Ask the Doctor

Q: My brother has appendiceal cancer and is starting chemotherapy including a drug called 5-FU or Fluorouracil. What are the side effects and what can do to prevent them?

A: great question and yet hard to answer only because your brother is as special, unique and individual as a snowflake or a fingerprint so what we do depends on who he is as a WHOLE person and not just on the drug itself.

That being said, when we are getting chemotherapy, the doctor will often give us a huge packet that lists every terrible thing known to man. These things don’t happen but the government mandates that the doctor let you know everything that has happened in human history with the drug regardless of how rare.

We do not recommend reading this packet. Staying positive and in a place of love and hope is actually a more powerful therapeutic than most medicines. In fact the most powerful evidenced based  tool you have to begin to reduce side effects in response to all chemotherapy drugs is guided visualization. We like Healthjourneys.com “Fight Cancer”

Start with having your brother listen to this guided meditation every night, 6 nights a week.

Secondly, the most common side effects that do happen with a 5 FU are mouth sores and diarrhea. Unless your brother is seeing these. We prevent mouth sores by using an alkaline mouthwash that we design and tailor for our pts. This simple solution with baking soda as a base, if used every day, completely prevents mouth sores in our population.

If a patient has poor dental hygiene, a risk of herpes simplex I, or taste issues, that may change what we do and we may add essential oils, zinc and lysine.

Regardless, our patients receiving 5FU do not experience mouth sores. This is a gift because mouth sores can prevent a person from eating and result in weight loss. Weight loss is never good with cancer treatment as it makes a person tolerate the drugs less.

For gut support, which we are also wholly successful in, it’s much more individualized. We use things like nutrition, OTC anti diarrheals and laxatives, GI supportive care like therapeutic grade probiotics, slippery elm, glutamine (in low doses), aloe, enzymes, calendula, other botanicals and magnesium…it really depends as most of the immune system lives in the gut and we are supporting as well as treating.

Either way, it's important that your brother see someone like us, with the initials FABNO after their name to be sure that they are not taking natural therapies that can CONFLICT with their current meds. 

5-FU is in a class of drugs that was originally discovered by a young enterprising woman, Lucy Wills, who defied custom and wanted an education in science. She travelled to India in the early 1900s and did her dissertation on an observation that women who ate green leafy vegetables had children with less birth defects.

Sydney Farber, a young scientist working in pediatric leukemia here in the States saw her paper and thought, if there is a powerful vitamin in green leafy veggies that causes cells to grow, what if we could develop an ANTI vitamin that would stop cancer cells from growing. 

He called this vitamin "Folate" for foliage, and so the Folate Antagonists were developed. 

It's very important therefore, if we are taking a drug like 5-FU, to give it the best chance to work by avoiding certain vitamins while preserving our immune system and normal organ health. Any board certified integrative oncologist can do this in a skilled and individualized way. Call us at 248 798 2942 to find out more.

Cancer-Fighting Sweet Potato Soup

Hi All! It is officially fall-time in the midwest which means it’s SOUP SEASON! This past weekend I cooked up a healthful Sweet Potato Soup inspired by one of our favorite books at AIM, The Cancer-Fighting Kitchen by Rebecca Katz.

This cancer-fighting soup consists of a healthful homemade broth blended with baked sweet potatoes to create a creamy, nutrient-dense, and spice-filled soup.

Grocery list: 6 carrots, 2 yellow onions, 1 leek, 1 bunch celery, 4 red potatoes, parsley, black peppercorns, bay leaves, 3 large sweet potatoes, coconut oil, sea salt, spices: ground cinnamon, allspice, cardamom, & nutmeg
*Try to buy all organic vegetables

Step One: The Broth

Start by washing your vegetables in a veggie wash or with vinegar and rinse. Then prepare them: 6 carrots cut into fourths, 2 unpeeled yellow onions cut into chunks, 1 leek cut into thirds, 1 bunch celery cut into thirds, 4 unpeeled red potatoes cut into chunks, 1 bunch parsley, 12 black peppercorns, 2 bay leaves, 8 quarts filtered water, 1 t salt.

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Combine in a large pot, cover, and bring to a boil. Once boiling, remove the lid and simmer for approximately 3 hours. This is a good time to start working on step two, the soup.

After about 3 hours of simmering, the vegetables should be flavorless mush and you will have a flavorful broth. Strain out the vegetables and let cool.

Step Two: The Soup

Preheat oven to 400F and line a baking sheet with parchment paper.

Peel and dice 3 large sweet potatoes and toss with 2 T coconut oil. Stir together ¼ t sea salt, ½ t ground cinnamon, ½ t ground allspice, ¼ t ground cardamom, ⅛ t nutmeg and mix with sweet potatoes. Bake 40 minutes.

Pour ⅓ C of your homemade broth into a blender, add ⅓ of the roasted potatoes and blend until smooth. Transfer to a soup pot over low heat and repeat the process two more times. Stir in any remaining broth and add salt to taste.

Pour into your favorite soup bowl, curl up with a soft blanket, and enjoy!

Store leftovers in the refrigerator 5-7 days or freeze up to 2 months.

A Letter from Raveena

To Our Patients:

For those of you who I have had the privilege to meet, it has truly been a pleasure. For those of you who I have not met yet, I am Raveena, AIM’s newest medical intern. I joined the team in June, and as we all know, these are strange times. It has been incredible to see how much this team does behind the scenes to make sure we are doing the best we can for all of you—our patients. 

When life seems to be at a standstill, we find ourselves deeply woven into the fabric of humanity. We sit in our separate, socially isolated homes, yet we are increasingly aware of our potential to impact one another. 

During my time here, I have seen that impact firsthand. Many of you have known the AIM team for much longer than I have. You have shared with me the difference they have each made in your lives, being there for you in ways that others could not. You have also shared with me how integrative medicine has touched your life. 

Getting to work with both you and our clinicians is a privilege. I have found myself resonating with the lasting human connection that is fostered in this practice. Whether you are seen in-person or through telemedicine, there is a deep commitment to serving you through both enjoyable and challenging times. 

In the future, I hope to be able to cultivate the same types of relationships with my patients. Like the team of clinicians at AIM, I strive to practice medicine that integrates nutrition, wellbeing, mental, and physical health to care for the whole person. If you have seen any of their public talks, you know they are committed to not only caring for individuals, but caring for their entire community as well. It is this desire to honor the complex humanity around me that fuels my pursuit of medicine--my pursuit to serve as a catalyst for hope and healing.

Not only am I grateful to our AIM team for the opportunity to gain exposure to this wonderful field of integrative medicine, but I am deeply grateful to all of you for trusting me enough to share your experiences and reflections with me. Despite the strange circumstances we are living under, I cannot wait to see what the year ahead holds. If you or one of your loved ones would like to see us, or just catch up, please do not hesitate to reach out. It is our honor to serve you. 

Thank you for the privilege to serve you, to learn from you, and to walk with you on your journey. 

Until we speak, be well, 

Raveena, Medical Intern In Training