Kentucky Doc Winter 2014 | Page 7

doc Winter 2014 • Kentucky “When I was a dietitian seeing patients, I felt they needed more than what they were getting from their physicians, and it was very frustrating,” Brandenburg said. “The way we were taught in osteopathy school, when talking with patients, you listen to everything. Just because they come in with a cough, you just don’t focus in on the lungs; it may be something else is going on. I think that’s beneficial.” The AOA says D.O.s are trained to identify and correct structural problems. They also understand how all the body’s systems are interconnected and how each one affects the others, especially the musculoskeletal system. D.O.s use osteopathic manipulative treatment, or OMT, to help diagnose illnesses and treat patients. OMT encourages the body to heal itself. OMT can be used to treat asthma, musculoskeletal abnormalities, back pain, carpal tunnel syndrome, menstrual pain, sinus disorders and migraines. OMT can complement and sometimes even replace drugs or surgery. “OMT encompasses everything from what’s called mild facial release, which is really just kind of gentle movements, to muscle energy where you use opposing muscles,” Brandenburg said. Although some D.O.s stop using OMT after they leave medical school, Brandenburg continues to incorporate it in his treatment plans. “I always used manipulation throughout my residency and on my patients, and I actually had a following of patients who would only come see me because of that,” he said. As a GI fellow, Brandenburg often sees people who come in with abdominal pain. A nurse practitioner or family physician who was not able to figure out what to do for them might have sent the patient to Brandenburg. “I did osteopathic exams and I noticed this is [a] muscular skeletal problem; this is not a gastric or intestinal problem,” Brandenburg said. “I told them [they] just needed stretching, or more manipulation would be beneficial.” According to the American Osteopathic Association (www. osteopathic.org): Brandenburg started out as a dietician, having earned a bachelor’s degree in dietetics from Morehead State University and a master’s degree in clinical nutrition from Marshall University. While working with a chiropractor, he became intrigued by that field. He thought about going to chiropractic school, but his colleague talked him out of it. “He said, ‘If you want to do manipulation, go to an osteopathic school. That way you are a physician and you are treated with respect and you can also do manipulation,’” Brandenburg said. “I talked to some D.O.s. They seemed more open to new ideas.” Brandenburg, a licensed internist, completed his internal medicine residency at UK and earned his D.O. at the University of Pikeville Kentucky College of Osteopathic Medicine. After completing his fellowship – which will be the culmination of 10 years of study – he plans to return to his hometown of Ashland to be in a practice at Our Lady of Bellefonte Hospital. Brandenburg sees himself as an ambassador for osteopathy. He takes D.O. students at UKMC under his wing and works to educate the public about osteopathy and D.O.s. “People should know a D.O. is the equivalent of an MD,” Brandenburg said. “There’s nothing an M.D. can do that a D.O. can’t do. Jokingly, we say we have rivalries, but as long you’re a good doctor, you’re a good doctor.” We have to know everything the M.D. student knows. —Rob Brandenburg, D.O. Approximately 60 percent of practicing osteopathic physicians (D.O.s) practice in the prima