Opioids For Chronic Pain

The use of opioids to assuage end-of-life cancer pain is the incontrovertible standard of care. The use of opioids to treat chronic non-malignant pain, defined as pain that has lasted longer than 3 months, which is the time necessary for normal tissue healing, is the subject of debate.

Chronic non-malignant pain in this post will be called chronic pain.

Problem Solving in Chinese Medicine

Evidence Based Medicine (EBM) has not eliminated the need for the somewhat elusive clinical mental activity called “problem-solving.” Every systematic review presents the interpretation of an “expert,” whose biases remain largely invisible to the consumer of the review. In addition, meta-analyses cannot generate evidence where there are no adequate randomized trials, and most of what clinicians face will never be thoroughly tested in a randomized trial.

Modern Medicine in China: Shanghai University of Traditional Chinese Medicine's Long Hua Hospital

Herbal medicine plays a mainstream role in insurance-reimbursed, government regulated, medical care in China and Japan. An estimated eighty five percent of Western trained allopathic physicians in Japan and China, use Kampō (Japanese traditional medicine) and traditional Chinese medicine respectively in daily practice. The standard of medical care is the same in Japan and China as it is in the United States.

Ma Huang (Herbae Ephedra): Setting the Record Straight

This paper entitled "Ma Huang (Herbae Ephedra): Setting the Record Straight" appeared in the Journal of Chinese Medicine, February 2016 issue. The article presents the Western biochemistry of ephedrine and pseudoephedrine (the pharmacologically active ingredients in Ephedra), and the Chinese medicine application of the whole herb, Ephedra. The paper reviews the proper uses of the Chinese herb in anti-asthmatic formulas, and the improper applications of the herb in combination with caffeine for weight loss.

Vaccines and the Measles

Written by Dr. Elvove MD, PC, Home Health Update.
Posted with Dr. Elvove's kind permission.

To evaluate a particular vaccine, it is helpful to compare it to the image of a "perfect vaccine". A perfect vaccine would protect a person from a dangerous infectious disease that exists in the community, and would have no harmful side effects.

Challenges and Thoughts About the Integration of Traditional Chinese Medicine (TCM) and Western Medicine

I recently read an article in Science [Science 346 (6216 Suppl) 2014] about the integration of TCM and Western medicine. In response, I would like to propose the following: TCM and Western medicine have different strengths and independent approaches to understanding and explaining health and disease, and therefore, they have the potential to be complementary. They are in no way mutually exclusive. Nobody will argue with the fact that in an emergent life-threatening situation, the best place to be is in a state-of-the-art American hospital. Western medicine excels at saving lives.

Acupuncture and Traditional Chinese Medicine for the management of chronic prostatitis with chronic pelvic pain syndrome

In September 2013 a case report I authored was published in the peer-reviewed Journal of Chiropractic Medicine on the successful use of acupuncture and Chinese herbal medicine to manage a case of chronic prostatitis with pelvic pain syndrome. This case report is an important contribution to the medical literature because it documents the use of a conservative treatment modality with no side effects to manage a chronic and incurable condition. The typical treatment to manage this condition is the long term use of pain killers.