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Category Archives: Integrative Medicine

Receipt of psychological counseling and integrative medicine services among breast cancer survivors with anxiety – DocWire News

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Breast Cancer Res Treat. 2020 Aug 9. doi: 10.1007/s10549-020-05859-0. Online ahead of print.

ABSTRACT

PURPOSE: To define the prevalence and risk factors of anxiety and examine rates and predictors of psychotherapy and integrative medicine service use in breast cancer survivors on aromatase inhibitors (AIs).

METHODS: Observational study of patients with histologically confirmed stage 0-III hormone receptor-positive breast cancer taking a third-generation AI at the time of enrollment. Patients completed self-report measures of anxiety and utilization of psychotherapy and integrative medicine services at a single time-point. We used multivariate logistic regression analyses to identify factors associated with anxiety and receipt of anxiety treatment services.

RESULTS: Among the 1085 participants, the majority were younger than 65 years of age (n = 673, 62.0%) and white (n = 899, 82.9%). Approximately one-third (30.8%) reported elevated anxiety ( 8 on the anxiety subscale of the Hospital Anxiety and Depression Scale). Of patients with elevated anxiety, only 24.6% reported receiving psychological counseling, 25.3% used integrative medicine services, and 39.8% received either type of treatment since their diagnosis. Patients with an education level of high school or less were less likely to receive psychological counseling (AOR, 0.43, 95% CI 0.19-0.95) and integrative medicine services (OR 0.30, 95% CI 0.12-0.72) than patients with higher levels of education.

CONCLUSIONS: Anxiety is common in breast cancer patients treated with AIs yet the majority of anxious patients do not receive evidence-based treatment, even when these treatments are available. Better systematic anxiety screening and treatment initiation are needed to reduce disparities in care by education level.

PMID:32772224 | DOI:10.1007/s10549-020-05859-0

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Rachael Cabreira brings Cliovana to Innovative Wellness, Inc. – PR Web

WALNUT CREEK, Calif. (PRWEB) August 14, 2020

Innovative Wellness, Inc., offers a holistic, multi-disciplinary, integrative approach to caring for patients to enhance the overall quality of life. Rachael is passionate about bringing freedom and dignity to patients who suffer from pelvic and sexual dysfunction and offers innovative treatment options to meet an array of healthcare needs.

Cliovana is a simple, completely non-invasive way to increase womens arousal levels and their orgasm frequency and intensity. Cliovana does not use lasers, scalpels, or needles, so there are no dangerous side effects. Many women want to get more out of sex but they want to do it in a way that respects their body. Cliovana is the perfect solution because it enhances arousal at the cellular level and causes your body to do more of what it does naturally - regenerate cells.

So how does Cliovana work? The body is always regenerating cells. Cliovana stimulates the body to do more of that, specifically in the genitals, and can lead to an increase in womens long-term sexual responsiveness. The technologies employed by Cliovana have been used for decades, all over the world, for a variety of health issues. The treatment is a total of four sessions at less than 10 minutes each, over the course of 2 weeks. Because it is 100% noninvasive, there is zero downtime.

Rachael Cabreira is the only medical practice in Walnut Creek who currently offers Cliovana treatments. Patients can find more information about the treatment as well as schedule a free consultation at http://www.cliovana.com.

Learn more about Cliovanahttps://cliovana.compractitionerinfo@cliovana.com1-888-583-5134@cliovana

About Rachael Cabreira and Innovative Wellness, Inc.Rachel has been practicing for over 20 years, specializing in obstetrics, infertility, urogynecology, female pelvic and sexual wellness. She received a Bachelor of Science in Nursing with a Minor in Psychology from University of Dominion College of San Rafael, and a Master of Science in Nursing, specializing as a Family Nurse Practitioner, from San Francisco State University, Rachael then went on to receive a Post-Mastery in Midwifery from the University of Cincinnati. She has completed and became a Certified Sexual Health Clinician from the American Academy of Anti-Aging and Regenerative Medicine and completed her fellowship in Integrative Medicine.

In addition to her role as CEO and Founder of Innovative Wellness, Rachael is also the founder of Pure Vitality Inc., a female intimate wellness company dedicated to formulating products that have therapeutic, regenerative, and protective properties that help women reclaim their sexuality and experience the awakening of the mind, body and spirit.

http://www.innovativewellnessinc.comCall for appointment: 925-954-8209

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Central Coast Voices: COVID-19 and its impact on non COVID care – KCBX

One of the many untold effects of the COVID-19 pandemic is the toll it is taking on patients without COVID. During the initial wave of COVID cases, staying home was universally urged to protect people from exposure to the infection, but, in the process, many people ignored serious medical issues that should have sent them to their provider or an emergency room. One survey found that almost one-third of people admitted to delaying or avoiding emergency care even though they needed it. While access and affordability continue to be a huge problem in healthcare, many today are wondering if it is safe to see the doctor for routine visits yet.

Join Kris Kington Barker as she hosts the program from homeamid concerns about the spread of theCOVID-19 virus. She will be speaking with Susan Polk, owner of Susan Polk InsuranceAgency and Lindsey Faucette,DO, FAAFP, Chief Medical Officer at SLO Health-Family and Integrative Medicine as they discuss how COVID-19 is impacting healthcare access, utilization and insurance coverage for non COVID care.

You are invited to listen, learn and participate in the conversationtoday, Thursday, between 1-2 pm. Call in and be part of the discussion at(805) 549-8855 or email questions to voices@kcbx.org.

Broadcast date: 8/13/20

Central Coast Voices is sponsored by ACTION for Healthy Communities in collaboration with KCBX and made possible through underwriting by Joan Gellert-Sargen.

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Feds seize boat, SUV, cash in medical fraud investigation involving Williamsburg therapist – Daily Press

Feds seize boat, SUV, cash in medical fraud investigation involving Williamsburg therapist  Daily Press

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Treating mind, body and spirit – UCI News

Your doctor diagnoses you with high blood pressure, orders various tests and sends you home with a prescription to keep it under control.

Thats the old-school model of a typical healthcare experience.

UCI Health, with its emphasis on evidence-based integrative health, is new-school, with world-class specialists who treat the immediate symptoms of heart disease and other conditions, as well as the mind and spirit of patients.

In addition to running traditional tests, integrative health doctors and nurses also conduct sophisticated diagnostic assessments and examine patients health history and lifestyle in depth including diet, exercise habits and other factors to devise a treatment plan.

Its a whole-person approach, says Dr. Ailin Barseghian, who specializes in preventive cardiology and integrative heart health at UCIs Susan Samueli Integrative Health Institute.

An assistant clinical professor in the School of Medicine, she is one of many physicians who will be offering this integrative approach to wellness at UCI Health Newport Beach, a multispecialty medical office opening in August in the Newport Center business complex surrounding Fashion Island.

The emphasis on integrative health at the new clinic, located at 2161 San Joaquin Hills Road, is being spearheaded by UCI Health cardiologist Shaista Malik, executive director of the Susan Samueli Integrative Health Institute and founding associate vice chancellor for integrative health at UCIs Susan and Henry Samueli College of Health Sciences.

UCI Health Newport Beachs services will include integrative cardiology, gastroenterology, dermatology and pain management, along with such therapies as acupuncture, massage, naturopathic medicine, mindfulness and yoga.

Reducing risk factors

With advanced testing and other supportive treatments, Barseghian says, we can personalize care for each individual and help reduce their risk factors for cardiovascular disease.

To be sure, traditional cardiologists also recommend that patients improve their diets, exercise a certain number of times each week and make other lifestyle changes, she says, but with integrative cardiology, we work as a team that includes an exercise specialist, a dietitian and other therapists to help guide people.

With a patient who has high blood pressure, for example, the goal is to get to the root of the problem, Barseghian explains: We assess nutrition and fitness, as well as sleep patterns and any possible stressors such as whether someone is going through a divorce or a difficult time on the job to see if theres an underlying cause. We might also try acupuncture, which studies show can lower blood pressure if a regular regimen is maintained.

Whats different about UCI Health Newport Beach, she adds, is that specialty care and most integrative health services are available in one location. The clinic is 7,000 square feet and will employ 13 non-provider staff members, with about five providers working each day.

Its certainly a unique resource in this area, Barseghian says. Some of these complementary therapies, like acupuncture, arent new. Were just including them when it comes to assessing the overall health of our patients.

Dedicated physicians

Barseghian, who graduated from New York Medical College, did most of her training at UCI. She completed an internal medicine residency and cardiovascular disease fellowship at UCI Medical Center, followed by a fellowship in interventional cardiology at Lenox Hill Heart and Vascular Institute in New York City.

Shes been on the faculty at UCI for five years and currently is seeing patients at the Susan Samueli Integrative Health Institute in Costa Mesa, UCI Health Tustin and the UCI Health Cardiovascular Center in Orange.

When I did my general cardiology training here, she says, I linked up with Dr. Malik. She had already started the preventive cardiology program, and I focused my training on that. She was my mentor.

Stress management, Barseghian notes, is an important element of integrative cardiology.

For instance, she says, its not uncommon to see blood pressure or a heart rate change based on stressors, especially prolonged or situational stress. And those are hard to manage with traditional pharmaceutical therapy, because the stressor still can surpass the medication benefit. So the focus then becomes finding ways to manage that stress to avoid a surge in blood pressure.

I love my work, Barseghian continues. In medicine, the biggest drive is your connection with your patients and having the opportunity to help and guide them. As an interventional cardiologist, I put in stents and treat heart attacks, and I see the disease progression. Being able to concentrate on prevention from the integrative standpoint just gives me more tools beyond the traditional pharmacological one.

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People: Keely Chevallier joins Nevada ENT and Hearing Associates – Northern Nevada Business Weekly

RENO, Nev. Nevada ENT and Hearing Associates announced Aug. 3 that Dr. Keely Chevallier joined the Reno-based practice.

According to an Aug. 3 press release, Dr. Chevallier, a Nevada native, comes from David Grant Medical Center at Travis Air Force Base, where she served as an Active Duty Air Force officer for four years, most recently as the Officer in Charge of the combined ENT, Audiology and Speech Language Pathology Clinic, and the Surgical Champion for the Hospitals Informatics Steering Committee.

She served a tour in Afghanistan in 2018 as the only NATO forces ENT in the country. During this time, she took care of patients including U.S. Service Members, NATO forces and Afghan troops, providing care for traumatic injuries, respiratory failure and all diseases of the ears, nose, and throat.

Dr. Chevallier received a Bachelor of Arts in integrative biology from University of California, Berkeley. She received her Doctor of Medicine degree from University of Colorado, School of Medicine in Aurora, Colorado and completed her residency in Otolaryngology/Head and Neck Surgery at University of Utah Hospital in Salt Lake City, Utah.

Dr. Chevallier has been a member of the Alpha Omega Alpha Medical Honor Society since 2009 and has been board certified with the American Board of Otolaryngology since 2017.

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