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Location: Dr. Sarno's Treatment Plan
Discussion: Dr Sarnos Treatment plan
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DrNord |
Dr Sarnos Treatment plan
Apr 16 2009, 11:50 PM EDT
Sorry got long winded like forest. Treatment starts with a correct diagnosis. Major Key. #1 A detailed History LISTENING to the patient ( most doctors will interrupt you the patient within 15 seconds, watch for yourself next time in). A detailed social history including family upbringing, relationships , parents , siblings etc. trying to unearth the subconscious stresses that occur .The doctor needs to learn how to ask the right questions. Many patients wont volunteer that they had "issues" some because it is in the subconscious don't recall them initially until probed beneath the surface. 90% of doctors don't do this for various reasons. A review of prior symptoms diagnosis , tests result xrays, MRI etc. medication taken now and prior (could be extensive, yesterday I had one patient on methadone for 2 years) #2 then a detailed Physical exam of all body parts looking at gait stance balance, neurological tests reflexes and a musculoskeletal exam checking Range of motion strength and especially specific points of tenderness. Classic TMS trigger points are para spinal muscle low back, neck by the trapezius towards the should blade top and lateral thigh area called the trochanteric bursa or a little lower the ilio- tibial band. (very similar to Fibro so don't get confused). after the history and PE you discuss the findings with the doctor and develope the plan. It is very standardized yet at the same time personalized. I tell patients it starts on Page 142 in the Divided Mind and you start writing. Buy a spiral binder or journal and begin you cure. Let it flow stream on consciousness writing no editing no spell correction just let it flow. It's cathartic in itself. This wiki has great info on journalling. Dr Schechter's workbook which I bought is very good and really walks you through a 30 day step by step process. If you need more hand holding and directions it is worth the $18 BIG TIME . 2 out of 2 found this valuable. Do you?
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ForestForTreesTMS |
1. RE: Dr Sarnos Treatment plan
Apr 17 2009, 5:42 PM EDT
Don't think that went unnoticed ;-)
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Peghanson |
2. RE: Dr Sarnos Treatment plan
Apr 18 2009, 7:37 AM EDT
Dr. Nord,Thanks for taking the time to describe the treatment plan for patients and those struggling to apply this information to their lives. Your description will surely empower people by reassuring them that they deserve to be LISTENED to by their doctor. Do you find this valuable? |
