The surprising news last August that Tracy Gaudet, MD was leaving the Veterans Administration where she birthed the transformational Whole Health program was leavened on learning that Gaudet would partner with the world’s wealthiest woman, Alice Walton. Together they would form the Whole Health Institute with a goal of nothing less than to translate and build off the VA model in civilian health and medicine and spread it globally. Other than a brief announcement at kick-off, plans have not been public. Last week word arrived that the professional with the most significant experience in developing integrative strategies in civilian medical institutions, Lori Knutson, RN, BSN, HNB-BC, is joining Gaudet. Knutson will serve as the Institute’s senior director for health system redesign. I communicated with Gaudet and Knutson on this development. Gaudet shared additional insight into evolving plans that, like the rest of life, have been shifted by COVID-19.
The polarization in US medicine has never been so front and center as it is with COVID-19. Natural agents are off the table. Despite early clarity that the state of the host matters big time in susceptibility to the virus, natural strategies focusing on host susceptibility are routinely denigrated and dismissed. So it was remarkable that within the course of 24 hours in late April, two colleagues independently sent news of a formal medical center protocol associated with a medical school that includes multiple natural agents. These are inlaid with conventional measures into a series of stages that the institution’s medical staff is following. Who are these people and how did this come to be? I was able to reach the primary author of the institution’s Critical Care COVID-19 Protocol, a South Africa educated internist, Paul Marik, MD, FCCP, FCCM. Marik is a professor of medicine and chief of pulmonary and critical care medicine at Eastern Virginia Medical School (EVMS) who has previously stirred controversy for unorthodox approaches. The non-conventional reasoning that drove the COVID-19 protocol Marik calls “uncommon common sense.”
While I never attended Bastyr University, I did work an intense and heady 6-year span there from 1983-1989 as John Bastyr College of Naturopathic Medicine transitioned to Bastyr College on its way to its present stature. We fought to make it the first broad-scope education in natural health sciences to gain accreditation via a United States Department of Education approved agency. That winning campaign – an overt battle against antagonistic cultural political forces – was for me a sort of Marine Corp experience resulting in a Semper Fi! that, while its had its ups and downs, has at minimum left me paying attention to Bastyr’s work and that of its graduates. So when the Seattle Times published an article on the COVID-19 research at local conventional medical institutions, I recalled two significant action of Bastyr graduates relative to COVID-19 that merited mention. I drafted an Op-Ed that was rejected. They noted that they are seeing “an unprecedented number of Op-Ed submissions on the coronavirus” and finished with a kind (if routine) door-closing statement: “Respectfully, I am going to pass on it, but I hope you find a publication able to take it.” I decided to visit it on you.
The push for evidence to assist in formulating more effective clinical response to the COVID-19 pandemic is awakening scores of research projects and multipliers more of recommended directions. In the integrative sphere, a team led by Lise Alschuler, ND from the University of Arizona Andrew Weil Center for Integrative Medicine published a paper on “considerations” for natural practices and agents. The Chinese government claims the use of traditional Chinese medicine is in part responsible for its apparently relatively rapid turn-around there. TCM researcher John Chen, PhD, PharmD, OMD, LAc and others have brought that work to the United States. Ryan Bradley, ND, MPH at Helfgott Research Institute led a global team to create a Traditional, Complementary and Integrative Health and Medicine COVID-19 Support Registry. I helped promote it with this JACM editorial. Yet the US government has been quiet, when not frankly antagonistic to supportive COVID-19 strategies. I connected with the NIH National Center for Complementary and Integrative Health (NCCIH) to see what they are up to related to COVI-19. This column reports the exchange with Helene Langevin, MD, NCCIH’s director.