Evidence Based vs. Scientific Based

As I communicate with health care practitioners all over the world both directly and indirectly, I am continually confronted with the question of science. By that I mean scientific evidence that supports my conclusions or, to add more insult, actually challenging my clinical results. I asked a practitioner recently if he ever challenges the pharmaceutical rep when they drop off samples? He answered, “I don’t need to because they always have documentation in volumes on the product.” I then asked if he ever read this “evidence” and he said “not really but I’m comfortable with whatever it says because of the reputation of the company.”

Read the rest of this post »

Time Oh Time!! How Do I Make It Fit?

Once upon a time a very strong woodcutter asked for a job in a timber merchant, and he got it. The pay was really good and so were the work conditions. For that reason, the woodcutter was determined to do his best. His boss gave him an axe and showed him the area where he was supposed to work. The first day, the woodcutter brought 18 trees. "Congratulations," the boss said. "Go on that way!" Very motivated by the boss’ words, the woodcutter tried harder the next day, but he only could bring 15 trees. The third day he tried even harder, but he only could bring 10 trees. Day after day he was bringing less and less trees. "I must be losing my strength," the woodcutter thought. He went to the boss and apologized, saying that he could not understand what was going on. "When was the last time you sharpened your axe?" the boss asked. "Sharpen? I had no time to sharpen my axe. I have been very busy trying to cut trees..." (Stephen Covey, 7 Habits of Highly Effective People)

Read the rest of this post »

Does Nutrition Really Fit in My Practice?

On the surface this seems like a very simple question, but as I have gotten older and more experienced I am discovering how complex the answer really is. I personally believe that the complexity of the answers lies in the reality of the ever-increasing body of work (research and clinical data) that we are all being exposed to in this age of “information.” You as a practitioner have got to be asking yourself how do I keep up with the science? Who do I trust that’s giving me the straight scoop? How do I explain it to my patients? These are all legitimate concerns and why I see a lot of practitioners throw up their hands and back off completely. Okay I’ve identified the problem, but what is the solution?

Read the rest of this post »