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    Dealing With Cancer

    Can alternatives help?

    WebMD Feature
    Reviewed by Craig H. Kliger, MD

    July 24, 2000 -- After more than 17 years of battling malignant melanoma, Nick Steiner knew he had few options left. Steiner, 65, is a physician himself. Diagnosed with this deadly form of skin cancer in 1980, he'd watched the tumors spread into his lungs and then into his brain. He'd tried everything medicine has to offer -- from surgery to an experimental cancer-fighting vaccine. When the disease surged back again in 1997, he recalls, "It looked like I was at the end of the road."

    Desperate, he turned to something he might once have scoffed at: Chinese herbs. "I heard about an herbal expert named George Wong. I gave him a call, knowing I had nothing to lose."

    It's hardly surprising that thousands of cancer patients like Steiner are turning to alternative (also called complementary) therapies. Despite decades of research, scientists still haven't found a cure for most forms of cancer, and conventional treatments are usually highly toxic. What is surprising is that many mainstream cancer specialists are now willing to give unconventional therapies a try.

    Around the country, leading cancer centers now offer "integrative" treatment programs, which combine standard therapies such as radiation and chemotherapy with alternative approaches like acupuncture, massage, hypnosis, Chinese herbs, and even aromatherapy. When Nick Steiner first contacted George Wong, PhD, for instance, the specialist in Chinese medicine was working in a small private practice in Manhattan's Chinatown district. Today Wong serves on the staff of the highly respected Strang Cancer Prevention Center (associated with Cornell University) in New York City. This past June, New York's Beth Israel Medical Center opened a new Center for Health and Healing, which offers a wide choice of alternative therapies. And Stanford University Medical Center in Palo Alto, Calif., has also just established a new center that specializes in mind-body therapies designed to ease cancer patients' pain and discomfort -- and perhaps enhance their survival.

    The trend is being driven in part by the sheer popularity of alternative medicine among consumers. Americans now spend $27 billion out-of-pocket on unconventional treatments -- about as much as they spend visiting conventional physicians, according to a study published in the November 11, 1998 issue of the Journal of the American Medical Association. But many researchers are also beginning to take alternative approaches more seriously. "More and more physicians are discovering that some of these approaches really do have something to offer," says Jeffrey White, MD, who heads up the program of research into complementary and alternative medicine at the National Cancer Institute (NCI).

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