GW Integrative Medicine

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Stress and the Immune Brain Connection Apr 20, 2019

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Today's guest is Andrew Heyman, MD, Medical Director, Integrative Medicine Programs, at the George Washington University School of Medicine and Health Sciences. Dr. Heyman is an expert on stress response and neuroendocrine system. We discuss the physiologic stress response, evaluate the impact of cortisol on nervous and immune system, examine common illnesses in the context of hypocortisol states that mediated disease progression and prognosis, and treatment strategies. Dr. Heyman's research interests include the stress response and neuroendocrinology, cardiometabolic disease, men’s health, and clinical outcome research methodologies. ◘ Related Content Chronic Stress and the HPA Axis: Clinical Assessment and Therapeutic Considerations https://bit.ly/3hYgJk0 The effects of chronic stress on health: new insights into the molecular mechanisms of brain–body communication https://bit.ly/31YXl0T Understanding the stress response: Chronic activation of this survival mechanism impairs health https://bit.ly/3jFVYKm ◘ Transcript https://bit.ly/2QVe12R ◘ 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. ◘ 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.

Energy Work & the Autonomic Nervous System Mar 01, 2019

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Today we’re talking Energy Work and the autonomic nervous system with Mara Benner, a Certified Energy Medicine Practitioner, Reiki Master, and Spiritual Director at the GW Center for Integrative Medicine. Mara has more than 30 years in the health care and aging fields. She began her career majoring in gerontology and working at various times in hospitals, nursing homes, home health, hospice and elder protective services. She has worked at the Federal and state level on healthcare and aging policy. Mara is now focused on mind-body-spirit connections through Reiki, Integrative Reflexology, meditation/guided imagery, Yogic Chakra Healing, transitional coaching, and integrative healthcare consulting. She has always been intrigued by the body-mind-emotions-spirit connections. Her passion is in how we can adopt “whole person” care in partnership with the current healthcare system and with each person. ◘ Related Content Effects of Reiki Versus Physiotherapy on Relieving Lower Back Pain and Improving Activities Daily Living of Patients With Intervertebral Disc Hernia. http://bit.ly/2H3vPoP Effects of Reiki on Post-cesarean Delivery Pain, Anxiety, and Hemodynamic Parameters: A Randomized, Controlled Clinical Trial. http://bit.ly/2VnAO7x Reiki Reduces Burnout Among Community Mental Health Clinicians. http://bit.ly/2tC5GWl The Effect of Reiki on Work-related Stress of the Registered Nurse. http://bit.ly/2NsGmLk Neurophysiology of human touch and eye gaze in therapeutic relationships and healing: a scoping review. http://bit.ly/2NsH1fM ◘ Transcript ◘ 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. ◘ 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 Oral Microbiome-Systemic Health Connection Feb 01, 2019

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Today we’re going to learn about the oral microbiome and systemic health from Bonnie Feldman, DDS, MBA, Chief Collaboration Officer, DrBonnie360/Your Immunity Connection. With her unique experiences as a healthcare provider, researcher, analyst, scientist, and patient, Dr. Feldman bridges diverse industries and helps propel the growing convergence of science, tech, and patient demand towards individualized autoimmune care through her consulting, writing, and speaking. Dr. Feldman has spoken at TEDx, SXSW, and Stanford Medicine X. Support for GW Integrative Medicine Podcast comes from our sponsor Blis Technologies, makers of advanced oral probiotics for a healthy mouth and throat. Information on how Blis Technologies is transforming health care is at https://blisprobiotic.com/. ◘ Transcript https://www.linkedin.com/pulse/transcript-oral-microbiome-systemic-health-connection-gw-office-of/?published=t ◘ Related Content Dr. Feldman's bio https://drbonnie360.com/meet-the-team/ Visual Annotated Oral Microbiome Research Bibliography https://drbonnie360.com/2018/08/27/oral-microbiome-research-bibliography/ "The Oral Microbiome: The Next Frontier" https://www.slideshare.net/DrBonnie360/discovery-on-target-2018-the-oral-microbiome-the-next-frontier TEDx Talk: "The Single Most Valuable Legacy We Can Pass On" https://www.youtube.com/watch?v=HEF-HP2XE7E Stanford Medicine X: "The Lonely University of Autoimmune Disease" https://www.youtube.com/watch?v=MDUvywZKWsc ◘ 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. ◘ 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.

A Global Syndemic: Obesity, Undernutrition, & Climate Change Jan 28, 2019

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Today we’re going to delve into the much anticipated report from the Lancet Commission on the Global Syndemic of Obesity with Bill Dietz, MD, PhD, Commission Co-Chair. The Commission used a syndemics approach to examine the health consequences of identifiable disease interactions and the social, environmental, or economic factors that promote such interaction and worsen disease. A nationally renowned expert in obesity, nutrition and physical activity, Dr. Dietz is also the Director and Chair of the Sumner M. Redstone Global Center for Prevention and Wellness a the George Washington University Milken Institute School of Public Health. Dr. Dietz is also a member of the National Academy of Medicine and Director of the STOP Obesity Alliance here at GW. Prior to GW, he was the Director of the Division of Nutrition, Physical Activity, and Obesity at the Centers for Disease Control and Prevention. ◘ Transcript https://www.linkedin.com/pulse/transcript-global-syndemic-obesity-undernutrition-gw-office-of/?published=t ◘ Related Content The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission Report http://bit.ly/2B7j34Y William Dietz: shaping science and policy on obesity http://bit.ly/2UlDhPr STOP Obesity Alliance at the George Washington University http://stopobesityalliance.org/ ◘ 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. ◘ 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.

Talking Integrative Medicine With GW Med Students Jan 22, 2019

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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 ◘ 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. ◘ 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.

New Physical Activity Guidelines for Americans: Getting Granular Nov 13, 2018

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

Integrative Medicine, Accessibility, and the Underserved Nov 02, 2018

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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. ◘ 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/ ◘ 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. ◘ 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.

Finding a Steadier Path: Mind-Body Medicine with Dr. James S. Gordon Sep 27, 2018

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

Nutrition and the Gut Microbiome Jul 25, 2018

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

Yoga Therapy for Chronic Disease Jun 22, 2018

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