My wife and I were blessed with a daughter last week, hence my absence from the blog.  Lydia is the name of my beautiful baby girl and here is a picture (she's adorable, so get over it).  This week's blog post actually originates from our birthing experience with Lydia.

The chaos of childbirth can be rather daunting, regardless if you have experienced it firsthand before or not, there is an anxiety that swells as the labor progresses.  The room itself seems to change as everyone involved begins to move a little faster and talk a little quicker.   After my wife delivered our daughter and both were deemed healthy, the chaos settled.  The delivery room staff reduced from 7 to only 1, the elevated emotions from ourselves and the staff were gone...the peaceful moments that followed were unforgettable.  Myself, my wife and our newborn daughter all embracing the amazing experience that just unfolded (Lydia was part of this regardless if she knew it).

Once we were transitioned from the labor and delivery room into the post-partum room, the mood seemed to change again as my wife and I were watching Lydia sleep peacefully.  We began to replay some of the moments throughout labor and delivery, recalling things that were said and actions of the staff.

For this birth, we decided to utilize a midwife.  Yes, I said it...a midwife.  No we did not deliver in a bath tub with rags, as so many people have associated midwifery with barbaric practices I just had to clarify that.  We delivered in a hospital with a midwife which was an incredible experience, the natural birthing experience with the safety of a hospital setting as a precaution.

Ok, so back to my wife and I in the post-partum room recalling the labor and delivery process...  One of the comments my wife had was "It wasn't about the doctor.  It was about me.  That was a great feeling and different than our first child's birth."  As we continued to discuss the whole experience, it hit me!  Please don't get upset when I say this:

ALL HEALTHCARE SHOULD BE ABOUT THE PATIENT, NOT THE STAFF.

I know most healthcare organizations claim to be in existence for patients, but rarely does this notion actually get put into action.  Then I asked myself an introspective question, "Do MY patients feel as though their time with me is about them, or about me?"  After all, the foundation of my practice is 'getting back to the basics', which means focusing on the patient.  I have created a simplified, no-nonsense, patient-centered practice that provides high-quality and individualized care for patients in pain.

MY CONCLUSION: The vast majority of my patients feel as though I do provide care that is about them, not me.

Listen, no one is perfect.  I am sure there have been patient visits that the opposite has occurred but I constantly remind myself why I opened this practice...FOR THE PATIENTS.  Patients in pain deserve to be heard, they deserve an appropriate exam and they deserve truth regarding their condition.  Patients in pain do NOT deserve to be sold a treatment plan, they do NOT deserve a patient-mill experience and they do NOT deserve a monetary basis for care.

If you or someone you know is in pain, please pass along my contact information.  Advise them to call me, I will gladly provide a free phone consultation.  I can help many people in pain, others I cannot.  But how will we ever know if you don't talk to me?  The difference in my practice and many others is that I am willing to admit when someone is beyond my scope.  Because it is about the patient, NOT about monetary gain.  Amazing things can happen when we turn healthcare back to the basics.  


My sincere gratitude goes to the midwife and medical staff that provided such unbelievable care and compassion to us through the entire labor and delivery process.  As always, I look forward to hearing from you.

Be Blessed!
-Dr. K
 
 
IN THE MEDICAL FIELD, WE PEDESTALIZE CLINICAL KNOWLEDGE AND REASONING...AND RIGHTFULLY SO, TO A CERTAIN EXTENT. 

What is your definition of healthcare?  Is it doctors, nurses and other healthcare professionals working to keep you free of illness?  Is it these same individuals working to keep your life as independent as possible?  Is it being able to at least cognitively make a decision, good or bad?  Is it simply living your life as you want?  

Caring for individuals with an illness, injury or condition is what health professionals, like myself, actually do on a daily basis.  However, there is much more to healthcare than the visible or physical job requirements.  Moving between patient rooms, working extended hours to serve more people, devoting time to educating patients on their condition and continuing your own learning for the betterment of your patients, rather than just fulfilling licensure requirements, is much more of an intellectual and emotional process than most would think. 

As I sit across from a 73 year old man in my office, whom we will call Mitch, I quickly realize that his expectations are very different from other patients.  Why?  Because Mitch is 73 and for lack of better words, de-conditioned.  He is a 6 foot tall, white-haired man with terribly poor posture, a somewhat shuffled gait and a quirky sense of humor.  His main complaint is that his low back feels achy when he wakes in the morning and that his neck feels tight when turning his head to back up his vehicle.  At his age, Mitch is seeking care for chronic, dull low back pain and neck stiffness.   He experienced a stroke last year which left him with only one fully functioning eye and has more recently began taking medication for dementia-like symptoms.

The physical ability to care for Mitch is not that difficult.  I must be able to perform some basic soft tissue techniques, joint mobilizations, stretches and chiropractic adjustments.  When I initially saw Mitch we agreed on performing corrective exercises on a regular basis, but after a few visits he quickly lost interest in taking responsibility for his own health.  This is completely acceptable and rather common.  Mitch is part of the generation of people who believe doctors should be able to fix their problems, whether via medication, surgery or manual therapy.  And really, who can blame him?  You go to a mechanic to get your car fixed, you have the AC technician fix your AC unit, and your doctor should be able to fix your body, right?   Unfortunately, Mitch has degenerative conditions that I cannot cure.  I can simply manage them, and he is definitely not the only one in this position.  From a treatment standpoint, I can absolutely provide Mitch with reduced pain and increased range of motion.  I cannot, however, provide these indefinitely.  His symptoms, if not treated, will slowly creep back into a more noticeable and possibly painful existence.

Compare Mitch to another patient, whom we will call Cecilia, a 55 year old female with Right shoulder pain.  As a fairly active adult with 2 grandchildren, a small business owner, avid gardener and landscaper, Cecilia uses her Right arm quite regularly as you can imagine.  She is a petite, soft-spoken woman with a caring look; one of those people that would absolutely do anything for anyone in need and if she’s reading this, she knows this is about her.  When I first evaluated Cecilia, it was apparent that she had a condition involving her rotator cuff that was of gradual onset, in medical jargon - there was no trauma.  Because of other symptoms in addition to Right shoulder pain, I ordered an MRI that confirmed she had tears and evidence of inflammation in the tendons of the rotator cuff.  After reviewing the specifics of these results and talking with others that experienced similar conditions, Cecilia decided she would like to avoid surgery as much as possible.  

This is where my work began.  I was now charged with the task of developing a logical treatment plan for this patient, with the hopes of returning her to her normal life activities pain-free.  Her garden, her grandchildren, her home and her business all awaited her functional return.  As clinicians, we obviously present some of the statistics on length of resolution, re-occurrence and complications.  So as we started down the path of rehabilitation, it became apparent that resolution of her condition may require longer or more intense treatment than what is considered normal.  The goal, obviously, was “return to competition” (borrowing terms from concussion protocols).

Now the intellectual and emotional aspect of healthcare comes into play.  Consider both patients, Mitch and Cecilia.  These are patients with differing backgrounds, experiences and expectations, not to mention a nearly 20 year span in age.  Not only are my diagnostic and clinical skills necessary, but there is a human-ness to our interactions.  I must be able to provide accurate diagnoses, treatment options and prognoses. Still, I am human.  I must, at the very least, attempt to have empathy and understand a patient’s outlook.

Although I graduated with above average grades in chiropractic school, these objective grades prove nothing when it comes to patient care or the doctor-patient relationship.  In the medical field, we pedestalize clinical knowledge and reasoning…and rightfully so, to a certain extent.  These skills are what allow us to make sound judgments and offer advice to our patients.  One of the most difficult concepts in healthcare is to involve the patient in the decision-making process surrounding their care.  Obviously, there is a necessity for objectiveness in certain situations, hence a doctor providing care instead of your spouse - the emotional bonds can create a predicament.  However, at the same time, empathy can be an extremely valuable asset in healthcare and I believe it is one that is frequently lacking.

There is a reason for this phenomenon in the U.S. and it is likely related to our broken healthcare system.  We are all so far removed from the true nature of healthcare, the foundational aspect of a trained clinician providing care to a person in need rarely exists.  Hence the “play on words” I used for the title of this post…The Patient Doctor.  As a healthcare provider it is difficult to slow down and devote adequate time to each patient. This is due to many apparent, and some not-so-apparent factors.  But it must begin to change.  Clinicians need to change their own outlook to change the outlook of their patients.  In doing so, we can advance the doctor-patient relationship for the better.  
We ought to be more patient and empathetic, patients will notice.  If you are a clinician reading this, try to be more patient.  If you are a patient reading this, try to question your clinician and assist them in becoming more patient.  Healthcare can and will change, let’s ensure it does so positively.

As always, I appreciate your feedback.  Be Blessed!
-Dr. K

 
 
"THERE IS A HUMBLING MIX OF COMPLEXITY AND SIMPLICITY WHEN YOU STAND NEXT TO A DISSECTED CADAVER."

When I tell people I teach anatomy:

"Oh, that's cool.  You get to stay up-to-date on material."

When I tell people I study cadavers:

"Oh...And you're OK working with dead people?"


The above are common responses I receive when talking with patients, friends or family about other aspects of my career.  From an outsider's perspective, I understand that working on cadavers seems strange.  For me, it's thrilling.

The human body is an amazing creation that has bewildered many for years, including myself.  There is a humbling mix of complexity and simplicity when you stand next to a dissected cadaver.  At first, it seems like an objective science experiment involving this specimen's skin, nerves, blood vessels, internal organs, muscles, ligaments, bones and more.

Take a step back (mentally, not physically) and you quickly begin to realize that this cadaver in front of you is the remnant of someone that was a war veteran, a teacher, an accountant, a sister, a child, a spouse, a musician, a fisherman, a motorcyclist or any number of other possibilities.  This cadaver is so much more than a science project. 

This is where RESPECT lives.  

As a student, and even an instructor, of human anatomy you must treat cadavers with RESPECT.  This goes beyond careful dissection techniques and keeping anatomical structures intact, which is a fundamental aspect of studying anatomy.  True RESPECT involves maturity.  Avoiding inappropriate comments, gestures or ill-treatment of the specimen is just as important.   After all...this was a living person not too long ago.  

While I understand the comments I receive from the public regarding my work with cadavers, we must all understand the great reward of studying the human body in a realistic state.  The cadaver lab is much more than the stainless steel lab portrayed in the media, it is a place where academics and students share in the exploration of knowledge.

Many of you have probably heard of or even seen the Bodyworlds Exhibit.  It is an amazing exhibit that puts real human cadavers on display in a variety of poses.  This is possible through a process known as plastination.  I bring this up because it is one of the most popular ways that the general public is exposed to human cadavers...and I could spend days looking at just that exhibit.  Next time you have the chance, go to Bodyworlds.  It will open your mind to the fascinating world of human anatomy and cadavers.

Please know this...you will not offend me if you think I'm weird.  I enjoy working with cadavers.  I understand that many of you have not spent years in a cadaver lab as I have.  I understand there are societal separations of the living and the dead for the general public, and rightfully so.  

Next time you hear of someone working with cadavers...maybe this post will cause you to truly consider what that means.   As always, I value your feedback and look forward to hearing from you.

Be Blessed!
-Dr. K
 

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    Erik Korzen DC is a chiropractic physician and educator.  He is passionate about re-defining the chiropractic profession and is somewhat of an "Anatomy Geek".

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