Acupuncture for the Cancer Patient

1. Acupuncture for theCancer Patient An Integrative Approach From Memorial Sloan-Kettering Cancer Center Danee Barnett, AP, DOM

2. How does Acupuncture work? • Acupuncture is a complex branch of ancient Chinese medicine that has been successfully practiced for over 2,500 years, but its practical principles and methods are easily understood.

3. Fourteen major energy channels called meridians course through the human body including the head, arms, hands, feet, torso and internal organs. A subtle energy called Qi(pronounced chee)circulates via these meridians to all parts of the body, even the most remote cells.

4. Qi is the vital force, the presence of which separates the living from the dead. Its balanced, unimpeded flow is critical to sound health.

5. Qi flows through each of us like a river, energizing, nourishing and supporting every cell, tissue, muscle, organ and gland.

6. Any misdirection, blockage, or other derangement of the amount, flow or balance of Qi may result in pain, dysfunction and ill health.

7. These imbalances can be caused by • Stress • Trauma • Accidents • Improper Diet • Strain • Surgery

8. With acupuncture needles, • I stimulate specific points (acupuncture points) along the course of the meridians. • Such stimulation helps restore the normal balance and flow of Qi so organs and bodily systems can work together in harmony as intended

9. Acupuncture was initiated at Sloan-Kettering in 1999 Approximately 1400 outpatients per month are treated with acupuncture Inpatient services are offered free of charge

10. In addition to acupuncture, other integrative therapies offered include: • Touch Therapies • Fitness • Mind-Body Meditation • Music Therapy • Nutritional Counseling

11. Although many Chinese herbal formulas may help in cancer treatment they are are NOT used at MSKCC during chemotherapy because there has not been enough research to determine if they help or hinder the effects of chemo

12. Alternative Therapies Promoted for use INSTEAD of mainstream care Many are biologically invasive Costly, potentially harmful Complementary Therapies Used WITH mainstream care for cancer Non-invasive Inexpensive, safe and beneficial Alternative vs. Complementary

13. Used WITH mainstream care for cancer Non-invasive inexpensive, safe and beneficial Effectively reduce side effects Enable self-care and control Enhance well-being and quality of life Reduce fear, distress, depression, anxiety Safe, non-invasive, inexpensive and easy to use Complementary Therapies

14. How is Acupuncture usedat Sloan-Kettering Cancer Center?

15. Acupuncture for Surgical Patients(pre-surgery) • promotes relaxation • prevents infection • shortens recovery time • less post-op pain • optimum time of treatment is 2 days before surgery

16. Acupuncture for Surgical Patients(post-surgery) • less swelling • less pain • improves mental alertness • improves intestinal mobility and urination • shortens recovery time • promotes incision healing • optimum time of acupuncture treatment: • 2 days post surgery, 1 week post surgery and 2 weeks post surgery

17. Acupuncture for Radiation Patients • reduces fatigue • helps anemia • increases white blood cell count • helps nausea and vomiting • stops diarrhea • helps burns • decreases hair loss • can help with infertility due to treatment

18. Acupuncture for Chemotherapy Patients • Helps nausea and vomiting • decreases hair loss • helps fatigue and shortness of breath • strengthen immune system • Increases appetite • Helps red and white blood cell counts • stops diarrhea • helps neuropathy • optimum time of acupuncture treatment is 1-2 hours before treatment and 24 hours after treatment. If only one treatment is possible, treat before chemo.

19. What Causes Cancer? • Genetics • Exposure to harmful elements • Lack of protective elements • Bad habits • CHANCE • notes: tobacco, carcinogens in food and environment • UV protection, exercise, obesity

20. One Third of CancersAre Preventable with Lifestyle

21. Research at Sloan-Kettering shows us many things we can do ourselves to help avoid a recurrence of cancer BE PRO-ACTIVE!

22. EXERCISE INCREASES SURVIVAL(and it’s never too late to start)

23. EXERCISE AND BREAST CANCER • 50-60% increase in survivorship seen with regular physical fitness • Nurse Health Study: 2987 Nurses with breast cancer decreased their risk of death from breast cancer by 50-60% by exercising more than 9 hours per week vs. less than 3 hours per week.

24. EXERCISE AND COLON CANCER • 832 stage III colon cancer patients receiving chemotherapy • Reported physical activities 6 month completion of chemotherapy • 51% decreased risk of dying from colon cancer for 18-26.9 hours/week vs. less than 3 hours/week

25. EXERCISE AND CANCER IN GENERAL • 55% decreased risk for 27+ hours/week exercise • The benefit is not significantly modified by sex, body mass index, number of lymph nodes involved, age, baseline performance status or chemotherapy received

26. Exerciseis Huge JUST DO IT!

27. Guidelines for Physical Fitnessfor most Cancer Patients and Survivors • Do continuous or intermittent aerobic exercise 20-60 minutes 3-5x/wk • Do anabolic exercise 6-12 reps and 1-4 sets of each exercise for major muscle groups 1-3 x/wk •Do flexibility exercises for major muscle groups 2-4 sets each exercise 2-3x/wk (i.e. Yoga, Qi Gong, Tai Chi)

28. Diet Recommendationsfrom Sloan-Kettering

29. The Mediterranean Diet

30. Mediterranean Diet Benefits • Analysis of 1.5+ million patients • Greater adherence to the Mediterranean Diet has 9% reduction in overall mortality • 9% reduction in cardio-vascular mortality • 6% reduction in cancer mortality • 13% decreased incidence of Parkinson’s and Alzheimer’s

31. What’s in the Diet? • 3-5 serving of fresh fruits/day • 2-5 servings of fresh vegetables/day • 2+ Proteins/day (fish, legumes, nuts, etc.) • WHOLE GRAINS (whole wheat, brown rice etc.) • Extra virgin olive oil rather than (NOT in addition to) butter or margarine

32. Eat This!

33. Nutritional Supplement Recommendationsfrom Sloan-Kettering

34. • 20+ billion dollars are spent each year in the USA on vitamins and nutritional supplements• Anti-oxidants are highly marketed and are of uncertain benefit• Wheat Grass, Gogi, Noni, Acai, Pomegranate, Green Tea, Reveratrol, Vitamins A, C and E have not proven to be of any real benefit

35. HIGH LEVELS OF ANTI-OXIDENTS PROTECT CANCER CELLS AS WELL AS HEALTHY CELLS!

36. Don’t waste your money on supplements, just eat good, healthy food as per the Mediterranean Diet.

37. There are however, 2 supplements that Sloan-Kettering Recommends.

38. VITAMIN D 1000-2000 IU Daily • Most people are vitamin D deficient • Minimal vitamin D is obtained from food sources (80 oz. of milk needed to get sufficient D) • Improved outcomes from lung, breast, and colorectal cancer with sufficient vitamin D levels • Sufficient D levels cut risk of colorectal cancer by50%

39. Calcium1000-1500 mg/day • Calcium Citrate is helpful for colon cancer, prostate cancer and osteoporosis • Calcium / Magnesium combo prevents constipation • Calcium Citrate is the most bio available • Take with food - only 500 mg. at a time

40. Summary • Eat healthy food, not supplements • Eat mostly plants • Be physically active every day • Stay as lean as possible without being underweight • Take your Calcium and Vitamin D

41. Mind-Body Meditation Sloan-Kettering has patients listen to audio recordings that help visualize the cancer being destroyed.

43. SEE them orbiting FEEL them sticking to the problem HEAR them buzzing as they do their work SMELL and TASTE the energy they are creating MAKE IT REAL

45. SEE the electric blue liquid light energy FEEL it flowing through you HEAR it cascading SMELL and TASTE its refreshing qualities MAKE IT REAL

46. Trust Your Instincts