Two Schools of Thought - There is a difference!

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Sharky said:
You just disrepected the osteopathic profession with those words. There have been studies done particularly on back pain with OMT that point to the efficacy of it. I suggest you stop posting such garbage in the DO forums.

No, he really didn't. He just mentioned something he heard from a practicing DO. I have heard the same thing from practicing DO's.

Practicing OMT and being pro-DO are not necesarily related, BTW. The best attitude for the promotion of long-viability of OMT is that of the objective observer. It is the knee jerk "true believers" that do the most harm to the profession.

The studies you are refering to are in their infancy, and refer specifically to individual modalities. They also sometimes say that the OMT modality doesn't really work in a particular instance(see any recent JAOA). What you are trying to say is the equivalent of saying that tetracycline works for any bacterial infection b/c it happens to be an anti-biotic. It is not an all or nothing subject.

There is doubt because there is a shortage of legitimate data on OMT. If this bothers you, I suggest you pick up a text on research design and get to work!
 
daveyboy said:
No, he really didn't. He just mentioned something he heard from a practicing DO.
No he didn't. If you reread his post you will see it was his own conclusion and not from a practicing DO. Any practicing DO who says OMT is a joke doesn't deserve to be a DO. At least have some respect for one of the main concepts of osteopathy.
 
medicalstudent9 said:
what about OMT for carpal tunnels syndrome??? that's crazy!!!!!!!




.
:laugh: I believe it is possible but I don't have knowledge in the area. Maybe if you ask a practicing DO they may know more about it.
 
this is an uneducated (when it comes to omm) pre-med student...someday he'll learn. I won't say OMM works for everything...i would agree that it parallels other treatments (massage, pt, etc...) some of the stuff we are taught i've learned from nurse practitioners...it's all about functional anatomy...once you get how anatomy really works, you use anatomy to fix your problems. Like carpal tunnel, it is an inflamation of the median nerve through connective tissue (with flexor tendons) making the "tunnel" usually caused by repetitive movements...that's not rocket science...so figure out how to un-inflame the nerve/surrounding tissues and POOF! you've done OMM...this may/should include stabilizing (with wrist splints) which is a common mode of treatment (usually with an anti-inflammatory med) if OMM's un-inflammation works, less meds are needed, mission accomplished.
 
jhug said:
this is an uneducated (when it comes to omm) pre-med student...someday he'll learn. I won't say OMM works for everything...i would agree that it parallels other treatments (massage, pt, etc...) some of the stuff we are taught i've learned from nurse practitioners...it's all about functional anatomy...once you get how anatomy really works, you use anatomy to fix your problems. Like carpal tunnel, it is an inflamation of the median nerve through connective tissue (with flexor tendons) making the "tunnel" usually caused by repetitive movements...that's not rocket science...so figure out how to un-inflame the nerve/surrounding tissues and POOF! you've done OMM...this may/should include stabilizing (with wrist splints) which is a common mode of treatment (usually with an anti-inflammatory med) if OMM's un-inflammation works, less meds are needed, mission accomplished.
Jhug, I'm not a premed student.
 
Sharky said:
No he didn't. If you reread his post you will see it was his own conclusion and not from a practicing DO. Any practicing DO who says OMT is a joke doesn't deserve to be a DO. At least have some respect for one of the main concepts of osteopathy.

The person I was refering to was the person that was interviewing this guy at an Osteopathic medical school, according to his post. Assuming he wasn't lying, his statement was based upon something he heard a DO say. Also, I can still claim that I have heard the same. Sorry, but you will continue to hear this sort of thing.

If every DO that says that OMT is a "joke", to borrow your terminology, then then this profession is in deep sh$t!!! b/c the vast majority of DO's don't have a high enough opinion of OMT to use it. Whether or not they think it is a "joke" I don't know b/c I don't like to throw weighted terms around. I also don't happen to think it is a joke.

Furthermore, you are in no position to tell me what terms I may or may not throw around. Unless I am mistaken, you are still trying to get into medical school, have never recieved any formal OMT instruction, and you have no authority to govern my opinion. If you want to try to outwit me, more power to you. I suggest you read the last two years of JAOA, if not for your education, then to save you from the mockery I will reign upon your ignorance.

Ciao.
 
i meant premedstudent9...he spoke of recently being in the application cycle so i assumed as much...plus, your not the uneducated one speaking against something you don't understand 🙂
 
DrMaryC said:
Whoa! wtf?!! Do tell.

Keep reading Mary, Im trying to make a point.
 
daveyboy said:
Furthermore, you are in no position to tell me what terms I may or may not throw around. Unless I am mistaken, you are still trying to get into medical school, have never recieved any formal OMT instruction, and you have no authority to govern my opinion. If you want to try to outwit me, more power to you. I suggest you read the last two years of JAOA, if not for your education, then to save you from the mockery I will reign upon your ignorance.

Ciao.
Why don't you take a chill pill. First, I am in osteopathic medical school so obviously you are wrong.

The point is, there may be DOs that don't practice it or question some parts of it, but more than likely they probably don't think it's a joke. If you think it's a joke then I feel sorry for you because I do believe that if you went to an osteopathic medical school, you should believe in some of its principles or at least show respect for it. That is unless you were an MD reject, then I can understand where you're coming from.

Jhug, it was my mistake.
 
sharky, no problem...our little friend here probably doesn't know that we can't PROVE why asprin works, but he'll be sure to Rx it as long as drug reps keep bringing him lunch 🙂
 
Sharky said:
Why don't you take a chill pill. First, I am in osteopathic medical school so obviously you are wrong.

The point is, there may be DOs that don't practice it or question some parts of it, but more than likely they probably don't think it's a joke. If you think it's a joke then I feel sorry for you because I do believe that if you went to an osteopathic medical school, you should believe in some of its principles or at least show respect for it. That is unless you were an MD reject, then I can understand where you're coming from.

Jhug, it was my mistake.

I made a point to point out that I didn't think it was a "joke". I made a point to use quotations when I used that word. Joke was a word that you introduced into the conversation.

Read it again and again and you will see the point.

As for what I believe in......I believe in data. Is everybody that doesn't agree with your paradigm an MD reject? I think your rhetoric is a bit antiquated. Call me a Vet school reject, or anything new. Please, anything new! Call me a f8cking chiro reject, just for laughs. Just don't call me ashamed to be a DO student, b/c I am raving proud to be that.

jhug,

You disagree with me and I am, therefore, a ***** to pharm companies? Disagreement with you means that I lack ethics? The pain of the cheap knee to the nuts hurts the worst!

We were not talking ethics.

As much as I disagree with somebody I would never say anything like that, especially out of spite. For shame......I am disappointed.
 
daveyboy said:
Keep reading Mary, Im trying to make a point.

I thought you were actually trying to tell me that aloe enemas are on the menu now.
 
DrMaryC said:
I thought you were actually trying to tell me that aloe enemas are on the menu now.

Ummmm.....thanks for the handcuffssss...will send you the recipe...........thanks for the comic relief.......sorry to get all ultra-scummer!!! I feel calmmmmmm...............

Mary C, everybody!!!!! DR. MARY C!!!!!!!!!
 
daveyboy said:
Ummmm.....thanks for the handcuffssss...will send you the recipe...........thanks for the comic relief.......sorry to get all ultra-scummer!!! I feel calmmmmmm...............

Mary C, everybody!!!!! DR. MARY C!!!!!!!!!

:laugh:
 
daveyboy said:
QUOTE]

Additionally, I know two Chinese trained physicians and have had extensive conversations with them regarding TCM, and even some of the more esoteric healings arts. I am definitely open to other schools of thought, but I hold them to a very high standard. In other words, I don't want to hear about TCM from somebody who isn't really a physician in that discipline.

It is my general experience that Westerners that are into alternative medicine tend to attach magical thinking to it, which denegrates the amount of intellectual work put into these modalities. It seems like more of a social affect than a real interest in an established discipline. I realize that I am making a huge generalization, but this has been my experience more often than not. Ask a Chinese physician trained in Beijing to explain the concept of Qi to you, and then compare it to the explanation you would get from an American hippy wannabe. You will see exactly what I mean.

If anything, I think I have a very deep respect for the various schools of medicine throughout the world. I have no respect for poseurs......

I agree with your take on alternative medicine as it is translated into American culture. Many people who are into alternative medicine (and I lived in Hawaii-where it is very popular and there are a lot of hippies, so I've had experience with this) believe it without any kind of proof or criteria-for some it is a fad, i think. For example, one of my friends who was into Chinese medicine had this book and she was constantly telling me which foods and herbs had these properties for which illnesses- I'm very openminded- but not gullible or willing to believe these things on "faith". Finally I started asking her how she knew that to be true, she said she didn't know but assumed it has some basis as its been in use for thousands of years, but then she said this one herb is good for curing colds because it has antibacterial properties 🙄 and she was a Biology major!!!
I think that trial and error over centuries obviously has to lead to some viable and useful results, and it would be nice if some more of these techiniques could be tested by the scientific method, so that their efficacy would be measured. But, keep in mind also that the scientific method is not foolproof, and if an herb works that has worked for thousands of years, and doesn't kill anyone in the process and scientific theory doesn't figure it out, well then in the words of triumph the insult dog, -'I love scientific method'-"(for me to poop on)".
If I ever were to learn a non-traditional form of medicine, I probably wouldn't learn it from an american school-I'd go straight to the source.

It sounds like you have learned about reiki from hippies. While I respect your opinion that reiki has no real basis as you obvioulsy have had some experience with it, please don't shut it out completely as you haven't learned about it from people truly educated in it. BTW, I know next to nothing about reiki. I just think it may have some positive benefits. It certainly wouldn't hurt, unless someone was being so duped by it that they were using it to treat a cancer that could be easily cured by chemo or surgery. 😉
 
medicalstudent9 said:
I am very sick of the DO students claiming that only DO schools teach their students to "treat the whole person" or whatever. That is all I hear about at my medical school. In fact I just attended a lecture by a hand surgeon who, at the end of his lecture, spent 5-10 minutes or so talking about being compassionate to your patients, etc. Yes!! Believe it or not an MD orthopedic hand surgeon talking about treating and respecting the entire being of the patient.

And OMT is a joke as far as I can tell.

I interviewed at one DO school as a backup and then turned the rest down after getting plenty of MD interview offers etc and the whole school was scary. I asked the doctor interviewing me if they provided any scientific evidence for the efficacy of OMT when covering OMT during lecture and he sorta shrugged and stated something like "Yeah we try to but we all know it works" implying that scientific investigation of OMT was not even necessary.

But to each his own..

Hi medical student9, first of all I'm glad for you that your school emphasizes caring about the whole person. This is especially important for patients about to undergo surgery.

It sounds like you are spending too much time in the pre-osteo forum. You don't hear a lot about needing to prove DOs are better than MDs in the real professional world, and believe me most DOs don't feel the need to make up for their slightly lower premedical school stats by saying their school was superior in the approach to patients. I don't think there is much of a difference between the two types of school, at least not in any consistent, correlated way.

But, you obviously don't know anything about the DO philosophy in its modern day state, or that OMT has been shown in scientific studies to help many types of structural pain, or that most DOs don't even use OMT. My mother is a FP MD who refers patients with back, neck, shoulder, hip pain to an FP DP who uses OMT, and he relieves their pain, and teaches them exercises to prevent it from reoccuring, often they do not require addictive pain medications. This is important believe me, because I have seen a lot of lives ruined by addiction to pain pills.

My advice to you is to read the history of DOs in the book by Norman Gevitz. This will give you a true and objective understanding of the profession, its history, and its modern day stance (Dr. Gevitz is not a DO-hes an expert on researching nontrad medicine in US).

If you had read this book, or even talked openmindedly with a larger number of DOs, you would realize that its very archaic of you and incorrect to assume that DOs think that everything can be treated with OMT. 🙄
 
medicalstudent9 said:
what about OMT for carpal tunnels syndrome??? that's crazy!!!!!!!

.


First of all, I'd like to comment to other people who said his comments weren't offensive. I think that saying "As far as I can tell, OMT is a joke" is slightly offensive, but thats just my opinion.

Second of all, I never heard from a DO that OMT is effective on CTS, and my mom certainly never recommends patients with CTS to a DO for OMT.
As far as I know (and I would think DO's would know this too as they get the same type of info MDs do, ) the only way CTS can be cured is through rest and/or surgery.

Medstud9, you should go to the osteopathic forums with your comments and questions, you should already know that. But, I would recommend trying to phrase them more politely and tactfully, if you truly are interested and want to find the real answers ( 🙄 ).
 
daveyboy said:
If every DO that says that OMT is a "joke", to borrow your terminology, then then this profession is in deep sh$t!!! b/c the vast majority of DO's don't have a high enough opinion of OMT to use it. Whether or not they think it is a "joke" I don't know b/c I don't like to throw weighted terms around. I also don't happen to think it is a joke.

Ciao.

How do you know that the reason most Dos don't use OMT is because they don't have a high enough opinion of it? I don't think thats the reason.
I suspect the reason is because OMT is like a language-use it or lose it. Many DOs who specialize in something other than FP don't use it because they don't have enough occasion to keep their skills up. And many FP DOs don't use it because they didn't get to do enough of it in their residency to feel comfortable utilizing it on their own. Its something you have to be really inteested in and use a strong effort to learn. It won't fall into your lap, although all DOs get taught the basic principles of OMT.
Similarly, my FP MD mother stopped dellivering her patients babies because she felt she didn't have enough deliveries to keep up her skills. She didn't stop because she has a low regard for gynecologists. 🙄

DaveyBoy-are you preDO? Just curious.
 
daveyboy said:
Keep reading Mary, Im trying to make a point.

It confused a lot of us.
 
Well, this thread has certainly come a long way. I wanted to start a thread that embraced the differences instead of the typical, ?DO is just as good? crap. The reason that there are two types of schools is to offer variety in medicine, which trickles down to give patients the chance to take control of their own healthcare. I intend to pursue pediatrics because I believe osteopathy could have a tremendous affect on childhood development. OMT is successful in treating Otitis Media alone and in conjunction with allopathic protocol to avoid surgery for children. Autistic children experience less temper tantrums and parents report an overall soothing effect from OMT. I believe that this hands-on treatment early in life would help keep our children healthy and avoid invasive treatments. Some reports can be found on Pubmed, and the like, but there is not enough research conducted hence the ?no scientific evidence? defense. If you notice, traditional MD?s are always interviewed for opinions on alternative medicine. You can bet they will point out the lack of scientific evidence. This is of course a valid point, but it is all they have to go on. There is no research because, like we have pointed out in this thread, pharmaceuticals will not pump money into a project that won?t produce a profit.

As a chemistry major and researcher, I understand the value of research and evidence, but as a patient, I understand the need for alternatives in modern medicine. Many MD schools (and some DO schools) simply do not support any deviance from protocol. The choice of which school to attend is personal. Which school will make you the best physician you can be?

I believe that patients would benefit the most if MDs and DOs would just work together both utilizing their tools to protect and maintain health. This means respecting the differences and subsequently expanding their scope of practice. If you choose to become a MD that does not consider alternatives or similarly, if you chose to become a DO that does not respect surgery or drugs as a possible treatment, in my opinion you are short-changing your patients. Isn?t that worth considering?
 
DireWolf said:
ok smart guy. I consider the difference between a man (penis) and a woman (vagina) to be very significant.

The only difference between MD and DO is OMT. I don't consider this to be of equal significance to the man/woman analogy.

Therefore, Jinyaoysiu's analogy makes no sense to me.

I used that analogy to depict that some people think there is no difference between a man and a woman. They could cite research showing no difference in job productivity, cereal preference, or whatever they want to use to support their agenda. While there are people who see strong difference between men and women, like you do and you cite whatever to support your agenda. What seems like no difference to others might seem like a big difference to you, like penis and vigina.

You might taste no difference between food at McD and food at the Plaza Hotel in NYC, and argue that in the real world, it's all just carbs, proteins..etc and they all come out the other end the same. While others that see the difference might feel sorry for you and try to convience you otherwise, but you might feel sorry for them for seeing the difference and try to tell them that "the only exception to the difference between food at McD and at the Plaza is the price."

But sometimes that "price" alone could mean a lot, but might mean nothing but an "exception" to you. The "price" might reflect the quality, freshness, dedication, ambience...etc behind the Plaza hotel's pride operation. But you really don't care for that and argue, in the real world, it all comes out the other end the same.

I guess the world is much more interesting this way with people seeing and feeling things in an array of their own ways.
 
You disagree with me and I am, therefore, a ***** to pharm companies? Disagreement with you means that I lack ethics? The pain of the cheap knee to the nuts hurts the worst!
davey, davey, davey....i don't believe we have ever disagreed...i've posted three times on this thread, each time directing my comments at something our friend medicalstudent9 has said...
but while you are calling yourself a "***** to pharm companies" might i suggust some valium to go with that asprin? 🙂
 
brody17-that is exactly the type of point I was trying to make.
It might be a little early to exchange ideas from our respective schools of medicine as most on this forum have not learned much pertaining to medicine -yet. But hopefully some of the comments on this thread have convinced all those considering a career in medicine of how important it is to be open- to research what value can be gained from other forms of medicine, if not for the sake of individual knowledge and the growth of medicine in itself, then in the interest of providing the best possible health care to future patients, and in respect for other forms of medicine.
Good luck to everyone in their personal choices.
 
P.S. to MedStudent9,

Do you consider chiropractic technique to be a valid form of treating back pain and structural misalignments in the body...or not?
As an MD, how you would treat someone with back pain due to a misplaced vertebrae? If you weren't capable of fixing the problem yourself, who would you refer them to? MD surgeon, OMT DO, or a chiropractor? (or some other option?)
Have you ever hurt your back? If so, how did you deal with it?
I'm very curious about your response. :luck:
 
Wow.. I finaly got my Picture thing.. next to my name.. I like stewyyyy he is a blast.
"Dam you women.. I will get the last word..."

BTW.. med student... do you have any rotations... I though MD program is difficult and no time to BS. Read the book The D.O., you will find it interesting.

BTW2... medications are great. You should see what the drug companies give us at conferences. They feed us... get us drunk and spoil us! it is wonderful! Unfortunatly in the field of biology we still don't know why some druggs work.. we just know that it is the standard.. so might as well give it to patients.
 
docbill said:
BTW2... medications are great. You should see what the drug companies give us at conferences. They feed us... get us drunk and spoil us! it is wonderful! Unfortunatly in the field of biology we still don't know why some druggs work.. we just know that it is the standard.. so might as well give it to patients.

It's funny, isn't it? When drugs have no known form of action yet they "seem to work on most patients," then it's evidence-based medicine. When OMT is applied the same way, it's quackery.

I love being a DO student. I'll become part of a small, century-old fraternity of medical warriors who successfully fought the allopathic establishment. If anything, just because MD students get so bent out of shape at the mere mention of "treating patients, not symptoms" is worth every tuition dollar I'm spending to become a physician. Very entertaining!

I say it now and I'll say it until proven wrong. There is a difference in the way an MD and a DO treat patients, and that difference goes well beyond OMT. After all, if OMT was all that separated the MD and DO "philosophies" then what's the point of a different degree? You can teach an MD OMT. But you can't teach an MD to view the patient as a person instead of a room number. I mean, look at the reaction from MD students in this thread when they have surgeons talk about talking to the patients! They freak! It's not just about OMT, it's about a whole different attitude about patient care.

I like the man & woman analogy. The differences go way beyond the obvious physical characteristics. Some differences are subtle, some are not. Some men are woman-like, some women are manly. However, the difference is there and to simplify that difference as just the presence or absence of some genital organs would be ridiculous. By the same token, to simplify the difference between MDs and DOs as the presence or absence of manual medicine techniques is preposterous.
 
Nice way to avoid replying to his comment.

The only difference between a man (MD) and a woman (DO) is that a man has a penis and the woman has a vagina (OMM).

Obviously there are far greater differences between a man and a woman than the presence or absence of a penis or vagina. Unfortunately you can't really SEE these differences.
This is about the most assanine comment I have ever read in this forum.
 
Shinken said:
It's funny, isn't it? When drugs have no known form of action yet they "seem to work on most patients," then it's evidence-based medicine. When OMT is applied the same way, it's quackery.

QUOTE]

I absolutely LOVE this point! I'm so jealous I didn't think of a way to put it into words! 😍 😍
Way to go to both of you-this really nails the contradictory nature of western medicine. Basically, its might equals right (those in power get to set the standards).

😍 😍 😍
 
medicalstudent9 said:
Although I know there is some evidence that chiropractic treatment works for acute-onset low back pain, I would never refer a patient to a chiropractor unless I know them personally and can assure the patient that they are not a complete crack-pot like most chiropractors.

.

So, how would you treat back pain? I'm assuming you've had enough medical school at this point to give a reasonably informed opinion.

You seem like an intelligent person making some uninformed comments.
I really would advise reading about DOs from an unbiased source-you'll get a much more acurate understanding that way. I mean this in an entirely helpful and nonsarcastic way. 😎
 
medicalstudent9 said:
Although I know there is some evidence that chiropractic treatment works for acute-onset low back pain, I would never refer a patient to a chiropractor unless I know them personally and can assure the patient that they are not a complete crack-pot like most chiropractors.


.

PS, what does it matter if you assess them personally? Are you worried they maight have a fake diploma hanging on their wall? Chiropractic schools get the same education- so even if you think the chiropractor is a "personally nice", why would you refer a patient to him/her, when you think their basic philosophy stinks? 😕
 
But you can't teach an MD to view the patient as a person instead of a room number
shinken...i know that you are new and all excited to be a DO and everything...but the sooner you lose this foolish, devisive, completely bogus idea the better. Some day you will work among MD's and i promise every single one will shun you if you keep this kind of attitude toward them. How you view a patient is how YOU view a patient. I can promise you for every MD that treats a patient as a room number, there is a DO that does the same...just like for every DO that treats a patient as a person, there is an MD that does the same. My family doc (MD) is great, my pops is an MD he has amazing relationships with his patients...how you treat a patient is up to you and only you...
 
jhug said:
davey, davey, davey....i don't believe we have ever disagreed...i've posted three times on this thread, each time directing my comments at something our friend medicalstudent9 has said...
but while you are calling yourself a "***** to pharm companies" might i suggust some valium to go with that asprin? 🙂

A valium would have been good. I was feeling very hornery last night. What can I say, sometimes I get a bit too worked up, but it is so much fun!
 
davey, no hard feelings then?🙂
 
daveyboy said:
A valium would have been good. I was feeling very hornery last night. What can I say, sometimes I get a bit too worked up, but it is so much fun!
You must have been on something because you were really jumping on my back for no apparent reason.

I still think that a DO who thinks OMT is a joke or worthless has no business being in a DO school or practicing as a DO. You can go to the caribbean if you don't want to learn OMT but couldn't get into an allopathic school. Oh and this is not directed toward you daveyboy.
 
jhug said:
shinken...i know that you are new and all excited to be a DO and everything...but the sooner you lose this foolish, devisive, completely bogus idea the better. Some day you will work among MD's and i promise every single one will shun you if you keep this kind of attitude toward them. How you view a patient is how YOU view a patient. I can promise you for every MD that treats a patient as a room number, there is a DO that does the same...just like for every DO that treats a patient as a person, there is an MD that does the same. My family doc (MD) is great, my pops is an MD he has amazing relationships with his patients...how you treat a patient is up to you and only you...

But that doesn't invalidate the main point. You can always find exceptions to the rule, but a few exceptions doesn't mean the rule doesn't apply.

Yes, I'm very happy to become a DO. I'm not being divisive, neither am I being foolish. I'm expressing my opinion without fear, instead of trying to "melt" into the allopathic mold of medicine just so people accept me and not call me a quack. It's inevitable that I'll end up working with MDs (and DOs) that don't approach medicine the same way, but that's life. There are many people I have to work with that I don't like or that have a different style. I don't go around telling them they suck, because it's just their style (plus, they probably think I'm the one that sucks). But I'm not going to go around trying to fit in their group either or trying to supress my style for their benefit.

Have you read this article on the website of the American College of Physicians? It's one of my favorites...http://www.acponline.org/journals/news/nov03/communication.htm
 
yposhelley said:
How do you know that the reason most Dos don't use OMT is because they don't have a high enough opinion of it? I don't think thats the reason.
I suspect the reason is because OMT is like a language-use it or lose it. Many DOs who specialize in something other than FP don't use it because they don't have enough occasion to keep their skills up. And many FP DOs don't use it because they didn't get to do enough of it in their residency to feel comfortable utilizing it on their own. Its something you have to be really inteested in and use a strong effort to learn. It won't fall into your lap, although all DOs get taught the basic principles of OMT.
Similarly, my FP MD mother stopped dellivering her patients babies because she felt she didn't have enough deliveries to keep up her skills. She didn't stop because she has a low regard for gynecologists. 🙄

DaveyBoy-are you preDO? Just curious.

Im an MS2. I am not an MD reject and I am a big supporter of my proffesion. Actually, the very first medical school to reject me was TCOM, so it could be argued that I am a DO reject. I would have ranked TCOM #1 for the Texas schools, but you will have to take my word on that.

The word interest was not descriptive enough for what I meant. Anyway, there are myriad reasons why most DO's don't use OMT. I think it comes down to a question of utility. In most specialties the benefit of OMT is not enough to warrant the time it takes to use. Even if it was, there has been little data to show this, and the data tends to very sketchy. Doctors want good data in this age of evidence based medicine. To be widely accepted OMT will need this.

This debate has been raging for a very long time, BTW. I have the Gevitz book in front of me, and I am looking at a quote taken from Louis Chandler, DO in 1950. He says, "Too much still seems to be in the realm of uncertainty both as to what will result from manipulation in the area of the spinal vertebral lesion and the physiological consequences[elsewhere]....These uncertainties constitute a great obstacle to many scientifically trained men in maintaining an interest in osteopathy. Uncertainty regarding an observation to them means that it is probably not valid".
 
daveyboy said:
Im an MS2. I am not an MD reject and I am a big supporter of my proffesion. Actually, the very first medical school to reject me was TCOM, so it could be argued that I am a DO reject. I would have ranked TCOM #1 for the Texas schools, but you will have to take my word on that.

The word interest was not descriptive enough for what I meant. Anyway, there are myriad reasons why most DO's don't use OMT. I think it comes down to a question of utility. In most specialties the benefit of OMT is not enough to warrant the time it takes to use. Even if it was, there has been little data to show this, and the data tends to very sketchy. Doctors want good data in this age of evidence based medicine. To be widely accepted OMT will need this.

This debate has been raging for a very long time, BTW. I have the Gevitz book in front of me, and I am looking at a quote taken from Louis Chandler, DO in 1950. He says, "Too much still seems to be in the realm of uncertainty both as to what will result from manipulation in the area of the spinal vertebral lesion and the physiological consequences[elsewhere]....These uncertainties constitute a great obstacle to many scientifically trained men in maintaining an interest in osteopathy. Uncertainty regarding an observation to them means that it is probably not valid".

I'm a little surprised that you are using a quote that is fifty years old to substantiate your theory that DOs don't use OMT because they don't regard it very useful. Osteopathic medicine (and traditional medicine) have both changed tremendously in the past fifty years. The AOA changed its stance on OMT earlier than the 1950s-they realized that OMT could not treat everything. This is why osteopathic medicine was expanded to incorporate trad. medicine-they made conscious decisions and debated with each other starting in 1902 about which course osteopathic medicine would take. Some groups followed A.T. Still's philosophy, others were for embracing more types of treatment because they realized OMT's limitations. To rephrase: Modern- day DOs and the institutions that represent them do not have the extreme views that OMT can be used to cure all illness (similarly to the way that modern day true Mormons don't believe in or practice polygamy anymore). This is not to say that OMT is not useful for some symptoms and conditions-it is and this has been "scientifically proven"- as I'm sure you know.

DaveyBoy- If you want others to read your posts carefully as you have indicated, then consider taking more care in the way you phrase them. Likewise, you should give the same kind of attention to other posts as you expect for your own-I'd like to point out to you that it wasn't Sharky who originally used the words "OMT" and "joke" together, it was medstudent9.

And you did not use the word "interest" in explaining why so many DOs don't use OMT-you use this exact phrase-"the vast majority of DO's don't have a high enough opinion of OMT to use it." It seems that you are now trying to retract that earlier statement by acting as if you never wrote it.


I have Norman Gevitz' book in front of me, and here is a more recent quote (2004), which seems to back up my earlier suggestions as an explanation) pg.182-"The factors explaining the lessened use of OMT on patients include the diminished number of hours spent on osteopathic diagnosis and treatment in the undergraduate curriculum, the greater emphasis given to modalities, restriction of opportunities for use in clerkship and postgraduate settings, poor or no reimbursement for distinctly osteopathic procedures, and increasing percentages of new graduates going into specialties in which the use of OMT is not regarded as necessary."

I believe you mentioned one of those reasons in the above post. Perhaps there is not a good time to pay ratio for physicians to use OMT, but that doesn't mean its not a good option for the patient. Its much better than just prescribing addictive pain medication, for example, and its much less invasive- and often better than surgery (which in many cases for treating lower back only makes the patient worse-quote from an MD).

I know that you are probably going to write back and say that I misunderstood what you were trying to say-which just reiterates my point that you need to state what you mean more clearly. I'm not trying to be rude, just trying to give some constructive criticism-please don't reign your mockery down upon my ignorance! 🙄

BTW-I wasn't implying that you were a disgruntled ex-MD wannabe, I was just curious what medical profession you had decided to pursue-because you had made some interesting comments.
 
I'm not being divisive, neither am I being foolish. I'm expressing my opinion without fear, instead of trying to "melt" into the allopathic mold of medicine just so people accept me and not call me a quack
what you call "melting" the rest of the world calls professionalism...insulting MD's will get you NO WHERE in your life as a physician...(that goes for all things in life)
doesn't it bother you when you hear people say that DO's all have sup-par mcat scores and gpa's and that's why they couldn't "get into" an MD school? could one claim that the only students with decent scores at DO schools are "exceptions to the rule"?

Do you get what i'm saying? you are making a false claim against an entire group of professionals...being a pre-med i hope (for our profession) that you grow out of this holier-than-thou attitude by your 3rd and 4th years...it'll be pretty tough to get a good letter of recommendation from that insensitive, untrained, incapable MD...
 
Shinken, although I agreed with almost everything you said- you really shouldn't say its impossible to teach MDs to see a patient as more than a door number. That was way out there and really discredited anything else valuable you were saying-because you essentially assasinated your own character-or at least turned it into an evil villain.
You're not right-please don't think this way-because you obviously have a lot going for you -that you'll only ruin with this attitude. 🙂
 
daveyboy said:
If every DO that says that OMT is a "joke", to borrow your terminology, then then this profession is in deep sh$t!!! b/c the vast majority of DO's don't have a high enough opinion of OMT to use it. Whether or not they think it is a "joke" I don't know b/c I don't like to throw weighted terms around. I also don't happen to think it is a joke.

Ciao.

Even more to the point-page 181 in Gevitz-"Only 30% of 580 surveyed specialists reported using OMT on more than 5% of their patients. Interestingly, the great majority of all DO respondents had favorable attitudes towards OMT;96% agreed or strongly agreed that it is an efficacious treatment." Over 70% reported recieving it themselves and provided it to friends or colleagues, or realtives outside work. This study included almost 1,000 DOs.
 
You're not right-please don't think this way-because you obviously have a lot going for you -that you'll only ruin with this attitude.
very well said...
 
yposhelley said:
I'm a little surprised that you are using a quote that is fifty years old to substantiate your theory that DOs don't use OMT because they don't regard it very useful. Osteopathic medicine (and traditional medicine) have both changed tremendously in the past fifty years. The AOA changed its stance on OMT earlier than the 1950s-they realized that OMT could not treat everything. This is why osteopathic medicine was expanded to incorporate trad. medicine-they made conscious decisions and debated with each other starting in 1902 about which course osteopathic medicine would take. Some groups followed A.T. Still's philosophy, others were for embracing more types of treatment because they realized OMT's limitations. To rephrase: Modern- day DOs and the institutions that represent them do not have the extreme views that OMT can be used to cure all illness (similarly to the way that modern day true Mormons don't believe in or practice polygamy anymore). This is not to say that OMT is not useful for some symptoms and conditions-it is and this has been "scientifically proven"- as I'm sure you know.

DaveyBoy- If you want others to read your posts carefully as you have indicated, then consider taking more care in the way you phrase them. Likewise, you should give the same kind of attention to other posts as you expect for your own-I'd like to point out to you that it wasn't Sharky who originally used the words "OMT" and "joke" together, it was medstudent9.

And you did not use the word "interest" in explaining why so many DOs don't use OMT-you use this exact phrase-"the vast majority of DO's don't have a high enough opinion of OMT to use it." It seems that you are now trying to retract that earlier statement by acting as if you never wrote it.


I have Norman Gevitz' book in front of me, and here is a more recent quote (2004), which seems to back up my earlier suggestions as an explanation) pg.182-"The factors explaining the lessened use of OMT on patients include the diminished number of hours spent on osteopathic diagnosis and treatment in the undergraduate curriculum, the greater emphasis given to modalities, restriction of opportunities for use in clerkship and postgraduate settings, poor or no reimbursement for distinctly osteopathic procedures, and increasing percentages of new graduates going into specialties in which the use of OMT is not regarded as necessary."

I believe you mentioned one of those reasons in the above post. Perhaps there is not a good time to pay ratio for physicians to use OMT, but that doesn't mean its not a good option for the patient. Its much better than just prescribing addictive pain medication, for example, and its much less invasive- and often better than surgery (which in many cases for treating lower back only makes the patient worse-quote from an MD).

I know that you are probably going to write back and say that I misunderstood what you were trying to say-which just reiterates my point that you need to state what you mean more clearly. I'm not trying to be rude, just trying to give some constructive criticism-please don't reign your mockery down upon my ignorance! 🙄

BTW-I wasn't implying that you were a disgruntled ex-MD wannabe, I was just curious what medical profession you had decided to pursue-because you had made some interesting comments.

I actually was only using that quote to show that this debate has been going on for a really long time. Other than that I wasn't trying to substantiate any particular point with it.

The quotes you used from Gevitz are quite nice, BTW. I have always enjoyed reading about the history of the proffession. In fact, that was one of the things that attracted me as a pre-med.

I have to take issue with whether or not OMT has been scientifically proven for 2 reasons. 1) The Scientific Method is not used to prove anything. This may be a matter of semantics, but there is no such thing as scientfic proof or a scientific fact. 2) All of OMT has not been shown to be effective, only a few modalities have. Some of it has recently been shown to be detrimental in certain instances(hip manipulation in post-op hip replacement patients). The reality is that there is simply not enough research with OMT to say whether or not it is effective, although there is enough anecdotal evidence to warrant the further investigation that is taking place.

That being said, I am behind in my studies, and I am going to be leaving this debate. I have enjoyed debating you and apologize for my rude behavior last night. Whether or not we agree, I do respect the fact that you have an opinion on this subject and that you actively voice it. I encourage you to consider getting involved with OMT research at some level if you are not already.
 
daveyboy said:
I actually was only using that quote to show that this debate has been going on for a really long time. Other than that I wasn't trying to substantiate any particular point with it.

The quotes you used from Gevitz are quite nice, BTW. I have always enjoyed reading about the history of the proffession. In fact, that was one of the things that attracted me as a pre-med.

I have to take issue with whether or not OMT has been scientifically proven for 2 reasons. 1) The Scientific Method is not used to prove anything. This may be a matter of semantics, but there is no such thing as scientfic proof or a scientific fact. 2) All of OMT has not been shown to be effective, only a few modalities have. Some of it has recently been shown to be detrimental in certain instances(hip manipulation in post-op hip replacement patients). The reality is that there is simply not enough research with OMT to say whether or not it is effective, although there is enough anecdotal evidence to warrant the further investigation that is taking place.

That being said, I am behind in my studies, and I am going to be leaving this debate. I have enjoyed debating you and apologize for my rude behavior last night. Whether or not we agree, I do respect the fact that you have an opinion on this subject and that you actively voice it. I encourage you to consider getting involved with OMT research at some level if you are not already.

Thanks, I have been shadowing an FP DO who uses a lot of OMT. The expression on his patient's faces as they feel relief from chronic pain, and the excercises he teaches them which prevent them from having a reoccurence have been "scientific" proof enough to me that it is effective for Sciatica, Shoulder pain, and neck pain at least.

I do wonder how you think OMT will ever be proved if there is no such thing as scientific fact or proof- how do you expect OMT (or anything for that matter to be proved by scientific study)? I admire your healthy scepticism, but as someone else pointed out, -MDs and researchers often don't know how a drug works- they just see it has an effect in reducing symptoms. The same is true for OMT-maybe we don't know how it works, and maybe it causes bad effects in someone who just had hip surgery(which seems really obvious to begin with), but we see that it works in relieving pain and correcting some other types of misalignments. And, don't many drugs (that they do not understand) cause bad side effects, too? And sometimes those drugs don't help a person at all, but instead cause more damage, and a new treatment plan must be implemented by the physician as things get more and more complicated. And don't DOs who use OMT do the same thing (learn from their experiences?) the answer is yes. How healing are modern day medicines, truly? What do MDs have to lean on when they accuse OMT of not being thoroughly tested-when they make decisions that are detrimental to their patients every day-and obviously not tested on that patient "well, we'll try you on Lipitor, and if that doesn't work or it has bad side effects we'll try something else" I've heard comments like this EVERYTIME I shadowed DOs and MDs.
And I would like you to consider the possibility that maybe traditional medicine is using unreasonable criteria for why it refuses to accept the efficacy of OMT and that it is doing so for less than admirable reasons (I'll leave it up to you to decide what they may be). If trad med used the same stringent requirements and criticisms that for drug testing and research...well then, maybe I would shut my trap. Traditional med has a long history of oppressing other forms of medicine (midwifery, homeopathic, alternative...) -and that behavior continues today, albeit on a more subtle level. I'm reading this book by Gevitz-and its uncanny to me how you can still detect attitudes that were there a hundred years ago (on both sides). Now, after years of struggling for respect from MDs, instead of discrediting DOs, they want to assimilate them (thus making them lose their individuality and the threat to "trad med"). As an advocate of osteopathic medicine, I would hate to see you unwittingly support this kind of biased and oppressive thought. Its important to maintain our individuality from the MDs and the giants who represent them-Why? If for no other reason, to make sure patients have more than one legitimate health care option! (and to ensure that those with slightly lower MCAT scores can still become physicians, and that there will be medical schools who truly look at the whole person, instead of just saying that they do).

I know you are busy and have wasted too much time on this forum (I have lots of free time as I just moved and am looking for a job), but I hope you'll read this last post and think about it, or maybe someone else will, at least.

It was quite a pleasure tossing ideas with you. Good luck with your studies! :luck:
 
medicalstudent9 said:
Although I know there is some evidence that chiropractic treatment works for acute-onset low back pain, I would never refer a patient to a chiropractor unless I know them personally and can assure the patient that they are not a complete crack-pot like most chiropractors.


.

Hi. just want to add my input to your post. I had similar thoughts of chiropractors until i was in pain myself, which turned into chronic problem. I had seen a millions different doctors, tons of invasive procedures, too many different meds to count, etc... and NOTHING helped at all. This is over 3 years! Finally someone suggested I see a chiropractor who specializes in treating myofacial pain, etc... I was hesitant but went anyway since years had gone by with nothing else helping. The very 1st day he was able to diagnose the problem, and start to fix it! Boy did my opinion change of chiropractors. Later I found out that the non-traditional therapies and treatment he used were almost identical to some OMT.
I just wanted to add a positive story about chiropractors and success I have had personally with them. Of course not all chiropractors are like this, or could help every pain issue...but don't knock their practice too much, they can help a lot of problems!
Just my 2 cents. 😀
 
Quote:
Originally Posted by DireWolf
ok smart guy. I consider the difference between a man (penis) and a woman (vagina) to be very significant.
The only difference between MD and DO is OMT. I don't consider this to be of equal significance to the man/woman analogy.
Therefore, Jinyaoysiu's analogy makes no sense to me.



I used that analogy to depict that some people think there is no difference between a man and a woman. They could cite research showing no difference in job productivity, cereal preference, or whatever they want to use to support their agenda. While there are people who see strong difference between men and women, like you do and you cite whatever to support your agenda. What seems like no difference to others might seem like a big difference to you, like penis and vigina.

You might taste no difference between food at McD and food at the Plaza Hotel in NYC, and argue that in the real world, it's all just carbs, proteins..etc and they all come out the other end the same. While others that see the difference might feel sorry for you and try to convience you otherwise, but you might feel sorry for them for seeing the difference and try to tell them that "the only exception to the difference between food at McD and at the Plaza is the price."

But sometimes that "price" alone could mean a lot, but might mean nothing but an "exception" to you. The "price" might reflect the quality, freshness, dedication, ambience...etc behind the Plaza hotel's pride operation. But you really don't care for that and argue, in the real world, it all comes out the other end the same.

I guess the world is much more interesting this way with people seeing and feeling things in an array of their own ways.
 
Didn't you already use this exact same post earlier in the thread? Maybe you should just PM Direwolf.
 
Top