The Center for Integrated Medicine Brochure
Defining Integrated Medicine
Historical Perspective
How it Works
Which Conditions Respond Best to Chinese Medicine and Acupuncture
Choosing the Best of Both Worlds
Christina Stemmler, M.D.
The "Western" Side
Acupuncture Treatments-What to Expect
East or West, What is Best?
Recommended Reading List
Practice Policies
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Integrated Medicine is a comprehensive form of medical care, delivered by physicians
who are dually trained in Eastern and Western Medicine, and who are able to integrate
concepts from both systems, thereby preventing, diagnosing and treating illness within a
third framework resulting from the merge of the two. Furthermore, a patient being
evaluated and treated within such a framework
is being considered as a whole living system, with an appreciation for all physical,
mental and spiritual aspects of health and disease, may benefit from earlier recognition
and treatment of subtle signs of dysfunction which, if neglected, could lead to more
established diseases, has a wider range of therapeutic options, starting with the safest
and most effective approaches, only to move to more invasive interventions as it becomes
necessary.
In addition to acupuncture, Chinese Medicine may also include: Acupuncture originated in China, where it has been practiced as far back as 1200 B.C.
As a result, Chinese medicine is considered to be the most widely used system of medicine
in our history more so than all other systems of medicine combined. By the 17th century French Jesuits had brought acupuncture into Europe, yet to
Americans, acupuncture continued to be "A mystery of the Far East--A Chinese-only
phenomenon" until the early 1970's, when diplomatic relations between the U.S. and
China became a reality. Even then, U.S. physicians eager to learn about this strange yet apparently powerful
form of medicine, embarked into its practice and research with the lightness of a first
time amateur chopstick-user. This shallowness of scientific curiosity left many bold adventurers stranded, and soon
their frustration and confusion was transformed into a righteous rejection of the entire
system. For the next decade and, even to this day for some, American physicians ignored
Chinese medicine from a position of ignorance. With the discovery of opiate receptors by Drs. C. Pert and S. Snyder at Johns Hopkins
in 1973, and later that decade, as Dr. B. Pomeranz's team at the Univ. of Toronto
demonstrated that acupuncture effects may be related to an opioid (endorphin)
neuro-transmitter system, the medical community showed a renewed interest in this ancient
healing system. By then a smaller, but stronger and continuously growing group of
physicians sought to learn Chinese medical theory in depth and become proficient in its
practice. Their serious effort and dedication to excellence was soon rewarded with
clinical outcomes which were far beyond everybody's most optimistic expectations. The egg
had been cracked. Acupuncture did work in the hands of well trained Western
practitioners. It was no longer a far Eastern "magical trick", and it confirmed
what the Chinese sages had said for centuries: "If you understand you don't need
an explanation; If you don't understand, you need less of an explanation."
Although many theories have been postulated to explain how acupuncture works, none by
itself is complex enough to explain the multiple beneficial effects this form of treatment
has on human beings, as well as on animals. Acupuncture is being successfully used by
veterinary doctors (for both small and large animals) who belong to the growing
International Veterinary Acupuncture Society (IVAS). Before you decide "to have Rover
put to sleep because of his disabling arthritis", please check with your local
veterinary acupuncturist. You might enjoy a happy pet for a few more years. You may
contact the IVAS at (303) 449-7936 in Boulder, Colorado, to find a specialized vet in your
area. It is known that acupuncture points are areas of increased electrical activity, lowered
skin resistance and, anatomically, it has been observed that nerve endings are denser at
these points. There are also a number of explanations to describe what happens to the body when a
needle is inserted into an acupuncture point. Theories vary from neuro-anatomical to
electrical (Physics), yet the most popular at this time is the chemical theory of
neurotransmitters (endorphins) release. Acupuncture works best for conditions that are functional and reversible and although
helpful, may not resolve more established diseases such as cysts, tumors or degenerative
processes. As a general rule, acupuncture can heal what is disturbed; it cannot heal what is
destroyed.
Medical acupuncture is just one part of Chinese medicine, a complete medical system
which has been in operation for several millennia. Therefore, a large number of ailments
across all specialties will respond to acupuncture: Integrated Medicine is rapidly developing into a specialty for physicians who are
dually-trained in Western and Chinese medicine. Acupuncture, as it is known in the United States, is usually delivered by practitioners
without medical school training. Therefore, the acupuncturist's view is limited to that of
his or her training in Oriental medicine, with relatively little exposure to Western
medicine. On the other hand, a physician trained in both systems can look at the patient
from both perspectives and provide the patient with a wider range of treatment options,
often avoiding unnecessary and hazardous interventions by carefully selecting the safest
and most effective approach from either system. In addition, a physician is also trained
to quickly and effectively detect and handle urgent problems and those not treatable with
acupuncture. At times a Western intervention may be more appropriate and often a
combination of both methods may be in order. Most importantly though, is the fact that such a dual background allows a physician to
correlate diagnostic signs of both systems. By recognizing earlier signs of dysfunction
(using Chinese clinical skills), confirmation by Western medical technology can be
initiated, opening the doors to a whole new era of earlier screening and disease
prevention. This may actually prove to be Chinese Medicine's most valuable gift to Western
medicine.
Dr. Stemmler effectively combines Eastern and Western medicine, providing
multiple options and creative alternatives to adverse effects-ridden chemical treatments,
unnecessary surgical procedures, and hazardous diagnostic and therapeutic modalities. Memberships: National and International lecturer, teacher, and writerInterviewed for numerous TV and
Radio shows: Channel 11, Houston CBS affiliate news; Channel 45, Univision, Houston; NBC
Dateline, NY; KMPQ Radio, Houston; Wisconsin Public Radio, among others. Featured in various printed media publications: Consumers Reports, Family Practice
News, AAFP Reporter, Glamour, UT-Lifetime Health Letter, Houston Post, New Woman, Women's
Health Advocate, Natural Health and Longevity Magazine, to mention a few. Dr. Stemmler has the keen ability to simplify the complex and to educate all levels of
students with a contagious enthusiasm and healthy sense of humor.
Dr. Stemmler is a board-certified family physician with over 20 years of practice and
teaching experience. Routine services she offers include: Comprehensive physical exams,
with individualized selection of risk-oriented laboratory testing, EKG's, 24 hour blood
pressure monitoring, 24-hour holters for the diagnosis of arrhythmias,
spirometries,
echocardiograms and ultrasounds, audiometries, ear lavage, visual screenings, 60 cm
flexible sigmoidoscopies, cancer screening, routine and travel immunizations and
mammography referrals; Routine Gyn Exams, with breast and pelvic exams, Pap smears and
evaluation and treatment of a variety of gynecological problems; Office surgery, with
evaluation and resection of moles, cysts, abcesses, warts, skin conditions, ingrown and
infected toenails and ear piercing; Genital and urinary problems, including infections and
sexual dysfunction; Ambulatory orthopedics. Dermatology, Infants, children and
adolescents; Preventive Medicine, including nutrition, screening and lifestyle planning;
Pain Management Individual, Couples and Family Counseling, emphasizing a brief, problem
solving, strategic approach to emotional and relationship problems. For conditions requiring specialty care or hospitalization, Dr. Stemmler will refer her
patients to one or more of the best consultants she has hand picked throughout her years
in Houston.
The frequency and number of treatments vary with the type of condition, time of onset,
severity of illness, the patient's constitution, as well as associated ailments occurring
in the same person. Most conditions in our practice respond within 6-12 weekly treatments, but fewer or
more sessions may be required at times. For very severe conditions, treatments may be advised at a rate of 2-3 per week
initially and for those patients responding with an 80-90% improvement, longer intervals
extending to 2-4 weeks may be suggested until complete resolution occurs. Estimated time per office visit is approximately 1 hour with needles left in place for
20-30 minutes. All needles are disposable and, due to their very thin caliber (8-10 times
thinner than your average injection or blood-drawing needles) are barely felt by most
patients and, if so, only momentarily. Once the needles are inserted, discomfort is
usually not reported and the majority of patients doze off into a restful nap. For recent
onset conditions, only 1 or 2 treatments may be required and for health maintenance, 2-4
visits a year are the norm. There are virtually no side effects to acupuncture except for minor changes in
sleep, digestive or urinary functions and emotional state (transiently tearful and tired,
or often giggly and full of energy). Minor bleeding after the needles are removed or
a small "black and blue spot" may occassionally occur. For best results, refrain
from exercise, big meals (3-4 course), alcohol and sex, 4-6 hours after acupuncture
sessions, since any of these activities may change the energetic pattern resulting from
the treatment.
So many of my patients come to see me "as a last resort" for my Chinese medical skills, and they often forget I am a Board-certified family physician with ten years of graduate medical training. Often patients ask me for a referral to a family doctor for their physicals, a gynecologist for their Pap smear, a dermatologist to burn off a skin lesion, an otorhinolaryngologist to clean out their ears. Most of my long-term patients obtain all such care at my office within the same visit of an acupuncture treatment, if they happen to come for that reason. "Integrating" their care in such a way gives them access to a true holistic approach with more choices, and without conflictive messages of what is 'best" - East or West. I make suggestions regarding their treatment, and they choose the approach they prefer. Such integration allows for a more efficient use of their time, avoiding the logistics of setting up an appointment elsewhere, taking another day off, driving over, waiting and adjusting to a whole new set up. Few offices offer the physical and emotional comfort we strive to provide for our patients; and I challenge anybody to find a more charming and caring pair than Francie and Fernando! So next time you are due for your gynecology exam, yearly physical, dermatological check, or any other routine medical visit, bring it to our attention; we will be happy to accommodate to your one and all needs.
Moxibustion, or stimulation of the acupuncture points by heating the needles or the
points with a "moxa"stick, the rolled up leaves of the European and Asian grown
mugwort, known scientifically as "Artemisia Vulgaris"; Cupping, or
stimulation of the points by applying a glass, bamboo or ceramic cup on a point, after a
partial vacuum has been obtained inside the container with a flame; Chinese massage
or "Tui-na", which uses acupuncture points, rather than muscle groups;
T'ai
Chi or movement therapy, a gentle form of one of the most forceful martial arts;
Chi
Kung, or internal breathing exercises,
which concentrate on the flow of the
meridians; Herbology, where usually a combination of herbs, based on "old
Chinese formulas", is used in the form of teas, extracts or pills; Nutritional
Therapeutics, based on the foundation of Yin and Yang (or the principle
of opposites), where food is used therapeutically and specifically for each condition,
depending on the Yin/Yang nature of the illness and the equivalent Yin/Yang
quality of each food item.
Historical Perspective
How It Works
The layout of the
meridian system has been thought of as "energy channels", "like rivers
flowing through the body" or "like electromagnetic fields surrounding and
traversing the body" (just as electromagnetic fields behave around the Earth and all
living systems).
Which Conditions Respond Best
To Chinese Medicine and Acupuncture
ORTHOPEDIC PROBLEMS, such as tennis elbow and other tendinitis, frozen shoulder,
low back pain, neck pain and many degenerative (arthritic) and post-traumatic (sport and
other injuries) joint disorders. RESPIRATORY AND ENT DISORDERS, such as asthma,
bronchitis, recurrent respiratory infections, rhinitis and sinusitis, toothaches, ringing
of the ears, functional vertigo (like Meniere's) and TMJ. ALLERGY PROBLEMS,
including certain eczemas and seasonal allergies, manifesting as itchy eyes, runny nose
and sinus headaches. DIGESTIVE DYSFUNCTIONS, such as constipation, diarrhea,
spastic colon, colitis, excessive acidity and gastritis. URINARY & GENITAL PROBLEMS,
such as recurrent cystitis, vaginitis and urethritis, menstrual cramps and PMS, menstrual
irregularities, as well as painful intercourse and a lack of sexual desire or enjoyment.
NEUROLOGICAL
DISORDERS, including most types of headaches, peripheral neuropathies, post-herpetic
neuralgia, trigeminal neuralgia, Bell's palsy, post-stroke paralysis,
torticollis,
sciatica, tremors and facial tics. NEURO-PSYCHIATRIC PROBLEMS, such as anxiety,
tension, depression and insomnia. SOME RARE, yet otherwise difficult-to-treat
conditions, such as certain types of hair loss, non-organic infertility problems,
psoriasis, interstitial cystitis and stress urinary incontinence, and various forms of
post-operative pain, often resolve with acupuncture when delivered by expert hands.
Choosing the Best of Both Worlds
Christina
Stemmler, M.D.
Doctor
Stemmler at her Desk She skillfully selects "The Best of Two Worlds",
offering patients the safest care with the most desirable outcomes. Her multinational
background (German-born, South American-raised, world traveled and fluent in German,
Spanish, English and French; now a student of Mandarin Chinese) allows her to explore and
understand cross-cultural healing systems, as well as the complexities of each human being
she cares for.
American Board of Family Practice Past-President, American Academy of Medical Acupuncture (AAMA) Executive
Director, Institute for the Advancement of Medical Acupuncture (IAMA) Founding
Editor-In-Chief, the AAMA Review Editor, Integrated Medicine Newsletter Board of
Directors, Society for Acupuncture Research
The "Western" Side
Acupuncture Treatments-What to
Expect
East or West, What is Best?
1. Becker, R. O. Selden, G. The Body Electric - Wm Morrow & Co., N.Y., 1985
2. Mann, F. Acupuncture - Cure of Many Diseases - Butterworth Heinemann, Oxford, U.K., 1996
3. Kaptchuck, T.J. The Web that has no Weaver - Congdon & Weed, New York,N.Y., 1983
4. Van Alphen, J. & Aris, A. Oriental Medicine - An Illustrated Guide to the Asian Arts of Healing - Shambhala, Boston, MA, 1996
5. Mitchell, E. Plain Talk about Acupuncture - Wholehall Inc. New York, NY 1987
6. Temple, R. The Genius of China - 3,000 Years of Science, Discovery & Invention - Simon & Schuster, N.Y., 1986
7. Aria, B., Eng Gong, R. & Ehlers, L. The Nature of The Chinese Character - Simon & Schuster, New York, N.Y., 1991
8. Stux, G. & Pomeranz, B. Basics of Acupuncture - Springer - Verlag, New York, N.Y., 1995
9. Unschuld, P. U. Medicine in China, A History of Ideas - Univ. of CA Press, Berkeley, CA, 1985
Patients are expected to pay at the time services are rendered and they are given all the necessary information to file the claims with their insurance company. Because of the frequency of treatments required and the high percentage of health professionals who are patients at our practice, we cannot extend professional courtesy under any circumstances.
No refunds will be granted for either services or medications dispensed. Health Department regulations will not allow us to accept any returned bottles once they leave our premises, regardless of their condition.
If you must cancel your appointment, please notify us 24 hours in advance so that we may accommodate other patients who are waiting to be seen. Failure to cancel in advance or missing an appointment will result in a charge. This policy has become necessary because a growing number of patients would either not show for their appointments or cancel without notice, making it increasingly difficult to accommodate other patients in need of care.
When another doctor requests a copy of medical records, they will be mailed to the doctor (with written patient authorization) at no charge. There is a charge for copies of medical records in all other situations (law firms, insurance companies, etc.). There is also a charge for letters, narratives and special forms to be filled out.
The office team strives to provide an atmosphere of professionalism, respect,
compassion and caring, and the maintenance of a high quality doctor-patient-staff
relationship. Any problems experienced by a patient in this area should be brought up to
the doctor or the administrator for proper handling, since it may otherwise compromise the
doctor-patient-staff relationship and the environment for healing.