Wednesday, November 20, 2013

Alternative Medicine 7--Mind-Body Medicine


“Julie, Do you recall our January 3, 2013 posting on the Introduction to Risks and Fears?”

“I do, Curmudge, but what does that have to do with Part 2 of the Mayo Clinic Book of Alternative Medicine? (1)  Hey, you promised that we would discuss that this week.”

“We will.  Just stick with me.”

“I’ve been with you for 6-1/2 years, Old Guy, so I’m not leaving now.  Let’s return to Risks and Fears.  As I recall, at least hypothetically, I came face-to-face with a grizzly bear when we were hiking in the Rockies.  I jumped, and my heart ‘leaped into my mouth.’  It was a virtually instantaneous reaction; no thinking was required.  You described it as my ‘flight or fight’ response, starting in my brain’s thalamus and moving in milliseconds to my amygdala.”

“You’ve got it Julie, as usual.  Now let’s put me in a similar fictitious but illustrative situation.  At one time earlier in my life I believed that I almost died from eating a contaminated strawberry.  As a result of that extremely unlikely experience, I ‘flip out’ whenever I see a strawberry.  I become fearful and have a ‘blue funk’ for the rest of the day.  Dr. Sood at Mayo’s would characterize my ‘blue funk’ as a state of mindlessness in which the threat existing in my mind far exceeds that in the real world.”

“Your experience with the strawberry, Curmudge, resembles mine with the grizzly bear.  The strawberry triggered the ‘flight or fight’ reaction in your brain.  So once again, after over 100 words, what does this have to do with alternative medicine?”

“Here’s the connection, Dear Colleague, quoting Amit Sood, MD, from p. 95 in the Mayo book: ‘Impressive advances in neuroscience research have brought to our attention a startling and exciting discovery—the mind can change the brain.  Software can indeed transform the hardware.  Training our mind using mind-body approaches can soothe the limbic areas of the brain such as the amygdala…’  ‘This literal rewiring of the brain by our recurring thought patterns and experiences is now popularly recognized as neuroplasticity.’ “

Voila!  That’s the link we need, Professor, to soothe your amygdala and your ‘flight or fight’ reaction when you see a strawberry.  No more blue funk, and we’ll be able to put strawberry shortcake on the menu again.  Of course, I must be careful not to lose my primordial fear of grizzly bears.”

“As an aged-but-still-somewhat-functional scientist, I remain puzzled by how this ‘brain reprogramming’ occurs.  You’ve read the Mayo book too, Julie.  Can you quote or paraphrase more from pages 96 and 104 of the Mayo book that might improve my understanding?”

“Coming at you, Chief.  ‘The system responsible for the flight-or-fight response is the autonomic (involuntary) nervous system.  It regulates many body activities, including heartbeat, perspiration, breathing, and digestion.  The autonomic nervous system is divided into two parts, sympathetic that mobilizes the body into action (flight-or-fight) and parasympathetic that creates a “rest-and-digest” response.  Current research is focused on understanding how meditation and related techniques can reduce the activity of the sympathetic system and increase the activity of the parasympathetic system.’ “

“My interpretation of what you just said, Julie, is that we don’t know exactly how meditation makes that work.  However from other reading one can conclude that it does work.  ‘Positive emotion may be a skill which can be achieved with training similar to learning to ride a bike or play the piano.’  But I bet it’s not really as easy as learning to ride a bike.”

“We don’t have to rely on just the Mayo book and Wikipedia, Old Guy.  For one really interested in this topic, there are several books that go into it more deeply than we can.  Norman  Doidge (2) reviewed the experiments that established the validity of neuroplasticity.  Applying neuroplasticity and meditation to personal problems is described by Sharon Begley (3) and in several books by Jeffrey M. Schwartz (4-6).”

“One can discern the theme and contents of these publications just by reading their reviews on Amazon.com.  An outstanding example is the review of Sharon Begley’s book by Barbara Rose, Ph.D.  You know, Julie, these books look so inspiring that I might try some of that meditation stuff.”          

“Knowing you, Ancient One, you’d probably just fall asleep while meditating.  And then there are people who might just naturally reject meditation or allowing themselves to be hypnotized.  Then what?”

“These people might try tai chi (‘moving meditation’) or qigong and achieve comparable results.  There’s a technique for everyone in mind-body medicine.”   

“What about the other mind-body medicines in the Mayo book?  Although the most space is given to meditation, there are ten other techniques, from biofeedback (alphabetically) to yoga.”

“We can’t talk about all of them in a blog, Julie.  In my own case I wouldn’t be too selective about the technique; I‘d seek the best coach who had the most success with strawberry-phobia.”

“I’m sure you are aware, Old Guy, that Part 2 of the book also has sections on Energy Therapies, Hands-on Therapies, and Other Approaches.”

“We’ll mention some of those in our next posting, Julie.  Don’t go away.”

Kaizen Curmudgeon

(1) Mayo Clinic Book of Alternative Medicine, Second Edition.  (2010, Mayo Foundation for Medical Education and Research).

(2) Doidge, Norman The Brain That Changes Itself (2007).

(3) Begley, Sharon. Train Your Mind, Change Your Brain (2007).

(4) Schwartz, Jeffrey M. and Begley, Sharon  The Mind and the Brain: Neuroplasticity and the Power of Mental Force (2003).

(5) Schwartz, Jeffrey M. and Gladding, Rebecca You Are Not Your Brain (2012)

(6) Schwartz, Jeffrey M. and Beyette, Beverly  Brain Lock: Free Yourself from Obsessive-Compulsive Behavior (1997)  


Link to posting from blog archives: Patient Safety—Epilogue  3/12/09

Friday, November 8, 2013

Alternative Medicine 6—Alt. Med. 101


“Did you know, Julie, that learning and blogging are both non-linear processes?”

“It never occurred to me, Curmudge, so I’m going to need some explanation.”

“When one learns a foreign language, he learns to say a few useful phrases, such as ‘hello’ and ‘goodbye,’ before he learns the basics, such as how to conjugate verbs.  When you and I study a new topic and write about it, we learn and discuss aspects of the topic of our current interest.  We don’t start with the basics at square one and blog about the topic as if we were writing a textbook.”

“I think I’ve got it, Old Guy.  When we began blogging on alternative medicine, we jumped right into herbal medicines without laying a foundation for the whole of alternative medicine.  So perhaps the sooner we do that, the better.  Let’s call it Alt. Med. 101.”

“And our text for Alt. Med. 101 will be the Mayo Clinic Book of Alternative Medicine. (1)  It is authoritative and comprehensive; its main sections are Part 1  (Today’s New Medicine), Part 2 (Guide to Alternative Therapies), and Part 3 (Your Action Plan).   Contrary to other publications we have read, Mayo’s authors don’t have major vested interests in their contributions.  They are promoting neither practices nor potions.  Their overall views tend to be conservative, and their conclusion for each dietary supplement and mind-body practice is indicated by a red, yellow, or green ‘traffic light.’ “

“Right from the start, I am impressed by two things: (a) an institution with Mayo‘s stature has a Comprehensive and Integrative Medicine Program, and (b) the book must be so good that a skinflint like you, Curmudge, actually purchased it (at $29.95).”

“Julie, because we’re not going to discuss all of the book, we’d better tell our readers a bit more about its contents.  Part 1 deals with lifestyle issues, from diet, to exercise, to stress.  Part 2 covers herbs and dietary supplements, mind-body medicine, and energy-related therapies.  Part 3 provides a two-page discussion on each of 20 common conditions ranging (alphabetically) from arthritis to vaginal yeast infections.”

Part 1
Compared with traditional ‘diet‘ books, this book has broader lifestyle coverage and fewer diet specifics.

Part 2
“Gosh, Old Man, we have already read a lot about natural products and dietary supplements.  Does the Mayo book tell us much that is new?”

“For each item the book presents a few paragraphs of general discussion, then a two-or-three sentence summary called Our take, and then a research note called What the research says.  And of course, the ‘traffic light.’  They do this for 39 herbs (I wish there were more), 7 vitamins, 5 minerals, and 11 hormones and other compounds.  A common conclusion is that ‘more research is needed.’  But my answer to your question is a qualified ‘yes’ as well as ‘no.’  We learned new stuff, but several natural products of interest weren’t mentioned, including turmeric (curcumin), quercitin, and resveratrol.”

Part 3
“Hey, Curmudge!  How can we move on to Part 3 without discussing Mind-Body Medicine and Energy and Other Therapies in Part 2?”

“We‘re not going to skip those topics, Julie.  They are so important that we are going to defer them and put them in several postings.  But before we leave Part 3 we must mention the Mayo book’s contribution to treatment of its list of 20 common conditions.  For each condition, Mayo mentions the alternative medicine treatments that are available.  I can’t comment on the treatments because I haven’t had hardly any of the conditions except the common cold.  The book says that the Scandinavians use andrographis; that sounds like an interesting recommendation.”

“I consider it your promise, Old Guy, that we’ll be back within the next couple of weeks to talk about the rest of Part 2.”

Kaizen Curmudgeon

(1)  Mayo Clinic Book of Alternative Medicine, Second Edition.  (2010, Mayo Foundation for Medical Education and Research)

Link to posting from blog archives: Patient Safety—Accidents, Trauma, and Luck 3/04/09