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Maryland Plastic Surgery Newsroom

Real Alternatives
"It is best not to abandon conventional therapy when there is a known response [in the effectiveness of that therapy]," says Joseph Jacobs, M.D., former director of the National Institutes of Health's Office of Alternative Medicine, which was established in October 1992. As an example he cites childhood leukemia, which has an 80 percent cure rate with conventional therapy.

But what if conventional therapy holds little promise?
Many physicians believe it is not unreasonable for someone in the last stages of an incurable cancer to try something unproven. But, for example, if a woman with an early stage of breast cancer wanted to try shark cartilage (an unproven treatment that may inhibit the growth of cancer tumors, currently undergoing clinical trials), those same doctors would probably say, "Don't do it," because there are so many effective conventional treatments.

Jacobs warns that, "If an alternative practitioner does not want to work with a regular doctor, then he's suspect."

Alternative medicine is often described as any medical practice or intervention that:

1. lacks sufficient documentation of its safety and effectiveness against specific diseases and conditions
2. Is not generally taught in U.S. medical schools
3. Is not generally reimbursable by health insurance providers.

According to a study in the Jan. 28, 1993, New England Journal of Medicine, 1 in 3 patients used alternative therapy in 1990. More than 80 percent of those who use alternative therapies used conventional medicine at the same time, but did not tell their doctors about the alternative treatments. The study's authors concluded this lack of communication between doctors and patients "is not in the best interest of the patients, since the use of unconventional therapy, especially if it is totally unsupervised, may be harmful." The study concluded that medical doctors should ask their patients about any use of unconventional treatment as part of a medical history.

Many doctors are interested in learning more about alternative therapies, according to Brian Berman, M.D., a family practitioner with the University of Maryland School of Medicine in Baltimore. Berman says his own interest began when "I found that I wasn't getting all the results that I would have liked with conventional medicine, especially in patients with chronic diseases.

 

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