The Diagnostic Process

I begin by meeting in consultation with the patient. The purpose here is to form a kind of historical blueprint of the patient’s health history, beginning as early in life as possible and extending to the present. One way to think of it is as a catalogue of exposures. What has the patient been exposed to, and when and for how long? What has he or she ingested? Have illnesses been experienced, and how were they treated? What medications have been taken? What diets, if any, have come and gone? What are or have been enduring dietary habits?

Of course, exposure isn’t just about what is consumed. I also inquire about what chemicals and preparations they are putting on their skin and in their hair—cosmetics, sun blocks, topical ointments, etc…how they clean their homes and what products they use…important data because we, as modern people, are surrounded by chemicals. Whether because they combine in undesirable ways, or owing to individual sensitivities (or both), these chemicals can produce negative effects on our health.

The pacing of the delivery of information and recommendations to patients is important. To be told that you are harming yourself through the consumption of favorite foods is one thing…but to then also learn that how you’re shampooing the carpets is having a similar, negative impact can be overwhelming. This ‘external environment’ phase often comes later in the treatment process.

This sounds a lot like detective work, and it is. The process often has the flavor of cracking a code. I’m identifying causes and effects; establishing connections and influences that, in most cases, the patient is unaware of or has never identified as being important. Seemingly inconsequential events or behaviors can, and often do, have profound effects. My job is to identify them, examine them as they relate to the patient’s complaint, and then formulate a plan for their treatment.

Learn more about Body Ecology and Digestive Health at Dr. Brown's Free Seminar, Thursday, October 13th at 7pm at Fitness Incentive, 157 Deer Park Ave., Babylon Village. 

All are welcome!