Integrative Medicine: Kay
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Integrative Medicine: Kay

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Integrative Medicine: Kay




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Integrative Medicine:

Kay

Theyerl

, MD, FACP, MS,

ABIHMMedical Director, ThedaCare Lifestyle Medicine

Integrating Mindfulness into Your Medicine Practice

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Conventional MedicineSees the body as a sum of its separate partsLinear/reductionistic

Often treats the symptoms without addressing the root cause“Ill to the pill to the bill”

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VisionaryThe doctor of the future will give no medicine, but instead will interest his patients in the care of the human frame, in diet, and in the cause and prevention of disease.

Thomas Edison

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Integrative Medicine(AIHM)

Integrative medicine, as defined by the American Board of Integrative Medicine® (ABOIM) and the Consortium of Academic Health Centers for Integrative Medicine, is the practice of medicine that reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic approaches, healthcare professionals, and disciplines to achieve optimal health and healing.

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Lifestyle Medicine(ACLM)

Lifestyle Medicine is the evidence-based practice of helping individuals and families adopt and sustain healthy behaviors that affect health and quality of life. (targets include tobacco use, diet, physical activity, alcohol use, mindfulness)Alternatively, Lifestyle Medicine is the use of therapeutic lifestyle changes to treat, prevent, and reverse disease – lifestyle “in” medicine. When the same health-promoting lifestyle choices maximize health and prevent disease, this is lifestyle “is” medicine.

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Functional Medicine(IFM)

Functional Medicine determines how and why illness occurs and restores health by addressing the root causes of disease for each individual. The Functional Medicine model is an individualized, patient-centered, science-based approach that empowers patients and practitioners to work together to address the underlying causes of disease and promote optimal wellness. It requires a detailed understanding of each patient’s genetic, biochemical, and lifestyle factors and leverages that data to direct personalized treatment plans that lead to improved patient outcomes.By addressing root cause, rather than symptoms, practitioners become oriented to identifying the complexity of disease. They may find one condition has many different causes and, likewise, one cause may result in many different conditions. As a result, Functional Medicine treatment targets the specific manifestations of disease in each individual.

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Only that day dawns to which we are awake.

HENRY DAVID THOREAU,

Walden

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Mindfulness:

Kay

Theyerl

, MD, FACP, MS,

ABIHMMedical Director, Lifestyle Medicine

Live

Life Awake

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TodayIntroduction to the concept of MindfulnessScience of the Mind-Body connection

Practical examplesHow we can shift our emotional response to be healthier and happierShort experiential using HeartmathTED talk - GratitudeHow an “Attitude of Gratitude” can change your day and your life

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Daily LifeI am so busy doing that I feel I have lost a bit of myselfI have lost sight of my passion/spirit

I cannot turn my mind offI do not take time for myself – I put everyone else firstI feel stressed much of the timeI worry about the futureI feel ___________ about the pastI feel I am on automatic pilotI have a short fuseI tend to react to people and situationsI am exhausted

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How resilient are we?How productive are we?What kinds of decisions are we making?

How are our relationships?FamilyFriendscoworkersHow healthy are we?Self careHow much are we enjoying life?

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ME

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Just Be“Doing” brain vs “Being” brain

Stress and exhaustion result from living in the “doing/thinking” brainThere is no pill or supplementWe must recharge by going to the “Being” brainMindfulness can change the pathways in the brain and recharge us

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MindfulnessMeans paying attention in a particular way: on purpose, in the present moment and nonjudgmentally. It is the art of conscious living –

JON KABAT-ZINNThis nurtures greater awareness, clarity, and acceptance of present-moment reality and helps us get back in touch with our own wisdom and vitality.

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MindfulnessCurious Bemusement

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Mindfulness – Way of Being“Mindful Living”Daily activities

WorkEatingInteractions with othersOur own emotions

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Don’t Just Do Something, Sit There!We run around doing, fixing, orchestratingWe can learn to:

Shift into “being” modeBecome aware of breathingBreathe and Let BeUse something to which we have accessOur breath

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Brain and Heart are wired together

The heart has its own complex nervous

system - the

“Heart Brain”

The heart sends far more information to the brain than the brain sends to the heartThe heart signals especially affect the brain centers involved in decision making, creativity, and emotional

experience

The breath affects the heart

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ResilienceResilience: Ability to recover quickly from misfortune; able to return to original form after being bent, compressed, or stretched out of shape. A human ability to recover quickly from disruptive change, or misfortune without being overwhelmed or acting in dysfunctional or harmful ways.

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ResilienceHeart rate variability = coherence resilienceTree that bends in the windTennis player/skier

“Go with the Flow”

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Emotional coherence

© 2007 HeartMath LLC

= more ordered and harmonious interactions among the body’s

systems (synchronized)

Leading to clear, focused thinking

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CoherenceQuick Coherence®

feeling of ease and inner harmony - reflected in your heart rhythms. The heart is a primary generator of rhythm in your body influencing brain processes that control your nervous system, cognitive function and emotion More

coherent heart rhythms facilitate brain function, allowing you more access to your higher intelligence to improve: FocusCreativityIntuition

Higher-level decision-making When you’re in heart-rhythm coherence, you perform at your best - You feel confident, positive, focused and calm, yet energized – keeps us resilient

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Heartmath.orgYou can use the Quick Coherence®

Technique anytime, anywhereCreates positive changes in your heart rhythms, sending powerful signals to the brain that can improve how you’re feelingUse in the middle of a difficult conversation, when you feel overwhelmed or pressed for time, or anytime you simply want to practice increasing your coherence

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LEVEL 1 COHERENCE Neutralize the stressful feelings.

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Neutral ToolShift your breathing to the area around your heartBreathing modulates the nervous

system via the heart’s rhythms

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Neutral isthe ready position

for flexibility

Neutral is not just an attitude – it is a way to change our physiology!

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Where would being neutral help you?This simple act of focusing on the heart combined with a deeper level of breathing draws energy away from the distressed thoughts and feelings, and stops any damaging effects they have on your system.

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Your Emotional Landscape

High Arousal

High Energy

Adrenaline

Low Arousal

Low Energy

Relaxation

Stress Zone

Stress Free Zone

Positive Emotion

Negative Emotion

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Level 2 CoherenceAdd the power of positive emotions

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Heart FeelingsThink of 2 people you really love:Think of two things that you love to do:

Think of two places that give you a sense of peace:Where do you feel it?

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Quick Coherence® Technique

Shift your breathingActivate a positive emotion – FEEL IT

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Heart Lock-in techniqueSustain a positive emotion and “lock in” how that feels

Becomes new baselineBy generating positive energy with emotions such as appreciation, compassion, care, and love and sending that energy to yourself and others—you can impact both your internal and external environmentCoherence

vs Relaxation

Sustain Coherence

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The Power of Coherence

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Heart Lock-in

®

Steps

Shift your attention to the area of your heart and breathe slowly and deeply.Activate and sustain a genuine feeling of appreciation or care for someone or something in your life.Send these feelings of care toward yourself and others.

Shift

Activate

Sustain

© 2007 HeartMath LLC

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© 2004 Institute of HeartMath

Josh and Mabel

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Heart Rate (BPM)

Heart Rate (BPM)

Time (minutes)

Mabel

(The Dog)

Josh

(The Boy)

Josh and Mabel in separate rooms

Josh enters room

and loves Mabel

Josh leaves room

Mabel wants him to stay

A Boy and His Dog

(Heart Rhythms)

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This is a picture from an article called “The Rescuing Hug.” The article details the first week of life of a set of twins. Apparently, they were in separate incubators and one was not expected to live. A hospital nurse fought against the hospital rules and placed the babies together

in one incubator. When they were placed together, the healthier of the two threw an arm over her sister in an endearing embrace. The smaller baby’s heart rate stabilized and her temperature rose to normal.

Rescuing Hug

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STOPS – StopT – Take a breathO – ObserveP -- Proceed

www.Sharingmindfulness.com

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TED Talk

https://www.ted.com/talks/louie_schwartzberg_nature_beauty_gratitude#t-549096

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May today there be peace within you. May you trust that you are exactly where you are meant to be. May you not forget the infinite possibilities that are born of faith in yourself and others. May you use the gifts that you have received, and pass on the love that has been given to you. May you be content with yourself just the way you are. Let this knowledge settle in and allow your Soul the freedom to sing, dance, praise and love. It is there for each and every one of us.

 

May today there be peace within you. May you trust that you are exactly where you are meant to be. May you not forget the infinite possibilities that are born of faith in yourself and others. May you use the gifts that you have received, and pass on the love that has been given to you. May you be content with yourself just the way you are. Let this knowledge settle in and allow your Soul the freedom to sing, dance, praise and love. It is there for each and every one of us.

Shared by Mimi Guarneri, MD

AIHM/ Interventional Cardiologist

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Questions

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CreditsJon Kabat-Zinn, PhD – U MassPeg McEwen, APNP – TCBH

Lee Lipsenthal, MDAl Bellg, PhD

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ResourcesIntegrative Medicine, 4th

edition 2017, David RakelHeartmath.orgAmerican College of Lifestyle Medicine (ACLM)Academy of Integrative Health and Medicine (AIHM)Institute for Functional Medicine (IFM)

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