The principle of using the least invasive methods first – a corollary of “first do no harm” – is central to integrative health and medicine. Also core is the idea of patient-centered, functionally-oriented outcomes. Each of these principles is being chucked out the window as the FDA is systematically removing multiple natural agents from an approved list for compounding pharmacists.
Married to the mob is a term of endearment here – capturing a part of the motivation behind the remarkable contributions of David Schleich, PhD to the naturopathic medical profession’s “mother ship” and to powering growth for the naturopathic profession in North America.
The movement from the wild-west of “alternative” medical practices into mainstream respect and inclusion is typically a process of standard-setting, self-regulation, and then governmental action. Two principals in the Osher Collaborative for Integrative Medicine recently asked whether – with the chaotic and rapid expansion of the field — its time for integrative medical doctors, in particular, to consider additional, proactive steps.
If one views “integrative health and medicine” as an organic movement, then its shape consists of the stories documenting its milestones and the work of its pioneers. Only the telling of these stories are less likely to be around a fire than around the modern substitute: the web. This article offers three slices of achievement. It involves multiple streams among those that flow together to support an integrative future: a milestone in academic medicine in the dominant school, for naturopathic medicine, and a changing of the guard for direct entry (homebirth) midwifery.