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DrRic Integrative Medicine (slide share edition)

basics on integrative medicine

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DrRic Integrative Medicine (slide share edition)

  1. 1. Integrative Medicine Enrique Saguil, MD
  2. 2. AKA <ul><li>Alternative </li></ul><ul><li>Complementary </li></ul><ul><li>Herbal </li></ul><ul><li>Chinese </li></ul><ul><li>Natural </li></ul><ul><li>Homeopathic </li></ul><ul><li>Osteopathic </li></ul><ul><li>Chiropractic </li></ul>
  3. 4. Other forms of “holistic” healing <ul><li>Chinese (acupuncturist) </li></ul><ul><li>Ayurvedic (yogi) </li></ul><ul><li>African (witch doctor) </li></ul><ul><li>Native american (medicine man) </li></ul><ul><li>Barber and blacksmith (?) </li></ul>
  4. 5. Hippocrates 460 BC <ul><li>held the belief that the body must be treated as a whole and not just a series of parts </li></ul><ul><li>believed in the natural healing process of rest, a good diet, fresh air and cleanliness. </li></ul>
  5. 6. 12 th Century Byzantine Manuscript
  6. 7. Maimonides 1135-1204 <ul><li>He indicates that the physical well-being of a person is dependent on his mental well-being, and vice versa </li></ul><ul><li>Ruled that fear and anxiety needed to be assessed before invasive medical procedures are considered </li></ul>
  7. 8. Sir William Osler, MD 1849-1919 <ul><li>“ One of the first duties of the physician is to educate the masses not to take medicine. ” </li></ul>
  8. 9. 1 st professor of medicine at Hopkins <ul><li>It is much more important to know what sort of person has a disease, </li></ul><ul><li>than to know what sort of disease a person has… </li></ul>(he combined physiological and psychological treatment of patients)
  9. 10. Dean Ornish, MD <ul><li>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. </li></ul>Lifestyle Heart Trial, Lancet 1990
  10. 11. 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
  11. 12. Turning Points <ul><li>Frustration with traditional medicine </li></ul><ul><li>Lack of appropriate insurance </li></ul><ul><li>Lack of appropriate medical care </li></ul><ul><li>Intractable disease state </li></ul><ul><li>Previous experience with alternative care </li></ul><ul><li>Curiosity during healthy times </li></ul><ul><li>Performance enhancing </li></ul>
  12. 13. My turning point <ul><li>Sports injuries </li></ul><ul><li>Time spent in the Philippines (herbolarios) </li></ul><ul><li>Exposure to Medical Acupuncture (UCLA) </li></ul><ul><li>Patient requests </li></ul><ul><li>Time spent in Florida (medicine of the south) </li></ul><ul><li>Dr Andrew Weil </li></ul>
  13. 14. Basic idea <ul><li>Integrate traditional and nontraditional aspects of medicine </li></ul><ul><li>Medicines </li></ul><ul><li>Diets </li></ul><ul><li>Supplements </li></ul><ul><li>Exercise prescription </li></ul><ul><li>Stress reduction </li></ul><ul><li>Spirituality </li></ul><ul><li>Preventive medicine (misnomer) </li></ul>
  14. 15. Common examples <ul><li>Traditional medical practice </li></ul><ul><li>Dietary evaluations (dm, lipid, gout, hbp, heart) </li></ul><ul><li>Physical therapy (aqua, core, endurance, manual, hand, biofeedback) </li></ul><ul><li>Herbalist </li></ul><ul><li>Instructor (sifu, yogi) </li></ul><ul><li>Fung shui specialist </li></ul><ul><li>Therapist (http://www.emofree.com) </li></ul>
  15. 16. Americans are involved <ul><li>1997 harvard study- 629 to 386 mill </li></ul><ul><li>1997 21.2 billion </li></ul><ul><li>2002 62.1% americans used in 12 mnths </li></ul><ul><li>Women, higher socio level, hospitalized and former smokers </li></ul>
  16. 17. Americans have no choice <ul><li>Obesity= 15% 1980, 27% 2002 </li></ul><ul><li>Food industry 1 trillion </li></ul><ul><li>Medical industry 1.4 trillion </li></ul><ul><li>Physicians becoming technology dispensers pressed for time </li></ul><ul><li>Insurance doesn’t pay for wellness (diet and exercise) </li></ul>
  17. 18. Complementary and Alternative improving choices <ul><li>NIH branch (NCCAM) </li></ul><ul><li>Insurance pays some (+FSA and HAS) usually chiro </li></ul><ul><li>2005 IRS allowed CAM deductions (acu and chiro) </li></ul><ul><li>Representative from Texas…&quot;truthful health information about supplements and natural remedies”…as a platform. </li></ul>
  18. 19. Typical office visit <ul><li>History! History! History! </li></ul><ul><li>“ Bandaid” medicine review </li></ul><ul><li>Dietary evaluation </li></ul><ul><li>Review of exercise/ exercise prescription </li></ul><ul><li>Stress reduction </li></ul><ul><li>Supplement use </li></ul>
  19. 23. Testing <ul><li>Traditional physical exam </li></ul><ul><li>Standard blood testing </li></ul><ul><li>Specialized blood testing (spectracell) </li></ul><ul><li>Baseline radiology </li></ul><ul><li>Specific testing (stress tests, biopsy) </li></ul><ul><li>Alternative exams (tongue, pulse, muscle) </li></ul>
  20. 24. My Standard tests
  21. 34. Useful websites <ul><li>http://nccam.nih.gov/ </li></ul><ul><li>http://www.emofree.com </li></ul><ul><li>http://www.drweil.com/ </li></ul><ul><li>http://www.herbal411.com/home </li></ul><ul><li>http://www.spectracell.com/about.html </li></ul><ul><li>http://www.hugorodier.com/index.html </li></ul>