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Issues #51-#54 - Sept-Oct 2008 PDF Print E-mail
Written by John Weeks   

Issues #51-#54 - Sept-Oct 2008



Issue #54 - October 29, 2008



October 29, 2008

AHA-Health Forum 2008 Report: 37% of Hospitals Have Some Complementary and Alternative Medicine

37% of hospitals offered some form of complementary and alternative medicine in 2007, up from 26% in 2005. This is the marquis finding from the recently published Summary of Results of the Complementary and Alternative Medicine Survey of Hospitals from the American Hospital Association/Health Forum. However, a low response rate raises initial questions about whether the trend line is positive. In addition, inclusion of many key modalities in hospitals that offer CAM is actually down. Here are data and analysis from this always useful pulse on the uptake of non-conventional therapies into US hospitals. Credit AHA/Health Forum and Sita Ananth, MHA, the lead author. Is CAM inclusion in hospital care actually trending upward?  More ...


October 26, 2008

Your Comments Forum: 8 Voices on Integrator Themes

Dan Redwood, DC on my assertion that chiropractic is historically Republican leaning ... International Association of Yoga Therapists leader John Kepner on two guiding lights for his work from the White House Commission ... Historian and holistic nurse Martha Libster, PhD, RN, CNS on lessons from the mid-1800s ... ND student Naini Kohli urges a patient focus in the dialogue over who owns integrative medicine ... AsOne Coaching Institute founder Linda Bark, RN shares data from Aussie study showing huge return for employers ... Michael Levin wonders whether new data on the conscious use of placebos by internists and rheumatologists suggests openness to the mind-body connection ... Herbalist and hospital integrative medicine leader Sara Eisenberg, MS challenges my perspective on the column by Bhaswati Bhattacharya, MD  ...  Georgetown law professor and long-time AOM leader Sherman Cohn, JD argues that patient care has been changed by the integrative practice movement ...  Glenn Hoey, ND comments on business realities of a naturopathic practice. More ...

October 23, 2008

Integrative Medicine and Integrated Healthcare Round-up: October 1-15, 2008

MGMA says some MDs turning to alternative medicine, supplement sales, for business reasons ... Naturopathic specialty board established to promote aesthetic medicine ... American Acupuncture Council promotes programs to get acupuncturists and chiropractors to explore anti-aging medicine ... NCCAM names NIH veteran Jack Killen, MD as Deputy Director ... Institute of Medicine announces agenda for its February 2009 National Summit on Integrative Medicine, not yet much sign of "integration" ... New American Hospital Association report finds 37% of hospitals offering some CAM, a 40% increase in the percent since 2005 ... Yale-Griffin integrative medicine center in new facility ... Donna Karan's Urban Zen initiative brands "new category of integrative practitioner" ... Thumbs up for natural childbirth in Milbank study, and article by obstetrician Bethany Hays, MD ... USA Today features Pentagon's exploration of alternatives ... Plus, Annie Appleseed, patient-centered integrative cancer conference and Integrative medicine Alliance practitioner-centered weekend ... Three of Calabrese's mentees earn NIH awards ...  More ...

October 22, 2008

Presidential Race: McCain & Obama on Complementary Medicine, Integrative Practitioners on the Candidates

With a little digging, I found some direct statements from the Obama and McCain campaigns on complementary and alternative medicine, reported here. On a more limited issue, the American Chiropractic Association notified its members of a very favorable view of chiropractic from Obama. Despite historically Republican leanings in the chiropractic profession, the ACA is quiet on McCain. Meantime, Integrator sponsor Integrative Practitioner Online asked its members for their perspectives on which candidate would be the most meaningful to integrative practices. The findings are here. I close with a brief, personal perspective, based on alignment with the values that attracted me to these fields 25 years ago. More ...


October 19, 2008

NCCAM Research Spending 2005-2007 by Modality: What are the Big 3? Any Surprises?

Integrator reader and sometimes commentarist Taylor Walsh recently asked staff at the NIH National Center for Complementary and Alternative Medicine for data on the specific amounts of grant awards for specific modalities in fiscal years 2005-2007. Walsh, the founder and CEO of Washington, D.C.-based Life Pages, shared the data with the Integrator. Here are his findings. What do you suppose are the top 3 modalities? What is the percentage of NCCAM's $362-million for those three years which were spent on the top three?  How does this meet your sense of priorities? More ...

October 19, 2008

True North's Integrative "Decision Circle" Offers Perspective on a Democratic Model of Integration

One never knows what a discussion will engender. Witness this contribution from the multidisciplinary, clinical/administrative "Decision Circle" of the True North Health Center in Maine. The 9-person group is responding to a portion of the Integrator dialogue on who owns "integrative medicine." A writer offered a view of an ideal integrative medical model in which members from various disciplines are each respected and then opines that it "doesn't exist"? The True North team begs to differ. Here we have a look at an existing model. The piece is co-signed by the medical director Bethany Hays, MD, an ND associate medical director, 2 nutritionists (one a nurse midwife), another MD, a social worker and 3 administrators. They describe value that has come from "sitting in circle" for major decisions. More ...








Issue #53 - October 13, 2008


October 8, 2008

White House Commission Chair James Gordon, MD on Federal Policy in Integrative Practice: Looking Back - Looking Forward

[Written for Integrative Practitioner Online] This Presidential election season medical reform is in the air. I decided to interview James Gordon, MD, who chaired the most concerted look at the potential for a federal government role in fostering integrative care in the United States. The report of the White House Commission on Complementary and Alternative Medicine Policy was published 6 years ago. I asked Gordon to recall his hopes for those recommendations, then to enumerate where the Commission's work has had value and where it has come up short. Gordon, author of Manifesto for a New Medicine (and more recently Unstuck), grades the outcomes of the Commission's work - both the government response and that of the integrative practice community. Do we need to have a national Office of some kind, to more fully move this agenda? More ...


October 5, 2008

Stephen Bolles: Capstone View of MD-ND-CAM Bashing - "Professions that Seek Wholeness Seek Integration"

The perspective on integration of Stephen Bolles, DC is shaped by leadership in developing the Woodwinds integrative clinic, service as a vice president at the multidisciplinary Northwestern Health Sciences University, a couple years inside United Healthcare and clinical practice as a chiropractor. So when Bolles wrote and said he had read the series of heated exchanges on MD-ND bashing and ownership of "integrative medicine," I was curious to see what he'd say. I wasn't disappointed: Bolles speaks of the "halo effect" of (MD) medical education, the depth of disenfranchisement of many MDs, political medicine, from political/AMA medicine, and how disenfranchisement has kept the non-MD professions from exploring integration to the same degree as MDs. Take a read. More ...

October 5, 2008

Integrative Medicine and Integrated Health Care Round-up: September 16-30, 2008

New 18-practitioner integrative clinic and robust growth at Samaritan Health Services ...  Inner Harmony celebrates 10th year and moves to new space at Scranton's Mercy Hospital ... HRSA in $310,000 grant to Palmer College of Chiropractic and Jefferson's integrative medicine prorgam for multidisciplinary practice-based CAM-IM research network ... National College of Natural Medicine expands ... AHEC grant funds scholarship for fellowship at Arizona Center for Integrative Medicine to help serve underserved ... Oregon College of Oriental Medicine, a research-education-integration leader for AOM marks 25th year ... Board of NADA, the acu-detox group, affirms value of 5-point protocol for stress, pain management, not just detox ... Report on national massage therapy clinical practice guidelines funded and developed through Massage Therapy Foundation ... American Chiropractic Association announces policy-related action of its House of Delegates ... Signature Supplements gets high tech business development loan from state of Maryland ... Update on Minnesota-based Collaboration Health Care group started by form American Chiropractic Network team, plus more. More ...

October 3, 2008

Michael Levin: On Globalization, Melamine Contamination and Responsibilities of Integrative Practitioners

Integrator adviser and columnist Michael Levin often speaks to us from the discomforting chasm between the aspirations of integrative medicine and current realities regarding the natural healthcare products which most integrative practitioners prescribe in their offices. Here, Levin focuses on "economic adulteration" of dietary supplements in the recent story of melamine contamination of infant formulas which caused sickness and death in China. What are the integrative practitioner's responsibilities in raising the bar? More ...

October 3, 2008

Historic Alliance: Integrative Practice Groups Unite Behind Congressional Resolution Promoting Wellness

[From my Integrative Practitioner column] A medical reform movement is afoot in the integrative practice community. The present goal is as powerful as it is sublime: Tell Congress that, whatever healthcare reform efforts are undertaken, wellness must be included. The focal point of the current campaign is House Concurrent Resolution 406 (H.Con.Res.406) introduced by US Representative Jim Langevin (D-RI).  H.Con.Res.406 expresses “the sense of Congress that any effort to reengineer the health care system in the United States should incorporate sustainable wellness programs that address the underlying causal factors associated with chronic disease.” More ...

October 1, 2008

Allina Honors Integrative Medicine Visionary:  U.S.'s Top Hospital Program Becomes the Penny George Institute for Health & Healing

Penny George, one of a handful of individuals who has had the most significant influence on the development of integrative medicine in the United States, was honored recently by Allina Health System. Allina announced that it will change the name of its leading edge, inpatient-outpatient integrative center to the Penny George Institute for Health and Healing. The September 26, 2008 Allina release only suggests the many strategic roles George has played in advancing this movement in US and global health care. George's story begins with a personal experience of breast cancer.  Her vision led to the formation of an influential academic consortium, development of a collaborative of philanthropists, sponsorship of an IOM summit, lift-off for a key international research conference, enhancement of multidisciplinary initiatives and, on the ground in the Allina system, 8000 outpatient and 14,500 inpatient integrative care visits a year.  More ... 






Issue #52 - September 26, 2008



September 26, 2008

Welcome Integrative Practitioner Online-Integrative Healthcare Symposium as an Integrator Sponsor!

Happy news, friends and colleague: Please join me in welcoming a new Integrator sponsor!  Integrative Practitioner Online is a growing, virtual community of 3700 healthcare professionals, some 1000 of whom will get together, face-to-face, at their affiliated Integrative Healthcare Symposium in New York City, February 19-21, 2009. The business model of this new Integrator sponsor is about building community. I have come to know and like their lead personnel. This promises to be a great new platform and playground for advancing the Integrator's own mission. Take a look at who they are and what we're planning. Got any ideas? More ...


September 26, 2008

Employers & Integrative Medicine: An Interview with Stages of Change/Readiness for Change Expert James Prochaska, PhD

The pioneering work of James Prochaska, PhD in "stages of change" and "readiness for change" is known to many in the integrative practice community. Changing behaviors is the heart of the best of integrative care. Employers are drawn to Prochaska's work because moving an employee toward change can eventually be monetized. Is this a place for an employer-integrative practice link? I think so. Prochaska will be a featured presenter and workshop leader at the October 15-17, 2008 conference of the Institute for Health and Productivity Management (IHPM), an Integrator sponsor. I look forward to the opportunity to introduce him to Richard Nahin, PhD, MD, senior adviser and acting director of extramural research for NIH NCCAM who will be a keynoter at the meeting. This interview explores Prochaska's work, potential clinical applications in complementary, alternative and integrative medicine research and practice, and the way the reductive research paradigm has hindered application of beneficial change strategies. More ...

September 22, 2008

MD Bashing, ND Bashing & Integration: Comments from King, Ballard, Sportelli, Amato, Clark, Glidden, Lee-Engel and Benda

If one cares about one's cultural competency for practice with practitioners from other disciplines, this set of comments is excellent, raw and eye-opening material for reflection. In a recent Integrator column, Bill Benda, MD asserted that "integrative medicine" will always be MD-centered. Then he responded to prior columns by Tom Ballard, ND and Peter Glidden, ND, strongly arguing that it was time to stop bashing medical doctors. These new comments - alternatively conciliatory, insightful, re-focusing, direct, congratulatory and inflammatory - are from naturopathic student leader Cheri King, 40+ year chiropractic practitioner and NCMIC president Lou Sportelli, DC, Inner Harmony Group founder Peter Amato, AANP board member Michelle Clark, ND, and Bastyr University educator and clinician Christy Lee-Engel, ND, LAc. Their contributions surround responses to Benda from Ballard and Glidden, each of whom felt Benda was engaging in his own bashing. I sent these to Benda prior to printing, who comments again. I conclude with some words from the poet Robert Graves. More ...

September 22, 2008

Does Hospital Care Need a Public Health Warning Label?

[From my Integrative Practitioner Online column} “ … We spend between one fifth and one third of our health care dollars … between five hundred billion and seven hundred billion dollars (and that’s a billion, with a b), on care that does nothing to improve our health. And while overhead and high prices hurt our pocketbooks, the vast amount of unnecessary care in the system also makes our health care worse than it ought to be.” The quote is from Overtreated: Why Too Much Medicine is Making Us Sicker and Poorer, by by conventionally-minded journalist Shannon Brownlee. Notably, her horrendous estimate of harmful waste is $400-billion less than the Institute of Medicine's estimate. I have an idea for a warning label. More ...


September 21, 2008

Sherman Cohn: Report on the NIH NCCAM Advisory Committee Meeting, September 12, 2008

Sherman Cohn, JD attended the September 12, 2008 meeting of the NIH National Advisory Council on Complementary and Alternative Medicine and sent me a report. His notes refer to a discussion of challenges in CAM research, programs to support careers of distinctly licensed professionals, a historic look at botanicals in medicine, a concept paper on CAM for pain, data from a 2007 consumer survey and some future directions. I figured some of you would be as interested as I was. Cohn, a professor of law at Georgetown University since 1965, a leader in the emergence of the acupuncture profession since the early 1980s, and a sometimes contributor to the Integrator, gave me an okay to share the report with you. Enjoy.  More ... 


September 19, 2008

Integrative Medicine and Integrated Healthcare Round-up: September 1-15, 2008

CCAOM backs move in the acupuncture profession toward "First Professional Doctorate" ... IAYT reports data on the emerging Yoga therapy field ... ND students set quality standards for nutraceutical partners ... Hopkins opens integrative clinic with GI focus ... Hawaii Consortium for Integrative Healthcare begins monthly television program ...  New ACOEM guidelines for chronic pain elevate role of acupuncture, yoga ...  Employer group IHPM begins worksite metabolic health initiative ... American Specialty Health receives awards ... Standard Process' president Charlie DuBois joins board of chiropractic research group ... Council for Responsible Nutrition selects naturopathic physician Douglas MacKay, ND as vice president for regulatory and scientific affairs ... Changes at the top for American Association for Health Freedom ... Primary care needs to be aggravated by disappearing interest among med school grads, plus more







Issue #51 - September 15, 2008



September 9, 2008

Integrative Medicine and Integrated Healthcare Round-up: August 16-31, 2008

Data on total number of AOM students ... Hawaii med school opens complementary medicine center ... Ralph Snyderman, MD, a top influencer of medical school-based integrative medicine, tells academic medicine to "lead, follow or get out of the way" of what he calls "prospective health care" ... Bradly Jacobs, MD, MPH leaves a Revolution on the decline ... Physician staffing firm reports survey on MD views of CAM ... Delaware gets medical association's support in successful licensing campaign ... AHPA firms look good in JAMA study ... Integrative Medical Consortium formed of half-dozen other national professional associations ... Yoga leader Terri Kennedy selected for American Heart Association role ... Integrative program for the disabled seeks information on other models ... plus more  More ...

September 7, 2008

Columnist Bill Benda, MD: Tough Love on Who Owns "Integrative Medicine" and on Associated "MD-Bashing"

Bill Benda, MD, weighs in forcefully on the recent series of Integrator articles, guest columns and commentaries on who owns the term "integrative medicine" and some of the attendant name-calling. It's been a little ugly, seeing the disparate perceptions, hurt feelings and psycho-spiritual-economic rifts between the diverse parties with a stake in the integrative practice movement. Benda focuses on two points he feels must be made, once and for all, regarding "allopathically-centered integrative medicine" and the need to end "MD bashing" by naturopathic doctors and other complementary healthcare practitioners. Benda's addition to this difficult exchange reminded me of what may be the best therapeutic course for those wishing to take this healing seriously: the knowledge, skills and values in the 1994 Pew-Fetzer Task Force work on practitioner-to-practitioner relationships. 
 More ...


September 4, 2008

Update on a "Social Business" Model: The Working Class Acupuncture Clinic Had 448 Patient Visits Last Week

One of the Integrator's Top 10 for integrative practice for 2006 was Working Class Acupuncture. The Portland, Oregon-based business, controversial in the acupuncture community, promotes greater access to affordable acupuncture services through a business model in which acupuncture is delivered in a community room. Patients average $19 per visit. Now just 3-years-old, the clinic, which anchors a national network, had 448 patient visits in the final week of August 2008. Visits for the month were at over 1600, up 33% from the prior year, and quite likely the highest number of any acupuncture clinics in the United States. Co-founder Lisa Rohleder, LAc shares data on visits, salaries and expansion of this for-profit model which, on reading the work of Nobel Peace Prize winner Muhammad Yunus, is a classic "social business." More ...


September 1, 2008

Origins #2: Peter D'Adamo, ND on the Musical Inspiration for "Integrative Medicine" in 1979

Internationally-known Eat Right 4 Your Type author Peter D'Adamo, ND recalls using the term "integrative medicine" in 1979. D'Adamo was part of a team which was charged with developing the clinical education strategy at John Bastyr College of Naturopathic Medicine, founded the year before. D'Adamo, a musician and composer, recalls how the concept, which became embedded in the naturopathic curriculum as "integrative therapeutics," was shaped by some musical concepts with which he was working. The story recalls to mind conversations two decades later with Tracy Gaudet, MD, when she and her team who founded the Program in Integrative Medicine at the University of Arizona sought to get their academic minds around what "integrative medicine" was, and then how to teach it. More ...


August 31, 2008

Origins #1:  Marty Rossman, MD Expands on the Shared History of the Integrative Practice Movement

Guided imagery pioneer Martin Rossman, MD, LAc, read my column, "Toward an Integrated History for the Integrative Practice Movement." The focus on the founding of organizations left some key "elements" that needed to be in the mix. Rossman speaks of the era, the "crack in our (medical) cosmic egg." He lists some who were key articulators of the new humanism and holism. There are tastes here of the contribution of the moment and the greatness of breakthrough thinker which add to that of the road-builders whose often nearly invisible acts advanced access for millions of people to kinds of care which manifested the ideas articulated by these who Rossman honors. More ...


 


For earlier articles, please click below:

Issues #47-#50 - July-August 2008

Issues #45 & -#46 - May-June 2008

Issues #43-#45 Mar-April 2008


Issues #41 & #42 - Feb 2008

Issues #39 & #40 - Dec-Jan '08


Issues #37 & #38 - Nov 2007

Issues #35 & #36 - Oct 2007

Issues #33 & #34 - Sept 2007

Issues #30-#32 - July-Aug 2007

Issues #28 & #29 - June 2007

Issues #26 and #27 - May 2007

Issue #25 - April 2007

Issues # 23 & #24 - March 2007

Issues #21 and #22 - Feb 2007

Issues #19 and & 20 - Jan 2007

Issues #17 and #18 - Dec 2006

Issues #15 and #16 - Nov 2006

Issues #13 and #14 - Oct 2006

Issues #11 and #12- Sept 2006

Issues #9 and #10 - Aug 2006

Issues #7 and #8 - July 2006

Issues #5 and #6 - June 2006

Issues #3 and #4 - May 2006

Issues #1 and #2 - Apr 2006

All Postings to Aug 15, by Subject Matter

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