Guest guest Posted May 27, 2008 Report Share Posted May 27, 2008 Phil, Your posting is very well thought-out, and I agree with much of what you say. I am less than enthusiastic about chemotherapy as a cancer treatment, and feel that biomedical research should more strongly test and fund vaccines and other less invasive therapies, and that CM and other cancer therapies should be investigated and utilized as well. The problem with the above solution as well as what you are calling integrative medicine is politics and economics. We are not ready for integrative medicine, in my opinion. We are not strong enough in our own knowledge base, our profession is weak in infrastructure, there are many problems. Chinese medicine is a young profession in the West. Integration now would lead to the loss of the great strengths of Chinese medicine, starting with its theoretical foundations and diagnostic methods which few understand in depth. Chinese medicine is as much culture and lifestyle as profession, and it is difficult to practice these methods, (including herbal medicine) in hospital settings. We would be understudies in a hierarchical system, taking all our orders and cues from the doctors, insurance companies and HMO's. For now, I would choose to support what is known as 'complimentary medicine', where two independent health professions respect each other, Chinese/alternative and biomedical, and refer, interact and cross-fertilize as necessary. Many of us, I think, would like to keep our autonomy while having access to biomedical technologies as necessary. But the true gem of Chinese medicine is its theoretical foundations, which can be applied to any technology, East or West, herbs/needles or MRI's. It is a grand unification theory extraordinaire. This is the 'path' I choose to follow. On May 28, 2008, at 4:59 AM, wrote: > Hi Z'ev, Emmanuel, Doug, Yuk-ming, Hugo & All, > > The thread on endocarditis raises three topics for more discussion. > It could be expanded to include all life-threatening conditions. > > Topic 1: Can we regard TCM (herbs + AP + chinese physio, etc) as a > stand-alone form of healthcare? IMO, we cannot! > > Like it or not, optimum healthcare requires: > expert diagnostics (X-ray, ultrasound scans, MRI, scintigraphy, bone > scans, blood tests, biopsy / histopathology, etc), > expert surgery, intensive care, hospice-care, > expert medical care / modern medication (iv antibiotics, > chemotherapy, etc. > > Topic 2: Can we regard conventional medicine / surgery (WM) as a > stand-alone form of healthcare? IMO, we cannot! > > WM has become too focused on high-tech Dx, surgery [often > unnecessary] and long-term medication with inadequately tested or > dangerous and expensive drugs. It often ignores the value of dietary > supplements (vitamins, major- and trace-elements, antioxidants, etc). > > In particular, few if any of the GPs that I know have a clue of the > human requirements for essential nutrients, such as trace-elements. > For example, cattle vet practitioners are more likely to know the > daily bovine selenium requirement than GPs know the human selenium > requirement. > > WM largely ignores the value of complementary therapy (optimum > vitamin-mineral nutrition, nutraceuticals, TCM, chiro/osteopathy, > homeopathy, etc), especially in chronic disease, or as a support to > cancer chemotherapy / radiation therapy. > > Topic 3. Can we regard Integrative Medicine (combination of the best > aspects of WM and Complementary Med) as the optimum form of > healthcare? IMO, YES! > > As regards life-threatening or very serious conditions, the TCM / > complementary practitioner (as Z'ev said), or a GP in WM, should > refer the case IMMEDIATELY to a WM expert in that area. > > Conversely, WM GPs and even WM experts, should refer complex cases to > complementary (including TCM) practitioners for follow-up care. This > is especially true for many chronic diseases, for which WM has little > to offer. > > If the good of the PATIENT (rather than the good of the professions) > is the top priority, integrative medicine is the way to go. But will > this happen? IMO, no, at least not in the short-term. > > As regards state recognition as primary providers of healthcare, the > hospital industry and the WM professions are in the driving seat. > They are in a special (privileged and protected) position in the > authority hierarchy. That hierarchy usually regards complementary > medicine and its practitioners as a nuisance and / or threat to their > authority and income. > > IMO, integrative medicine has a rocky road ahead before it shall have > received its rightful recognition and full backing by the State. More > is the pity. > > PS: In theory, any infectious agent can cause endocarditis. Though > viral infection (esp Coxsackie virus) is said to have caused some > cases, bacterial infection causes most cases of endocarditis. See > http://www.umm.edu/altmed/articles/endocarditis-000057.htm > > #1 therapy of bacterial endocarditis includes iv antibiotics, > possibly followed by surgery to remove endocardial nodules and / or > replace incompetent heart valves. > > Note that acupuncture is suspected to have caused some cases of > bacterial endocarditis. See: http://tinyurl.com/6zd7ue > > Best regards, > > > Chair, Department of Herbal Medicine Pacific College of Oriental Medicine San Diego, Ca. 92122 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2008 Report Share Posted May 28, 2008 Hi Z'ev, Emmanuel, Doug, Yuk-ming, Hugo & All, The thread on endocarditis raises three topics for more discussion. It could be expanded to include all life-threatening conditions. Topic 1: Can we regard TCM (herbs + AP + chinese physio, etc) as a stand-alone form of healthcare? IMO, we cannot! Like it or not, optimum healthcare requires: expert diagnostics (X-ray, ultrasound scans, MRI, scintigraphy, bone scans, blood tests, biopsy / histopathology, etc), expert surgery, intensive care, hospice-care, expert medical care / modern medication (iv antibiotics, chemotherapy, etc. Topic 2: Can we regard conventional medicine / surgery (WM) as a stand-alone form of healthcare? IMO, we cannot! WM has become too focused on high-tech Dx, surgery [often unnecessary] and long-term medication with inadequately tested or dangerous and expensive drugs. It often ignores the value of dietary supplements (vitamins, major- and trace-elements, antioxidants, etc). In particular, few if any of the GPs that I know have a clue of the human requirements for essential nutrients, such as trace-elements. For example, cattle vet practitioners are more likely to know the daily bovine selenium requirement than GPs know the human selenium requirement. WM largely ignores the value of complementary therapy (optimum vitamin-mineral nutrition, nutraceuticals, TCM, chiro/osteopathy, homeopathy, etc), especially in chronic disease, or as a support to cancer chemotherapy / radiation therapy. Topic 3. Can we regard Integrative Medicine (combination of the best aspects of WM and Complementary Med) as the optimum form of healthcare? IMO, YES! As regards life-threatening or very serious conditions, the TCM / complementary practitioner (as Z'ev said), or a GP in WM, should refer the case IMMEDIATELY to a WM expert in that area. Conversely, WM GPs and even WM experts, should refer complex cases to complementary (including TCM) practitioners for follow-up care. This is especially true for many chronic diseases, for which WM has little to offer. If the good of the PATIENT (rather than the good of the professions) is the top priority, integrative medicine is the way to go. But will this happen? IMO, no, at least not in the short-term. As regards state recognition as primary providers of healthcare, the hospital industry and the WM professions are in the driving seat. They are in a special (privileged and protected) position in the authority hierarchy. That hierarchy usually regards complementary medicine and its practitioners as a nuisance and / or threat to their authority and income. IMO, integrative medicine has a rocky road ahead before it shall have received its rightful recognition and full backing by the State. More is the pity. PS: In theory, any infectious agent can cause endocarditis. Though viral infection (esp Coxsackie virus) is said to have caused some cases, bacterial infection causes most cases of endocarditis. See http://www.umm.edu/altmed/articles/endocarditis-000057.htm #1 therapy of bacterial endocarditis includes iv antibiotics, possibly followed by surgery to remove endocardial nodules and / or replace incompetent heart valves. Note that acupuncture is suspected to have caused some cases of bacterial endocarditis. See: http://tinyurl.com/6zd7ue Best regards, Quote Link to comment Share on other sites More sharing options...
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