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01/Apr/2024

In the complex realm of cancer care, the quest for effective treatments and supportive care modalities is relentless. But for an endeavor so vital, there’s an ongoing discourse that questions the conventional approach to oncology in North America. The discussion revolves around a seemingly overlooked corner of medical practice that has captivated the interest, if not the acceptance, of a growing number of patients and health enthusiasts – Complementary and Alternative Medicine (CAM). This divergent model offers a spectrum of therapies, ranging from herbal remedies to meditation, and with the maturation of its applications worldwide, one cannot help but ask: why haven’t these benefits permeated the core of North American oncology?

Understanding Complementary and Alternative Medicine (CAM)

CAM encompasses treatments and healing practices outside of mainstream healthcare. This includes traditional Chinese medicine, Naturopathy, Ayurveda, Chiropractic and more. The roots of CAM are diverse, spanning centuries and continents. In juxtaposition to the high-tech and pharmacologically dominant healthcare of North America, CAM often relies on natural materials and centuries-old practices. Yet, modern CAM therapies are integrated with a level of sophistication that is constantly evolving. In several parts of the world, such as in Asia and parts of Europe, CAM is not merely an eccentric affix but a fundamental component of healthcare delivery, recognized and regulated accordingly.

The Current Landscape of Oncology Care in North America

When it comes to cancer care, the North American healthcare system predominantly defaults to what is perceived as the gold standard – surgery, chemotherapy, and radiation therapy. These modalities have made significant strides in improving survival rates for many cancer types, but they often come with a spectrum of side effects that can challenge a patient’s day-to-day life. There’s a growing understanding that cancer care should not be solely about treating the disease but also about enhancing the quality of life during the patient’s cancer journey.

Why CAM is Not Widely Embraced in North American Oncology

The relative absence of CAM in conventional North American oncology practices can be attributed to a multitude of reasons. Historically, orthodox medicine has been on a conquest to institutionalize a more standardized approach with an emphasis on scientific rigour and evidence-based practice. This quest, while invaluable in ensuring the safety and efficacy of treatments, has been somewhat exclusionary towards CAM, which often lacks the same level of randomized controlled trials and mechanistic understanding that typifies traditional Western medicine. Regulatory barriers also play a significant role, with CAM products and practices typically falling outside the purview of the FDA and similar regulatory bodies, leading to concerns about safety and efficacy.

The Potential Benefits of Integrating CAM with Conventional Oncology

Despite the barriers, there is a burgeoning body of evidence that suggests certain CAM modalities could play a supportive role in cancer care. These can include managing treatment side effects, addressing mental health concerns, improving well-being, and possibly even influencing the efficacy of conventional treatments. For example, acupuncture has shown promise in alleviating chemotherapy-induced nausea, while yoga and meditation can aid in reducing stress and anxiety, which are often elevated in cancer patients.

Learn more about integrative cancer care HERE

Overcoming Barriers to Integration

Moving towards a more integrated model of oncology is not without its hurdles, but progress can be made with a holistic approach. This would require bridging the knowledge and practice of CAM with that of conventional oncology, fostering open communication channels, and galvanizing collaborative efforts. Legislative and educational reforms could serve to demystify CAM, addressing patient safety and ensuring well-informed decision-making. Increased funding for research into CAM’s applications in oncology is also crucial, to solidify a scientific foundation on which to build integrative care models.

Patient Empowerment and Informed Decision Making

In an era where patient autonomy and shared decision-making are increasingly valued, information is key. It’s essential that patients are equipped with resources to understand the potential benefits and risks of CAM, should they choose to explore such avenues in their cancer care. A harmonious dialogue with healthcare providers, who are often the gatekeepers to medical options, can enhance patient empowerment and personalize the healing process.

Conclusion

The integration of CAM with conventional oncology care presents an opportunity to elevate the standard of cancer care in North America. While the path to such integration may be fraught with challenges, the end goal – to provide comprehensive, patient-centred care that optimizes health and well-being – is one that should merit collective exploration. By fostering a culture of openness, rigorous inquiry, and patient-centric care, we can aspire to a healthcare landscape that respects tradition while leveraging innovation to its fullest.

It’s time to ask bold questions and seek innovative solutions that accommodate the shifting perspectives and needs of those we serve. North America has the expertise and the will to innovate in its approach to health care. By working to integrate CAM with conventional oncology, we stand to better serve and support the individuals and families facing cancer, not only with the arsenal of modern medicine but with all the tools that history and culture have bequeathed.

Check out more articles on integrative approaches to cancer

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21/Nov/2019

It was my hope to find an effective alternative to Cannabidiol (CBD) that wouldn’t land me in jail when I travel; so is PEA the new CBD?

PEA stands for Palmitoylethanolamide. It is a fatty acid that is found in Eggs, Cheese, Meats and Peanuts.  We also make PEA during stress, infections, inflammation, trauma, allergies, pain, cardiac disease, kidney disease and obesity. Much like our endocannabinoids, PEA is responsible for maintaining cellular homeostasis.

Naturopathic Treatment for Multiple Sclerosis

How does it work?

While PEA does not have a direct effect on Cannabinoid receptor (CB1 and CB2) it does have similar mechanisms of action to our endocannabinoids and cannabidiol (CBD). PEA looks very similar to our body’s own endocannabinoids (AEA and 2-AG). These similarities allow PEA to exert effects similar to our AEA and 2-AG.

PEA down regulates mast cells, which are responsible for the release of histamine and other inflammatory mediators. PEA can therefore be a powerful molecule for immune heath, inflammation, pain, neuro-protection and allergies. PEA has direct action on receptors GPCR55 and GPR119, which produce effects similar to activation of CB1 and CB2 by endocannabinoids, THC and CBD.  PEA also acts similarly to CBD by affecting the breakdown of endocannabinoids via inhibition of the enzymes FAAH and MAGL. 

Pain Management
Micronutrient Infusion

The Research

Several studies have shown that when PEA is used with opioid type drugs for low back pain, the dose of the opioids could be reduced significantly. PEA was found to exert pain relief animal models of inflammation and neuropathic pain. These analgesic effects are thought to be due to increasing endocannabinoid levels similarly to how CBD works. All in all many studies have revealed that PEA exerts similar effects to CBD.  So I thought I would give this supplement a whirl, as a alternative to CBD (especially for travel) would be an important option for patients using CBD. 

My 5-day Trial with PEA

I took the supplement P.E.A. Activate from AOR , which contains 600mg PEA per lozenge.  My daily dose was two lozenges per day and I did that for 5 days. I noticed a strange light-headed feeling about 5 minutes after chewing my first lozenge. The feeling lasted for a bout 30min. I was excited that I actually felt a bit different after that fist dose by unfortunately each dose produced a similar effect (a light relaxing feeling) that only lasted between 30-60min. There didn’t seem to be much carry over from one dose to another. The effects were always pretty fast acting but short-lived. Furthermore I had a return of some muscle soreness that was absent for most of the time that I was taking my CBD supplement.  So, it seemed like, for me, the PEA was not having the same effect that I had experienced while on CBD.

In summary, the effects that I experienced during my PEA trial were fast acting but short-lived. PEA may therefore be a useful tool for acute episodes of anxiety, pain etc… but it did not have the same accumulative and long term effects that I experienced with CBD. The research on PEA is compelling and it is possible that this supplement warrants a more long-term trial. According to the research PEA seems to be a potential alternative to CBD but from my experience it falls a bit short.  Check out my video review of PEA here. 

https://youtu.be/Yfr-Ma19gGk

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09/Oct/2019

Intro to Afghan Kush

I chose to review Pure Farms Afghan Kush because it is a best seller on the Ontario Cannabis Store and because it’s a genetically pure strain. Kush originated in Hindu Kush mountain region sandwiched between Afghanistan and Pakistan. Geographically, Afghan Kush is therefore pretty much as authentic as you can get. In fact, Pure Farms notes that this strain is the building block for many modern Kush varieties. 

Pure Farms Afghan Kush is a medium to high potency Indica. The Farm is located in British Columbia. They have been cultivating for 25 years. The cannabis is grown in a modern green house facility with natural light and modern app-based quality assurance systems. 

Cannabis Buds

Appearance

The batch that I sampled was around 18% THC (mid-high potency) but it can land anywhere between 16-22%.  When I took out my first bud I could see that it was heavily frosted with trichomes. I was also struck by the vibrant green color of the bud, which is an indication of its freshness and lack of oxidation. The texture was a bit drier than I prefer but the smoke was not harsh and very flavorful. 

Smell Test

Immediately after opening the package I took a good whiff of the buds. The aroma was pleasant with definite floral and earthy notes. I knew right away that Myrcene and Linalool would be two prominent terpenes in this strain. I was able to confirm that Linalool and Myrcene were indeed part of this varieties profile, along with Nerolidol, Caryophyllene and Limonene (OCS.ca). Linalool and Myrcene are typically associated with relaxation, so I knew, even before smoking, that this would probably be a very relaxing strain. 

Naturopathic Treatment for Multiple Sclerosis

The experience

I took 3 draws of the Afghan Kush from a joint. The effects started within 5-10 minutes and peaked around 45 minutes after smoking. The primary sensation was a nice enjoyable relaxation throughout the body and head. I would say that the body effect was not as potent as some other Indica’s that I have tried (see my review of MK Ultra). The high felt very clean and authentic, like I was transported back in time to when the first Indica strains were being cultivated. Despite the relatively high THC content there was no paranoia. I did develop a slight headache, and dizziness toward the end of the high (might have just taken a bit too much).  Initially the experience wasn’t very sedating; however, towards the end I did feel quite sleepy. Therefore I would recommend this as an evening/night strain, not ideal for daytime use. 

Final Thoughts

I recommend this strain to the cannabis connoisseur and those interested in trying something with a great deal of authenticity. I could also see this strain being helpful for tight sore muscles and issues with sleep and stress. Even if it was primarily a placebo effect, I enjoyed feeling connected to the roots of cannabis cultivation through this very authentic Indica.

https://youtu.be/zXiljCm2yoU

dr_shawn

Patient focused integrative health care. Utilizing effective natural approaches designed to be used alone or to compliment conventional medical care.


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