drric integrative medicine (slide share edition)
DESCRIPTION
basics on integrative medicineTRANSCRIPT
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Integrative Medicine
Enrique Saguil, MD
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AKA
Alternative Complementary Herbal Chinese Natural Homeopathic Osteopathic Chiropractic
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Other forms of “holistic” healing
Chinese (acupuncturist) Ayurvedic (yogi) African (witch doctor) Native american (medicine man) Barber and blacksmith (?)
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Hippocrates 460 BC
held the belief that the body must be treated as a whole and not just a series of parts
believed in the natural healing process of rest, a good diet, fresh air and cleanliness.
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12th Century Byzantine Manuscript
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Maimonides 1135-1204
He indicates that the physical well-being of a person is dependent on his mental well-being, and vice versa
Ruled that fear and anxiety needed to be assessed before invasive medical procedures are considered
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Sir William Osler, MD 1849-1919
“One of the first duties of the physician is to educate the masses not to take medicine.”
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1st professor of medicine at Hopkins
It is much more important to know what sort of person has a disease,
than to know what sort of disease a person has…
(he combined physiological and psychological treatment of patients)
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Dean Ornish, MD
showed that a lifestyle regimen featuring meditation, a low-fat vegetarian diet, smoking cessation, and regular exercise could not only stop the progression of CAD, but could actually reverse it.
Lifestyle Heart Trial, Lancet 1990
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Andrew Weil, MD
…emphasizing prevention over treatment and focusing on nutrition, botanical medicines and mind-body interventions to complement conventional synthetic drug and surgery protocols
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Turning Points
Frustration with traditional medicine Lack of appropriate insurance Lack of appropriate medical care Intractable disease state Previous experience with alternative care Curiosity during healthy times Performance enhancing
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My turning point
Sports injuries Time spent in the Philippines (herbolarios) Exposure to Medical Acupuncture (UCLA) Patient requests Time spent in Florida (medicine of the south) Dr Andrew Weil
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Basic idea
Integrate traditional and nontraditional aspects of medicine
Medicines Diets Supplements Exercise prescription Stress reduction Spirituality Preventive medicine (misnomer)
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Common examples
Traditional medical practice Dietary evaluations (dm, lipid, gout, hbp, heart) Physical therapy (aqua, core, endurance, manual,
hand, biofeedback) Herbalist Instructor (sifu, yogi) Fung shui specialist Therapist (http://www.emofree.com)
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Americans are involved
1997 harvard study- 629 to 386 mill 1997 21.2 billion 2002 62.1% americans used in 12 mnths Women, higher socio level, hospitalized and
former smokers
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Americans have no choice
Obesity= 15% 1980, 27% 2002 Food industry 1 trillion Medical industry 1.4 trillion Physicians becoming technology dispensers
pressed for time Insurance doesn’t pay for wellness (diet and
exercise)
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Complementary and Alternative improving choices
NIH branch (NCCAM) Insurance pays some (+FSA and HAS)
usually chiro 2005 IRS allowed CAM deductions (acu and
chiro) Representative from Texas…"truthful health
information about supplements and natural remedies”…as a platform.
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Typical office visit
History! History! History! “Bandaid” medicine review Dietary evaluation Review of exercise/ exercise prescription Stress reduction Supplement use
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Testing
Traditional physical exam Standard blood testing Specialized blood testing (spectracell) Baseline radiology Specific testing (stress tests, biopsy) Alternative exams (tongue, pulse, muscle)
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My Standard tests
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Useful websites
http://nccam.nih.gov/ http://www.emofree.com http://www.drweil.com/ http://www.herbal411.com/home http://www.spectracell.com/about.html http://www.hugorodier.com/index.html