health & wellness Using Alternatives • Jewish Hospice and Chaplaincy Network “We work with hospices, hospitals and healthcare agencies in Metro Detroit, helping patients and their families with the physical, emotional and spiritual challenges associated with life-limiting illness,” says Natalie Rosenfield, director of patient care for the Jewish Hospice and Chaplaincy Network. “We work with alternatives to medicine, such as art and music therapy, to help alleviate pain and reduce depres- sion. Our care team focuses on the patients’ needs and supports the entire family.” • Healing Arts Program, Karmanos Lawrence and Idell Weisberg Cancer Treatment Center, Farmington Hills The goal of this integrative therapy program is to supplement medical treatment and to provide support to cancer patients and their families by decreasing anxiety and stress. The establishment of the Leah A. Davidson Endowment supporting the Healing Arts Program enables 600 cancer patients each year to experience these non-medical techniques to improve their psychological and physical health. continued from page 44 “An integrative medicine plan is created to fit each patient’s needs, including recommen- dations for mind, body, spirit and emotion,” she says. “More health professionals accept this approach because research shows non- traditional approaches to healthcare demon- strate evidence-based success, and physicians receive good feedback from patients.” Dr. Maureen Anderson, medical director of Integrative Medicine for Beaumont Health System, says, “The U.S. spends more per cap- ita for healthcare than any other country, yet we are 37th in the world in terms of health outcomes. We need to approach healthcare differently, which is why I foresee IM as the future model. “An increasing number of published research supports the efficacy of using non-conventional therapies and treatments for conditions such as Maureen chronic pain, inflam- Anderson mation, cardiovascular disease, fibromyalgia and high blood pressure,” Anderson says. “Interestingly, attendance by physicians has increased at conferences focused on Integrative Medicine.” Robert Folberg, M.D., founding dean of the Oakland University William Beaumont School of Medicine, says, “Integrative Medicine is now a component of our medical school curriculum. Our program emphasizes that medical students learn to take care of themselves so they are better equipped to take care of others. Many are learning about IM by using some of the non-conventional techniques for themselves.” The plan is to offer IM programs at Oakwood and Botsford hospitals (both part of Beaumont Health System) soon. A Wayne State University School of Medicine repre- sentative said nothing formal regarding IM is being taught in its curriculum. IM TREATMENTS “A few of the more popular complementary treatment options with patients are acu- puncture, yoga and reiki,” says Gail Elliott- Patricolo, director of Beaumont’s Integrative Medicine program. “Including these alterna- 46 February 25 • 2016 tive options in Beaumont’s Employee and Family Health Plan has resulted in a reduction of pain medication and the abil- ity of our employees to return to work sooner. “We receive calls from Gail Elliott- hospitals across the coun- Patricolo try requesting guidelines and assistance about get- ting an Integrative Medicine plan started in their plan and for their patients. “There is a definite trend for hospitals to provide alternative therapies in the oncol- ogy department,” Elliott-Patricolo says. “Oncology patients are treated with IM therapies at infusion centers and at physician offices. Our oncology massage program is nationally recognized and attracts students from other states.” Lindsey Finsilver of Bloomfield Hills used guided imagery at Beaumont Hospital five years ago to help her get through chemo treatments for cancer of the appendix. “I worked at guided imagery with Gail Elliott-Patricolo to reduce pain by creating positive images in my mind,” Finsilver says. “I’ve also worked with Gail using reiki fol- lowing a couple of major surgeries. Hand and foot massages at Beaumont also helped me deal with neuropathy, improving my mobil- ity. Dealing with cancer, I rely on Western medicine, but I find that combining conven- tional medicine with Eastern medicine gives me a sense of control because I am person- ally involved in my own health.” Sue Ellen Simon of Birmingham volun- teers her services once a week as a reiki therapist for Beaumont hospital patients. “It’s important to me that I be of service to others,” Simon says. “When I can help oth- ers feel less stressed by using reiki then I’ve achieved the mitzvah of tikkun olam. Reiki is a simple hands-on, no-touch technique for stress reduction and relaxation that promotes the flow of life energy in a person and can stimulate healing. It’s used to relieve pain and improve the symptoms of a number of health conditions. I’m often called to work with patients in oncology and women’s urology.” Laura Squillace of Southfield was intro- duced to Beaumont’s integrative services as part of her treatment for breast cancer. “I started using the Reiki treatment and having oncology massages almost from the beginning,” she said. “I also use yoga therapy and now do guided imaging on my own, having learned about it at Beaumont,” Squillace said. “Guided imaging is very helpful, especial- ly during those times when nobody is quite sure about a diagnosis and treatment. Today, I include these programs as part of my well- ness program and frequently talk to medi- cal school students about my experience of working with physicians and including alter- native therapies during my recovery and why I keep using them for better health.” CHALLENGES AND EVIDENCE “Some doctors do not approve of IM because they are concerned there’s not enough sci- entific evidence to justify their use,” says Michael Seidman, M.D., otolaryngologist, chair of the Center for Integrative Medicine for Henry Ford Hospital and medical director of wellness for Henry Ford West Bloomfield Hospital. “We talk about preven- tion and wellness, but Integrative Medicine is typically not offered as an integral part of most care,” he says. Besides the skepti- cism of some physicians, Michael “other challenges that Seidman effect meaningful change include the lack of insur- ance for more natural approaches to health- care, although this is slowly changing,” he says. “For example, some policies now cover acupuncture treatment and massage for spe- cific conditions.” Seidman says the Vita Wellness Center at Henry Ford West Bloomfield offers inte- grated services with conventional services, including physical and occupational therapy. Finding evidence that IM works is key to many of its challenges. As a result, research- ers are studying complementary and alterna- tive therapies for safety and effectiveness. Even finding out what doesn’t work can be valid. For example, following a study published in the New England Journal of Medicine (Feb. 9, 2006), which reported that saw palmetto, taken by more than 2 million men in the U.S., did not improve benign prostate hyperplasia, the herbal therapy was no longer recommended. According to Howard Schubiner, M.D., and director of the Mind-Body Center, Providence-Providence Park Hospital in Southfield, technological breakthroughs in science during the past decade now pro- vide physicians the science to understand the connection among the brain, the body and certain symptoms. This concept that the mind is important in health goes back to ancient times. “Over time, our brains develop ways of activat- ing reactions in our body that alert us to either a physical or an emotional process,” he says. “Mind- Howard Body Medicine is based Schubiner on the science of the brain in which patients learn that chronic pain may be due to learned nerve pathways that can be unlearned by reprogramming the brain. “The patient’s pain is real, but the patient may not have a serious disease,” Schubiner says. “It may be that the patient’s body is pro- ducing pain because it’s reacting to a series of unresolved stressful situations. “At the center, we first distinguish whether the symptoms are caused by the body or the brain. With an accurate diagnoses ruling out a physical problem, we help people by chang- ing the way they think about their symptoms and help them make changes in their activi- ties and lives to reduce or eliminate the pain.” Rabbi Jeremy Baruch goes back to the Jewish roots of Integrative Medicine. “Our Jewish tradition teaches that an inte- grated approach to healthcare is shared in the community,” Baruch says. “Some people may excel in bikur cholim, offering emotional support to those in need of healing. Others may be philanthropists, financially support- ing healthcare at home, in Israel and in the developing world. Others are healthcare workers who dedicate their lives to taking care of others. “Each of us has the opportunity to make healthy lifestyle changes in our lives. When you look around the Detroit community, you see this integrative approach to healthcare on a communal level, with everyone contrib- uting in their own way, creating a healing whole that is much greater than the sum of its parts.” *