OMM Week 1 Lecture Flashcards
History, Philosophy, Intro into Motion (72 cards)
Sad fact about AT Still
He lost three of his children (11,9,7) to meningitis and his 13 month old to pneumonia.
Who is AT Still?
MD, DO (1828-1917), an American MD physician who started osteopathy. He earned his MD degree mostly through apprenticeship from his father.
AT Still served in which war?
Civil war
How did AT Still see the devastating effects of medicine at the time?
On soldiers from the war and how the modern medicine at that time failed to cure his children from disease.
Effective vs. ineffective treatments in the 1870s
Effective: anesthetics like chloroform and pain medicine like morphine. Also included some ineffective treatments like purging, bloodletting and skin blistering.
AT Still wanted a better way to diagnose and treat patients, and came up with osteopathy using?
Human anatomy as a guide
AT Still rope swing story
In Still’s autobiography, he describes a story when he was around 10 years old where he made a rope swing between 2 trees, but since he had a headache that day decided to lower the ropes and rest his head on the seat. He fell asleep and woke up to find his headache was gone. He continued to make a rope swing and lay his head on it when he got a headache. The rope swing story illustrates how Still was keenly aware even at a young age that structure and function are related.
1874
Flung to the breeze the Banner of Osteopathy
1892
American School of Osteopathy
1901
AOA begins
1910
Flexner Report
1930
All DO schools have standardized pharmacology courses
1961
California Medical and Osteopathic Associations
1969
Educational Council Osteopathic Principles (ECOP)
1973
All 50 states accept DO degree to practice medicine.
1996
AZCOM
2005
Louisiana last state to accept COMLEX for licensing
2020
AOA and ACGME unified residency match
During WW2, D.O.s were not
commissioned to serve as doctors in the military, and therefore had to stay home. D.O.’s gained some popularity during this time because the M.D.s were gone serving in the war!
“Osteopathy” meaning
Osteo-bone
Pathos-suffer
Using bone to diagnose pathology
Health using the osteopathic philosophy
-Natural state of harmony, all processes are working and balanced, and free of disease.
-“Homeostasis” of all bodily functions
-Human body is a perfect machine created for health and activity
-Healthy state exists as long as there is normal flow of body fluids and nerve activity.
Disease using the osteopathic philosophy
-Effect from underlying multifactorial causes
-Anatomical disturbances (congenital heart defect), lack of nutritious food, lack of sanitation, lack of exercise, exposure to toxins (environmental or substances like alcohol), SES factors can all contribute to disease state
-Illness caused by mechanical impediments to normal flow of body fluids and nerve activity
-Environmental, social, mental and behavioral factors contribute to the etiology of disease and illness
Patient care osteopathic philosphy
-Human body provides all chemicals necessary for the needs of its tissues and organs
-Removal of mechanical impediments allows for optimal body fluid flow, nerve function and restoration of health
-Environmental, cultural, social , mental and behavioral factors need to be address as a part of any management plan
-Any management plan should meet the needs of the patient
Health
Adaptive and optimal attainment of physical, mental, emotional, and spiritual well-being. It is based on our natural capacity to meet, with adequate reserves, the usual stresses of daily life and the occasional severe stresses imposed by extremes of our environment and activity.
It includes our ability to resist and combat noxious influences in our environment and to compensate for their effects. One’s health at any given time depends on many factors including his or her polygenetic inheritance, environmental influences, and adaptive response to stressors.
