By Darci Picoult
It began with a bump. The size of a pinhead. Innocuous. An innocuous little pinhead of a bump on my vulva. Given that my gynecologist said the bump was probably nothing, I laughed it off. Which, in turn, made my bump mad. Very mad. It wanted my attention. And so it grew. I smeared it in medicine. It grew more. More medicine. More growth. Hanukkah came. Then Christmas. A war raged between us. I went to battle in the middle of the night with salt baths and creams. Prayed for its departure...
Added the Multidimensional Fatigue Symptom Inventory-Short Form to the list of instruments used to assess fatigue (cited Stein et al. as reference 24).
Added text about a study that demonstrated that managing symptoms (e.g., pain, nausea, and decreased appetite) can have a significant positive impact on fatigue (cited de Raaf et al. as reference 5).
Added Other Pharmacologic Interventions as a new subsection.
Revised text to state that one fairly large study evaluated medical qigong for cancer-related fatigue in a heterogeneous group of 162 patients either undergoing cancer treatment or having finished cancer treatment.
Added text about a study of qigong to improve quality of life in women undergoing radiation therapy for breast cancer (cited Chen et al. as reference 57).
Added text to state that the major weakness limiting interpretation and integration of both of these studies, despite differing results, is that there was no attempt to control for attention or any of the social aspects of the intervention.
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