Sunday, August 25, 2019

Integrative Medicine Clinics (USA)

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Driven by consumer demand, the integrative medicine movement is changing the health-care landscape. Since the opening of our clinic, dozens of other hospital-sponsored integrative medicine clinics have sprung up around the country. As PIM’s director, I’m proud that PIM graduate Fellows are playing leadership roles at many of them. In this article, I’ll profile several integrative clinics, including what natural therapies they offer to their patients.

Integrative Medicine Clinics in America

Here’s a sampling of integrative medicine clinics in different regions of the United States. The following list is not all- inclusive, and mention of a particular clinic does not imply an endorsement.

EASTERN STATES

Carolinas Integrative Health
Charlotte, North Carolina
www.carolinasintegrativehealth.com
(704) 355-9355
This clinic, part of the Carolinas HealthCare System, opened in 2001. The staff includes one physician and six other practitioners. Therapies include acupuncture, massage, mind-body therapies, nutritional counseling, Reiki, tai chi, traditional Chinese medicine, and yoga.

Of note: This center was designed according to the principles of feng shui, the Chinese art of arranging objects and surroundings to achieve harmony with nature. It serves people challenged by illness (including cancer and chronic pain) as well as those who simply want to strengthen their resistance to disease. Russell H. Greenfield, MD, a PIM graduate Fellow, is the medical director.

Continuum Center for Health & Healing
New York City
www.healthandhealingny.org
(646) 935-2220
The center, an initiative of Beth Israel Medical Center, opened in 2000. The staff includes 10 physicians and 13 other practitioners. Available services include acupuncture, aromatherapy, chiropractic, energy medicine, herbal medicine, homeopathy, integrative psychotherapy, massage and bodywork, mind-body approaches, and nutritional counseling.

Of note: This large, well-appointed center is known for its comprehensive services. It offers primary care for patients of all ages, consultations on specific health conditions, and visits with practitioners of particular therapies. It also has a holistic pre- and post-surgery care program, a holistic fertility program, and a midwifery service. Roberta Lee, MD, a PIM graduate Fellow, is the center’s medical director.

Duke University
Durham, North Carolina
www.DCIM.org
(866) 313-0959 (toll free); (919) 660-6826
The Duke Center for Integrative Medicine opened in 2000. The staff includes four physicians and two other practitioners. Therapies include acupuncture, biofeedback, herbal medicine, hypnotherapy, massage, mindfulness-based stress reduction, nutritional counseling, and yoga.

Of note: In addition to treating patients with various health conditions (including women’s health issues and pain disorders), the center emphasizes “prospective health care.” This involves assessing the individual’s risk for certain diseases and developing a personalized health plan that includes making lifestyle changes to reduce disease risk. Tracy Gaudet, MD, formerly medical director of PIM, is the center’s director and author of the forthcoming book Consciously Female (Bantam, March 2004).

Maine Medical Center Family Practice Centers
Falmouth and Portland
www.mmc.org/services/integrativemedicine
(207) 781-1500
Integrative medicine services became available in 2001. The staff offering these services includes several physicians—both MDs and DOs (osteopathic physicians)—and two other practitioners. Therapies include acupuncture, herbal medicine, homeopathy, hypnotherapy, massage, mindfulness-based stress reduction, nutritional counseling, and osteopathic manipulation.

Of note: These family practice centers provide primary care. Craig Schneider, MD, a PIM graduate Fellow, works at the Falmouth Center, where he offers integrative medicine consultation and hypnotherapy. Also, Maine Medical Center (a large community hospital in Portland) offers relaxation training to patients preparing for surgery.

Thomas Jefferson University Hospitalwww.jeffersonhospital.org/cim
(800) 533-3669; (215) 955-2221
The Jefferson-Myrna Brind Center of Integrative Medicine opened in 1998. The staff includes four physicians and 11 other practitioners. Therapies include acupuncture, herbal medicine, homeopathy, light therapy, massage, mind-body approaches, nutritional counseling, psychotherapy, yoga,
and other movement therapies.

Of note: This is one of the more established integrative clinics. Besides treating patients with various illnesses, it features an integrative pain program that supplements the care offered by conventional pain specialists; one unusual option is injections of homeopathic bee venom. The center also has an eight-week mindfulness meditation course.

University of Maryland
Baltimore
www.compmed.umm.edu
(410) 448-6364
The Center for Integrative Medicine’s newly renovated clinic opened in August 2003; however, the program was founded more than 10 years ago. The staff includes five physicians and five other practitioners. Services available include acupuncture, herbal medicine, homeopathy, mind-body therapies, nutritional counseling, physical therapy, traditional Chinese medicine, and yoga.

Of note: This long-established program specializes in pain management (especially arthritis and back pain), but also offers women’s health care and family medicine. The center’s founder and director, Brian Berman, MD, chairs the steering committee of the Consortium of Academic Health Centers for Integrative Medicine, a group of medical schools in North America that have research, education, and clinical programs about integrative medicine.

Some other integrative clinics in eastern states:

Dana-Farber Cancer Institute—Zakim Center for Integrated Therapies
Boston, Massachusetts
www.dfci.harvard.edu/pat/support/zakim_default.asp
(617) 632-3322

The George Washington University—Center for Integrative Medicine
Washington, DC
www.integrativemedicinedc.com
(202) 833-5055

Griffin Hospital—Integrative Medicine Center
Derby, Connecticut
www.imc-griffin.org
(203) 732-1370

Hartford Hospital—Integrative medicine program
Hartford, Connecticut
www.harthosp.org/intmed/index.html
(860) 545-4444

Memorial Sloan-Kettering Cancer Center—
Integrative Medicine Service

New York City
www.mskcc.org/mskcc/html/1979.cfm
(212) 639-4700

New York Weill Cornell Medical Center—Center for Complementary and Integrative Medicine
New York City
www.med.cornell.edu
(212) 746-1330

University of Pittsburgh Medical Center—UPMC Center for Integrative Medicine
Pittsburgh, Pennsylvania
http://complimentarymedicine.upmc.com
(800) 533-8762

MIDWESTERN STATES

Evanston Northwestern Healthcare
Glenview, Illinois
www.enh.org/integrativemedicine
(847) 657-3540
The Integrative Medicine Program’s clinic opened in 2001. The staff includes two physicians and 15 other practitioners. Therapies include acupuncture, herbal medicine, integrative counseling and psychotherapy, massage and bodywork, mind-body therapies, nutritional counseling, qigong, traditional Chinese medicine, and yoga.

Of note: This busy clinic, located in a suburb of Chicago, sees patients with a range of health conditions and concerns. It also has its own herbal shop. Karen Koffler, MD, a PIM graduate Fellow, is the program’s director.

Franciscan Center for Integrative Health
Beech Grove, Indiana
www.stfrancishospitals.org, click on “Departments”
(317) 783-8233
The center, part of the St. Francis Hospital and Health Centers system, opened in July 2003. The staff includes one physician and three other practitioners. Therapies include guided imagery, herbal medicine, hypnotherapy, lifestyle modification, massage, and nutritional counseling.

Of note: This new center, located in a suburb of Indianapolis, also offers seminars on mind-body preparation for surgery and (for cancer patients) on preparing for chemotherapy and radiation. James Nicolai, MD, a PIM graduate Fellow, is the medical director.

University of Michigan
Ann Arbor
http://www.imwell.umich.edu/
(734) 998-6649
The Integrative Medicine Wellness Center opened in May 2003. The staff, which includes three physicians and two other practitioners, provides consultations in adult integrative medicine, anthroposophical medicine (see below), herbal medicine, holistic women’s health care, and holistic nutrition. Customized treatment plans may include referrals to other local practitioners.

Of note: This recently launched center is located in a family practice site. It’s one of the few integrative medicine clinics whose offerings include anthroposophical medicine, a European tradition developed by Rudolf Steiner that relies on herbal, homeopathic, nutritional, and other natural therapies. Monica Myklebust, MD, a PIM graduate Fellow, is the center’s medical director.

University of Wisconsin-Madison
www.uwhealth.org, click on “Specialties &Programs;”
(608) 265-0280
The UW Health Integrative Medicine clinic opened in 2001. The staff includes two physicians and about a dozen other practitioners. Therapies include acupuncture, exercise therapy, guided imagery, hypnotherapy, massage and bodywork, mindfulness meditation, and other relaxation techniques.

Of note: This clinic is in the same building as the university’s health and fitness center, and also offers classes in Eastern movement practices such as qigong, tai chi, and yoga. But it’s probably best known for its emphasis on mind-body medicine. It offers numerous classes in mindfulness-based stress reduction, as well as health psychology services to address the mind-body aspects of various health concerns. David Rakel, MD, a PIM graduate Fellow, is the medical director.

Some other integrative clinics in midwestern states:

Central DuPage Health—Integrative Medicine Centre
Geneva, Illinois
www.cdh.org
(630) 232-7755
Melissa Young, MD, a PIM graduate Fellow, is the medical director.

Children’s Hospitals and Clinics—Integrative medicine program
Minneapolis/St. Paul, Minnesota
www.henryford.com
(248) 380-6201

Northwestern Memorial Hospital—Center for Integrative Medicine
Chicago
WESTERN STATES

California Pacific Medical Center
San Francisco
www.myhealthandhealing.org
(415) 600-3503
The Health & Healing Clinic opened in 1998. The staff includes four physicians and 11 other practitioners. Therapies include acupuncture, guided imagery, massage and bodywork, nutritional counseling, spiritual counseling, and traditional Chinese medicine.

Of note: This integrative clinic, one of the country’s oldest, is the centerpiece of the hospital’s Institute for Health & Healing. Other offerings include classes and workshops, health information packets, and a store that sells supplements, books, and instructional tapes and videos. Outside of the hospital’s main entrance is a 36-foot-wide labyrinth painted on the concrete walkway; slowly walking its winding paths offers a meditative and centering experience.

Oregon Health & Science University
Portland
www.ohsu.edu/women
(503) 418-4500
The Integrative Medicine Clinic at the university’s Center for Women’s Health opened in January 2003. The staff includes two physicians and three other practitioners. Therapies include chiropractic, naturopathy, and traditional Chinese medicine.

Of note: This clinic is designed for women with chronic health problems. New patients are seen by four practitioners at once: an acupuncturist, a naturopath, a chiropractic intern, and an integrative physician, either Anne Nedrow, MD (a graduate of PIM’s Associate Fellowship program), or Wendy Kohatsu, MD (a PIM graduate Fellow). The practitioners then combine their recommendations into a single treatment plan.

Scripps Center for Integrative Medicine
La Jolla, California
www.scrippsintegrativemedicine.com
(858) 554-3300
The center, part of the Scripps Health system in San Diego County, opened in 1999. The staff includes three physicians and 25 other practitioners. Services available include acupuncture, biofeedback, guided imagery, herbal medicine, massage, mindfulness meditation, nutritional counseling and cooking classes, qigong, tai chi, Watsu (a type of bodywork done in a warm pool), and yoga.

Of note: The center’s Healing Hearts program, which blends conventional care with natural approaches to prevent or reverse heart disease, lasts three months, and so does its weight management program. The center also offers programs in pain management and stress reduction, as well as a fitness center and an herbal pharmacy. In the spring, it’s planning to open a center that will focus on prevention and early detection of disease.

University of California
San Francisco
www.ucsf.edu/ocim
(415) 353-7700
The Osher Center for Integrative Medicine’s clinical practice opened in 2002. The staff includes five physicians and seven other practitioners. Therapies include acupuncture, massage and bodywork, mindfulness-based stress reduction, nutritional counseling, psychotherapy, spinal manipulation, tai chi, and yoga.

Of note: This center offers both integrative-medicine and integrative-psychiatry consultations, as well as private sessions and group programs for specific therapies. The staff includes specialists in women’s health, cancer, chronic pain, repetitive strain injury, headaches, and nutrition.

Some other integrative clinics in western states:

Cedars-Sinai Medical Center—Integrative Medicine Services
Los Angeles
www.csmc.edu/3926.html
(800) 233-2771

Center for Pediatric Integrative Medicine
Tucson, Arizona
www.doctornewmark.com
(520) 886-4884
This is a consulting practice in pediatric integrative medicine which offers a holistic, healing-oriented approach, using the best of alternative and conventional medicine to help children and adolescents obtain optimal health. Dr. Newmark, a PIM graduate fellow, is the first graduate to open a practice in pediatric integrative medicine.

Stanford Center for Integrative Medicine
Stanford, California
http://scim.stanfordhospital.com
(650) 498-5566

University of Colorado Hospital—Center for Integrative Medicine
Aurora, Colorado
www.uch.edu/integrativemed
(720) 848-1090

University of New Mexico—Integrative Medicine Clinic
Albuquerque
http://hsc.unm.edu/medicine/Integrative_Med/service.shtml
(505) 272-2700
Arti Prasad, MD, a graduate of PIM’s Associate Fellowship Program, works here.

A Different Kind of Clinic

Visiting an integrative medicine clinic offers a very different experience from visiting a traditional health facility. At our PIM clinic, a patient’s initial appointment lasts 60 to 90 minutes. The physician-Fellow conducts a thorough history and physical, taking time to understand the patient’s personal experiences, beliefs, and goals. After this appointment, the physician meets with a team of other providers—which may include an acupuncturist, a nutritionist, a naturopath, an osteopath, an energy medicine practitioner, a specialist in mind-body medicine, and a homeopath as well as a spiritual counselor—to develop an individualized treatment plan. When the patient returns for a follow-up visit, the Fellow discusses the plan and works with the appropriate practitioner(s) to offer treatment or provide instruction. Later on, the patient may be asked to return periodically to track progress.

Each of the integrative medicine clinics described below operates differently, but there are many similarities. You’re not likely to need a physician referral to book an appointment. Most clinics don’t have waiting lists, but it still may take a few weeks until you get an appointment. An initial consultation with an integrative physician costs anywhere from $100 to $350 or more, with follow-up visits costing less. (Most of these clinics do not accept health insurance.) Lifestyle measures are typically a key component of any treatment plan, and preventive self-care is emphasized. In most cases, the services provided at these clinics are not meant to replace the care of your primary care provider and appropriate specialists.

Nathan
Writes in the lane of nutrition and natural treatment.

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