Therefore the system (mnogotsentrovaya. ..

So the system (a multicenter, multi-modal) assistance should be methodically: 1.Ranzhirovatsya of treatment is more hazardous to less frustration, and therapeutic services must begin to eliminate the more dangerous for the patient's symptoms and syndromes. 2. In therapeutic aid should take into account not only the individual features of course a symptom - a complex disease, but also personality traits and mentality patient, "patient-centered medical care", "treat not the disease but the patient" ( 1). 3.In the multimodal therapeutic treatment physicians must meet, and personal commitment to the patient's progress in any area of ??the disease (subjective - consumerism approach). 4. The ultimate goal of therapeutic intervention in modern conditions is not only the removal of threatening states, but also prevention future chronic disease, elimination might arise in future, possible potential problems. 5.Agressivnoe intervention of a doctor in the lifestyle, the normalization of food, addictive, motor and mental habits in general practice must necessarily lead to a change in lifestyle for the better, improve nutrition , the use of specialized physical exercise and mental relaxation techniques. «Change your life on your healthy way". (2) So, seek medical help 47-year-old man suffered: Moderate obstructive pulmonary disease, progressively worsening vision, night (chicken), blindness , pathological stachiyvaemostyu teeth, abnormal bite, moderate hypothyroidism, obesity, metabolic syndrome, oxidative stress, malabsorption syndrome, hypovitaminosis fat-soluble vitamins, poliglandulyarnym autoimmune syndrome, 2 moderate, muscle tremors, arthritis of peripheral joints, gynecomastia and moderate hypogonadism. bother also allergic vasomotor rhinitis, nasal congestion, numerous mucous discharge, itching of the skin due to cholestasis, affected by ultrasound and bilirubinemia, chronic cholecystitis, hemorrhoids. Among subjective complaints - reduced sex drive, muscle weakness, sweating, fatigue, depressed mood, outbursts of wanton aggression to the members of his family, the pain in his right thumb, the inability to lose weight by dieting, insomnia, feeling of fatigue. Psychological and psychiatric examination revealed he had a high general anxiety that interferes with him to perform daily tasks at work, and social phobia, interferes with his lecture to students, moderate depressive disorder, obsessive-compulsive eating disorder, Bingo-eaten disorders, disinhibition of instincts, persistent sleep disorders, addictive attempts to arrest them diphenhydramine, compulsive disorders as multiple inspections of locks in the garage and house, after their closure. Efforts attempt at self-diphenhydramine to eliminate itching, vegetarian diets to weight loss.