OMM first rotation!!!

[Dakayus]

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Hi guys, I'm starting my first rotation which is OMM. What should I expect/bring? I called earlier and they were pretty short with me and sounded too busy to really tell me much. Should I bring my stethoscope/otoscope/any stuff I have? Do I bring a notebook or some sort of other book? I just don't want to look too stupid. ANY suggestions will be great thanks!!!

 

[KeyzerSoze]

Hi guys, I'm starting my first rotation which is OMM. What should I expect/bring? I called earlier and they were pretty short with me and sounded too busy to really tell me much. Should I bring my stethoscope/otoscope/any stuff I have? Do I bring a notebook or some sort of other book? I just don't want to look too stupid. ANY suggestions will be great thanks!!!

Eye of newt.

j/k

 

[HopefulDoc1984]

Hi guys, I'm starting my first rotation which is OMM. What should I expect/bring? I called earlier and they were pretty short with me and sounded too busy to really tell me much. Should I bring my stethoscope/otoscope/any stuff I have? Do I bring a notebook or some sort of other book? I just don't want to look too stupid. ANY suggestions will be great thanks!!!

you have a rotation dedicated to OMM? i feel sorry for you.

 

[MDROCKSTAR]

you have a rotation dedicated to OMM? i feel sorry for you.

You'll feel really sorry for him when he is one of those D.O.s who practices OMT and makes an extra hundred grand a year.

 

[ShyRem]

Bring your stethoscope and perhaps a reflex hammer. You will not need anything else. You might not even need those things, but I would start there.

 

[Dakayus]

So I just got back and it's essentially FP with a LITTLE OMM (10%).
Oh yeah some of the OMMist around here like Golbian rakes in over a million a year and works 3 or 4 days a year. Most OMMists around here charge 300-400 an hour under the table 😀

 

[InTheMaking]

You'll feel really sorry for him when he is one of those D.O.s who practices OMT and makes an extra hundred grand a year.

you my friend... are an optimist... a huggggeee optimist

 

[Richie Truxillo]

Bring a stethoscope and reflex hammer. Should always check reflexes and I listen to heart and lungs on all my pts before OMM. Review red flag signs for low back pain (loss of bladder function, saddle anesthesia, etc...) as you'll see ALOT of it.

I imagine that you'll be seeing some other stuff other than just an OMM rotation 😛

 

[futIDdoc]

You'll feel really sorry for him when he is one of those D.O.s who practices OMT and makes an extra hundred grand a year.

It would take more than 100k to convince me to become a witchdoctor. I'll just trudge along at my allopathic school where we learn to see the disease instead of the whole patient.

 

[Arch Guillotti]

So I just got back and it's essentially FP with a LITTLE OMM (10%).
Oh yeah some of the OMMist around here like Golbian rakes in over a million a year and works 3 or 4 days a year. Most OMMists around here charge 300-400 an hour under the table 😀

Riiiiiiiigggghhhttt.......🙄

 

[lonewolf1513]

Witchdoctor... i'm a little insulted. Considering I'll be getting all the training you get + OMM (If you don't know what it is, don't insult it). Also on a intresting note all doctors that did not rely on praying back in the old ( i mean really really old) days were considered witch doctors 🙂. Well i'm gonna go back to looking at the whole patient, while you just see the disease.

 

[KeyzerSoze]

Witchdoctor... i'm a little insulted. Considering I'll be getting all the training you get + OMM (If you don't know what it is, don't insult it). Also on a intresting note all doctors that did not rely on praying back in the old ( i mean really really old) days were considered witch doctors 🙂. Well i'm gonna go back to looking at the whole patient, while you just see the disease.

You realize that that's just a BS slogan which doesn't reflect any real difference between "allopathic" and osteopathic medicine, right?

 

[lonewolf1513]

maybe you are right, maybe the "whole patient" is a just a thing osteopathic school reiterate to maintain an identity, which is already flogging. I was just trying to point out the ignorance of calling DOs witchdoctors. Looking at a patient as a "whole" is something most doctors do, because they realize the body is a sum of all parts (allo or osteo), so call me optimistic or naive, i want to stick with it until i am disillusioned.

 

[Canadian25]

It would take more than 100k to convince me to become a witchdoctor. I'll just trudge along at my allopathic school where we learn to see the disease instead of the whole patient.

Troll, anyone?

 

[lonewolf1513]

I agree with you, some parts of OMM are out there. It probably is not a vital part of our medical education. None the less it is a part and it does have its benefits. It is not a cure all for everything. It does though provide an additional technique on how to pin point certain problems on the body (Palpitation being a big part of OMM). More than 50% of DOs tend to go into allopathic residencies and don't know much about OMM and OMM can not be applied to most everyday medicines (They still are good physicians btw). I just don't think it is proper for someone to come out and say that something is not right because it is not practiced. Remember as medicial students, we are students of science. In science we always believe anything is possible and go on what is more probable. OMM can help with musculature pain ans well osteopathic philosophy is not really unique, this is not to say that OMM can cure a pathogenic desease, cancer, etc... So just give it credit where it is due.

 

[Perrotfish]

What I disagree with is the idea that OMM is good for something. OMM, like acupucture, chiropractic, and healing crystals, is a pseudoscience that doesn't heal ANYTHING. That's why it's stayed in one place through the decades while every other procedure and guideline in medicine changes every 5 years: because evidence only changes what you're doing if you're practing evidence based medicine. It's not any better at treating chronic pain than it is at treating leukemia. It's just a way to give false hope to the desperate and gullible.

Not that I have a problem with practicioners using OMM to treat lower back pain, provided they do it for free and in the context of a normal appointment. What bothers me, though, is when DO physicians develop a cash buisness where they sell the procedure and where they use their medical credentials to imply that OMM is evidence based. They make their patients feel that the procedure is a necessary part of their care and then fleece them for hundreds of dollars. In my opinion that is unethical. No one should ever charge a patient for a worthless procedure.

 

[lonewolf1513]

I agree with the fact that OMM alone does not heal anything. What they teach us and also what i agree with, is that it can help in the healing process (not for everything). It helps with muscle pain, helps you check for joint alignment, etc... I don't think DOs should charge huge amounts for doing OMT, b/c well like you said its pointless. None the less they have learned that skill, like chiros, accupuncturist, etc... If people want to go to them so be it. As a future aspiring physician (who hopes to go into IM) i would like to use OMT as part of a synergistic treatment. I personally will like to keep the patients away from drugs as much as possible and use their own bodies ability to heal itself. A little quacky, maybe. But i think we have become way to dependent on drugs. None the less i advocate using it when it is due and changing lifestyle to support their health.

My knowledge of OMT is well very limited, so i can not truly argue with you on many parts. I can def tell you though that our second years who offer free OMT for us, really help us with many of our body pains (back, neck, etc...), which keep us away from many pain killers. There is something to it, it may not be a "cure" but rarely anything is, which i have seemed to learn in my breif introduction to the career of medicine. It is natural for our body to age and loose its integrity, if someone can "cure" my back pain (may it be temporarily) and also keep me away from analgesic, anti-inflammatory, etc... i'm for it. Now it's up to me to go pay $10 for ibuprofen or pay a $20 copay for a visit.

Using people as cash cows well that's pretty much un-ethical to the core (i know i sound a little pompous here). Like you said in your earlier post DOs don't have the market cornered on un-ethical behavior, it can and does come from all parts. So the best we can do as aspiring physicians is advocate the most proper form of medicine (very subjective) to our patients, and let them decide on their own.

I just had a question in regards to how much do you know about OMM and osteopathic philosophy? Because even being an osteopathic medical student, i have just seen the tip of the iceberg. Also FYI it seems a little BS to me so far, but like i said the second years and their help with our neck and back pains. So i'm just keeping my mind open.- A humble med student

 

[nlax30]

What I disagree with is the idea that OMM is good for something. OMM, like acupucture, chiropractic, and healing crystals, is a pseudoscience that doesn't heal ANYTHING. That's why it's stayed in one place through the decades while every other procedure and guideline in medicine changes every 5 years: because evidence only changes what you're doing if you're practing evidence based medicine. It's not any better at treating chronic pain than it is at treating leukemia. It's just a way to give false hope to the desperate and gullible.

Not that I have a problem with practicioners using OMM to treat lower back pain, provided they do it for free and in the context of a normal appointment. What bothers me, though, is when DO physicians develop a cash buisness where they sell the procedure and where they use their medical credentials to imply that OMM is evidence based. They make their patients feel that the procedure is a necessary part of their care and then fleece them for hundreds of dollars. In my opinion that is unethical. No one should ever charge a patient for a worthless procedure.

So you don't think OMM is good for anything? Do you have similar thoughts about Physical Therapy?

Have you ever relieved an acute muscle spasm or radial head dsfunction using some sort of manipulation therapy?

Is it a cure-all? Certainly not and there are specific aspects with which I don't agree with.... namely cranial.... but what I've seen and experienced it does have practical use in certian MSK issues.