This is the second in a two-part series on integrative medicine, the combination of conventional and alternative therapies.
Mysterious diseases that neither seem to have a single cause nor a single cure are the most compelling forces behind the rise of integrative medicine. The diseases, called "complex chronic illnesses," have confounded doctors, who attempt to treat patients suffering from the conditions for which one form of medicine doesn't seem to be enough.
Your best-selling book The Year of Magical Thinking chronicles your grief following the loss of your husband, John. What surprised you most about grieving?
I did not expect the degree of derangement-both physiological and mental. An example of the latter: Two weeks after John died, when I filled out a hospital form for the autopsy report, I gave not my own address but that of an apartment in which we had lived for the first four or five months of our marriage, in 1964.
Is there something...
Complex chronic illnesses affect more than one system in the body. Because of this, patients recover most successfully with the use of an amalgam of therapies that involve both conventional and alternative approaches.
Chronic fatigue syndrome (CFS) and fibromyalgia are leading examples of complex chronic illnesses. Both conditions involve the immune, circulatory, digestive and nervous systems, which interact with each other in bewildering ways.
The immune systems of persons afflicted with CFS churn out abnormally high levels of the hormones normally responsible for stimulating immune cells into action. But high levels of these hormones can also create a deep sense of fatigue. Individuals with CFS can also have serious problems with memory and concentration ("brain fog"), sleep, pain and digestion.
Widespread bodily pain is the most characteristic symptom of fibromyalgia. While sufferers of the condition perceive the pain they experience as coming from their muscles, the muscles don't show any signs of disease. The pain occurs when the brain encounters disturbance while processing normal nerve impulses. Fibromyalgia sufferers can also experience CFS-like symptoms.
One Haystack, Many Needles
A labyrinth of factors causes the two illnesses. While each factor by itself may not be sufficient to cause the illness, a multiplicity of factors can conspire to establish an insidious pattern of chronic symptoms that can be difficult to dislodge. With a sudden trauma or injury, extreme or chronic stress, environmental toxins, possibly certain germs and a person's genetic vulnerabilities, the factors all join together to wreak havoc, which is complex chronic illness.
Because conventional medicine is based on disease with a single cause, mainstream physicians have, for the most part, failed to treat complex chronic illnesses. Individuals with CFS and fibromyalgia need more than a single drug, surgery or other high-tech solutions.
Complex chronic illnesses involve a "web of causality" with many factors that "are not linked to each other in a linear, predictable manner," explain researchers Pierre Philippe and Omaima Mansi of the Department of Social and Preventive Medicine at the University of Montreal.