Lenny's
Story II: Cancer and the Search for Healing
David Eisenberg, MD
David
Eisenberg is the director of the Center for Alternative Medicine Research
and Education at Beth Israel Deaconess Medical Center in Boston. He
is a conventionally trained doctor, receiving his M.D. from Harvard
Medical School in 1981. During medical school he spent two years as
an exchange student in the Far East exploring treatments used in traditional
Chinese medicine. Eisenberg no longer sees private patients, devoting
his time, instead, to discovering which complementary therapies are
truly useful. It was through a mutual friend that Lenny Zakim discovered
David Eisenberg.
"Let's
start with the basics. People need, I think, to figure out what's going
on conventionally. What is their diagnosis? What is the conventional
recommendation? And have they maximized that? Lenny also wanted to look
at other options, and I think that 's the next step. At what point are
conventional options either exhausted or unacceptable? My job was to
explore with him his thoughts. Which ones were really off-base and how
he could integrate one or more of the alternative complementary therapies
with conventional care. But not as an either/or, as both.
"Lenny had
to prepare for a bone marrow transplant. So my focus with him was getting
prepared. And in that conversation after diet and exercise and mental
health issues--which are routine, these are not alternative--we talked
about vitamins and supplements. Which ones are known to have any relevance
to his particular problem and which ones may be dangerous. The role
of a clinician in these circumstances is not to be a blatant advocate
or skeptic, but to give the best advice they can for the individual
patient as to what's a judicious integration. What makes sense out of
this enormous black bag for any patient, from the conventional or alternative
realm.
"In the absence
of controlled scientific experiments, we don't know which complementary
therapies are useful and which are useless; which are being pushed by
a market with an insatiable desire to fix, to cure, to relieve, to live
forever. A large generation of people, particularly my age, want it
all, and won't accept failure, and won't accept disease or incapacitation
or death. We need to figure out which are real and which are hyperbole
and hype and charlatanism. That's the work I do and that colleagues
around the country are doing. We're devoted to distinguishing useful
from useless; for clarifying which work, which improve outcomes
and which do not; which decrease costs, which increase costs. Then how
do you measure those costs, and quality of life and satisfaction, or
the bottom line.
"Our hospital
is committed to developing that information, to developing integrated
models of care. Not marginalized. Not in a little clinic in the corner
far away. We need to demystify this and figure out, how do you build
an integrated unit for people with cancer or chronic musculoskeletal
pain, and give them advice and refer them to licensed practitioners.
It in no way takes anything away from the gifts of science and medicine.
They are not either/or. They have to be integrated.
"I'd love in
every institution in this country for there to be at least one physician
in every key department, whether it's oncology or orthopedics or cardiology,
one M.D., one nurse specialist, who's comfortable in both domains, who's
bilingual, who can say, 'Come, let's talk. Let's talk about both. Neither
of them scares me. I can refer you either way.' We need that. That's
the future of American health care, because the market is demanding
it.
"People deserve
responsible advice. I don't think anybody in their right mind wants
to do something that puts them at risk for an interaction between their
drug and their herb or vitamin. I don't think anybody wants to do anything
that knowingly, knowledgeably, interacts with their physician's recommendations.
They want people who can guide them on both levels of the terrain."
Program
Description
Lenny
Zakim
David Eisenberg, MD
Ken Anderson, MD
Michael Lerner, PhD
Peter Churchill, LMT
Help YourSelf
Tell Me More
Body & Soul is currently airing Monday-Friday at 7:00pm and 8:30pm on PBS YOU.
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