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Not One or the Other but Both
September 13, 2009 - 8:43pm
Posted by: Leslie Escalante
Posted by: Leslie Escalante
Most people who use Complimentary or Alternative Medicine (CAM) don’t choose it instead of conventional medicine, they choose it in addition to conventional medicine in what has come to be known as integrative medicine. Some define integrative medicine as: “A healthy balance between conventional and alternative medicine.” That means if you have an infection, you might receive an antibiotic along with a probiotic to replace the good bacteria the antibiotic wipes out, and herbs or a prescription for yoga to strengthen your immune system. If you break your leg, you get surgery, but you may also receive acupuncture, as well as a prescription for bone-building minerals and vitamins like calcium, magnesium and vitamin D.
Although a relatively new concept, integrative medicine is catching on. Today, the Consortium of Academic Health Centers for Integrative Medicine, devoted to training medical students, residents and physicians in CAM and integrative medicine, boasts around 38 members and counting, including such prestigious schools as Albert Einstein College of Medicine and Columbia University in New York, Harvard Medical School, Yale Medical School and the University of Pennsylvania Medical School. All also offer integrative medicine programs for patients. Many integrate CAM with oncology and see many women with metastatic breast cancer. They don’t try to take the place of the women’s oncologists; instead, they recommend therapies to strengthen their breast cancer patients’ immune systems and help combat the fatigue and other side effects of chemotherapy, as well as reduce risk factors that could stimulate the growth of cancer cells.
For instance, many of these programs warn women away from alcohol, which can increase estrogen levels—a potent fuel for certain types of cancer cells. They also recommend melatonin, which some studies suggest may increase survival, and mushrooms and the herb astragalus to strengthen the immune system (typically suppressed during chemotherapy) and help prevent infection. If women are receiving the chemotherapy taxol, some programs add glutamine or alpha lipoic acid, potent antioxidants that tend to get depleted with taxol therapy. And they teach their patients mind/body practices to help minimize the stress that comes from coping with a chronic form of cancer: the constant doctor appointments, tests, and, most stressful of all, waiting. It’s something breast cancer patients of all stages apparently crave.
A survey of 105 women diagnosed with breast cancer found that 64 percent used vitamins and minerals, and a third regularly used antioxidants, herbs and health foods. Nearly half (40 percent) regularly used prayer and spiritual healing, while 37 percent used support groups and 21 percent used humor or laughter therapy as part of their healing treatment. All are considered CAM. The use of CAM is so prevalent in cancer patients that in September the American College of Chest Physicians (ACCP) became the first professional oncology organization in the United States to formally provide recommendations on the use of CAM during cancer treatment. While the AACP guidelines note that some herbal remedies may interfere with chemotherapy, they add that other therapies, such as acupuncture, may help with pain and other symptoms. Most oncologists, however, feel differently about CAM than their patients. While they agree that CAM can help relieve symptoms and side effects of treatment, they are less likely than their patients to expect that CAM improves immunity or quality of life, cures disease or prolongs life.
The human body is made up of nutrients, not drugs or man-made chemicals. Without minerals, vitamins, amino acids, and other important nutritional building blocks, life as we know it would be impossible. Scientists have concluded that every disease can be linked to a mineral or nutritional deficiency. Cultures with people who enjoy youthful, disease-free lives and live to be over 100 years of age are getting a diet rich in vitamins and minerals. When our bodies become nutrient-deficient, disease is the inevitable result. With CAM techniques and practices, medical doctors are now catching up with science and understanding the need to supplement with dietary supplements, due to nutritional deficiencies to further help their patients treat the underlying cause of their chronic and sometimes fatal diseases.
Leslie Escalante, PA-C is a National Board Certified Physician Assistant and owner of Balanced Health & Beauty LLC
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