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Phil Veneziano, M.S. L.Ac.

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Acupuncture in the U.S. and the Hospital of the Future

Posted: 06/06/2012 5:49 pm

By 2014, Section 3502 of President Obama's health care reform could mandate the Bureau of Health Statistics to formally recognize acupuncture as a profession, opening the door to Medicare coverage for acupuncture, serving our growing elderly population, as well as providing it as an option for millions of low- and middle-income Americans in need of care.

Although acupuncture is still relatively "new" to the United States, its integration has been a long time coming. Thousands of years ago, Chinese ancients spent whole lifetimes observing nature, discovered the secrets of healing naturally, and passed down this beautiful medicine generation to generation.

A hundred years ago, in 1912, William Osler, the so-called father of American medicine, described putting a "body needle" at the base of his patient's spine to treat lumbago (low back pain). Six decades later, in 1975, California became one of the first states to legalize the practice of acupuncture by licensed professionals. The FDA got on board in 1996, and two years later, the National Institute of Health approved acupuncture as a medicine.

As a Chinese medicine practitioner with a busy clinic in the center of NYC, I witness a lot less apprehension from new patients as they enter my clinic these days. Pillars of the financial, arts, sports, legal and most interestingly the Western medical world, at first tentative, now confidently enter the waiting rooms of acupuncturists across the country searching for relief from chronic and acute conditions that have somehow fallen between the cracks of the Western steroidal, pharmaceutical, and physical therapy solution.

Brought on by a modern-day lifestyle that includes the overconsumption of grains and sugar, lack of sleep, and a sedentary lifestyle, these complex medical issues are being addressed by Eastern medicine's whole-body approach, which before any acupuncture occurs, emphasizes the rebalancing of diet and lifestyle.

Chinese medicine is gradually making its way into the mainstream consciousness. We have become a first choice rather than a last resort these days, as results from study after study surface within the media, confirming acupuncture as an effective option for not only pain, but many other health issues. Increasingly, the public -- tired of ineffective Western treatment options and the pervasive overuse of pharmaceuticals -- are looking to the more natural approach that Chinese medicine offers.

It has taken the American public a while to come around, but we are discovering that acupuncture and associated Chinese medicine therapies, typically credited with relieving musculoskeletal pain, go far beyond just pain. The World Health Organization credits acupuncture with treating the following conditions (among others), all with minimal side effects:

• Relieving postoperative pain
• Nausea during pregnancy
• Nausea and vomiting resulting from chemotherapy
• Dental pain
• Allergic Rhinitis
• Essential Hypertension
• Stroke
• Acute and Chronic Gastritis
• Anxiety
• Panic disorders
• Insomnia
• Addiction
• Depression

The Information Age has catapulted this exquisitely-elegant medicine into the spotlight, under the microscope and on the radar of an estimated 8.2 million Americans. And as Chinese medicine integrates with mainstream choices, more and more Western doctors have opened their minds and clinics to the possibilities that exist, partnering with acupuncturists and referring appropriate cases to Chinese medicine clinics for treatment.

We have had and continue to have our detractors, to be sure. For several years now, I've treated postoperative patients with acupuncture in a New York City hospital. Initially, I received a lukewarm reception from staff, doctors and patients alike. Doctors wanted hard data via evidence-based clinical studies, and a clear treatment plan. The patients wanted to know how treatment would benefit their recovery.

As everyone watched patients' pain diminish, and their medication needs drop precipitously, the staff's comfort level increased, and my shifts in the hospital got busier and busier. Hospital staff referrals now comprise a good percentage of my patient population.

This is how it should be. Both medicines have their purpose, and can exist in partnership with each other. Egos aside, this is what's best for the patient, and at the end of the day, that's what we all want, isn't it?

It's easy to envision acupuncture becoming a part of every hospital's protocol in the near future. It is cost-effective, can provide a safe, side effect-free method of recovery from pain after surgery, lessens postoperative nausea, constipation, and urinary difficulties, and can manage existing conditions like hypertension, anxiety and insomnia. These discoveries are becoming survival for the hospital of the future as the country wrestles with ever-changing economic challenges and hospitals struggle to stay solvent and viable.

I'm happy Western and Eastern doctors are finally having a conversation about the future of health care. Our relationships strengthened by working together, we now discuss this nearly every week, when they come in for their appointments.

For more by Phil Veneziano, M.S. L.Ac., click here.

For more on natural health, click here.

 
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07:26 PM on 06/11/2012
I was lucky enough to work in a hospital as an acupuncturist. A rehab doctor I worked with believed that we help with rehabilitation from operations better than any western modality the hospital has to offer. Aside from that, acupuncture is very effective with helping women thru labor and with helping people be more comfortable with side effects of chemo.
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
10:15 PM on 06/11/2012
Except for the side effects of chemo I agree. Have you watched the movie Cut Poison Burn? If you can't find that one watch the Dr. Burzynski movie. It's very sad that they have set back his research time and time again when he has such a high cure rate as compared to chemotherapy.

Regarding the hospitals starting to accept acupuncture I think you are going to see a lot more acceptance of alternative/advanced medicine. Why? Because of efficacy and lack of efficacy in the pharmaceutical approach to medicine. And the health insurance companies have been incentivized to keep us healthy and that means a lot more advanced medicine.

Here's the link.

http://www.burzynskimovie.com/
01:54 AM on 06/12/2012
Burzynski *is* administering chemotherapy, Sharon. Just very poorly and expensively under the guise of never-ending "clinical trials" that never produce any published results.
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
06:53 PM on 06/10/2012
For years the AMA with help from pharma has wanted total control over our health - from cradle to grave. This has not worked in our favor as evidenced by below linked report. It's time to take away the monopoly the AMA has had for years and turn it over to other healers that are not bought and paid for by pharma, in my opinion.

Prescription Drugs Injure, Kill 2-4 Million Annually

http://www.omsj.org/corruption/prescription-drugs-injure-kill-2-4-million-annually
08:10 PM on 06/10/2012
Sharon, given that there doesn't seem to be any "AMA monopoly" crowding out astrological medicine, which is precisely what acupuncture is, what are you actually babbling about? What do you think NCCAM is wasting more than $100 million a year doing, if not lending some sort of validity to the random nonsense that you pop in to use as a platform to repeat yourself over and over without a single thought about the actual subject?

And, really, OMSJ? AIDS denialists? Go away.
08:29 PM on 06/10/2012
Should anyone care to look into Sharon's new BFFs OMSJ and Clive Baker, this is as good a place to start as any: http://hivinnocenceprojecttruth.com/2012/01/23/u-s-air-force-slams-clark-baker-and-omsj-as-frauds/
07:52 PM on 06/09/2012
OK, so let's get to the payload. "By 2014, Section 3502 of President Obama's health care reform could mandate the Bureau of Health Statistics to formally recognize acupuncture as a profession, opening the door to Medicare coverage for acupuncture...."

What exactly is this supposed to mean? There *isn't any* federal "Bureau of Health Statistics." Is it supposed to be the NCVHS? They're mentioned four times in a 906-page law and don't "formally recognize" anything. I assume the meat is Section 3502(b)(4), which addresses eligibility for grants and contracts and includes the phrase "such team *may* include ... licensed complementary and alternative medicine practictioners..." (emphasis added). Where is the nonexistent entity that wouldn't be involved in any such task in the first place being "mandated" to "recognize" anything?
07:14 AM on 06/09/2012
I hope that reason can someday replace ignorance. We have a way of determining the efficacy of medical treatments called the scientific method. Those of you interested in science rather than voodoo would be well served by regular reading of Science Based Medicine:

http://www.sciencebasedmedicine.org/index.php/foolishness-or-fraud-bogus-science-at-nccam/#more-7155
05:06 PM on 06/09/2012
Worst website ever. Full of hypocrites and passive-aggressive psuedo-scientific groupies. If they all died tomorrow, the world would be a better place.
07:27 PM on 06/09/2012
Oh, *do* identify the hypocrisy. (Props for "psuedo," though.)
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
09:13 PM on 06/09/2012
Fanned and faved. Good for you for catching that. Can you believe that doctors are afraid to go against them? That's why it's up to us to expose them everytime that try and spin.
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
10:50 PM on 06/08/2012
If you find yourself spending hours and hours trying to convince a pseudo-skeptic that alternative/advanced medicine works you are wasting your time. I have heard that they are paid to post and smear anything that isn't profitable for phrama. These are the rules we have come up with to deal with the likes of the pseudo-skeptics and they are.

The keyboard skeptics main goal is to discredit and spin. Here are some tools you might find useful.

1. Never get into an argument over science with a keyboard skeptic they make things up as they go along and consume an enormous amount of your time. It's best not to engage with them.

2. Put them on the defensive by constantly attacking the reasons they are posting. After all they have anointed themselves judge, jury and executioner of anything that isn't "con med".

3. Don't back down ever; most good doctors appreciate us shining a light on them.

4. Turn the debate around to benefit society. They are trying desperately to dominate the debate on healthcare but there is no debate, our system is broken and needs to be fixed and you are doing society a favor by pointing out the waste, fraud and abuse in the status quo.
09:57 AM on 06/09/2012
"These are the rules we have come up with to deal with the likes of the pseudo-skeptics and they are."

It's odd that you blithely and baselessly assert that other people work for "phrama" and then immediately claim that some conspiratorial "we" of which you are a part has come up with "rules" for others to obey, Sharon.
06:45 PM on 06/07/2012
Thank you, Phil Veneziano, for advocating the integration of Eastern medicine in Western medical settings.

As an acupuncture school, we are dedicated to advancing healthcare by bridging the gap between Eastern & Western medicine. In our teaching clinic on campus, we've seen stroke survivors making great progress in their recovery when combining physical therapy with stroke acupuncture treatments.

We're confident that it's just a matter of time until acupuncture will be an integral part in any hospital.
01:57 PM on 06/08/2012
"In our teaching clinic on campus, we've seen stroke survivors making great progress in their recovery when combining physical therapy with stroke acupuncture treatments."

One would hope that you're preparing to submit them for peer review, because in the nine years between the systematic review in the Journal of Neurology (PMID 11517996) and the 2010 one in CMAJ (PMID 20876268), the conclusion of there being no evidence for the efficacy of acupuncture in stroke rehabilitation hasn't changed.
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
10:46 PM on 06/08/2012
Here's Heywood Merton spinning again. What on earth has neurology brought us? All they do is order MRIs with gadolinium based contrasting agents which has been shown to be harmful to MS patients. Seriously what has neurology done that has been successful in the past oh 50 years?

Are you here to do your pseudo-skeptic spinning again against anything alternative.
11:44 AM on 06/07/2012
Thanks for this blog post, Phil and for your good work as an ambassador of Chinese medicine in a Western medical setting. It is really very simple – acupuncture works by stimulating the body’s own resources helping us get more out of our self-healing resources. Because of this, it can work very well with modern medicine whose specialty is using outside resources like drugs or surgery to affect health problems. The problem has been that since everyone tends to think of “medicine” only in terms of outside resources, acupuncture seemed to make no sense and skepticism was great. Once it sinks-in that this form of therapy is all about stimulating the body’s own resources, it begins to make sense including why it has proven so difficult to study in controlled research studies. – Matthew D Bauer, L.Ac.
02:56 PM on 06/08/2012
"good work as an ambassador of Chinese medicine in a Western medical setting"

Of course, one has the problem that "Chinese medicine" (a vaguely insulting term, as though the Chinese are somehow cartoonishly mired in a vitalistic past) isn't all that popular in the mysterious Orient in the first place (e.g., PMIDs 19917139, 17319950, 18691428), with herbalism soundly trouncing acupuncture.
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11:13 PM on 06/08/2012
Actually this is incorrect. I recently spent a month in China and acupuncture is widely used throughout the country in hospitals which integrate Traditional Chinese medicine with Western medicine. Traditional Chinese medicine was suppressed by the Chinese government during the Cultural Revolution, however the government has since recognized its importance and efficacy and the use of acupuncture as well as Chinese herbs is widespread.
11:33 AM on 06/07/2012
Excellent article, Phil! Thanks so much for posting and for promoting our "beautiful medicine!" Melanie Miller, L.Ac., Scottsdale, AZ.
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No death panels
There's no man with a trumpet. Only me.
01:05 AM on 06/07/2012
There are certified detox specialists? Who knew?
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Sharon Hanson
Skeptical of the *pseudo-skeptics*
10:57 PM on 06/08/2012
We certainly need them. I for one am glad they are around. Have you ever been poisoned? I have to the point of total disability from gadolinium based contrasting agents used for MRIs. That right, I was poisoned by main stream medicine. Main stream medicine is the leading cause of death in our country right now.
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HUFFPOST SUPER USER
No death panels
There's no man with a trumpet. Only me.
09:30 AM on 06/09/2012
I was bitten by a scorpion once.
11:52 PM on 06/06/2012
Well put, Phil! It really does feel like we are at the dawning of true integration in the US. Plenty of other countries do it already.
09:10 PM on 06/06/2012
"Thousands of years ago, Chinese ancients spent whole lifetimes observing nature, discovered the secrets of healing naturally, and passed down this beautiful medicine generation to generation."

Uh-huh. How did the "Chinese ancients" fashion steel needles? Why do their tools appear to be the usual lancets associated with bloodletting? Why were the "meridians" casually moved away from veins when acupuncture was reinvigorated (the first time, not the Maoist one) in the early 20th century? Why is sham acupuncture apparently even better than the real thing? Why is the lede excitement over the potential of federally subsidized marks for this game?
06:24 PM on 06/07/2012
There is not such thing as sham acupuncture. You are still inserting a solid filiform needle into the body and therefore it's still acupuncture. If you do not do an entire treatment and only stick one needle. Then it's not effective. If you don't follow the entire course of antibiotics, the effects don't last and the infection comes back. Please follow directions. Initially sharp fish bones and stones were used as needles. Please cite when the meridians were casually moved away from veins. The definition of an acupuncture point is that it has lower electrical resistance in the body. Please answer me why the studies conducted of acupuncture vs. SSRIs that the acupuncture tends to be more effective. Effective = (Same clinical effect - Side effects).
10:53 PM on 06/07/2012
"There is not such thing as sham acupuncture. You are still inserting a solid filiform needle into the body and therefore it's still acupuncture."

Nope. Neither the Streitberger nor the Park sham needle penetrates the skin.

"If you don't follow the entire course of antibiotics, the effects don't last and the infection comes back."

This is apropos of nothing.

"Initially sharp fish bones and stones were used as needles."

Do these look like fish bones to you? http://farm5.static.flickr.com/4153/4989983488_46abaa5ffe.jpg

"Please cite when the meridians were casually moved away from veins."

In the 1930s, when Cheng Dan'an got hip to the Western study of nervous system function.

"The definition of an acupuncture point is that it has lower electrical resistance in the body."

This doesn't mean anything. And I don't mean "has no significance," I mean "has no semantic content."

"Please answer me why the studies conducted of acupuncture vs. SSRIs that the acupuncture tends to be more effective."

Perhaps you'd like to provide them first. It is well known that serotonergic antidepressants aren't much more effective than placebo for mild depression.