Pine Street Foundation

Becoming Your Own Advocate

About the Series

Our Becoming Your Own Advocate series of articles are designed to empower patients with information so that they'll be able to make better, more informed decisions. Please help support this series by making a donation now. Is there a topic you'd like to see discussed in a future article? Please contact us to let us know.

We've recently launched Spanish language versions of many of our articles: Conviértase en su propio defensor.

CURRENT ARTICLES

Lymphoma, Chemotherapy, & Antioxidants
By Johanna Altgelt & Michael McCulloch

Using antioxidants during chemotherapy is an important and controversial question among health care providers, patients, and their support teams. In previous issues of Avenues, we have researched this subject thoroughly for prostate, breast, lung, colon, and ovarian cancers. In this article, we turn our focus to lymphoma, conducting a systematic search for published research that would support or discourage the use of antioxidants in combination with chemotherapy

Ovarian Cancer, Chemotherapy, & Antioxidants
By Johanna Altgelt, Helen Ly, & Michael McCulloch

Chemotherapy drugs used in the treatment of ovarian cancer work, in part, by inducing even higher levels of oxidative stress to attack cancer cells. This increased oxidative stress also causes chemotherapy related side effects. Oncologists have been concerned that antioxidants, which can decrease oxidative stress, can therefore also decrease chemotherapy treatment effectiveness or increase resistance to chemotherapy. However, no substantial clinical research has emerged to support the assertion that antioxidants are contraindicated during chemotherapy.

Colon Cancer, Chemotherapy, & Antioxidants
By Johanna Altgelt, Helen Ly, & Michael McCulloch

Although not commonly addressed in clinical consultation, scientific evidence suggests that combining certain chemotherapy treatments with specific antioxidants at defined dosages can improve drug effectiveness or may reduce side effect severity in the treatment of colon cancer.

Lung Cancer, Chemotherapy, & Antioxidants
By Johanna Altgelt & Michael McCulloch

There is a growing body of evidence that suggests combining specific chemotherapy treatments for lung cancer with certain antioxidants at defined dosages can help improve drug effectiveness or reduce the severity of side effects. In this evidence-based review article, Johanna Altgelt, an associate researcher at the Pine Street Foundation, searched through thousands of peer-reviewed, published studies and discusses how antioxidants may enhance or, in some cases, inhibit the therapeutic action of specific chemotherapy drugs used in the treatment of lung cancer.

Breast Cancer, Chemotherapy, & Antioxidants
By Johanna Altgelt & Michael McCulloch

There is a growing body of evidence that suggests combining certain chemotherapy treatments with certain antioxidants at specific dosages can help improve drug effectiveness or reduce the severity of side effects. In this evidence-based review article, we searched through thousands of peer-reviewed, published studies and discuss how antioxidants may enhance or, in some cases, inhibit the therapeutic action of specific chemotherapy drugs used in the treatment of breast cancer.

Breast Cancer: Advances in Diagnosis & Treatment
By Gwendolyn Stritter, MD

There has been significant progress in the diagnosis and treatment for breast cancer this past year. In this article, guest author Gwendolyn Stritter, MD, discusses some of the latest research and observes how there is increasingly "more information about which herbs, supplements, and other alternative/complementary approaches can minimize treatment side effects and possibly even reduce the risk of breast cancer recurrence."

Antioxidants & Chemotherapy for Advanced Prostate Cancer
The Latest Research on Specific Interactions

While it is true that there are some antioxidants that can hinder chemotherapy's effects, recent research suggests that there are some antioxidants that, when combined with chemotherapy, can increase the effectiveness of treatment by upwards of 30%. In this article, we seek to provide some clarity on this topic by providing useful guidelines that patients and health care providers can use to make better, more informed treatment decisions. Although this article specifically focuses on advanced metastatic prostate cancer, future articles will focus on the use of antioxidants and chemotherapy in the treatment of other cancers.

Your Mind & Cancer Treatment (Part 2)
The Latest Research on Chemotherapy-related Cognitive Decline

In 2005, we addressed the issue of chemotherapy-related cognitive decline, sometimes called "chemo brain" or "chemo fog." Since then, there have been some important new studies that provide more evidence of this problem, which we discuss and summarize in this new article.

Making the Best of a Hospital Experience
By Sandra Boeschen

When a visit to a hospital is necessary, knowing what to expect, who to contact, and how to ask questions can be immensely beneficial. In this article, author Sandra Boeschen writes how "with a little preparation, an inpatient or outpatient visit can be the healing event you need."

Talking to Your Children About Your Cancer Diagnosis & Treatment
By Michael Haas, MA, MFT

This article discusses how to talk to children about cancer diagnosis and treatment. The author, Michael Haas, MA, MFT, writes how "explaining cancer to a child is difficult and requires thoughtfulness, compassion, and some understanding of how children of different ages deal with trauma."

Interactive Guided Imagery as a Way to Access Patient Strengths During Cancer Treatment
By Martin L Rossman, MD, DipLAc (NCCAOM)

This article, by Martin Rossman, MD, DipLAc, discusses the use of guided imagery – a range of techniques from simple visualization to direct imagery-based suggestion – by people with cancer. He presents three brief cases that show "how guided imagery can help people with cancer access an 'inner support system' at a time when it is most needed."

Sexual Health & Cancer Treatment:
Understanding the Problem & Finding Solutions

In this article, we discuss the impact cancer treatment can have on sexual functioning. By addressing this important topic, it is our hope that this article will facilitate a constructive discussion between patients and their partners and health care providers.

Your Mind and Cancer Treatment (Part 1)
Understanding and Addressing Cognitive Decline

Often called "chemobrain," patients going through various cancer treatments can sometimes experience cognitive dysfunction, such as slowed thinking, memory problems, and poor coordination. In the first of two new articles in our Becoming Your Own Advocate series, we address the issue of cognitive dysfunction by discussing its causes and offering various solutions that can help prevent or minimize its effects.

Information That Could Save Your Life
By Marie Savard, MD
Guest contributor Marie Savard, MD, wants "each of us to take medical matters literally into our own hands" by compiling and maintaining a complete set of our own medical records. In the second new article in our Becoming Your Own Advocate series, Dr. Savard describes why a complete set of records is important and offers tips for how to go about finding and requesting copies.

Integrative Cancer Pain Management
By Gwendolyn M Stritter, MD
The article addresses the issue of cancer pain management. Gwendolyn Stritter, MD, a pain specialist in the San Francisco Bay Area, outlines her approach to successful pain management and discusses the benefits of an integrative strategy that combines both pharmacological and non-pharmacological technique

How to Sleep Well:
Understanding the Importance of Rest and Optimal Health

How to Define Your Needs:
Getting Support from Family and Friends

How to Find New Treatment Choices:
Locating Clinical Trials and New Drugs in Development When Standard Treatment Is Not An Option

Patient Assistance Plans:
Pharmaceutical Companies Helping Patients Get Their Medicines

How to Tell Your Physician You're Using Complementary & Alternative Medicine:
Why It's Important For Them to be Informed

How to Communicate Effectively with Your Doctor:
Working Toward Informed and Shared Decision Making

How to Evaluate a Clinical Study:
Guidelines to Help Understand Published Research

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