Integrative Medicine. Kathleen Phalen. Читать онлайн. Newlib. NEWLIB.NET

Автор: Kathleen Phalen
Издательство: Ingram
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Жанр произведения: Медицина
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isbn: 9781462904518
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UNIVERSITY OF VIRGINIA MEDICAL SCHOOL

      About seven years ago a group of medical students approached Pali DeLevitt, Ph.D., saying they needed her to teach a course at the medical school. A cancer survivor who had found healing through her own disease and the use of alternative methods, DeLevitt was known for her strong spirituality and her understanding of the healing process. Teaching a course at the medical school wasn't exactly what she saw in her future, but after giving it some thought she developed a curriculum and approached the head of the medical school with her concepts for an alternative healing course. DeLevitt recalls that there was surprisingly little resistance to what she was proposing, so she began teaching what has become an extremely popular elective for fourth-year medical students.

      At a healing space she has created in the woods just behind her Charlottesville, Virginia, home, DeLevitt introduces students to drug and surgical alternative options for treating patients and spends a great deal of time helping them get in touch with their own healing and spirituality. As part of the intensive monthlong course, the medical students are required to participate in group meditation as well as commit to make lifestyle changes at least for the duration of the course. They go out in the field and learn from alternative practitioners, where they discover that there are nonharmful herbal remedies that in some instances can take the place of most prescription drugs; that acupuncture, massage, and energy healing can be very effective in relieving pain; and that the relationship between the doctor and patient needs to be very intimate. She says that the students are amazed, often asking, "How come in four years of medical school no one told us about these things?"

      "Medical school students get indoctrinated into drug and surgical management," she says. "But rarely do they hear about healing; everything is disease symptom oriented."

      Because she requires that students take a Western diagnosis and research how that particular ailment might be treated with alternative methods, the students leave the course knowing that there are treatment options for various disorders. "If a patient comes to you with asthma, it is your role to inform them that they have alternatives to drug therapy," she tells the students. She told me, "These medical students are the vanguard of new healers. A doctor should be able to look at the many possibilities of the human experience and be able to discuss these things with their patients."

      "This course changed my life. I will never look at things the same way again. It not only changed the way I will practice medicine; it changed the way I will live."

      —a fourth-year University of Virginia medical student

       referring to DeLevitt's alternative medicine course,

       Healing Options, offered at the medical school

      The National Institutes of Health Joins the Act

      What some have called unorthodox therapies are gaining even more credibility, or at least a second look, even from the harshest critics. The creation of the National Institutes of Health's (NIH) Office of Alternative Medicine (OAM) has spurred this growth. In 1996 the OAM, under the direction of Wayne Jonas, M.D., a family physician with a background in many alternative therapies including homeopathy, bioenergy, and spiritual healing, awarded nearly $9.7 million in grants to ten institutions to conduct research on the therapeutic merits of Chinese herbs, acupuncture, massage, and other alternatives to conventional Western medical treatment. In a hearing before the Senate Labor and Human Resources Committee regarding the Access to Medical Treatment Act, Jonas testified that the OAM is committed to accelerating public access to potentially useful complementary and alternative therapies.

      The OAM's leader reports that his office is exploring methods to assess and monitor the results of individual practices of complementary and alternative health practitioners, including practice-based research networks. Jonas has recommended a three-tiered review process specifically tailored to judge the level of risk of particular treatments. He states, "If such developments were accompanied by systematic data collection of selected unapproved therapies, a situation allowing access, assuring public safety, and furthering research could be accomplished."15

      The following is a list of NIH Office of Alternative Medicine initial grant awards. Although research in these directions is improving, it is clear how comparatively little is spent on research in alternative therapies.

      Dartmouth-Hitchcock Medical Center $29,901

       Massage Therapy for Bone Marrow Transplant

      University of Arizona $29,585

       Acupuncture, Unipolar Depression

      University of Maryland Pain Center $30,000

       Acupuncture, Osteoarthritis

      Medical College of Ohio $26,405

       Massage Therapy, HIV-1

      City of Hope National Medical Center $30,000

       Electrochemical DC Current, Cancer

      American Health Foundation $30,000

       Pancreatic Enzyme Therapy, Cancer

      Virginia Polytechnic Institute and State University $30,000

       Hypnosis, Low Back Pain

      University of Virginia School of Medicine $28,919

       Massage Therapy, Post-Surgical Outcomes

      Pacific College of Oriental Medicine $30,000

       Chinese Herbal Medicine, PMS

      Washington University $30,000

       Anti-Hepatitis Plants, Therapeutic Evaluation

      Pennsylvania State University $30,000

       Music Therapy, Psychosocial Adjustment after Brain Injury

      Menninger Clinic $30,000

       Energetic Therapy Basal Cell Carcinoma

      University of Miami School of Medicine $30,000

       Massage Therapy, HIV-Exposed Infants

      Harvard Medical School $30,000

       Hypnosis, Accelerated Bone Fracture Healing

      University of California $30,000

       Classical Homeopathy, Health Status

      Hahnemann Universit, $18,420

       Dance/Movement Therapy, Cystic Fibrosis

      Emory University $30,000

       Chinese Herbal Therapy, Common Warts

      George Washington University $29,985

       Imagery and Relaxation, Immunity Control

      Northwestern University $29,985

       T'ai-Chi, Mild Balance Disorders

      Lenox Hill Hospital $30,000

       Guided Imagery, Asthma

      University of Texas Health Science Center $30,000

       Imagery and Relaxation, Breast Cancer

      University of Vermont $30,000

       Manual Palpation, Lumbar Spine

      Columbia University $30,000

       Chinese Herbs, Hot Flashes

      University of Minnesota $29,964

       Macrobiotic Diet, Cancer

      Alternative Treatments Gaining Popularity among

       Doctors and Consumers

      Alternative therapy is fast becoming a $15 billion industry in this country. And many of the nearly 670,000 Western conventional, or allopathic, medical doctors in this nation have demonstrated an increasing openness to the possibility that alternative therapies may have merit. The first original published research, led by David Blumberg, M.D., of the department of psychiatry at the State University of New York Health Science Center at Syracuse, reported that over 90 percent of the doctors responding to survey questions said that they were willing to refer their patients for an alternative form of treatment. These findings were based on 572 responses to 2,000 questionnaires that were mailed to