[kerneltime]

I recently came across a term "Functional Medicine" https://www.ifm.org which looks at the body as a whole and tries to root cause metabolic issues which can often result in IBS cures.. most older medicinal practices always considered the body as a unified system which make sense in terms of how it is engineered but modern medicine tries to break things down and often misses the cross specialization impacts. Best of luck!

[Schroedingersat]

How is this far enough from the default to even have a word, let alone separate training?

[beaconstudios]

If each part of the body has its own specialised discipline, then holistic (as in "of the whole" not "based on rubbish") medicine is the exception not the norm. Example: surgery to fix sports or occupational injuries will not correct the movement patterns or muscle imbalances that caused it, and thus it is likely to recur.

[Schroedingersat]

I don't get it. Like how are you a knee doctor if you're not aware of what knees do or how they should work in the overall system.

On a system as incredibly simple as, say, an old carbureted motorcycle you don't just look at the spark plugs if there is poor ignition. You look at the carb, air filter, rings, valves, top dead center sensor, timing chains, the cdi/tdi, the coils, and the battery (although probably not in that order).

If the problem is the battery no sensible home mechanic (and no ethical professional mechanic) stops there, you check the voltage regulator and the stator or you're going to find yourself replacing a lot of $100 batteries for want of a $30 IC or a piece of $2 copper wire with a break in the insulation.

The exact same process applies in debugging or designing a physics experiment or making a pcb or repairing a house or therapy, or...just life. Like, you're never going to keep your room clean if your wardrobe is too small to hold all your clothes....

I can't even begin to comprehend a mindset which claims to be part of STEM (or even as professional as a tradesman) in which this concept is foreign or novel.

[beaconstudios]

A knee doctor will be aware of what knees do and how they support your musculoskeletal system. The problem is institutional: if you go in with a knee injury, you'll be triaged and sent to the knee clinic for scans and assessment for a break, sprain, etc. If that problem is found, it will be treated. But it may be that your knee pain was actually caused by bad posture (it's pretty shocking the number and variety of injuries you can sustain from bad posture) and neither triage nor the knee clinic are assessing your posture. They probably could send you to somebody to do so, but the institutional will is not there because that's not how the medical system is designed.

A whole systems health model would involve essentially a debugging process for injuries and maladies in order to find root causes and treat them. It would require a totally different (transdisciplinary) approach to health though, and institutions don't really change.

[Schroedingersat]

There really are no adults in charge of anything anywhere, are there?

[beaconstudios]

as the saying goes, the lunatics are running the asylum.

In reality it's all systemic pressures everywhere and nobody, not even institutional administrators, likely have much in the way of free choice over anything that matters.

[kerneltime]

Yeah don't talk to a DB admin about SQL compiler issues.. :-P

[Schroedingersat]

Yeah, but any competent DB admin will at least read the logs, do a few A/B tests, blocking out different parts or using queries which should be equivalent and then say 'something is hinky with the way this query is compiling, query z seems to give a different answer if query y is written like foo even though I see no link. Probably a subtle bug in your code I haven't spotted. Maybe ask someone who knows more about the compilation step?'

Even if they 'solve' it by rewriting query y, they'll not claim that query y was the problem, and may even leave a comment or commit log saying they didn't understand why writing it like har fixed it.

[kerneltime]

Note the word competent.. Also, insurance companies will often have opinions on what tests were valid and might reject paying for tests. So if a DB admin spins up a cluster to debug his hunch of a SQL Compiler issue, that bill will be paid by the customer and not the insurance and might bankrupt the customer.. I had an apt with a cardiologist where he literally read a standard template of care and when I tried to see if he is interested diving deeper into inflammation causes, tests and ways to avoid the standard medications which only deal with symptoms he was least interested as it all dealt with metabolic issues and not the heart per se.. the system is run to see how can a patient be billed and who owns the organ. Insurance companies have swim lanes and medical practitioners are educated and trained to remain in those swim lanes.. as long as things are kept simple for prescribed cures and billing, the gravy train continues.. it not in their best interest to solve the problem. Have you ever been to a annual physical where god forbid you discuss issues that are not part of the normal annual health checkup? You will actually be asked to schedule a separate appointment as the billing for that is separate.. A lot of "functional medicine" happens outside of insurance payment coverage. Some more interesting things to follow: https://cholesterolcode.com/ https://cynthialimd.com/faqs/