Sutter Geetha Tamaroon, D.O., of joined Pacific Medical Foundation as a hospitalist

Sutter Pacific Medical Foundation, part of the Sutter Health Network, today announced the addition in July of Geetha Tamaroon, D.O., a hospital in internal medicine and Hepatology.

Dr. Tamaroon, certified in internal medicine, received his doctorate in Osteopathic Medicine from Touro College of Osteopathic Medicine. She holds a master of public health in epidemiology and Biostatistics from UC Berkeley School of Public Health.

Dr. Tamaroon completed an internship and residency at Alameda County Medical Center.

Its Office is located in San Francisco at 2340 Clay St. on the third floor and she can be contacted at (415) 600-3458.

About Sutter Pacific Medical Foundation:

SUTTER Pacific Medical Foundation is a group of 250 + physicians offering primary, specialized and complex medical care. Our doctors in the counties of Del Norte, San Francisco, Marin, Sonoma and Lake combine the latest medical technology with personalized care. Within the network at not-for-profit Sutter Health, Sutter Pacific physicians are affiliated with some hospitals and more respected in the region and provide care in local communities. For more information or to find a doctor near you, visitwww.sutterpacific.org or call 1-888-699-DOCS (3627).

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Positive Naturopathic Integrative Medicine Cardiovascular Risk Study Provokes Editorial in Top Medical Journal

"Can naturopaths deliver complementary preventive medicine?" Thus ran the headline in a recent editorial in the Canadian Medical Association Journal.

The editorial was written in reference to the publication in the same edition of a randomized clinical trial led by Dugald Seely, N.D. Seely and 13 colleagues, most from the Canadian College of Naturopathic Medicine, published their findings that individualized, whole person-oriented naturopathic care produced reduced cardiovascular risk for a group of Canadian postal workers.

The study, and the editorial, illuminate both the benefits and challenges in research on any trial of a kind of care that lives up to either naturopathic medicine principles or integrative medicine principles. It also points the way to the kind of research we need to create cost savings through reformed care delivery.

The study ran under a typically-bland title that captured none of the momentous nature of the publication for the naturopathic medicine field: "Naturopathic medicine for the prevention of cardiovascular disease: a randomized controlled trial."

Since the study focused on the addition of naturopathic care to routine treatment, the 124 patients in the group who saw naturopathic doctors continued with their family physicians for routine care. The treated group engaged a scheduled series of seven visits -- the first for one hour and the subsequent six for 30 minutes -- in a 12-month period. "For consistency with naturopathic practice," Seely and his co-authors write, treatment was "individualized." The practitioners did agree to make their choices from a set of "specific diet and lifestyle recommendations and the prescription of selected natural products."

The protocol -- called "pragmatic" -- was meant to leave room for the diversity of "real world" integrative medicine practice by naturopathic doctors. Yet the limits placed on the naturopathic clinicians reflected a compromise with the desire of a reductive research protocol to strictly control inputs, regardless of whether or not such reduction has any resemblance whatsoever to the treatment individuals receive.

The results: In those with naturopathic treatment, the researchers "found a significant reduction in the risk of cardiovascular disease." The benefits were captured across a range of measures. The lead indicators were the extent to which these human beings, after treatment, had metabolic syndrome and cardiovascular risk. The naturopathic care group showed statistically significant health gains in both areas.

Not surprisingly, the treatment group also showed betterment "for almost all secondary outcomes" such as weight, exercise and general well-being.

The Canadian Medical Association Journal's deputy scientific editor, Mathew Stanbrook, M.D., Ph.D., answered the question in the title of his editorial affirmatively: "The results of Seely and colleagues' provide proof of principle that some aspects of cardiovascular prevention could feasibly and effectively be delegated to naturopaths."

The statement comes 80 percent of the way through a column that first raises many questions about the methods of Seely's group. Stanbrook sounds rather like he is damning with faint praise. One notes that he chooses to call the practitioners "naturopaths" rather than the "naturopathic doctors" in the text of the article and in the Ontario law based on the medical education the practitioners receive. Then, while Stanbrook notes that the researchers chose a "pragmatic trial" that is used to "validate the effectiveness of real-world health care decisions," he jabs them because "we can learn nothing new from this trial about supplements or any other individual components of care."

What we have learned about, however, is the outcomes of care by naturopathic doctors. It proved to be darned good. And this is just what the naturopathic medical profession needs to prove in order to drive decisions of employers, such as Canada Post and other health care purchasers and decision-makers.

This is also what the emerging specialty of board-certified integrative M.D.s and D.O.s will need to show. Does their care, following their principles and individualized methods, create health in the populations they serve?

From the perspective of the naturopathic medical profession's research base, this research on the discipline of naturopathic medicine pairs nicely with a recent trial led by Ryan Bradley, N.D., MPH, one of Seely's co-authors. Via Group Health Research Institute, Bradley and his team found significant patient benefits from adjunctive naturopathic treatment for individuals with adult-onset diabetes. In fact, the lifestyle change outcomes were so good they stimulated a subsequent Group Health analysis of the "secret sauce" of naturopathic care that led to the outcomes.

In accordance with the typical researcher's reductive bent, Stanbrook essentially recommends examining the individual supplements used, for instance, rather than the whole protocol. These might presumably be valuable if slipped into conventional medicine's drug model of cardiovascular treatment.

Yet there was a much better recommendation Stanbrook might have made, given the importance of cardiovascular disease in the high costs of health care.

But why not start by noting that optimal care of most individuals with cardiovascular risk involves multiple etiologies? Care is complex. Of necessity, it demands the kind of individualization of treatment and whole person approaches such as the naturopathic doctors and their integrative medicine brethren practice. A good clinician doesn't treat patients with lifestyle risks who are at differing levels of readiness for change with the same prescriptions.

Why not, then, Stanbrook might have recommend, a follow-up in which the naturopathic doctors are working in a primary care capacity, rather than adjunctively, with these individuals. This would not only be money saving. This is in fact typically the way these naturopathic doctors practice their brand of integrative medicine, in Ontario and elsewhere.

Such a study would limit costs of conventional care. Or, put differently, it would make the integrative medicine as provided in the naturopathic medical model the basic treatment. Such a study could prove very useful. It just might give us the kind of real-world, cost-saving guidance that health care needs for the treatment of those with cardiovascular and other expensive chronic conditions.

For more by John Weeks, click here.

For more on integrative medicine, click here.

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iPMI Magazine In Major Health and Medical Insurance Broker and Intermediary Recruitment Drive

International Private Medical Insurance (iPMI) is a Free Online Information Service Provided by Leading Health Insurance Magazine International Private Medical Insurance Magazine (iPMIM). International Private Medical Insurance brings Underwriters, Providers, Brokers, Intermediaries and End Users Together, Under 1 Roof. Working Hand-in-Hand with iPMI Magazine, International Private Medical Insurance aims to provide the latest and most up-to-speed product and solution information available, for leading health, medical and travel insurance brands.

The Aim of International Private Medical Insurance (iPMI) is to Provide Worldwide Health, Medical and Travel Insurance Underwriters, Brokers and Intermediaries, a Dedicated and Comprehensive Online Platform to Share Information, Best Practice and Industry Trends and News. International Private Medical Insurance Provides Underwriters and Brokers the Opportunity to Network Virtually and Provide all the Correct Information Required, to Manage a Health, Medical, and Travel Insurance Business.

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The Great Worldwide Health and Medical Insurance Broker Search, a Marketing Campaign by iPMIM, Will Capture More of the Market and Deliver More Introductions for Those Involved. As an Independent Authority, International Private Medical Insurance Will Provide Everything a Health Insurance Broker and Intermediary May Need, to Manage Their Health and Medical Insurance Broker Business Worldwide.

For Insurance Companies

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PCPCC Launches New Stakeholder Centers with Virtual Medical Home "Town Halls"

Throughout the month of February the Patient-Centered Primary Care Collaborative (PCPCC; www.pcpcc.net)  will hold virtual public forums to launch the work of its Stakeholder Centers (http://www.pcpcc.net/stakeholder-centers), each led by thought leaders and medical home experts from unique disciplines that are dedicated to building support, knowledge, and public awareness for the patient-centered medical home.

“We are delighted to engage the public in these open forums to drive awareness for the medical home and help us define strategies for encouraging its widespread adoption,” said Marci Nielsen, PhD, MPH, PCPCC’s CEO.

Participation in a center's Quarterly Open Forum Call will allow stakeholders to:

·         - Learn more about the Stakeholder Centers and their role within PCPCC

·         - Hear directly from center co-chairs about goals and objectives for the coming year, such as publications, events, and other special projects

·         - Engage in an interactive dialogue that solicits live feedback from participants through polling and facilitated discussion

·         - Cast their vote about what they’d like to see from the center in the coming year

Call dates and registration information is listed below.

Patients, Families, & Consumers (http://www.pcpcc.net/patients-families-consumers)

Co-Chairs: Christine Bechtel, National Partnership for Women & Families; Francis Rienzo, Sanofi

Wednesday, February 13th - 3:00 - 4:00 PM ET

Click here (http://www1.gotomeeting.com/register/241219152) to register.

Employer & Purchaser Engagement (http://www.pcpcc.net/employer-engagement)

Co-Chairs: Becky Brosche, Pfizer;

Anshuman Choudri, Blue Cross Blue Shield Association

Wednesday, February 27 - 4:00 - 5:00 PM ET

Click here (https://www1.gotomeeting.com/register/654606952) to register.

Advocacy & Public Policy (http://www.pcpcc.net/advocacy-policy)

Co-Chairs: Shari Erickson, American College of Physicians;

Greg Pawlson, Stevens & Lee

Thursday, February 14th - 10:00 - 11:00 AM ET

Click here (https://www1.gotomeeting.com/register/569694881) to register.

Outcomes & Evaluation (http://www.pcpcc.net/outcomes-evaluation)

Co-Chairs: Melinda Abrams, The Commonwealth Fund;

Scott Van Valkenberg, Ernst & Young

Wednesday, March 20th

3:00 - 4:00 PM ET

Click here (https://www1.gotomeeting.com/register/562885104) to register.

Care Delivery & Integration (http://www.pcpcc.net/care-delivery)

Co-Chairs:Blair Childs, Premier, Inc.;

Ted Epperly, Family Medicine Residency of Idaho;

Sunnah Kim, American Academy of Pediatrics

Tuesday, February 19th - 1:00 - 2:00 PM ET

Click here (https://www1.gotomeeting.com/register/383748584) to register.

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Private Medical Insurance Magazine Launches New Press Kit

Private Medical Insurance and Expatriate Healthcare News iPMI Magazine.
As Obama is voted in for the 2nd time, as the President of the United States, International Private Medical Insurance Magazine http://ipmimagazine.com/ is pleased to announce the release of the V3 iPMIM Press Kit.

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Get all the latest readership and traffic statistics for iPMI Magazine. iPMIM is ranked and respected by leading worldwide payors, patients and providers and is a definitive source of Expat, Travel and Health Insurance and Assistance News.

The iPMI Magazine Private Medical Insurance Press Kit is available to download now, click here http://ipmimagazine.com/index.php?option=com_wrapper&view...

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Daily Content = Daily Readers
30,000+ Readers October 2012
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Anyone with a Net Connection May Access iPMIM
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-Latest Health Insurance Headlines @ International Private Medical Insurance Magazine
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Explore the iPMI Magazine Press Kit

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Our contributors help drive the direction, expansion and content of iPMIM; by delivering a wealth of health, travel, air ambulance, medical and expatriate insurance industry information and knowledge.

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Mr. Andrew Apps Director ALC Health
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Mr. Hans Biekmann CEO Marm Assistance
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Dr. Premhar Shah CEO The Medical Tourist Company
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If you are planning your marketing budget and strategy for 2013, log on to Leading Health Insurance Magazine iPMI Magazine, to download the most recent press kit.

About Private Medical Insurance Magazine

International Private Medical Insurance Magazine (iPMIM) is the ultimate Private Medical Insurance online platform and health insurance magazine, serving expatriate, corporate, health and travel insurance markets. Due to the nomadic nature of the international healthcare industry iPMI Magazine is an internet based news service for worldwide healthcare professionals, who need to understand the impacts of healthcare and insurance policy, regulatory, and legislative developments.

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iPMI Magazine details private medical insurance providers; the advantages and disadvantages of private medical insurance; international private medical insurance Vs travel insurance; private medical insurance comparison; iPMI Magazine acts as a worldwide guide to private medical insurance, with the most up-to-date news and views from leading providers of private medical insurance plans, including private medical insurance companies like Aviva, Cigna, AXA PPP, HTH Worldwide, ARIA Assistance, ALC Healthcare, Morgan Price International Healthcare, APRIL Medibroker, Integra Global, SJA International, Expatriate Insurance Services, Expatriate Healthcare, Strategic Insurance Services and Strategic Insurance Services.

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