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worse? Would this change if you were in a warm place? What have you tried to alleviate your
symptoms? What were the outcomes?
The questioning period takes up the bulk of the time.
3. Physical Exam
I check everything. Even if the patient isnt complaining about a certain part of his body, and
even if hes just seen his regular doctor, I dont skip anything. I listen to the heart and lungs,
and listen to his bowel sounds, examine his eyes and ears, and more.
I do a whole physical for each new patient. Doctors sometimes miss things, so I have to do
my own thorough examination.
4. Homework Assignment
When a patient comes in with diabetes or obesity problems, I usually send the patient home
with a food diary assignment. He must write down what he ate for every meal and snack. He
also must record how he felt after everything he ate.
5. Question and Answer Round 2: Getting To Know The Doctor
Questioning goes both ways. This is not just a time for me to ask questions. Visits are
conversations, not lectures.
Docere: doctor as teacher. The mark of a good relationship with a patient is how comfortable
the patient feels asking questions. A visit is a chance for the doctor to educate the patient.
I want the patient to leave with no qualms or confusion about the health procedures. Many
patients are afraid to ask questions at visits with their regular doctors because theyre either
intimidated or they dont want to impinge on the doctor s time. I always leave time for the
patient to turn the scrutiny back on me.
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Stepping Back
Being a naturopathic doctor requires patience and determination. I absolutely love getting to
know my patients, but prospective NDs should keep in mind that naturopaths appointments
are also a huge time investment.
Because I look for the least invasive treatment, I dont always see results immediately.
Naturopathic physicians need to be flexible and willing to try different strategies with each
patient.
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4 Types Of ND Practices
1. Independent Practitioners
Some naturopathic doctors have their own practices. They have an office where patients come
to see them.
2. Collaborative Practitioners
A group of naturopathic doctors sometimes join to form a collaborative. They share the same
patients. A patient might see different doctors depending on the day he or she has an
appointment. Because they work together, all the doctors have to pool information and keep
each other updated on the status of the patients.
These doctors have to tell each other what the patient was complaining about, what the
follow-up treatment should be, and how the symptoms were affected by the treatment.
Collaborative practices are best for naturopathic doctors with excellent communication skills
and cooperative spirits.
3. Clinical Practitioners
Naturopathic doctors can also work in clinics. Some work in hospitals or cancer treatment
centers where there is an integrated or complementary alternative medicine wing.
4. Researchers
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Some naturopathic doctors choose not to see patients and focus on research instead.
Salary Potential
Heres the caveat: Money should never be your prime motivation. This is true for any
healthcare profession, and its true for naturopathic medicine. You can, however, make a
steady income with naturopathy.
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The first few years will be very tough. You probably wont make much money, and you might
not break even. At the beginning, youre building a client base, paying off student debt, and
shelling out money for your new practice. Hang in there! After a few years, youll start to see
some monetary compensation for your labors.
On the low end, an ND might make 30 to 40K a year. On the high end, the sky is the limit! I
know one ND who makes 400K a year. Its all about building your client base. Do you have a
specialty? Can you do something that no other naturopathic doctor does?
Dr. Peter DAdamo is one of the most famous examples of a successful naturopathic doctor.
He gained acclaim for his book, Eat Right 4 Your Type. He has patients who come from all
over the world to see him. His patients schedule their vacation time around his appointment
availability.
On the opposite end of the spectrum, there are NDs who dont care about money at all. They
truly just want to help people find the best treatment for their bodies. They may conduct their
business through barter service. For example, they might say, Ill give you an acupuncture
treatment, and next time I need a massage, Ill come to you.
As a naturopathic doctor, you have countless options for building your practice. Do you want
to work with other doctors or alone? Do you want to build an international clientele or stay
local? The choice is yours.
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