Practitioners treating chronic disease share a problem that cuts across every discipline: they have more diagnostic tools than ever, but no shared logic for sequencing intervention. A naturopathic physician, a functional medicine MD, and an integrative NP looking at the same patient will often reach for different treatments first - not because they disagree on the underlying science, but because none of their training gave them a decision hierarchy for when to intervene, only lists of what to consider.
Getting to Why: Logic in Medical Decision-Making first challenges the reader to reconsider common medical assumptions that rest upon fallacious reasoning. From there, it gives practitioners of all specialties a decision framework for chronic disease that doesn't depend on already knowing the diagnosis. It assumes the reader already has a working knowledge of physiology and pathophysiology, and provides a heuristic for finding root cause and building a personalized treatment plan from there - rather than defaulting to standard-of-care algorithms.
Getting to Why is a clinical reasoning text built around the therapeutic order - an eight-level framework that sequences care from root-cause identification and removal through palliation. The therapeutic order reframes the clinical question from "what should I do for this diagnosis" to "what does this patient's physiology need first, and why" - treating the body as a self-regulating system to be supported in sequence, not a set of symptoms to be matched against a list of interventions.
