doctor can relate a surprising finding when examining a patient that led to a new diagnosis. Personally, one that stands out in my career, was an elderly lady who had been to urgent care, her primary physician, and an emergency room for constipation. She had been given handouts and instructions on how to get her bowels moving on each occasion. When she came to me, I in- sisted on a full examination including a pelvic exam! The result was a finding of a grapefruit size ovarian tumor blocking the colon and causing constipation. No one else had examined her! Thankfully, it was a benign tumor and her constipation was re- ceived with surgery. This is only one of many examples I could site in 40 plus years of Internal Medicine practice.
I would argue that physical contact with a patient enhances the relationship. It builds trust and when therapeutic instructions are given, the patient is more likely to follow them. Sometimes an exam reveals a less severe condition than either thought over the phone. For instance, a cough or sore throat that may have been overrated on the phone can be more clearly defined in person. A normal exam and normal oxygen saturation can reassure the patient and perhaps avoid unnecessary antibiotics. A rash is often less ominous in person than on text message.
The physical examination could be considered a ritual that brings satisfaction to the patient and the physician through human in- teraction. The act of listening actively to the patient and then listening to their breath and heart beat is calming and relaxing to the patient. I think it also brings calmness and confidence to the doctor. The doctor-patient relationship can be a powerful tool in medicine, particularly when facing life threatening situations. That relationship, in my view, can only be strengthened by re- peated emotional and physical contact.
In today’s world where the patient has access to so much medi- cal information online, I think the physical contact and confi- dence in your physician to help you sort through the potential diagnoses, already formulated via the internet, is essential.
While I can see the benefit of keeping patients safe-at-a-distance during the throes of a pandemic, I believe in physical diagnosis and building a physician-patient relationship with accurate and appropriate testing. I know this has been my time-tested approach and while it will no doubt change with the use of telemedicine, I will continue to believe that the physical examination has value. With the use of the computerized medical record and group practice where you may see multiple practitioners and extenders, the need for this type of physical examination, rather than relying on what someone else "thought" is important to avoid a misdiagnosis.
I am also quite aware that this human physical contact is needed for my own well being!
John Benedum MD, Board Certified Internal Medicine. Cur- rently Medical Director, Personal Health Management and Executive Health Services at Atrium Healthcare in Charlotte, NC. 704.512.3800
Has Your Local Integrative Doctor Stopped Working with Bio-Identical HRT?
Struggling with Menopause? Overcome it with BHRT.
Local, experienced and taking new patients.
atural hormone replacement therapy corrects the loss of our hormones that comes through aging and menopause. The term "natural hormone" means the bioidentical hormone our bodies make, and not synthetic ones made by the pharma- ceutical industry, which can be harmful as well as helpful. With replacement, patients report an increase in their psy- chological well being. PMS symptoms can be resolved, not uncommonly, in weeks. The medical benefits are a decrease in cardiac and vascular disease, strokes, diabetes, Alzheimer's, and even cancers. Because our goal is to return hormone levels to an optimal range, we test the following for any deficiencies: Thyroid hormone, which regulates temperature, metabo-
lism, cerebral function, and energy levels. It can protect against cardiovascular disease, Alzheimer's disease, memory loss, fatigue and weight gain. DHEA, which stimulates the immune system, can restore
sexual vitality, improves moods, and decreases cholesterol and body fat. It improves memory, increases energy, and has anti- cancer properties by enhancing the immune system. Melatonin, which influences the quality and quantity of sleep, is also an energizer, a mood enhancer, and an antioxidant. It has also been shown to decrease the incidence of nocturia (getting up at night to urinate). Estrogen, has been proven to reduce the effects of heart
disease, stroke, high cholesterol, Alzheimer's disease, memory loss, menopausal symptoms, osteoporosis, skin thinning, the incidence of depression, and reverse the lack of libido. Progesterone, which acts as an antidepressant, mild tranquil-
izer, and natural painkiller. Bioidentical progesterone can elimi- nate symptoms of menopause, PMS emotional instability, headaches, and mood swings. Testosterone, which drops significantly in men over age 50.
This lowered level accounts for a loss of a man's sense of well- being, decrease in sex drive, loss of general muscle mass, in- creased abdominal obesity, osteoporosis, decrease in mental acuity, and decreased strength and endurance. And, yes, tes- tosterone levels should be tested in women, as well. Testoster- one therapy can reverse the gradual sexual apathy that occurs over time, while also increasing energy, and strength.
Do you want to feel better? Call the number below for a consult. The $200 charge is applied to the treatment fee if you elect to go forward. The conversation you and I have may be the best investment you ever made in your health and well being!
Virgil V. Willard II, MD & Bandit
PIEDMONT AGE MANAGEMENT PIEDMONT PLASTIC SURGERY
1011 N. Lindsay St., Ste. 202, High Point 27262 336-886-1667
m OCTOBER 2020
| Page 2
| Page 3
| Page 4
| Page 5
| Page 6
| Page 7
| Page 8
| Page 9
| Page 10
| Page 11
| Page 12
| Page 13
| Page 14
| Page 15
| Page 16
| Page 17
| Page 18
| Page 19
| Page 20
| Page 21
| Page 22
| Page 23
| Page 24
| Page 25
| Page 26
| Page 27
| Page 28
| Page 29
| Page 30
| Page 31
| Page 32