[trbell]

this might be a good article to get and read and show your doctor?tom

 

[trbell]

sorry about that. this is the abstract: Dis Mon 2002 Feb;48(2):105-43 Related Articles, Books, LinkOut Irritable bowel syndrome.Birrer RB.St. Joseph's Regional Medical Center Locust Valley, New York.Irritable bowel syndrome is a biopsychosocial disorder characterized by dysregulation of intestinal motor, sensory, and central nervous system functions. It is associated with significant disability and health-care costs. The traditional diagnostic approach leads to excessive investigation for many patients. A reductionist approach of focusing on evaluation and treatment of a single mechanism is unlikely to prove effective. Identification of the characteristic symptom pattern is the key to cost-effective management. A strong patient-physician relationship is essential for a successful outcome. Optimal outcome is predicated on an individualized treatment plan that integrates pharmacologic and behavioral modalities.there are many good things on the doctor patient relationship out in the journals.tom

 

[trbell]

sorry about that. this is the abstract: Dis Mon 2002 Feb;48(2):105-43 Related Articles, Books, LinkOut Irritable bowel syndrome.Birrer RB.St. Joseph's Regional Medical Center Locust Valley, New York.Irritable bowel syndrome is a biopsychosocial disorder characterized by dysregulation of intestinal motor, sensory, and central nervous system functions. It is associated with significant disability and health-care costs. The traditional diagnostic approach leads to excessive investigation for many patients. A reductionist approach of focusing on evaluation and treatment of a single mechanism is unlikely to prove effective. Identification of the characteristic symptom pattern is the key to cost-effective management. A strong patient-physician relationship is essential for a successful outcome. Optimal outcome is predicated on an individualized treatment plan that integrates pharmacologic and behavioral modalities.there are many good things on the doctor patient relationship out in the journals.tom