LBSC Allopathic Medicine Education

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LBSC Allopathic Medicine Education Powered By Docstoc
					Alternative to Integrative
        Medicine



                   Ron Mosiello D.O.
           Osteopathic Manipulative Medicine
                Neuromuscular Medicine
       Southern Maine Medical Center/Prime Care
             Assistant Professor UNECOM
Alternative Medicine: Objectives
• Grown out of “grass roots” or popular desire
  for a different approach to healing
• Has 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
Incidence of Adverse Drug Reactions
  in Hospitalized Patients. JAMA
           1998;279(15):1200-1205.
• 106,000 hospitalized patients die
  from properly prescribed drugs

• Greater than two million suffer
  “serious” side effects
           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)
   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%).
History of Medicine
            History of Medicine
           Medicine and the Ancient World
  China, 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
            History of Medicine
• Allopathic 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’s
• Abraham 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
Louis Pasteur 1822-1895 French
   Chemist/Microbiologist
     (GERM THEORY)
               • Host lives in hostile
                 environment
               • Disease invades body
                 through harmful Germ
               • GERMS primary
                 invasive/destructive cause of
                 disease
               • Adopted contemporary
                 medical model
               • Created first vaccinations for
                 Rabies and Anthrax
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
• 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?
HEALTH
     History of Medicine: 1960’s

• Question/Distrust
  authority
• Take responsibility for
  ones own health
• Influx of Eastern
  Philosophy/Culture
• Looked to Native
  Americans guidance
   *plant based medicine
   *organic farming
    History of Medicine (Ancient
              Cultures)
• Ayurveda (INDIA)
• Chinese Medicine
• Egyptian Medicine
• African Medicine
• American Indian
• Aborigines
COMMON APROACHES
*Herbal Medicine
*Manual Medicine
*Energy Medicine
Manual Medicine

        • Osteopathy/Cranial-
          Sacral
          (fascia/spine/organs)
        • Massage (muscles/fascia)
        • Chiropractic (Spinal
          articulations)
        • Rolfing (Fascia)
            Manual Medicine
• “The rule of the artery must be absolute,
  universal, and unobstructed or disease will be
  the result” – A.T. Still
• Lymphatic return
• Immune function
• Neuroendocrine System/Homeostasis
• Sympathetic and Parasympathetic (ANS)
   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)
         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.
   Osteopathic Treatment and other
         Manual Medicines
• Remove 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 fascia
• ALL organs (Brain, lungs, hart, intestines, stomach,
  liver, ect…) are incased in fascia
• FASCIA attaches to BONE
 Osteopathic Treatment: REMOVE
  RESTICTIONS TO MOTION
• Improve RANGE OF MOTION of all joints
   normalize muscle tension around a joint
   normalize nervous input/output from a joint
• Remove restrictions to proper blood flow
   venous/arterial mechanical restrictions
   Autonomic nervous system imbalance
• Remove restrictions to Lymphatic Flow
   extra-cellular fluid drainage
   immune system reaches and removes unwanted
  materials (infectious, damaged, toxic)
                   Types of OMT
• Balanced Ligamentous Tension (BLT)
• Soft Tissue Manipulation: Myofascial Release
   Facilitated Positional Release (FPR)
   Counterstrain
• Articulatory: High Velocity Low Amplitude (HVLA)
• Cranial Manipulation
• Visceral Manipulation
• Muscle Strain: Muscle Energy, Trigger Point Treatment
• Biodynamic: Fluid fields, Membranes, fascia and fluid
  as one hole component
Energy Medicine
  • Acupuncture
  • Reiki
  • Qigong
  • Therapeutic Touch
  • Osteopathy
    (Biodynamic)
  • Homeopathy
Energy Medicine
        • Channels conducting
          energy (Qi or Ki) life
          force energy occur
          through out the body
        • Blocking energy channels
          limits energy and
          enhances entropy and
          DIS-EASE
        • Re-establishing energy
          channel flow will
          promote proper function
           Energy Medicine

• Scientific/Specific placement of Acupuncture
  needles
• Direction of Energy through trained touch and
  intention
• Touch is light/soft
• May be augmented by specific breathing and
  posture by the recipient
              Energy Medicine
• American Cancer Society promotes Therapeutic Touch
  for cancer patients
• Therapeutic touch abstracts for anxiety/tension
  headaches/pain
• Western 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
Herbal Medicine/Plant Medicine
• Common in all Cultures
• Developed from a
  different
  view/understanding of
  Reality/Nature
      Modern Science Medicine
• Objective fact Only
• Scientific Trials
• Consensus Opinion
       Native Natural Medicine
• Dialogue of the INNER
   and OUTER worlds
• Subjective Faculties
  *Intuition
  *Imagination
• Humans are apart of
   Nature and the Natural
   Environment
Doctrine of Signatures (Intuition and
            Imagination)
• Nicolas Culpepper 1616-1654 (Botanist,
  Herbalist, Physician, Astrologer) English
• Paracelsus 1493-1541(Physician, Botanist,
  Astrologer, Alchemist) German-Swiss
• Emanuel Swedenborg 1688-1772
  (Philosopher, Theologian, Scientist) Swedish
• Samuel Hahnemann 1755-1848 (Homeopathy,
  Physician) German
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)
                   Angelica
• Found in damp shady
  soil
• Effect is warming and
  drying
• Removes damp and cold
  from the system
• Notable for long hollow
  tube of stalk
• Resembles Tubes of the
  body
      Angelica (Treatment Use)
• Remedy for bronchial
  tubes and blood vessels
  (red/purple stalks)
• Removes stagnant blood
  and warms and
  stimulates the circulation
• Delayed
  menstruation/cramping
• UTI/urinary antiseptic
• Intestine peristalsis
                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.”
              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
                                90
                                80
                                70
                                60
                                50
                                                             East
                                40
                                                             West
                                30
                                                             North
                                20
                                10
                                 0
                                     1st   2nd   3rd   4th
                                     Qtr   Qtr   Qtr   Qtr
            Quantum Physics
• Heisenberg
  Uncertainty Principle
*by observing something
  you change it

*What is Consciousness?
*Is all Consciousness
   interconnected?
                  The Mind
• The Subconscious Mind
  emotions, 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.
       The Subconscious Mind
• Capable 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 THEM
• Repetition reinforces the suggestion
• It is a super computer
Have you ever been Hypnotized?
• We are constantly given suggestions by
  Parents, teachers, peer pressure from friends
  politicians, 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
             What is Hypnosis
• Being open to suggestions
• A intense state of relaxation and concentration,
  in which the mind becomes detached from
  everyday cares and concerns
• In 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
 So What is Hypnosis Good For?
• Reprogramming negative conditioning
  irrational fears
  smoking/addictions
  anxiety
  recalling forgotten memories
      Problems with “Alternative”
             Treatments
• Lack of Research and Research funding
• What works for one person may not work for
  everyone
• Out of pocket expense
• Have an idea about the treatment/therapy that
  you refer a patient to
• Lack of “Alternative” practitioners in a
  community
            Serving vs. Fixing
• Maximize homeostasis and
  function
• Support Mental/ Emotional
  wellbeing
• Teach and Nurture
• Encourage independence as much
  as possible
• LISTEN
         Alternative Medicine
• Grown out of “grass roots” or popular desire
  for a different approach to healing
• Has 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
THANK YOU

				
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