Integrative Medicine

1. Integrative Medicine Recent Developments in Medicine

2. Empirical Observations over Thousands of Years Scientific Method & Case-Based Medicine Comparison of East & West East West • Technology of Medicine • Art of Medicine • Holistic View • Molecular & Organ View • Circular Logic • Energetic • Linear Logic • Mechanistic

3. Science versus Art • Over the last 10 years, there has been no change in mean life expectancy in human beings, dog or cats • There is an increase in incidence of inflammatory diseases and cancer over our ability to detect the conditions

4. What’s Been Happening? • CAVM Guideline were re-written in a less than supportive manner • Medicine has begun to look at itself with greater scrutiny

5. New findings • The basic dietary recommendations for human beings have been found lacking • Atkin’s low-carbohydrate diet is vindicated

6. Obese Nation • Recent study showed that being obese is more likely to cause a heart attack than smoking cigarettes • We are fat!!!

7. New Findings • Study (sham-controlled) showed that surgery on human knees created more damage than corrected, unless there was clear ligament damage

8. New Findings • Major multi-center study showed that estrogen replacement put more women at risk for heart disease than it helped at menopause

9. Based upon the AP point selected Based upon the method of stimulation Dry needles Electrical AP Aquapuncture Hemoacupuncture Based upon the length of stimulation Low-rate, twisting stimulation of GV26 leads to endorphin response, while high-frequency needling of GV26 leads to epinephrine response Basic Tenets of AP

10. Effects of Acupuncture • Using manganese-enhanced fMRI (functional magnetic resonance imaging), visual effects can be seen in human and animal neural tissues Baseline Mannitol Mn Infusion EA GB34

11. Effects of Acupuncture • Activation of cortex is site specific • Leads initially to specific effects GB34 ST36

12. Effects of Acupuncture • Activation has temporal effects • Longer stimulation activates more cortical structures • Leads to broader effects 5 minutes 20 minutes

13. Effects of Acupuncture • In separate study, analgesic AP points were compared to non-analgesic points • Analgesic AP altered brain regions involved in pain modulation • PAG, MnR, hypothalamus, thalamus • Non-Analgesic AP did not activate same areas

14. Method of Stimulation • Stimulation of BL-20 (the SP association point) in horses led to analgesia using dry needles or electrical AP. • Only EA increased release of endrophins into the blood.

15. Medication Timing & TCM 24-hour Clock

16. One Medicine • Proven medicine or unproven medicine • Scientific or unscientific • Good or bad

17. What is Non-Traditional Medicine? • Any form of medicine not taught in veterinary school • Medicine out of the mainstream

18. Why Alternative Medicine? • People are asking for it for themselves and for their pets • Offers approaches which might work when traditional medicine fails

19. Use of Alternatives in Human Medicine • Most patients are usually women who are between 35-49 years of age, affluent and well educated • Results in around $278 billion in annual sales

20. Use of Alternatives in Human Medicine • 629 million visits to alternative medicine practitioners in 1997 • Exceeds the number of visits to primary care physicians

21. What is Integrative Medicine? • Term coined in Human Medicine for utilizing both traditional and non-traditional modes of therapy • Similar to Holistic Veterinary Medicine

22. Uses a bigger medicine bag Includes all of traditional medicine and all of alternative medicine Adds everything that will benefit the patient Integrative Medicine

23. Integrative Medicine • Treatment of MIND, BODY & SPIRIT • Offers medical choices where choices exist

24. Integrative Medicine • Base your medical decisions on: • what is best for the patient • the client’s wishes • your abilities • your confidence and experience in treating other cases • Still starts with a strong basic understanding of traditional medicine

25. Integrative Medicine • Enter a partnership with client to help maintain animal’s optimal health • Pay attention to: • Exercise • Diet • Supplement • Vaccinations

26. Exercise • Need 20 minutes of constant aerobic exercise 2 times a week and 1 hour (at slower pace) once a week • Walking • Swimming • Alternate days of hard and soft work-outs

27. Let food be your medicine and medicine be your food Hippocrates Many of today’s chronic diseases can be traced to diet No commercial dog or cat food is as nutritious as fresh, home-prepared food Dogs & cats have no carbohydrate requirement Diet

28. Basic Canine Diet #1 • 8 oz Catfish • 8 oz Tofu • 2 tbs Virgin Olive Oil • 2 Whole Carrots • ½ cup Spinach • ¼ cup Green Pepper • ½ cup Broccoli • ¼ tsp Dry Ginger • 1 Raw Garlic Cloves • ¼ tsp Dry Mustard • 2½ tab Flintstones plus Calcium Contains 1355 Calories with a 27/13/60 percent protein/carbohydrate/fat content

29. Basic Canine Diet #2 • 4 Strips Bacon • 4 Large Eggs • 8 oz Tofu • 1 tbs Virgin Olive Oil • 1 Whole Carrots • ½ cup Spinach • ¼ cup Green Pepper • ½ cup Broccoli • ¼ tsp Dry Ginger • 1 Raw Garlic Cloves • ¼ tsp Dry Mustard • 1 tab Flintstones plus Calcium Contains 1370 Calories with a 23/12/65 percent protein/carbohydrate/fat content

30. Basic Canine Diet #3 • 1 oz Beef Tallow • 4 Large Eggs • 8 oz Tofu • 1 tbs Virgin Olive Oil • 1 Whole Carrots • ½ cup Spinach • ¼ cup Green Pepper • ½ cup Broccoli • ¼ tsp Dry Ginger • 1 Raw Garlic Cloves • ¼ tsp Dry Mustard • ½ tab Flintstones plus Calcium Contains 1479 Calories with a 20/11/69 percent protein/carbohydrate/fat content

31. 2 oz Pork Chop 4 oz Tofu 8 oz Brown Rice 2 tsp Virgin Olive Oil ¼ cup Honey 2 Whole Carrots 1 cup Spinach 4 Tbs Green Pepper 4 Broccoli Spears ¼ tsp Dry Ginger 1 Raw Garlic Cloves ¼ tsp Dry Mustard 1 tsp Bone Meal Canine Diet for Athletes

32. Basic Cat Food • 3 oz Salmon • 2 oz Chicken Heart • 4 oz Beef Kidney • 2 oz Turkey Breast • 2 oz Chicken Liver • 1 oz Sardines • 1 tbs Virgin Olive Oil • ¼ cup Broccoli • ¼ cup Spinach • ½ tab Vitamin B complex (B-50) • 1 tab Vitamin C (500 mg) • 1½ tab One-a-Day plus Calcium • 400 IU Vitamin E • 250 mg Taurine Contains 737 Calories with a 45/4/51 percent protein/carbohydrate/fat content

33. Vaccinations should be based upon scientific verification of efficacy, not upon the manufacturers recommendation (unless based upon such science) Give only vaccinations that are truly necessary Give them based upon titers Support research Vaccinations

34. NIH Classification of Alternative Therapies • Mind-Body Interventions • Bioelectromagnetics • Alternative Systems of Medical Practice • Manual Healing Methods • Alternative Pharmaceutics and Biologics • Herbal Medicine

35. NIH Classification of Alternative Therapies • Mind-Body Interventions • Bioelectromagnetics • Alternative Systems of Medical Practice • Manual Healing Methods • Alternative Pharmaceutics and Biologics • Herbal Medicine

36. Mind-Body Interventions • Meditation • Biofeedback • Hypnosis • Mental Healing (Distant Intentionality)

37. Distant Intentionality • Prayer reduces ICU stay and complications from other diseases • Our intention may affect the outcome of our treatment

38. NIH Classification of Alternative Therapies • Mind-Body Interventions • Bioelectromagnetics • Alternative Systems of Medical Practice • Manual Healing Methods • Alternative Pharmaceutics and Biologics • Herbal Medicine

39. Bioelectromagnetics • Effects of nonthermal, nonionizing radiation on the body • Bone repair, nerve regeneration, wound healing and immune stimulation

40. Static Magnet Therapy N • As old as the earth • Egyptian scrolls (circa 2800 BC) contained references to loadstones • Cleopatra used them on her forehead to prevent aging • Hindus used magnets 1000s of years BC S You Are Here

41. Static Magnet Therapy • Magnetism is defined as the alignment of a permeable material so that the molecules face in a uniform direction (i.e., north facing one direction and south facing the opposite). Bar Magnet (unipolar)

42. North Pole alkaline ( pH) suppresses mitosis (–) energy pole  bacteria & viruses stops bleeding shrinks tumors  bone healing  inflammation South Pole acid ( pH) stimulates mitosis (+) energy pole  bacteria & viruses vasodilation  tumor growth  bone healing  inflammation Static Magnet Therapy

43. NIH Classification of Alternative Therapies • Mind-Body Interventions • Bioelectromagnetics • Alternative Systems of Medical Practice • Manual Healing Methods • Alternative Pharmaceutics and Biologics • Herbal Medicine

44. Alternative Systems of Medical Practice • Traditional Chinese Medicine • Ayurvedic Medicine • Homeopathy • Naturopathy

45. Homeopathy • 200 years old • Sam Hahnemann • “Like treats Like” • Dilute, potentized remedies • One remedy has recently been FDA approved to treat certain forms of Asthma

46. NIH Classification of Alternative Therapies • Mind-Body Interventions • Bioelectromagnetics • Alternative Systems of Medical Practice • Manual Healing Methods • Alternative Pharmaceutics and Biologics • Herbal Medicine

47. Manual Healing Methods • Chiropractics • Massage • T Touch • Healing Touch

48. Healing Touch • Hippocrates called magnetism “the force that flows from many people’s hands” • Galen stated, “a sick body can gain strength from the unbroken contact with a healthy body”

49. NIH Classification of Alternative Therapies • Mind-Body Interventions • Bioelectromagnetics • Alternative Systems of Medical Practice • Manual Healing Methods • Alternative Pharmaceutics and Biologics • Herbal Medicine

50. Alternative Pharmaceutics and Biologics • Medicines and Vaccines which are not yet Mainstream • Bee venom therapy • Plant extracts (mistletoe, Venus fly trap, etc. • Orthomolecular medicine