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Roots & Rivers 
Naturopathic Medicine
  • Home
  • Services
    • Service & Price List
    • Food Intolerance Diet
    • CHT
    • Physical Medicine
    • Community Plans
    • Online Courses
  • R&R Naturopathic Clinic
    • About Dr. Gussak
    • Medicinary & Store
    • F.A.Q.
    • What is Naturopathy?
    • Environmental Medicine
    • Apitherapy
    • Reduce Iatrogenicity
    • Intake Paperwork
    • Gallery
    • Linktr.ee Resource Links
  • R&R Public Charity
  • R&R Basecamp
  • Contact Us

Help Our Cause

Your support and contributions will enable us to meet our goals and improve conditions. Your generous donation will fund our mission.

Pay with PayPal or a debit/credit card

iatrogenicity.substack.com

Project: Reduce Iatrogenicity is On Substack!

Please subscribe & support Project Iatrogenicity. 

This is a Medical Think Tank currently run by Dr. Gussak in order to advance and ensure the Future of Medicine. To study and practice, clinically, the foremost principles of medicine, primum non nocere, which is more accurately translated as, “to do good or to do no harm.”

Medical Think Tank currently run by Dr. Gussak in order to advance and ensure the Future of Medicine

Click to go to  https://gussaknd.substack.com/s/reduce-iatrogenicity

The Gussak Center for the Study of Iatrogenicity

Purpose

To investigate causes of and a natural progressions of disease and dis-ease so that medicine can be more appropriately applied in accord with Nature's Laws, the law of physics, chemistry, biology, and the laws of healing.  


What are these natural laws of medicine?  How can we teach these laws to all physicians?  How to apply Logic and Critical Thinking skills to improve public health policy and inform policy? 


Definition: Iatrogenicity

Iatrogenicity: any intentional or unintended, immediate or postponed, yet preventable or avoidable harm to the human body or mind by an either action or inaction (e.g. failure to prevent) of the medical caregiver (i.e., nurse, physician) resulting in discomfort, injury, disability, or death. 

Concepts: Iatrogenicity

Iatrogenicity is harm caused by a physician’s diagnosis and treatment, although it does not imply an improper act by the physician. The harm may occur in any interaction of patients with health professionals, ranging from preventive interventions, lifestyle advice, and diagnostic procedures to major surgery. An adverse iatrogenic outcome may occur despite all appropriate interventions. Even the best medicine can have unintentional effects.  

The study of Iatrogenicity may attempt to unify the science and the art of medical practice.

Let this book serve as the beginning of an effort to remediate the current situation while remembering that if you have medicine, you should not undermine Iatrogenicity; it cannot be avoided but could and should be mitigated and managed. 

The reader is reminded that the goal of medicine is to restore “wholeness” which can include reducing the suffering of iatrogenic consequences and diseases. This takes into account one of the foremost principles of medicine, primum non nocere, which is more accurately translated as, “to do good or to do no harm.” 

This is the first Medical Textbook devoted to the study of iatrogenicity. Published by Rutgers Press, 2017.  


https://www.degruyter.com/document/doi/10.36019/9780813586434-003/html?lang=en


Citation:  Gussak, Maria L., Gussak, Ihor B., Kostis, John B. and Kostis, William J.. "CHAPTER 1. Iatrogenicity: Definition, History, and Modern Context". Iatrogenicity: Causes and Consequences of Iatrogenesis in Cardiovascular Medicine, edited by Ihor B. Gussak, John B. Kostis, Ibrahim Akin, Martin Borggrefe, Giovanni Campanile, Arshad Jahangir, William J Kostis and Gan-Xin Yan, Ithaca, NY: Rutgers University Press, 2017, pp. 5-15. https://doi.org/10.36019/9780813586434-003 



Buy a copy on Amazon

Dedicated to Dr. Ihor Gussak, M.D., Ph.D. F.A.C.C. & Dr. Hiie Gussak, M.D., ABIHM

Gussak Center for the Study of Iatrogenicity

Vision

Improve Systemic Outcomes - Our vision is to encourage and educate the public and clinicians on iatrogenicity (the inherent harms of medical care) to improve patient and clinician experiences and outcomes. 


Think Tank - This pillar of The Gussak ND Family Foundation also serves as a philosophical think tank for  medicine, public health, & BioEthics. 


Physician Burnout & Wellness - The Gussak Center for the study of Iatrogenicity (GCFSID) believes that clinician wellness, physician burnout prevention and recognition are in important consideration to decreasing suffering from      iatrogenicity. Aim is to help physician burnout as main preventive tool against intentional and unintentional medical or psychological harms.


Collection of Case Studies and Anecdotes for Retrospective Research to Identify and Promote Solutions - To collect stories of iatrogenicity from the public to bring better harmony between the clinician and the patient experience.  For example, one place for improvement is teaching patients about what is considered abusive or  difficult while helping doctors understand how to deal and heal from abuse. 


Mission

Advance & revolutionize medicine in theory & practice by holding to the fundamental & unifying principle Primum Non Nocere in its correct translation: to help, or at least to do no harm. 


Hippocrates, Epidemics, Bk. I, Sect. XI, c. 400 B.C.  

Original Greek: ...ωφελεειν η μη βλαπτειν...


Correct Translation: ...to help, or at least to do no harm...



The Best Physician is also a philosopher.


Galen

Some Solutions for consideration

Address over-Medicalization

 Medicalization

  • A concerning phenomenon of “medicalization” is that there are no healthy individuals, rather, there are “undiagnosed patients”.
  • An (often erroneous) social tendency (or process) of considering human conditions, behavior, or problems as being an abnormal condition or disorder requiring medical attention
  • When the primary motive is not to restore health and wholeness, profit-motivated decisions can potentially increase unintended and avoidable consequences

Reduce medical bankruptcy

 Iatrogenic Poverty

  • The cycle described by Meessen et al. is all too familiar: “distress caused by disease, the quest for treatment – often through a succession of ineffective therapies, consumption of savings, indebtedness, sale of productive assets and eventually poverty” 
  • The widening inequality gap further detriments health care.
  • This is evidenced in the fact that the U.S. is the richest country with the largest health care budget in the world yet ranks 35th in life expectancy, on par with low or middle income nations.

Resource: Mytavin

The Mytavin calculator helps inform users of potential nutrient deficiencies. Please not disclaimer.  

mytavin.com

Necessity of Logic & Philosophy Training

The best doctor is also a philosopher and interests them/his/herself in honing logic and critical thinking skills.  

Intensive BioEthics Course - Georgetown University, Kenney Institute
Intro to Logic & Critical Thinking - Duke Unvierstity via Coursera
Intro to Logic (Intermediate) - Stanford University via Coursera

Continuing education

Diseases of the Drugs Series by Christie Fleetwood, ND, RPh, VNMI

Diseases of the Drugs: Cardiovascular + Diabetes 

Webinar, 2 hours Pharm CE, AANP and OBNM. $45 


Diseases of the Drugs: Respiratory 

Webinar, 2 hours Pharm CE, AANP and OBNM. $45 


Diseases of the Drugs: GI, GU, Immune Part 1  

Webinar, 2 hours Pharm CE, AANP and OBNM. $45. 


Diseases of the Drugs: Nervous Part 1, Immune Part 2 

Webinar, 2 hours Pharm CE, AANP and OBNM. $45 


Ethics of Prescribing Mental Health Drugs and Biologics 

2 hours Ethics CE, AANP and OBNM. $45 


De-Prescribing Pharmacy Series  

$275.00

10 hours Pharmacy CE – approved by OBNM and AANP


Diseases of the Drugs: Childhood Vaccines 

10 hours Rx CE in 4 part series

Presented by Dr. Christie Fleetwood

Approved through NANCEAC in the U.S. and Canada

Cost: $275

Find out more

Roots & Rivers Naturopathic Medical Center

Dr. Maria Luisa Gussak - Naturopathic Physician & Medical Director

 5 S. Wenatchee Ave Suite #301 Wenatchee, WA 98801

P:(509)537-3660   F:(833)390-1316

Office@RootsAndRivers.Health


Naturopathic Doctor, licensed and insured

Washington state. Holistic & Natural Medicine Consultant


Copyright © 2020-2024 - All Rights Reserved.

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