Chronic Disease Management


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	Chronic Disease Management The four clinical areas of chronic disease that incur the highest usage rates of medical resources are congestive cardiac failure, diabetes, multiple organ failure and chronic pain and depression. Congestive Cardiac Failure is the leading cause of hospitalization in people over the age of 65, with approximately 20% of CHF patients dying within one year of diagnosis, and 50% dying within 5 years. Although CHF can be treated and improved with the use of diuretics, ACE inhibitors, beta-blockers and digoxin, repeat hospitalizations are still a problem, resulting in expenditures of $30,000 to $50,000 per admission. The quality of life in these patients, depending on their state of disability, can be quite variable and it is hoped that this intervention will result in an improvement in this parameter. Diabetes is now epidemic in both first and third world countries due to dietary and life style changes brought on by the modernization of economies. The long term sequelae of uncontrolled or poorly controlled diabetes results in end organ dysfunction and failure in multiple systems including the cardiovascular system, kidneys, eyes, brain, immune and nervous system. Dysfunction and manifest disease in any one of these will induce large, ongoing, medical outlays. Multiple Organ Failure patients represent a biology with end-stage organ dysfunction and little, if any, functional organ reserve. Any one or a combination of their life support systems can fail at any time resulting in acute resuscitative admissions with prolonged convalescence to stabilize organ function and reserve. These admissions are costly and do not do much for the eventual prognosis or quality of life in these patients. Chronic Pain and Depression leads to total bodily dysfunction and manifestation of any weakness, thus requiring medical assessment and treatment. The medical literature is replete with supportive integrated interventions for these four chronic conditions, involving the use of supplemental nutrition, Western and Chinese herbs and homeopathic treatment. These modalities are aimed at root cause deficiencies of vitamins, minerals and metabolic co-factors; Chinese patterns of patho-physiological imbalance; and homeopathic detoxification of blocked enzyme systems. InteMedica has designed Integrated Medicine protocols to support the impacted physiology and organ systems in these chronic diseases. The protocols are designed to establish an Integrated Medicine intervention of a supportive nutritional, Chinese herbal mix and homeopathic that will be supportive enough to result in decreased hospital admissions or utilization of medical facilities.