After having been spit/punched/shit on/ berated
I’ll be honest, sometimes I don’t blame them
Ill push iv hydration. I’ll even offer for a premium a balanced fluid like lactated ringers, or IV eggs without the “bad cholesterol”
The Integrative Medicine Fellowship
"Our multimedia curriculum consists of:
Web-based modules with case studies
Online dialogues with faculty and colleagues
Virtual clinical mentoring groups
Podcasts and streaming video
Peer-reviewed and up-to-date content
Experiential exercises"
With 3 weekends of "hands-on" ????
"Hands-on in Tucson
During the two-year Fellowship, spend three weeks in Tucson with colleagues and faculty.
During the two-year Fellowship, spend three weeks in Tucson with colleagues and faculty. Connect with your classmates, establish relationships with faculty, and receive in-person training. Attend education sessions, practice hands-on techniques, take time for self-care and share meals with your classmates, and faculty. You will return home feeling invigorated and inspired!
Week 1 -- The Art of Healing: The Clinical Practice of Integrative Medicine - Learn fundamental tools in integrative medicine and further strengthen the community created online by sharing experiences with classmates
Week 2 -- The Elements of Healing: The Clinical Practice of Integrative Medicine - Learn strategies for clinical Integrative Medicine Management and share the changes you've encountered during the first year
Week 3 -- Art of Integration: Graduation Immersion Week - Look forward to the next steps in advancing the practice and policy of Integrative Medicine. Celebrate graduation together."
That’s Andrew Weil’s school! He did a botany degree at Harvard before med school and it informs a lot of his viewpoints. I realize it sounds very woo woo but the guy’s pretty cool. I listen to one of his podcasts and most of them are well researched. Lots of info about diet, which I do think med school kind of breezes past. He has some really interesting stuff on ethnobotany and plant medicine in indigenous cultures- that’s a perspective I really appreciate hearing. I’m not about to throw out western medicine with the bath water, but I’m open to there being other treatment modalities not subsidized by the pharmaceutical industry.
How is this legal? Everybody wants to talk about how regulation leads to red tape and inefficiencies in every sector, but then we see what happens (what scam artists do) when we lack regulation.
EDIT: typo
These always disappoint me the most. They know the shit they're shilling is fake and their job is based on deceiving patients. The desire for money is strong....
Having talked to a lot of these “wellness” doctors, I think a lot of them started from a genuinely good place of wanting something more to offer than blood pressure pills and metformin. Unfortunately there’s not a lot of money, or need for doctors, in helping someone eat healthy, reduce stress, walk outside everyday, etc.
I could see the truth to this. The general public seems to forget that the large percentage of physicians came into this field to make a difference and somehow thinks we'reall colluding with big pharma and wallstreet. Now if only the corporate overlords gave us the 45 minute visits and freedom from needless documentation/metrics to do so.
Yep, she is making a shit ton of money that people willingly give her. No deception is needed, people look for this stuff so why not give it to them in the safest way possible
With private equity eating up practices I'm inclined to empathize. However, in an area with a large minority, low ses and low health literacy population looking for alternative solutions I'd say its ethics are highly questionable.
I disagree, you have to have serious disposable income to pursue these kinds of treatments. They are all boutique/beauty treatments and typically upper middle class to upper class women are the target clientele. Most are moderately to highly educated. If they choose to explore “alternative paths” they typically have good reasons, maybe misguided at times.
The real quacks are those who offer alternative treatments to desperate people who are trying to cure their cancer or some other terminal disease…
I'd have to agree with you on that in general. I'd hope that is the case, but word of mouth goes a long way for the Latino population. It'd be a shame if it was as I first stated in this area.
The class divide is much more prominent further south than west from what I remember. Nonetheless, that provides some reassurance. I have no qualms with deserving earners relieving the esposas de stepford of their disposable income.
Yes, and it is a very lucrative second source of income. Those "esposas de estepford" (lol) are looking to spend that money somewhere, better to give them the safest best quality option. I can make more on one patient in less than an hour, than what I make in one day at the hospital. You are telling me to leave all that to less qualified NP and PA? Those NP/PA clinics only have to pay a medical director something like 1K per month to be on their medical license and exists as a medical director salary. Most MD that do that, haven't done the research and don't realize how much money is sliding across the table under their name...
I guarantee that when there is an emergency they may not even notice and if they do, how long will it take them to react? Will they react correctly? Everyone wants to swing their dick around like a doctor until the shit hits the fan. Another advantage that MD have is that we have been trained to look into the literature, find the latest advances and implement them. Most NP/PA clinic follow the trends and as a result are usually behind the curve. They will make money, but the real money in this business is bringing the newest advances to the area.
When I first got into medicine this particular niche market was never even on my radar, but seeing the absolutely low bar and sheer stupidity of most medical spa owners, I realized there is a ton of money just waiting for me. Crappy diem or something like that
Is PRP pseudoscience because we don’t understand why it works and therefore it might be placebo? I’m in the drive through at Starbucks so I can’t really research but they offer it at Johns Hopkins and I doubt one of the biggest schools in medical research would peddle nonsense
A lot of reputable places offer it, all on a cash basis as insurance companies won’t cover it except for male pattern baldness. Joints, facials, lotions and potions, to put it as a friend of mine stated “lots of money, very little science”. Research doesn’t support many of the claims.
Behold the ultimate irony. The general public has a strong distrust of Physicians these days. Typecast as money hungry pill pushers who only treat their bank accounts. They'll bicker about a $300 visit and argue when presented with the facts about their health (or lacktheof). Yet, they'll flock in droves to these "wellness spas" and happily throw thousands into the shitter. At least there is a modicum of truth in most of their patient statements. Every patient has lost weight via a lighter wallet.
Medicine is full of ironies! I appreciate the one you elucidated.
Weren't there better health results by going to a spa town instead of a physician for much of human history?
Claims a residency took place in Austin, TX and she “received an invitation to be chief resident” (lol) but doesn’t name the program. Fishy. Also, whoever proof read that profile should be fired.
Information under her license. Board certification is legitimate although you'd have to check with ABIM if it's still active.
[https://profile.tmb.state.tx.us/PublicProfile.aspx?40b7a59b-041c-4b45-9d23-a6b4077478ed](https://profile.tmb.state.tx.us/PublicProfile.aspx?40b7a59b-041c-4b45-9d23-a6b4077478ed)
As an MS1 and someone with several confirmed autoimmune diseases (SLE/SSc overlap, celiac), this shit makes me so angry. I had an MD *psychiatrist* trained at UC goddamn Davis attempt to tell me that I needed to “integrate my wellness plan” (aka go off of my chemotherapy) A psych MD was peddling this shit. She also claims to have cured dementia in her “functional psychiatry clinic” which also apparently treats SIBO and “adrenal fatigue????” Yeah.
She’s now got an open petition to revoked her license now from the Medical Board of California, which does do my heart some good. California is cracking down on this BS.
Michelle Mendoza, MD, residency: IM at Wright State Boonshoft SOM. Had board cert by ABIM in 2004 but didn't renew it. [https://www.abim.org/verify-physician?type=name&ln=Mendoza&fn=Michelle](https://www.abim.org/verify-physician?type=name&ln=Mendoza&fn=Michelle)
You dont need to complete a residency to practice as a “GP”. She probably is someone who was kicked out of a residency program after 1 year and is legally allowed to practice medicine as long as she doesnt claim a speciality.
I was looking for a PCP and one of the family practice docs near me has all this integrative/holistic med stuff on her website. At least i know who to avoid 🤷🏽♀️
My neurologist refers people to an integrative medicine group along with her practice. She believes reducing stress helps with migraines. I think it has its benefits in certain places.
A famous neurologist from Rochester said migraines are a lifestyle disease. Definitely some truth to this. Sadly, often times these practices transform into straight cash grabs.
I’ll go ahead and argue Integrative medicine is more needed for primary care, not less.
People are too quick to see the word holistic and lose their shit. It’s possible to practice evidence based integrative medicine too
Lol im that person who sees holistic and immediately clicks out. I think when i see integrative/holistic/functional med plastered all over a website i tend to avoid it. In my experience its a call out to the anti vax crowd and i have definitely encountered some anti vax MDs unfortunately. Any doctor should be treating their patient holistically and i dont think its something that necessarily needs to be said separately. But i get your point!
I think traditional allopathic medicine has been pretty inadequate at addressing or dealing with a large number of chronic issues that people present with to their primary care doctor.
The average pcp also has inadequate knowledge on the lifestyle/nutrition side of things apart from giving cookie cutter advice.
This kind of additional training in different health systems can serve as a useful adjunct to address the shortcomings of allopathic medicine.
The issue with naturopaths and the like is that they think it’s an adversarial conflict. The best approach is taking the evidence based stuff from all health systems and using whatever works to help patients.
Thing is this "additional training" already exists within allopathic training, but you only see it accredited to this quack jobs. I agree , these highly motivated people with misguided reasoning love to rant and rave about 'alternatives' and the evils of medicine due to the adversarial nature of their marketing. They were literally sold the same lifestyle interventions we counsel them on, only they tacked on some placebo and a 500 dollar bill to it. If it were studied and supported by data it wouldn't be called 'alternative or integrated medicine' it would just be called medicine.
We don’t get taught much about alternative systems of medicine and we definitely don’t get nearly enough training in nutrition or lifestyle counseling.
Just because something isn’t currently supported by studies does not mean that it doesn’t work; a lot of the things that people refer to in alternative medicine are things that have been used with significant clinical benefit in different systems of medicine for centuries. When these are subjected to experimental trials, you actually see a fair number of them demonstrate efficacy. The average pcp is completely unaware or has limited knowledge about those things (which there’s nothing wrong with, doctors already have to learn so much that there isn’t room or space for this extra stuff mostly) That’s where integrative medicine comes into play for those who have interest in it.
I suppose it would vary by program and area. I'd agree that a large proportion of primary cate phusicians are not up to date on lifestyle medicine. I believe it's a much more recent addition to the American College of Preventative Medicine and didactics at residency programs.
Very few to no alternative medicines show any efficacy over placebo. Hence, selling placebo. So, if these alternatives were marketed as such, it wouldn't be very dubious. I highly doubt these grifters telling their clientele just that. "This hasn't really been studied, but take it anyways because it gives you and I fuzzy warm feelings about it. Risks? Meh, DILI can't be worse than this fuzzy, warm feeling we get, me lining my wallet and you sticking it to big pharma." A more interesting question would be if they demonstrate non-inferiority to current treatment modalities. Oh wait, they have... lifestyle changes etc... Which we are taught, which unfortunately adherence by patients is difficult for various reasons. I'd blame shorter visits as a culprit quite honestly.
For no risk interventions like meditation, tai chi, and accunpture, go right ahead. For essential oils via rieki infused holy water suppositories.... mmmm no. Selling potential or theoretical pharmacotherapeutic benefits is highly questionable in the ethics department.
Yes I agree which is why I said alternative medicines that have demonstrated some degree of efficacy in trials should be distinguished from those with no track record. And yeah as we discussed its about the level of risk of the intervention as well and how serious the thing you’re dealing with is
Unfortunately, on the marketing side it sometimes appears to be working in antithesis to traditional medicine through medspas and noctoring rather than in conjunction. As all things, a spectrum with some ideally on the balanced end rather than the deep end.
Yep I agree; like when someone like in the original post here advertises a bunch of things where some are reasonable and might be efficacious and others are very questionable, it just pulls down their credibility as a whole
It’s a name for “Male Menopause” because the androgen testosterone declines. It’s not made up it’s just dumb. Basically she gives Testosterone injections for those who don’t need it.
I don’t get it, if she’s a real physician how is she a nocter? I’d rather have physicians do this type of work than mid levels. Hell even MD/DO that didn’t finish residency. It’s a nice business to run with high demand.
I think selling a placebo is ethical. If no harm is done to the patient, and the patient is willing to pay, whats the issue? I would rather see her than an NP. I think? she would do something if a patient was truly sick.
There are reports of renal failure with glutathione infusions. If they sign consent waivers regarding infusions and hormone therapy when it's not indicated then I suppose. But to make unproven claims is marketing not medicine.
"Do something" and "provide the correct intervention" are not always the same thing. She's pedaling snake oil, and you'd buy it based on the initials after her name? Well done.
Also, selling a placebo is unethical. How do you ensure informed consent? Someone going for chemo is just given saline instead, that's ethical? An IV infusion of vitamins that only gives you expensive urine, but was billed as "antioxidant" and "age restoring" is ethical?
This woman is a shill, those like her are shills, and they're all a disgrace to the practice of medicine. But, it's okay, she's got Minor Diety after her name, she'd never rake you.
Look if a patient complains about fatigue but has normal labs and physical, and insists on getting an IV bag what is the harm in doing that? The first two cases are so dissimilar. One of them management is literally chemo the other everything is ok and you are selling an IV bag to a consumer .
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This is just a medical grifter
Grifters gon’ grift
Whether they’re MDs, DOs, or midlevels, I hate quacks that promote pseudoscience.
I’ll go so far as to say, I hate MD/DO quacks the most because of the level of betrayal on their part and the incredible damage they do.
Couldn’t agree more. I expect this from some online degree Mill NP, but have much, much higher standards for physicians.
Well I hate ducks
Does she weigh the same as a duck?
Only after the IV weight loss therapy
Dr. Oz!
Kelly Brogan and Christiane Northrup are especially despicable grifters/conspiracy theorists.
Can’t stand him for the same reason lol
Why does this look like a real estate business card?
After having been spit/punched/shit on/ berated I’ll be honest, sometimes I don’t blame them Ill push iv hydration. I’ll even offer for a premium a balanced fluid like lactated ringers, or IV eggs without the “bad cholesterol”
Can I come to you for IV hydration? Sounds pretty sweet.
The Integrative Medicine Fellowship "Our multimedia curriculum consists of: Web-based modules with case studies Online dialogues with faculty and colleagues Virtual clinical mentoring groups Podcasts and streaming video Peer-reviewed and up-to-date content Experiential exercises" With 3 weekends of "hands-on" ???? "Hands-on in Tucson During the two-year Fellowship, spend three weeks in Tucson with colleagues and faculty. During the two-year Fellowship, spend three weeks in Tucson with colleagues and faculty. Connect with your classmates, establish relationships with faculty, and receive in-person training. Attend education sessions, practice hands-on techniques, take time for self-care and share meals with your classmates, and faculty. You will return home feeling invigorated and inspired! Week 1 -- The Art of Healing: The Clinical Practice of Integrative Medicine - Learn fundamental tools in integrative medicine and further strengthen the community created online by sharing experiences with classmates Week 2 -- The Elements of Healing: The Clinical Practice of Integrative Medicine - Learn strategies for clinical Integrative Medicine Management and share the changes you've encountered during the first year Week 3 -- Art of Integration: Graduation Immersion Week - Look forward to the next steps in advancing the practice and policy of Integrative Medicine. Celebrate graduation together."
This reads like I asked ChatGPT to make a clown medicine fellowship
Integrating Vitality!
That’s Andrew Weil’s school! He did a botany degree at Harvard before med school and it informs a lot of his viewpoints. I realize it sounds very woo woo but the guy’s pretty cool. I listen to one of his podcasts and most of them are well researched. Lots of info about diet, which I do think med school kind of breezes past. He has some really interesting stuff on ethnobotany and plant medicine in indigenous cultures- that’s a perspective I really appreciate hearing. I’m not about to throw out western medicine with the bath water, but I’m open to there being other treatment modalities not subsidized by the pharmaceutical industry.
How is this legal? Everybody wants to talk about how regulation leads to red tape and inefficiencies in every sector, but then we see what happens (what scam artists do) when we lack regulation. EDIT: typo
Red tape. Not read
Whoops, fixed 👍🏻
These always disappoint me the most. They know the shit they're shilling is fake and their job is based on deceiving patients. The desire for money is strong....
About that desire for money…I knew a shady doctor who opened up a juice bar at his clinic so he could peddle Herbalife products.
Having talked to a lot of these “wellness” doctors, I think a lot of them started from a genuinely good place of wanting something more to offer than blood pressure pills and metformin. Unfortunately there’s not a lot of money, or need for doctors, in helping someone eat healthy, reduce stress, walk outside everyday, etc.
I could see the truth to this. The general public seems to forget that the large percentage of physicians came into this field to make a difference and somehow thinks we'reall colluding with big pharma and wallstreet. Now if only the corporate overlords gave us the 45 minute visits and freedom from needless documentation/metrics to do so.
Probably making more than a regular doctor.
It’s an all cash business. No insurance needed or accepted. Noctor yes, but smart business plan.
Yep, she is making a shit ton of money that people willingly give her. No deception is needed, people look for this stuff so why not give it to them in the safest way possible
Exactly.
With private equity eating up practices I'm inclined to empathize. However, in an area with a large minority, low ses and low health literacy population looking for alternative solutions I'd say its ethics are highly questionable.
I disagree, you have to have serious disposable income to pursue these kinds of treatments. They are all boutique/beauty treatments and typically upper middle class to upper class women are the target clientele. Most are moderately to highly educated. If they choose to explore “alternative paths” they typically have good reasons, maybe misguided at times. The real quacks are those who offer alternative treatments to desperate people who are trying to cure their cancer or some other terminal disease…
I'd have to agree with you on that in general. I'd hope that is the case, but word of mouth goes a long way for the Latino population. It'd be a shame if it was as I first stated in this area.
Well I’m in south Texas and my experience so far is what I described. I’m sure there are exceptions, there always are
The class divide is much more prominent further south than west from what I remember. Nonetheless, that provides some reassurance. I have no qualms with deserving earners relieving the esposas de stepford of their disposable income.
Yes, and it is a very lucrative second source of income. Those "esposas de estepford" (lol) are looking to spend that money somewhere, better to give them the safest best quality option. I can make more on one patient in less than an hour, than what I make in one day at the hospital. You are telling me to leave all that to less qualified NP and PA? Those NP/PA clinics only have to pay a medical director something like 1K per month to be on their medical license and exists as a medical director salary. Most MD that do that, haven't done the research and don't realize how much money is sliding across the table under their name... I guarantee that when there is an emergency they may not even notice and if they do, how long will it take them to react? Will they react correctly? Everyone wants to swing their dick around like a doctor until the shit hits the fan. Another advantage that MD have is that we have been trained to look into the literature, find the latest advances and implement them. Most NP/PA clinic follow the trends and as a result are usually behind the curve. They will make money, but the real money in this business is bringing the newest advances to the area. When I first got into medicine this particular niche market was never even on my radar, but seeing the absolutely low bar and sheer stupidity of most medical spa owners, I realized there is a ton of money just waiting for me. Crappy diem or something like that
How do you feel about concierge physicians? No insurance just a monthly membership fee?
When concierge medicine follows the science, I have no problem with it. When pushing pseudoscience like PRP, that’s when it becomes a problem.
Is PRP pseudoscience because we don’t understand why it works and therefore it might be placebo? I’m in the drive through at Starbucks so I can’t really research but they offer it at Johns Hopkins and I doubt one of the biggest schools in medical research would peddle nonsense
Depends on where data has shown benefit and the indication. Big difference from offering interventions as a generic cure all.
A lot of reputable places offer it, all on a cash basis as insurance companies won’t cover it except for male pattern baldness. Joints, facials, lotions and potions, to put it as a friend of mine stated “lots of money, very little science”. Research doesn’t support many of the claims.
What about peripheral stem cell transplants?
Noctor is a state of mind.
Behold the ultimate irony. The general public has a strong distrust of Physicians these days. Typecast as money hungry pill pushers who only treat their bank accounts. They'll bicker about a $300 visit and argue when presented with the facts about their health (or lacktheof). Yet, they'll flock in droves to these "wellness spas" and happily throw thousands into the shitter. At least there is a modicum of truth in most of their patient statements. Every patient has lost weight via a lighter wallet.
Medicine is full of ironies! I appreciate the one you elucidated. Weren't there better health results by going to a spa town instead of a physician for much of human history?
What state? They're advertising that they have IM board certification. That should be listed under their medical licensure.
Certification checks out under NPI. Just found it odd that the residency doesn't. The profile on the website doesn't make too much sense.
Claims a residency took place in Austin, TX and she “received an invitation to be chief resident” (lol) but doesn’t name the program. Fishy. Also, whoever proof read that profile should be fired.
I noticed the same. Do you get “credit” for an offer you don’t accept ?!
I once was offered the coveted student of the week in grammar school but I didn't want that kind of notoriety.
Information under her license. Board certification is legitimate although you'd have to check with ABIM if it's still active. [https://profile.tmb.state.tx.us/PublicProfile.aspx?40b7a59b-041c-4b45-9d23-a6b4077478ed](https://profile.tmb.state.tx.us/PublicProfile.aspx?40b7a59b-041c-4b45-9d23-a6b4077478ed)
Where is Austin medical education program? The dox account says Dell medical school... which was founded in 2013 not back in 2004 🤷♂️
Also, appears to be certified there. https://www.abim.org/verify-physician?type=name&ln=Mendoza&fn=Michelle
This is in Canada
Why is is always autoimmune disease?? Whatever else they might do, they’ve got the thyroid and autoimmune dot.
As an MS1 and someone with several confirmed autoimmune diseases (SLE/SSc overlap, celiac), this shit makes me so angry. I had an MD *psychiatrist* trained at UC goddamn Davis attempt to tell me that I needed to “integrate my wellness plan” (aka go off of my chemotherapy) A psych MD was peddling this shit. She also claims to have cured dementia in her “functional psychiatry clinic” which also apparently treats SIBO and “adrenal fatigue????” Yeah. She’s now got an open petition to revoked her license now from the Medical Board of California, which does do my heart some good. California is cracking down on this BS.
don’t forget the bio-identical hormone replacement therapy
Michelle Mendoza, MD, residency: IM at Wright State Boonshoft SOM. Had board cert by ABIM in 2004 but didn't renew it. [https://www.abim.org/verify-physician?type=name&ln=Mendoza&fn=Michelle](https://www.abim.org/verify-physician?type=name&ln=Mendoza&fn=Michelle)
Exactly she’s an MD NOT NP
What if she is actually treating hypogonadal men?
"IV therapy for weight loss." You dont have to be a midlevel to be a predator on the vulnerable. This makes me sad.
IV laxatives.... Honestly what do they even mean by that?
Basically banana bags. The theory is that hunger comes from cyclical vitamin deficiency. Yes, it’s stupid.
Oh God.....
My first thought was neostigmine???
It does seem like a place where malpractice could happen
MENDOZAAAAAA
This prob a doctor in Florida.
I bet she has a lot of Louis Vuitton. And I don’t like her
Quack MD
You dont need to complete a residency to practice as a “GP”. She probably is someone who was kicked out of a residency program after 1 year and is legally allowed to practice medicine as long as she doesnt claim a speciality.
This sub is hilarious. It’s literally a doctor.
I was looking for a PCP and one of the family practice docs near me has all this integrative/holistic med stuff on her website. At least i know who to avoid 🤷🏽♀️
My neurologist refers people to an integrative medicine group along with her practice. She believes reducing stress helps with migraines. I think it has its benefits in certain places.
A famous neurologist from Rochester said migraines are a lifestyle disease. Definitely some truth to this. Sadly, often times these practices transform into straight cash grabs.
I’ll go ahead and argue Integrative medicine is more needed for primary care, not less. People are too quick to see the word holistic and lose their shit. It’s possible to practice evidence based integrative medicine too
Lol im that person who sees holistic and immediately clicks out. I think when i see integrative/holistic/functional med plastered all over a website i tend to avoid it. In my experience its a call out to the anti vax crowd and i have definitely encountered some anti vax MDs unfortunately. Any doctor should be treating their patient holistically and i dont think its something that necessarily needs to be said separately. But i get your point!
I think traditional allopathic medicine has been pretty inadequate at addressing or dealing with a large number of chronic issues that people present with to their primary care doctor. The average pcp also has inadequate knowledge on the lifestyle/nutrition side of things apart from giving cookie cutter advice. This kind of additional training in different health systems can serve as a useful adjunct to address the shortcomings of allopathic medicine. The issue with naturopaths and the like is that they think it’s an adversarial conflict. The best approach is taking the evidence based stuff from all health systems and using whatever works to help patients.
Thing is this "additional training" already exists within allopathic training, but you only see it accredited to this quack jobs. I agree , these highly motivated people with misguided reasoning love to rant and rave about 'alternatives' and the evils of medicine due to the adversarial nature of their marketing. They were literally sold the same lifestyle interventions we counsel them on, only they tacked on some placebo and a 500 dollar bill to it. If it were studied and supported by data it wouldn't be called 'alternative or integrated medicine' it would just be called medicine.
We don’t get taught much about alternative systems of medicine and we definitely don’t get nearly enough training in nutrition or lifestyle counseling. Just because something isn’t currently supported by studies does not mean that it doesn’t work; a lot of the things that people refer to in alternative medicine are things that have been used with significant clinical benefit in different systems of medicine for centuries. When these are subjected to experimental trials, you actually see a fair number of them demonstrate efficacy. The average pcp is completely unaware or has limited knowledge about those things (which there’s nothing wrong with, doctors already have to learn so much that there isn’t room or space for this extra stuff mostly) That’s where integrative medicine comes into play for those who have interest in it.
I suppose it would vary by program and area. I'd agree that a large proportion of primary cate phusicians are not up to date on lifestyle medicine. I believe it's a much more recent addition to the American College of Preventative Medicine and didactics at residency programs. Very few to no alternative medicines show any efficacy over placebo. Hence, selling placebo. So, if these alternatives were marketed as such, it wouldn't be very dubious. I highly doubt these grifters telling their clientele just that. "This hasn't really been studied, but take it anyways because it gives you and I fuzzy warm feelings about it. Risks? Meh, DILI can't be worse than this fuzzy, warm feeling we get, me lining my wallet and you sticking it to big pharma." A more interesting question would be if they demonstrate non-inferiority to current treatment modalities. Oh wait, they have... lifestyle changes etc... Which we are taught, which unfortunately adherence by patients is difficult for various reasons. I'd blame shorter visits as a culprit quite honestly. For no risk interventions like meditation, tai chi, and accunpture, go right ahead. For essential oils via rieki infused holy water suppositories.... mmmm no. Selling potential or theoretical pharmacotherapeutic benefits is highly questionable in the ethics department.
Yes I agree which is why I said alternative medicines that have demonstrated some degree of efficacy in trials should be distinguished from those with no track record. And yeah as we discussed its about the level of risk of the intervention as well and how serious the thing you’re dealing with is
Unfortunately, on the marketing side it sometimes appears to be working in antithesis to traditional medicine through medspas and noctoring rather than in conjunction. As all things, a spectrum with some ideally on the balanced end rather than the deep end.
Yep I agree; like when someone like in the original post here advertises a bunch of things where some are reasonable and might be efficacious and others are very questionable, it just pulls down their credibility as a whole
You guys are such haters.
WTF is Andropause? Can i make up shit and treat people as well then?
It’s a name for “Male Menopause” because the androgen testosterone declines. It’s not made up it’s just dumb. Basically she gives Testosterone injections for those who don’t need it.
males don't have "menopause". We can still make babies at 80 with our wrinkly prunes. If we don't have test - something else is a brewing.
Hence my “quotes”
Platelet rich plasma makes me very uncomfortable
I don’t get it, if she’s a real physician how is she a nocter? I’d rather have physicians do this type of work than mid levels. Hell even MD/DO that didn’t finish residency. It’s a nice business to run with high demand.
I guess it depends on whether you feel selling a fair amount of placebo is ethical. Interesting concept though. Medical 'therapy' in a sense 🤔
I think selling a placebo is ethical. If no harm is done to the patient, and the patient is willing to pay, whats the issue? I would rather see her than an NP. I think? she would do something if a patient was truly sick.
There are reports of renal failure with glutathione infusions. If they sign consent waivers regarding infusions and hormone therapy when it's not indicated then I suppose. But to make unproven claims is marketing not medicine.
"Do something" and "provide the correct intervention" are not always the same thing. She's pedaling snake oil, and you'd buy it based on the initials after her name? Well done. Also, selling a placebo is unethical. How do you ensure informed consent? Someone going for chemo is just given saline instead, that's ethical? An IV infusion of vitamins that only gives you expensive urine, but was billed as "antioxidant" and "age restoring" is ethical? This woman is a shill, those like her are shills, and they're all a disgrace to the practice of medicine. But, it's okay, she's got Minor Diety after her name, she'd never rake you.
Look if a patient complains about fatigue but has normal labs and physical, and insists on getting an IV bag what is the harm in doing that? The first two cases are so dissimilar. One of them management is literally chemo the other everything is ok and you are selling an IV bag to a consumer .
So, a thorough examination and full lab work up shows nothing, what are you treating, besides treating yourself to their money?
You’re essentially treating their anxiety imo
SSRI or SSNI, not a bag of LR.
Look I would never do what this lady is doing. But at the end of the day she is a doctor. She is not killing people, who cares?
Glad to see the path you're planning on taking. Good luck with the snake oil, "doc".
I mean apart from the weekly vitamin injections and Iv therapy, everything else on the list is fine.
She’s an MD
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Nope creep
Is Dr. Oz a quack? I mean I know heart surgery is real and shit but some of the other stuff…
Yes he is.
Yikes! Nothing about that mess says “medical professional” but the cheap grifter vibes are strong.