:15
Comment from: Lavinia Weissman [Visitor] · http://www.workecology.com

Of another matter, I recently looked at all the wonderful archiving and linking Tony has done at this site and what he has achieved in the blogging space. No. 57 on Google, Tony way to go.

However, it upset me to no end to think that in ether, so many people are talking about so much and that all this expense and time is being put into blogging when it needs to be put into working out a new system and launching it and ignoring the old one.
Permalink 06/30/07 @ 15:16
Comment from: John Rarey [Visitor] · http://www.cleverleyassociates.com
Nick,

I am new to this blog and really appreciate the insightful and thoughtful articles. Especially this one.

"Is it possible that we do not know everything there is to know about healing and health?"

A great rhetorical question.

Recently, I read about how multivitamins can increase the risk in men of dieing from prostate cancer. Tragically ironic. I seem to recall multiple studies that suggest some positive result of some action. Only to be refuted or reversed from another study just a short time later. These contradictory studies seem to happen often, too often.

Clearly, we do not know all there is to know about healing.

Nick you said: "Because I am not clinical or medical, nothing was particularly sacred to me. My only concern was that our patients got better..."

I am curious, where you met with initial opposition in your desire to become a Planetree Hospital?
Permalink 07/02/07 @ 11:47
Comment from: Nick Jacobs [Visitor] · http://windberblog.typepad.com
John,

Because we had the first rural hospice in the United States in 1977, a Planetree philosophy of sorts was already in place in our palliative care unit. The opposition didn't come until we went hospital wide with 24 hours visiting, insisted on patient centered activities throughout the organization and let 10% of our staff find new employment opportunities because they were just not and had proven that they never could be patient centered in their orientation. It was during those "power shifts" where the patient and not the employee or physician became the center of care that we met with opposition.

In reference to the contradictory studies, I ate margarine with trans fats for forty years before someone decided that trans fats were the worst experiment ever perpetrated on mankind.

It is what it is.

The book Change or Die demonstrates that human nature is such that we would almost always select die rather than change . . . As human beings we resist change so completely that it becomes a challenge to do the right thing . . . even when we know it is absolutely correct.

My philosophy has been one of choice. Because our brains are connected to our bodies, placebos can and do work, and if that comes in the form of a therapy dog or music, and if it's an authentic healing mechanism or a placebo, I don't care. Just get better.
Permalink 07/02/07 @ 12:53

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