Thursday, October 31, 2013

Alternative Medicine 5—It’s Cancer! Now What?


“I presume, Curmudge, that we are just going to play copy-cat and pass along what we have learned in our reading.”

“Right as usual, Julie.  Despite having read good stuff, what might sound like advice is really our perceptions.  So let’s begin.  For most people, a diagnosis of cancer hits like a whack with a wet towel in a locker room.  Their immediate emotion is, ‘Do something!  I want it out!’ “

“Whoa-up there, Partner.  If our patient’s diagnosis is based on a biopsy, she’ll want a second opinion from another pathologist.  Cancer is serious business, and nobody wants an incorrect diagnosis.  She should also read our Evidence-Based Medicine postings back in September and October of 2010.”
 
“Here are some of the things that I have learned that pertain to many cancers.  If they don’t require immediate action, there is time for the patient to learn about the various modes of treatment and to select among them.  When one consults oncologists, the surgeons will want to cut, the clinical oncologists will favor chemotherapy, and the radiation oncologists will propose radiation therapy.  By their very nature, specialists in many fields are parochial in their diagnosis and plan of care.  And irrespective of the initial approach, the cancer may return, its further growth need to be arrested, and it might become something the patient must learn to live with.”

“Hey, that’s more scary than I realized.  To most people, ‘removed’ or ‘in remission’ means ‘goodbye.’ “ 

“Lots of people don’t realize that, Julie, and they also aren’t aware that alternative medicine might play an important role in their plan of care.  So before plunging ahead with surgery, chemotherapy, or radiation, our patient should—if possible—consult with someone who practices integrative or alternate medicine.  Our readings have told us about complementary medicine techniques that can strengthen the patient prior to conventional procedures, mitigate the procedures’ side effects, and hasten the patient’s recovery.  Furthermore, there may be opportunities to skip the conventional procedures altogether.”

“Wow, Curmudge!  I’ll bet those ‘opportunities’ enliven the debate between the allopathic and alternative docs.  Fortunately, if the cancer is growing slowly enough, there might be time to test the alternative meds to see if they shrink the tumor or arrest its growth.”

“Nevertheless, Julie, an alternative med zealot should not bet all of her chips on some herbal concoction without carefully evaluating the oncologist’s proposed conventional plan of care.”

“That’s for sure, Old Guy, but from my search of the Web, it’s not going to be very easy for our cancer patient to find an alternative medicine doc with the training she needs for consultation.  A person with cancer or malfunctioning innards such as liver, lungs, intestines, or whatever needs an herbalist with experience with her particular ailment.”

“That seems to be the case.  Recall the two main categories of alternative medicine mentioned in our first posting on this topic, ‘Alternative medicine includes use of natural products (herbs, vitamins, minerals, and probiotics) as well as mind and body practices (acupuncture, meditation, relaxation techniques, and movement therapies).’  If one specializes in just one or a few of the mind and body practices, less training is needed than for treatment with natural products.”

“I’ve even seen some of the mind and body practice clinics advertising their ‘antiaging’ services, whatever that is.”

“I’m puzzled too, Julie.  To me, antiaging is opposition to growing old, i.e. dying young.  I think we’ll just skip that aspect of alternative medicine.”

“So, Curmudge, back to our patient’s search for a natural products practitioner who can provide the help that she needs.”

“That may require reading the publications of Yance and Blaylock that we mentioned in our posting on nutrition.  The Blaylock Report Archives is a collection of his monthly newsletters on a variety of illnesses.  Another book that discusses a host of conditions has the intimidating title, Miracles from the Vault: Anthology of Underground Cures by Jenny Thompson of the Institute of Health Sciences (see Quackwatch).  She is an excellent writer, but some of her ‘cures’ sound too good to be true (and they may be).”

“Hey, Professor, let’s not forget Suzanne Somers, an actress also cited in Quackwatch.  She has been criticized mostly for promoting bioidentical hormones.  However, she has also written Knockout (1), a book comprised of interviews with ‘doctors who are curing cancer,’ including one whose treatments include coffee enemas (!).    Our cancer patient might wish to follow up with some of her more conventional interviewees, which might require long-distance travel.  But as you and I have said many times, we don’t make recommendations.  Recall also our suggesting that cancer patients may be willing to take somewhat greater—but hopefully intelligent—risks.”

“And that, Curmudge, is about as risky as this posting is going to get.  In future postings, do you intend to discuss any of the so-called mind and body aspects of alternative medicine?”

“I’ll try, Julie, and if we’re lucky we may get some help from a guest author.”

Kaizen Curmudgeon

(1) Somers, Suzanne  Knockout (2009, Random House)

Link to posting from blog archives: Patient Safety—Your Lifestyle 2/26/09
http://kaizencurmudgeon.blogspot.com/2009/02/patient-safety-your-lifestyle.html

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