President’s Lecture Series on Health

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President’s Lecture Series on Health

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President’s Lecture Series on HealthRegis College

Naturopathic/Integrative Medicine for Cancer CareOctober 25, 2017Amy Rothenberg ND




Integrative Medicine Combines traditional western (or allopathic) and complementary approaches, but does not replace conventional therapy. In general may be used for: Managing symptomsIncreasing wellness (quality of life, sense of well-being) Improving treatment efficacy resources/cimer/about-complementary-integrative-medicine/index.html. (Aug 2011) 3


Integrative Medicine Practiced by many different kinds of licensed providers from MD, DO, DC, ND ,PA, NP etc. Anyone can use the term. There are numerous training programs, some providers are self taught, some via internet training. Training and regulation is not consistent. Integrative medicine is increasingly offered in the Cancer Center setting.4


Naturopathic MedicineDoctor level practitioner of natural medicineDiagnosisUse conventional methods to support diagnosis including:Patient historyComplete & relevant physical examLaboratory & imaging diagnosticsIn addition, work to gain an understanding of patient’s lifestyle with special attention to diet, exercise and other factors in context of the major stressors in the patient’s life.5


Six Principles of Naturopathic Medicine1. Like all physicians, First, Do No Harm: Utilize the most natural, least toxic natural approaches2. The Healing Power of Nature: Trust in the patient’s inherent wisdom & capacity to heal & in the healing capacity of natural substances 3. Identify & Treat the Cause(s): Look beyond symptoms to underlying cause(s)6


Six Principles of Naturopathic Medicine4. Doctor as Teacher: educate patients in steps to attaining and maintaining health5. Treat the Whole Person: Understand the patient as an integrated whole with physical, emotional, spiritual and cognitive dimensions6. Prevention: Emphasis on overall health, wellness & preventive measures7


Training of an NDPrerequisites similar to those needed to gain admission to medical & osteopathic schoolFour year, in-residence, full-time postgraduate ND medical schools recognized by the Federal Department of Education. Students eligible for federally funded student loansThe Princeton Review Best Medical Colleges list includes all six North American accredited naturopathic medical schools 8




Why Cancer Patients Seek Integrative/Naturopathic CareTo complement conventional medicineKey areas of concern:Help support efficacy of treatmentHelp prevent side effectsAddress side effects that ariseAddress more psychological and stress related aspects of careHelp to prevent recurrence10


Categories of Treatment ModalitiesBiologically Based Practices Herbs, vitamins, dietary supplements and other natural therapies, specific dietary strategies (ketogenic diet, macrobiotic diet, fasting) Energy Medicine Therapies such as Qi gong, Reiki or Therapeutic Touch



Categories of Integrative MedicineManipulative and Body-Based Practices Chiropractic, osteopathic, massage and acupuncture Mind-Body MedicineMeditation, prayer, art & music therapy, counseling and support groupsWhole Medical Systems Traditional Chinese Medicine, Ayurvedic Medicine, Homeopathic MedicineAdapted from; May 2013 12


Usage of Integrative Medicine2010 MD Anderson survey of patients seen in a dedicated Phase I clinical trials clinic; 162/309 or 52% use CAM therapiesPharmacologic (77% of users, 40% of respondents) Vitamin, herbal and other dietary supplements Non-pharmacologic (71%)Prayer, meditation, hypnosis, massage, acupuncture

Both(48%) Naing A, et al. Cancer. 2011 Apr 28. doi: 10.1002/cncr.26164. 14 13


Goals of Integrative or Naturopathic Medicine for Cancer PatientsGeneral health support Insure proper nutrition, appropriate exercise, weight management, sleep supportPain Management Symptom management during & after treatmentAddress symptoms patients develop or which are aggravated with cancer treatments14


Common Symptoms of Cancer PatientsDuring or After Conventional TreatmentAnxietyDepression FatigueInsomniaMental fogginess Hot flashes Constipation Diarrhea Gas/bloatingRefluxTaste changesPeripheral neuropathy

Skin rashJoint pains,Muscle crampsRestless leg syndromeLoss of sexual desire/function15


Overarching Advice to Patients & ProvidersUse expert and trained professionals for guidanceFocus on foundations of good health Keep the plan simple during active therapies (chemo, biologics, radiation) Don’t underestimate the benefits of exercise! Essential role of rest & sleepBe flexible and forgiving



To Find a Naturopathic Physician or Integrative PhysicianOncology Association of Naturopathic Physicians American Association of Naturopathic Physicians Academy of Integrative Health & Medicine 17


Recommended ResourcesFive to Thrive: Your Cutting Edge-Cancer Prevention Plan Lise N. Alschuler, ND & Karolyn A. Gazella Anticancer: A New Way of Life – David Servan-Schreiber, MD Integrative Strategies For Cancer Patients: A Practical Resource For Managing The Side Effects Of Cancer Therapy Elena Ladas & Kara Kelly, MD Integrative Medicine: About Herbs, Botanicals & More Memorial Sloan-Kettering Cancer Center website

cfm Integrative Oncology – D. Abrams, MD & A. Weil, MD 18


Contact information for Dr. RothenbergPractice site: www.nhcmed.com 19


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