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Tieraona Low Dog, MD, ABOIM, joins Integrative Practitioner Content Specialist Avery St. Onge to discuss her journey as an integrative medicine doctor after being honored as a pioneer in the field at the Integrative Healthcare Symposium's 20th anniversary celebration. About the Expert Tieraona Low Dog, M.D.'s path in integrative medicine is unique, shaped by her deep connection to the natural world. Her academic journey is a testament to her diverse interests and commitment to whole health, spanning disciplines such as massage therapy, martial arts, midwifery, and herbal medicine before culminating in her medical degree from the University of New Mexico School of Medicine. Dr. Low Dog's influence in the field of integrative medicine is undeniable. She was a founding member of the American Board of Integrative Medicine and among the first physicians to be board-certified in this emerging field. Her leadership is demonstrated by her roles as Director of the first Inter-professional Fellowship in Integrative Health and Medicine, Fellowship Director for the University of Arizona's Center for Integrative Medicine, and Co-Founder of the New York Zen Center's Fellowship in Contemplative Medicine. She is the Founding Director of the Integrative and Functional Medicine Fellowship at the University of California-Irvine's Susan Samueli Integrative Health Institute. Dr. Low Dog's dedication to public service is exemplified by her appointments to significant positions, including her service on the White House Commission for Complementary and Alternative Medicine Policy by President Bill Clinton, her appointment under the Bush Administration to an advisory role at the NIH National Center for Complementary and Alternative Medicine, and her long-standing role (25 years) as Chair for various dietary supplements and botanicals expert panels at the United States Pharmacopeia.
Welcome back to another episode of the Bellingham Podcast! We were late in this episode as AJ and Chris had to fire up the DeLorean on the ol' Word of Note series to delve into the realm of nostalgia, exploring its intricate ties to marketing, technology, and personal memories. Join us as we take a nostalgic trip down memory lane, reflecting on our own past experiences, and the trends we have started to see in marketing to our generations (Gen X for Chris, Gen Y for AJ). From retro gadgets to the reboots of films, we'll uncover how nostalgia shapes our perceptions and influences our choices in a rapidly evolving world. So grab your headphones, tune in on your transistor radio, and join us in this two part episode on the timeless allure of nostalgia.Show notesWebster “ Nostalgia” : a wistful or excessively sentimental yearning for return to or of some past period or irrecoverable conditionalso : something that evokes nostalgia: the state of being homesick : HOMESICKNESS Nostalgia augments comfort and security, and maintains psychological well-being when confronted with limited time horizons," according to a report from Frontiers in Psychology. NIH National Center for BioTechnology Information Still Listen To The Same Music That You Enjoyed As A Teen? We Have Good News For Your Brain* https://www.huffingtonpost.co.uk/entry/still-listen-to-the-same-music-that-you-enjoyed-as-a-teen-we-have-good-news-for-your-brain_uk_660c1442e4b059f710630121#:~:text=According%20to%20Nikki%20Roy%2C%20a,'* According to Nikki Roy, a therapist based in California, researchers are actually finding that the music we listen to as teenagers binds to our brains differently to anything we're going to hear as adults in a phenomena known as ‘neural nostalgia.' (NIH National Library of Medicine) * 2016 article -Neural responses to nostalgia-evoking music modeled by elements of dynamic musical structure and individual differences in affective traitsFrederick S Barrett 1, Petr Janata 2“ These findings illustrate one way in which the reward and emotion regulation networks of the brain are recruited during the experiencing of complex emotional experiences triggered by music. These findings also highlight the importance of considering individual differences” Mentions and Projects2024 Distinguished Gentleman's Ride On Sunday the 19th of May 2024, AJ is riding in The Distinguished Gentleman's Ride with fellow men and women across the globe to raise funds and awareness for prostate cancer and men's mental health on behalf of Movember. To sponsor him = https://gfolk.me/barseZulu Time Podcast - Analog Explorer X Made Under Pressure Podcast - Bausele Langstone Field Watch - https://www.bausele.com/products/bausele-langstone-field-watch-d-day-80th-anniversary-tribute-australian-dive-watches This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit bellinghampodcast.substack.com
Episode 166: Naturopathic Medicine InsightsFuture Dr. Luong talked about what she learned about naturopathic doctors (NDs). She discussed the principles of naturopathic medicine and mentioned some differences in regulations across states in the US. Dr. Arreaza shared his opinion about the pros and cons of naturopathic medicine. Written by Teresa Luong, MSIV, American University of the Caribbean. Comments and editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Arreaza: This may be a controversial topic. The term “natural” in medicine triggers strong reactions among allopathic doctors like me. Today we have a medical student who took up the challenge to talk about Naturopathic Doctors. Teresa:I am providing information based on research and living in Washington state, which is considered one of the birthplaces of modern naturopathic medicine, boasts the highest population of naturopathic doctors and a wide range of practice specialties. It's important to note that my responses are not personal opinions but rather informed insights. There are about 8,500 licensed naturopathic doctors in North America. Naturopathic Doctors may not use the title of physicians in California. What is a Naturopathic Doctor?While it's true that in California naturopathic doctors are not legally permitted to use the term ”physician” to describe themselves, some still choose to refer to themselves as “naturopathic physicians” colloquially or in their practice branding. So, confusion can arise because naturopathic doctors, while legally not recognized as physicians in California, can function as primary care providers, this overlap in roles can lead to the informal use of terms like ”naturopathic physician.“ However, it's important to recognize that legally, they are not recognized as physicians in this state. Naturopathic doctors (NDs) are healthcare professionals who embrace a holistic approach to healing, focusing on natural and non-invasive therapies to support the body's inherent ability to heal itself. Naturopathic medicine has its roots in traditional healing practices from around the world, blending ancient wisdom with modern scientific knowledge. The philosophy of naturopathy emphasizes the importance of treating the whole person—mind, body, and spirit—rather than just addressing isolated symptoms or diseases.What is an allopathic approach vs a holistic approach?Allopathic medicine: Allopathic medicine focuses on diagnosing and treating specific symptoms or diseases using pharmaceutical drugs, surgery, and other conventional interventions. Treatment is often targeted at managing symptoms or eradicating pathogens.Holistic medicine: Holistic medicine takes a broader approach, considering the whole person and aiming to address the root causes of illnesses. Treatment may involve a combination of conventional therapies and alternative modalities such as nutrition, herbal medicine, acupuncture, and lifestyle modifications. The focus is on promoting overall health and well-being rather than just treating isolated symptoms.Core Principles Naturopathic Practitioners: The six core principles of naturopathic medicine serve as guiding tenets for both diagnosis and treatment. These principles include: -first, do no harm. -the healing power of nature -identify and treat the root cause -treat the whole person, -the physician as a teacher; -and prevention as the best cure. Treatment modalities: Naturopathic doctors employ a wide range of therapeutic modalities to address the unique needs of each individual, such as:-Clinical nutrition, which focuses on using “food as medicine” to promote healing and prevent disease. -Herbal medicine utilizes the medicinal properties of plants to support various bodily systems and restore balance. -Acupuncture, everybody is familiar with acupuncture. -Other modalities may include hydrotherapy, homeopathy, physical medicine (such as massage and manipulation), and lifestyle counseling.The role of allopathic medications (NSAIDs, antibiotics) and surgical procedures.Naturopathic doctors typically prioritize natural therapies and lifestyle intervention, but may also integrate conventional medicine when necessary. Their views on traditional medications, such as NSAIDs, antibiotics, and surgical procedures vary depending on the individual practitioner and their approach to healthcare. Some may recommend them when appropriate, while others may prefer to explore alternative options first. Ultimately, their goal is often to promote holistic health and well-being. Education and Training: Pre-Medical Requirements: Aspiring naturopathic doctors typically complete undergraduate coursework in pre-medical sciences, including Biology, Chemistry, Physics, and Psychology.Naturopathic Medical Program:Naturopathic doctors must graduate from a four-year accredited naturopathic medical school. The forst two years are basic sciences courses and the last 2 years are clinical courses.After completing their naturopathic medical education, graduates must pass the Naturopathic Physicians Licensing Examinations (NPLEX) to become licensed practitioners. MDs need a residency, and NDs can start working immediately after school in some states, or they can do some additional training.Scope of Practice: The scope of practice for naturopathic doctors varies depending on the regulations in each jurisdiction. In general, NDs are trained to:- Prescribe natural therapies such as nutritional supplements, herbal remedies, and homeopathic medicines.- Prescribe prescription medications, including some, but not limited to, controlled substances.- Provide dietary counseling and lifestyle interventions tailored to individual health needs.- Provide Primary Care, such as, performing physical exams, administering vaccinations, ordering laboratory tests,- Offer acupuncture.- They can use detoxification protocols and intravenous (IV) nutrient therapy into treatment plans.- Utilize mind-body techniques like meditation, mindfulness, and relaxation exercisesIn January 2022, the recognition of naturopathic doctors (NDs) and the extent of their scope of practice vary significantly from state to state within the United States. Here's an overview of states where NDs are recognized and their scope of practice:Licensed States: In these states, naturopathic doctors are licensed to practice independently and have a broad scope of practice, including diagnosis, treatment, and prescription of medications and natural remedies within their scope. Some states may have specific restrictions or additional requirements.-California: NDs are licensed and regulated by the California Naturopathic Medicine Committee. They have a comprehensive scope of practice, including the prescription of certain medications.-Washington: NDs are licensed and regulated by the Washington State Department of Health. They have a limited formulary for prescription medications.Unlicensed States (for example, Georgia and Virginia): In states where naturopathic medicine is not regulated, NDs have to work as healthcare consultants or working alongside other licensed healthcare providers, like MDs. The scope of practice in these states may be more limited, and NDs may not have the authority to diagnose, treat, or prescribe medications independently.Pros:Naturopathic doctors utilize natural and holistic therapies, which may have fewer side effects compared to conventional medications. These therapies can complement conventional treatments, especially if they are collaborating with an MD.If Naturopathic doctors work collaboratively, it can offer complementary care options to patients, which can provide patients with treatment modalities and perspectives beyond conventional medicine. This can be particularly beneficial for patients who are a bit apprehensive to traditional medicine for whatever reason.Naturopathic medicine emphasizes preventive care and strategies to promote health and prevent disease. So they try to catch underlying imbalances and risk factors early, and see patients multiple times a week, which can help patients reduce their risk of developing chronic illnesses and improve their overall quality of life. By seeing a patient this frequently, it promotes stronger doctor-patient relationships and improves patient satisfaction.Cons:Lack of Regulation and Standardization: Naturopathic medicine is not regulated to the same extent as conventional medicine, and there may be variability in the education, training, and qualifications of naturopathic doctors. This lack of regulation and standardization can raise concerns about the quality and safety of naturopathic care.Limited Scientific Evidence: Some naturopathic treatments lack rigorous scientific evidence supporting their efficacy and safety. Without robust clinical research, it can be challenging to assess the effectiveness of certain naturopathic interventions and differentiate between evidence-based practices and unproven therapies.Potential for Harmful Practices: In some cases, naturopathic doctors may recommend treatments or interventions that have the potential to be harmful, particularly if they lack scientific support or are based on unfounded beliefs. Patients may be at risk of receiving ineffective or unsafe treatments without proper oversight and regulation.Delayed Access to Conventional Care: So if a patient relies solely on naturopathic care, it may delay access to conventional medical treatments that are necessary for managing serious or life-threatening conditionsCost and Insurance Coverage: Naturopathic services may not be covered by health insurance plans, or coverage may be limited compared to conventional medical services. This lack of insurance coverage can make naturopathic care inaccessible to some patients, particularly those with limited financial resources.This information is provided to increase your knowledge on this topic, it is not intended to convince you to go against or support naturopathic medicine. Our goal is to inform you and you can draw your own conclusions about it. It is important to educate ourselves on this topic because naturopathic doctors are rising in California and we may encounter them in our future practices. ________________________________Conclusion: Now we conclude episode number 166, “Naturopathic Medicine Insights.” Future Dr. Luong explained that naturopathic doctors receive training in naturopathic medical schools and receive a degree before they sit for a board exam. Many NDs may be working in outpatient primary care or even in hospital care. Dr. Arreaza shared his opinion about the pros and cons of having naturopathic medicine available for patients.This week we thank Hector Arreaza and Teresa Luong. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! Links: American Association of Naturopathic Physicians:aanp.org. Complementary, Alternative, or Integrative Health: What's In a Name? NIH National Center for Complementary and Integrative Health, https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name. Accessed March 21, 2024. Bastyr University:bastyr.eduNational University of Natural Medicine (NUNM):nunm.eduFleming SA, Gutknecht NC. Naturopathy and the primary care practice. Prim Care. 2010;37(1):119-136. doi:10.1016/j.pop.2009.09.002. https://pubmed.ncbi.nlm.nih.gov/20189002/Atwood KC 4th. Naturopathy: a critical appraisal. MedGenMed. 2003;5(4):39. Published 2003 Dec 30. https://pubmed.ncbi.nlm.nih.gov/14745386/Public Notification: Artri King contains hidden drug ingredients, U.S. Food & Drug Administration (FDA), April 20, 2022. https://www.fda.gov/drugs/medication-health-fraud/public-notification-artri-king-contains-hidden-drug-ingredientsRoyalty-free music used for this episode: My Dinner with the Diablo by Tropicalia, downloaded on July 20, 2023 from https://www.videvo.net/.
Jeffrey Gladd, MD With twenty-one years of experience in the medical field, Dr. Jeff Gladd, MD is the owner of GladdMD Integrative Medicine and since 2019 has been the Chief Medical Officer at Fullscript. Dr. Jeffrey Gladd graduated from Indiana University School of Medicine in 2001. He then went on to train in family medicine at Ball Memorial Hospital in Muncie, Indiana. After completing his residency, Gladd started a family practice that encompassed full spectrum care, including obstetrics, colonoscopy and endoscopy in Columbia City, Indiana In 2006. After the birth of his second child, Gladd transformed his professional and personal focus toward health through nutrition. By educating himself and applying the principles of eating whole foods, he lost 50 pounds, and reveled in improved energy and mental clarity. As a physician, increasing doses and adding medications was no longer acceptable. Gladd delved into his patients' lives — how they ate, how they managed stress, and discovered real health care. Gladd completed the University of Arizona Integrative Medicine fellowship program under the direction of Dr. Andrew Weil, MD at the end of 2009. While in the fellowship, Gladd served as the medical director of the Parkview Center for Integrative Medicine in Fort Wayne, Indiana, and in 2010 opened GladdMD Integrative Medicine where he blends health-promoting care with high access technology. With the success of GladdMD, Dr. Gladd has become a sought-after speaker on physician entrepreneurship, social media, and technology in healthcare. Tieraona Low Dog, MD From a young age, Dr. Tieraona Low Dog has been deeply drawn to the natural world and the field of natural medicine. Her academic journey encompasses a diverse range of disciplines including massage therapy, martial arts, midwifery, and herbal medicine, before going to earn her medical degree from the University of New Mexico School of Medicine. As a pioneer in the field, Dr. Low Dog not only served as a founding member of the American Board of Physician Specialties' American Board of Integrative Medicine; but she was also among the first cohort of physicians to be board certified in this newly emerging field. Her leadership extends to her tenure as Director of the first Inter-professional Fellowship in Integrative Health and Medicine, Fellowship Director for the University of Arizona's Center for Integrative Medicine that was founded by Andrew Weil, MD, and Co-Founder and guiding teacher for the New York Zen Center's Fellowship in Contemplative Medicine. She currently oversees the Fellowship of Integrative and Functional Medicine at the University of California-Irvine's Susan Samueli Integrative Health Institute. Dr. Low Dog's dedication to public service is exemplified by her appointments to significant positions, including her service on the White House Commission for Complementary and Alternative Medicine Policy by President Bill Clinton and her advisory role at the NIH National Center for Complementary and Alternative Medicine, being appointed by HHS Secretary Thompson under President George W. Bush. Her leadership has been instrumental in her long-standing role (25 years) as Chair for various dietary supplements and botanicals expert panels at the United States Pharmacopeia. Recognized as a foremost authority in integrative medicine, women's health, dietary supplements, and herbal medicine, her scholarly work encompasses over 54 peer-reviewed scientific articles, 25 chapters in medical textbooks, and numerous authoritative books on health and medicine. Dr. Low Dog's global influence is highlighted by her participation in over 600 medical and scientific conferences worldwide.
On February 15, 2024 we talked with Yarimar Carrasquillo on acute and chronic pain, and the brain circuits responsible for self-maintaining pathological chronic pain. Guest: Yarimar Carrasquillo, Investigator, Section on Behavioral Neurocircuitry and Cellular Plasticity at the NIH National Center for Complementary and Integrative Health. Participating: Lindsey Macpherson,Department of Neuroscience, Developmental and Regenerative Biology, UTSA Matt Wanat, Department of Neuroscience, Developmental and Regenerative Biology, UTSA Host: Charles Wilson, Department of Neuroscience, Developmental and Regenerative Biology, UTSA Thanks to James Tepper for original music.
What steps do these busy clinicians take to keep their patients trending toward the healthy side of the health-illness continuum? Relevant disclosures can be found with the episode show notes on Medscape.com (https://www.medscape.com/viewarticle/959141). The topics and discussions are planned, produced, and reviewed independently of our advertiser. This podcast is intended only for US healthcare professionals. Resources Why Mindfulness/Meditation Is a 'No-Brainer' for Health-Care Professionals https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572932/ Exploring This Issue: Whole-Person, Whole-Systems Health and Healing https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533648/ American College of Rheumatology https://www.rheumatology.org/ NIH National Center for Complementary and Integrative Health: Wellness and Well-Being https://www.nccih.nih.gov/health/wellness-and-well-being
Ankit Mahadevia is the CEO of Spero Therapeutics and a member of the Board of Directors. He was formerly a Venture Partner in the life sciences group at Atlas Venture, located in Cambridge, MA. In that capacity he supported the formation of eight companies focused on novel drug discovery platforms and therapeutic products including Nimbus Therapeutics, Arteaus Therapeutics (acquired by Lilly), and Translate Bio (Nasdaq: TBIO). He led three of these as Acting CEO, including Synlogic (Nasdaq: SYBX). Prior to joining Atlas in 2008, Ankit worked on product and business development with the founding team at Arcion Therapeutics. He has also held positions in business development both at Genentech and at Vanda Pharmaceuticals. Previously, he worked in the health care groups of McKinsey & Company and Monitor Group. Ankit began his career in health care policy, with roles in the U.S. Senate Health, Education, Labor, and Pensions committees, the U.S. Government Accountability Office, and the Mexican Institute of Social Security (IMSS). He has spoken widely on entrepreneurship, including at Harvard University, Columbia University, Northwestern University, and the Berkeley Forum. Ankit has also been active in the policy of life science innovation, including service on the Advisory Council at the NIH National Center for Advancing Translational Studies.
In today’s episode I share with you all my favorite web-based, text, and phone applications that have gotten me through nurse practitioner school and clinical rotations. These resources are a cumulation of recommendations from professors, preceptors, peers, and students from various disciplines and they have become staples in my practice. Use each of these measures to help expand your knowledge and act as a guide in your every day practice to help you become the best practitioner you can be! All resources are linked below for your convenience—enjoy! Web-based Resources Natural Medicines: https://naturalmedicines.therapeuticresearch.com/ NIH - National Center for Complementary and Integrative Health: https://nccih.nih.gov/ American Academy of Dermatology - Basic Dermatology Curriculum: https://www.aad.org/member/education/residents/bdc Stanford Medicine: The General Dermatology Exam: Learning the Language: https://stanfordmedicine25.stanford.edu/the25/dermatology.html Bright Futures - Coding for Pediatric Preventative Care, 2019: https://www.aap.org/en-us/documents/coding_preventive_care.pdf Text Resources Anatomy (Quickstudy Academic) The Anatomy Coloring Book Case Files: Family Medicine Fast Facts for Adult Critical Care Apps NIH BMI Calculator: https://apps.apple.com/us/app/nih-bmi-calculator/id446441346 UpToDate: https://apps.apple.com/us/app/uptodate/id334265345 MDCalc: https://apps.apple.com/us/app/mdcalc-medical-calculator/id1001640662 AHRQ ePSS: https://apps.apple.com/us/app/ahrq-epss/id311852560 Epocrates: https://apps.apple.com/us/app/epocrates/id281935788 To try my absolute favorite CBD product line from Cured Nutrition, use code "MAY10" at checkout for 10% off your entire order or simply click the link here Cured Nutrition If you’re interested in consuming slow-release caffeinated vanilla or matcha lattes, or if you’re a coffee drinker who wants a little more collagen and protein in their diet, use code "MAY15" at checkout for 15% off your entire order or simply click the link here Strong Coffee Use my WearFigs code to get a $20 gift card on purchases of $100+ http://fbuy.me/ofl13 For nursing tips, my experiences, and more musings on the show, follow our Instagram @maysanatomypodcast or follow my personal account @mayyazdi This podcast is produced by chase@operationpodcast.com
Alan M. Jette, PT, PhD, MPH, FAPTA, is Professor of Interprofessional Studies in the PhD in Rehabilitation Sciences program and in the Department of Physical Therapy at the MGH Institute. He is also the editor-in-chief of Physical Therapy (PTJ), the scientific journal of the American Physical Therapy Association (APTA) as well as the host of the PTJ podcast. Dr. Jette is a physical therapist and an internationally recognized expert in the measurement of function and disability. He has developed numerous instruments that assess function and disability and has published numerous articles on these topics in the rehabilitation, geriatrics, and public health literature. Over the past 30 years, Dr. Jette has received a total of 54 grants and fellowships from such agencies as National Institutes of Health (multiple divisions), Robert Wood Johnson Foundation and the National Arthritis Foundation. He also currently directs the Boston Rehabilitation Outcomes Measurement Center, funded by the NIH National Center for Medical Rehabilitation Research. The center is a collaborative of local institutions that will provide rehabilitation researchers with the most up-to-date outcome measurement tools
Alan M. Jette, PT, PhD, MPH, FAPTA, is Professor of Interprofessional Studies in the PhD in Rehabilitation Sciences program and in the Department of Physical Therapy at the MGH Institute. He is also the editor-in-chief of Physical Therapy (PTJ), the scientific journal of the American Physical Therapy Association (APTA) as well as the host of the PTJ podcast. Dr. Jette is a physical therapist and an internationally recognized expert in the measurement of function and disability. He has developed numerous instruments that assess function and disability and has published numerous articles on these topics in the rehabilitation, geriatrics, and public health literature. Over the past 30 years, Dr. Jette has received a total of 54 grants and fellowships from such agencies as National Institutes of Health (multiple divisions), Robert Wood Johnson Foundation and the National Arthritis Foundation. He also currently directs the Boston Rehabilitation Outcomes Measurement Center, funded by the NIH National Center for Medical Rehabilitation Research. The center is a collaborative of local institutions that will provide rehabilitation researchers with the most up-to-date outcome measurement tools
Today we look at yoga exercises including breathwork as a way to achieve and maintain balance for the caregiver of a loved one living with schizophrenia. Guru Simran discussed her early introduction and involvement with yoga practice. Next, the host reviewed his experience in the early years of the NIH National Center for Complementary and Integrative Health. Yoga was studied by NIH as a method of caring for caregivers of those with chronic illnesses. This leads to an explanation by Guru Simran about the history and meanings of yoga in Indian Hindu culture and religion. Her perspective is to keep yoga primarily as a spiritual practice. Traditionally, yoga has had reproducible effects on the practitioner, that is to say a scientific basis, and we discussed the set of exercises known as a kryia. In the past, the interview guest and the host have experienced centering exercises during the beginning of business seminars, and these chants, breath work and postures always result in noticeable benefits. Guru Simran tells how even a brief practice can be of benefit to listeners when faced with anxiety, fear or sadness when they are caring for a loved one living with schizophrenia. She leads the audience in a detailed particular “audience participation” breathing practice, one of the pranayama practices. This is for cleansing, for relaxing, energizing and mental clarity. It involves slow belly-breath in, then expanding the lungs, with a pause, followed by an exhalation starting with the top of the lungs and ending with the belly pushed inward toward the spine. The name in English for this 3-minute exercise is “Long Deep Breathing.” The mental component is to think of the following: 1) on the inhalation, breathe in strength, faith, peace; and 2) on the exhalation, breathe out weakness, fatigue, fear, tension, anger. The NIH / Center for Complementary and Integrative Health did a pilot study done in 2010 to benefit the caregivers of a family member living with dementia. Schizophrenia is, of course, different from dementia, but they are both chronic conditions affecting the thinking and behavior of the person. The caregivers practiced a particular Kirtan Kriya daily for 8 weeks and were compared to caregivers who did not. That small study showed a significant decrease in the mild depression and cognitive functioning problems in the caregivers who practiced this. Guru Simran discussed these types of exercises herself. There are hand movements in that system. The kirtan system gives meanings to the fingers of the hand as follows: Index finger corresponds to the planet Jupiter, representing wisdom; the middle finger corresponds to Saturn, representing patience; the ring finger corresponds to the Sun, representing vitality, the pinky finger is associated with planet Mercury, representing communication; and the thumb represents the personality, the ego. She recommends searching for and watching YouTube videos posted on Kirtan kryia. Another NIMH researcher in Bangalore, India, showed benefits of pranayama practices in stress, anxiety, depression and the symptoms associated insomnia. The onset of schizophrenia can and often does include the loss of former life directions, former dreams, and goals which can lead to a kind of grief and sadness. This is true for both the family member caregivers and for the person living with schizophrenia. His review showed sustained improvement in depressive symptoms at one and three months after an initial 3 month period of practicing the breath techniques daily. Guru Simran suggests finding for yourself a yoga teachers both locally and also to use her services and classes over the video internet software, such as Zoom. Finally, she recommends to start your day with a routine centering practice that resonates and makes sense to you and actually helps you as the caregiver. Self-nurturing is key to avoid burn-out, and to keep yourself nourished on a daily basis as a graceful, sensitive, compassionate caregiver.
1. Non-invasive vagus nerve stimulation as acute therapy for migraine: The randomized PRESTO study2. AAN 2018 Hot Topics plenary: Michael Wilson discusses metagenomics for diagnosing CNS infectionsDr. Teshamae Monteith talks with Dr. Cristina Tassorelli about her paper on vagus nerve stimulation for treating migraine, followed by a discussion with Dr. Stacey Clardy and Dr. Michael Wilson on next-generation sequencing and diagnosing meningitis and encephalitis. The second interview was originally recorded at the AAN Annual Meeting in Los Angeles.DISCLOSURES: Dr. Monteith serves as an editorial advisory board member for Neurology Now and receives research support from the NIH. Dr. Tassorelli has served on scientific advisory boards for Allergan Inc., ElectroCore LLC, Eli-Lilly and Company, Novartis, Teva Pharmaceutical Industries Ltd; has received funding for travel or speaker honoraria from Novartis, Allergan Inc, and Teva Pharmaceutical Industries Ltd; serves on editorial boards for Journal of Headache and Pain and Frontiers in Neurology; has consulted for Allergan Inc. and Eli Lilly and Company; has received research support from Eli Lilly and Company, Novartis, Teva Pharmaceuticals, ElectroCore, and the Italian Ministry of Health; and serves as Chairman of the Committee for the Guidelines of Clinical Trials of the International Headache Society. Dr. Clardy has received research support from Western Institute for Biomedical Research (WIBR). Dr. Wilson has received research support from NIH/National Center of Advancing Translational Science (NCATS), Clinical and Translational Science Institute (CTSI), and the American Brain Foundation Clinical Research Training Fellowship.
Show description/summary:1) Infliximab for the treatment of central nervous system sarcoidosis: A multi-institutional series2) What’s Trending: Sonic traumatic brain injuryThis podcast begins and closes with Dr. Robert Gross, Editor-in-Chief, briefly discussing highlighted articles from the November 14, 2017 issue of Neurology. In the first segment, Dr. Stacey Clardy talks with Dr. Siddharama Pawate and Dr. Jeff Gelfand about their paper on infliximab for treatment of central nervous system sarcoidosis. In the second part of the podcast, Dr. Alex Menze focuses his interview with Dr. Jeffrey Kim on the recent speculation around sonic traumatic brain injury.DISCLOSURES: Dr. Gelfand has served on scientific advisory boards for Genentech; has received compensation for consulting with Genentech; has received research support from Quest Diagnostics, Genentech, MedDay, and NIH National Center for Advancing Translational Sciences (KL2TR000143); and has received compensation for serving as expert witness in medical-legal consulting. Dr. Pawate has served on scientific advisory board for Biogen, and has received research support from Biogen.Dr. Clardy has received research support from Western Institute for Biomedical Research (WIBR).All other participants report no disclosures.
This week’s episode of Pure Curiosity is all about float therapy. Dr. Sahib Khalsa and his colleagues at the Laureate Institute for Brain research have been studying the impact of floating on mental health disorders from PTSD to Anorexia, and the results are very promising. While trials are still in early phases, this is an important step toward understanding how this 63 year old treatment could impact modern mental health. Not sure what floating is? You’re not alone! Floating has only recently become more widely known, with athletes like Steph Curry endorsing it. To learn more about it, and how it might help you, listen in! About Our Guest: Dr. Sahib Khalsa Director of Clinical Studies, Laureate Institute for Brain Research Assistant Professor, Oxley College of Health Sciences, University of Tulsa Volunteer Faculty Member, Department of Psychiatry, University of Oklahoma Dr. Khalsa’s laboratory studies the heart-brain connection. Our research explores three main questions: (1) How do we feel our heartbeat? (2) Is there dysfunctional cross talk between the heart and brain in psychiatric and cardiovascular illnesses? (3) How can we develop new treatments that re-establish a functional dialogue between the heart and brain? He has published over 40 papers and abstracts, and has received research funding from the National Institute of Mental Health (NIMH), National Center for Complementary and Integrative Health (NCCIH), the NIH/National Center for Advancing Translational Science (NCATS), and the Mind and Life Foundation. For more on Dr. Khalsa and the Laureate Institute, visit http://www.laureateinstitute.org/.
On this week’s episode of the Healthy Wealthy and Smart podcast, Dr. Beth Darnall joins us to talk about the opioid epidemic and alternative treatments for patients experiencing chronic pain. Dr. Darnall is a Clinical Associate Professor in the Division of Pain Medicine at Stanford University and treats individuals and groups at the Stanford Pain Management Center. She is an NIH-funded principal investigator for pain psychology research that is examining the mechanisms of pain catastrophizing treatment, including a novel single-session pain catastrophizing class she developed (funded by the NIH National Center for Complementary and Integrative Health). She is dedicated to empowering life beyond pain. In this episode, we discuss: -The opioid epidemic and cost effective treatment solutions that you can incorporate into your care -Tapering off opioid use, associated effects, and protocol -How opioid use and chronic pain effect brain chemistry -Pain catastrophizing defined and what patients can do if they have chronic pain -And so much more! Treatment for chronic pain with opioids alone is not sustainable and alternative treatment approaches are needed to retrain the brain. The research has shown that, “When we take opioids, it really changes brain chemistry. It actually changes the structure of the brain but so does chronic pain itself…[With alternative treatment,] you're rewiring and recovering and exercise and enjoyment and going out and getting back to doing the things you love, these are going to help facilitate your brain as it is rewiring, as you’re managing pain differently, as you’re becoming more and more active and functional.” Evidence based healthcare providers must monitor patients who begin opioid treatment for chronic pain and how their condition evolves. “We want to ask ourselves a critical question—are people getting better? And this is where we've really fallen short, opioids will be prescribed and nobody is tracking long term to see if they are getting better or if there are new risk factors or addictive behaviors. It’s a constant process of monitoring… We need to do better at stopping what isn't working. If people aren't getting better, if their pain is only worsening, let's not add more of what isn't working. Let’s stop it and emphasize the alternatives.” Dr. Darnall supports the biopsychosocial model for treating chronic pain because it effectively and comprehensively targets the nervous system. She states, “The nervous system leads us into this area where we’re really talking about the modulation of pain, the facilitation of pain and the exacerbation of pain… No matter where you feel pain in your body, no matter how it got started or why, the processing of it will occur in the brain and spinal cord. That's what we can target with some of these treatments and therapies, we’re able to dampen the experience of pain… The nervous system is a critically important part in helping decrease not only pain and intensity but more importantly how much a person suffers from pain. “ Dr. Darnall advocates a pain management approach that allows the patient to take more control in achieving a desirable outcome. She stresses, “The most important person on the healthcare team isn't the doctor or the psychologist or the physical therapist—it’s the patient. If you have chronic pain, you are the most important person on your healthcare team. My hope and my wish is that every person on your healthcare team will have a similar philosophy that is focused on empowering you to acquire the right information and the right skills so you can best self manage your pain and your symptoms so that you’re able to become more functional, to enjoy more of the life you have even with the health conditions you have so you’re able to live your best life possible.” For more about Dr. Darnall: Beth is a Clinical Associate Professor in the Division of Pain Medicine at Stanford University and treats individuals and groups at the Stanford Pain Management Center. She is an NIH-funded principal investigator for pain psychology research that is examining the mechanisms of pain catastrophizing treatment, including a novel single-session pain catastrophizing class she developed (funded by the NIH National Center for Complementary and Integrative Health). She is Co-Chair of the Pain Psychology Task Force at the American Academy of Pain Medicine (AAPM), and in 2015 received a Presidential Commendation from AAPM. Beth is author of Less Pain, Fewer Pills ©2014 and The Opioid-Free Pain Relief Kit ©2016. Her upcoming book, The Surprising Psychology of Pain: Evidence-Based Relief from Catastrophizing and Pain is due out in 2017. As a pain psychologist, she has 15 years experience treating adults with chronic pain, and she lived through her own chronic pain experience. She enjoys helping individuals with chronic pain gain control over mind and body and live their best life possible. Beth is a licensed clinical psychologist (CA License #25495). Beth received her doctoral training at the University of Colorado at Boulder and her clinical residency at the Southern Arizona Veterans Affairs Health Care System (Tucson VA Hospital). She received post-doctoral training at The Johns Hopkins University School of Medicine Department of Rehabilitation Medicine and the Bloomberg School of Public Health (T32 Fellowship). Clinically, she provided psychological services to patients with catastrophic burn, spinal cord injury or amputation. She was an Associate Professor at Oregon Health and Science University (2005-2012) prior to joining the faculty at Stanford University in late 2012. Her desire to specialize in the management of chronic pain was inspired by her clinical experiences and by her own personal experience with chronic pain. Make sure to grab copies of Dr. Darnall’s books The Opioid-Free Pain Relief Kit: 10 Simple Steps to Ease Your Pain and Less Pain, Fewer Pills: Avoid the Dangers of Prescription Opioids and Gain Control over Chronic Pain and follow her on twitter! Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes! Have a great week and as always stay Healthy Wealthy and Smart! Xo Karen P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on Managing Expectations: It Shouldn't be That Difficult
Original Air Date: MAY 23, 2014 | Discovery Radio welcomes Dr. Chris Austin from the NIH National Center for Advancing Translational Science (NCATS) in Washington, DC. Plus, you’ll hear from our guest Dr. John Baker of the Medical College of Wisconsin on the topic of how probiotics are not only good for your digestion, but could potentially save you from a heart attack. Local TV Anchor, Kim Murphy, from FOX 6 joins in to play “translational trivia”.