Preventing Iatrogenic Injuries

By E Douglas Kihn, OMD, LAc, CPT
http://www.drkihn.com/

The term iatrogenic means “doctor-caused.” Iatrogenic deaths are the third leading cause of death in the US. According to a study published in the well known and highly prestigious Journal of the American Medical Association (JAMA, Vol..284, July 26, 2000), conventional Western medicine kills more Americans every year than any other cause except for heart disease and cancer. The rate for iatrogenic mortality is nearly twice that of the number four killer, cerebrovascular accidents (strokes). According to the report’s author, Barbara Starfield of the Johns Hopkins School of Hygiene and Public Health, 250,000 Americans die yearly from iatrogenic causes.

Here’s the breakdown for the year 1999:
• 12,000 deaths from unnecessary surgeries that went wrong.
• 7,000 medication errors in hospitals.
• 20,000 other errors in hospitals.
• 80,000 infections acquired in hospitals.
• 106,000 non-error negative effects of FDA-approved pharmaceuticals.

Starfield cautions that these numbers are derived from studies of hospital patient deaths only, and that they say nothing about the crippling, maiming, and other negative effects that doctors and staff inflict on their patients in and out of hospitals.

This is by no means the first report of its kind to indict the conventional medical profession, but it is the most authoritative. Another analysis, from the Boston Medical Journal, 2000, entitled “Epidemiology and Medical Error,” by Weingart et al, estimated that the US medical establishment profits yearly from 116 million unnecessary physician visits and 77 million unnecessary pharmaceutical prescriptions, adding up to $77 billion in extra costs in dollars at the turn of the millennium.

Despite a decade of promises, little has been done to fix the problem of preventable medical errors, according to a 2009 report by the Consumers Union, the nonprofit publisher of Consumer Reports Magazine. "There is little evidence to suggest that the number of people dying from medical harm has dropped since the US Institute of Medicine first warned about these deadly mistakes a decade ago," Lisa McGiffert, a spokesperson for the Consumers Union, said in a statement. "That means a million lives and billions of dollars have been lost over the past 10 years because our health care system failed to adopt key reforms recommended by the IOM to protect patients."

The problem isn’t much better in the wealthy countries of the European Union. One in 10 patients are suffering extra adverse effects while being treated in European hospitals, the EU's health commissioner said in a 2008 report. The most common hospital-induced problems are healthcare associated infections, incorrect or delayed diagnoses, surgical errors and medication related errors, according to the European commissioner Androulla Vassiliou. Around one in 20 European patients catches an infection while in the hospital.

The first step in preventing these nightmares is to recognize the strengths and limitations of conventional Western medicine. The profession can be divided into two categories: Emergency Medicine and Unsafe Medicine.

Emergency Medicine

Emergency Medicine is essentially heroic medicine. Western medicine is designed to be heavy-handed. Its true purpose is to fight nature. When nature decrees that a person must very soon lose life, a limb, an organ, a tissue, a mind, or any other structure or function, this is intolerable to us. Fortunately for the world, we have highly trained people who can use drugs and surgery to save the situation and “reverse” nature.

Reversing nature usually elicits negative effects that result from the heavy-handed intervention, but in an emergency, the tradeoff is worth it.

This branch of medicine is also adept at performing tests that monitor health situations. Emergency Medicine even includes futuristic research like genetic engineering that will someday end all medical problems, including mandatory death.

Unsafe Medicine

The other branch of conventional Western medicine should be called “Unsafe Medicine.” This segment is responsible for a quarter million American deaths every year.

In addition, it specializes in disease care. Compared to the beginning of the twentieth century, the average modern American life span is much longer than it is today, but people are getting sick much earlier. This fact illustrates an important function of Unsafe Medicine, which is to help people feel better but stay sick for decades, thereby earning huge profits for pharmaceutical companies and their “dealers,” surgeons, hospitals, and medical equipment suppliers.

Doctors and staff who practice Unsafe Medicine are trained to fill you full of doom and gloom so you will become panicky and dependent. Typically they study only disease and know nothing about health, and are notoriously antagonistic toward most forms of Safe Medicine.

There are an increasing number of Medical Doctors who practice both Emergency Medicine and Unsafe Medicine, and as a result are internally conflicted and become disillusioned with medicine.

Safe Medicine

Safe Medicine includes anything that doesn’t cause more problems. Safe Medicine usually works with nature, gently encouraging the body/mind to heal itself. Most traditions and techniques that go by the names of alternative medicine and complementary medicine would be included in this category. When safe medical techniques are applied correctly, there should be either good results or no results. And they should be demonstrated to consistently perform beyond the placebo effect.

Diligent practitioners of Safe Medicine will establish a mutually respectful relationship with you and really listen to your needs. Their methods will generally take longer to work, but the effects will be lasting and not fraught with risks. A competent safe practitioner will also recognize that it’s actually the body/mind that heals itself. All we practitioners can do is assist that process. And so encouraging self-reliance is an essential part of the healing process.

Self-reliance includes the avoidance of doctors for small things. Fundamentally, you are your own best doctor. Good mental health (much neglected in our culture) means trusting that your body can heal a small thing like a stubbed toe or a cold virus invasion all on its own or with a little help from home remedies.

Avoiding Iatrogenic Complications

First, be ready to change everything in your life that is a likely cause of disease and injury. Get as healthy as you can and stay that way.

Second, learn the difference between true emergencies and non-emergencies.

Third, see if the non-emergency situation will respond to self-treatment and rest. If your own efforts do not resolve the situation, consult a practitioner of Safe Medicine. Following is a partial list of Safe Medicine techniques and disciplines commonly found in the US, in alphabetical order:
• Acupuncture
• Ayurvedic Medicine
• Biofeedback
• Chinese Medicine
• Chiropractic adjustment
• Dental hygiene
• Fitness training
• Folk medicine
• Herbology
• Homeopathy
• Hypnosis
• Life Coaching
• Meditation
• Mega-vitamin therapy
• Natural vision therapy
• Naturopathic Medicine
• Nutritional counseling
• Physical therapy
• Psychological counseling
• Qi gong
• Tai qi
• Therapeutic massage
• Yoga