The document discusses integrated cancer care through naturopathic medicine, emphasizing prevention, natural healing methods, and collaboration with conventional medicine. It highlights the educational and licensing requirements for naturopathic doctors, the range of therapies used in practice, and the importance of evidence-based approaches. Furthermore, it outlines how naturopathic treatments can support patients during and after cancer treatment, addressing health maintenance and quality of life issues.

1. Integrated Cancer Care Maureen Horne-Paul N.D. Doctor of Naturopathic Medicine Kingston Naturopathic Center

2. Naturopathic Medicine Primary health care profession Focus on prevention of disease, health maintenance Uses natural methods to promote healing Works in co-operation with other systems of medicine (i.e. not “either/or”)

3. Principles of Naturopathic Medicine First Do No Harm ( primum non nocere ) Identify and Treat the Cause ( tolle causam ) Healing Power of Nature ( vis medicatrix naturae ) Physician as Teacher ( docere ) Treat the Whole Person

4. Education of Naturopathic Doctors Bachelor of Science degree is prerequisite 4 years at an accredited Naturopathic medical school (4 in North America) human biological sciences, biochemistry, etc. medical sciences naturopathic therapeutics clinical training

5. Licensing of Naturopathic Doctors In Ontario, licensed by the Board of Drugless Therapy/Naturopathy After graduation, must pass board examinations standardized across North America to be licensed In Canada, naturopathic practice regulated under provincial law in BC, Manitoba, Saskatchewan, Ontario, (Alberta pending)

6. A Naturopathic Office Visit Medical history-taking and physical exam Diet/nutritional analysis Laboratory testing as required Patient’s goals for their health Formulation of an INDIVIDUALIZED treatment plan Appropriate referrals when necessary Follow-up assessments as needed

7. “Natural” Doesn’t Mean Safe No “magic bullets” Herbs, homeopathics, nutritional supplements are drugs with biological actions in the body Interactions: herb:herb herb:drug Contraindications for herbs and supplements “ Goodfer Syndrome”

8. Evidence-Based Medicine Huge volume of well-documented, peer-reviewed information available Available for wide range of modalities and therapeutic substances Naturopathic practice based on the best evidence available More research needed in many areas of complementary medicine

9. Types of Therapies Used Clinical Nutrition Intravenous and injection therapy First Line Therapy Botanical medicine Acupuncture Homeopathic Medicine Lifestyle management, mind-body techniques, bodywork, hydrotherapy

10. Naturopathic Medicine can... Optimize nutritional status Relieve from side effects of chemotherapy and radiation Enhance healing after surgery Improve response to conventional therapy Decrease possibility of metastasis and reoccurrence Long-term health maintenance, QOL issues

11. Naturopathic Medicine can.. Support the immune system Stimulate the immune system Attack tumor cells Reduce the total workload of the immune system Deal with health problems not a result of the cancer or cancer treatments

12. Naturopathic Medicine Wholistic A mind-body approach Able to offer may different types of treatments and modalities Well combined with conventional treatments Treatments can be synergistic in effect

13. Optimizing Nutritional Status Pre-treatment, during treatment, post-treatment rebuilding Caloric intake Food “bang for your buck” Quality of food Medicinal value of foods IV therapy

14. Managing Treatment Side Effects Strategies to minimize/support: Nausea and vomiting Weight loss, appetite Mucositis Hormonal effects Support digestion and elimination Organ/tissue support Liver support and immune system modulation

15. Enhance Healing After surgery/radiation Improved wound healing with nutrients Decrease short and long-term radiation effects IV therapy, homeopathy, botanicals, bodywork, relaxation techniques, guided imagery

16. Improved Response to Conventional Therapy Reducing toxicity of chemotherapy and radiation treatments Enhance activity of some drugs Mitigate side effects AVOID Negative interactions with Chemo!! Botanicals, homeopathic medicines, vitamin, minerals, biological response modifiers, diet

17. Metastasis/Recurrence Prevention Anti-angiogenesis Extracellular matrix and connective tissue modifiers/detoxifiers Cell membrane modifiers Apoptosis inducers Immune modulators Anti-mutagenics

18. Mucositis Traumeel: Double-blind placebo studies-2 completed, 1 ongoing Very positive results in most patients, especially in children Typical dosing: start 2 days before chemo, 1 ampule bid/tid in water, swish and swallow, continue until at least day 10, or longer prn Clinically one of the best therapeutics-may be enhanced by probiotics, other substances

19. Chemo-Induced Menopause Diet Bioflavonoids-hesperidin Isoflavones-soy ??? Not always indicated Cimicifuga and other botanicals Liver support-metabolic pathways Gut support-hormone breakdown Homeopathics

20. Long-Term Health After conventional therapy is over… What now? Other health issues Maintenance Quality of Life Palliative Care

21. Cancer Prevention Diet Keys “ Rainbow” assortment of fruits and veggies Reduce intake of red meats and other animal foods Reduce exposure to chemicals, pesticides, cleaners, etc. Eat good fats especially Omega-3 Avoid high-calorie, low nutrient foods Keep salt intake low and potassium intake high Choose foods that help elimination and detoxification

22. Saraswati Wellness Spa Full service naturopathic clinic including IV therapy,acupuncture, botanical med, lifestyle mgt In-house wellness programs Wellness based spa therapies Accommodations

23. Thank you for your attention!!

24. Any Questions???

25. Maureen Horne-Paul N.D. Kingston Naturopathic Center Reddendale Plaza 732A Front Road Kingston, ON K7M4L5 634-9991