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Alternative Medicine in Pittsburgh’s East End
by Charles D. Lanigan

 Introduction

Pittsburgh has a national and international reputation as a center for medical care.  Until recently, this care was offered primarily through the area’s doctors and hospitals, many of which are concentrated in the city’s East End.

In the past ten years, a variety of practitioners and resources for those seeking alternative paths to health and wellness have appeared in Oakland, Shadyside and Squirrel Hill.  Some of the paths they offer deviate sharply from the direction taken by western (allopathic) medical establishment. Others complement allopathic medical treatment with therapies drawn from Chinese and Native American culture, traditional folk medicine, and eastern religion. These therapies include acupuncture, herbal medicine (naturopathy) and homeopathy.

The increasing local availability of alternative medical resources reflects a nationwide trend toward seeking alternatives to high-tech, low-touch health care.  What used to be seen as the domain of the counterculture has moved toward the mainstream. This trend stems from an increased awareness by many individuals that factors such as lifestyle and diet affect our health and susceptibility to disease, and that we have some control over these. 

This article briefly describes some alternative pathways to health and wellness and cites selected practitioners and resources in Oakland, Squirrel Hill and Shadyside.  Most alternative approaches to health and wellness emphasize personal responsibility and empowerment in seeking to maintain or improve your physical, spiritual and emotional health. As with most trends, it pays to educate you.  Ask questions. Do research. If you have never thought about investigating alternative approaches to health such as acupuncture, herbal medicine or homeopathy, you will find some new information here to consider.  If you already know about alternative approaches to health and wellness, you will find specific resources and perhaps some new information on local practitioners and hospitals that apply and integrate alternative approaches into the care they provide.

 

Definitions[Top]

Approaches to health and wellness that deviate from the standard, allopathic medical treatments that most of us are used to often get lumped together under the label alternative. But not all alternative medicine is created equal. The label alternative does not address the great variety of backgrounds and philosophical and cultural underpinnings that inform these different approaches.  Some therapies, such as acupuncture and meditation, predate allopathic medicine by over one thousand years.  Others, such as homeopathy, are relatively new.  Following are some terms and definitions.

Acupuncture: Works through shallow insertion of fine, sterilized needles into specific points on the body to free up Chi (energy) and promote balance and healing.

Allopathic Medicine:  Sometimes also called western medicine; the kind of medical care that most Americans are familiar with.  Uses drugs and surgery as the main modes of fighting disease.

Aromatherapy:  Utilizes the natural aromatic aspect of plants and their essential oils for their scent and inherent medicinal and healing properties.

Chiropractic:   A system of health care that focuses on the nervous system as a key component of health. Practitioners treat people by adjusting and manipulating the vertebral column and extremities with the aim of restoring normal nerve function and thus addressing musculo-skeletal and related disturbances.

Guided Imagery:   A form of meditation that may include self-hypnosis.  Uses positive suggestion to help release a negative self-image, assist in creating and achieving goals, boost the immune system, and relieve physical, mental and emotional stress.

Herbal Medicine:  Uses herbs and other botanical and natural products to strengthen the body and treat disease.

Homeopathy:  A system of medicine founded in the early 19th century by German physician Samuel Hahnemann that seeks to address the underlying cause of illness.  Based on the law of similars, the single medicine and the minimum dose. 

Massage:  Therapeutic use of gliding, kneading and rubbing strokes to promote relaxation, improve circulation and range of motion and relieve muscle tension. 

Meditation:   Focuses the mind in a therapeutic way to achieve relaxation and counter stress.

Music Therapy:  Uses music for relaxation, stress reduction, pain control, communication in sound, and self-expression.

Naturopathy:   Emphasizes the body's ability to heal itself and focuses on prevention and balance.  Includes natural healing methods such as herbal (botanical) medicine and nutrition.

Reiki:  Literally translated, means "guided universal life force energy." Said to have been created more than 2,500 years ago by Tibetan monks as a spiritual discipline for enlightenment. Used today as a healing system to relieve pain, loosen blocked energy and promote total relaxation.

Traditional Chinese Medicine (TCM):  Includes acupuncture, as well as other herbal treatments based on fundamental Chinese approach to disease and wellness that includes idea of Chi, or energy meridians.

 Wholistic (or Holistic) Medicine:   An integrated approach that may include a variety of treatments addressing the body, mind and spirit.

 Yoga:  From a Sanskrit term meaning union or joining.  Traditional Indian system which uses breathing and stretching to unite the mind, body and spirit and enrich the quality of one's life and health.

 Please note that any one of these approaches may be used by itself, or in conjunction with others; including allopathic medicine.

 

Selected Practitioners & Resources  [Top]

One of the misunderstandings associated with an alternative approach to wellness is that it is incompatible with modern, high-tech, western medical treatment.  In this view, drugs, surgery and other tools of allopathic medicine are seen exclusively as bad, while alternatives are more natural, and thus good. While some adherents of alternative health take this either-or view, few practitioners of alternative medicine suggest that a patient should stop seeing his or her regular physician.

Allopathic medicine and alternative medicine each have their strengths and weaknesses. Allopathic medicine excels in crisis intervention and diagnosis of critical, life-threatening conditions. Alternative approaches, for the most part, focus on prevention of illness and management of health and well- being.  The very thing that makes allopathic medicine so effective in a crisis, however, can lead it to fall short in long- term prevention and health management. Patients often wait until they are sick to call a doctor instead of educating themselves and taking responsibility for their own long term care and health.

 "Many people want to be given a pill -- 'fix me'," says Franne Berez, an alternative medicine practitioner and MD in Squirrel Hill who specializes in homeopathy.  “We worship the bypasses and the transplants and the mechanics of it all.”

Berez, a Pittsburgh native with her office on Beacon Street in Squirrel Hill, cites her positive experience with acupuncture as the motivation that led her to practice alternative medicine. She completed a medical degree in both regular medicine and homeopathy before moving back to the city in 1981.

Although Berez specializes in homeopathy, she also refers patients out for alternative treatments such as acupuncture and traditional Chinese medicine (TCM).  She prescribes antibiotics or antidepressants where necessary.  But her primary purpose is to find the underlying cause of a malady, not just treat the symptoms.

“'The goal of homeopathy is to cure the patient... to re-balance the entire person," she says.

Berez says she feels the medical establishment in Pittsburgh and other areas of the country have become more willing to give credence to alternative medicine.  She cites a Harvard survey done in the early 1990s that showed more people consulted alternative health practitioners as a group than they did family practitioners.  She also mentions an article in the Journal of the American Medical Association (JAMA) that publicized results of a study conducted by the Federal Office of Alternative Medicine.  The study indicated that three out of seven alternative therapies tested, including acupuncture, were effective.

"What I see happening," Berez says, "is integrative medicine. Your regular family practitioner will [eventually] be offering these services."

 * * *

Two mainstays of medical care in Pittsburgh's east end, UPMC Shadyside Hospital and Magee-Women's Hospital, offer integrative medicine now.

At UPMC Shadyside Beverly Spiro and Dr. Lewis Mehl-Madrona, author of the book Coyote Medicine, co-founded the Center for Integrative Medicine and worked to combine alternative approaches to health and wellness with mainstream medicine.

Spiro, a nurse-practitioner and former clinical director who remains at the center following Mehl-Madrona’s departure, draws a distinction between healing versus curing.  She says healing is the main focus of the program.  Patients arrive from around the country with conditions ranging from cancer to chronic fatigue syndrome to fibromyalgia.  In such cases, she says, "...our purpose may  be not cure them so much as heal, to improve the quality of  life or manage pain."

The center offers therapies ranging from naturopathy, acupuncture and Shiatsu, to massage, biofeedback and hypnosis.  In addition to a specific treatment or therapy, the center offers educational programs and classes.  Most referrals must come through the patient's regular physician. Clients must have already undergone a conventional medical workup before coming to the center for alternative approaches. The center then works with patients’ primary physician to foster an integrated approach.  Some treatments may be covered by insurance.

Magee-Womens Hospital implemented a program in alternative and wholistic health through its Womancare centers in response to increased demand from patients interested in pursuing alternative approaches to wellness in a range of areas -- from maternity and conception to weight loss and menopause.

Through its partnership with Deborah Barr and Whole Health Resources, Magee has previously offered classes in stress reduction, natural weight loss, aromatherapy and yoga.  In addition, Magee sponsored research on the risks, benefits and clinical usefulness of complementary medicine through a grant from the National Institutes of Health, Office of Alternative Medicine.

* * *

Deborah Barr, founder of Whole Health Resources in Squirrel Hill, opened her first office in Oakmont in the mid-80s, and considers herself a wholistic health advocate. She became interested in nutrition as a way to treat her daughter's allergies.  Her interest evolved into an appreciation of, and investigation into, alternative and wholistic approaches to health. 

"I met the most remarkable people who had reversed very serious health problems.  They were all kinds of people: older people, professional people. At the time [the late '70s and early '80s] the tendency was to think anyone into natural health was a hippy and smoked pot.  That's not who I was meeting."

When asked about the possibility of being misled by alternative health trends or being taken advantage of by unscrupulous practitioners, she answers "Trust your intuition.  Come in and talk.  See what their other patients have to say.”

Whole Health Resources works with psychologists and takes a variety of approaches to wellness, including diet, nutrition, massage, yoga and herbal remedies.  First- time visitors fill out an inventory and spend time talking with Barr about their goals and what they want to achieve in working with her.  She says in all cases she seeks to focus on the physical, emotional, mental and spiritual basis of an individual's health. 

 

Conclusion[Top]

Although Pittsburgh may have lagged behind other areas of the  country in the alternative health services it  offers and progress in integrating them into the mainstream,  it's also clear that there's a lot of activity being generated and  a close-knit community of practitioners providing resources.  The resources and alternatives are there for anyone interested in pursuing them toward enhancing the health and wellness of themselves and the people they care about. 

 

[Editor's Note: For additional information and resources about available Holistic Health resources in the Greater Pittsburgh area, please go to www.holisticpittsburgh.com, the area's official holistic lifestyles information portal.]

 


(C) 2005 Copyright Charles D. Lanigan. All Rights Reserved. Reprinted with Permission.

 

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