Physician-patient communication using ancestral spirits to achieve holistic healing

Article Abstract:

The standard medical system must heed the wisdom of traditional healers and incorporate the psychosocial aspects of the patient's illness into the patient's care. The standard medical system treats diseases rather than people who happen to be ill. The integration of mind and spirit with body can be accomplished by improving communication with patients, which has generally been shown to be poor. Poor communication results in missing important diagnoses, patient frustration and anxiety, and poor compliance. Good communication requires that the doctor have empathy for the patient, that the doctor be nonjudgmental, and that the doctor be a good listener. The doctor must respect the patient's autonomy, concerns, and priorities. Treatment decisions should be made collaboratively. The patient's family should be considered a resource and a partner in the patient's care. To achieve these goals, the doctor must become aware of personal biases and areas of insensitivity. Communication skills should be an important part of medical training.

Social aspects, Physician and patient, Physician-patient relations, Healing, Holistic medicine

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Pregnancy outcomes in the Diabetes Control and Complications Trial

Article Abstract:

Pregnant women with insulin-dependent diabetes who undergo intensive therapy to control their blood sugar levels may experience rates of miscarriage and birth defects similar to those in the general population. Women in the Diabetes Control and Complications Trial were assigned to either conventional or intensive therapy to bring blood sugar levels as close to normal as possible. Women in the conventional therapy group who became pregnant were switched to intensive therapy. Between 1983 and 1993, 180 women completed 270 pregnancies, resulting in 191 live births. Eight of nine birth defects occurred in infants born to women originally receiving conventional therapy. Intensive therapy may be recommended for all women with insulin-dependent diabetes to improve the outcomes of any future pregnancies.

Health aspects, Prevention, Birth defects, Diabetes in pregnancy, Gestational diabetes, Miscarriage

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