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Complementary And Alternative Medicine For Cancer Survivors

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<strong>Complementary</strong> and <strong>Alternative</strong><br />

<strong>Medicine</strong> for <strong>Cancer</strong> <strong>Survivors</strong><br />

Dan Labriola ND<br />

Kathleen Pratt ND<br />

Lisa Price ND<br />

Patrick Bufi ND<br />

Moving Beyond <strong>Cancer</strong> to Wellness<br />

Fred Hutchinson <strong>Cancer</strong> Research Center<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic<br />

Northwest Natural Health® Health<br />

A Specialty Care Clinic<br />

1


Objectives<br />

• Learn how natural medicine can<br />

improve your quality of life before,<br />

during and after treatment<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 2


Objectives<br />

• What is new with natural medicine<br />

and cancer<br />

• What works<br />

• What doesn’t doesn t work<br />

• How natural medicine can affect your<br />

conventional cancer treatment<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 3


Objectives<br />

Learn how to combine the best of<br />

conventional and natural medicine<br />

strategies for the very best cancer<br />

outcome<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 4


Strategies that work<br />

• Maintain quality of life before, during and<br />

after treatment<br />

– <strong>Cancer</strong> and treatment specific issues that can be<br />

helped even if they existed prior to treatment<br />

• Fatigue<br />

• Hot flashes and other menopausal symptoms<br />

• Gas (belching, flatulence)<br />

• Bloating<br />

• Stomach upset<br />

• Constipation<br />

• Diarrhea and bowel urgency<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 5


Strategies that work<br />

(Continued)<br />

• Maintain quality of life before, during and<br />

after treatment<br />

– <strong>Cancer</strong> and treatment specific issues that can be<br />

helped<br />

• Urination urgency<br />

• Joint and muscle aches (including fibromyalgia)<br />

• Headaches<br />

• Sleep quality<br />

• Pain<br />

• Weight gain or loss<br />

• Headaches<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 6


Strategies that work<br />

(Continued)<br />

• Maintain quality of life before, during and<br />

after treatment<br />

– <strong>Cancer</strong> and treatment specific issues that can be<br />

helped:<br />

• Treatment side effects<br />

• Neuropathy<br />

• Muscle cramps<br />

• Restless leg syndrome<br />

• Skin rashes<br />

• Blood sugar metabolism<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 7


Common CAM Therapies<br />

• Acupuncture*<br />

• Ayurveda*<br />

• Biofeedback*<br />

• Chelation therapy*<br />

• Chiropractic or osteopathic<br />

manipulation*<br />

• Deep breathing exercises<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 8


Common CAM Therapies<br />

• Diet-based Diet based therapies<br />

– Atkins diet<br />

– Macrobiotic diet<br />

– Ornish diet<br />

– Pritikin diet<br />

– South Beach diet<br />

– Vegetarian diet<br />

– Zone diet<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 9


Common CAM Therapies<br />

• Energy healing therapy/Reiki*<br />

• Guided imagery<br />

• Homeopathic treatment<br />

• Hypnosis*<br />

• Massage*<br />

• Meditation<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 10


Common CAM Therapies<br />

• Movement therapies<br />

– Alexander technique<br />

– Feldenkreis<br />

– Pilates<br />

– Trager psychophysical integration<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 11


Common CAM Therapies<br />

• Natural products (nonvitamin and<br />

nonmineral, such as herbs and other<br />

products from plants, enzymes, etc.)<br />

• Naturopathic <strong>Medicine</strong>*<br />

• Progressive relaxation<br />

• Qi gong<br />

• Tai chi<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 12


Common CAM Therapies<br />

• Traditional healers*<br />

– Botanica<br />

– Curandero<br />

– Espiritista<br />

– Hierbero or Yerbera<br />

– Native American healer/<strong>Medicine</strong> man<br />

– Shaman<br />

– Sobador<br />

• Yoga<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 13


Where Patients Get their<br />

Information<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 14


What’s What s Really Important?<br />

• Stay strong and healthy<br />

• Avoid interactions with treatment<br />

– Respect the “Protected Protected Zone” Zone<br />

• Prevention for the future<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 15


A Plan that works<br />

• Maintain quality of life before, during<br />

and after treatment in every way<br />

– Overall Health<br />

– <strong>Cancer</strong> specific issues<br />

• Take back control of your life. Do most<br />

or all that you could do prior to being<br />

diagnosed<br />

• Control adverse effects from treatment<br />

• Manage Co-morbidities<br />

Co morbidities<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 16


• Exercise<br />

A Plan that works<br />

– Cardio<br />

– Weight training<br />

• Spirituality<br />

• Mind-body Mind body connection<br />

• Social support<br />

• Visualization and imagery<br />

• Technology at the right time<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 17


Omega 3 Essential Fatty Acids<br />

Important Benefits and Risks<br />

• Omega 3 Essential Fatty Acids are<br />

important for almost every body<br />

system from immune system to<br />

hormones<br />

• Not all omega 3 Essential Fatty Acids<br />

are the same<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 18


The Omega 3 - Flaxseed Oil<br />

Debate<br />

• The problems with flax oil<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 19


Echinacea and cancer<br />

• A great herb with many uses<br />

• Use with abundant caution with cancer<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 20


Homeopathics<br />

• Very low dosages, highly diluted<br />

• Immune mediated theory of action<br />

• Minimal evidence<br />

• Extensive anecdotal history<br />

• Experienced, responsible, licensed<br />

provider<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 21


More strategies<br />

• Quality control of natural products is<br />

important<br />

• Prevention is more important now than<br />

ever<br />

• <strong>Survivors</strong>hip strategies can change<br />

your life<br />

• Herb and nutrition interactions are<br />

important<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 22


<strong>Survivors</strong>hip Strategies<br />

Avoid Possible interactions<br />

with cancer treatment<br />

• Chemotherapy<br />

• Radiation<br />

• Surgery<br />

• Targeted Therapies<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 23


Prevention is always<br />

• Avoid cancer<br />

important<br />

– Primary Prevention<br />

– Secondary Prevention<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 24


Primary Prevention<br />

Diet and Nutrition<br />

• Vitamin B12<br />

• Folate<br />

• Vitamin D<br />

• Fiber<br />

• Fruits and vegetables<br />

• Fish<br />

• Some antioxidants<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 25


More Nutritional Treatments<br />

• Vitamin E<br />

• Selenium<br />

• Calcium, vitamin D, phosphorus<br />

• Zinc<br />

• Beta carotene<br />

• Antioxidants in general<br />

• Consider IV delivery<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 26


Frequent Questions<br />

Combining <strong>Complementary</strong> and<br />

<strong>Alternative</strong> <strong>Medicine</strong> with<br />

Conventional Therapy<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic<br />

27


Menopause and Hot Flashes<br />

Are Phytoestrogens Including<br />

Soy Isoflavones Safe?<br />

?<br />

Ask for Patient Briefing Paper<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 28


Are Bio-identical Bio identical Hormones<br />

Safe?<br />

?<br />

Ask for Patient Briefing Paper<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 29


Questions?<br />

Comments?<br />

Dan Labriola ND<br />

Patrick Bufi ND<br />

Kathleen Pratt ND<br />

Lisa Price ND<br />

Northwest Natural Health®, Health , A Specialty Care Clinic<br />

7 convenient locations<br />

206-784 206 784-9111 9111<br />

nwnaturalhealth.com<br />

(c) 2012 Northwest Natural Health A<br />

Specialty Care Clinic 30

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