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r. John Kule is not bragging when he says he was recruited all over the Carolinas after residency at the Medical University of South Carolina in Charleston.

 He just needs to point out why he chose the small, rural town of Swansea (and now Aiken) for life after school. It was his horse.

I couldn't take care of my horse in Charleston so I sent him to Swansea to a trainer," he explains. "Every month I'd be coming up and taking lessons and seeing how he was doing."

As Dr. Kule was finishing school, a Swansea doctor died, leaving an opening for him at Raphael Clinic. That's where this native Pennsylvanian, began practicing conventional and alternative medicine.
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consider myself a holistic practitioner," he says, explaining that he can deliver whatever his patients want. Most often, that means prescribing conventional therapy for people who want symptoms relieved.

Occasionally, a patient is interested in more homeopathic methods, so Dr. Kule will study that patient's family history, find a pattern of illness and treat the illness, rather than its symptoms. While most patients prefer the former, he has noticed that many have become curious about the latter.

Dr. Kule could talk a long time about the differences and advantages of and conventional medicine, but wait. A baby is crying. It's his third child, just three weeks old. He breaks away from the interview, then returns with this comment:

We have some of the best midwives in the country here," he says, adding that he and his wife, Amy, have had three home deliveries with midwives. Midwives-- whether lay or nurse-- are just one group of Carolina health care providers that impress the Kule's. "We're not backwards," he declares. "We're ahead."
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~ South Carolina has 70 hospitals and 7,000 physicians in private practice.

~ North Carolina has 90-plus hospitals and more than 15,000 doctors in private practice.

~ Besides the Medical University of South Carolina in Charleston and the University of South Carolina Medical School in Columbia, The Palmetto State is minutes from the Medical College of Georgia, right across the state line in Augusta.

~ Four medical schools serve the Tarheel State: They include Wake Forest Medical School in Winston-Salem, Duke University Medical School in Durham, UNC School of Medicine at Chapel Hill, and East Carolina University School of Medicine in Greenville.

~ Health care in the Carolinas is never hard to find. Even the most rugged frontier family can get treatment within a 30-minute drive. Helicopter ambulances, digital imaging and telemedicine provide services to citizens on islands and mountains, in cities and towns.
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Center for Carolina Living "In my opinion, we have talent second to none." Center for Carolina Living
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Both states have military and veterans' hospitals, with the latter supporting outpatient clinics and nursing homes.

Long-term care for the frail elderly and chronically ill is available, along with home health, hospice and adult day care services. Many services for the elderly can be found in popular retirement areas. Check your local Council on Aging for specifics.

Health care clinics like those Dr. Kule is creating in West Columbia and Aiken keep up with both conventional and alternative trends. Our Pennsylvanian predicts these one-stop clinics will link family doctors, orthopedists, internists and pediatricians with expert acupuncturists, chiropractors, massage therapists and other alternative healers as complementary services to treat the whole person-- better than either approach alone.

A similar "integrated" practice flourishes in Chapel Hill, NC, thanks to Dr. Mark Eisen, who suggests the referral service offered by the Physicians Association for Anthroposophical Medicine at 734-930-9462.

More health care transformation clues: Yoga classes that were scarce and minimally attended just a few years ago have waiting lists now. Health/organic grocers are populating the Carolinas, finally.

"In my opinion, we have talent second to none," Dr. Kule upholds. "I get surprised all the time by people providing high quality health services here."
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Aida Rogers is a veteran writer and editor, having worked in newspapers, television, magazines and legal newsletters. She is coauthor of Stop Where the Parking Lot's Full, a collection of writings about South Carolina's most beloved restaurants. She recently won second place in the 2010 Green Eyeshade Awards (feature writing, non-daily print category. Center for Carolina Living
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