C O L U M N S:
N E W S x I T E M S:
University presidents call for restructuring of UCSF Stanford Health Care
Volume 23 • No. 8 • August-September 1999
1.The Complementary Medicine Clinic was founded in April 1998 as part of UCSF Stanford Health Care. It offers multidisciplinary services intended to complement patients' overall medical care.
2. Programs and key staff include:
• Group Therapy: Individual counseling for patients with cancer or other serious, chronic illnesses. Generally 8- to 12-week sessions to help patients deal with adjustment to their illness or disability, including such issues as stress, symptom management, coping with fears about the illness and its treatment and adjustment to a new lifestyle. Staff: Pat Fobair, LCSW.
• Counseling for Patients with Serious Illnesses: Sessions of up to 12 weeks. Individual psychiatric counseling to help build coping skills. Staff: psychiatrist Andrew Freinkel.
• Alternative Medicine Counseling: Generally one evaluation and one follow-up visit for patients who want help in evaluating nontraditional treatment options. Staff: psychiatrist Andrew Freinkel. Nontraditional psychiatric treatments are evaluated by psychiatrist James Lock.
• Biofeedback: Generally one evaluation and 10 treatment sessions for any stress-related somatic symptom, muscular or vascular headaches, irritable bowel syndrome, chronic fatigue syndrome, Raynaud's, TMJ, asthma, PTSD with autonomic symptoms, primary dysmenorrhea, chronic pain syndromes and sexual dysfunction. Staff: Ian Wickramasekera, visiting professor of psychiatry and behavioral sciences.
• Acupuncture: Generally one evaluation and six treatments. Indications include pain, inflammation, neurological and musculo-skeletal disorders, as well as respiratory and gastrointestinal system disorders. Staff: Stanford faculty physicians and acupuncturists Brenda Golianu, acting assistant professor of anesthesia; Michael Fredericson, assistant professor of medicine; and Yuan-Chi Lin, associate professor of anesthesia.
• Hypnosis: Generally one evaluation and four to five treatments for pain control, stress, anxiety, depression, nausea, anxiety management related to a medical procedure, headaches or smoking. Practitioners include psychiatrist David Spiegel and psychologists Tom Nagy and Ian Wickramasekera.
• Massage: Single sessions are available for any stress related somatic symptom, chronic pain or fatigue, myofascial pain, limited joint mobility, soft-tissue injuries, cervical strain, TMJ, post surgery, anxiety, limited ROM, rheumatoid arthritis, and headaches. Licensed massage therapists Jonathan Parkes and Lee Erman.
• "Mindfulness Meditation": One evening weekly for eight weeks, plus a one-day retreat. The techniques are based on the principles developed by Jon Kabat-Zinn at the University of Massachusetts Medical Center. Indications include anxiety and panic disorders, headaches/ chronic pain, low energy, sleep disturbance, stress, type A behavior, cancer, AIDS, fatigue, depression, arthritis, gastrointestinal distress. Offered by Mark Abramson, a Redwood City dentist who specializes in facial pain.
• Heart Health: Groups are designed to help patients make needed lifestyle changes, as part of their ongoing medical care, to reduce the risk of future coronary events. The focus is on managing stress, improving diet and physical activity, and enhancing overall well-being. The program usually involves a series of 90-minute sessions held over a 10-week period. Led by Carl Thoresen, Stanford professor of education, psychology and psychiatry.
• Supportive Care Program for Cancer Patients: A free six-month program that offers weekly educational forums and 105 minutes of light exercise weekly through the end of the year. The classes emphasize nutrition, exercise and psychosocial support. The program was set up by Ernie Rosenbaum, a medical oncologist at UCSF/Mount Zion Cancer Center. Exercise classes are led by physical therapist Francine Manuel.
• Forgiveness Class: Assistance for patients to reduce anger and depression, as well as induce hopefulness following emotional wounds. Led by graduate student psychologist Fred Luskin.
• Additional specialized programs are planned. These include a weekly, eight-session class in self-management skills for coping with chronic pain. Leaders will include the Stanford Hospital and Clinics occupational therapy staffs. Another program will offer yoga.
3. An interdisciplinary advisory board, consisting of 10 physicians and three other clinical or full-time faculty members, provides oversight guidance regarding clinic programs. Members include Albert Bandura, professor of psychology; Robert W. Carlson, faculty oncologist; John W. Farquhar, professor of medicine and director emeritus of the Stanford Center for Research in Disease Prevention; Raymond Gaeta, faculty anesthesiologist and director of the Pain Management Clinic; Peter Gregory, chief medical officer at Stanford Hospital and Clinics; Stephanie Jeffrey, faculty surgeon; Kenneth Pelletier,
clinical associate professor of medicine and director of the Stanford Corporate Health Program; James A. Roberts, professor of gynecology and obstetrics; Robert Robbins, faculty cardiovascular surgeon and director of the cardiac transplant service; Robert Sapolsky, professor of biological sciences; Scott Wood, community internist; Andrew Zolopa, faculty infectious disease specialist and director of Stanford's Positive Care (HIV) Clinic; and Jeffrey Croke, an internal medicine specialist at Palo Alto Medical Foundation.
4. The clinic cooperates with but is distinct from the Complementary and Alternative Medicine Program at Stanford (CAMPS), an NIH-sponsored research unit. William Haskell, professor of medicine, is principal investigator of CAMPS.
5. Brenda Golianu, acting assistant professor of anesthesia, practices pediatric pain management at Packard Health Services. She became interested in acupuncture while spending her junior year as an MIT undergraduate in Xian, China. Golianu spent two years studying acupuncture at the Institute of Chinese Medicine in Taiwan. She received six month's additional acupuncture training in meridian therapy, a form of acupuncture, in Tokyo before graduating from Stanford medical school in 1991. She completed her anesthesia residency as well as fellowships in pain management and pediatrics before joining the faculty.
6. RoseAnn Kushner has been manager of the clinic since it opened. She previously served as psychiatry clinic manager for nearly three years and as nurse manager on the medical/ psychiatric and gero / psychiatric units from June 1989 to September 1997. Before coming to Stanford she served in a variety of capacities, including work as a registered nurse at the King County (Seattle) Jail and as a therapist in a family guidance center in Chicago. Kushner received her B.S. in nursing in 1979 from the University of San Diego. She holds a master's in education, granted in 1985 from Loyola University, Chicago.
