Integrative Medicine
Peter F . Demitry , MD , MPH art of medicine to those with the doctor-patient relationship and those with the legal physician accountability for each clinical outcome instead of insisting on the one size fits all paradigm that clearly doesn ’ t work .
Listen to what it will sound like when personalized and precision medicine technologies become more than sound-bytes . The patients are learning and starting to ask and will soon be demanding personalized and precision at all levels throughout the health system . Do we think they will not understand that their different genotype and phenotype is irrelevant in the pharmaceutical selection and dosing without consequence ? Imagine when insurance payors truly understand that the savings gained through endorsing these new modalities both increase their profits while simultaneously contributing to ‘ good ’ medicine and better clinical outcomes . Yes , doing ‘ well ’ financially by doing ‘ good ’.
Envision being able to see studies with transparent numerators and denominators and where all studies – both with positive and all the negative outcomes - are shared rather than just cherry-picking studies to drive sales .
Envision a future medical R & D culture where integrity is never a study variable and where journal editors promote multiple diverse perspectives which are institutionalized by the funding sources . Cloning of research ideas has a record of great waste . There are so many historical and current day examples . Visualize a vibrantly healthy professional culture of questioning and critically thinking clinicians with multiple perspectives and viewpoints , which is not only tolerated but also welcomed , encouraged and respected . A swarm of engaged questioning practitioners will overcome the silos of a few ‘ thought leaders ’ purported to solving our challenges . The swarm theory works in many applications . Consider how your practice could mature with transparent medical data presented in a clinically friendly format so you and your patients can make truly informed decisions on how to understand the clinical risks with associated costs .
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