Alternative to Integrative Medicine

Alternative to Integrative Medicine

اسلاید 1: www.tabaye.ir

اسلاید 2: Alternative to Integrative MedicineRon Mosiello D.O.Osteopathic Manipulative Medicine Neuromuscular MedicineSouthern Maine Medical Center/Prime CareAssistant Professor UNECOM

اسلاید 3: Alternative Medicine: ObjectivesGrown out of “grass roots” or popular desire for a different approach to healingHas many forms, (Plant/Herb, Energy, Structural Manipulation, Subconscious/Mind)Traditional Allopathic Medicine does not have a monopoly on healing Difference between SERVING and FIXING a patient

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اسلاید 6: Incidence of Adverse Drug Reactions in Hospitalized Patients. JAMA 1998;279(15):1200-1205. 106,000 hospitalized patients die from properly prescribed drugsGreater than two million suffer “serious” side effects

اسلاید 7: Geriatric Challenges and Pharmaceuticals Polypharmacy*Decrease in GFR and liver metabolism with age *Increase in medication with age *Acute changes in mental status New med vs. infection, CVA, *Pain medication: Dizziness/Falls/Mental Status changes/Liver-Kidney toxicity/GI upset NSAIDs, Muscle relaxants, Narcotics Acetaminophen (Liver)*Financial stress (fixed income)

اسلاید 8: National Health Statistics Report, number 12, Dec 10, 2008 Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007 In 2007, the CAM therapies most commonly used by U.S. adults in the past 12 months were nonvitamin, nonmineral, natural products (17.7%), deep breathing exercises (12.7%), meditation (9.4%), chiropractic or osteopathic manipulation (8.6%), massage (8.3%), and yoga (6.1%).

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اسلاید 11: History of Medicine

اسلاید 12: History of Medicine Medicine and the Ancient WorldChina, Egypt, Rome, Greece, Medieval Europe, Africa, South and North American Indians, India, Middle East “Bone Setting” in early colonial and early America: folk tradition dating from 1500’s Pasture (germ theory) vs. Beauchapms (host theory of disease) 1900 Medical philosophies Allopathic, Homeopathic, Osteopathic, Chiropractic, Naturopathic, Sylvester Graham

اسلاید 13: History of MedicineAllopathic Medicine in 1900: Medications Calomel (contained mercury) rapid cathartic Lead, Arsenic, Opium, Belladonna *Source: Merk Manual 1899 Rockefeller, Carnegie, Vanderbilt invest in allopathic medicine in late 1800’s early 1900’sAbraham Flexner’s report to US congress 1907 Financed by the Carnegie foundation Standardized medical education and practice 1904 160 medical schools in US, 1935 only 66

اسلاید 14: Louis Pasteur 1822-1895 French Chemist/Microbiologist (GERM THEORY)Host lives in hostile environmentDisease invades body through harmful GermGERMS primary invasive/destructive cause of diseaseAdopted contemporary medical model Created first vaccinations for Rabies and Anthrax

اسلاید 15: Pierre Jacques Antoine Beauchamp (1816-1908) Chemist Biologist Physician Healthy tissue immune to germ infection “Biological Terrain”Germs are Opportunists Support tissue health and wellbeing Nutrition/Rest/Hygiene Exercise/Emotional wellbeing“The primary cause of disease is in us, always in us.” Antoine Beauchamp, 1883 Theory ignored and feel into obscurity

اسلاید 16: Have you ever wondered why only a few people get a cold after coming in contact with someone that already has one? If Pasteur’s theory was right surely we would all ‘catch’ a cold with no exception?

اسلاید 17: HEALTH Diet/Quality of Nutrition GeneticsMental/Emotional/SpritualStructural & Mechanical HygieneToxic Influence

اسلاید 18: History of Medicine: 1960’sQuestion/Distrust authorityTake responsibility for ones own healthInflux of Eastern Philosophy/Culture Looked to Native Americans guidance *plant based medicine *organic farming

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اسلاید 21: History of Medicine (Ancient Cultures) Ayurveda (INDIA)Chinese MedicineEgyptian MedicineAfrican MedicineAmerican Indian Aborigines COMMON APROACHES*Herbal Medicine*Manual Medicine *Energy Medicine

اسلاید 22: Manual MedicineOsteopathy/Cranial-Sacral (fascia/spine/organs)Massage (muscles/fascia)Chiropractic (Spinal articulations)Rolfing (Fascia)

اسلاید 23: Manual Medicine“The rule of the artery must be absolute, universal, and unobstructed or disease will be the result” – A.T. StillLymphatic return Immune functionNeuroendocrine System/Homeostasis Sympathetic and Parasympathetic (ANS)

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اسلاید 26: Manual Medicine: Structure and Function“Disease is the result of anatomical abnormalities followed by physiologic discord” – A.T. Still M.D.Macroscopic vs. Microscopic *sickle cell, Atherosclerosis*cytoskeleton *Somatic Dysfunction (musculoskeletal or visceral restriction)

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اسلاید 31: Somatic Dysfunction“Impaired or altered function of related components of the somatic (body framework) system: skeletal, authorial, and myofascial structures and related vascular, lymphatic, visceral and neural elements” Foundations for Osteopathic Medicine, glossary.

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اسلاید 33: Osteopathic Treatment and other Manual MedicinesRemove fascial restrictions Fascia is connective tissue ligaments, tendons, durra, omentum, mesentery, all body membranes ALL nerves, blood vessels, lymphatic vessels, are carried throughout the body in fasciaALL organs (Brain, lungs, hart, intestines, stomach, liver, ect…) are incased in fasciaFASCIA attaches to BONE

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اسلاید 35: Osteopathic Treatment: REMOVE RESTICTIONS TO MOTIONImprove RANGE OF MOTION of all joints normalize muscle tension around a joint normalize nervous input/output from a jointRemove restrictions to proper blood flow venous/arterial mechanical restrictions Autonomic nervous system imbalanceRemove restrictions to Lymphatic Flow extra-cellular fluid drainage immune system reaches and removes unwanted materials (infectious, damaged, toxic)

اسلاید 36: Types of OMTBalanced Ligamentous Tension (BLT)Soft Tissue Manipulation: Myofascial Release Facilitated Positional Release (FPR) Counterstrain Articulatory: High Velocity Low Amplitude (HVLA)Cranial Manipulation Visceral ManipulationMuscle Strain: Muscle Energy, Trigger Point TreatmentBiodynamic: Fluid fields, Membranes, fascia and fluid as one hole component

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اسلاید 38: Energy MedicineAcupunctureReikiQigongTherapeutic TouchOsteopathy (Biodynamic)Homeopathy

اسلاید 39: Energy MedicineChannels conducting energy (Qi or Ki) life force energy occur through out the bodyBlocking energy channels limits energy and enhances entropy and DIS-EASERe-establishing energy channel flow will promote proper function

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اسلاید 41: Energy MedicineScientific/Specific placement of Acupuncture needlesDirection of Energy through trained touch and intentionTouch is light/softMay be augmented by specific breathing and posture by the recipient

اسلاید 42: Energy MedicineAmerican Cancer Society promotes Therapeutic Touch for cancer patientsTherapeutic touch abstracts for anxiety/tension headaches/painWestern scientific research confirms that Qigong reduces hypertension and the incidence of falling in the aged population. The Effect of Reiki on Pain and Anxiety in Women With Abdominal Hysterectomies: A Quasi-experimental Pilot Study:- Holistic Nursing Practice, 2006 - journals.lww.com Acupuncture is the most widely researched of all of the energy medicine modalities

اسلاید 43: Herbal Medicine/Plant MedicineCommon in all Cultures Developed from a different view/understanding of Reality/Nature

اسلاید 44: Modern Science MedicineObjective fact OnlyScientific TrialsConsensus Opinion

اسلاید 45: Native Natural Medicine Dialogue of the INNER and OUTER worldsSubjective Faculties *Intuition *Imagination Humans are apart of Nature and the Natural Environment

اسلاید 46: Doctrine of Signatures (Intuition and Imagination)Nicolas Culpepper 1616-1654 (Botanist, Herbalist, Physician, Astrologer) English Paracelsus 1493-1541(Physician, Botanist, Astrologer, Alchemist) German-SwissEmanuel Swedenborg 1688-1772 (Philosopher, Theologian, Scientist) Swedish Samuel Hahnemann 1755-1848 (Homeopathy, Physician) German

اسلاید 47: Doctrine of Signatures (Intuition and Imagination) INTUITION (helps us see patterns in the world)*Connect Herbs from environment to a disordered condition IMAGINATION *Images generated with oneself (Fantasies) vs. images that come from beyond us (Visions)

اسلاید 48: AngelicaFound in damp shady soil Effect is warming and drying Removes damp and cold from the systemNotable for long hollow tube of stalkResembles Tubes of the body

اسلاید 49: Angelica (Treatment Use)Remedy for bronchial tubes and blood vessels (red/purple stalks)Removes stagnant blood and warms and stimulates the circulation Delayed menstruation/crampingUTI/urinary antiseptic Intestine peristalsis

اسلاید 50: Albert Einstein“Imagination is more important than knowledge. For knowledge is limited to all we now know and understand, while imagination embraces the entire world, and all there ever will be to know and understand.”

اسلاید 51: Quantum Physics Entanglement Theory *All matter was “Entangled” or connected at the moment of the “Big Bang”*Space is just a construct that gives the illusion that there are separate objects

اسلاید 52: Quantum Physics Heisenberg Uncertainty Principle *by observing something you change it*What is Consciousness?*Is all Consciousness interconnected?

اسلاید 53: The MindThe Subconscious Mindemotions, imagination, memories, and autonomic nervous system (all are very closely interlinked)*very powerful at dealing with many complex instructions at one time but is not “intelligent”*has the reasoning of a four year old*has a strong desire to help and facilitate change but is very naïve a to the proper way to do so.

اسلاید 54: The Subconscious MindCapable of running multiple tasks simultaneously IT DOES NOT JUDGE, CRITICIZE, ANALYZE OR REJECT!It excepts all thoughts the conscious mind thinks into it AND ACTS ON THEMRepetition reinforces the suggestionIt is a super computer

اسلاید 55: Have you ever been Hypnotized?We are constantly given suggestions byParents, teachers, peer pressure from friendspoliticians, religion, *Newspaper and TV: advertising tries to persuade us to do things…vote for someone, buy something*If you bought something from a salesman or an ad that you never thought of buying before or don’t really need – then you where hypnotized

اسلاید 56: What is Hypnosis Being open to suggestionsA intense state of relaxation and concentration, in which the mind becomes detached from everyday cares and concernsIn this relaxed state the subconscious mind is best able to respond creatively to suggestion and imagery.A state of deep relaxation and heightened responsiveness to suggestion

اسلاید 57: So What is Hypnosis Good For?Reprogramming negative conditioningirrational fearssmoking/addictionsanxietyrecalling forgotten memories

اسلاید 58: Problems with “Alternative” TreatmentsLack of Research and Research fundingWhat works for one person may not work for everyoneOut of pocket expense Have an idea about the treatment/therapy that you refer a patient toLack of “Alternative” practitioners in a community

اسلاید 59: Serving vs. Fixing Maximize homeostasis and function Support Mental/ Emotional wellbeing Teach and Nurture Encourage independence as much as possibleLISTEN

اسلاید 60: Alternative MedicineGrown out of “grass roots” or popular desire for a different approach to healingHas many forms, (Plant/Herb, Energy, Structural Manipulation, Subconscious/Mind)Traditional Allopathic Medicine does not have a monopoly on healing Difference between SERVING and FIXING a patient

اسلاید 61: THANK YOU