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Lecture 1

Lecture 1. Yoon Hang Kim, MD MPH Director www.georgiaintegrative.com. Quiz #1. 1. What does CAM stand for? 2. What is a supplement mentioned in Chapter 1 as an example as both Food or Drug? 3. What is Vitalism ? 4. Characteristics of biomedicine exclude: A. Reductionist B. Materialist

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Lecture 1

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  1. Lecture 1 Yoon Hang Kim, MD MPH Director www.georgiaintegrative.com

  2. Quiz #1 • 1. What does CAM stand for? • 2. What is a supplement mentioned in Chapter 1 as an example as both Food or Drug? • 3. What is Vitalism? • 4. Characteristics of biomedicine exclude: • A. Reductionist • B. Materialist • C. Holistic

  3. Complementary and Alternative Medicine • Complementary Medicine • Alternative Medicine • Holistic Medicine • Integrative Medicine

  4. Complementary Medicine • British term • In addition to the conventional medical care • For example: Patient is undergoing treatment for Stage II Breast Cancer with chemotherapy and she is experiencing fatigue. The blood tests reveal that she is mildly anemic but does not require transfusion. • Complementary Treatment – energy medicine (external Qi Gong), acupuncture, herbal supplements, and or body work.

  5. Alternative Medicine • Using a modality with below characteristics: • Patient with Stage I breast cancer requesting that she wants no chemo therapy, no radiation therapy, and no surgery. Only wants vitamins and supplements to treat her cancer. • What are key issues that makes this patient different than the previous patient? • Medical Issues • Legal Issues • Ethical Issues

  6. Allopathic Medicine • Also referred as conventional medicine and biomedicine • Science based: Classical Physics Based • Developed extensively after the Flexner report • What is Flexner Report? • http://en.wikipedia.org/wiki/Flexner_Report • Who was Abraham Flexner? • http://en.wikipedia.org/wiki/Abraham_Flexner • What was the impact of the Flexner Report? • http://jama.ama-assn.org/cgi/content/full/291/17/2139

  7. Science • What is science? • Scientific Method & Causal Inference • http://ridwanamiruddin.files.wordpress.com/2007/07/causality_iub-nov9-05.pdf • Reliability & Validity • http://www.socialresearchmethods.net/tutorial/Colosi/lcolosi2.htm • Koch’s postulates

  8. Robert Koch – 1905 Nobel Prize • Koch's postulates are four criteria designed to establish a causal relationship between a causative microbe and a disease. • Koch's postulates are: • The microorganism must be found in abundance in all organisms suffering from the disease, but should not be found in healthy animals. • The microorganism must be isolated from a diseased organism and grown in pure culture. • The cultured microorganism should cause disease when introduced into a healthy organism. • The microorganism must be reisolated from the inoculated, diseased experimental host and identified as being identical to the original specific causative agent.

  9. CAM • Role of Science – • http://nccam.nih.gov/ • Wellness • Self-Healing • Nutrition • Supplements • Individuality

  10. Holism • Vitalism • Energy • Ayurveda-Yoga • Chinese Medicine-Tai Chi-Qi Gong • Homeopathy • Naturopathy – Herbalism

  11. Herbs mentioned in the book • Ginger • http://nccam.nih.gov/health/ginger/ • Garlic • http://nccam.nih.gov/health/garlic/ataglance.htm • St. John’s Wort • http://nccam.nih.gov/health/stjohnswort/ataglance.htm • Gingko • http://nccam.nih.gov/health/ginkgo/ • Kava Kava • http://nccam.nih.gov/health/kava/ • Ephedra • http://nccam.nih.gov/health/ephedra/ataglance.htm

  12. Resources for consumers • Natural Medicines Comprehensive Database • HerbClip™ Online • Consumerlab.com

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