Premium
A personalized systems medicine approach to refractory rumination
Author(s) -
Kanodia Anup K.,
Kim Inah,
Sturmberg Joachim P.
Publication year - 2011
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/j.1365-2753.2011.01669.x
Subject(s) - rumination , multidisciplinary approach , dilemma , medicine , integrative medicine , alternative medicine , outpatient clinic , personalized medicine , family medicine , psychiatry , cognition , bioinformatics , pathology , social science , philosophy , epistemology , sociology , biology
Rationale, aims and objectives As with many functional disorders, rumination syndrome poses a great dilemma when approached via standard of care. This case report illustrates how rumination syndrome may be effectively approached using the systems medicine. Method The patient's treatment involved two distinctively different treatment cycles. Initially she was treated in an academic tertiary inpatient and outpatient multidisciplinary program with a primary symptom‐based focus with little improvement. She subsequently sought care at a systems‐based integrative medicine clinic within an academic family medicine centre, which identified the inciting events, diagnosed the current pathology and developed a stepwise treatment plan. Results The patient is now rumination free. Conclusion Chronic or refractory diseases, especially when regarded as ‘functional’ may be approached by a systems medicine methodology, which allows physicians to fine‐tune the vast amount of specific pieces of knowledge to achieve an integrated approach to managing the whole person.