Integrative Medicine

Enrique Saguil, MD

AKA

Alternative Complementary Herbal Chinese Natural Homeopathic Osteopathic Chiropractic

Other forms of “holistic” healing

Chinese (acupuncturist) Ayurvedic (yogi) African (witch doctor) Native american (medicine man) Barber and blacksmith (?)

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.

12th Century Byzantine Manuscript

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

Sir William Osler, MD 1849-1919

“One of the first duties of the physician is to educate the masses not to take medicine.”

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)

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

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

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

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

Basic idea

Integrate traditional and nontraditional aspects of medicine

Medicines Diets Supplements Exercise prescription Stress reduction Spirituality Preventive medicine (misnomer)

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)

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

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)

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.

Typical office visit

History! History! History! “Bandaid” medicine review Dietary evaluation Review of exercise/ exercise prescription Stress reduction Supplement use

Testing

Traditional physical exam Standard blood testing Specialized blood testing (spectracell) Baseline radiology Specific testing (stress tests, biopsy) Alternative exams (tongue, pulse, muscle)

My Standard tests

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