complementary and alternative medicine for cancer survivors · 1 (c) 2012 northwest natural health...

11(c) 2012 Northwest Natural Health A (c) 2012 Northwest Natural Health A

Specialty Care ClinicSpecialty Care Clinic

Dan Labriola NDDan Labriola NDKathleen Pratt NDKathleen Pratt ND

Lisa Price NDLisa Price NDPatrick Bufi NDPatrick Bufi ND

Complementary and Alternative Complementary and Alternative Medicine for Cancer SurvivorsMedicine for Cancer Survivors

Moving Beyond Cancer to WellnessMoving Beyond Cancer to WellnessFred Hutchinson Cancer Research CenterFred Hutchinson Cancer Research Center

Northwest Natural HealthNorthwest Natural Health®®A Specialty Care ClinicA Specialty Care Clinic

(c) 2012 Northwest Natural Health A (c) 2012 Northwest Natural Health A Specialty Care ClinicSpecialty Care Clinic 22

ObjectivesObjectives

•• Learn how natural medicine can Learn how natural medicine can improve your quality of life before, improve your quality of life before, during and after treatmentduring and after treatment



•• What is new with natural medicine What is new with natural medicine and cancerand cancer

•• What worksWhat works•• What doesnWhat doesn’’t workt work•• How natural medicine can affect your How natural medicine can affect your

conventional cancer treatmentconventional cancer treatment



Learn how to combine the best of Learn how to combine the best of conventional and natural medicine conventional and natural medicine strategies for the very best cancer strategies for the very best cancer outcomeoutcome


Strategies that workStrategies that work•• Maintain quality of life before, during and Maintain quality of life before, during and

after treatmentafter treatment–– Cancer and treatment specific issues that can be Cancer and treatment specific issues that can be

helped even if they existed prior to treatmenthelped even if they existed prior to treatment•• FatigueFatigue•• Hot flashes and other menopausal symptomsHot flashes and other menopausal symptoms•• Gas (belching, flatulence)Gas (belching, flatulence)•• BloatingBloating•• Stomach upsetStomach upset•• ConstipationConstipation•• Diarrhea and bowel urgencyDiarrhea and bowel urgency


Strategies that workStrategies that work (Continued)(Continued)

•• Maintain quality of life before, during and Maintain quality of life before, during and after treatmentafter treatment–– Cancer and treatment specific issues that can be Cancer and treatment specific issues that can be

helpedhelped•• Urination urgencyUrination urgency•• Joint and muscle aches (including fibromyalgia)Joint and muscle aches (including fibromyalgia)•• HeadachesHeadaches•• Sleep qualitySleep quality•• PainPain•• Weight gain or lossWeight gain or loss•• HeadachesHeadaches


Strategies that workStrategies that work (Continued)(Continued)

•• Maintain quality of life before, during and Maintain quality of life before, during and after treatmentafter treatment–– Cancer and treatment specific issues that can be Cancer and treatment specific issues that can be

helped:helped:•• Treatment side effectsTreatment side effects•• NeuropathyNeuropathy•• Muscle crampsMuscle cramps•• Restless leg syndromeRestless leg syndrome•• Skin rashesSkin rashes•• Blood sugar metabolismBlood sugar metabolism


Common CAM TherapiesCommon CAM Therapies

•• Acupuncture* Acupuncture* •• Ayurveda* Ayurveda* •• Biofeedback* Biofeedback* •• Chelation therapy* Chelation therapy* •• Chiropractic or osteopathic Chiropractic or osteopathic

manipulation* manipulation* •• Deep breathing exercises Deep breathing exercises



•• DietDiet--based therapiesbased therapies–– Atkins diet Atkins diet –– Macrobiotic diet Macrobiotic diet –– Ornish diet Ornish diet –– Pritikin diet Pritikin diet –– South Beach diet South Beach diet –– Vegetarian diet Vegetarian diet –– Zone diet Zone diet



•• Energy healing therapy/Reiki* Energy healing therapy/Reiki* •• Guided imagery Guided imagery •• Homeopathic treatment Homeopathic treatment •• Hypnosis* Hypnosis* •• Massage* Massage* •• Meditation Meditation



•• Movement therapies Movement therapies –– Alexander technique Alexander technique –– Feldenkreis Feldenkreis –– Pilates Pilates –– Trager psychophysical integrationTrager psychophysical integration



•• Natural products (nonvitamin and Natural products (nonvitamin and nonmineral, such as herbs and other nonmineral, such as herbs and other products from plants, enzymes, etc.) products from plants, enzymes, etc.)

•• Naturopathic Medicine* Naturopathic Medicine* •• Progressive relaxation Progressive relaxation •• Qi gong Qi gong •• Tai chi Tai chi



•• Traditional healers* Traditional healers* –– Botanica Botanica –– Curandero Curandero –– Espiritista Espiritista –– Hierbero or Yerbera Hierbero or Yerbera –– Native American healer/Medicine man Native American healer/Medicine man –– Shaman Shaman

–– SobadorSobador

•• YogaYoga


Where Patients Get their Information


WhatWhat’’s Really Important?s Really Important?

•• Stay strong and healthyStay strong and healthy•• Avoid interactions with treatmentAvoid interactions with treatment

–– Respect the Respect the ““Protected ZoneProtected Zone””•• Prevention for the futurePrevention for the future


A Plan that worksA Plan that works

•• Maintain quality of life before, during Maintain quality of life before, during and after treatment and after treatment in every wayin every way–– Overall HealthOverall Health–– Cancer specific issuesCancer specific issues

•• Take back control of your life. Do most Take back control of your life. Do most or all that you could do prior to being or all that you could do prior to being diagnoseddiagnosed

•• Control adverse effects from treatmentControl adverse effects from treatment•• Manage CoManage Co--morbiditiesmorbidities


A Plan that worksA Plan that works

•• ExerciseExercise–– CardioCardio–– Weight trainingWeight training

•• SpiritualitySpirituality•• MindMind--body connectionbody connection•• Social supportSocial support•• Visualization and imageryVisualization and imagery•• Technology at the right timeTechnology at the right time


Omega 3 Essential Fatty AcidsOmega 3 Essential Fatty Acids Important Benefits and RisksImportant Benefits and Risks

•• Omega 3 Essential Fatty Acids are Omega 3 Essential Fatty Acids are important for almost every body important for almost every body system from immune system to system from immune system to hormoneshormones

•• Not all omega 3 Essential Fatty Acids Not all omega 3 Essential Fatty Acids are the sameare the same


The Omega 3 The Omega 3 -- Flaxseed Oil Flaxseed Oil DebateDebate

•• The problems with flax The problems with flax oiloil


Echinacea and cancerEchinacea and cancer

•• A great herb with many usesA great herb with many uses•• Use with abundant caution with cancerUse with abundant caution with cancer


HomeopathicsHomeopathics

•• Very low dosages, highly dilutedVery low dosages, highly diluted•• Immune mediated theory of actionImmune mediated theory of action•• Minimal evidenceMinimal evidence•• Extensive anecdotal historyExtensive anecdotal history•• Experienced, responsible, licensed Experienced, responsible, licensed

providerprovider

More strategiesMore strategies

•• Quality control of natural products is Quality control of natural products is importantimportant

•• Prevention is more important now than Prevention is more important now than everever

•• Survivorship strategies can change Survivorship strategies can change your lifeyour life

•• Herb and nutrition interactions are Herb and nutrition interactions are importantimportant



Survivorship Strategies Survivorship Strategies

Avoid Possible interactions Avoid Possible interactions with cancer treatmentwith cancer treatment

•• ChemotherapyChemotherapy•• RadiationRadiation•• SurgerySurgery•• Targeted TherapiesTargeted Therapies


Prevention is always Prevention is always importantimportant

•• Avoid cancerAvoid cancer–– Primary PreventionPrimary Prevention–– Secondary PreventionSecondary Prevention


Primary PreventionPrimary Prevention Diet and NutritionDiet and Nutrition

•• Vitamin B12Vitamin B12•• FolateFolate•• Vitamin DVitamin D•• FiberFiber•• Fruits and vegetablesFruits and vegetables•• FishFish•• Some antioxidantsSome antioxidants


More Nutritional TreatmentsMore Nutritional Treatments•• Vitamin EVitamin E•• SeleniumSelenium•• Calcium, vitamin D, phosphorusCalcium, vitamin D, phosphorus•• ZincZinc•• Beta caroteneBeta carotene•• Antioxidants in generalAntioxidants in general•• Consider IV deliveryConsider IV delivery

2727(c) 2012 Northwest Natural Health A (c) 2012 Northwest Natural Health A

Specialty Care ClinicSpecialty Care Clinic

Frequent QuestionsFrequent Questions

Combining Complementary and Combining Complementary and Alternative Medicine with Alternative Medicine with

Conventional TherapyConventional Therapy


Menopause and Hot FlashesMenopause and Hot Flashes Are Phytoestrogens Including Are Phytoestrogens Including

Soy Isoflavones Safe?Soy Isoflavones Safe?

??Ask for Patient Briefing PaperAsk for Patient Briefing Paper


Are BioAre Bio--identical Hormones identical Hormones Safe?Safe?

??Ask for Patient Briefing PaperAsk for Patient Briefing Paper


Questions?Questions? Comments?Comments?

Dan Labriola NDDan Labriola NDPatrick Bufi NDPatrick Bufi ND

Kathleen Pratt NDKathleen Pratt NDLisa Price NDLisa Price ND

Northwest Natural HealthNorthwest Natural Health®®, A Specialty Care Clinic, A Specialty Care Clinic7 convenient locations7 convenient locations

206206--784784--91119111

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complementary and alternative medicine for cancer survivors · 1 (c) 2012 northwest natural health...

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