Licensed books on medicine
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JOURNEY OF THE DOCTOR
I was born in 1964 in Uruguay in a Jewish family. My parents miraculously survived in the crucible of World War II. Mother was taken out of Germany a few days after birth. My father was a prisoner of a concentration camp in Hungary and after the war he went to Uruguay in search of his sisters. He found them, and at the same time my mother.
Life in Montevideo and Punta del Este proceeded peacefully and unhurriedly. We bought food at the local farmers' market and almost always had dinner and supper, sitting at a big table with the whole family. In our city it was absolutely safe, and the children played on the street without any supervision.
From the very childhood I knew who I would be when I grew up. I wanted to become a doctor, to alleviate the suffering of people and help them to be healthy and live happily ever after. Our family doctors regularly visited us and taught us various interesting things. I wanted to be like them. I enrolled in a medical school and fell in love with medicine.
After graduating from college, I decided to become a cardiologist. There was something in my heart that made me very interested. The need to think quickly, solve life and death issues for a split second, incomparable satisfaction with the consciousness that you have now saved human life-all this left me in no doubt in choosing a specialty.
I wanted to continue my education where textbooks were created for my medical school, and a week after his graduation I received an internship in a hospital at New York University. My internship there lasted 3 years. When it was over, I was 26 years old.
The doctor's specialty did not help me avoid the most common diseases today: allergies, intestinal disorders and insomnia, and my employment and way of life only aggravated them
Life in Manhattan was a key and very different from the settled Uruguayan reality. Study was not easy. On duty for 3 consecutive days and being constantly busy, I did not have a free minute, even to cook my own food. My diet consisted mainly of fast food, purchased in the vending machines and cafeterias of the hospital. If I had some free time, I went to the nearest supermarket, where my imagination was amazed by countless bright packages, extremely seductive flavors and the fact that if you have a microwave oven, you can cook your own dinner in 10 minutes. I felt like a savage in a magical modern city, and every time I came to mind the thought: "Yes, these Americans really know how to make their lives easier."
However, the intense rhythm of life in one of the most active business centers of the world soon began to affect my health. I started gaining weight, catching cold at every change of the season and, tired to exhaustion, while suffering from insomnia. Nevertheless, I learned a lot from doctors, among whom were recognized authorities in their fields. As for health, I thought: "I'll finish my studies, and everything will go well."
Psychiatrists did not have any answers to my questions, as did the doctors of other specialties, sociologists, teachers and friends, whom I addressed
After completing the internship, I started working at the Cardiology Department at Lenox Hill Hospital. The management of the intensive care unit, visits to the patients in the intensive care ward and consultations throughout the hospital - all this made the weight of responsibility on my shoulders heavier and added weight to the bagels in my stomach. Over the next three years, I developed such a strong allergy that I had to resort to antihistamines and for a while even use steroid inhalers. The process of digestion has turned into a real nightmare for me. Me constantly puchilo, and I felt discomfort in a stomach or belly. Periods of diarrhea alternated with constipation.
I decided to seek help from our gastroenterologist. After listening to my story for a couple of minutes, he told me to go through the upper and lower endoscopy, the ultrasound examination of the abdominal cavity and make a complete blood test. All tests gave absolutely normal results. The diagnosis of a specialist was: "Irritable bowel syndrome". According to him, the only thing that could be done in this situation was to try and remove unpleasant symptoms with the help of antispasmodic tablets, activated charcoal, painkillers and drugs against diarrhea alternating with a laxative. He did not even inquire about my daily diet, which is not surprising - I also did not read the course of healthy eating.
Then I began to wake up in the morning with pain in the chest area. If I myself studied cardiology, I would certainly turn to a cardiologist, but it was clear to me that the heart muscle and its arteries had nothing to do with it. The problem that arose was rooted in another aspect of cardiac activity, which I have never heard of in all my years of training. I started to feel depressed.
It seemed to me incredible. My parents never had anything like this, and I did not hear from them that one of our ancestors or relatives suffered from depression. My life was extremely tense, but I loved my job, and she was getting on with me. Something went wrong, because I was not left feeling the impending catastrophe, the cause of which could not be explained by the difficulties that I experienced at that time.
Soon I noticed an even more disturbing phenomenon: from the moment of awakening to the moment of going to bed, I was constantly pursued by different thoughts. If it was my will, I would not consider 90% of the thoughts that came to me during the day. I noticed that there is only one difference between me and the crazy people who talk to each other in the subway: they speak aloud.
Then thoughts began to haunt me at night. I suffered from insomnia, and the stream of thoughts increased. If I do not choose all these thoughts, then who is doing this for me? Where do they come from? Am I going crazy?
At some point, I fell into despair and asked for help from a leading psychiatrist in New York. Asking me a series of questions, he solemnly declared: "You are depressed due to a chemical imbalance." He explained that my brain does not produce enough serotonin, and I prescribed Prozac.
Standing in the elevator on my way back to my office, I thought: "Why did my cells forget how chemical reactions are produced? Why did they stop working properly? "
I was not at all interested in the prospect of taking medicine for the rest of my life, and so I decided to go to another psychiatrist. After two conversations with me, he said: "Your brain is in a state of chemical imbalance," after which Zoloft, a relative of Prozak, prescribed me. This doctor was more talkative and told me that a chemical substance called serotonin, which is a neurotransmitter, is responsible for a sense of well-being, happiness. He said that I have a low serotonin level. Zoloft will eventually raise it, and unpleasant symptoms will disappear. When I asked what was the reason for the decrease in serotonin levels, he replied that this question had not been fully understood and that I was far from alone. According to him, depression has recently taken the scale of the epidemic.
Nevertheless, I could not accept the idea that for the rest of my life I would have to take medicine. Psychiatrists did not have any answers to my questions, as did the doctors of other specialties, sociologists, teachers and friends, whom I addressed. "Is not anyone able to explain to me what is happening to me?" - it seemed to me. I began to walk through bookstores, which unexpectedly turned out to be in New York just amazing (even more impressive than supermarkets). There you could spend hours reading books without buying them. I took full advantage of this opportunity, studying the works on psychiatry and psychology. Thinking ... Thought ... Consciousness. I looked through all the books that came to my hand, which could contain answers to the questions that tormented me. Where do my thoughts come from? How do they affect my feelings, leading me to despair? How can you stop this madness?
Finding references to other books in the book, I immediately went to read them. Thus, over time, from the section of psychiatry, I moved to the self-help section, and from there to the section "New methods". Once another link led me to the section of Eastern philosophy. I began to rummage on the shelves, and suddenly one book slipped from my hands and fell to the floor, revealing itself on a page entitled "Meditation: The Silence of Consciousness." After reading a few paragraphs, I experienced an amazing feeling that the sky opened up for me. The book said that meditation can slow down and even stop the ordinary continuous thought process. Our consciousness, which constantly jumps from one thought to another, was called in it "monkey consciousness"; some compare it to a talking radio. It was exactly what I was looking for.
Yoga, herbal medicine, acupuncture, dietology, chiropractic and manual therapy identify and eradicate the causes of imbalance in the body and mind of the patient, and not just eliminate the disturbing symptoms
My "monkey consciousness" immediately prompted me what I should do. I needed to master the art of meditation.
Find a specialist in meditation turned out to be very difficult. After several unsuccessful attempts, my friend Fernando undertook to take me to the right person. On the same day, we went to the school of meditation. It was a kind of monastery, which was headed by an Indian woman, who was a master of meditation. After meeting her, I had no doubt that she knows the answers to some of my questions. She always kept the presence of the spirit and was distinguished by such inner calm that the people around almost physically sensed it. I got an incomparable experience just by being close to her, and my mind was completely silenced for a while. When it again turned into a "talking radio", the situation was different: I remembered the experience of silence. I decided to learn to calm the mind. It was a turning point that changed my whole life.
I read all the books written by this Indian teacher, and then all the books written by her teacher, and every weekend attended her meditation courses. In one of the classes, she announced that a meditation school in India needed a doctor-volunteer. After some deliberation, I made a firm decision to go to India. To the amazement of my colleagues and family, I declined all offers to engage in extremely lucrative medical practice, packed my bags and left.
In India, I studied yoga.
It turned out that the complexes of physical exercises that were beginning to become fashionable in America are just one aspect of yoga. There are 8 branches:
pit - a personal relationship to the world and other people;
niyama - relation to oneself;
asana - body postures;
pranayama - breathing exercises;
pratyahara - control over the senses;
dharana - concentration;
dhyana - meditation;
samadhi - enlightenment, firmness at every given moment. It is the extension of knowledge and the unfoldment of consciousness. And that was exactly what happened to me.
I was in charge of a group of volunteer doctors from all over the world. Among them were the practices of Ayurveda, Chinese medicine doctors, chiropractors, nurses, masseurs, manual therapists, meditation instructors and many other specialists in different fields of medicine, professing different philosophical convictions and using different treatment methods. The group's task was to treat the students of the school of meditation, as well as trips on the school bus, converted into a mobile hospital, to the surrounding villages where one of the poorest inhabitants of the planet lived. We acted as a single team, and each of us expressed his point of view about the patient's condition. It was truly an integrated approach. Before, I had never heard of integrative medicine, but now I practiced it myself.
From these discussions I gained a lot of useful knowledge in such areas as phytotherapy, acupuncture, dietology, chiropractic and manual therapy. All these methods were used more refined than Western medicine, and they were aimed at identifying and eliminating the cause of imbalance in the body and the patient's consciousness, rather than trivial elimination of disturbing symptoms. It dawned on me: what we did could not be attributed to alternative or traditional medicine. We were just guided by common sense. Sometimes a Western medical approach, involving the use of drugs and surgical intervention, was absolutely necessary; the use of progressive technologies sometimes saved the lives of patients. But this happened rarely. The organism, having received the necessary support and proper conditions, restored its natural capacity for self-healing without any medications. My professional views, limited by the principles of modern medicine, have significantly expanded beyond them. And at the same time, my mental and physical health has clearly improved, although it was still far from the optimal level.
Having worked a year in the school of meditation, I excluded from my professional classification many categories of medicine: alternative, traditional, western, allopathic, eastern, ayurvedic, Chinese. All these medical traditions and practices have merged for me into a single category, which I called comprehensive medicine. I came to the conclusion that it is necessary to take all the best from Eastern and Western medicine and treat every patient as a unique individual.
By the time I returned to the United States, I was already determined to introduce a new style of medical practice into the hospital system, that is, to change this system from within. I returned to America and received the post of resident cardiologist in four hospitals in Palm Springs, California.
Unnoticed for myself, I again joined in the typical American rat race both in personal and professional terms. It was much more difficult to maintain mental and physical health than in the school of meditation in India. My everyday reality was the endless rides on the car, the removal of electrocardiograms, the installation of pacemakers. To work brought a good income, you had to spin like a squirrel in the wheel. From the side my situation seemed quite enviable. If I survived this race, then in 3 years would become a partner of a famous doctor who had extremely successful and very lucrative practice. But this style of treatment has become absolutely unacceptable for me. I did not have time to listen to patients telling about the symptoms of their ailments. On average, each of them was given 7 minutes, and the system considered them only as a source of profit: more analyzes and studies, more recipes, more procedures and operations - hence more money. Often, patients who came to me, took 5 or more prescribed medications. Neither I nor they fully understood how these chemicals interact with each other in the body. The system in effect provided that I should prescribe them more medications in addition to the already impressive arsenal. I did not dream of such help to people.
It is not surprising that soon stresses, cafeteria food and late suppers provoked irritable bowel syndrome and blurred consciousness, which previously caused me so many troubles and inconveniences. Sometimes I wondered if my health was much better than the health of my patients.
The situation again changed dramatically with the visit of an unexpected guest. Once in my house in Palm Springs there was an old friend Eric, a serene and carefree film producer. Seeing him, I almost lost my senses. Just 10 days ago, it was a pretty overweight guy with a puffy face and a yellowish skin color. Now, in front of me was another man: glowing with beautiful skin of the face, thin with 5 kg and with whites of eyes, whiter than I have never seen anyone. He radiated not his former peace and joy. Noticing my amazement, he said that he had conducted a detoxification program in a holistic center, a few minutes' walk from my house. He abandoned his way of life, which included dining at the restaurant, alcohol and movie night views, for freshly squeezed juices, washing the bowel, massage, sun bathing, yoga and meditation. The result was an update of the appearance and internal content.
For me, this became the moment of truth. These are the results I wanted to achieve in the treatment of patients. Taking the address of Eric from the center, I signed up for a detoxification program.
My friend, who underwent a detoxification program, lost 10 pounds in just 10 days, acquired a beautiful skin color and completely white eye whites. These are the results I wanted to achieve in the treatment of patients
Because of the busy schedule, I had to improvise. Instead of settling there as a patient, I went there during lunch breaks, drank freshly squeezed juices and took natural supplements. Every day I underwent a procedure of hydrocolonotherapy, thanks to which the toxins that had settled in its tissues were washed out of the body, and then returned to their official duties. So I spent an intensive two-week starvation program. It was not easy for me, because although I was accustomed to hardship and for several months I was eating simple and healthy food in India, this experience was different from anything that ever fell to my lot.
К третьему дню программы у меня исчезли усталость, чувство голода и головная боль. К седьмому дню полностью прекратились проявления синдрома раздраженного кишечника, которые с тех пор угрожали вернуться, только если бы я начал пренебрегать полученными уроками. По истечении двух недель ничего не осталось и от моей депрессии. Кроме того, я потерял 5 кг — точно так же, как и мой друг. Так хорошо я не чувствовал себя со времен юности.
Я был потрясен. Организм отрегулировал все свои системы, восстановил баланс и залечил раны. Подавленное настроение, хроническая усталость, аллергия, расстройство пищеварения —все эти признаки поражения токсинами исчезли. Мои клетки вспомнили, как производятся химические реакции. Мой кишечник восстановил свое нормальное функционирование без всяких лекарств, и количество серотонина в моем мозге выросло до оптимального уровня. Никто из представителей современной медицины, с кем я консультировался, даже не мог предположить, что все эти отдельные симптомы связаны между собой, и не сказал, что я мог бы исцелить себя сам. Судя по всему, ни одна медицинская школа этого не знала. Эта тема, как и здоровое питание, отсутствовала в учебных планах моей медицинской школы.
Подавленное настроение, хроническая усталость, аллергия, расстройство пищеварения — все эти признаки поражения токсинами исчезли
Это был поворотный пункт. Наконец-то я ясно увидел перед собой свой путь. Я уволился с работы и перебрался в Лос-Анджелес. Хоть это один из самых загрязненных городов в мире, но наряду с этим это еще и пристанище некоторых наиболее прогрессивных медицинских теоретиков и практиков, а также множества продвинутых, широко мыслящих пациентов. Я начал читать о детоксикации все, что только мог достать, от древних текстов до современных научных исследований, где подробно объяснялась биохимия этого процесса. Я погрузился в изучение основ только еще зарождавшейся функциональной медицины, которая переводит восточную парадигму здоровья на язык западной медицины и добивается невероятно успешных результатов. Каждую неделю я приезжал на два дня в холистический центр и выполнял функции медицинского консультанта при ее основательнице и владелице Сюзанне Белен. Я консультировал множество самых разных людей, проходивших программу, и делился с Сюзанной и пациентами своими открытиями в отношении природы процесса детоксикации.
Со временем я начал лечить пациентов как врач общей практики и кардиолог, используя расширенный арсенал средств. Он все еще включал лабораторные анализы, лекарства и хирургическое вмешательство, но также и детоксикацию, некоторые средства китайской медицины, и большой упор в нем делался на изменении рациона, способствующего оздоровлению изнутри. Таково было мое видение новой, прогрессивной медицины, и при лечении других я использовал свой личный опыт пациента.
В те далекие дни я направил многих своих лос-анджелесских пациентов в холистический центр и наблюдал за превращениями, которые они претерпевали в результате программы детоксикации, иногда возвращаясь к нормальной жизни после длительных физических и душевных страданий. Но далеко не все, нуждавшиеся в очищении организма, могли позволить себе полностью выключиться на 2 недели из привычной рутины, уединившись в центре детоксикации. Поэтому я приступил к разработке метода, с помощью которого можно было бы достигать тех же результатов без необходимости уединения — его мог бы позволить себе каждый. И я представляю своим пациентам и вам этот метод.
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- WORD FOR A VETERINARY PHYSICIAN
- When is a PHYSICIAN NEEDED?
С одной стороны, Вы уже, наверное, не раз слышали, что иметь «своего» диетолога (так же, как стоматолога или психоаналитика) считается атрибутом правильной жизни. On the other hand, not everyone understands well what kind of work the dietician does. Is it worth to him to address a simple mortal who does not experience serious sports loads, and has not suffered any serious diseases? how
- Абуталипов Р.Н., Остапчук А.Н.. ПК для ветеринарного врача, 2007
- ANATOMO-TOPOGRAPHIC FOUNDATIONS IN PRACTICE OF THE DOCTOR OF THE INTENSIVE THERAPY AND RENAIMATION DEPARTMENT
The physician of the intensive care unit should improve knowledge not only in the field of physiology, pathophysiology, pharmacology, but also in the field of anatomy. Knowledge of anatomical and topographical background is extremely necessary. This section provides data on the normal and topographic anatomy required for the intensive care unit physician. A doctor who knows the topography of the most important anatomical
- ANATOMO-TOPOGRAPHIC FOUNDATIONS IN PRACTICE OF THE DOCTOR OF THE INTENSIVE THERAPY AND RENAIMATION DEPARTMENT
The physician of the intensive care unit should improve knowledge not only in the field of physiology, pathophysiology, pharmacology, but also in the field of anatomy. Knowledge of anatomical and topographical background is extremely necessary. This section provides data on the normal and topographic anatomy required for the intensive care unit physician. A doctor who knows the topography of the most important anatomical areas,