Megan Knauer

“We must shift medicine to emphasizing prevention and meeting people where they’re at in their journeys. This begins with figuring out what patients can control, and what lifestyle factors are mutable.”

Education & Experience

• First Year Medical Student at the University of Cincinnati College of Medicine
• Bachelor of Sciences in Medical Utilitarianism from Duke University
• She also worked as a research assistant and as an intern at Duke University’s healthcare policy center

What do you hope to gain from participating in the Integrative Medicine MSSP Program?

I hope to participate in the integrative medicine MSSP because I want to understand how to incorporate stress management, dietary changes, and every other aspect of holistic care into my practice. Further, I want to make this model of care possible for every patient. Further, I want to make this model of care possible for every patient. I hope that participating in this MSSP program will expose me to the different tools that integrative medicine incorporates, will allow me to make connections with leaders in the field so I can discover where I can be useful in expanding this model, and will teach me to connect with patients in a way that sees each as their story, not as their diagnoses.

Nithya Trichy

"I want to improve the health of the community by educating and making healthy food options more affordable for under-resourced populations and, ultimately, alleviate food insecurities."

Education & Experience

• First Year Medical Student at the University of Cincinnati College of Medicine
• Bachelor of Science in Medical Sciences, Minors/Certificate in Public Health, Nutrition, and Global Health Studies from the University of Cincinnati
• She currently serves as a Bearcat Mentor and Lead Teacher at New Leaf Kitchen. She also helped develop the Bearcats Food Recovery Network, a public health program in partnership with the University of Cincinnati, to distribute extra food from campus dining locations to communities in need.

What do you hope to gain from participating in the Integrative Medicine MSSP Program?

I hope to learn about the cultural and historical backgrounds behind integrative therapies and the systemic challenges associated with implementing them. Utilizing this knowledge, I will read, learn, and share existing journals focused on current innovations in Lifestyle Medicine and Integrative Health with my colleagues during journal clubs and interest group meetings. After consolidating this information, I aspire to contribute to research oriented around identifying the health disparities that exist within the community and developing effective avenues to address them.

Katie Cnota 

Third Year Undergraduate Student: Majoring in medical sciences; Minoring in integrative medicine; Certificate in yoga studies
President of the Undergraduate Integrative Health Club

CAREER GOALS

My career goal is to eventually go to medical school and get my MD, but I’m not sure what specialty I want to go into.

FAVORITE THING ABOUT UC
My favorite thing about UC having a community of students who share similar interests and passions with you that you can do school work with and talk about any similar issues they have. We call it a learning community and everyone is put into one their first year.

WHAT INTERESTS YOU ABOUT INTEGRATIVE HEALTH?

I’m interested in integrative medicine because I have always been passionate about taking care of my body and I think that integrative medicine emphasizes on healing the body as a whole and through holistic ways rather than referring straight to surgery or pharmaceuticals.

Sanjana Sukhavasi
Fourth Year Undergraduate Student: Majoring in neurobiology; Minoring in public health
Secretary of the Undergraduate Integrative Health Club

CAREER GOALS

I would like to eventually work in healthcare. After graduating from UC, I plan to take a gap year and work as a medical assistant (MA) or some other position that will give me more clinical experience. Then, I plan on going to grad school. Right now, I am looking into medical school or PA school. I would also like to incorporate both public health and integrative medicine in my future profession. 

FAVORITE THING ABOUT UC
I like how UC has many different classes, programs and opportunities you can choose and explore from. I also like that I get to meet many different people of various backgrounds. 

WHAT INTERESTS YOU ABOUT INTEGRATIVE HEALTH?

What I like about integrative health is that it is rooted in evidence-based medicine and looks at a patient holistically from their physical, mental and emotional health and well-being. It puts emphasis on lifestyle related practices such as nutrition, exercise, and mindfulness that one can incorporate into their daily lives.

Leah Ross
Fourth Year Undergraduate Student: Majoring in medical sciences; Minoring in integrative health
Treasurer of the Undergraduate Integrative Health Club

CAREER GOALS

After college I plan to go to med school and become a surgeon. 

FAVORITE THING ABOUT UC
My favorite thing about UC are the football games. 

WHAT INTERESTS YOU ABOUT INTEGRATIVE HEALTH?

I am interested in integrative medicine because it allows people to better understand themselves and their health. 

Mindfulness practice, rooted in ancient practices of attention training, reduces stress, cultivates attention and expands awareness.  It teaches us to observe ourselves and situations with calmness, clarity and presence.   Using mindfulness, we can quietly tap into our inner life in the midst of a busy world, and be in wise relationship with our thoughts, emotions, and with others.  We can become less reactive, and have improved health and well-being.

When mindfulness is practiced regularly, it teaches us to acknowledge our thoughts objectively and with kindness, to notice what is happening in the body, and to come back to the breath as a centering anchor.

A growing body of research demonstrates that mindfulness can not only reduce stress and anxiety, but also foster emotional regulation, impulse control, and increased positive states such as awareness, empathy, perspective-taking, gratitude, happiness, and overall social-emotional intelligence. Practicing mindfulness can build new neural pathways in the brain that increase attention skills, affecting the prefrontal cortex, the seat of attention which is responsible for executive function and working memory.

Three-Minute Breathing Space

Find a comfortable position, with your head, neck and spine aligned and comfortable, and, if you wish, close your eyes, or allow your gaze to shift slightly downward.

And let’s begin by simply starting to notice what is here for us, right now. So maybe just ask yourself “what is my experience right now.” Notice any thoughts … notice any emotions you have … or any sensations in your body.  Not trying to change anything here, not trying to get anywhere, just notice and take inventory.   You may even tell yourself, “whatever my experience is…it is already here … just let me feel it.”

*Allow some silence for them to notice what is present—spending about one minute total on this part*

And now, let me invite you to gather your attention and notice your breath.  Focus all of your attention on your breathing.  Notice the air going in and out of the nostrils in your nose.  Notice your abdomen moving up and down as you breathe.  Just take a moment to FEEL the breath... …And as your mind wanders off, gently bring your attention back to your breathing as best you can.  Use the breath as an anchor to center yourself in the present moment….

*Again, allow for some silence- spending one minute here*

And now, expand your attention to be aware of your entire body…So, perhaps as you breathe in….visualize the air filling your entire body….move from your head, down to your chest….to your abdomen…. all the way down to your toes. …Sense your entire presence and being in this moment….

*Allow for silence and spend one minute here*

And when you are ready, slowly and gently bring your awareness back to the room, back to present…and at your own pace, open your eyes slowly.  And as you slowly come back into the room….notice what you are feeling…..and notice how you are…..alert…awake….calm….relaxed….whatever you are feeling, that is what is happening right now….for you.

Raisin Meditation
I’m going to go around the class and give each of you a few objects.

Now what I would like you to do is focus on one of the objects and just imagine that you have never seen anything like it before.

Imagine you have just dropped in from Mars this moment and you have never seen anything like it before in your life.

Taking one of these objects and holding it in the palm of your hand, or between your finger and thumb. (Pause)

Paying attention to seeing it. (Pause)

Looking at it carefully, as if you had never seen such a thing before. (Pause)

Turning it over between your fingers, (Pause)

Exploring its texture between your fingers. (Pause)

Examining the highlights where the light shines … the darker hollows and folds. (Pause)

Letting your eyes explore every part of it, as if you had never seen such a thing before. (Pause)

And if, while you are doing this any thoughts come to mind about “what a strange thing we are doing” or “what is the point of this” or “I don’t like these,” then just noting them as thoughts and bringing your awareness back to the object. (Pause)

And now smelling the object, taking it and holding it beneath your nose, and with each in-breath, carefully noticing the smell of it. (Pause)

And now taking another look at it (Pause)

And now slowly taking the object to your mouth, maybe noticing how your hand and arm know exactly where to put it, perhaps noticing your mouth watering as it comes up. (Pause)

And then gently placing the object in the mouth, noticing how it is “received” without biting it, just exploring the sensations of having it in your mouth. (Pause)

And when you are ready, very consciously taking a bite into it and noticing the taste that it releases. (Pause)

Slowly chewing it … noticing the saliva in the mouth … the change in consistency of the object. (Pause)

Then, when you feel ready to swallow, seeing if you can first detect the intention to swallow as it comes up, so that even this is experienced consciously before you actually swallow it. (Pause)

Finally, seeing if you can follow the sensations of swallowing it, sensing it moving down to your stomach, and also realizing that your body is now exactly one raisin heavier.

Audio Recordings

Tracks (MP3) of meditations from the mind-body program, guided by Dr. Sian Cotton

• Deep Relaxation Practice
• Loving Kindness Meditation
• Breathing Space
• Guided Sitting Meditation

Tracks (MP3) of meditations from Meriden McGraw, Center Mindfulness in the Workplace

• Holiday Senses Meditation
• 7-minute relaxation practice
  
• 3-minute breath practice for stress reduction
• 1-minute grounding practice

Pre- and Post-Surgery Meditations from Drs. Sian Cotton and Barbara Walker

• Pre- and Post-Surgery Meditations 

YouTube Guided Meditation from Tina Walter

• Beach Guided Imagery

Simple Breathing Meditation

• Relax and sit up with your spine straight, feet on the ground, hands in your lap, listening on purpose with the attitude that there is no place is more important than this present moment.
• Relax every muscle in your body and focus on your breath.
• Notice the feeling of air through your nose as you breathe in and fill your lungs.
• Slowly let the air out like a straw through your mouth.
• Use the breath as an anchor, and notice how your body feels. Where do you feel tension?
• If your mind wanders, if you have thoughts or hear sounds, notice them like passing waves, and return back to the breath.

Practice for 5-20 minutes

Mindfulness/Meditation Apps

• Calm
• Headspace
• Simple Habit
• Insight Timer

Mindfulness and Meditation Resources

• Mindful Music Moments
• LAM Foundation Wellness Portal, Meditation Exercises
• From Movers & Makers Magazine: 5 Cincinnati Creatives on Mindfulness
• An Introduction to Meditation & Mind-Body Medicine For Kids
  by National Institute of Integrative Medicine
• UC San Diego Health Center for Mindfulness - Mindfulness Based Stress Reduction Audio
• Ohio State Integrative Medicine Relaxation Recordings
• Ohio State Integrative Medicine Mindfulness Recordings
• Palouse Mindfulness Online Mindfulness-Based Stress Reduction
• Mindful Awareness Research Center
• Dr. Richard Sears
• Garrison Institute
• Still Quiet Place
• Wellness Works in Schools