Now is a time for kindness

By Victor S. Sierpina, MD “Just because you are happy it does not mean that the day is perfect but that you have looked beyond its imperfections.”. -Bob Marley The other day, picking up groceries at the Walmart, I recognized a struggle inside myself, to be more kind, understanding, and compassionate instead of feeling irritated, judgmental, angry. It was just a little thing really, but it became a metaphysical and spiritual breakthrough. Walmart and other...

Integrative medicine and chronic pain

By Victor S. Sierpina, MD   “The beginning is always today.” –Mary Wollstonecraft   During some unexpected free time, I took an online course from the University of Arizona’s Andrew Weil Center for Integrative Medicine. Go to https://integrativemedicine.arizona.edu/ for a large array of online materials and course in integrative medicine. It is a rich, well validated, and dependable resource for the entire spectrum of integrative medicine.   In my case, I decided to enroll in...

Integrative medicine in the age of pandemic

By Victor S. Sierpina, MD   Last weekend, instead of donning my usual tennis clothes, I put on a crisp dress shirt and a pressed white coat with a UTMB logo to prepare for a day of telehealth visits with complex Medicare patients. As many docs have over the past months, we have migrated to electronic platforms to care for patients unable or unwilling to leave their homes. It has been a mixed blessing, but...

Integrating calmness and peace

By Victor S. Sierpina, MD As I am engaged in telehealth visits with patients and interactions with students and residents, there is an undercurrent of anxiety. What last month was a stressful job, is now the stress of being out of one. Concerns about children and family have been expanded to concerns about public and personal health and safety in a pandemic. I have also rediscovered the resilience of people. Talking with patients and learners,...

Nutritional approaches for treatment of Major Depressive Disorder

By Doris Amaro, Medical Student, UTMB “Let food be thy medicine, and medicine be thy food” so brilliantly stated by Hippocrates, may have been a declaration that we can use the nutrients from the earth to heal our bodies. However, it is difficult to imagine how the food we put into our bodies influences our thoughts, emotions, and particularly our development of mental illness. There are a number of different integrative and complementary approaches for...

Drug-seeking behavior or mental health problems?

By Victor S. Sierpina, MD With pressure from every side, doctors like you and me are pressed to taper, stop, or refuse to start habit forming pain medications. Our EPIC electronic medical record system now pushes us to inquire the Texas Prescription Monitoring Program prior to our electronic dual authentication signature for any controlled substance. On face value, this is highly sensible in the context of tens of thousands of deaths annually from opioid overdoses...

The fast track to health: Intermittent fasting

By Sagar Kamprath, MD, UTMB Fellow, Integrative and Behavioral Medicine Fellowship Program   “A little starvation can really do more for the average sick man than can the best medicines and the best doctors.” -Mark Twain   As a health care provider, I’ve come to appreciate the limited impact I can have on my patients through pills and procedures alone. In fact, I’ve come to agree with what was etched onto an ancient Egyptian pyramid...

Integrative medicine: A holistic educational experience

By Tracy Hu, 4th-year medical student, UTMB, Family Medicine   The fourth year of medical school is a crucial time for exploring different dimensions of one’s chosen field and gaining skills in preparation for residency.  A case in point is my experience taking the Complementary and Integrative Medicine elective (CIM) at the University of Texas Medical Branch (UTMB).  A four-week course, CIM exposes the learner to complementary and alternative medicine such as acupuncture and herbal...

Therapeutic gardens and healing environments to optimize outcomes in Alzheimer’s Disease and other dementias

By Victor S. Sierpina, MD   As the search for the Holy Grail of treating Alzheimer’s Disease and other dementias sputters along at a painstakingly slow pace, it turns out we may have overlooked a remarkably effective and low-cost approach: using nature and gardens therapeutically. In a well-done scholarly review article (1), the benefits of a variety of gardening approaches have been demonstrated to improve the lives of dementia patients and their families. The article...

Mayo Clinic offers an integrative guide to good health

By Victor S. Sierpina, MD, ABFM, ABIHM, Director, Medical Student Education Program, WD and Laura Nell Nicholson Family Professor of Integrative Medicine, Professor, Family Medicine University of Texas Distinguished Teaching Professor   “We do not need magic to transform our world, we carry all the power we need inside ourselves already. We have the power to imagine better.” –J.K. Rowling   Recently, I saw a Netflix historical documentary about the world-renowned Mayo Clinic. The story...

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