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VIEWPOINTS




            Patrick Hanaway, MD - Senior Adviser to the CEO at the
            Institute for Functional Medicine (IFM)

            Interview by Dick Benson













               As Senior Adviser to the CEO at IFM, Patrick   approach.  From  a  functional  medicine  perspective  our
            Hanaway,  MD, also leads the organization’s COVID-19 Task   objective is to:
            Force, which provides practitioners with the tools needed to help
            patients combat the pandemic and achieve optimal health.  1. Support the immune system.
               Dr.  Hanaway  is  a board-certified family physician   2. Decrease viral replication
            trained at Washington University. Dr. Hanaway served on   3. Reduce symptoms
            the  executive  committee  for  the  American  Board  of
            Integrative Medicine and is past president of the American   Certainly,  the  public  health  measures  to  reduce  viral
            Board of Integrative Holistic Medicine. For the past 20 years,   transmission are essential to ‘flatten the curve’.
            he has worked with his wife in clinical practice at Family to   Functional  medicine  practitioners  are  uniquely
            Family: Your Home for Whole Health Care in Asheville, NC.  trained to help those people who are at the greatest risks
               After serving as chief medical officer at Genova   including: people with poor diets, people who are obese,
            Diagnostics, Dr. Hanaway became the chief medical   people who suffer from nutritional deficiencies and those
            education officer at IFM, where he oversaw the development   who are faced with multiple complex chronic diseases. We
            and implementation of IFM’s programs worldwide. He has   know how to help these individuals.
            been a core faculty member with IFM since 2005, he leads   IFM’s role is to help practitioners understand how to
            the GI Advanced Practice Module, and he continues his   work with the SARS-CoV-2 virus in their patients, whether
            support of IFM as co-chair of the Expert Advisory Board.  they’re  at-risk  and  concerned,  whether  they’re  exposed,
               In 2014, Dr. Hanaway helped develop the collaboration   whether they have symptoms, or whether they’re recovering
            between IFM and the Cleveland Clinic, where he was the   from  infection.  We  have  worked  to  put  together  patient
            founding medical director. He later became the research   education  materials  to  help  clinicians  work  with  their
            director and now serves as a research collaborator at the   patients  effectively.  We  also  provide  resources  to  help
            Cleveland Clinic Center for Functional Medicine. His   clinicians in their business practices. Since the beginning of
            research interests focus on evaluating outcomes of Functional   the COVID-19 crisis, we’ve seen a 60% decline of patient
            Medicine models of care.                         volume in doctors’ offices in the United States; as well as,
               The focus of Dr. Hanaway’s work is to use his skills,   obviously,  a  55%  decrease  in  revenue.  We’ve  also  seen
            knowledge and perspective to transform medical practice   incredible growth in the burgeoning arena of telehealth. It
            through education, research, and clinical care. In addition,   begs the question, how do we help clinicians provide for
            Dr. Hanaway is an initiated Mara’akame [indigenous   patients in a sustainable way through telehealth?
            healer] by the Huichol people of the Sierra Madres in   To  summarize,  the  people  who  are  most  at-risk  for
            Mexico. He holds community fires, leads ceremonies, and   COVID-19 are those who have multiple complex chronic
            offers traditional healing sessions.             diseases,  including:  obesity,  diabetes,  hypertension  and
                                                             cardiovascular disease. This is why we see it affecting the
            Integrative Medicine: A Clinician’s Journal  (IMCJ):  To   poor and people of color to a greater degree. Functional
            start  with  can  you  introduce  the  Functional  Medicine   medicine provides the tools to help move individuals from
            model to treat COVID-19?                         illness to wellness. That is our goal. Functional medicine is
                                                             particularly well-suited for this approach, in contrast with
            Dr Hanaway:  Functional  medicine  takes  a  unique   “other  branches  of  medicine”  that  work  to  suppress  the
            approach when treating patients. This approach allows us   symptoms.  With  functional  medicine,  we  focus  on  the
            to  look  across  the  whole  Continuum  from  wellness  to   root cause(s) that drive these imbalances that increase the
            illness  and  back.  We  help  patients  using  a  personalized   risk of individuals developing COVID-19.


       64   Integrative Medicine • Vol. 19, No. S1 • Epub Ahead of Print                     Hanaway—Viewpoints
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