Many "normal" medical offices mistakenly display the Caduceus (two serpents on a pole, often with wings on the bottom) instead of the Aesculapius (the single serpent on a pole). There is an appropriate irony in this mistake; the Aesculapius is the symbol of medicine and healing, but the Caduceus is the symbol of Mercury - the god of thieves and of commerce. ncbi.nlm.nih.gov/pmc/art…
The Center for Occupational and Environmental Medicine is a bright light in this medical mess. Look up "functional medicine" if you want to understand their approach better. A word of caution though; if you are looking for a quick fix, you probably won't benefit as much from COEM. Their approach works best with patients who are engaged in the process and are reasonable in their expectations.
After over 20 years of monitoring high TSH and asking my doctors to find what was causing my thyroid to be sluggish, I had reached a point where I either had to start taking an artificial hormone replacement for the rest of my life or find another way to get to the root cause of the problem. While researching on the Internet I came across the COEM site.
At first I was skeptical, especially about full payment in advance. However, as I looked at what services this purchased, it looked much more reasonable. You are getting hours of time with a wonderful doctor and day with staff all devoted to helping you achieve your health goals. Their prices for any supplements or allergy treatments are very competitive. These are obviously provided as a service, not as a means to extract profit.
After arriving, the clinical historian assigned to me brought me to her office. She turned all the forms and medical history I had sent in advance into a comprehensive, orderly medical history/chronology while digging some more into specific areas of focus. Incidentally, the short wait I had in the lobby would also be the last time I would spend waiting for someone else while at COEM. They are efficient and attentive.
The medical history took a little over an hour, then we went to the doctor assigned to my case. The historian recounted my medical history, highlighting areas that might be significant to thyroid issues, and the doctor would interject questions and sometimes provide feedback or thoughts during the historical review. They also asked me for my health goals.
After lunch, I had another hour-long interview with the doctor. These interviews were more like working with a detective who was actively gathering evidence, forming hypotheses to test or reject, and was intent on finding the real culprit. Most of my experiences with doctors are more along the lines of, "what are your symptoms", followed within seconds by, "The butler did it, of course. Here's your prescription."
The rest of Thursday afternoon, I did allergen testing. This process takes some patience as each test is measured after ten minutes. I recommend bringing something to listen to (with earphones) or avail yourself as I did by reading some of the excellent books and articles they have on hand for patients to read.
Friday morning I returned to COEM to continue allergy testing. This finished up around lunch time, at which point I met briefly with the historian one last time. I was provided with their standard kit, my interview CD, and the supplements I bought.
The supplements began having very noticeable/measurable positive effects within days of starting. I also got some prescribed blood tests that had never in 20 years been recommended by a general practitioner. Those tests confirmed the doctor's suspicions and helped refine his approach to correcting not just the thyroid problem, but its root causes.
It will take time to evaluate tests, better gauge initial responses, and see if other avenues may need to be explored. But for the first time, I feel like I have a team of people who work in the medical field because they truly want to make a difference. With the follow-up appointments included in the initial fee, there will be ample opportunities to fine-tune the path I'm on or explore alternatives as needed.
COEM isn't cheap, but it is a great value. I hope more people in the medical field are inspired by practices like this in order to buck the trends, stop doing what is merely expedient or most profitable, and become true healers - not just of patients, but of our ailing medical system too.
When medicine predominantly reflects the values behind the symbol of the Aesculapius instead of the values behind the symbol of the Caduceus, we will be moving in a much better direction. From what I experienced and observed, everyone I interacted with or observed at COEM seem to project both enthusiasm and diligence as part of a superb medical team. Well done!