Patient Exam – Functional Medicine Back to Basics

Power Health Talk with Dr. Martin Rutherford

https://youtu.be/0HBFoQSnJvE In this episode of Functional Medicine Back to Basics Dr. Rutherford discusses the importance of doing a proper exam on the patient. Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors. If you are interested in scheduling a consultation with Dr. Rutherford please visit http://PowerHealthConsult.com Hi I'm Dr. Martin Rutherford certified functional medicine practitioner author of power, health back to basics. You'll, see I'm, a back-to-basics guy and and clinic director here at power. Health wellness & amp Rehab in Reno Nevada, and we've, been we've started a series on functional medicine. I believe this is the fourth in the series we did an introduction. We talked about what's. Functional medicine was this was the answer. The questions of? Why can't? You've got 600 hours online. Talking about all these different diseases, but what but you don't tell us how to get better, and I'm explaining why we can't do that by doing a series of of presentations on functional medicine and functional Medicine and and and how it was how it's, been classically taught how it's taught in the classic functional medicine, universities, functional medicine Institute - and I'm doing this, because the vast majority people who are doing functional Medicine, it may not be following this to the enth degree. A lot of people come in here want to know why we have to do such a therapist like thorough history and thorough exam. So the last one was on history, the one before that was on obstacles to cure things that you can know about a patient before they ever even open their mouth or before they ever even get into an exam, or should they even be examined, obstacles secure. That's, an interesting one. We talked about that. This is going to be about examination. I have I've had an interesting week on that. I know if it's, just because I'm focused on this, but I've. Had several patients in here. One yesterday was a nurse from Southern California and she came in and - and she is a nurse and she was great at Shh and and at the end she said you know. I know that we learned how to do examinations in school, and I know her doctors. There, but nobody does so anymore, and she said I'm gonna - have to rearrange my practice and start doing exams again because it brought back to her how much data you can get out of an exam and understand. I went to school before when I was going to school to learn how to be a chiropractor and/or doctor. You know it's, it's and you may not know, but like the very first half or whatever of medical school chiropractic is almost identical. You're learning how to diagnose, and you're learning. How to do histories and exams, and when we went back when I was going, there was no such things as MRIs. There was no such thing as cat scans. There was no such thing as nerve conduction velocities, and we understood we understood that even the blood testing was ballpark and even today the blood testing is ballpark and that's, something we may or may not get into in too extensively either now or Maybe in the future, so so we do an extensive history and extensive exam back. Then we had to make a diagnosis and we had to do it by doing and it used to take at least an hour an hour, long history exam. And then we were expected to come up with a what. We call the differential diagnosis, which, which was the three most likely options. That is wrong with that person and then, ultimately, that was supposed to guide your testing. It wasn't about okay. We have a chest in the pain, a pain in the chest chest in the thing we have a pain in the chest and so let's, and so let's. Do let's. Do an EKG! Let's. Do an echocardiogram, let's. Do an MRI, let's. Do a cat scan, let's. Do it, and oh my all that's like all that's, normal? No,