Integrative Medicine Title appears under Medtronic Logo followed by two-tone image that will be on cover of box and with "Lifelong Solutions for Living with Chronic Disease" in small print at the bottom of the cover BACK INSIDE COVER "Rather than treating chronic disease as a series of acute events, we believe the medical community is beginning to recognize the health and economic value in managing chronic disease holistically, from wellness through diagnosis to the treatment of advanced disease. We think Medtronic has a broader role to play along this continuum." —Bill George, Medtronic Chairman and Chief Executive Officer (January 11, 2000 Global Strategic Direction Meeting--Vision 2010) PAGE 1 The Voice of the Patient "Integrative medicine means humanizing the medical experience." —Tom Price, patient photo of Tom Price ‘THEY WROTE ME OFF' "You have three months to live." In 1996, Tom Price heard those chilling words from a team of cardiac specialists. They told him in front of his wife and son. "It was the starkness of the news that got me," says Price, now 47. "I was vital signs to them; make notes on their charts and then split. They said there wasn't any diet, any medication, any treatment—there wasn't anything that was going to save me. They told me to go home, buck up, and get my affairs in order." This dire news came after a long series of cardiac events: nine heart attacks, nine stents, a six-vessel bypass, a temporary pacemaker, and 10 coils. "I was told I had the heart of an 85-year-old man who had had diabetes his whole life. They said I was a poor candidate for a heart transplant. They wrote me off." Stunned and desperate, Price made one last call to the physician who had shown some compassion. Erminia Guarneri, MD, Medical Director at the Scripps Center for Integrative Medicine, could not offer a magic bullet to mend his heart. But she offered hope, which to Price was just as good. She also offered "new approaches" in treatment, recalls Price. His diet would change. He'd exercise more. He'd talk about his anger and stress in a support group. This support would impact him the most. "The whole socialization thing—the group support—was outstanding," says Price. "Heart disease is a lonely disease." Thanks to integrative medicine and surgical interventions, Price is still standing and calls himself "pretty good to go. This experience has cost me my business, my home of 20 years, my wife, and my fancy car. But there has been incredible healing. Right now, I'm having the time of my life." PAGE 2 What is Integrative Medicine? At the foundation of integrative medicine are four cornerstones. Integrative medicine: Empowers and gives voice to the patient Recognizes the patient's desire to be treated as a "whole" Values the patient-physician relationship Is the convergence of technology with the human side of healing In your packet, you will find An Integrative Approach to Cardiac Care. In this comprehensive-yet-practical resource, Gerald M. Lemole, M.D., discusses alternative and complementary medicine, and how they have evolved into integrative medicine. While the distinctions are important, the key point to remember is that with integrative medicine, the border is gone between traditional medicine and the myriad approaches that are beyond tradition. Creating Healing Options Recognizing that there are many paths to healing, integrative medicine means that complementary and conventional medicine each become full partners. These paths involve the body, mind, and soul. Integrative medicine offers the full spectrum of care, from the advanced medical technologies to complementary approaches that have stood the test of time and/or scientific scrutiny—preferably both. These approaches include four broad categories that make up integrative medicine: Diet and micronutrition Movement and exercise Mind-body-spirit resources for coping with stress and chronic disease Working in community to connect with others who share a similar path. Integrative medicine is empowering and motivating individuals to take responsibility for their recovery and health maintenance. Integrative medicine is creating healing options that are unparalleled in heath care today. Integrative medicine is "whatever-it-takes-to-heal" medicine. It is healing with a heavy emphasis on humanization. Perhaps Woodson Merrell, M.D., Executive Director of Beth Israel's Center for Health and Healing, puts it best: "I see integrative medicine as the future of medicine." PAGES 3 & 4 Consumer Demand When it comes to integrative medicine, consumers have been voting with their feet. One statistic stands out: The number of visits made in 1997 to providers of integrative medicine therapy (629 million) was greater than the number of visits to all primary care physicians nationwide (386 million). —Eisenberg et al. JAMA 1998;280:1569. Consumers are also voting with their checkbooks. Examples: In the year 2000, U.S. consumers are expected to spend more than $34 billion on integrative therapies. Washington Post.com, May 1999. In 1997, about 82 million Americans had out-of-pocket expenditures related to integrative therapies that exceeded $27 billion. —Eisenberg et al. JAMA 1998. 42 percent of integrative therapies were used to treat existing illness; 58 percent were used to prevent future illness or maintain health. JAMA, Nov. 11, 1998. (page heading) The Health Care Industry's Response These kinds of numbers have brought about significant changes in the way hospitals, medical schools, research centers, and the pharmaceutical industry look at disease and healing. According to a survey of about 1,000 U.S. hospitals, about 13 percent of them provide integrative therapies. The figure rises to 25 percent for inner city hospitals and 32 percent for hospitals with at least 500 beds. consulting firm Deloitte & Touche. Of 117 medical schools surveyed in 1997, 75 (64 percent) provided integrative medicine courses. —Wetzel M et al. JAMA 1998;280:784. There are many major university medical centers providing integrative medicine clinical programs. To name a few: Memorial Sloan Kettering (NY), Beth Israel Medical Center (NY), Columbia-Presbyterian (NY), Cedars Sinai (CA), Stanford University Hospital (CA), and the University of Maryland (MD). Major corporations now manufacturing herbs, supplements, and nutraceuticals include American Home Products, Warner Lambert, Bayer, Johnson and Johnson, and Bristol Myers Squibb. PAGE 5 Why Medtronic? For the past 50 years, Medtronic has established itself as the world's leading medical technology company, unique it its focus of restoring patients with chronic disease to full life. We are deeply proud of helping restore more than 2.5 million patients per year to fuller recovery and health. So, with our history of such success as a medical technology company, why isn't Medtronic just staying the course? Why are we supporting an integrative approach to healing in patients with chronic disease? There are three reasons: Our support of integrative medicine is inherent in Medtronic's mission statement and culture. We have never been satisfied with just being the world's leading implantable device company. We are committed to providing lifelong solutions to patients with chronic disease. We recognize that patients are more than their disease or device. Health care in this new century will be radically transformed by the rising power of the patient-consumer. Medtronic recognizes that healing and restoring patients to full health requires the treatment of the whole patient, as well as state-of-the-art technology. We believe that integrative medicine is offering hope and healing for a broader range of patients. As we partner with leading institutions via our Medtronic Foundation Health Center Leadership Grant Program, we look forward to learning about new ways to care for patients and demonstrating improved patient outcomes through a more comprehensive approach to patient care. We embrace innovative ways of serving the "whole" patient and encourage patients to take an active role in managing their health. We are excited to support such high caliber institutions as they work to transform the standards of patient care. PAGE 6 (Back cover) THESE WILL ACTUALLY GO INSIDE FRONT COVER TO GRAB THEIR ATTENTION Inside "It would be silly for doctors and hospitals to ignore something that will be a large part of health care for years to come." —neurologist Matthew Fink, M.D., President and Chief Executive of Beth Israel Medical Center. "A lot of physicians are making peace with the fact that they didn't learn every single thing there is to learn about healing in medical school. Enough physicians are open to these areas of healing that patients will have access if they look around." —heart surgeon Mehmet Oz, M.D., New York-Presbyterian Medical Center. "Each patient carries his own doctor inside him. They come to us not knowing that truth. We are at our best when we give the doctor who resides within each patient a chance to go to work." —Dr. Albert Schweitzer. outside - back cover - Medtronic name, logo. etc. Back   Gary Legwold glegwold@lutefisk.com (612) 926-1877 "Ideas Need Words" Home Page © Copyright 2004 Gary Legwold and Conrad Henry Press. All rights reserved.