Talk:Integrative medicine

At the moment, the article page is in the midst of some merges both of material from other article and talk pages, as well as sources provided directly. Feel free to comment on the talk page, but I would appreciate it if there were no major edits on the article page while it's being constructed. This should be no more than a day or two, but, since the article does use features of clusters, it could not be constructed in a sandbox. Howard C. Berkowitz 04:58, 18 December 2008 (UTC)

Definitions, when not existing, will be the closest term currently in the U.S. National Library of Medicine's Medical Subject Headings vocabulary, which may not always agree with certain traditional terms. Also, wherever there are standard vocabularies, such as the International Classification of Diseases (ICD) from the World Health Organization, their terms will be preferred. Howard C. Berkowitz 05:06, 18 December 2008 (UTC)

Good start, Howard! I especially think the 'table' is useful.Martin Cohen 12:47, 19 December 2008 (UTC)

Temporary commentts

These come from Another Controversial Place. Some may well move into the main article here.

Pat, to some extent, I've tried a new start in integrative medicine. I will, to some extent, defend the problem that people are seeing different practitioners, who could work together, but there is no coordinated care. A conventional physician must know any herbals or dietary supplements the patient is taking, or, variously, a drug could be prescribed and cause a deadly intercation, or laboratory results are completely skewed. If a patient chooses to use an herbal preparation, and the medical prescriber knows it, different choices can be made.

"Complementary" is not, to reasonable practitioners, a bad word. "Alternative" is a problem, when it is seen as a substitute. integrative medicine is a paradigm of cooperation. For example, I've been involved with several multiphysician groups that either have in-house acupuncture, manipulative therapies, or routinely cross-refer. I lost a close relative because an "alternative" practitioner decided that his particular discipline would cure everything, and missed basic signs of major internal bleeding. Pain management clinics are very frequently multidisciplinary, which, perhaps, is another way of saying complementary. Physicians often don't know how to teach visualization, meditation, and other techniques that they agree are worth trying in chronic, or even acute pain. I'm as bioscience oriented as anyone you will find, but if I get a headache, I use some learned visualization techniques first -- and take conventional medications if they don't work in 15-20 minutes. I might decide to take acetaminophen and then use relaxation and visualization.

As a term of art, multidisciplinary tends to involve multiple defined medical specialties and subspecialties, where complementary simply refers to things not in a core medical curriculum. Some of those things, under that definition, are as straightforward as art therapy, therapeutic massage, and manipulation. There are some exciting synergies: certain manipulative therapies can only be done with a patient under anesthesia. That may look like a patient going into an operating room with the anesthesia equipment, then a chiropractor, working with the anesthesiologist, does the manipulation. A friend of mine is a dual-boarded (family and emergency medicine), but also is osteopathically trained and can do the manipulations himself.

Actually, I rather like the couple of paragraphs above, and may take them to integrative medicine. I would like to invite everyone to work in that framework, because the whole idea of integrative medicine is about collaboration. Howard C. Berkowitz 23:51, 26 December 2008 (UTC)

cross linking of articles; what relates to what?

Howard wrote on my talk page: As long as people coming to complementary and alternative medicine can find integrative medicine, no problem. Now I'm going to quibble with that. I think that people ought to be able to read about and think about "alternative medicine" (or whatever you want to call it) without also having to think about the idea that official medicine can be combined with unofficial approaches, and often is. Those are diffirent issues. So I do NOT think that "alternative medicine" needs to link to this article. What probably should link to this article is, maybe, plain old "medicine".

But having said that, although I don't necessarily disagree with what is in this article, I also think that it is essentially an essay rather than an article. Sorry to be so blunt, Howard, because your mind fascinates me, but this would make a great blog. An entire string of complex blog articles! But is it encyclopedic? I'm not so sure. Medicine exists in its official sense. All sorts of unofficial, "unauthorized" healing approaches exists, whether authorized medicine approves or not. I'm not sure we at CZ really ought to wade in any farther than that. But as a blog? Man it has potential...Just my two cents worth.

I guess at most, one might mention that the term "integrative medicine" sometimes get used to encompass the idea of combining official approaches with promising unofficial approaches. But it really isn't a hard and fast term that everyone agrees on. Or at least, I wasn't aware of it. How about moving this to a blog? You've obviously thought and read and studied a lot about it, and your life experience has as much value as anyones.Pat Palmer 00:32, 27 December 2008 (UTC)