Today we’re going to talk about the Integrative Medicine Track Program of the George Washington University School of Medicine and Health Sciences (SMHS). Our guests are Mikhail Kogan, MD, Integrative Medicine Track Director; Lauren Vilardo a second-year GW medical school student; and Kami Veltri, MD Candidate, GW SMHS.

The Integrative Medicine Track is one of nine Scholarly Concentrations, an educational program designed to enrich students' experiences, opportunities, and expose them to various concentrations of study. It was launched a decade ago by John Pan, MD, founding medical director of the GW Office of Integrative Medicine.

Learn more about the GW SMHS Office of Student Professional Enrichment's Integrative Medicine Track here:

https://smhs.gwu.edu/oso/track-program/integrative-medicine

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This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license.

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Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Today we talk about the Physical Activity Guidelines for Americans, 2nd edition, with GW's Loretta DiPietro, PhD. She was one of 17 nationally recognized experts in physical activity and health to be appointed to the 2018 Physical Activity Guidelines Advisory Committee.

The Advisory Committee did a systematic review of the scientific evidence over a two year period. In February 2018, they submitted a Scientific Report to the HHS Secretary. This report helped inform the new guidelines. This is the first time the federal physical activity guidance have been updated since 2008

Dr. DiPietro is a professor and outgoing chair of the Department of Exercise and Nutrition Sciences at GW’s Milken Institute School of Public Health. She is a widely published researcher with particular interest in the role of physical activity in the health of older adults. She has been awarded grants from the National Institute on Aging and the American Cancer Society, and she lectures at medical schools, public health schools and other organizations around the world.

* Dr. DiPietro referred to the 2020 Guidelines at the 29-minute mark. She meant to say the 2028 Guidelines.

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Notable Updates

The previous guidelines stated that only 10-minute bouts of physical activity counted toward meeting the guidelines. This requirement has been removed because all activity counts.

There are immediate health benefits, attainable from a single bout of activity, including reduced anxiety and blood pressure, improved quality of sleep, and improved insulin sensitivity.

There are more long-term benefits from physical activity, including improved brain health, reduced risk of eight types of cancer (previously two), reduced risk for fall-related injuries in older adults, and reduced risk of excessive weight gain.

Physical activity helps manage more chronic health conditions. It can decrease pain for those with osteoarthritis, reduce disease progression for hypertension and type 2 diabetes, reduce symptoms of anxiety and depression, and improve cognition for those with dementia, multiple sclerosis, ADHD, and Parkinson’s disease.

There are new key guidelines for preschool children to be active throughout the day to enhance growth and development.

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Related Content

HHS Press Release on the News Physical Activity Guidelines for Americans

https://www.hhs.gov/about/news/2018/11/12/hhs-releases-physical-activity-guidelines-americans-2nd-edition.html

Download the Complete Physical Activity Guidelines for Americans, 2nd edition

https://health.gov/paguidelines/second-edition/pdf/Physical_Activity_Guidelines_2nd_edition.pdf

Scientific Report of the 2018 Physical Activity Guidelines Advisory Committee

https://health.gov/paguidelines/second-edition/report/

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Transcript

https://www.linkedin.com/pulse/transcript-new-physical-activity-guidelines-americans-gw-office-of/?published=t

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This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license.

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Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Today we’re going to discuss the challenges of making integrative health care accessible to the medically underserved with Mikhail Kogan, MD, founder and chairman of the board of AIM Health Institute.

AIM is the first non-profit organization in the DC metropolitan area to provides Integrative Medicine services to low-income and terminally ill patients regardless of their ability to pay. It seeks to educate the public and healthcare professionals about Integrative Medicine. And empower people by providing them with self-care tools.

Dr. Kogan is an assistant professor of medicine and associate director of the Integrative Geriatric Fellowship here at GW, director of Integrative Medicine Track, and medical director of the GW Center for Integrative Medicine.

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Related links:

Integrative Medicine for the Underserved (IM4US), a national nonprofit

https://im4us.org/

IM4US toolkit for practitioners and teachers working in underserved settings

https://archive.im4us.org/Using+this+Toolkit?structure=Toolkit&latest=1

AIM Health Institute

http://www.healthaim.org/

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This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license.

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Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Today we’re talking mind-body medicine with James S. Gordon, MD, a Harvard educated psychiatrist, author, and world-renowned expert in using mind-body medicine to heal depression, anxiety, and psychological trauma. In 1991, he founded the Center for Mind-Body Medicine (CMBM), a 501(c)(3) nonprofit educational organization that has become a worldwide leader in making self-care, group support, and community-building central to all healthcare, the training of health professionals, and the education of children.

Joining us to co-host this episode with me is Tatiana Znayenko-Miller, a student the MSHS Program in Integrative Medicine at GW. She is an intern at CMBM, functioning as the Clinical Research Coordinator.

Dr. Gordon has created ground-breaking programs of comprehensive mind-body healing for physicians, medical students, and other health professionals; for people with cancer, depression and other chronic illnesses; for children and families traumatized by natural and man-made disasters; and for U.S. Military returning from Iraq and Afghanistan.

He served as the first Chairman of the Program Advisory Council to NIH’s Office of Alternative Medicine. And you were also the Chairman of the White House Commission on Complementary and Alternative Medicine Policy under Presidents Clinton and G.W. Bush.

Register for a CMBM Online Mind-Body Skills Group with James S. Gordon, MD, on that will be held on Thursdays, 5:30-7:30 PM ET, beginning April 16, 2020. https://cmbm.regfox.com/application-to-join-james-s-gordon-md-online-mind-body-skills-group

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Related Links

Center for Mind-Body Medicine

https://cmbm.org/

TEDMED talk on "Fulfilling Trauma's Hidden Promise

https://www.youtube.com/watch?v=UriA_Crzfl0

Even a single mindfulness meditation session can reduce anxiety. Experimental Biology, 2018.

https://www.sciencedaily.com/releases/2018/04/180423135048.htm

An Adapted, Four-Week Mind-Body Skills Group for Medical Students: Reducing Stress, Increasing Mindfulness, and Enhancing Self-Care. Explore: The Journal of Science and Healing, 2015.

https://www.sciencedirect.com/science/article/pii/S1550830715000294

Alterations in Resting-State Functional Connectivity Link Mindfulness Meditation With Reduced Interleukin-6: A Randomized Controlled Trial. Biological Psychiatry, 2016.

https://www.sciencedirect.com/science/article/pii/S0006322316000792

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Transcript

https://www.linkedin.com/pulse/transcript-finding-steadier-path-mind-body-medicine-gw-office-of/?published=t

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This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license.

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Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

The gut microbiome has been linked to a wide range of diseases including diabetes, autism, anxiety, and obesity and may affect how patients respond to chemotherapy or other medicines. How can the gut microbiome have so many roles? How does nutrition and the diet affect this?

Scott Jackson, PhD, leader of the recently created Complex Microbial Systems Group at the National Institute of Standards and Technology (NIST) joins GW Integrative Medicine Podcast to discuss the gut microbiome and how nutrition interacts with this hot new organ.

https://www.nist.gov/mml/bbd/microbial-metrology

Dr. Jackson is leading international efforts to improve microbiome and metagenomic measurements by organizing inter-lab studies, developing reference materials and reference methods, and developing in vitro tools that allow us to better understand microbial community resilience and evolution. Prior to joining NIST, he was a principal investigator with the Food and Drug Administration (FDA). At the FDA, his research focused on characterizing the global genomic diversity of enteric pathogens, with applications for food safety, bioforensics, and public health.

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Information from this Episode

NIST, formerly known as the National Bureau of Standards, promotes and maintains measurement standards. It also has active programs for encouraging and assisting industry and science to develop and use these standards.

Leigh A. Frame, PhD, MHS, mentions attending the Special Nutritional Requirements Workshop at the Natal Academy of Medicine where they discussed how fiber is not a nutrient with current definitions. The Proceedings of this Workshop have been released: https://bit.ly/2L4uxx8

Emeran Meyer, MD, a gut-brain connection expert, commented on the work on diet soda and the gut microbiome following the big New Your Times article, “The Germs that Love Diet Soda.” https://bit.ly/2Jz5i02

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Related Content

Blog Post: Say Hello to Our Little Friends: Toward Microbial BiotheraPOOtics and Diagnostics

https://www.nist.gov/blogs/taking-measure/say-hello-our-little-friends-toward-microbial-biotherapootics-and-diagnostics

High-Fiber Diet Shifts Gut Microbes, Lowering Blood Sugar in Diabetics

https://www.the-scientist.com/the-nutshell/high-fiber-diet-shifts-gut-microbes-lowering-blood-sugar-in-diabetics-29977

How gut bacteria impact cancer treatment

https://www.statnews.com/2018/04/02/gut-bacteria-cancer-stat-madness/

International Metagenomics and Microbiome Standards Alliance (IMMSA)

https://microbialstandards.org/

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Transcript

https://www.linkedin.com/pulse/transcript-nutrition-gut-microbiome-integrative-medicine-and-health/

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This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license.

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Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

"Transformation is sustained change, and it is achieved through practice."

-- B.K.S. Iyengar

A growing body of research shows the health benefits of yoga to manage chronic diseases. Studies suggest yoga helps reduce pain, relieve anxiety, lower heart rate and blood pressure, and more.

Integrative yoga therapist Yael Flusberg and cancer survivor Nadia Taran joined GW Integrative Medicine Podcast to discuss yoga and chronic disease. Yael has taught yoga classes at DC libraries, workplaces, schools, and hospitals like the George Washington University Hospital since 2005.

As an integrative yoga therapist (E-RYT500) she facilitates both group and individual yoga therapy sessions, working with people dealing with a variety of conditions including cancer, digestive disorders, diabetes, eating disorders, fibromyalgia, hypertension, mental health challenges (including depression, anxiety, grief and trauma), rheumatoid arthritis, scoliosis, and sports injuries.

She currently teaches a weekly therapeutic class for people living with cancer and their caregivers as well as cancer survivors on GW’s campus.

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Related content

Principles and Practice of Yoga in Health Care 1st Edition

by Sat Bir Singh Khalsa (Author),‎ Lorenzo Cohen (Author),‎ Timothy McCall (Author),‎ Shirley Telles (Author),‎ M.D. Ornish Dean (Foreword)

http://bit.ly/2Ik02wL

Complementary and alternative exercise for fibromyalgia: a meta-analysis

http://bit.ly/2MejEFa

Yoga into Cancer Care: A Review of the Evidence-based Research

http://bit.ly/2MQoGsC

Sleep and yoga intervention shows promising effects on improving sleep health behaviors

http://bit.ly/2lwHgJv

NIH NCCIH: Mind and Body Approaches for Substance Use Disorders

http://bit.ly/2IiZozw

Study Finds Most Breast Cancer Patients Develop PTSD Symptoms

http://bit.ly/2MiQOU7

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Transcript

https://www.linkedin.com/pulse/transcript-yoga-therapy-chronic-disease-gw-office-of/?published=t

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This podcast features the song “Follow Your Dreams” (http://freemusicarchive.org/music/Scott_Holmes/Corporate__Motivational_Music/Follow_your_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license.

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Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Nature’s dirty needle. That’s how Lyme disease researchers and physicians like Andrew Heyman, MD, MHSA, refer to the ticks that have spread the bacterium, Borrelia burgdorferi, throughout the northeastern, mid-Atlantic, and north-central United States.

Earlier this month, the Centers for Disease Control and Prevention reported that illnesses from mosquito, tick, and flea bites have tripled, with more than 640,000 cases reported during the 13 years from 2004 through 2016. During that time period, nine new germs spread by mosquitoes and ticks were discovered or introduced into the United States.

Lyme disease is a complex illness whose diagnosis and treatment requires a deeper understanding than just the characteristics of the infection, says Heyman. It is an often misdiagnosed, misunderstood disease that behaves in ways that makes it very difficult for standard tests to identify correctly.

Dr. Heyman, an internationally recognized expert in Integrative Medicine and the Medical Director of the Integrative Medicine Program at The George Washington University School of Medicine and Health Sciences, is a ‘last resort’ practitioner for patients with this multi-system illness.

His attributes his aptitude for finding answers to puzzling patient presentations to his background in Traditional Chinese Medicine combined with his conventional medicine training.

Three Lyme disease takeways from Dr. Heyman:

1.) Other biotoxin exposures, such as mold, can mimic Lyme disease and therefore increase the difficulty of obtaining an accurate diagnosis.

2.) The body's reaction to a Lyme infection is a genetically mediated, Neuro-inflammatory response that can persist in about 20 percent of patients, even long after the infection has been treated.

3.) The consequences of chronic inflammation due to Lyme disease can be devastating, including organ injury - especially to the brain and nervous system more broadly - and even induce persistent, aberrant gene expression, leading to loss of normal cell functioning.

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Related Content

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Transcript

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This podcast features the song “Follow Your Dreams” (http://freemusicarchive.org/music/Scott_Holmes/Corporate__Motivational_Music/Follow_your_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license.

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Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

What is the current state of scientific evidence and research recommendations on the health effects of cannabis and cannabinoids? This podcast delves into the topic with Donald Abrams, MD, one of the world’s leading clinical researchers on medical cannabis, and Mikhail Kogan, MD, Assistant Professor of Medicine and Associate Director of the Integrative Geriatric Fellowship, the George Washington University School of Medicine and Health Sciences.

An Integrative Oncologist at the University of California San Francisco Osher Center for Integrative Medicine, Dr. Abrams has conducted a number of studies on medical cannabis that were sponsored by the National Institute on Drug Abuse and other private and federal agencies. He is a member of the committee that authored the 2017 National Academies of Sciences, Engineering, and Medicine report, The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research.

The report is one of the most comprehensive studies of research on the health effects of recreational and therapeutic cannabis use. It offers a rigorous review of scientific research published since 1999 about the health impacts of cannabis and cannabis-derived products – ranging from therapeutic effects to risks for certain cancers, diseases, mental health disorders, and injuries.

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Related Content

2017 National Academy of Sciences report on "The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research." http://bit.ly/2H0DnJa

The International Cannabinoid Research Society, (ICRS), is a source for impartial information on cannabis and the cannabinoids that provides an open forum for researchers to meet and discuss their research. http://icrs.co/

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Transcript

https://www.linkedin.com/pulse/transcript-science-health-effects-medical-cannabis-gw-office-of/?published=t

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This podcast features the song “Follow Your Dreams” (http://freemusicarchive.org/music/Scott_Holmes/Corporate__Motivational_Music/Follow_your_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (https://creativecommons.org/licenses/by-nc/4.0/) license.

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Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Welcome to GW Integrative Medicine – the podcast about Integrative Medicine, disease prevention and health promotion – from the Office of Integrative Medicine and Health (OIMH) at The George Washington University School of Medicine and Health Sciences. We talk to John Pan, MD, OIMH founding medical director, about the silo mentality in medicine, aha moments, and Integrative Medicine and Health as a philosophy of practice.

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Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

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This podcast features the song “Follow Your Dreams” (http://freemusicarchive.org/music/Scott_Holmes/Corporate__Motivational_Music/Follow_your_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (https://creativecommons.org/licenses/by-nc/4.0/) license.