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

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