In this highlights video to a two-part series, Ka-Kit Hui, MD, FACP, Founder and Director of the UCLA Center for East-West Medicine, discusses his role as the Senior Advisor for a transformative public health project in Shanghai. The project aims to build a better healthcare delivery system in China using integrative East-West medicine.
Hello everyone kakui of ucla david geffen school of medicine director of the center for east-west medicine and i’m very pleased to be able to share with you my journey in integrative medicine the development of the center for east-west medicine at ucla the development of integrative medicine in the united states i will share with you our centers clinical approach
Particularly how it may pertains to ko patients in the primary care environment how i get involved with this project started way back in 2010 i wrote a paper followed two previous papers that i row one in 1999 talking about during the turn of the century what type of healthcare leader would be needed for the paradigm in terms of patients who are not dying from acute
Illness and now has developed chronic illnesses so at that time i proposed the idea for china outpatient medicine should incorporate a lot more chinese medicine and for inpatient even though western medicine is dominant chinese medicine can also be quite helpful as well and this paper was followed by my presentation at the wto meeting in awaji island in japan and
I talked about the potential of in covering chinese medicine in clinical practice in the contemporary modern western world at a time i already talked about my concern for the health care crisis that is developing torgy to a usual what you mean to the camera we’re now facing a very when i was invited to speak at the shanghai international integrative medicine
Conference i introduced the idea about the importance of redesign that primary care system with an integrative health flavor to it and the need to train the cad rate of physicians who are versatile in both so that many of the common problems were brought you know to the primary care setting can be solved at a time i written up in a major paper i wrote in 2011
Stating that china is poised to build a better healthcare delivery system using the integrative health paradigm since 1950s china already embarked on the journey of integrative medicine combining the best of chinese and western medicine to create something better than either health traditions and i believe that this is the right direction is to bring that into
The emerging development of the primary healthcare system in china so the important thing is to try to train more physicians that are trained originally in western medicine and try to have them be more aware of the potential of incorporating chinese medicine into either their own care patients or to be able to collaborate with their chinese medicine counterparts
And at the same time there are so many graduates of traditional chinese medicine schools who already have medical training that if they are brought into the primary care health system the workforce would be much more versatile in solving many of the common problems that either in traditions may be insufficient so i share some of the ideas with the leadership of
The health ministry in shanghai and i’m so glad that they are now embarking on this major project currently headed by my friend and colleague professor wallman chin what i’m going to do is to share with you a little bit about my background and then through my development how you can see the development of integrative medicine in the united states and i’ll share
With you besides our own center that ucla i would also share with you some of the other centers such as harvard or duke university and also university of arizona that was back in the late 1960s first idea of integrating message to find a new drug from the herbal pharmacopoeia that in 1971-72 a major world event heparin where president nixon went to china and
James reston a columnist from new york times when along and at that time he was given acupuncture to relieve his post-op pain and also not sure i was a young medical student at that time at ucla studying neuroscience i was very intrigued how acupuncture may work as i was studying western medicine i make up my mind that i was use my spare time not that there’s a
Lot of spare time during medical school to study chinese medicine many on my own so i went back to hong kong i learn acupuncture i brought a lot of books and journals regarding chinese medicine integrative medicine and then i would use what i learned from ucla and compared with what i can learn from reading some of these interesting material coming out of china
And discontinued beyond medical school and going forward to residency i became a resident in internal medicine and then i stopped specialized in clinical pharmacology because i want to use internal medicine and clinical pharmacology to integrate rest of medicine and see how clinical medicine linked to basic science so over the first 20 some years at ucla i want
To learn as much ice came about rest of medicine in terms of its scientific basis is vehicle construct its strengths and weaknesses i have been a super consultant in the hospital i also have been working as a primary care physician i have taught clinical pharmacology for 13 years i developed drugs i learned about drug development and i work with endorphins which
You know at that time was thought to be mediating some of the effects of acupuncture so that’s sort of my first 20 some years and i have published in a lot major journal so that i can blow up my credentials in western medicine because at ucla or in most of the universities in the united states studying anything outside of western medicine was thought to be waste
Of time but i know much better that chinese medicine is a very very useful hearing traditions over years i have been reading up on the works of many top-notch integrators in china such as professor chang kochi who is a cardiologist who said moose and john who is a surgeon who applied a chinese president to see how it can be useful in treating picture with acute
Abdomen previous ngen who is the mentor for professor woven jen and then criminologist whose work i read for many years back in the late 60s and early 70s he swept on the kidney yang deficiency pattern and professor han ji sang obviously from beijing medical university his research at work on the neuro chemical basis of acupuncture energies year and subsequently
Is application in addiction and other conditions as well and obviously besides professor chiffon and also leitrim soon all from beijing i also have been reading up and befriend professor eugene who is from food on ob gyn obviously have learned from many of these pioneers of integrated medicine in china so that i become more confident later on as i progress in my
Own career in western medicine the that this is the direction that i am going to take so back in 1993 during that year i already have decided to launch the center for east-west medicine the idea is to not just do more research but to try to blend the best of chinese and western medicine to create a health care model that will be helpful not just for the person
But also for society as well my mentor of 40 some years dean sherman melenkov who bill ucla from a new medical school to a world-renowned health institution during a time when he was dean from 1960s to 1980s he / years have encouraged me to pursue this dream that it wasn’t until after many years that i dare to launch the center because i think that the timing is
Right i was more ready to do it and obviously without my late wife’s support and many volunteers and patients and donors the center would not have been launched but more importantly i try to emphasize that the current health system based on western medicine is unsustainable and that it is important to have a new health model by blending the preventive host system
Approach of chinese medicine worth the reductionistic an acute crisis management strength of western medicine so when i first started the center i started with the clinic because i know that you have to demonstrate value in the clinic but to try to make it relevant to demonstrate the value of chinese medicine and obviously there’s is no moment x no reimbursement
For acupuncture and reimbursement for massage is very low and i will tell you about later in the second salmon how i have developed a viable clinical model at our center clinic that now has become very successful why he accepted at ucla after 20 years we have been so successful in integrative medicine as a university when vice minister of health and the state
Commissioner of the state administration of true science medicine wonka channel he came to ucla to look at how integrated medicine is developed in the united states what it needs is to incorporate the integrative destress health paradigm so we need to train more people and i believe that you all are going to be demonstrating for a world how an integrative distress
Health paradigm would work much better in the community in primary care and that this would be an example for rest of the world to emily you
Transcribed from video
Highlights Video: Dr. Ka-Kit Hui on the Shanghai Transformative Public Health Project By UCLA Center for East-West Medicine