Page 17 - Time Special Edition Alternative Medicine (January 2020)
P. 17

An operating room is a monument         been off limits. The problem is,        in the Mayo study started out in
                to the idea of not messing around.      surgery isn’t just about repairing      more or less the same range in
                When you deliver yourself into the      or removing sick tissue—it’s about      all three categories. But after just
                hands of semi-strangers and give        fear, pain, depression and stress,      20 minutes of hands-on attention,
                them license—indeed, pay them           not to mention the deep existential     anxiety, pain and tension levels
                money—to knock you out, open            terror that comes from walking into     for the massage group plunged
                you up and manipulate your very         a hospital and knowing there’s a        relative to the control group. Mayo
                innards, you want to know there is      risk that you may not walk out again.   researchers discovered similar
                hard, tested science on your side.      That’s not the kind of thing that can   results for audio therapy—simply
                   That’s one reason                    be diagnosed with a CT scan or be       listening to music or recorded
                complementary and alternative           repaired by microrobotic surgery.       nature sounds to reduce post-
                medicine (CAM) has had such             But it is exactly the kind of thing     surgical pain and anxiety. Both
                a rough time gaining purchase           that can have a significant impact      represent further means to achieve
                in most pre- and post-surgical          on healing.                             the goal of reducing pain in order to
                wards. Even as more than 40% of            And yet a wealth of research         hasten recovery.
                Americans report receiving some         shows that what doctors call                Agonizing as pain can be, many
                kind of CAM treatment in any given      “psychosocial factors” and              patients coming out of surgery
                year, the surgical arena has long       everyone else calls “feeling            suffer even more from nausea. It’s
                                                        lousy and depressed” can have           a common side effect of general
                                                        a powerful effect on how quickly        anesthesia that can be exacerbated
                                                        surgical patients recover and how       by drugs or even the stress of being
                                                        successful their surgery turns          hospitalized. In a study in which
                                                        out to be. Studies like these have      acupuncture was administered
                                                        pushed leading medical institutions     shortly before surgery, Mayo
                                                        to look for new ways to aid recovery.   researchers found that patients
                                                        More than a decade ago, the Mayo        who received acupuncture reported
                                                        Clinic made one of the first big        feeling nauseous significantly less
                                                        pushes into incorporating CAM into      frequently than patients who did
                                                        its pre- and post-op wards, targeting   not receive acupuncture, and their
                                                        cardiac patients specifically. Few      suffering was significantly less
                                                        procedures are as grueling as heart     acute when they did feel ill.
                                                        surgery. For all the advances made          Similar benefits have been seen
                                                        in minimally invasive cardiac care,     from other, equally nonmainstream
                                                        there’s just no other means to          treatments. Aromatherapy—with
                                                        perform a bypass, for example, than     spearmint, peppermint, ginger or
                                                        by cutting the sternum, splitting the   lavender oils—has been shown
                                                        chest and subjecting the patient        to ease post-op nausea. Reiki,
                                                        to hours of deep anesthesia while       a Japanese technique of energy
                                                        the heart is manipulated by hand,       healing, has reduced stress and
                                                        scalpel and suture.                     sped recovery. Patients in the
                                                           All that awfulness makes             Mayo network are also offered
                                                        feeling better—not to mention           meditation, yoga, tai chi and even
                                                        actually getting better—difficult.      animal therapy, in which companion
                                                        Mayo researchers thus decided to        dogs visit patients before and
                                                        determine whether a bit of massage      after surgery.
                                                        might help the healing process              That number is likely to grow—
                                                        along. After recruiting a group of      and not just at Mayo. The uniquely
                                                        pre-op patients, the researchers        violative, uniquely mortal nature
                                                        assigned half to receive standard       of surgery makes it a feared and
                                                        post-surgical care, including pain      serious enterprise. But such gravity
                                                        medications, plus two 20-minute         can open minds and clarify thinking
                                                        sessions of massage on the              too. Wisdom dictates not accepting
                                                        second and fifth days after surgery.    just any old nostrum. Wisdom also
                                                        The other half received the same        dictates embracing ideas you might
                                                        care, except that they spent those      not ordinarily consider. When your
                                                        20 minutes quietly relaxing with        health, welfare and life are on the
                                                        no massage.                             line, you’re not likely to be picky
                                                           Before and after the sessions,       about where legitimate help comes
                                                        the patients evaluated their level      from. Relief and recovery are what
                                                        of pain, anxiety and tension on a       count—and, more and more, CAM is
                                                        scale from 1 to 10. All the subjects    delivering both.
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