One in every two primary care patients suffers from symptoms that cannot be explained by medical tests.
Everyone hurts. There is a worldwide epidemic of interrelated symptoms, pain, and symptom syndromes that are associated with stress, depression, and anxiety.
Medically unexplained symptoms (MUS), pain, and discomfort and their related symptom syndromes (collections of medically unexplained symptoms, called functional somatic syndromes, central sensitivity syndromes (functional referring to how the body works and central referring to mind/brain), and/or chronic multisymptom illnesses), such as irritable bowel syndrome, fibromyalgia, and chronic fatigue syndrome are a common worldwide problem affecting hundreds of millions of people. Furthermore, they are a source of frustration and dissatisfaction for both patients and health professionals, because they are without agreed upon biomarkers (diagnostic tests) or pathophysiology (cause). They are currently defined and diagnosed based upon symptom criteria. The diagnostic process frequently involves the exclusion of organic disease, which is both costly and inclusive of potential risks.
EMERGING SCIENTIFIC CONCEPT
These medically unexplained symptoms and complex symptom-based syndromes commonly overlap with one another and are frequently associated with symptoms of depression, anxiety, somatization, and stress sensitivity. Furthermore, the concept is emerging in the medical literature that these symptoms and complex symptom-based syndromes share certain pathophysiologic features (such as central nervous system pain amplification) as well as common genetic (“nature”) and environmental (“nurture”) vulnerability factors. Finally, syndrome-specific genetic and environmental factors contribute to the individual syndrome manifestations.bust size
COMPLEXITY SCIENCE AND HOLISM
We hold that an appreciation of complexity theory (systems theory) is required in order to understand medically unexplained symptoms and symptom syndromes. Furthermore, the best way to understand complex systems is with a holistic approach: viewing the system dynamics in its entirety and considering its interactions with genetics and the environment. Complexity science provides a scientific foundation for holism.The biopsychosocial model of health is the prevailing complexity based medical model for holism and health.
FRUSTRATION AND DISSATISFACTION
Most health care professionals and patients do not understand and apply complexity/systems theory and their derived models relative to medically unexplained symptoms, symptom syndromes, and related comorbidities and associations, including depression, anxiety, stress sensitivity, and metabolic syndrome. Consequently, both are frustrated and dissatisfied.
TOO MUCH INFORMATION. NOT ENOUGH KNOWLEDGE
In a Newsweek article entitled, "Healthy at Any Age" (June 28 & July 5, 2010), Mary Carmichael writes,
"In the era of Google, medical advice is more confusing than ever."
People suffering with these medically unxplained symptoms and symptom syndromes seek health information from books, magazines, newspapers, and the Internet. But there is so much information available these days that it can be very difficult to know where to turn, whom to trust, and what to believe. For example, anyone can use PubMed to access over 19 million scientific papers. "Trusted" websites can be overwhelming and too generic. Too many websites are bogus.
Furthermore, information isn''t knowledge. The poet, T. S. Eliot writes in The Rock,
"Where is wisdom we have lost in knowledge?
Where is the knowledge we have lost in information?"
What We Offer on The Still Hurting? FIND HEALTH!
Website and New Book
Our content reflects these emerging scientific concepts and health care realities in clarity, language, presentation, and format in order to inspire people suffering with medically unexplained symptoms, associated symptom syndromes, and commonly coexisting depression and/or anxiety to reframe their understanding in order that they can assume responsibility for their health. Most people suffering from these very real symptoms do not realize that s/he has the power to discover what''s behind the symptoms in order to find health. Our book provides a means for this self-discovery. It contains a new model of health, which is unique because it does not narrowly focus upon a single branch of knowledge to decipher why we are still hurting. Instead, it comprehends that it is the integration of the wisdom of ancient healing traditions, modern science, medicine, psychology, spirituality, and faith, which provides the basis for understanding why people are symptomatic and how they can find health. In essence, we believe that:
Disease is dysfunction, and symptoms are the expression.
Everyone hurts. Life is hard, too fast, complicated, and very stressful; we weren’t designed to live this way. The real dis-ease that results is dysfunction and the relational imbalance of our complex mind/brains, bodies, and souls, expressed as symptoms and symptom syndromes in epidemic proportion. However, by looking behind the symptoms and confronting what we find, we can regain our balance and find health.
THE BOOK HAS FOUR PARTS:
PART 1: The Epidemic of Symptoms describes the symptoms epidemic of which we are all a part. It then lays out the problems we face as patients and caregivers in dealing with it.
PART 2: The Balanced Selfexplains how we are set up for balance and health. It describes how we are intended to function internally and in relationship to our external environment (nurture) and heredity/genetics (nature).
PART 3: The Imbalanced Selfdescribes the how and why of our becoming imbalanced, dysfunctional, and symptomatic.
PART 4 Regain Balance. FIND HEALTH shows how we can regain our balance and function to FIND HEALTH.
Ten illustrations introduced early depict the key concepts. The book is designed to be read from start to finish, and the first three parts have the following structure:
10 ILLUSTRATIONS introduced early depict the key concepts;
CHAPTER TITLElays out the essential lesson of the chapter;
QUESTIONS focus upon the content of the chapter;
QUOTES reinforce the message;
ABOUT THE QUOTESamplifies and enhances the chapter lesson;
CASE PRESENTATIONSreflect our personal, professional, and educational experience;
HEADINGSdivide the chapter discussion into carefully crafted sections that build upon one another; and
LINK relates the chapter with the next chapter or part.
The format of PART 4 is a departure from the first three parts and includes HEADINGS only.
The Bibliography lists the sources in sequence as they are cited in each chapter.
Martinez-Lavin M, Vargas A. Complex adaptive systems allostasis in fibromyalgia. Rheum Dis Clin North Am. 2009 May;35(2):285-98.
Martinez-Lavin M. Fibromyalgia conundrum: is scientific holism the answer? The Rheumatologist. 2008;(2):26-27.
Mayer EA, Bushnell MC. Functional pain disorders: time for a paradigm shift? In: Mayer EA, Bushnell MC, eds. Functional pain syndromes: presentation and pathophysiology. Seattle, WA: IASP Press, 2009:531-565.
Saito YA, Mitra N, Mayer EA. Genetic approaches to functional gastrointestinal disorders. Gastroenterology. 2010 Apr;138(4):1276-85. Epub 2010 Feb 19.
Patients, doctors, and care-giving professionals need an understandable, comprehensive, integrated, and holistic model of disease that ancient healers understood:
The whole is greater than the sum of its parts.
Still Hurting? FIND HEALTH!
— William B. Salt II, M.D.
— Thomas L. Hudson, M.Div., J.D.
Click here to learn more about us.
Helping people who hurt
with symptoms and pain
(that doctors can''t explain)
This page last updated: 12/06/2016 10:02:39