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A personalized systems medicine approach to refractory rumination

Authors

  • Anup K. Kanodia MD MPH,

    Corresponding author
    1. Assistant Clinical Professor, Department of Family Medicine, Center for Integrative Medicine, Ohio State University Medical Center, Columbus, Ohio, USA
      Dr Anup Kanodia
      Department of Family Medicine
      Center for Integrative Medicine
      Ohio State University Medical Center
      2000 Kenny Road
      Columbus, OH 43221
      USA
      E-mail: anup.kanodia@osumc.edu
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  • Inah Kim MD,

    1. Resident, Department of Family Medicine, Ohio State University Medical Center, Columbus, Ohio, USA
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  • Joachim P. Sturmberg MBBS DORACOG MFM PhD FRACGP

    1. A/Prof. of General Practice, Monash University, Melbourne, Australia and A/Prof. of General Practice, Newcastle University, Newcastle, Australia
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Dr Anup Kanodia
Department of Family Medicine
Center for Integrative Medicine
Ohio State University Medical Center
2000 Kenny Road
Columbus, OH 43221
USA
E-mail: anup.kanodia@osumc.edu

Abstract

Rationale, aims and objectives  As with many functional disorders, rumination syndrome poses a great dilemma when approached via standard of care. This case report illustrates how rumination syndrome may be effectively approached using the systems medicine.

Method  The patient's treatment involved two distinctively different treatment cycles. Initially she was treated in an academic tertiary inpatient and outpatient multidisciplinary program with a primary symptom-based focus with little improvement. She subsequently sought care at a systems-based integrative medicine clinic within an academic family medicine centre, which identified the inciting events, diagnosed the current pathology and developed a stepwise treatment plan.

Results  The patient is now rumination free.

Conclusion  Chronic or refractory diseases, especially when regarded as ‘functional’ may be approached by a systems medicine methodology, which allows physicians to fine-tune the vast amount of specific pieces of knowledge to achieve an integrated approach to managing the whole person.

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