Robert E. Evans, D.O.

OPP/MS-I

HISTORY AND PRINCIPLES OF OSTEOPATHIC MEDICINE
Goals:
The student will: 1. 2. 3. 4. understand the relationship of medicine of the past and Osteopathic Medicine. become (more) aware of the history of Osteopathic Medicine. evaluate ideas relative to the future of Osteopathic Medicine. become more cognizant of the principles of Osteopathic Medicine.

Objectives:
The student will: 1. 2. relate certain historical facts to Osteopathic Medicine. identify important dates and events in the life of Andrew Taylor Still, the first osteopathic school and early osteopathic medicine. realize the impact on our public image of increasing numbers of graduates. realize why the light into the future of Osteopathic Medicine has never been brighter describe and begin to apply the philosophy and principles of osteopathic medicine.

3. 4. 5.

1

-OMT. 2. prevention. Objectives 1. 4. pharm. 2. Discuss the differences between OPP (osteopathic principles and practice) and OMT (osteopathic manipulative treatment). not the interconnected source of the pain. 3. Principles of Osteopathic Medicine 1. 2. nutrition. efficient. 5. and the special art of osteopathic manipulations. surgery. community. Become proficient. competent. and spirit as one. Contemplate your own reasons for becoming an osteopathic physician. Discuss how osteopathic medicine differs from allopathic medicine. Learn to apply Osteopathic principles ALWAYS in evaluating and treating patients (7 core competencies). 6. Treat the body. understanding of culture and beliefs. research.Introduction to Osteopathic Medicine Educational Goals 1. Structure-function= Anatomy-Physiology OMM/OMT 2 . and caring osteopathic physician. **DO medicine will give us more then MD’s because we will be able to determine the true source of an ailment. *Differs from MD medicine because MD medicine treats the specific body part. a preventative approach. energy. environment. Define osteopathic principles and list. other= Facets of DO medicine. Evaluate what you would like to receive out of your education here at LECOM. to support the musculoskeletal system. mind. mind-body. Define Osteopathic Medicine. Develop optimal clinical diagnostic and management/treatment skills through the synthesis of osteopathic concepts. Cultural. What is osteopathic medicine System of healthcare based upon a particular philosophy that focuses on a holistic approach to a patient. 3.

surgical. that in massive doses produce symptoms in healthy individual. -Preventative medicine (exercise. and hence function (physiology). Holistic emphasis (unity of body. based on the system of minute remedies. Care directed towards funding and restoring health (homeostasis) 3.Definition: Therapeutic use of the hands to restore normal structure (anatomy). Greek medicine formulated the idea of preventative medicine. complete physicians. Hananen developed Homeopathy It is a system of medicine. -Reform movement because of massive dosages of medicine. -The body has the innate ability to heal itself. Osteopathic Philosophy. Principles. F. nutrition. 3 . spirit) 2. Osteopathic medicine Whole body. etc) HISTORY AND PRINCIPLES OF OSTEOPATHIC MEDICINE I. Medicine is the natural art conceived in sympathy and born in necessity. B. Brief History of Medicine A. Chiropractic medicine system of treating ailments through adjustments and manipulations for health. stress diet and how the patient lived. Based on the system that diseases are traceable through misalignments in the spine. psychiatric. D. Alternative healthcare developed in the 1800s in the United States. and how it influenced that person’s life. Comprehensive healthcare: -Interventional (medical. similar of the diseases being treated. holistic care. E. OMM). and Practice 1. C. mind.

body has its own pharmacy to treat itself. Still’s childhood headaches and his later development of osteopathic manipulation. studied the anatomy of his animals he killed. wanted to figure out a new way to treat illnesses to eliminate guessing. the medicine of the future. C. when he woke up. -Iatrogenic disorders symptoms caused by the physician with a drug. Osteopathic Medicine – one of two distinct schools of medicine in the United States -We can do anything and MD can do. -Helped to contribute to his idea of osteopathic medicine. mercury poisoning as treatment for sick. -Allows us to walk. made him want to treat whole person. -Still became obsessed with the lack to save patients. E. 4 B. -Three children died.1874. F." -Laxatives. -Studied under his father who was a doctor. The relationship between Dr. minister. and more. not just the disease. just disagree. -Integration of science. -Anatomy let him know the structure and function in the dead -Against slavery -Rose to the rank of major Still broke away from allopathic medicine on June 22.born August 1828. and art. -He was a hunter. and is 60 percent of our body Andrew Taylor Still . D. his headache was gone. History of Osteopathic Medicine A. -Removed rope from swing and rested it on his head and fell asleep.II. and farmer. -AMA antagonism We are not against MD’s. -Issued an MD degree. philosophy. talk. -Believed in natural immunity. The importance of the musculoskeletal system. -Founder of Osteopathic Medicine. . The times in which Still practiced medicine were significant in guiding his career. blood leading. when he "flung the banner of osteopathy to the breeze. -Full expression of life.

-Baker University in Kanses. DOs thrived. . -After being weakened by a stroke. -Brought about better quality in the remaining medical schools that were teaching. -“Flung the banner osteopathy to the breeze” -Huge crowds would gather for his new treatment.30 percent -Osteopathic. -Key is to find and correct anatomical deviations -Must maintain adequate circulation. and the DOs survived. -First class of Kirksville campus had 5 women.. osteopathy was seen as quackery. J. MO. 120 schools were removed. -AMA announced that if DOs were allowed to practice in WWI and WWII. Loss of California – 1961-1962. Still opened the American School of Osteopathy in Kirksville. I. 66 MD schools left.000 in US and over 20. 6 DO schools left. -Patients with non-osteopathic care. -MDs started letting DOs in their hospitals around 1960. -combined Ost=bone and pathy= pathology H. G. need to treat whole patient. L. The Great Swine Flu Pandemic of 1918-1919. . ended alternative schools.Killed over 500. The Flexner Report of 1910. 5 K. -MDs changed their philosophy of going against DOs -65 dollars to get MD degree to get rid of DOs -Many DOs rejected this offer. -Taught his two sons osteopathy.¼% The effect of World War I and World War II on the Osteopathic Medical Profession.000. -Devastating judgment was passed on his 5 schools.000 in world. not successful.-Concluded that a patch up approach would not due. Still died in 1917 at age 89. in 1892. -After WWII. then MDs would not go.

Rational treatment is based on the previous principles palpatory 6 6. The body is a unitthe body is an integral unit. The body has the inherent capacity to defend itself and to repair itself We are exposed to millions of bacteria a day. M.26+3 branch+3 satellite osteopathic schools. stress of medical school. cholesterol in healthy limits to maintain health. and spirit. volcano eruptions all influence health and immune system. or when environmental changes overcome the body's capacity for self-maintenance. These things happen without our control. disease may ensue Microorganisms. 5. The body possesses self-regulatory mechanisms Carotid sensors monitors blood pressure. little alcohol. exercise. and are able to defend ourselves. Maintain weight. 3. Every structure is designed to do a certain function. Every part is negatively and positively influence by other body parts. we get cut and it heals. body. 4. -20% of all medical students -DOs are fully accredited in all 50 states. -Took over 50 years for DOs to be able to be in military medicine. flu epidemic. Principles of Osteopathic Medicine: 1. III. Treat mind. Michigan established the first state-supported osteopathic medical school in 1969-1970. When normal adaptability is disrupted. Treat the person who has a problem=Total patient. no smoking. 2. . fewer then 8 percent were happy with their MD degree. blood pressure.-Remorse of the X-DOs. Must maintain proper health and alignment for these mechanisms to work. Also need to maintain proper vertical alignment. -32 Osteopathic teaching institutions . We get a cold or flu it goes away. Structure and function are reciprocally related Any body part carries out a function based on a signal.

Future of Osteopathic Medicine -5. 9. There are somatic components to disease that are not only manifestations of disease but also are factors that contribute to maintenance of the diseased statesomatic dysfuction=typical strains on body. The role of the artery is supreme. -Each person is the owner of their personal health care system. -Important for DOs to work with MDs. -The goal in manipulation is to control and maintain a state of homeostasis.000 DOs a year are made -Role of physician has changed. it’s a partner in health maintenance and disease prevention=been the DO way for 100 years. and alignment. 8. any organ would be kept in health if there was no blood restriction of blood to that organ. -DO may not become dominate degree. vicerosomatic= coming from an organ.edu or 8122/8104 for Ferreti 7 . Somatoviceral reflex= muscle problem making stomach hurt. -Has a role in total health care. but can become the dominant philosophy. IV. JZboyovski@lecom. but to maintain our own identity. Movement of body fluids is essential to the maintenance of health When you made adjustments. it would relieve pain but also symptoms of other diseases. The nerves play a crucial part in controlling the fluids of the body-> encourage healthy lifestyle.skills 7.