This week on the Evolution of Medicine podcast, we're thrilled to welcome Danny Iny, the founder of Mirasee. Danny is a serial entrepreneur and has been involved in the online education space for more than a decade. We've been working very closely with Danny at the Evolution of Medicine to help us build out our online courses like the Practice Accelerator, the New Patient GPS, and the Membership Practice Builder.
Meanwhile In 1875 Robert Koch (1843-1910) isolated the germ that causes anthrax. In 1882 he isolated the germ that causes tuberculosis and in 1883 he isolated the germ that causes cholera in humans. Meanwhile the organism that causes leprosy was discovered in 1879. The germ that causes typhoid was isolated in 1880. The germ that causes diphtheria was discovered in 1882 by Edwin Klebs. In 1884 the germs that cause tetanus and pneumonia were both discovered. Immunization against diphtheria was invented in 1890. A vaccine for typhoid was invented in 1896.
A leading journal in its field for more than three quarters of a century, the Bulletin spans the social, cultural, and scientific aspects of the history of medicine worldwide. Every issue includes reviews of recent books on medical history. Recurring sections include Digital Media & Humanities and Pedagogy. Bulletin of the History of Medicine is the official publication of the American Association for the History of Medicine (AAHM) and the Johns Hopkins Institute of the History of Medicine.
The week on the Evolution of Podcast, we welcome Dr. Elson Haas, leader in the field of integrative medicine. After four decades of practicing integrative medicine in the insurance model, he provides us with some great insights into how he is able keep is practice going. Dr. Haas' latest book Staying Healthy with NEW Medicine gives some insights on natural, Eastern, Western concepts into something that is truly useful for the modern practitioner and the modern patient.
The underlying principle of most medieval medicine was Galen's theory of humours. This was derived from the ancient medical works, and dominated all western medicine until the 19th century. The theory stated that within every individual there were four humours, or principal fluids—black bile, yellow bile, phlegm, and blood, these were produced by various organs in the body, and they had to be in balance for a person to remain healthy. Too much phlegm in the body, for example, caused lung problems; and the body tried to cough up the phlegm to restore a balance. The balance of humours in humans could be achieved by diet, medicines, and by blood-letting, using leeches. The four humours were also associated with the four seasons, black bile-autumn, yellow bile-summer, phlegm-winter and blood-spring.
This week on the Evolution of Medicine podcast, we feature Steven Feyrer-Melk, PhD, co-founder of a preventative cardiology practice, The Optimal Heart Center and Chief Science Officer of Nudge Coach, a lifestyle medicine technology company. Nudge has sponsored the Functional Forum and the Evolution of Medicine podcast in the past year and has worked with us to bring our community of practitioners a valuable addition to their practices that allows every patient to feel supported at all times.
This week on the Evolution of Medicine podcast, we welcome Gladys McGarey. At 97 years old, Galdys is a true pioneer in holistic and living medicine and we're absolutely thrilled to welcome her to the podcast. Dr. Gladys is internationally recognized as the Mother of Holistic Medicine. Dr. Gladys, as she is affectionately known, is board certified in Holistic and Integrated Medicine and has held a family practice for more than sixty years.
Leeches had advantages over the common practice of bloodletting using a lancet – the loss of blood was more gradual and less of a shock for those of delicate constitution. And because Broussais’s followers used leeches in place of all the other medicines at the 19th-century physician’s disposal, patients were spared some harsh remedies that might otherwise have made them feel worse. In 1822, a British surgeon called Rees Price coined the term sangui-suction for leech therapy.
Chris Kresser: Hey, everybody. Chris Kresser here. I’m really excited to have James Maskell from Functional Forum and Revive Primary Care. He’s also the director of the Evolution of Medicine Summit just coming up that I’m participating in. I asked James to come on this show so we could chat about functional medicine and the future of medicine in general, because there are some really big and exciting changes happening in the world of medicine and functional medicine in particular, and James has his hands in a lot of different pots in this field. He runs something called the Functional Forum, which is where functional medicine practitioners meet in New York—I think they’ll be meeting at some other places soon—to talk about these topics. James will tell us a little bit more about the Evolution of Medicine Summit that’s coming up. So welcome, James. Happy to have you.
Guy's Hospital, the first great British hospital opened in 1721 in London, with funding from businessman Thomas Guy. In 1821 a bequest of £200,000 by William Hunt in 1829 funded expansion for an additional hundred beds. Samuel Sharp (1709–78), a surgeon at Guy's Hospital, from 1733 to 1757, was internationally famous; his A Treatise on the Operations of Surgery (1st ed., 1739), was the first British study focused exclusively on operative technique.
The earliest references to medical care and surgical procedures are found in Babylonian texts like the laws of Hammurabi (1792-1750/43 BCE) describing the surgeon’s responsibilities and how much he should be paid. Pay was good, but penalties for mistakes harsh: “If a physician performs a major operation on a lord… and causes his death…. they shall cut off his hand”. Only wounds, fractures and abscesses were treated surgically. A Sumerian clay tablet (2150 BCE) describes wounds being washed in beer and hot water, poultices made from pine, prunes, wine dregs and lizard dung, and use of bandages (for a nose-bleed!). Other texts describe the symptoms and prognosis of epilepsy, bronchitis and scurvy. A list of 230 medicines using plant, animal and mineral ingredients was found in an Assyrian pharmacy and records of distillation of cedar oil proves that this was an earlier invention than we thought.
Alfred Nobel (1833-1896), a Swedish-born chemist and businessman who invented dynamite, left most of his wealth to establish the Nobel Prizes. Since 1901, these awards have been given to men and women from all over the world in recognition of their outstanding achievements in chemistry, medicine or physiology, physics, literature and for work on behalf of peace.
The roots of modern medicine are in ancient Greece. On the one hand most Greeks believed in a god of healing called Asclepius. People who were ill made sacrifices or offerings to the god. They then slept overnight in his temple. They believed that the god would visit them in their sleep (i.e. in their dreams) and when they woke up they would be healed.
Furthermore during the 18th century a number of hospitals were founded. In 1724 Guys Hospital was founded with a bequest from a merchant named Thomas Guy. St Georges was founded in 1733 and Middlesex Hospital in 1745. Hospitals were also founded in Bristol in 1733, York in 1740, Exeter in 1741 and Liverpool in 1745. The first civilian hospital in America opened in Philadelphia in 1751. In the late 18th century and early 19th century dispensaries were founded in many towns. They were charities were the poor could obtain free medicines.
^ England and Wales had nine county and borough asylums in 1827 with an average capacity of a little over 100 patients, but by 1890 there were 66 such asylums containing on average 800 patients each; the total number of patients so confined increased from 1,027 in 1827 to 74,004 in 1900. Similarly, in Germany, between 1852 and 1898 the asylum population increased seven-fold from 11,622 to 74,087 patients during a period when the total population had only grown by ten per cent. In America the asylum population had risen to almost 250,000 on the eve of the First World War.
Dr. Dupuis started his functional medicine education with Functional Medicine University and The Kalish Institute. Later, he discovered the Functional Forum. From there he took advantage of a free practice assessment with Gabe Hoffman, co-founder of Evolution of Medicine which resulted in working with Freedom Practice Coaching to change his practice model. After adding an additional 80k to his yearly income in just the first month with FPC, Dr. Dupuis added the Evolution of Medicine Practice Accelerator and from there he started using Nudge Coach to keep in touch with his new patients that now stretched 100 miles outside of his small town. He has recently become a Functional Forum Meetup Host and has become the "go to" doc in his community for practitioners looking to make the same changes in their personal and professional lives.
Dr. Brogan shares the story of how she first met James and the journey that she has witnessed in the years that she has known him. James shares his story from birth to deciding to becoming an investment banker to making his way into the world of healthcare. From attending conferences to now becoming a featured speaker. From helping one practitioner to setting up clinics and now after 30 episodes of the Functional Forum, reaching thousands of practitioners all over the world. James has taken his years of experience and created a roadmap for the success of modern integrative practitioners in his book The Evolution of Medicine.