Page 16 - Time Special Edition Alternative Medicine (January 2020)
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ALTERNATIVE      MEDICINE THE NEW MAINSTREAM







                   puncture’s potential as a non-pharmaceutical op-
                   tion for treating for the painful syndrome. “People
                   don’t want to take a medication that causes its own
                   side effects to treat the side effects of another medi-             After Surgery:
                   cation,” says Hershman. “And in this country right
                   now, we want to do everything we can to avoid pre-                  Supporting the
                   scribing opioids, especially on a long-term basis.”
                      Hershman and her colleagues enrolled 226 pa-

                   tients with early-stage breast cancer from 11 treat-                Recovery Process
                   ment centers across the country. The women who                      Hospitals are offering treatments
                   received  acupuncture     experienced    at  least  a  50%          that help relieve the physical, mental
                   reduction in pain after six weeks, and when the re-                 and emotional suffering that often
                   searchers followed up 12 weeks after the acupuncture                accompanies major surgery
                   treatments had stopped, the pain relief remained sig-
                                                                                       By Jeffrey Kluger
                   nificant. Hershman believes the findings should give

                   patients and doctors alike confidence that acupunc-
                   ture may provide some benefit to women experienc-
                   ing joint pain due to aromatase inhibitors.
                      Although breast cancer may be leading the way
                   in the use of complementary medicine therapies, the
                   larger goal for many practitioners is to broaden the
                   use of such treatments to wherever they are deter-
                   mined to be appropriate. And toward this end, re-
                   searchers as well as clinicians are increasingly paying

                   attention to the subtler parts of the cancer experi-
                   ence,  including   how   the  disease  can  affect  body
                   image–something that is a major source of anxiety
                   for many patients but often gets overlooked.
                      It is exactly this kind of thinking that encour-
                   aged the National Academy of Medicine, more than

                   a decade ago, to advocate a more comprehensive
                   cancer-treatment     plan–one    that  includes  stress-
                   management strategies as well as emotional and fi-
                   nancial support. “What doctors need to remember,”
                   says Kathryn Ruddy, a specialist in cancer survivor-
                   ship at the Mayo Clinic, “is that for the rest of their
                   lives, these people may be dealing with the effects
                   of our treatments. It’s our responsibility to support
                   them the best way that we can.”

                      Doing   that  at  scale  will  require  a  major  shift
                   that is still underway. For now, many of the larg-
                   est and most comprehensive integrative-care pro-
                   grams   exist  thanks  to  philanthropic   gifts.  Lead-
                   ers  in  the  psychosocial-oncology    field  hope  that
                   such programs will one day be a line item on hos-
                   pitals’ budgets in cities of all sizes across the coun-

                   try. “We are in a revolution where we are becom-
                   ing more  wellness-focused,” says Carolyn Katzin, an
                   integrative-oncology specialist at UCLA. “But we are
                   not there yet. We’re still in the middle of the shift.” 





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