Rick Levy and Lou Aronica
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 According to the American Academy of Family Physicians, two-thirds of office visirs to family doctors are for stress-related symptoms.
Subconscious mind—An aspect of the mind that operates outside of ordinary conscious awareness but exerts tremendous influence on how we feel, think, perceive, and behave. The subconscious mind is a hidden storehouse of memory, deep feeling, desires, motives, thought, and other aspects of mind with which most people are not aware. |
Benjamin H. Natelson, M.D.
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 We'll discuss these labels in more detail later, but they've been around long enough to cause many generalists, family doctors, and internists to apply them in all too many cases. You see your symptoms as real; your doctor looks skeptical and makes a mental note that you're a "crock" or a complainer. Your doctor becomes dismissive, saying that he can't find anything wrong with you, that there is nothing he can do for you, or that your problem is "all in your head." He might tell you just to grin and bear it or even refer you to a psychiatrist. Certainly, he thinks there's "nothing wrong. |
Stephen T. Sinatra, M.D.
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 They don't want their local peers to see them as kooks, and don't want referrals from family doctors to dry up. They stay mainstream, and use the "lack of science" argument when discussing nutritional therapies. The studies are there, but doctors just don't know about them (or don't want to know about them). The orthodox medical community is ten years behind in this area of research, and most Americans (not you) may have to wait for their current physicians to get old, retire, and be replaced by the next generation of physicians, who are now being taught these basics to a much greater degree. |
Bill Sardi
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 Tamoxifen for prevention of breast cancer and 42% of the women made their decision to pass up Tamoxifen based upon advice from their family doctors. [Annals Family Medicine 3:242-7, 2005]
In a survey of 250 women deemed to be at higher risk for breast cancer, only about 18% of these women chose to take Tamoxifen even though 32% of them felt a high self-perceived risk of developing breast cancer. [Cancer 103:1996-2005, 2005]
While Tamoxifen increases the risk for blood clots in the legs from 5/10th to 8/10,hs of one percent, that is still a 63% increase. |
| Some 2 million office visits to physicians are generated annually in the United States for prostatic inflammation. family doctors and urologists report that they are "frustrated, uncomfortable and lack confidence" in treating prostatitis. Medical therapy is disappointing. A survey of physicians concluded that that treatment of prostatitis is dismal. [Urology 52: 797-802, 1998]
Prostatis remains a mysterious disease. Some men may initially present with fever and uncomfortable prostatic symptoms, but antibiotics don't remedy the problem. About 9% of men have prostatitis at any given time. |
| Breast Cancer Research Treatment 94:153-9, 2005]
In yet another study, only 1 of 89 at-risk women elected to take Tamoxifen for prevention of breast cancer and 42% of the women made their decision based upon a negative recommendation from their family doctors. [Annals Family Medicine 3:242-7, 2005]
In a survey of 250 women deemed to be at higher risk for breast cancer (2.8% over 5 years), only about 18% of these women chose to take Tamoxifen even though 32% of them felt a high self-perceived risk of developing breast cancer. |
Charles Barber
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 We know that her antidepressants were likely not prescribed by a psychiatrist: most antidepressants are now prescribed by family doctors.4 We know that Julie in Iowa was far more likely to ask her doctor for an antidepressant after having seen it advertised on TV or in print, and when Julie asked for her antidepressant, her doctor was likely to comply with the request, even if he or she felt ambivalent about the choice of drug or diagnosis.5 And the requests themselves are very common; one in five Americans have asked their doctor for a drug after they've seen it advertised. |
John E. Sarno, M.D.
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 As a family physician, I care for patients of all ages, from infancy to old age. family doctors provide comprehensive care of their patients—they treat the whole person. I am responsible for not only evaluating and treating signs and symptoms of illness and disease, but also helping to keep my patients well. I help my patients of all ages to get well when they are ailing and to stay well. Like most family doctors, I am usually the first person my patients seek out to evaluate their symptoms and examine them. |
Benjamin H. Natelson, M.D.
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| The difference between these two types of doctors lies in the breadth of their training. family doctors have very broad training that prepares them to help patients with common conditions such as lacerations, colds, and pregnancy. Internists, in contrast, receive a more focused education in medical problems with no further training in surgery or obstetrics at all. Finding a good internist is simple. |
Tori Hudson, N.D.
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 Gynecologists and family doctors need to realize how many women (1.5 million per year) in all walks of life need this service and how judged they feel—most obviously by "pro-life" practitioners, but also by their pro-choice doctors who send them across town to a clinic just because it's easier for that doctor. If your gynecologist won't help, go to one of the wonderful women-run and supported clinics that provide the service out of love and respect for women. Their doctors are very experienced, with extremely low complication rates. |
Jacky Law
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 Even though family doctors were as ignorant as anyone else of the true safety profile of both classes of drug, they are damned by association in the same way dubious practices in the food chain can lead to a distrust of supermarkets. Pharma is a false friend to doctors when its marketing practices can be shown to adversely affect the quality of their relationships with patients.
But this line of causation is disputed. The UK government's response to the parliamentary health committee's report on the industry insists that marketing practices are not excessive. |
Ray Moynihan and Alan Cassels
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 One of the key components of the Bristol-Myers Squibb funded educational program was a simple screening test—a checklist of questions—designed to be used by family doctors to diagnose whether their patients had a mental disorder. Yet this test was so broad, it classified 49 percent of people as having a "mental disorder"—roughly one-half of that 49 percent having what was described as a "Level I" disorder and the other half having a less serious "Level 2" disorder. |
John E. Sarno, M.D.
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| Like most family doctors, I am usually the first person my patients seek out to evaluate their symptoms and examine them. The ability to recognize a psychosomatic process when it begins is of great practical value since it spares patients unnecessary and inappropriate treatment, which is usually unsuccessful, and only prolongs their discomfort and disability. Timely, accurate diagnosis and treatment speeds the resolution of symptoms and restores the quality of life, which is our ultimate intention. |
| In this case he would have done well to heed the patients' family doctors, who said the symptoms were "nervous." He was fooled by the truly physical nature of the symptoms, the pain on digital pressure, which is one of the hallmarks of TMS.
Freud's view at the time was that the process was "organic"— that is, originating in the body, not the mind—because of the physical findings on examination. His view was entirely justified by the neuroscience of the time. He further believed that the psyche simply used the symptoms for a neurotic purpose. |
Fred A. Baughman, Jr., M.D. and Craig Hovey
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 And these are the kinds of instruments schools employ for their initial ADHD evaluations and use to prod and manipulate parents into bringing their children to pediatricians, family doctors, or child psychiatrists. Because the school-based materials are driven by the same criteria physicians are apt to use, they become short-cuts that allow determinations to be made quickly, usually within the short time periods (15 minutes is common) allowed by health insurance companies. |
Jacky Law
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| Besides, there was greater trust in family doctors to make decisions on their behalf.
Such attitudes seem to belong to another lifetime. Now, everyone wants the public involved because it is in no one's interests for medicines, arguably one of society's most important endeavours, not to have the trust of the people they are designed to help. Regulatory bodies around the world have started inviting members of the public on to their committees to represent the public and are providing them with training to deal with the issues involved. |
| And if the crisis in medicine is seen in terms of how pharma's commercial grip over healthcare affects the reputation of family doctors, it provides a clear route out - via the one side of the pharma-doctor-patient triangle that pharma has no place in.
And the momentum building up from the compliance-to-concordance initiative is just one of a veritable orchestra of signals suggesting now is a perfect time to start. The move to concordance entails doctors struggling to hear where the public are coming from. |
| While family doctors remained largely in the dark, the VIGOR study was creating a stir higher up the cardiovascular chain of command. Getting those misgivings heard was a problem, however. In August 2001, Professor Eric J. Topol, who is in charge of cardiovascular medicine at the Cleveland Clinic, Ohio, published with two colleagues an article in the Journal of the American Medical Association (JAMA) that challenged the safety of both Vioxx and Celebrex. |
Kelly Patricia O'Meara
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 I come before you as a physician in private practice with a report from the front lines, news from the primary care pediatricians and family doctors, the private practice psychiatrists and the families of the patients themselves. I am here, representing the views and the reactions of a silent majority of physicians who aren't intimately connected financially with the drug industry. All the doctors have become aware of the problems that may be developed in the early stages of SSRI treatment. They are warning the families and following children far more closely. |
Jacky Law
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| This doesn't mean not using complementary therapists, just recognizing that conventional family doctors have the advantages of continuity, of having to follow strict ethical codes of behaviour, of acting as gatekeepers to secondary care when the need arises, of having no intrinsic reason to dupe or deceive you, and who are paid to be on your side.
Even though doctors and patients may seem to be as distant from each other as Mars is from Venus, they are locked in a partnership that goes infinitely deeper than anything the pharmaceutical industry can ever hope to achieve. |
volker schulz and Rudolf Hansel
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 Most depressed patients are treated by their family doctors on an outpatient basis. But two criteria are particularly important for selecting an antidepressant medicine in general practice: tolerance (lack of side effects) and treatment costs.
Adverse side effects occur in approximately 30-60 % of patients treated with tricyclic antidepressants and in approximately 13-30 % of patients taking the newer antidepressants. Generally these effects occur within a few days after the drug is started, preceding the onset of a therapeutic response. |
Peter Pringle
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 They also argued that the risk of antibiotic resistance spreading to bacteria in the human gut was much greater from the heavy use of antibiotics to prevent diseases in cattle and poultry, as well as overprescription by family doctors.
In its submission Calgene noted that large numbers of bacteria isolated from humans were already resistant to these antibiotics. "A fresh salad with lettuce, carrots, celery, cucumbers, and tomatoes is actually a major source of these organisms."25 Drinking water was another significant source of resistant bugs. |
Robert Whitaker
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 This was a "miracle" pill that would make it possible for family doctors to treat mental illness in their offices, with "only the most seriously disturbed" needing to be hospitalized. Chlorpromazine brought the disturbed patient "peace of mind" and "freedom from confusion." Virtually nothing was said about the drug's side effects; not one of the eleven articles mentioned that it caused Parkinson's symptoms or lethargy. |
Dr. Michael Heinrich, Joanne Barnes, Simon Gibbons and Elizabeth M. Williamson
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 In the UK, about 10% of the workload of family doctors is due to skin problems and a large number of patients rely on self-treatment (hopefully based on the advice of a healthcare professional such as a community pharmacist). Acne and eczema, as well as bruising, are common inflammatory complaints in developed countries. Infectious diseases of the skin, particularly infections with bacteria such as Staphylococcus aureus or yeasts and fungi, including Candida albicans and Trichophytum spp. |
| Although clinical evidence is largely lacking, plant-based cholagogues are frequently prescribed by family doctors in Germany. Their use is based on observational evidence and a long
Constituents
The leaf contains the bitter sesquiterpene lactone cynaropicrin, several flavonoids and derivatives of caffeoylquinic acid, including cynarin (Fig. 13.7).
Pharmacological effects and clinical efficacy
Antihepatotoxic effects (liver protection), cholagogue activity and a reduction of cholesterol and triglyceride levels have been reported. |
The Life Extension Editorial Staff
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 HOW DOCTORS TREAT DEPRESSION
Several types of medical professionals treat depression, including family doctors, internists, psychiatrists, psychologists, and social workers. The therapies they offer are numerous, but are of three main types: psychotherapy, or "talk therapy;" drugs; and electroconvulsive shock therapy. These treatments may be used alone or in combination.
Types of psychotherapy include behavioral therapy, cognitive therapy, and psychodynamic therapy. |
volker schulz and Rudolf Hansel
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| The remedies prescribed by family doctors continue to rank highly in this regard. In Germany, general practitioners and internists in private practice write approximately two-thirds of all prescriptions, issuing most of them to patients over 60 years of age. But medical therapies in most older patients do not require the use of drugs that produce strong, acute effects with a rapid onset.
Today the therapeutic benefit of drugs is assessed mainly by outcome measures that were established in the artificial realm of clinical double-blind studies. |
| Phytomedicines are mainly prescribed by family doctors in office settings and certain specialists (e.g., Urologists who prescribe Serenoa etc., or OB-GYN's who prescribe Cimicifuga, or Psychiatrists who prescribe Hypericum) or are self-selected by patients according to their own regimens. A large percentage of patients treated with herbal medicines have relatively mild or ambiguous conditions that often defy a clear-cut diagnosis or can be diagnosed only by exclusion. |
Elson M. Haas, M.D.
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 I have also heard other gynecologists, family doctors, and nurse practitioners claim that they see nearly an 80 percent success rate with a good program. Of course, learning to deal better with life stresses, relationships, and sexual issues will further increase the likelihood of success.
PREMENSTRUAL SYNDROME NUTRIENT PROGRAM**
Vitamin A
5,000-10,000 IUs
Beta-carotene
10,000-20,000 IUs
Vitamin D
200-600IUs
Vitamin E
400-1,000 IUs
Vitamin K*
150-300 meg.
Thiamine (B^
50-250 mg.
Riboflavin (B2)
50-100 mg.
Niacin (B3)
25-100 mg.
Niacinamide (B3)
50-100 mg. |
Earl Mindell, R.Ph., Ph.D.
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 Natural Stress-Busters
The American Academy of Family Physicians recendy released a study showing that two-thirds of all visits to family doctors result from stress-related ailments. Stress not only makes us feel tense and sapped of energy but also can have a profound effect on virtually every system of the body. Stress hormones—the hormones we produce when we are feeling keyed up—can raise blood pressure, inhibit the ability of the immune system to fight infection, raise blood sugar levels, promote osteoporosis, and even kill brain cells. |
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