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Janine Blackman, MD/PhD
Speaker, Practitioner, Advocate





1. Integrative Medicine
– much more than simply Complementary or Alternative Medicine
(PDF Version)


A Movement Whose Time Has Come

What has come to be called integrative medicine is a rapidly growing and highly credible field that seeks to integrate the best of Western scientific medicine with a broader understanding of the nature of illness, healing and wellness.

In seeking to return the soul to medicine, integrative medicine is grounded in the healing relationship — practitioners and patients share information as well as compassion as together they seek ways to achieve optimal health.  This approach to giving care focuses on healing the whole person and addresses a person’s body (one’s physical self), mind (one’s mental and emotional state), spirit (one’s personal connection to the transcendent), and community (one’s web of relationships and environment).

Informed by evidence, integrative medicine makes use of all appropriate therapeutic approaches, healthcare professionals and disciplines to achieve optimal health and healing and strives to achieve wholeness and health as well as cure illness and disease.  Because an informed, empowered patient will make better choices about his or her healthcare and lifestyle options, patient education is an essential element of integrative care.

The philosophical foundation for the integrative medicine comes from a multitude of different medical and human science traditions. For example, the idea that a person should be treated in his or her wholeness—mind, body and spirit—is a fundamental premise within integrative medicine that has been informed by the patient-centered care movement, holistic medicine, traditional Chinese medicine, Ayurvedic medicine, homeopathy, and the medicine of the ancient Greeks as well as modern humanistic and transpersonal psychology. Prevention, an important aspect of integrative medicine, is grounded in medical science but it also draws from the fields of nutrition, stress management, physical fitness, and environmental health.  This "gathering" of human wisdom in an effort to care for individuals in the best way possible is a key factor in why integrative medicine is both effective and desirable.


 
How I work as an Integrative Physician
 
- Janine A Blackman, MD, PhD

A. Mindful of the patient’s goals, such as

a.  Getting off of prescription medications for hypertension, cholesterol, PMS, etc.
b. How to get through menopause ‘naturally’
c. How to avoid surgery or other procedures (uterine fibroids, back pain, hyperthyroidism, … )

B. Respectful of patient’s desire to use or avoid conventional medical options

a. Chemotherapy
b. Annual screening mammography
c. Bio-identical hormone replacement vs non-hormonal treatments
     during menopause and beyond


C. Teaching

a. Identifying new areas the patient may improve their health
i.  Regular aerobic exercise delays aging and improves higher mental functioning
ii. Getting at least 7 hours of sleep nightly

b. Enhancing nutritional intake - see handout – Ten Simple Nutritional Principles

c. Offering ‘state of the art’ laboratory screening
i.   Newer conventional lab tests, including vitamin levels
ii. “Functional Medicine” testing

d. Challenge patients to live a full and balanced life
i.    Large quantities of supplements for a very long time
      may indicate an attempt to compensate for a non-healthy lifestyle.

ii.  There isn’t a pill (or vitamin or herb) for every problem. 
iii. The really important health issues often require looking inward at how we are living
iv. Our physical bodies need loving relationships and various interests and passions. 
      We were not born to simply eat, sleep, and work.


D. Helping to identify the source of the problem and working to facilitate healing of the core issue,
     not simply prescribing a therapy to hide the problem
 


 
 
Ten Simple Nutrition Principles & Vitality Foods


Ten Simple
Nutrition Principles

Vitality Foods
(Organic when possible)
1.  Eat > 4 cups of colorful produce daily
2.  Eat > 30 grams of fiber daily
3.  Eat healthy omega-3 fats (or supplement)
4.  Eat beans/legumes regularly
5.  Reduce saturated fat and shun trans fat
6.  
Choose whole grains, not refined, limit flour
7.  Hydrate between meals
8.  Save room for a planned healthy dessert
9.  Watch portion sizes
10. Select healthy snacks
      - shun added sugars & processed foods
Leafy Greens
Lean, not mean protein
Seafood
Beans, Legumes
Cruciferous vegetables
Berries
Nuts and Seeds
Freshly ground flax seed
Fresh Garlic
Herbs in cooking
Green tea
Dark Chocolate (>70% cocoa)
Red wine (1-2 servings max/d)
Cod Liver Oil
        (for VitA , D, & omega-3 fattyacids)

- Janine A Blackman, MD, PhD
 

Janine Blackman, MD, PhD

Private Practice and Medical Director, The Center for Nutrition and Lifestyle Medicine
Once Central Plaza; 11300 Rockville Pike, Suite 1205; North Bethesda, MD 20852
(301) 230-2530; (866) 546-0777
Travel/Directions page


Special interests  in applying Integrative Medicine to helping people with chronic health conditions such as fibromyalgia (FM); fatigue; complex bowel disorders such as irritable bowel, Crohn's disease, Ulcerative Colitis; diabetes; high cholesterol; and women's health issues including PMS, menopause symptoms, and osteoporosis.


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Updated November 13, 2008
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