Still Keeping the Faith
http://www.100md.com
《美国整骨期刊》
I found meaningful the response of Dr Licciardone (J Am Osteopath Assoc. 2004;104[10]:406), to Dr Bledsoe's letter to the editor ("The Elephant in the Room: Does OMT Have Proved Benefit J Am Osteopath Assoc. 2004; 104[10]:405). Dr Licciardone's response reflects exactly what the majority of practicing DOs believe—and what they know.
The original teachings of A. T. Still, MD, DO, form the tenets of osteopathic philosophy and practice and support the foundations of osteopathic medicine today. Dr Licciardone notes that Dr Still's work "suggest[s] that the body has the capacity to maintain health and that [osteopathic manipulative treatment] (OMT) may be useful in augmenting that capacity by preventing or healing disease."
Dr Licciardone acknowledges that active and rigorous research in osteopathic medicine is still needed and remains ongoing, noting that "evidence.. .exists to suggest that the benefits of OMT for patients with chronic low back pain are substantially greater than can be attributed to the placebo effect."
I fail to see the correlation Dr Bledsoe attempts to draw between OMT as an osteopathic treatment modality for acute and chronic low back pain and the efficacy (or lack thereof) of OMT following knee and hip arthroplasty. Osteopathic manipulative treatment is not a panacea—nor for that matter are medications.
I would like to suggest that Dr Bledsoe might want to look into the research of Drs Korr, Denslow, and Hicks of Kirksville College of Osteopathic Medicine of A.T. Still University of Health Sciences.
It may be that Dr Bledsoe has never used OMT as a treatment modality. In fact, although he says he "received an excellent.. .medical education" at a college of osteopathic medicine and is "proud" to be a DO, it is unfortunate and saddens me that he now appears to be quite cynical about the experience.
Dr Bledsoe, in his cynicism, quotes Mark Twain's Following the Equator: "Faith is believing what you know ain't so." Faith, according to Webster's dictionary, is "confidence and trust in a person or thing." I know I speak for myself and many other DOs who are proud to count ourselves as one with active and rigorous researchers like Dr Licciardone in keeping our faith in osteopathic medicine.
Somerset, NJ(Laurence Rubinstein, DO)
The original teachings of A. T. Still, MD, DO, form the tenets of osteopathic philosophy and practice and support the foundations of osteopathic medicine today. Dr Licciardone notes that Dr Still's work "suggest[s] that the body has the capacity to maintain health and that [osteopathic manipulative treatment] (OMT) may be useful in augmenting that capacity by preventing or healing disease."
Dr Licciardone acknowledges that active and rigorous research in osteopathic medicine is still needed and remains ongoing, noting that "evidence.. .exists to suggest that the benefits of OMT for patients with chronic low back pain are substantially greater than can be attributed to the placebo effect."
I fail to see the correlation Dr Bledsoe attempts to draw between OMT as an osteopathic treatment modality for acute and chronic low back pain and the efficacy (or lack thereof) of OMT following knee and hip arthroplasty. Osteopathic manipulative treatment is not a panacea—nor for that matter are medications.
I would like to suggest that Dr Bledsoe might want to look into the research of Drs Korr, Denslow, and Hicks of Kirksville College of Osteopathic Medicine of A.T. Still University of Health Sciences.
It may be that Dr Bledsoe has never used OMT as a treatment modality. In fact, although he says he "received an excellent.. .medical education" at a college of osteopathic medicine and is "proud" to be a DO, it is unfortunate and saddens me that he now appears to be quite cynical about the experience.
Dr Bledsoe, in his cynicism, quotes Mark Twain's Following the Equator: "Faith is believing what you know ain't so." Faith, according to Webster's dictionary, is "confidence and trust in a person or thing." I know I speak for myself and many other DOs who are proud to count ourselves as one with active and rigorous researchers like Dr Licciardone in keeping our faith in osteopathic medicine.
Somerset, NJ(Laurence Rubinstein, DO)