Some like to refer to major change agents in the integrative health field as “rock stars.” To the extent that this applies, a key leader of real world integrative health research, Jeffery Dusek, PhD and the chief cat herder in the universe of professional acupuncturists, David Miller, MD, LAc, belong on album covers. These images come to mind as Francoise Adan, MD, the director of the University Hospitals Connor Integrative Health Network (CIHN) has attracted each to work there. The “Connor” in the name of the system-wide integrative model refers to a philanthropic couple who also happen to be generous donors to the Rock n’ Roll Hall of Fame and Museum. I called Adan and her two colleagues to find out more about what their visions are as these front-men join the CIHN band.
In late September, the Academy of Integrative Health and Medicine (AIHM) sent out a notice to its list to celebrate the 80th birthday of perhaps its most honored male elder, Bill Manahan, MD. Manahan’s story dates back to a founding membership meeting of a predecessor to the AIHM, the American Holistic Medical Association (AHMA), 40 years ago. One of Manahan’s most powerful areas of impact is an AIHM priority: sewing interprofessional respect. He’s worked to pry open the MD guild – which proved necessary even in the MDs’ “holistic” form. Manahan has been a mentor to countless practitioners and other functionaries in the holistic health and integrative medicine movement, including me. I thought his birthday was a good excuse to re-connect and explore a couple pieces of his rich history in the field – specifically the inter-professional work and the remarkable Minnesota group he has managed for 40 years.
Many years ago, an integrative colleague and adviser – my spouse! – explained something to me about an important part of her lengthy integrative intake process. The time is needed to build trust to have the patient divulge what is going on at the time a chronic condition set its hooks so that the freeing might commence. The past half-century was witnessed a slow, cultural recognition of the power of trauma in micro and macro ways. The “shell-shocked” of WWI became, post Vietnam, a potentially actionable PTSD. The women’s movement opened the lid on pervasive sexual abuse, emotional abuse, and rape. Adverse Childhood Experiences (ACES) emerged as powerful determinants of life chances and choices. George Floyd’s murder ripped open reckoning on police battery, slavery, Jim Crow, red-lining, and mass incarceration.
News feeds for the natural products and integrative health practitioner fields have in recent weeks included a drumbeat of alerts on actions of the Food and Trade Commission (FTC) on what the agency considers inappropriate claims relative to COVID-19. A major natural health organization blasted the FTC’s efforts as practitioner gagging and censorship and is mounting a campaign to stop the activity. Others in these fields point to bullseyes some practitioners and companies have painted on their foreheads via gross over claims (“this mushroom will cure your COVID”) that laser-guide FTC’s actions. At a sober center amidst a tangle of issues – state/federal jurisdiction, free speech, provider-patient relationship, and the peculiar institution of in-office sales of natural products – sit Laura Farr and Rob Kachko, ND. They are the executive director and president, respectively, of the American Association of Naturopathic Physicians (AANP). Among the multiple questions is whether naturopathic doctors and others in integrative medicine are “canaries in the coal mine” of a new, potentially widening push by the FTC and other federal and state agencies into the regulation of integrative and functional medicine practitioner offices.