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Understanding Complementary and Alternative Medicine (CAM): Concepts and Applications

This lecture by Dr. Yoon Hang Kim, MD, MPH, explores the foundational principles of Complementary and Alternative Medicine (CAM). It covers key concepts such as Vitalism, the characteristics of biomedicine, and the distinctions between complementary and alternative therapies. Through quizzes and case studies, attendees will learn about patient scenarios that involve ethical, medical, and legal considerations in treatment decisions. Additionally, the lecture highlights the relevance of scientific methods and the importance of holistic approaches in health care, integrating various practices like energy medicine, acupuncture, and herbal supplements.

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Understanding Complementary and Alternative Medicine (CAM): Concepts and Applications

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Presentation Transcript

  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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