The Art Inventory

MD vs. ND

A Philadelphia Med Student Fulfills His Calling To Naturopathic Medicine In Fremont

by Jonathan Hiskes, for Bastyr University
posted 11 November 2011


Joshua Goldenburg, a fourth-year student of Bastyr University, followed his calling to Natural Medicine Photo provided by Bastyr

When Joshua Goldenberg decided to study natural medicine, he located the rare pay phone in rural Guatemala that made international calls and dialed an old family friend back home in Philadelphia, a physician who had known him since he was a kid.

You’re crazy, the doctor told him. You’re an Ivy League graduate. You’re smart enough for a conventional medical school. Why would you pass that up?

Goldenberg was taken aback. He liked the doctor and respected his opinion. He didn’t have a ready answer for why natural medicine, which integrates Western medical science with centuries-old knowledge of natural treatments, excited him so much. He just knew that something inside him was tugging in that direction.

Comfortable Passing That By

Now a fourth-year student at Bastyr University, he’s grown comfortable talking about his decision. It’s always complicated to explain a field that draws on disciplines as diverse as acupuncture, botanical medicine, nutrition and counseling psychology. But Goldenberg appreciates the holistic approach — studying the health of body, mind and spirit all at once, with a focus on prevention and wellness rather than on treating isolated symptoms.  “The challenge is that no one’s heard of naturopathic medicine,” he says. “That’s fair — I had never heard of it either.”

It helps that Doctor of Naturopathic Medicine (ND) students at Bastyr take basic sciences courses as rigorous and extensive as those at conventional medical schools, and that NDs are recognized as licensed primary care physicians in 16 states (including Washington.)

It helps that Goldenberg is conducting professional-level research, with a forthcoming article undergoing Cochrane review, a widely respected medical review system.

And it helps that he had a career as a research biologist all mapped out, before he found a way to listen to his heart along with his science-loving mind.

Giving Up a ‘Dream’ Job

Goldenberg, a 28-year-old with close-cropped dark hair and a quick, disarming laugh, grew up a block from the Philadelphia city line, the son of a professor of Jewish history and a clinical social worker. He was naturally drawn toward life sciences as a child, he says, especially once he learned about the molecular realm.

“I thought it was the most beautiful thing in the world,” he says. “There was this entire world of things going on that you could never see, and it was really the crux of where things seemed to be happening, and it just blew my mind.”

Common herbs can lead to exciting discoveries in the realm of research and natural medicine. Photo by WordRidden, and Flickr Creative Commons

He studied molecular biology at the University of Pennsylvania, looking forward to sharing “a sense of wonder about the human body” with classmates. Instead, he found a relentless focus on grades. That was understandable, given the competition for medical school slots. But it wasn’t for him.

Goldenberg focused on research instead. For his senior project he studied tree barks used medicinally by Native Americans, measuring the effect of extracts on cultured microbes. “I thought it was cool,” he says of ethno-botany, “but I didn’t know if there were career options in it.”

Starting a career in research came easily. Immediately after graduation Goldenberg landed a job at a molecular ecology lab in an attractive forest location outside of Philadelphia.  It was a grown-up job with a grown-up salary, directly in line with his research interests, and ideal prep work for a PhD program.

“By about six months in, I was miserable,” says Goldenberg. “I wasn’t happy being in a lab all day. I felt really trapped.”

On the Road

“I bought a rucksack at Goodwill,” he says. He quit his job and booked a plane ticket for Central America. “I saved up some money and did this, you know, very trite ‘finding yourself’ trip that a lot of people do. And I said, ‘I’m off!’”

He started in Mexico and worked his way south, without a timeframe, volunteering on organic farms, learning Spanish, having a ball and wondering just a little where he was headed.

“I was thinking, ‘Great, Josh,’” he says. “’This is a lot of fun. Now what the hell are you going to do when you get back? You don’t know what you’re doing with your life.’”

In Guatemala, he was persuaded to stay a while by the postcard-perfect Lago de Atitlán, a deep mountain lake ringed by volcanoes.  It was there that he met the woman he calls, with a touch of both irony and sincerity, his “oracle.”

She was a midwife from Boulder, Colorado, volunteering at a village health clinic. When he told her about his career crisis — loving research but wanting to help people directly, wanting camaraderie more than competition — she told him about natural medicine. He could learn the philosophy of doctor as teacher, educating patients and encouraging self-responsibility. He could continue in research and also prepare for a career helping patients heal.

Natural ingredients can treat prosaic problems, like this clove mouthwash. Photo by, and Flickr Creative Commons

The idea felt intensely calming. Later, in his Fundamentals of Traditional Chinese Medicine class at Bastyr, Goldenberg would identify the source of this calm as his hun (literally, “cloud soul”), a sort of inner spiritual guide located near the gut. When a person is on their proper life path, his hun lets him know. Same deal with the wrong path.

Goldenberg wanted to know more, a lot more, and he learned what he could from Internet cafés, then started making calls home. That’s when he got the cold dose of skepticism from the longtime family friend.

“I don’t begrudge him what he said,” says Goldenberg. “He was looking out for me.”

Sharing the Love

oldenberg brought that same skepticism with him when he visited naturopathic medical schools. “I still needed to be convinced they were doing serious research and that I would get really stellar biomedical training,” he says.

He was convinced by all four regionally accredited schools he visited. Bastyr University rose to the top of his list because it had the largest research programs — both laboratory- and clinic-based. He liked Bastyr’s campus in the lush Pacific Northwest, as it felt like an appropriately peaceful site to study wellness and preventive care.

But he also appreciates that Bastyr’s teaching clinic, the Center for Natural Health, lies in the heart of Seattle (in Fremont,) where he confronts the human need that compelled him to study medicine in the first place. He began clinical shifts in the summer of 2011, seeing each patient alongside another ND student, then consulting with a faculty supervisor before making diagnoses and recommendations.

“It changes everything,” he says of clinical work. “Instead of just looking at books, you have actual patients who need you. It reminds you why you’re here.”

Goldenberg says he’s found plenty of research opportunities funded by the National Institutes of Health, which gave a multimillion-dollar grant to the Bastyr University Research Institute. One of his projects explored the immune-system benefits of the “turkey tail” mushroom, Trametes versicolor, long believed to have cancer-fighting properties. He also designed a meta-analysis (a study looking at other studies) on probiotics.

Goldenberg’s passion for research is something he wants to share. He started three student clubs to encourage others to get into research: a research society, a journal club and a biomedical statistics group. He also organized an open house that made it less intimidating for inexperienced students to link up with research faculty, according to classmate Renee Choi.

“He’s made it so much easier for students to get into research,” says Choi. “Faculty support was already there, but a lot of students felt like they didn’t know how to start.”

“His enthusiasm is infectious,” adds Mark R. Martzen, PhD, CIP, director of Bastyr’s Center for Student Research and senior director of research development.

For The Deeper Reason

Goldenberg still finds it challenging to explain the concept of natural medicine to skeptical family members. When he made his final choice to pursue an ND instead of an MD degree, he remembers the decision gnawing at him.  “I was literally writhing in bed,” he says, laughing in retrospect. “It was horrible.”

He discovered, he says, that the voice in him that wanted an MD was chiefly concerned with acceptance from others. When he listened to a deeper part of himself — his hun — he knew what he wanted to do.  “You’ve only got one life, right?” he says. “Why spend it doing something you’re not really happy about? You only get to do this once.”

This story originally appeared in the September/October 2011 issue of PreMed Life magazine.  The column came to as a courtesy of the Bastyr Center for Natural Medicine.

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©2011 Kirby Lindsay.  This column is protected by intellectual property laws, including U.S. copyright laws.  Reproduction, adaptation or distribution without permission is prohibited.

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