I have covered developments of the Society for Integrative Oncology over the 19 years since the organization placed its flag squarely in the emerging, evidence-based integrative medicine era. Many of its accomplishments have been remarkable for the broader integrative medicine field. SIO has had success in creating guidelines that have been endorsed by conventional oncology organizations. Internally, the organization has, since its beginning, fostered an interprofessional environment that has, for instance, included naturopathic physicians in the presidency and leading its marquis integrative breast cancer guideline initiative. I’d never attended their conference until this year when I was one of 380 souls at the October 27-29, 2019 conference in Phoenix. Here are some impressions. Credit the 19th century composer Mussorgsky for the title.
In early 2008, the leadership of the National Institutes of Health for the second time caused concern among many in the integrative health and medicine field by naming a director of what is the now National Center for Complementary and Integrative Health (NCCIH) who had zero experience in the field the director was to oversee. Imagine a head of the National Heart, Lung and Blood Institute with no experience in any cardiology, pulmunology or hematology.
The US medical industry has a motivation problem when it comes to the central role of food in health. Kale does not emit a flock of attractive sales people to detail doctor offices. Organics lack the financial clout to fund JAMA. Brown rice gets failure grades on inviting doctors to conferences in tropical zones. Fruits and vegetables seem to have missed out entirely on the whole marketing side of competing with the pharma-device predilections of the $3.3-trillion medical industry.