Meditating to Mental and Physical Health

In this technology age, most of us are wired, and many of us stay connected to the outside world for more hours than we care to admit.  We have blackberries and cellphones, many have their own blogs and some of us even produce our own podcasts.  Whether we are in the car, the grocery store or in a meeting, we're listening to our I-Pods, checking our blackberries or talking on the phone.  If you do decide to put your cell phone or blackberry away even for a few hours, you may feel a sense of regret, as it takes a significant of time to catch up on the hundred e-mails that came in and the several voice mails received.  The new age 24 hour economy often makes execs and employees feel run down and worn out, but, in America at least, most of us just pop a few pills to feel better and go on our way....

....Except for Katherine Ellison and about ten million other Americans, that is.  Like Ellison, many Americans have taken up meditation and yoga to reduce stress and enhance quality of life.  Ellison, who had thyroid surgery and brain surgery within three months and broke both arms not long thereafter, dealt with the physical and emotional trauma by meditating.  Speaking of the growing popularity of Asian healing and spirituality, in a recent Washington Post article, Ellison writes, "As our big demographic bulge of boomers hits the years when mortality truly starts to sink in, Asian spirituality has suddenly become more mainstream than ever." 

Ellison also writes of a woman who, like her, turned to meditation during a time of suffering.  Though the woman said that she initially resisted meditation, writing it off as "New Agey" and weird, and concerned about potential brainwashing, her opinion changed after her first experience, when meditating "brought [her] mind and body into the same timezone, [giving her] a sense of wholeness and peace [she'd] never experienced before."  She also experienced several other defining moments.  During one moment, she recognized the reality of her own mortality and questioned, "So what am I going to do with my life?  Am I doing the right thing with the short time I have on Earth?"

Indeed, as the article suggests, meditation, as well as integrative medicine therapies, can serve to help patients cope with illnesses and individuals in good physical health to deal with the daily stresses of life and emotional traumas.  Meditation, yoga, massotherapy, reiki, and Therapeutic Touch, for example, are just a few non-traditional (at least in a Western sense) therapies available.  I personally have experienced the benefits of these therapies, as I practice yoga to decrease stress and level out energy fields.  My mother, a Her-2 positive breast cancer survivor, also turned to reiki and meditation through her Adriamycin/Cytoxan chemotherapy treatments.  Still to this day, she cites to these treatments when she discusses her treatment experience, saying that they helped her to cope with the horrifying side effects of chemo and the emotional pain that accompanies a cancer diagnosis.

From a legal perspective, though many integrative medicine therapies are safe and may even be effective, the current legal and regulatory scheme in the United States makes it difficult for patients to gain access to these therapies.  Most insurance companies do not provide coverage for integrative therapies.  States and medical boards also fail to license and credential complementary and alternative medicine providers in a fashion similar to that of physicians and other providers of conventional medicine. Such legislative recognition, however, could bring increasing credibility to these practices.  Traditional Western medicine providers can also face direct liability for referrals to CAM providers.  Michael H. Cohen, the leading scholar and authority in the United States on the legal issues facing CAM, provides a table of potential CAM liability grounds on his Complementary and Alternative Medicine Law Blog.  For example, clinicians and associations may be liable for referrals to CAM providers on vicarious liability grounds, for patient abandonment, negligent referral or delay of effective conventional medical treatments.

Cohen has worked tirelessly to bring credibility to CAM and integrative medicine therapies and to bring about change in the law in the United States so that these therapies are made available to more individuals.  In addition to being an assistant professor at Harvard Medical School and the Harvard School of Public Health, he is also the founder of the Institute for Integrative and Energy Medicine.

If you are interested in furthering the development of the Institute, please contact Michael H. Cohen directly.

From CAMLAW Blog: Cleveland Clinic Cardiology to Host Integrative Medicine Conference

As posted by the Complementary and Alternative Medicine Law Blog:

Cleveland Clinic's Preventive Cardiology team and the Canyon Ranch Institute are hosting a national conference highlighting the integration of conventional, complementary and alternative medicine and its impact on heart health.

"An Integrative Approach to Prevention & Regression of Coronary Artery Disease" will be held at the InterContinental Hotel & MBNA Conference Center Cleveland, Nov. 30-Dec. 2.

From the press release:

"Heart disease is the number one killer in the United States and we're struggling on how to effectively teach patients and practitioners about cardiovascular prevention," said Leslie Cho, M.D., Director, Women's Cardiovascular Center, Medical Director, Preventive Cardiology & Rehabilitation. "This conference will focus on the latest research as well as provide effective tools to help practitioners lower risk factors for heart disease, including treatments for obesity and smoking cessation techniques."

Tieraona Low Dog, M.D., a renowned integrative medicine expert, will serve as the event's key note speaker. She is Director of the Education Program in Integrative Medicine and a Clinical Assistant Professor in the Department of Medicine at University of Arizona College of Medicine. Dr. Low Dog promises to 'get to the heart of health' with her presentation "Integrative Medicine: A Bridge to the Future." She is scheduled to speak at the conference's opening dinner on Thursday, Nov. 30, at 7:00 p.m. in the Intercontinental Hotel and MBNA Conference Center Ballroom, second floor. This event is open to the public.

Dr. Low-Dog is Current Chair of the USP Dietary Supplements and Botanicals Expert Committee. Her honors and distinctions include a Presidential Appointment to the White House Commission on Complementary and Alternative Medicine in 2000 by Former President Bill Clinton. She was featured by Time magazine as 2001 Innovator of the Year in Complementary and Alternative Medicine and was appointed to the executive Advisory Board for the National Institute of Health's National Center for Complementary and Alternative Medicines in 2003.

The Cleveland Clinic-Canyon Ranch conference is expected to draw more than 250 cardiologists, internal medicine and family practice physicians, and nurse practitioners, to discuss the latest in diagnosis and therapeutic interventions in preventing heart disease. Through a series of didactic lectures, panel discussions and small group break-out sessions, the conference will focus on traditional and emerging testing and treatments for hyperlipidemia, hypertension, metabolic syndrome and diabetes. Moreover, it will focus on integrative approaches to the treatment of obesity, depression and smoking cessation.

"We're extremely proud to be participating in such an extensive meeting of the minds, and we're particularly excited about the conference's emphasis on integrative and preventive medicine," said Stephen Brewer, M.D., medical director of Canyon Ranch in Tucson. "For more than two decades, Canyon Ranch has worked to educate people on the importance of making lifestyle changes that lead to longer, healthier lives. This conference will highlight the benefits of this proactive approach, as well as the science behind it."

The nationally and internationally recognized experts also scheduled to speak throughout the conference include Leslie Cho, M.D., Director of the Women's Cardiovascular Center at Cleveland Clinic; Steve Nissen, M.D., Chairman, Cardiovascular Medicine, Cleveland Clinic; Stanley Hazen, M.D., Section Head, Preventive Cardiology, Director, Center for Cardiovascular Diagnostics and Prevention, Cleveland Clinic; and Marc Penn, Director, Bakken Heart-Brain Institute; Stephen Brewer, M.D.; and Mark Liponis, M.D., Corporate Medical Director, Canyon Ranch.

The conference opens Thursday, Nov. 30 at 8 a.m. with opening remarks by Delos M. "Toby" Cosgrove, M.D., CEO and President of Cleveland Clinic. A series of series of lectures will be given the morning of Friday, Dec. 1, while a variety of smaller break out sessions will bring the conference to a close.

For an agenda or for more information about the Cleveland Clinic and Canyon Ranch "Integrative Approach to Prevention & Regression of Coronary Artery Disease" conference, visit http://www.clevelandclinicmeded.com/summit/preventcardio06/default.htm.

About Cleveland Clinic
Cleveland Clinic, located in Cleveland, Ohio, is a not-for-profit multispecialty academic medical center that integrates clinical and hospital care with research and education. Cleveland Clinic was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. U.S. News & World Report consistently names Cleveland Clinic as one of the nation's best hospitals in its annual "America's Best Hospitals" survey. Approximately 1,500 full-time salaried physicians at Cleveland Clinic and Cleveland Clinic Florida represent more than 100 medical specialties and subspecialties. In 2005, there were 2.9 million outpatient visits to Cleveland Clinic. Patients came for treatment from every state and from more than 80 countries. There were nearly 54,000 hospital admissions to Cleveland Clinic in 2005. Cleveland Clinic's Web site address is www.clevelandclinic.org.

***
Law Offices of Michael H. Cohen offers general corporate legal services, litigation consultation, and expertise in health law, with a unique focus on alternative, complementary, and integrative medical therapies.

Michael H. Cohen is also President of the the Institute for Integrative and Energy Medicine, also known as the Institute for Health, Ethics, Law, Policy & Society. The Institute serves as a reliable forum for investigation and recommendations regarding the legal, regulatory, ethical, and health policy issues involved in the judicious integration of complementary and alternative medical therapies (such as acupuncture and traditional oriental medicine, chiropractic, massage therapy, herbal medicine) and conventional clinical care.

The most recent book written by Michael H. Cohen on health care law, regulation, ethics and policy pertaining to complementary and alternative medicine and related fields is an interdisciplinary collection of essays entitled, Healing at the Borderland of Medicine and Religion. This is the fourth book in a series, the first being Complementary and Alternative Medicine: Legal Boundaries and Regulatory Perspectives (1998).

An Aside...Michael H. Cohen Reports that "Dolphins Sing the Blues"

Yesterday, Michael H. Cohen, author of the Complementary and Alternative Medicine Law Blog, reported that "Scientists have taught dolphins to combine both rhythm and vocalisations to produce music, resulting in an extremely high-pitched, short version of the Batman theme song."  While the headline is amusing to some, Cohen questions the activity, asking "why dolphins are taught to sing the theme from Batman and not Beethoven's Ninth."

He continues,

Maybe the discrepancy has to do with the fact that I've placed this post under the heading of "ethical issues," whereas others have questioned whether recording the dolphins will raise intellectual property issues.

I noticed that a related article is entitled, Dolphins better at networking than the Web. Which is where my intuitive leap had intially gone: the question for science is not what songs dolphins can learn from the warped parts of our minds . . . . The question is rather what tunes we can learn from the dolphins.

"People who develop complex networks, like the World Wide Web or electricity grids, could learn a lot from the social behaviour of dolphins, a New Zealand zoologist has found.

David Lusseau, a zoologist at the University of Otago spent seven years observing a community of 64 bottlenose dolphins in Doubtful Sound, New Zealand, and found they have a social structure similar to human and human-made networks.

Cohen concludes,

Our dolphin friends may just be a leap or two ahead of our own ability to communicate through the five senses. Training dolphins to repeat commercialized popular culture for our own entertainment seems like throwing the precious pearl of consciousness to the swine of instant gratification.

***
Michael H. Cohen is the President of the the Institute for Integrative and Energy Medicine, also known as the Institute for Health, Ethics, Law, Policy & Society. The Institute serves as a reliable forum for investigation and recommendations regarding the legal, regulatory, ethical, and health policy issues involved in the judicious integration of complementary and alternative medical therapies (such as acupuncture and traditional oriental medicine, chiropractic, massage therapy, herbal medicine) and conventional clinical care.

Michael Cohen's Institute for Integrative and Energy Medicine Gains Momentum

This week, Michael H. Cohen, Assistant Clinical Professor of Medicine, Harvard Medical School and Assistant Professor, Harvard School of Public Health, announced on the Complementary and Alternative Medicine Law Blog  that the Institute for Integrative and Energy Medicine (the "Institute") is "reaching critical mass toward sustaining its mission," which is "[t]o provide leadership for the transformation of global healthcare toward compassionate and caring models, supported by law and social policy, that bridge our physical, psychological and spiritual selves." 

As reported at www.ihelps.org, the Institute collaborates with international scholars and organizations to develop models of health care that:

  • draw on and respect our planetary heritage of healing;
  • acknowledge the rights, interests, and needs of patients and families;
  • understand health and healing as spiritual and emotional as well as physical journeys; and
  • regard human transformation as central to a compassionate, caring healthcare system.

While originally a Wall Street lawyer who worked in securities, banking, mergers and acquisitions, Cohen shifted his focus, breaking from traditional corporate legal practice, and spent the last several years of his career writing and reflecting about complementary and alternative medicine (CAM). Cohen's shift occurred after taking up the study of Ericksonian hypnotherapy, Gurdjieff Work, and other tools for investigating consciousness, and following graduation from the New Seminary in New York and the Barbara Brennan School of Healing in Florida.

Cohen defines CAM therapies as "those therapies traditionally outside those provided through conventional, biomedical care in hospitals."  CAM methods include, for example, acupuncture, aromatherapy, chiropractic, homeopathic medicine, naturopathic medicine, Qi gong, Reiki and therapeutic touch.  "Integrative healthcare," he writes, "refers to emerging models of health care that integrate CAM into conventional medical settings, endeavor to create optimal healing environments, and bridge the entire spectrum of therapies." 

Cohen has spent much of his time discussing deficiencies in the legal framework that hinder CAM providers from gaining general acceptance.  States and medical boards, for example, fail to license and credential CAM providers in a fashion similar to that of physicians and other providers of conventional medicine.  Legislative recognition of these providers is important, however, because, as Cohen and several of his colleagues write, "legislative recognition trumps medical recognition:  State legislatures can license providers and thereby grant citizens access to certain therapies, even if scientific debate has not concluded in favor of those modalities." Similarly, in another article, Cohen and others explored the malpractice implications of referrals to CAM providers.  "Referrals can generate direct liability (the decision to refer was itself considered to be negligent, resulting in patient injury) and vicarious liability (the referring physician becomes legally responsible for the treating practitioner's negligence)." Accordingly, because of the risk of malpractice exposure, physicians have become hesitant to refer to patients to CAM providers.

The failure to have consistently applied standards serves as an impediment to patients who desperately need complementary therapies that provide a sense of hope and empowerment--the sense of actively combating and taking control of the disease that resides within them.  Cohen, for having the audacity to delve deep into CAM, has assumed a noble role. My recent conversations with Cohen have also led me to believe that he is a great mind and a deeply compassionate soul. 

With Cohen's theories, writing and advocacy, Cohen has the ability to increase the availability and credibility of CAM therapies, thereby helping to bring about a transformation for those whose illness initially held them captive and in a state of despair.

Juvan's Health Law Update will continue to follow the Institute's progress and will keep you apprised as developments occur.  If you are interested in furthering the development of the Institute, please contact Michael H. Cohen directly.