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If you're one of the thousands of parents who feel frustrated and overwhelmed by the different kinds of medical advice you're getting from doctors, homeopaths, and others, then you will find comfort — and answers — in this comprehensive guide to integrative medicine for children. Fully updated and revised to reflect the numerous recent advances in this field, Dr. Kemper's The Holistic Pediatrician incorporates the best of both mainstream and alternative medicine to aid parents in dealing with the most common ...
If you're one of the thousands of parents who feel frustrated and overwhelmed by the different kinds of medical advice you're getting from doctors, homeopaths, and others, then you will find comfort — and answers — in this comprehensive guide to integrative medicine for children. Fully updated and revised to reflect the numerous recent advances in this field, Dr. Kemper's The Holistic Pediatrician incorporates the best of both mainstream and alternative medicine to aid parents in dealing with the most common childhood health problems. From ear infections to allergies, fevers to diaper rash, colds to bedwetting, this invaluable guide provides factual advice that aims to heal the whole child, rather than espousing one medical philosophy or another.
Based on scientific evidence and written in commonsense language rather than medical jargon, The Holistic Pediatrician is the first place any parent should turn for authoritative and empowering advice on all aspects of their children's health.
|Foreword to the Second Edition||xi|
|Acknowledgments and Thanks||xiii|
|1.||The Therapeutic Mountain||1|
|2.||"Trust Me, I'm a Doctor"||18|
|21.||Hyperactivity (Attention Deficit Hyperactivity Disorder)||275|
|23.||Ringworm and Other Fungal Infections||305|
|26.||Vomiting and Nausea||348|
"I've taken my child to so many doctors, I've lost count," Helen began. "The pediatrician put him on antibiotics to prevent any more ear infections, but the medicines gave him diarrhea and a yeast infection. The chiropractor said that adjusting his neck would help, but I didn't think it helped much and I didn't like all the X rays. The naturopath recommended some herbs and vitamins, but my insurance wouldn't pay for them. None of these doctors thought the other ones did any good; they all seemed more interested promoting their own particular therapy than in working with each other to help my child. I'm frustrated and confused. How can the best, the safest, and most effective of all available treatments be combined for my child?"
Helen's story epitomizes many families' complaints about the health care system. In the 1990s, my colleague at Harvard, Dr. David Eisenberg, published two landmark scientific surveys in the New England Journal of Medicine and the Journal of the American Medical Association; his research showed that the percentage of Americans using complementary and alternative medical (CAM) therapies increased from about 30% to over 40% in less than ten years. Dr. John Astin followed this work with extensive interviews to find out why CAM was so popular in an era in which mainstream medicine and public health had achieved unprecedented success; he found that many people felt thatCAM therapies and therapists relied on values and worldviews that were more consistent with their personal beliefs than the very objective, technology-rich world of modern medicine.
Different kinds of practitioners have different theories, rely on different treatments, and often compete rather than cooperate with one another. It doesn't have to be this way. Rather than being polarized and competitive, healing can be family-centered, integrated, cooperative, and holistic. In her bestselling books, Kitchen Table Wisdom and My Grandfather's Blessings, pediatrician Dr. Rachel Remen has shared story after beautiful story about the heart of healing.
The bedrock underlying all true healing is the clear intention to express and embody compassion. Whether the health care provider is a physician, nurse, acupuncturist, herbalist, or parent, concern for the patient's well-being is the first prerequisite for healing. Healers also need to be deeply mindful of the most peaceful, harmonious aspects of themselves and bring that awareness to the fore when working with infants, children, adolescents, and their families. I believe that the best healers are incredibly mindful, and I encourage my students, residents, and colleagues to commit to a daily meditation practice (such as the ones described by Jon Kabat-Zinn in Full Catastrophe Living and by Saki Santorelli in Heal Thy Self) to strengthen this nonjudgmental awareness in themselves.
Ideally, both professionals and parents lay aside their personal concerns when faced with an ill child. The focus should be on the child's and family's goals for wellness and healing.
Goals of Healing
My patients and colleagues have taught me that many different goals can be valid and held simultaneously. Most doctors immediately think of the goal of curing disease; this is appropriate and achievable when the problem is pneumococcal pneumonia, but it is not feasible for all patients with all conditions. Mainstream medicine is also pretty good at another goal, managing or mitigating symptoms; we can use eyeglasses to manage near-sightedness, insulin to manage diabetes, and ibuprofen or massage to relieve pain. Pediatricians promote immunizations as a cost-effective way to prevent serious infectious diseases such as whooping cough, tetanus, and rubella; in fact, modern public health has effectively eradicated the scourge of smallpox and is on its way toward eliminating polio, too. Most primary care physicians are also interested in broader issues of health promotion, such as avoiding tobacco smoke, encouraging exercise, and counseling about healthy diets and sleep; many alternative and complementary therapies such as massage, homeopathy, and naturopathy are also geared toward health promotion. The elimination of toxins is an old idea in medicine; however, aside from environmental medicine, it doesn't hold much appeal for doctors. On the other hand, psychologists and many complementary therapists are keenly interested in ridding stress, pesticides, genetically modified foods, hormones, antibiotics, and chemicals from our environments and bodies. Ideas of harmony and being present or connected with each other are well described in Native American and Asian medical systems, and are incorporated to at least some extent in Western mainstream medicine in terms of the importance of the "doctor-patient relationship." Goals such as serenity and inner peace are often thought of as spiritual goals, but certainly for those at the end of life, these become the primary objectives of care. Obviously, a person and a family can hold several goals simultaneously, and it is important to clarify which goals are being sought with particular therapies or therapists.
In addition to the traditional models of Eastern and Western medicine, there are many other healing traditions. Massage, herbal medicine, ritual, and prayer have been used around the world since ancient times. Chiropractic and osteopathy are nineteenth-century American inventions. The use of vitamins and nutritional supplements to prevent and cure illness is largely a twentieth-century phenomenon. Nowadays, dietary supplements are the fastest growing market in health care.
I have spent many years thinking about the different kinds of healing techniques, trying to find ways to bridge the gulf that exists between different kinds of health practitioners. I wanted to put the patient back in the center of the picture, and to create a paradigm or model in which all therapies could be seen as related and complementary to one another, on common ground in their pursuit of the highest and best for their patients. The image that emerged has gone through many iterations -- a wheel, a cross, a four-leaf clover, and finally the Therapeutic Mountain. Over the many years I have now used this model, it has held up well and been adopted by thousands of healers and researchers across the United States and around the world.The Holistic Pediatrician (Second Edition)
Posted August 23, 2013