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Is it just me or has something drastically changed with the practice of medicine in the U.S.? I realize that medicine has transitioned from a most noble profession to a business, but it is mind boggling to notice such a wide diversity of expert opinions that differ and contradict each other. If this isn’t concerning enough, two months later, the new BP Guidelines from JNC-8 were released. A serious problem arises for all of us when the recommendations by one medical group are not recognized or accepted by another medical group.
When there is disagreement and opposition among the members of the guideline panel that releases recommendations anyway, then in my opinion we have a severely damaged and broken system.
We have experts that can’t agree on much and the patients and physicians who don’t know what to believe in or who to trust.
It seems that in medicine there are too many “experts” giving too many recommendations that only cause confusion.
I am still waiting for the day that guidelines are published, that deal with the cause of chronic disease instead of the treatment. Despite all the guidelines published and the increased use of statins, we spend $60 billion a week in healthcare and all we have to show for it is being in 46th position in healthcare outcomes and quality, behind Iran and ahead of Serbia. I am greatly concerned with the new statin guidelines recently released by the American Heart Association and the American College of Cardiology during the yearly Scientific Sessions held in Dallas this November. These guidelines take healthy people and input certain risk factors that include age, body weight, smoking history, family history of heart disease, blood pressure and cholesterol levels to determine future cardiovascular (CV) risk.
Under the new guidelines, an additional 31 million people would meet criteria for these drugs. Studies have shown that there is no reason or benefit for the elderly to be on long-term statin treatment. I find the reliance on medications that have potent side effects to be ongoing failure of the U.S. Instead of prescribing more drugs, we should be educating and stressing to the general public the importance and need for lifestyle and nutritional change first. I find it interesting that the dietary advice of 40 years ago, which stressed the importance of eating minimally processed foods, avoidance of artificial sweeteners, selection of meats from organically raised animals and not industrially produced variety, went directly against the recommendations of the experts of that time. I’ll continue to individualize treatment, educating my patients on the importance of food, exercise and lifestyle and prescribing drugs only when appropriate. Tagged ACC, AHA, American College of Cardiology, American Heart Association, cholesterol, diabetes, Dr.
We believe in the powerful partnership between physician and patient by creating the foundation for healing the mind, body and spirit.
Patients at Armonk Integrative Medicine experience our unique approach in the highly personalized attention provided by Dr. Integrative Medicine, in a nut shell, as the name implies is the intelligent integration of conventional western medicine with evidence based alternatives. With Integrative Medicine, we use conventional approach both in diagnosis and in treatment, when indicated to do so, however, with certain chronic conditions, modern medicine has limitations, and various forms of evidence based alternatives were proven  to be safe and effective.
Functional medicine addresses the underlying causes of disease, using a systems-oriented approach and engaging both patient and practitioner in a therapeutic partnership.
It is an evolution in the practice of medicine that better addresses the healthcare needs of the 21st century. Functional medicine practitioners spend time with their patients, listening to their histories and looking at the interactions among genetic, environmental, and lifestyle factors that can influence long-term health and complex, chronic disease. Enter your email address to subscribe to this blog and receive notifications of new posts by email. The Annual IHI National Forum on Quality Improvement in Health Care was a very exciting and engaging event for students, doctors and other health care workers who attended.
During the 27th Annual National Forum on Quality Improvement in Health Care, I had the opportunity to present a poster along with other members of my team, Julio Martinez and Kat Xu, about our quality improvement project.
The Institute for Healthcare Improvement National Forum serves as an annual conference where those involved in patient safety and quality improvement in medicine are able to convene and discuss current issues and new ideas pertinent to these respective fields.
The BU Christian Medical and Dental Association held a dinner discussion on November 30, 2015 titled Where is God in Suffering?.
The IMIG and the Pediatrics Interest Group held a joint Clinical Case Conference event, focused on building the kinds of clinical reasoning and information gathering skills that students will need as 3rd year medical clerks. Over 80 students came together to learn about the severe addiction epidemic that is occurring in Massachusetts. A mix of first and second years attended this meditation session led by one of BMC’s Integrative Medicine physicians.
On November 10, Integrative Medicine and SNAAC co-hosted an event with Tracey Burg, who spoke to a large group of M1 and M2 students about both mindful and mindless eating. In this lunch talk, Joe talked about the Cocoanut Grove Fire, the biggest nightclub fire in history (492 deaths).
Exponential Medicine is a conference put on by Singularity University to discuss the future of healthcare and medicine. I attended the 21st Annual Fall Scientific Meeting of the Sexual Medicine Society of North America held in Las Vegas from November 19-22. I attended the 13th Annual AMA Research Symposium held November 13, 2015, in conjunction with the 2015 AMA Interim Meeting in Atlanta, GA. I attended and presented at the Association for Medical Education and Research in Substance Abuse (AMERSA) conference. From October 30-31, 2015, twelve BUSM students attended the Physicians for a National Health Program (PNHP) Annual Meeting in Chicago, IL. The Creative Arts Society hosted a Paint Night in Chequers for 40 students to relax, release creative energy, and enjoy an evening together. On Oct 16th, we invited two Cantonese-speaking patient of a third year Internal Medicine resident at BMC for our patient panel discussion.
On October 15th, the BUSM IHI Chapter had the first information session of the 2015-2016 school year. I travelled to San Diego to take part in the annual national meeting of the American Society of Anesthesiologists. As a fourth year medical student committed to pursuing anesthesiology, I had the opportunity to join the national annual anesthesiology conference held in San Diego. This October I had the distinct privilege to attend the American Society of Radiation Oncology’s Annual Meeting 2015.
The AUA Mid-Atlantic and New England Section 2015 Joint Meeting was held in the Bahamas at the Atlantis resort on October 22-24. I presented a research poster at the ASTRO Annual Meeting Conference in San Antonio, Texas about my research on the impact of demographic factors and tumor biology on disparities in breast cancer treatment. The American Society for Radiation Oncology Annual meeting, held in San Antonio this year, featured speakers from around the world to discuss advances in radiation oncology. On October 1-3, 2015, I attended and presented at the AMA conference in medical education innovation, the American Medical Association Change MedEd Conference, in Chicago, IL. Overall, it was a fantastic experience, and I was honored to share the work of our BU homeless health service learning groups at a national forum.
The VON Annual Congress is a yearly gathering of neonatologists discussing ways to improve quality of care and patient safety in NICUs across the country. On Monday, Sept 28, a group of first and second-year medical students met at a student’s home and discussed the novel Middlesex. The Cardiology Interest Group put on a career panel of Cardiology Fellows and Attendings in order to describe to the students both the pathway to Cardiology as well as the broad range of sub-specialties within general Cardiology.
On September 23rd, the Internal Medicine Interest Group invited medical students to join in an interactive case discussion led by BMC residents Hugo Carmona and Chris Worsham.
I attended the GLMA annual conference in Portland, OR and with my fellow medical student, Jamie Weinand, we present our original research to a packed room. The NRBC is a multidisciplinary meeting for medical professionals, burn survivors and firefighters. The American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting took place on September 27 in Dallas, Texas.
The American Academy of Otolaryngology – Head and Neck Surgery Foundation annual meeting was held in Dallas, Texas. The Integrative Medicine Student Interest Group sat down with ten M1s interested in Integrative Medicine. The Emergency Medicine Interest Group (EMIG) hosted a documentary screening of the award winning documentary CODE BLACK. The Housing Opportunity Conference was a meeting of urban planners, architects, designers, and public health professionals dedicated to the preservation and creation of affordable housing in America’s cities.
I presented a poster of my research on retention in early HIV care at an outpatient clinic in Rio de Janeiro, Brazil.
American Thoracic Society (ATS 2015) is an international conference and a mainstay annual event bringing together researchers, physicians, and educators from several specialties including anesthesia, pulmonary, and critical care medicine, among others. On May 15 to May 17, I was able to attend the American Geriatrics Society Annual Scientific Meeting with members of the Geriatrics Section at Boston Medical Center. From May 7th to May 9th, I attended the 2015 Annual Society of Investigative Dermatology Meeting in Atlanta together with Dr Lichtman to present a poster of a retrospective study on predictive risk factors for the development of digital ulcers in patients with systemic sclerosis and to give a talk on our research results on the role of allogeneic mesenchymal stem cells in wound healing. I traveled to Denver, CO to present a quality improvement project at the Association for Research in Vision and Ophthalmology conference 2015. The Clinical Neuroscience Society (CNS) and the Student Interest Group in Neurology hosted a Neurology Match Panel on Thursday, April 30th with current fourth year medical students who recently matched into Neurology. Traditional Chinese medicine has been used for thousands of year to treat pain conditions, both acute and chronic.
Traditional Chinese medicine is a holistic medical system which encourages the body to promote its own natural healing and improve overall function. What are some common pain conditions that are effectively treated with traditional Chinese medicine? Sign up for our email newsletter to get useful and practical information that you can utilize! A great deal of confusion has arisen because the word 'Acupuncture' has been used in many different ways by different practitioners and therapists and even includes techniques that may not use needles and philosophies that do not belong to Traditional Chinese Medicine.
Medical doctors in particular have a deep understanding of anatomy of the body together with training in injections and needle manipulation. Medical doctors generally have not paid much attention to the soft tissues of the body and generally left treatment of muscles, ligaments, joints and connective tissue to physiotherapists, reflexologists and many non-registered practitioners.
Stimulation of selected points on the surface of the body based on anatomy, nerve pathways and tenderness, to affect the local condition or deeper tissues and organs. The technique uses needles, injections of drugs or natural substances but may also use low energy lasers, electrical stimulation and possibly magnetic stimulation.
The technique is completely safe when used by persons knowledgeable in anatomy and familiar with injection therapy. IMS practitioners have noted three basic kinds of abnormal structures that require treatment. A great deal of research has been performed on acupuncture, and it is most likely that the IMS effect is a similar effect. The pain however is often not due to the narrowed disc space but trigger points causing muscle spasm, which in turn may cause some imbalance on the cervical vertebra, aggravating and causing more trigger points. Using the IMS technique the practitioner can very quickly obtain relief, and then is able to decide whether surgery would be necessary or not. When your doctor wants to check the function of your heart, he will use an electrocardiogram and often an echocardiogram to measure how your heart is working. Combining the best that science can offer, along with thousands of years of experience is what integrative medicine achieves. The first artificial sweetener, Saccharin, was actually discovered in 1876 by accident when a research team was researching something totally unrelated. Since the appearance of saccharine, there have been numerous artificial sweeteners created.
To date, the biggest debate over sugar substitutes is about their safety for human consumption.
So far, medical information has not proven any derogatory or cancer causing effects of sugar substitutes. Although attempts to show that sugar substitutes are the cause of disease, there is growing belief that it may actually cause weight gain rather than help people to loose weight. The effects of sucrose (table sugar) on the body are well documented, but the effects of sugar free sweeteners are not. At Miami Integrative Medicine we can help you better understand how food and nutrition can affect your health and wellness. A large part of cardiovascular disease could be avoided simply by following a healthy lifestyle, diet, and stress reduction; something that most of us, unfortunately, don’t follow in today’s world. Tagged Axiom Health Care Marketing, Cardiovascular Disease, cardiovascular disease prevention, diet, Dr. Although science hasn’t figured out how it works, more and more mainstream doctors suggest acupuncture of some types of pain. The practice of acupuncture is carried out most often by placing very small needles into the skin to stimulate certain places in the body.
The earliest written record of the use of acupuncture is dated as far back as 200 BCE, but there are other indicators and artifacts that put the practice of acupuncture as far back as the Stone Age. It is believed that an imbalance in the flow of QI is what causes pain, illness and disease. There are meridians for the different parts of the body, such as one for the lungs, one for digestion, heart, hands, feet, head, etc. For decades, science has been trying to determine if acupuncture actually works, and if it does, how it works. There is a great deal of evidence that shows that opioid peptides are released by acupuncture.
Despite the inability of science to produce unequivocal proof that acupuncture works, it has been gaining popularity, not only among patients, but also among the medical community. It is accepted that acupuncture is effective in treating nausea and vomiting in adults after they have had chemotherapy or surgery. Acupuncture has very few, to no, side effects and is safe when sanitary practices are followed.
This practice of placing small needles at specific points on the body was once thought of as quackery.
Raising of target BP to a systolic of 150mmHg and the elimination of previous target systolic pressure of 130mmHg in diabetics and those with chronic kidney disease.
Forget about the recommendations, and forget about the reasons why so many experts are in disagreement.
What’s worse is that very few physicians individualize the recommendations as they should, instead applying them equally to all patients, in a “one size fits all” model. When all medical organizations, health groups and wellness stakeholders can unite in agreement demanding better quality and a more affordable food supply for the entire U.S. Guidelines introduced to the public with great fanfare, and covered by all National media outlets.
Those that are found to have a CV risk of 7.5% or greater, in the following 10 years would be candidates for statins. I am also concerned and confused with the frequent changes, recommendations and mixed messages made by the medical establishment.
The absorption of vitamins and minerals including vitamin D, is dependent on cholesterol, which is why our bodies produce it. In men younger than 75 years with coronary heart disease, including acute coronary syndrome, chest pain (angina), in those who have had heart surgery (bypass) or stents. Low cholesterol levels in people over the age of 75, has been associated with decreased cognitive function. The same inflammation and conditions that causes the elevated cholesterol levels that is treated with statins, are caused by and therefore can also be limited and controlled by diet and improved nutrition. Tania Tyles Dempsey founded Armonk Integrative Medicine (AIM) based on the philosophy of integrating traditional medicine and complementary therapies. Dempsey and our staff, the comfortable and serene design of our office, and our commitment to using eco-friendly and environmentally sustainable materials whenever possible.
Dempsey has taken me from a neurological mess to someone who is dealing with their symptoms, mostly with natural and integrative practices which have proven to me that this is the real world of medicine. We offer workshops that introduce strategies for gaining control over thinking patterns and developing skills for a healthier thought process. As we already know, in the world of “Alternative Medicine” there are many dogmas and unproven remedies that in some cases might actually be harmful to the patient, harmful in cases when and where the patient choose to utilize unproven remedies instead of rational conventional approach.
By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, functional medicine addresses the whole person, not just an isolated set of symptoms.
In this way, functional medicine supports the unique expression of health and vitality for each individual.
Linda Heffner on December 4, 2015 gave a very interesting talk about her career as well as giving great advice for when students are seeking research projects. Anand Devaiah, an otolaryngologist at BMC, introduced medical students to the field of otolaryngology.


My presence at this four-day conference strongly enhanced my medical education by allowing me to interact with many leaders in QI and patient safety, including Dr.
Alex Walley came and shared about the experience of working with individuals with substance abuse issues and shared practical ways in which students can get involved. We had the privilege to hear from some of the most prominent experts in their field who are also familiar with the health disparity regarding Hepatitis B and C in Asian communities.
While representing our school, the state of Massachusetts, and the New England region, we engaged in lively debates about such important topics as the use of incentives to increase the national organ donor pool, the disclosure of drug use history in public assistance programs, clinical documentation, and autonomy in clinical decision-making for patients with differences of sexual development. It was a very well-attended events with over a hundred participants including graduate students. She asked students to think through questions on eating habits, discussed portion sizes that lead to mindless eating, and incorporated an interactive mindful eating activity with raisins.
For the last 20+ years Joe has been the Trauma Program Manager for the Department of Surgery at BMC responsible for all the requirements of maintaining a Level I Trauma Center. He described how the fire started, how its spread through the venue, and all the chaos that ensued. They discussed the impact on self-driving cars on healthcare including allowing blind, elderly, and people without limbs to drive.
There were 915 abstract submissions and my abstract was selected as 1 of 92 to present in the form of a 5 minute oral presentation. At the conference I presented my research on the use of phenylephrine in the treatment of ischemic priapism during a moderated poster presentation session. My work evaluated the implications of misleading and often incomplete patient education material currently presented to patients regarding robotic surgery. The conference was held in Washington DC and substance abuse providers across the country gathered to discuss research and teaching initiatives in substance abuse.
We joined numerous health care professionals and labor activists in a protest and march against for-profit insurance company greed. We supplied paints, brushes, canvases, and two autumnal still-lifes; all the students needed to bring was themselves.
Sara Bachman from the School of Public Health, who spoke about children with disabilities and their interactions with the health care system in the United States. We accepted the award for Pediatrics Interest Group of the Year and gave a presentation on what we accomplished over the last year. We attended programming specifically for educating medical students, we learned how pediatricians can advocate for child health, and we had the opportunity to meet many inspiring pediatricians. Katz and a panel of 4th year students applying to urology gave a general introduction to the field to first and second years. Five BMC physicians shared their patient stories and clinical pearls with first and second year students.
There were many interesting lectures including many for medical students such as advice on interviewing, advice for picking a subspecialty, and a meet and great with representatives from many of the residency programs.
On the first day, I had the pleasure of participating in a number of events including the opening speech by US Navy Commander Michael Abrashoff on leadership, an expert panel on the career options of cardiac anesthesiology and critical care, medical student interviewing tip, as well as a networking session through the residency program meet and greet.
As a student, this was a great opportunity to learn more about the specialty as well as network with different residencies across the country.
The poster reception allowed me network with other medical students, residents, and physicians in the field.
During this conference, I presented my research on infection rates among polysubstance abusers following IPP surgery. The conference was a great chance to learn more about the field of radiation oncology, ongoing research in the field and network and interact with professionals in the field of radiation oncology. I presented research regarding differences in treatment choice due to BMI in prostate cancer, research which was completed in the department of radiation oncology at BU. I presented on the Homeless Healthcare Curriculum, which is a student driven curriculum created by combined work of service learning groups, Homeless Health Immersion Experience and Outreach Van Project. Over 1000 professionals gather at VON to participate in workshops, discussions, and a poster fair. A panel of BMC neurology and neurosurgery staff talked to students about the field of neurology and their journey to their current positions. Rafael Ortega of the BUSM Office of Diversity and Multicultural Affiars, and BMC’s Manager of Patient Experience Kristen Kremer led a lunch talk panel about the role of arts in medicine.
Meyers from BMC pediatrics department to deliver a lunch talk about the politics of childhood obesity. Khalsa spoke to a packed room of M1 and M2 students about the medical benefits of mindfulness, yoga, and meditation.
Dennis Costen of the Boston Fire Department discussed disaster management and the events that took place during the 2013 Boston Marathon. The event consisted of 4 days of educational programing with showcases on new research findings, approaches, and treatment options in the field. It featured speakers from around the world discussing various studies in all aspects of otolaryngology. Six accomplished female physicians shared their personal and professional experiences as women in medicine. Mark Moss, director of the Anatomy and Neurobiology Department as well as the faculty advisor for CNS. Together, we enjoyed a fruit and cheese platter and an hour long discussion about our understanding of and interest in Integrative Medicine. At each session, one of our student leaders led the group in various meditation practices and afterwards everyone shared our experiences with the given practice. Viewers were exposed to the the challenges faced by one of the nation’s busiest and most historic ERs, LA County. This year the conference had a particular focus on promoting health, as housing is increasingly recognized as absolutely necessary for good health, especially among the poor. I completed my project as part of the South American Program for HIV Prevention Research, which is administered through the University of California-Los Angeles. The film revolves around Vivian Bearing, an English literature professor grappling with her diagnosis of metastatic stage IV ovarian cancer and her inevitable death, and touches on issues of palliative and end-of-life care and portrays a uniquely humanistic perspective of a terminally ill cancer patient. The objective of this conference was to exchange medical information, achievements, solutions, to encourage solidarity between all medical students of Korean heritage, and continue to engage the North Korean counterparts for open dialogue regarding health and socioeconomic development.
During the conference, I had the opportunity to help present the work I did with the Geriatrics Department on a quality improvement project to decrease preventable ED visits by geriatric clinic patients.
The conference also afforded the opportunities to attend a wide range of lectures from Medicare policy updates to tips on how to start family meetings about end of life care as well as meet with mentors in the fields of Geriatrics and Palliative Care. Through discussions of our research results with other dermatologists and scientists from around the country, we came away with more insight and ideas for future studies. The panelists provided advice and answered questions about the application process, the interview trail, and discussed how students can make themselves competitive for top neurology programs. It is both effective and safe to use as a stand-alone treatment for pain conditions as well as an adjunctive treatment to Western medical treatments and medications.
Many have moved away from the TCM philosophy and developed techniques which can be grouped under the heading of IMS.
In the muscle these tender points feel like hard nodules and are usually easily recognizable.
These not only feel hard when pressed with the fingers but feel almost like bone when an attempt is made to insert a needle. If the pain persists despite analgesia and anti-inflammatory medication, surgery will often be suggested.
Using general internal medicine and complementary medicine provides a patient with overall better results. However, it didn’t make it to market until the 1950s when it was hailed as a boon for those trying to loose weight as they could give up table sugar (sucrose) and its calories. Based on critical differences between species that take place in the bladder, the threat of cancer to humans was misplaced.
The sugar substitutes Sucralose (Splenda), and aspartame (Equal, NutraSweet), are artificial sweeteners. Maltitol and sorbitol are often present in mouthwash, toothpaste and foods that are “no sugar added.” Xylitol is what is usually added to sugarless gum because aside from having no calories, it also prevents cavity causing bacteria from sticking to teeth. Although mostly touted as a weight loss tool, they are highly beneficial to diabetics as it allows them to enjoy sweets without worrying about sugar levels in their blood. Detractors question the ability of the human body to process food products containing ingredients created in the laboratory, or overly processed natural products, without there being negative health consequences. Aspartame has been the most widely studied and tested of all food ingredients up to this point. Current research is showing that sugar free sweeteners produce the same responses as sucrose, but without the same results. With the right diet and moderate exercise, you can reduce or eliminate your need for sweeteners of any kind. Even if it’s a shoulder rub from a friend, the warm contact can melt away the stresses of the day. Acupuncture originated with the Chinese and has been a part of traditional Chinese medicine for many centuries. One explanation for the practice is that Han Chinese doctors noticed that soldiers who were wounded in battle by arrows became cured of other afflictions.
Traditional Chinese culture believes that every living creature has QI, a natural flow of energy throughout the body. Many other cultures, such as the Hindu, Hawaiian, Hebrew and Tibetan Buddhism hold similar beliefs. QI flows through meridians in the body and the practice of stimulating specific parts of the body, acupuncture points, fixes the imbalance and allows QI to flow properly. Placing acupuncture needles along a specific meridian will allow QI to flow and relieve the illness. Studies conducted with animals and humans shows that multiple biological responses take place when acupuncture is used. The medical community, on the whole, is beginning to see the benefits of holistic medicine as a part of complementary medicine practices to help patients achieve health and wellness. Jorge Bordenave of Miami Integrative Medicine invites you to learn more about acupuncture and integrative medicine to see how a more natural approach can help your feel your best.
After all, the American College of Cardiology and American Heart Association put out the recommendations.
Most controversial and embarrassing still, was the defection of 5 of the 14 members that formed the panel, each of whom came out in opposition to the conclusions after its release. Not for the lack in the ability to investigate, but for the narrowness of the scope of things it is willing to investigate.
How often do we read a medical “expert” recommending one thing, only to have another “expert” recommend something completely opposite, contraindicating the first expert? Multiple studies have shown that statin users have higher rates of cataract formation, increased muscle pains, increased musculoskeletal injuries, reduced blood levels of vitamin D, reduced levels of CoQ10, just to name a few side effects. What I am against is the indiscriminate use and abuse of not just statins but of all medications and an ever-increasing reliance of medications for everything that ails us.
Maybe it’s because 25-30% of our brain is made up of cholesterol and cholesterol is essential for many metabolic functions including the production of hormones.
For example, a patient might have an abdominal pain, without proper medical diagnosis, this abdominal pain, might be an ulcer, appendicitis, even cancer, but seeking and implementing unproven remedies from non regulated professional might put the patient at risk.
All rights reserved.Please note that the information on this site is not a substitute for in-person medical advice, diagnosis or treatment. She had a power point presentation to follow along with, which I believe was useful to the students. We also attended workshops on a number of topics including successful QI projects and how to find joy in the workplace.
It was an amazing experience to be able to showcase our work during the conference and to meet health professionals of multiple disciplines, all with a passion for improvement in health care.
Students enjoyed hearing about her work in maternal and child health in the Dominican Republic, the importance of exclusive breastfeeding to child health worldwide, and the amazing opportunities that exist when collaborating with Community Health Workers.
Importantly, students were taught the correct way to approach someone who may be overdosing and what steps that they could take in such an emergency. Saper talked about his path towards meditation, how he has strengthened his practice, and how his practice has been a source of strength during challenges in medicine. Students learned many tips from the event and enjoyed catered food along with butternut squash soup made by Tracey Burg from ingredients at BMC’s food pantry. He is also an avid history buff with a keen interest in medical history and Boston City Hospital. Joe also discussed the aftermath of the fire, how Boston City Hospital managed burn victims, how the victims were reunited with their families, the safety reforms that were established, and the many lessons we were able to learn about this incident. I presented in front of over 100 PIs, neurosurgeons, neurologists, neuro-oncologists, neuropathologists, and neuroradiologists. The presentation was a great experience for me as I was able to receive feedback on my research from experts in the field.
It was interesting to see how other students approached health literacy in a different manner, and I was impressed with the various other types of projects medical students were becoming involved with.
This conference gave me an opportunity to only present my own data, but also receive feedback from colleagues to help me improve the study moving forward. We spent the day of the conference taking part in workshops related to single payer advocacy, on topics ranging from building legislative support, to getting started in research-based advocacy, to improving care for undocumented immigrants. Students showcased their talents and painted the Boston skyline, flowers, landscapes, cats, and anatomical structures. We discussed the variety of surgeries and procedures that are performed within this field, as well as the culture and the day to day life of a urologist.
Hohler, movement disorder specialist was accompanied by a Parkinson’s disease patient. His historical overview and relevant experience in incorporating integrative medicine into his practice was valued by the attendees.
Several 4th year medical students (Justin, Lizzeth and Sara) spoke about their experiences working on QI projects during medical school and how other students can also get involved. Everyone enjoyed hearing about how each clinician finds meaning in the doctor-patient relationship. Other lectures focused on such diverse topics as improving patient safety through teamwork, debates on the perioperative surgical home, and the long term effects of anesthetic agents on pediatric patients.
On the second day, I was a member of the audience for a presentation on the long term neuro-cognitive deficits from exposure to anesthetic agents in the pediatric and geriatric population, a debate on the Peri-surgical Home Care, a new longitudinal, team-based management model for surgical patients, and a presentation on how to excel in residency. I learned many practical aspects of the field, and understood how clinicians interpret new research and implement these findings into their daily patient care.
This was the first national conference at which I have presented my work and I thoroughly enjoyed the experience. I particularly enjoyed the panel discussion on the impact of breast cancer tumor markers on treatment modalities. In addition, I presented work on using time-driven activity-based costing to drive quality improvements in the use of brachytherapy for prostate cancer. The presentation went extremely well, and was met with great enthusiasm from educators at other medical schools, interested in implementing similar programs at their school. I had the opportunity to present a poster of a systematic review of the data methods used in neonatal quality improvement that I worked on over the summer. Students had the opportunity to ask about the requirements for eligibility for neurology, the benefits of practicing neurology, and diverse career paths encompassed by the field of neurology. Students learned about existing programs to incorporate the arts into the lives of patients, doctors, and medical students, such as mural painting, poetry readings, rotating art exhibits, musical performances, and theater.
Students enjoyed a presentation that included the history and factors that contributed to the current obesity epidemic, and what we can do to combat and address it. He presented a comprehensive review of numerous scientific papers that conclusively demonstrated the major impact that yoga can have on chronic medical conditions. It was a great experience sharing our research and hearing from others their experiences with chest binding in their practices.
Disaster planning by state and region was further discussed and a practice drill was conducted.
I had the opportunity to present my original research on a new pediatric otologic diagnosis involving asymmetric hearing loss.
I presented a study conducted with the otolaryngology department at Boston Medical Center in the field of otology to an audience of about fifty people.
Each of us shared personal experiences with various Integrative Medicine modalities as well as ideas for future events.
She opened the session by describing her current patients at Boston Healthcare for the Homeless Program and encouraged students to describe how the person became homeless. Some of the techniques we tried were: metta (loving kindness), mindful coloring, progressive muscle relaxation, and guided imagery, among others.
Students were able to discuss some of these issues with an emergency medicine physician at Boston Medical Center (BMC) and see how BMC handles similar issues. Notable speakers included Megan Sandel, a BMC pediatrician who focuses on the link between affordable housing and health. Overall, the NSQIP conference is designed to address innovative and effective ways of improving patient care, reducing surgical complications, and understanding how to advance modern surgical practice.I really enjoyed listening to some of the narrative sessions where guest speakers shared their personal experiences regarding surgical patient care and discussed ways to become leaders in quality improvement, advocate for patients, and play an active role in surgical innovation.


The International AIDS Society 2015 Conference (IAS 2015) provided a great opportunity to learn about the newest developments in HIV research, including Treatment as Prevention and Pre-exposure Prophylaxis. Together, they answered questions about why they decided on radiology and what is appealing about a career in radiology. Due to the small number of students and doctors involved, it was organized as a small group lecture and discussion lasting from 9 AM to 4 PM. This was presented to an audience of medical students, residents, fellows, and attendings from across the world.
I am very grateful for the opportunity to have attended this international meeting; it served as motivation and a positive reminder of how basic scientific advancements can improve the lives of patients!
It was a great experience to see the leaders in Geriatrics gather to present their work that ranged from the newest research in drug therapies, to innovative models of care, and policy updates and goals to improve access and care for the geriatric population. I also had the opportunity to attend lectures and a variety of mini-symposia sessions which covered recent advances in melanoma, skin cancer and autoimmunity among others.
Many times, herbal medicine is combined with acupuncture in the treatment of pain conditions. As the medical profession gains better understanding of the importance of the soft tissues of the body and how pain can be referred to distant areas, not only from other body parts, but also from the organs, it has developed an increasing interest in these tissues. Most practitioners however choose to use biological substances which have little or no side effects. The exact mechanism is however still unknown, although research has been positive in terms of showing that this is a genuine response of the body to the insertion of a needle. Healing appeared to be good over the following months but the person was left with such severe pain that the leg could not be used, Walking was almost impossible and constant daily analgesia was needed. After one treatment combining an injection approach together with low energy laser there was already some improvement.
There are several theories making the rounds, but whatever the findings, soda really has no place in a healthy diet because it contributes nothing nutritionally. Being 300 to 500 percent sweeter than sucrose, it only took a drop in your coffee rather than several teaspoons to get the desired sweetness – that is if you could get past the bitter aftertaste. The more recent to market stevia (Truvia) and mogrosides (Nectress, made from monk fruit) are derived from plants and are considered to have a natural basis, rather than something created in a laboratory.
Time after time however, peer reviewed articles and independent government regulatory bodies continue to find that aspartame is safe.
Although people have the capacity to consume fewer calories with the proliferation of sugar free, calorie free, sweeteners, they are apparently consuming more, leading to obesity and resultant heart disease. Sweetness triggers an increase in insulin production, along with hormones that trigger a feeling of fullness and reward, along with the release of dopamine. With the combination of general internal medicine, complementary medicine and effective cardiology, good health can be achieved. Normal testing procedures are difficult to use because of the nature of acupuncture and coming up with a placebo.
Responses have shown locally, near the application site and at a distance from the site through sensory neurons within the central nervous system. Acupuncture should not be used as an alternative therapy to the exclusion of contemporary medicine, but should be used as part of an integrative medicine plan. One prominent cardiologist even wrote he was surprised at the standard therapy for those 75 or older, with no statin recommendation for primary prevention in the elderly. A process with little or no transparency, made up of experts from a diverse body of special interests whose goal it seems is self-promotion for himself or herself or the organization they represent. We need to start subsidizing organic produce and farming, stop the routine use of antibiotics and hormones in livestock, limit chemicals in our foods and improving the water supply. Generalizing treatment to a wide cross section is of concern, because the likelihood of success or failure of a treatment is not identical in all individuals treated, because therapy is not the only determinant of outcome.
We know that the use of statins short-term has side effects in some patients, but what happens after 10 or 20 years of use?
Levy believes the medicine of 21st century is a hybrid of both functional medicine and integrative medicine, addressing the root cause of the pathology, while enhancing performance on a physiological level. Devaiah walked through otolaryngology procedures while making connections to the head and neck anatomy that was just reviewed by first years at their end of their anatomy course. There was a large group of BMC medical students, residents and employees who attended and we were very supportive of one another’s poster presentations and kept each other company in this large conference of more than 5,000 people! Discussion focused on the initial patient presentation, HPI, PMH, differential diagnosis, as well as treatment and management of the underlying condition. Students had the opportunity to ask questions and share their experiences and goals in coming to meditation session. For example, Joe explained how the Cocoanut Grove Fire led to the establishment of burn wards, discoveries regarding inhalation deaths, safety regulations requiring that exit signs have a separate power source and that emergency exits open outwards, and a number of other things. IBM’s Watson could contribute significantly to physicians if taught relevant medical literature. The conference was also very educational for me as I had the opportunity to attend other presentations and workshops related to sexual health. Additionally, this was a great opportunity to practice my presentation skills and meet other researchers in my field of interest. We heard from numerous resident and attending physicians in support of single payer, including Drs. We also discussed shadowing opportunities and research for those interested in getting more involved.
He was able to tell students more about his past medical history and Deep Brain Stimulator (DBS) implantation.
It was an interactive discussion between the students and the patients with the help of interpretation by a medical student. There was a great turn-out and the BUSM IHI Chapter is excited to start connecting students with projects going on at BMC! Throughout the conference, I learned about novel products and technology in anesthesia, such as the co-axial breathing tube, fiberoptic bronchoscopy, tissue oximetry, and High Reliability Organization.
The main speaker for the event, a retired naval captain, gave a great talk about how he turned one of the worst performing ships in the pacific into the top performing one, giving correlations to leadership in medicine along the way. I also attended the ASTRO Presidential Address, which focused on new standards of care and the trials supporting them.
Leaders from across field presented their vision for radiation oncology moving forward and key researchers presented clinical trials on many topics, including advances in the treatment of gynecologic malignancies. Additionally, some students expressed interest in starting new creative arts projects to bring to BUMC, and the panelists addressed how to turn their ideas into reality. Chippendale gave a brief presentation on the field of geriatrics followed by a Q&A session.
Additionally, the president of ABA, Ed Tredget, MD, FACS, discussed some of his recent work on burn scars and the use of laser for long-term management and improved cosmesis. I also presented two posters on topics dealing with academic otolaryngology and stem cell applications in hearing rehabilitation. Moss enlightened a large crowd of first year and second year medical students with humorous anecdotes, lively examples, and even audience participation regarding the history of cognitive neuroscience. Students reflected that many of them became homeless because of chronic diseases that were not treated in their early stages.
Attendees were very receptive and appreciative of the opportunity to focus on relaxation techniques. I was personally funded by the Child Health Advocacy Program at BUSM to work with her this summer, so this conference was a great way to further make connections in the field and cap off the summer. My involvement with the conference was mainly with the poster session, where I had a chance to present some of the research going on within the Thoracic Surgery Department here at Boston Medical Center.
I was humbled by fellow poster presenters and medical students, who presented work from all over the word. They also provided valuable information about the application process, focusing on who to ask for recommendation letters. From the US side, two doctors and one medical student lectured and discussed with 10-15 PMC students, who were mostly in their 6th or 7th [final year]. It also featured a number of clinical workshops, where I was able to learn how to do knee and shoulder injections and role plays of delivering difficult news. Acupuncture and herbal medicine both help to reduce pain by enhancing circulation, reducing inflammation, relaxing muscles, increasing tissue healing, changing pain perception, and breaking up scar tissue. Although Truvia and Nectress are naturally derived, they are generally lumped in with artificial sweeteners simply because they are not “sugar.” Most sugar substitutes are many times sweeter than regular table sugar.
When the promised calories repeatedly don’t come along, the body stops responding the way it should, thus increasing the desire for more food that will produce the desired results.
Finding an explanation for such things as acupuncture points, meridians and QI is also eluding researchers. This leads to pathway activation that affects physiological systems in the brain and periphery.
It has also been documented that secretion of neurohormones and neurotransmitters, and changes in blood flow regulation are altered.
Relief of pain is one of the main uses for acupuncture, including pain from migraines and low back pain. Following general wellness practices, eating a good diet and practicing relaxation techniques can help you live a happier, healthier life.
Others, including the American Association of Clinical Endocrinologists, are so opposed to the new guidelines, that they will not endorse or follow the new recommendations.
We should have nutrition education that starts in elementary school and we should begin reinstating physical education periods. These medications help reduce the amount of cholesterol and LDL (so-called bad cholesterol) in the blood. Their use in diabetic women and people with strokes (although current indications) is controversial. Heffner also supplied the students with hand outs containing basic information about clinical research as well as a handout with names and projects currently in progress in the OB-GYN department at BMC.
Wilkinson shared clinical stories of her own experience, highlighting differences between inpatient and outpatient work, in a more small-town setting in Rhode Island versus urban BMC.
This was a great opportunity for us to learn how faith often times plays a central role in our patient’s lives and how we, as healthcare providers, should be encouraged to understand their perspective to provide them the most comprehensive healthcare. Overall, I had a great experience at the conference and am grateful for the opportunity to attend.
Hughes on the history of tunnels at BMC and tunnels at other hospitals, like the VA.The event has been well received by students in the past, and this year was no exception. The lecture served as an introductory overview of the field, including an overview of the training process and subspecialties. Participating in the conference was an excellent way to gain motivation to pursue anesthesiology as a career as well as improve as future physician.
There were then 2 great talks on student loans that went into detail the pros and cons of certain repayment strategies. This talk was an immensely useful overview of specific cancers and the advancements, drawbacks, and changes that radiation oncology has experienced over the past few years. SCOMSA funding made it possible for me to attend this event and learn from some of the leaders in this field.
We were very pleased with the number of first- and second-year students who attended, and we look forward to seeing everyone at our next event scheduled to take place during National Primary Care Week! In general, this is a great conference that brings together the medical and non-medical communities. During this conference, I learned a great deal about the future of the field, and I had a wonderful time connecting with others who share my similar interests. It was a very interesting meeting that provided all attendees with new knowledge about innovations in this field. For chronic issues, treatment can last for 1-2 months up to a year, depending on the severity of the issue.
The former technique is not based on TCM philosophy and no knowledge of acupuncture points is required. Using IMS technique, it required about 8 treatments and the person could begin to walk and stop all analgesia.
It is also used for many other medical problems such as asthma, epilepsy, heart disease, addiction and insomnia. This is what is needed, not more guidelines that push more drugs on a country overdosing in drugs. It is believed however, that statins work in decreasing heart disease because they decrease the degree of inflammation. Students enjoyed stories about going the extra mile for patients, strategies to reach patients who might be uncomfortable with doctors, and the strange coincidences that sometimes crop up in primary care. I learned a tremendous amount about where the field of healthcare is going and how it will affect me. Hohler performed a shortened version of a neurological exam, showed students past devices, and even adjusted his DBS.
I also had the pleasure of being updated on the most recent research and consensus on pressing issues and networking with established anesthesiologists.
Other events included specific talks on cardiac and critical care anesthesiology.  On Saturday evening, we had the residency meet and greet. Overall, this meeting was immensely valuable, and I would recommend it to any student interested in the field. I learned a lot from the interactive workshops, understood data about new trials in neonataology, and got more information about future career pathways. They highlighted the scope of family medicine, talking about their work in integrative and global health respectively. There was a research session during which investigators presented ongoing projects in burn prevention, scar and pain management strategies. Cohen then gave a background of homelessness in the US and Boston, describing particular problems that followed the Long Island Bridge closure last fall. IMS depends on a good knowledge of anatomy, an understanding of the way pain may be referred and the accumulated experience of practitioners.IMS is a broad term which includes a number of other techniques such as Biopuncture, dry needling, trigger point acupuncture, low energy laser therapy and mesotherapy. Bordenave, a triple board certified physician in Internal Medicine, Cardiology and Integrative Medicine, will be pleased to have you visit.
A list of diseases that are treatable with acupuncture has been created by The World Health Organization. Levy is uniquely trained in THREE separate and distinct healthcare professions (Chiropractic-1997, Medicine-2006, and Naturopathic Medicine-2011) all from accredited, in residence universities.
Overall, students were exposed to a unique form of meditation, guided loving kindness, and learned one example of how a practicing physician relies on such practices to protect against burn out. I certainly hope to join the conference in the near future as an anesthesiologist and a presenter. Similar to a college fair, residencies from across the country set up booths where program directors and residents were available to give information about their program. For a field as competitive as Cardiology, students were advised on how to prepare properly in their medical school education and Internal Medicine residency years.
It was an informal setting and students had the opportunity to ask lots of questions about lifestyle, career choices, scope of practice, etc. We had 102 students attend the session, primarily first years (about 75) and also second, third and fourth years. It is still in the developing stage, while doctors coming from the various different specialities find more effective ways to combine these different techniques into an integrated speciality with its own philosophical underpinning.
This was a great opportunity to meet residency directors at programs you want to interview at, or, at programs you will be interviewing at.Sunday was mainly poster presentations. In addition, students were able to hear personal accounts of what drew each of the panelists to the specific field of Cardiology.
Students were eager to become involved at BHCHP and Homeless Health Immersion experience (HHIE) is putting together more opportunities for volunteering for medical students.
This was an amazing opportunity for me to present my research and network with prominent researchers in the field of neuro-oncology. Alice Lee, Hepatologist; and How to Think Like a Doctor from Elizabeth Park, 4th year medical student.
All the latest airway devices (video laryngoscopes, fiberoptic) were available for me to try out. Elizabeth Yuan, the region 1 leader from the AMWA student division, was also in attendance to share the benefits of joining the national chapter.
A Q&A session followed each lecture and at the end, the team received feedback on future direction of the discussions and topics students would like covered next time. The team’s goal for the next gathering included bringing in a patient from one of the referral hospitals in Pyongyang and conducting a history and physical exam workshop for the students.




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