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   news News of medicine. 2008 | Archive
 
 

Alternative medicine comes to med school, hospital.

 
 

10,2008.

Hopkins Hospital began offering integrative and "traditional" medical treatments in a new clinic, Complimentary and Alternative Medicine (CAM) on Sept. 2. Traditional medicine has been used for almost 5,000 years in China, much longer than its Western counterpart. It follows a holistic approach based on the idea that curing a disease means treating both body and mind. Anastasia Rowland-Seymour, Assistant Professor of Medicine at the Johns Hopkins Hospital, said that integrative medicine combines traditional treatments with conventional treatments. Mixing the two types of treatments can sometimes have harmful effects, so it is the doctor's goal to incorporate them in a way that is not only effective but also safe for the patient. "The idea is to do it in a way that's safe but [also] addresses all the issues for patients: mind, body, spirit and any other psychosocial issues [they] might have as well," Rowland-Seymour said. With the increasing popularity of alternative medicine, numerous medical schools now offer courses on the subject. An article published in the Journal of the American Medical Association noted that of the 117 United States medical schools surveyed, 64 percent offer electives in CAM. In last year's course catalog, the School of Medicine only offered one elective in CAM: "The Philosophy and Practice of Healing and Complementary Medicine." "Students will ... gain an appreciation of the philosophy, validity and effectiveness of different health and healing paradigms (i.e. non-biomedical) in the treatment of patients," the catalog noted. A new curriculum instated in fall 2009, modeled after the changes at the Hospital, will give undergraduates as well as graduate students the opportunity to take a variety of classes on CAM during Intersession, according to Patricia Thomas, associate dean for Curriculum at the Hopkins School of Medicine. "An afternoon in each of our Intersessions is going to be devoted to what we refer to as restorative medicine. That's going to be an opportunity for students to participate in other forms of healing such as yoga, meditation or mindfulness training," Thomas said. According to Thomas, the Medical School's pain care, chronic and end-of-life care curriculum will also incorporate the use of CAM treatments in ensuring patient comfort. Katherine Su, senior and vice president of the undergraduate pre-medical honor society Alpha Epsilon Delta (AED), said she felt that integrative medicine has a valuable role in the treatment of disease, despite common skepticism in the Western world. "The Chinese people have been using herbal medicine and acupuncture for thousands of years," Su said. "And for them, it's been working." Su said the hospital's decision to incorporate integrative medicine was an important step in advancing medical knowledge. "If we just confine ourselves to Western medicine and we are really skeptical about alternative ways of curing disease, we don't really progress," she said. "I think it's an important thing."
Senior and AED President Stephanie Huang said that the holism of integrative medicine could have a positive effect on patients. "You have to remember that medicine is not just treating a disease. You have to treat the body and the mind. Alternative medicine addresses that," she said.
Huang felt that Hopkins's worldwide medical reputation could help legitimize alternative medicine in the eyes of skeptics. "I think if you tag the Johns Hopkins name to anything it gives it more credibility, just because Hopkins has such a world-renowned reputation for being the lead institution in medicine," she said. "I think it could potentially start a trend across the nation." Freshman Akshay Krishnaswamy felt that integrative medicine could be beneficial when used alongside traditional treatments. "I don't think it can replace actual medicines and scientifically proven therapies like antibiotics or treatments that involve scientific and peer-reviewed methods," Krishnaswamy said. "I think if it's just going to be alongside other methods, then it's a really good idea."  According to a survey from the Centers for Disease Control, 36 percent of adults 18 and over have employed alternative medicine to treat a disease. The most common treatments used were herbal remedies, deep breathing exercises, meditation and chiropractic care. Rowland-Seymour said that the clinic is open to anyone, not just patients in the Hospital. The services that the clinic provides are acupuncture, massage therapy, nutritional treatments, psychotherapy and movement therapy to relieve neck and back pain.
The hospital is also conducting research on CAM treatments. Currently, three research projects are underway. The first hopes to discover the role of CAM therapy in cancer treatments. The second investigates CAM treatments for reducing pain in patients. The third studies the role of fish oils in maintaining the body weight of patients with pancreatic cancer. Since many CAM treatments have not been verified through the use of clinical trials, the Hospital's research will help scientists learn more about the effectiveness of integrative therapies.

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