Complementary and Alternative Medicine the New Model of Care© Article Written by: Dr. Betty deMaye-Caruth, PhD., RN, CHTP, RM/T

A new government nationwide survey published by the National Institutes of Health reports that 36% of adults in the U.S. who are over the age of 18 use some form of complementary and alternative medicine also known as CAM. When prayer is added to this definition of CAM the percentage of Americans using complementary and alternative medicine rises to 62%. The survey also found that the majority of people who use CAM believed that these practices would help them when combined with conventional medical treatments. This is introducing a new way of thinking to the medical community. Picture a circle with prescription, over the counter drugs and surgery at the center and CAM and psychosocial approaches outside the circle. Now picture a circle where the center is Self Care using complimentary and alternative medicine; drugs and surgery are also part of the circle but instead of being in the center they are now on the periphery. As a result of this shift in thinking and acceptance of complementary and alternative medicine by the public, large numbers of people are now changing the way they approach health care by taking more interest in their personal health and asking to work in collaboration with their health care practitioner. This is not to indicate that drugs and surgery are not important – quite the contrary. However studies have shown that using various methods of self care can often decrease medication and reduce the healing time from surgical procedures. Some of the therapies that that can be easily learned by the public are relaxation techniques, breathing exercises, meditation, yoga, tai chi, imagery, nutrition and prayer.(For maximum effect it is recommended that some of these therapies be taught by a professional.)

James Gordon MD who has served as the Chair of the White House Commission on Complementary and Alternative Medicine Policy has stated that at the very least patients scheduled for surgical procedures should be taught breathing and relaxation techniques. Not only does this assist in the healing process but it also give the patient the ability to take an active part in their healing and feel more in control of their bodies.

Andrew Weil MD who is the director of the Program in Integrative Medicine at the University of Arizona is also a strong advocate of breath work and meditation. He has also included energy therapies such as Reiki or Therapeutic Touch.

CAM has been a topic on the evening news programs and in many newsstand magazines and newspapers. Thus the public has become more aware of the added benefits of complementary and alternative medicine causing them to question their healthcare provider and seek out practitioners of these therapies.

As a result of the public’s interest, many physicians and health care practitioners (RNs, Physician Assistants, and Nurse Practitioners) are beginning to utilize some form of CAM. There are over 2000,000 articles and studies published in established journals such as JAMA, LANCET and The American Journal of Nursing allowing the medical community to access this information as part of the continuing education process. Also various centers have been developed to train health care professionals in the utilization of CAM. Dr James Gordon is the Founder and Director of the Center for Mind-Body Medicine. Based in Washington DC, Dr Gordon’s organization presents programs for health and mental health professionals who wish to integrate therapies such as relaxation therapies, meditation, acupuncture, nutrition, yoga, herbalism, music and dance into their practice. There are also many programs and seminars addressing these practices that are offered by Universities such as Thomas Jefferson in Philadelphia to provide continuing education courses for health professionals.

Many patients have realized that there are restrictions placed upon their health care by many outside sources. Patients are now taking control, becoming educated and are now open to explore their options with complimentary and alternative medicine practices while utilizing the services of their healthcare practitioner. This new model of health care is fast becoming the norm for many Americans.

Betty deMaye-Caruth PhD, RN is the Founder and Director of the Minerva Educational and Treatment Center in Honesdale Pa. Dr. Betty has over 25 years experience in Complementary and Alternative Medicine; she has written articles for professional journals and various other publications, developed many educational seminars and maintains a private practice in Honesdale. Please direct any questions to her website www.minervaed.com.

Chronic Fatigue Syndrome© Written Response by Betty deMaye-Caruth, PhD., RN, CHTP, RM/T

Dear Dr Betty

For the past six months I have been working with a holistic practitioner who has been treating me with herbs and homeopathy for Chronic Fatigue Syndrome. I do not feel any different and don’t know where to turn. — KR. Lakeville

Dear K.R.

This is a difficult question to answer. Chronic Fatigue Syndrome is a condition that affects many people in different ways. Some are still able to continue working and others are totally disabled by their symptoms. You have not indicated in your e-mail who made the diagnosis for you. If you have not been diagnosed by a medical doctor using blood tests and a complete history and physical, you may want to start here.

There are some conditions that will have the symptoms of chronic fatigue but may be something simple such as anemia (a low red blood cell count). You may want to look for a physician who either practices some complementary medicine or is at least open to the practices of a holistic healthcare practitioner. Most will be very happy to give you their opinion on these therapies.

I also suggest you sit down with the holistic practitioner that you are currently seeing to discuss your treatment plan. It is important that you work with your practitioner to set goals. If you have not seen any progress at all in the past six months some changes should be considered to meet your treatment goals.

Perhaps some modifications need to be made to your diet or some energy work could be included. Also, you may want to consider another practitioner with more experience treating patients with this condition.

Finally, remember that even though you may be seeing a holistic healthcare practitioner, there is no reason why you cannot also work with a physician. The current trend is to integrate both therapies so that you will receive the best of both worlds.

Readers are encouraged to send questions to Dr. Betty at Minerva Educational Center, 303 Deer Lane, Honesdale, PA 18431 or email: minervaed@aol.com. For more information visit the Minerva website at www.minervaed.com.

An Arsenal for Chemotherapy© Written Response by: Dr. Betty deMaye-Caruth, PhD., RN, CHTP, RM/T

Dear Dr. Betty,
I was diagnosed with breast cancer and underwent surgery to have the cancer removed. I am now receiving chemotherapy. What therapies can I use to help me with the side effects of chemotherapy?
M.P., Shohola

Dear M.P.,
I have treated quite a few women in my practice who are facing the same challenges as you with the side effects chemotherapy. First of all, I’d like to remind you that not everything is for everybody – by that I mean that complementary therapies may work better for you than someone else with the same symptoms. A reputable practitioner will take into account several factors regarding each individual to determine what choices will work best.

One of the most common side effects of chemotherapy is nausea. Some people become very nauseous from this treatment and others suffer minimal discomfort. Ginger tea is often very helpful for alleviating this symptom. You may try a few slices of fresh (peeled) ginger root (available in the produce section of your local market) steeped in hot water. You may safely add honey to sweeten the tea without contraindication. Some constitutions are tolerant of a very concentrated tea while others enjoy good results with a mild tea, again dependent on the individual.

I usually recommend a series of touch therapy treatments to chemotherapy patients. Touch therapies, such as Therapeutic Touch, Healing Touch and Reiki, are very effective for balancing the body’s energy, allowing the physical body to begin repairing itself.

Aromatherapy is also effective for treating certain side effects of chemotherapy. Essential oils are used in many chemo clinics to assist patients with physical side effects, such as nausea and pain, as well as emotional issues, such as anxiety and trauma associated with hair loss. Lavender and frankincense are excellent choices to promote relaxation and can be used through inhalation methods (such as a diffuser) or applied directly to the body in the form of a gentle massage or rubbing the oil on the soles of the feet.

The use of flower essences is a popular choice for those whose mood needs a boost. Often the process of cancer surgery and ensuing chemotherapy can stimulate a broad range of emotions. A flower essence consultation can help target specific emotional challenges, or an overall essence, such as Five Flower Essence, can help to lift your spirits.

Meditation is a superb avenue for coping with any anxiety that occurs from chemotherapy, particularly the form of meditation called guided visualization. Chemotherapy drugs are prescribed with the intention of destroying bad or cancerous cells. Guided visualization helps you to balance your body and focus the drug to destroy only non-healthy cells. One of my clients uses this technique hand in hand with her chemotherapy, envisioning the pill as a Pacman traveling through her body, gobbling up unhealthy cells.

Journalling is a proven method of sorting out your fears and feelings resulting from your diagnosis and surgery. Writing exercises and meditation work very well together – you may want to seek out a group who supports a meditation or writing practice to explore how an inward journey can assist in bringing your outward symptoms into balance.

There are many other therapies available but space permits discussing only these few. Remember, check with your physician to discuss the fact you intend to use these therapies and engage in the practice of integrative medicine.

For more information please visit our website at: www.minervaed.com