Miss Chen, this year 53-year-old, a nasopharyngeal carcinoma patients to receive the first chemotherapy combined with cisplatin Cisplatin synchronous radiotherapy, appear mild oral ulcers, and the feeling of nausea and vomiting, weight decreased from 52 kilograms to 51 kilograms. Then the second chemical treatment, oral ulcers and increase the pain associated with swelling, thereby affecting appetite, nausea and vomiting and feeling no improvement in body weight decreased from 51 kilograms to 49 kilograms, it is weak; discomfort of these symptoms, Chan made the start of treatment exclusion, confidence has been defeated. Ms Chan was recommended to receive bran acid amide adjuvant therapy, symptoms gradually improve. However, in the third after chemotherapy, oral ulcers no longer occur, the gradual return of weight, it is important that the treatment of Miss Chen regain the confidence to smoothly complete course of treatment. Another case is a 68-year-old this year, Mr. Xie, a bladder cancer patients receiving chemotherapy treatment, after one week of oral ulcers serious weight even dropped by 2 kg, the same in the supplementary bran after acid amide patients to improve the lot of oral ulcer cases, body weight also gradually resuming.
Nobody knows the past bran acid amide, until 1930, scientists have discovered in our body there is a amino acid called glutamic acid amide, are non-essential amino acids, but because gluten is the intestinal acid amide, as well as T-lymphocytes and macrophages macrophage cells essential nutrients, so it was also regarded as the intestinal tract of the amino acids necessary. Acid amide and bran can be protein diet. And in the plasma and skeletal muscle is rich in content. It is the blood levels of most amino acids, and the physiological role to play as follows:
1. Glutamic acid amide is rapidly dividing cells in the body such as the gastrointestinal mucosa, intestinal cells and immune cells: lymphocytes, macrophages of an important energy source. So with the regulation of immune and metabolic function of mucosal cells.
2. To help the liver function in newborn sugar, RNA, DAN and protein synthesis.
3. Kidney leading role in production of ammonia.
4. Help regulate the body acid-base balance.
5. For the body of nitrogen providers, the maintenance of nitrogen balance.
6. Is the in vivo antioxidant glutathione synthesis of the material before the trend, with antioxidant capacity.
7. Synthesis of Health as the body to carry out an important matter before the trend, such as nucleic acids, nucleotides and so on.
The small intestine is the consumption of bran acid amide major organs, healthy food consumption per day from 5-10 grams of glutamic acid amide, usually do not need to add another. However, if the physical pressure in the physiological conditions, intestinal acid amide bran will increase demand for the maintenance of normal intestinal metabolic function, structure and patterns. Therefore the protection and recovery of intestinal function, intestinal cell proliferation, intestinal mucus, intestinal electrolyte absorption of the amino acids necessary.
If the body is under pressure such as: surgery, sepsis, multiple trauma, cancer (particularly radiotherapy and chemical treatment) and burn cases, can cause the blood concentration of glutamic acid amide decline, the situation will so that cells within the bran acid amide reduced more than 50%. At the same time, small intestine and the immune activation of cells to bran acid amide requirements will be far higher than the amount synthesized in vivo, thus intrinsic bran acid synthesis in these circumstances can not fully make up for cells (especially skeletal muscle) glutamic acid amide the loss of volume, it shows a lack of, but also it may result in immune function recession, oral mucosa ulcer bleeding, intestinal atrophy, diarrhea and other symptoms.
Glutamic acid amide exogenous supply by peripheral intravenous infusion or by the gut to give way. Add post-operative measures to fight acid amide bran nutritional needle can improve intestinal immune function, reducing the intestinal mucosa atrophy, maintaining cells bran acid concentration, and promote the nitrogen balance, but also can prevent the transfer of bacteria to improve the intestinal feeding tolerance. In addition trauma or burn patients given enteral formula acid amide bran can reduce the pneumonia, bacteremia and septicemia from happening. It should be noted that bran acid amide metabolism in the liver and kidney, so clinical acid amide added bran also need to consider whether the patients have liver and kidney disease, in order to avoid toxicity generated.
Is now well aware that while the blood of cancer patients in the low value of bran acid amide, the added bran acid amide is useful. Cancer patients receiving chemotherapy, radiation therapy to kill the cancerous cells, but this method will also harm the host normal differentiated cells. Caused by oral inflammation, pain, nausea, vomiting, diarrhea, peripheral neuropathy and other side effects, both patients would have discomfort, resulting in reduced intake of nutrients, research confirmed that the supplementary bran acid amide can be slowed down due to chemotherapy showed that brought oral mucosa damage to the patients or pain, diarrhea and symptoms such as numbness in hands and feet feel. Animal studies also found that severe radiation-induced intestinal injury, could be supplemented by oral bran acid amide to mitigate damage. It can be seen in the chemotherapy or radiotherapy, the bran acid amide and to preserve the integrity of intestinal mucosa structure is very important. And cancer patients if the disease continues to worsen, leading to depletion of skeletal muscle amino acids, they can cause cancer cachexia situation at this time to add bran acid amide is useful. Generally speaking, for a cancer cachexia patients bran acid amide oral recommendation of 50 grams per day; and applies protective effect of radiotherapy or chemotherapy, and it is recommended three times a day, each 10 grams or a daily oral 0.5 grams per kilogram of body weight.
As to when the supplementary bran acid amide? When the emergency and the use of bran acid amide were inhibited when added bran acid amide will have optimal results. So it should be added in the organization after mucosal damage, especially in the chemotherapy before the earlier one starts to add, the better the body.
All in all, bran acid amide cancer patients not only to increase its anti-tumor immunity, increase their mucosal tissue repair capacity, thereby reducing the side effects of cancer treatment; consumption of tumor cells can also be the defense capabilities, making it more vulnerable to cancer anti-cancer drugs to kill patients. This two-way effect, quite uphold the taste. Therefore, the war against cancer, do not forget bran acid amide!
Saturday, January 24, 2009
Image-guided radiation therapy technology
Image Guided Radiation Therapy, referred to as IGRT, is the combination of image guidance system, intensity-modulated radiation therapy, and electronic imaging system to verify the treatment in order to reduce the treatment programs have differences. In radiation therapy even if there is a good fixation device, able to combine comfort and maintain the consistency of the location of daily treatment, but patients receiving radiation therapy, there may be a result of weight loss or change in tumor volume, resulting in the original positioning of radiation therapy deviation of the treatment position, thus leading to tumor radiotherapy dose error. The IGRT can reduce this error, to further ensure accurate dose to cover the treatment of tumors in the range and reduce normal tissue damage and improve outcome of the treatment.
Intensity-Modulated Radiation Therapy
Intensity-Modulated Radiation Therapy, referred to as IMRT,Principle and the same as traditional radiation therapy is an extension of three-dimensional treatment and progress, the principle is the combination of computed tomography images, clear tumor location and adjacent normal cells location, in a complex computer program, such as linear accelerator systems and auxiliary equipment may be different and adjustable intensity of the radiation beam, according to some of the parameters given by a doctor and each treatment dose of the desired region, selective irradiation of tumor adjacent lymph nodes and the surrounding region on normal tissues. Therefore, the intensity-modulated radiation therapy technology, not only enables a higher concentration of radiation dose in the tumor, thereby enhancing tumor cure rate, and reduce or exempt from the normal cells around the tumor by radiation exposure, they are upgrading the more after cancer patients quality of life. But its disadvantage is that the direction of a restricted beam, if patients have to move or change the location of breathing, it will affect the correct treatment position; and also because a single treatment time is short, so still need multiple exposures to carry out a few weeks .
Navigation-type photon knife
A new generation of navigation-type photon knife with a knife, like the computer can take the initiative to search for tumor location accuracy, to wipe out cancer cells. The principle is that lesions in tumor implantation at least three chips, marking a three-dimensional location of the tumor, and then to the traditional X-ray irradiation, so that the chip has a sensor in order in the cancer treatment process, let the computer correct positioning, guidance radiation to attack tumors, the purpose is still hope to narrow the treatment of injuries in the path of the beam passing through normal tissue.
Medical knowledge ─ Computer knife
The introduction of the domestic computer knife has more than six years, but the majority of people still on the computer knife full of curiosity and the erroneous impression that some people think it is really surgery, "knife" to the computer control, while others thought it was a laser; a matter of fact, Computer knife is to have a linear accelerator treatment of high-energy beam, focus device in a six joints machine arm, and then through a set of advanced real-time image guidance system to guide the robot to the correct location to vote for the treatment of tumor beam.
For example, the computer is like a knife inside Duan Jin Yong's martial arts novels by making "six pulse Excalibur", which can be 360 degrees different from the physical point of view, all-oriented, projection thousands beam, lock the focus of tumor location attacks, can minimize the harm treatment beam passing through the path of normal tissue. Not only that, the computer can also track dynamic knife goals, such as lung, liver, prostate and other tumors, because patients will change the location of breathing, but the computer can be with a knife while the patient's respiratory track goals, to wipe out cancer cells.
For example, the computer is like a knife inside Duan Jin Yong's martial arts novels by making "six pulse Excalibur", which can be 360 degrees different from the physical point of view, all-oriented, projection thousands beam, lock the focus of tumor location attacks, can minimize the harm treatment beam passing through the path of normal tissue. Not only that, the computer can also track dynamic knife goals, such as lung, liver, prostate and other tumors, because patients will change the location of breathing, but the computer can be with a knife while the patient's respiratory track goals, to wipe out cancer cells.
What is a heavy particle radiotherapy
Heavy particle radiation particles are entities (such as carbon carbon, helium element helium), and put a huge accelerator to the speed of light into the 6-8 accelerated speed, the depth of tumor cells directly, to wipe out cancer cells to achieve therapeutic effect, to put it simply, it such as "target radiation therapy."
The world's first experiment with heavy particle radiation to treat cancer institute is American Institute in 1970, using a neon-ion radiotherapy. Unfortunately, by that time only to basic research in physics with a large part of devices, to do clinical trials, it has not been good results, by 1993, on the shortage of funds as well as the old device ended.
Subsequently, thousands of leaves Japan Institute of Radiation Medicine (release medical research) is coupled with its experience to develop, and successfully developed for medical use heavy particle radiation device (Heavy Ion Medical Accelerator in Chiba, referred to as HIMAC), the main accelerator diameter of about 40 meters, 130 meters long week, Japan in June 1994 began to heavy particle radiation to treat cancer; after Germany's heavy particles Sciences Research Center, as well as Japan's Hyogo Prefecture Medical Center Li-particle radiation, but also began to heavy particle radiation to treat cancer.
The world's first experiment with heavy particle radiation to treat cancer institute is American Institute in 1970, using a neon-ion radiotherapy. Unfortunately, by that time only to basic research in physics with a large part of devices, to do clinical trials, it has not been good results, by 1993, on the shortage of funds as well as the old device ended.
Subsequently, thousands of leaves Japan Institute of Radiation Medicine (release medical research) is coupled with its experience to develop, and successfully developed for medical use heavy particle radiation device (Heavy Ion Medical Accelerator in Chiba, referred to as HIMAC), the main accelerator diameter of about 40 meters, 130 meters long week, Japan in June 1994 began to heavy particle radiation to treat cancer; after Germany's heavy particles Sciences Research Center, as well as Japan's Hyogo Prefecture Medical Center Li-particle radiation, but also began to heavy particle radiation to treat cancer.
Heavy particle therapy is still the pilot phase of the human body
Following the Hon Hai Group Chairman Terry Gou contributions to the National Taiwan University, 15 billion yuan to help build cancer treatment center and a proton center, Evergreen Group Chairman Chang Yung-fa, also announced a few days ago will provide 200 million U.S. dollars, the introduction of Japan's heavy particle radiation in medical technology, the benefit of more cancer patients.
Heavy particle radiotherapy for that? At present, radiation therapy with the use of X-ray What is the difference? Heavy particle radiation therapy requires entities charged particles (such as carbon, helium elements) into the accelerator, the by accelerated carbon elements or helium to the tumor cells, the annihilation of cancer cells, like depth charges, in the deep seabed Department blasting, to kill a target, but although less traveled path traces left, they are inevitably burst Department also suffered some normal tissue affected.
Try for the skull base and soft tissue tumors
Although the heavy particle radiation therapy has been the development of more than 12 years of history, but so far only two countries, Japan and Germany have more cases, but the number of subjects less than 3,000 people ill in Japan since 1994, the use of the therapy, but so far treated more than 2,000 patients; Germany has only 300 patients, mainly directed against the skull base and soft tissue tumors of patients, and conventional radiation therapy to be ineffective when applicable.
Japan and Germany as a result of the data provided by the use of tumor in the body still inadequate, so the previous Journal of Clinical Oncology published an article pointed out that the treatment of heavy particles are still human experimental stage, to enter into clinical use is still a long way to go. Mainly due to the treatment of heavy particles with a high biological effect (RBE) features, even if it is to kill cancer cells months, and tumor-phase (or within) the normal tissue will be harmed. But also because it has this feature, coupled with the cost, so 10 over the past few years have not been able to have a good break, so non-current mainstream of Radiation Oncology.
Characteristics of the effectiveness of radiation therapy at stake
In fact, the world did not tumor radiation therapy, and only can not afford normal tissue radiation injury,
Normal tissue damage is radiation therapy inherent limitations.
To improve the existing radiation therapy (X-ray) effects may be by two ways: First, physical characteristics, one biological characteristics; physical characteristics is the beam (X-ray) the scope of penetration, and some way to radiation show, some only in the target area to reach the highest dose injection, to wipe out the cancerous cells, the tumor with no or only a small number of rear radiation dose residual avoid harm normal tissues, simply put, is to fire on the tumor cells will be injured to other normal cells less likely.
As for biological characteristics and radiotherapy unit is the distance of energy intensity. For example, children playing 100 fist hit by the strength of the fist will not lethal, but those forces will be set by the adults and hit a solid will be fatal; children hit boxing like X-ray or proton radiation therapy, exposure to the energy than the loose, and the adults like a boxing heavy particle therapy, a more intensive dose injection, relative to the destructive as well. Simply put, the treatment of heavy particles that can be punched interrupted two of DNA cells, resulting in cell death.
Fear of hurting too heavy hand of normal cells
Perhaps we might ask: Using heavy blow on the annihilation of the cancerous cells, so that it never stand up, not very good? Yes, the ideal state should be so, but do not think that a cancer is not normal cells, if even the good cells along with the killing, and that the original tumor cells in patients with organization will never recover.
To oral cancer as an example, if a person has left the mouth of tumor cells to radiation therapy is currently available to maintain the integrity of the left side of the mouth; if treatment because of heavy particles are killing even the normal tissue, so the left side of the mouth may not be able to form healing wounds, the impact of the functional appearance.
Radiation therapy to cancer mainly of local governance
In other words, the existing radiation therapy, treatment can be divided into several times (such as 30-40 times), so that restoration of normal tissue strong force could be restored, resulting in the difference with cancer. Instead heavy particles does not have this characteristic, this is also the medical profession are still doubts about its effect on the result.
Another most important thing is that the existing radiation therapy is not a cure-all, there are restrictions on their treatment, not all cancers are applicable, but we must all adopt a perception that the radiation therapy only for local cancer feasible, the terminal cancer Radical disease is also at a loss.
Heavy particle radiotherapy for that? At present, radiation therapy with the use of X-ray What is the difference? Heavy particle radiation therapy requires entities charged particles (such as carbon, helium elements) into the accelerator, the by accelerated carbon elements or helium to the tumor cells, the annihilation of cancer cells, like depth charges, in the deep seabed Department blasting, to kill a target, but although less traveled path traces left, they are inevitably burst Department also suffered some normal tissue affected.
Try for the skull base and soft tissue tumors
Although the heavy particle radiation therapy has been the development of more than 12 years of history, but so far only two countries, Japan and Germany have more cases, but the number of subjects less than 3,000 people ill in Japan since 1994, the use of the therapy, but so far treated more than 2,000 patients; Germany has only 300 patients, mainly directed against the skull base and soft tissue tumors of patients, and conventional radiation therapy to be ineffective when applicable.
Japan and Germany as a result of the data provided by the use of tumor in the body still inadequate, so the previous Journal of Clinical Oncology published an article pointed out that the treatment of heavy particles are still human experimental stage, to enter into clinical use is still a long way to go. Mainly due to the treatment of heavy particles with a high biological effect (RBE) features, even if it is to kill cancer cells months, and tumor-phase (or within) the normal tissue will be harmed. But also because it has this feature, coupled with the cost, so 10 over the past few years have not been able to have a good break, so non-current mainstream of Radiation Oncology.
Characteristics of the effectiveness of radiation therapy at stake
In fact, the world did not tumor radiation therapy, and only can not afford normal tissue radiation injury,
Normal tissue damage is radiation therapy inherent limitations.
To improve the existing radiation therapy (X-ray) effects may be by two ways: First, physical characteristics, one biological characteristics; physical characteristics is the beam (X-ray) the scope of penetration, and some way to radiation show, some only in the target area to reach the highest dose injection, to wipe out the cancerous cells, the tumor with no or only a small number of rear radiation dose residual avoid harm normal tissues, simply put, is to fire on the tumor cells will be injured to other normal cells less likely.
As for biological characteristics and radiotherapy unit is the distance of energy intensity. For example, children playing 100 fist hit by the strength of the fist will not lethal, but those forces will be set by the adults and hit a solid will be fatal; children hit boxing like X-ray or proton radiation therapy, exposure to the energy than the loose, and the adults like a boxing heavy particle therapy, a more intensive dose injection, relative to the destructive as well. Simply put, the treatment of heavy particles that can be punched interrupted two of DNA cells, resulting in cell death.
Fear of hurting too heavy hand of normal cells
Perhaps we might ask: Using heavy blow on the annihilation of the cancerous cells, so that it never stand up, not very good? Yes, the ideal state should be so, but do not think that a cancer is not normal cells, if even the good cells along with the killing, and that the original tumor cells in patients with organization will never recover.
To oral cancer as an example, if a person has left the mouth of tumor cells to radiation therapy is currently available to maintain the integrity of the left side of the mouth; if treatment because of heavy particles are killing even the normal tissue, so the left side of the mouth may not be able to form healing wounds, the impact of the functional appearance.
Radiation therapy to cancer mainly of local governance
In other words, the existing radiation therapy, treatment can be divided into several times (such as 30-40 times), so that restoration of normal tissue strong force could be restored, resulting in the difference with cancer. Instead heavy particles does not have this characteristic, this is also the medical profession are still doubts about its effect on the result.
Another most important thing is that the existing radiation therapy is not a cure-all, there are restrictions on their treatment, not all cancers are applicable, but we must all adopt a perception that the radiation therapy only for local cancer feasible, the terminal cancer Radical disease is also at a loss.
Thursday, January 22, 2009
Family members of cancer patients how to take care of themselves?
To take care of cancer patients is a laborious work to worry about. This work may affect your physical condition, physical, spiritual, economic status, interpersonal relationships, self-image, quality of life and so on. Perhaps you feel that loss, fear, loneliness, helplessness, grief, anxiety and so on. But it is also one you trust God, understand the meaning of life, adjusting the focus of life, and to explore potential opportunities.
To take care of the process of cancer patients, you may feel that they know nothing about (for medical treatment, the patient's response to changes in psychological ups and downs, etc.);(mental and physical exhaustion); alone (no one knows your difficulties); emotional as high as the pressure cooker; feeling very sharp fluctuations, such as the same roller coaster ride.
How to help yourself?
1. To alleviate the pressure of the spirit:
a. the right to absorb the knowledge and take an open attitude, for example: to participate in medical lectures and read the correct anti-cancer information.
b. aware of their limited capacity, without unnecessary guilt.
c. treat each other honestly with patients and maintain public transport, and can still reveal the truth.
d. to help patients make their own decisions and respect his decision.
2. To find help:
a. invite or allow others to help you deal with some chores, so you have time to rest or to do more important things.
b. family members of cancer patients to participate in a forum of mutual aid from other family members or a counselor there to help, or to provide their own feelings and experiences.
c. if necessary, can take part in negotiations or psychological counseling.
3. A number of practical suggestions:
a. to take care of your own, such as: to leave more time to do their usual like you do.
b. do some physical and mental relaxation activities, such as: prayer and meditation, exercise, take a walk, humorous or sad to see the film to ease the mood.
c. re-adjust your priorities in life, so that you and the patient's plans or expectations of some flexibility.
d. to be completed by the establishment of some reasonable goals. When you complete these objectives, you would have some sense of achievement, and also do not feel helpless or hopeless.
e. attention to the feelings of other family members, especially older parents and young children.
f. allow people to do the hearts of sadness and anger expressed appropriate.
g. When entering the final stage of cancer, helping patients to achieve his wish and psychologically prepared for.
h. by faith, to expand the field of mind and exercise willpower and confidence.
i. facing end of life, in looking forward to comfort each other (1 Thessalonians chapters 13 ~ 18; 15 1 Corinthians Chapter 50 ~ 54).
To take care of the process of cancer patients, you may feel that they know nothing about (for medical treatment, the patient's response to changes in psychological ups and downs, etc.);(mental and physical exhaustion); alone (no one knows your difficulties); emotional as high as the pressure cooker; feeling very sharp fluctuations, such as the same roller coaster ride.
How to help yourself?
1. To alleviate the pressure of the spirit:
a. the right to absorb the knowledge and take an open attitude, for example: to participate in medical lectures and read the correct anti-cancer information.
b. aware of their limited capacity, without unnecessary guilt.
c. treat each other honestly with patients and maintain public transport, and can still reveal the truth.
d. to help patients make their own decisions and respect his decision.
2. To find help:
a. invite or allow others to help you deal with some chores, so you have time to rest or to do more important things.
b. family members of cancer patients to participate in a forum of mutual aid from other family members or a counselor there to help, or to provide their own feelings and experiences.
c. if necessary, can take part in negotiations or psychological counseling.
3. A number of practical suggestions:
a. to take care of your own, such as: to leave more time to do their usual like you do.
b. do some physical and mental relaxation activities, such as: prayer and meditation, exercise, take a walk, humorous or sad to see the film to ease the mood.
c. re-adjust your priorities in life, so that you and the patient's plans or expectations of some flexibility.
d. to be completed by the establishment of some reasonable goals. When you complete these objectives, you would have some sense of achievement, and also do not feel helpless or hopeless.
e. attention to the feelings of other family members, especially older parents and young children.
f. allow people to do the hearts of sadness and anger expressed appropriate.
g. When entering the final stage of cancer, helping patients to achieve his wish and psychologically prepared for.
h. by faith, to expand the field of mind and exercise willpower and confidence.
i. facing end of life, in looking forward to comfort each other (1 Thessalonians chapters 13 ~ 18; 15 1 Corinthians Chapter 50 ~ 54).
To take care of cancer patients a list of duties
1. To establish the patient's file
• collected medical records, records of doctor's diagnosis.
• collection of cancer information, after reading prepared for the archives in order to ready reference.
• clean-up bill from the hospital.
• check to pay insurance costs.
• arrangements and record all of the treatment time, out-patient time, testing time.
• finishing record of all the contacts and telephone.
2. To take care of the patient
• record the results of each treatment and the drug reaction, the provision of a medical reference.
• medication record time, to understand the role of drugs.
• know whether a patient needs time to eat painkillers.
• attention to the patient's daily diet.
• attention to emotional changes in patients, whether there is frustration decadent phenomena.
• attention to the patient whether there is the tendency of world-weary and, if necessary, experts do psychological counseling.
• listen to the voices of patients, maintaining good communication, that encourage and help him.
3. Take care of other family members
• of the disease to maintain an honest and open.
• other family members concerned about the physical and psychological needs, open communication channels.
• Do not overlook the minor child needs of all parties concerned to answer all the questions carefully.
• attention to minor children and emotional changes, appraised for relieving congestion.
• with the school teachers and guidance to keep in touch in order to have appropriate contingency measures.
4. To take care of their own needs
• understand that they are not Superman, the need to rest, also need external help.
• attention to physical exercise, because the need for physical care to patients.
• attention to their own emotional fluctuations, not to vent others, consider the need for negotiations.
• enrich the spiritual needs of their own charge for the patients will have a positive influence.
• determine hearts pour out the object of trouble there.
• drills between work and family balance.
• collected medical records, records of doctor's diagnosis.
• collection of cancer information, after reading prepared for the archives in order to ready reference.
• clean-up bill from the hospital.
• check to pay insurance costs.
• arrangements and record all of the treatment time, out-patient time, testing time.
• finishing record of all the contacts and telephone.
2. To take care of the patient
• record the results of each treatment and the drug reaction, the provision of a medical reference.
• medication record time, to understand the role of drugs.
• know whether a patient needs time to eat painkillers.
• attention to the patient's daily diet.
• attention to emotional changes in patients, whether there is frustration decadent phenomena.
• attention to the patient whether there is the tendency of world-weary and, if necessary, experts do psychological counseling.
• listen to the voices of patients, maintaining good communication, that encourage and help him.
3. Take care of other family members
• of the disease to maintain an honest and open.
• other family members concerned about the physical and psychological needs, open communication channels.
• Do not overlook the minor child needs of all parties concerned to answer all the questions carefully.
• attention to minor children and emotional changes, appraised for relieving congestion.
• with the school teachers and guidance to keep in touch in order to have appropriate contingency measures.
4. To take care of their own needs
• understand that they are not Superman, the need to rest, also need external help.
• attention to physical exercise, because the need for physical care to patients.
• attention to their own emotional fluctuations, not to vent others, consider the need for negotiations.
• enrich the spiritual needs of their own charge for the patients will have a positive influence.
• determine hearts pour out the object of trouble there.
• drills between work and family balance.
How to become a help?
With warm, genuine sincerity, and look, and an open mind. A caring, not located in a pre-eminent status, or self-righteous ways to help the patient or his family. When care can put ourselves in the shoes for the sake of patients and their families, he compared them to understand the difficulties and needs. A caring person to have a solid foundation for the emotional and belief, the sound can provide lasting help.
Do not do not deliver. Not only to the patients or their family said: "If you have any need to help local, you can call me." Because the Chinese people has always been relatively subtle and less afraid of others, it is more open to the people will not take the initiative to seek help. If you want to help cancer patients and their families, you can take the initiative to help provide some benefits, such as: transport of patients to see a doctor or treatment, care for their children, provide meals, help laundry, cleaning, sorting yard and other chores . If patients and their families did not help their loved ones, or the patient's family members must work ends meet, they will be happy to accept your offer to help to alleviate the load on their own. If patients or their family needs a lot, you can invite others to participate in Christian ministry.
Caring work should lasting, fixed, and to be patient. Caring work should be implemented, we must make an effort not. In addition to the help of the above benefits, the use of phone, cards, tapes, books, flowers (but not a gift just after treatment, patients with low white blood cell in order to avoid infectious bacteria), can also transfer your caring heart.
Must be sensitive to understanding and be good at observing the patient's condition. By listening, able to understand the voice of the patient or family members, as well as their expressions and words are consistent. Treatment of the patient's physical strength and resistance are very low, so the time to visit not too long, if you fall ill on their own not to visit, lest the germs to cancer patients.
In addition to patients, they also have to pay attention to the reaction of their families and needs. Cancer patients not just a matter, which involved the whole family. Therefore the patient's family members, heart and spiritual needs. You can also support them so that they can be fully committed to caring for the sick. You can use open-ended questions asked about their needs, can provide substantial help.
Must be sensitive to, there must be the principle that the truth with love. If patients or their family do so unreasonable demands, you have to have the courage to say "no." If patients or their family's thoughts or behavior is beyond common sense, you have a principled exhortations. But you should be able to give them the autonomy to make their own decisions and accept the consequences of an open mind.
Of God and the Bible, there is a proper understanding and have a strong confidence. The reason is not only well versed in Christian theology in order to visit and care for cancer patients and their families, but every Christian, "as long as the heart of Saint Christ statue, someone asked you look forward to the hearts of the reason, it is necessary to prepare for regular to gentle reverence to answer everyone's heart. "Generally speaking, of adversity, hardship, healing, life, death, salvation, etc. Some scriptures to understand and prepare for your visit will be helpful.
The proper use of spiritual information. By patients or their family's actual needs, provide suitable Gospel leaflets, booklets, video tapes and other recordings. Do not leave a lot of children spiritual information or the Bible to them. You can according to their spiritual appetite and needs, timely information to take appropriate supply them, or the Word of God to help them.
Not only to preach the gospel only to visit cancer patients and their families. If Christians only to preach the gospel to visit not only saved the cancer patients and their families, but because they do not accept the gospel on the retreat, the case is likely to be closed on their understanding of the Gospel and in the future acceptance of other Christians.
Evangelism is a spiritual battle, we need to have prayer partners with the workers, and relying on the Holy Spirit to act. Initial visits to the best of two hours to travel together, on the one hand can pray with one another, or can serve patients and their families. Christians (especially brothers) to avoid separate visits to the opposite sex, as far as possible together peers.
If the patients died, their families need to care about comfort, not to terminate the work of caring. Best not to say Survivor's needed is honest, natural way to express their grief or their hearts the memory of the deceased. Grief process, the patient's family members have different needs. At this point, they may need or willing to accept help. If the patient's family members returned to normal, caring work frequency can be gradually reduced to a complete end.
Do not do not deliver. Not only to the patients or their family said: "If you have any need to help local, you can call me." Because the Chinese people has always been relatively subtle and less afraid of others, it is more open to the people will not take the initiative to seek help. If you want to help cancer patients and their families, you can take the initiative to help provide some benefits, such as: transport of patients to see a doctor or treatment, care for their children, provide meals, help laundry, cleaning, sorting yard and other chores . If patients and their families did not help their loved ones, or the patient's family members must work ends meet, they will be happy to accept your offer to help to alleviate the load on their own. If patients or their family needs a lot, you can invite others to participate in Christian ministry.
Caring work should lasting, fixed, and to be patient. Caring work should be implemented, we must make an effort not. In addition to the help of the above benefits, the use of phone, cards, tapes, books, flowers (but not a gift just after treatment, patients with low white blood cell in order to avoid infectious bacteria), can also transfer your caring heart.
Must be sensitive to understanding and be good at observing the patient's condition. By listening, able to understand the voice of the patient or family members, as well as their expressions and words are consistent. Treatment of the patient's physical strength and resistance are very low, so the time to visit not too long, if you fall ill on their own not to visit, lest the germs to cancer patients.
In addition to patients, they also have to pay attention to the reaction of their families and needs. Cancer patients not just a matter, which involved the whole family. Therefore the patient's family members, heart and spiritual needs. You can also support them so that they can be fully committed to caring for the sick. You can use open-ended questions asked about their needs, can provide substantial help.
Must be sensitive to, there must be the principle that the truth with love. If patients or their family do so unreasonable demands, you have to have the courage to say "no." If patients or their family's thoughts or behavior is beyond common sense, you have a principled exhortations. But you should be able to give them the autonomy to make their own decisions and accept the consequences of an open mind.
Of God and the Bible, there is a proper understanding and have a strong confidence. The reason is not only well versed in Christian theology in order to visit and care for cancer patients and their families, but every Christian, "as long as the heart of Saint Christ statue, someone asked you look forward to the hearts of the reason, it is necessary to prepare for regular to gentle reverence to answer everyone's heart. "Generally speaking, of adversity, hardship, healing, life, death, salvation, etc. Some scriptures to understand and prepare for your visit will be helpful.
The proper use of spiritual information. By patients or their family's actual needs, provide suitable Gospel leaflets, booklets, video tapes and other recordings. Do not leave a lot of children spiritual information or the Bible to them. You can according to their spiritual appetite and needs, timely information to take appropriate supply them, or the Word of God to help them.
Not only to preach the gospel only to visit cancer patients and their families. If Christians only to preach the gospel to visit not only saved the cancer patients and their families, but because they do not accept the gospel on the retreat, the case is likely to be closed on their understanding of the Gospel and in the future acceptance of other Christians.
Evangelism is a spiritual battle, we need to have prayer partners with the workers, and relying on the Holy Spirit to act. Initial visits to the best of two hours to travel together, on the one hand can pray with one another, or can serve patients and their families. Christians (especially brothers) to avoid separate visits to the opposite sex, as far as possible together peers.
If the patients died, their families need to care about comfort, not to terminate the work of caring. Best not to say Survivor's needed is honest, natural way to express their grief or their hearts the memory of the deceased. Grief process, the patient's family members have different needs. At this point, they may need or willing to accept help. If the patient's family members returned to normal, caring work frequency can be gradually reduced to a complete end.
How to help relatives and friends go anticancer Road?
When you know your relatives or friends with cancer, you feel at a loss, but also do not know what to say what to do? You want to help, but we do not know what can be done or how to start? If your relatives or friends of cancer has entered the late heart depressed, frustrated, disappointed, you can do?
You have to become a listen. One listen to the people are not eager to say you want to tell the patient, but is willing to patiently listen to the patients so far that he needs, from where he needs to answer, help him. The following are some of the nature of listening to those who:
The use of open-ended questions, so that patients have the opportunity to express himself. Open-ended questions that were asked were not only very brief question and answer sentences. For example: Do not ask the patient "is not it? Will not? Pain, not pain?" This question is usually only allowed a very brief answer, such as: "yes" or "no." If you ask him "how do you feel today?" In this way, patients can have the opportunity to say something of his own feelings.
To be sensitive, so listen carefully to the words, to clarify your understanding, and induced the expression of innermost feelings of each other. By listening, you can help patients clearly express his position and feelings, and then help him find a reasonable, workable response.
Do not interrupt each other, not to deny each other's feelings or the other thesis. For example: the patient to tell you, "I worry about my condition will deteriorate." Do not you just say, "Do not be afraid." You can ask him, "Why do you think so?" (This is an open question .) Perhaps, he is really worried about is the fear of family or household dragged down the economy, fear of pain, or other concerns.
Do not gossip (especially other people's treatment and response). In good faith, and many relatives and friends will be eager to remedy a variety of cancer methods or introduced to the patients or their family members, or even talk to the other person's response and the results of the treatment of children and left patients. This is not considerate and irresponsible, because on the one hand, patients or their family members will be thinking, on the other hand, the treatment of each patient's choice and the response is unique. Outsiders do not have to tell the patient, he should use what remedy or his condition will be how to develop.
In-depth understanding of the situation have not been before, not to rush to provide an answer. The best way is to assist each other to find his own view that a reasonable answer. Because you have to offer potential benefit to patients, but harmful to him. You may win him the right to independent thinking, even when you do not really provide the answer, you would be complaining.
Respect for cancer patients and their families the rights and privacy. If you feel the need to let others know when the patient's condition, please seek the consent of patients or their families. For example: You would like to ask others to pray for patients, you may seek the views of the patient's consent, and asked him how we want other people to pray for him.
Christians to the patient or family members witness or preach the gospel, we should avoid arguing doctrine. At this point to argue beliefs and teachings, and did not encourage role. Love, care to meet their urgent need is to convey God's love the best, most powerful way.
You have to become a listen. One listen to the people are not eager to say you want to tell the patient, but is willing to patiently listen to the patients so far that he needs, from where he needs to answer, help him. The following are some of the nature of listening to those who:
The use of open-ended questions, so that patients have the opportunity to express himself. Open-ended questions that were asked were not only very brief question and answer sentences. For example: Do not ask the patient "is not it? Will not? Pain, not pain?" This question is usually only allowed a very brief answer, such as: "yes" or "no." If you ask him "how do you feel today?" In this way, patients can have the opportunity to say something of his own feelings.
To be sensitive, so listen carefully to the words, to clarify your understanding, and induced the expression of innermost feelings of each other. By listening, you can help patients clearly express his position and feelings, and then help him find a reasonable, workable response.
Do not interrupt each other, not to deny each other's feelings or the other thesis. For example: the patient to tell you, "I worry about my condition will deteriorate." Do not you just say, "Do not be afraid." You can ask him, "Why do you think so?" (This is an open question .) Perhaps, he is really worried about is the fear of family or household dragged down the economy, fear of pain, or other concerns.
Do not gossip (especially other people's treatment and response). In good faith, and many relatives and friends will be eager to remedy a variety of cancer methods or introduced to the patients or their family members, or even talk to the other person's response and the results of the treatment of children and left patients. This is not considerate and irresponsible, because on the one hand, patients or their family members will be thinking, on the other hand, the treatment of each patient's choice and the response is unique. Outsiders do not have to tell the patient, he should use what remedy or his condition will be how to develop.
In-depth understanding of the situation have not been before, not to rush to provide an answer. The best way is to assist each other to find his own view that a reasonable answer. Because you have to offer potential benefit to patients, but harmful to him. You may win him the right to independent thinking, even when you do not really provide the answer, you would be complaining.
Respect for cancer patients and their families the rights and privacy. If you feel the need to let others know when the patient's condition, please seek the consent of patients or their families. For example: You would like to ask others to pray for patients, you may seek the views of the patient's consent, and asked him how we want other people to pray for him.
Christians to the patient or family members witness or preach the gospel, we should avoid arguing doctrine. At this point to argue beliefs and teachings, and did not encourage role. Love, care to meet their urgent need is to convey God's love the best, most powerful way.
Unorthodox therapy: assessment of the principle of non-traditional therapy
United States-assisted and non-traditional therapy research center (National Center for Complementary & Alternative Medicine) to assess a list of the principle of non-traditional therapy, provided to patients or their families to consider:
1. In accordance with the principles of therapy, safety, and effectiveness. Whether the therapy is based on the principle of not proven? Whether the therapy that can cure all cancers? Please provide therapy institutions or individuals have come up with theoretical basis of clinical reports or data on the use of this therapy, and with your condition similar to the results of patients.
2. What are the side effects of this therapy, they will have any impact on patients? If the side effects, they have not dealt with the experience?
3. This therapy can parallel with orthodox therapy? What is the danger? Patients are required to give up orthodox therapies it? If this therapy is not theoretical basis, a prescription is a secret and incomplete, and the use of the therapy of people do not know its side effects and treatment, they should think twice.
4. To provide the therapy of people have the appropriate medical training, qualifications, and experience. The drug therapy or whether only specific talents give the recipe? Promotion of the therapy did not attack those who have a doctor or scientist?
Asked him how much you treated similar patients? Counterparts of those who provide the therapy evaluation and how? There is no correct knowledge of many of the patients and their families to spend a lot of money buying these prescriptions, but unwilling to accept the more doctrinal orthodoxy based therapies to treat cancer, therefore the timing of the delay. Wait beyond cure, then back too late.
5. Therapy and quality of implementation of the way. This therapy is carried out? The use of the method is in line with local medical criteria? In the course of treatment how to track the patient's response and therapeutic effect? Many large advertising in the newspaper's anti-cancer drugs, are not reasonable means to track patients using the drug situation and the conditions change, it allowed patients to fend for itself, this is an irresponsible approach. Patients and their families is to have wisdom, and wealth will not be two missing.
6. Therapies prices and other patients for the treatment of quality, price and demand match. In general, non-traditional and complementary therapies are not included in the health or medical insurance, the so patients and their families have their own pocket.
7. With the patient's attending physician to discuss his or adjuvant therapy in this unorthodox views.
8. In addition, the United States aided and non-traditional therapy research center (National Center for Complementary and Alter-native Medicine, URL Ghttp: / / nccam.nih.gov) has an unorthodox or for adjuvant therapy for cancer research . Them in the international computer network has a web page, displaying some of their assessment of non-traditional and complementary therapies. Its address is: http://www.nlm.nih.gov/nccam/camonpubmed.html If patients or their family who are familiar with international computer network and in English, can be used to assess these resources.
Traditional Chinese Medicine approach to treat cancer, there are and to strengthen its anti-cancer immunity, such as two types of methods. About traditional Chinese medicine according to the patient's physical and determine the prescription and dosage, therefore, patients should seek qualified doctors in the diagnosis, avoid arbitrary use of prescriptions to treat cancer. If a patient is considering the use of methods to enhance immune function in cancer, they should also weigh the cancer site, size, severity, advisable to use the formal disposal of the majority of cancer therapy, and then strengthen the immune system to clear the remnants of the method of cancer . Chinese medicine also used foods to enhance the patient's constitution in order to accept the orthodox treatment or alleviate the side effects of treatment. The patient or family members can also use the guidelines set out in front of Chinese medicine to assess.
1. In accordance with the principles of therapy, safety, and effectiveness. Whether the therapy is based on the principle of not proven? Whether the therapy that can cure all cancers? Please provide therapy institutions or individuals have come up with theoretical basis of clinical reports or data on the use of this therapy, and with your condition similar to the results of patients.
2. What are the side effects of this therapy, they will have any impact on patients? If the side effects, they have not dealt with the experience?
3. This therapy can parallel with orthodox therapy? What is the danger? Patients are required to give up orthodox therapies it? If this therapy is not theoretical basis, a prescription is a secret and incomplete, and the use of the therapy of people do not know its side effects and treatment, they should think twice.
4. To provide the therapy of people have the appropriate medical training, qualifications, and experience. The drug therapy or whether only specific talents give the recipe? Promotion of the therapy did not attack those who have a doctor or scientist?
Asked him how much you treated similar patients? Counterparts of those who provide the therapy evaluation and how? There is no correct knowledge of many of the patients and their families to spend a lot of money buying these prescriptions, but unwilling to accept the more doctrinal orthodoxy based therapies to treat cancer, therefore the timing of the delay. Wait beyond cure, then back too late.
5. Therapy and quality of implementation of the way. This therapy is carried out? The use of the method is in line with local medical criteria? In the course of treatment how to track the patient's response and therapeutic effect? Many large advertising in the newspaper's anti-cancer drugs, are not reasonable means to track patients using the drug situation and the conditions change, it allowed patients to fend for itself, this is an irresponsible approach. Patients and their families is to have wisdom, and wealth will not be two missing.
6. Therapies prices and other patients for the treatment of quality, price and demand match. In general, non-traditional and complementary therapies are not included in the health or medical insurance, the so patients and their families have their own pocket.
7. With the patient's attending physician to discuss his or adjuvant therapy in this unorthodox views.
8. In addition, the United States aided and non-traditional therapy research center (National Center for Complementary and Alter-native Medicine, URL Ghttp: / / nccam.nih.gov) has an unorthodox or for adjuvant therapy for cancer research . Them in the international computer network has a web page, displaying some of their assessment of non-traditional and complementary therapies. Its address is: http://www.nlm.nih.gov/nccam/camonpubmed.html If patients or their family who are familiar with international computer network and in English, can be used to assess these resources.
Traditional Chinese Medicine approach to treat cancer, there are and to strengthen its anti-cancer immunity, such as two types of methods. About traditional Chinese medicine according to the patient's physical and determine the prescription and dosage, therefore, patients should seek qualified doctors in the diagnosis, avoid arbitrary use of prescriptions to treat cancer. If a patient is considering the use of methods to enhance immune function in cancer, they should also weigh the cancer site, size, severity, advisable to use the formal disposal of the majority of cancer therapy, and then strengthen the immune system to clear the remnants of the method of cancer . Chinese medicine also used foods to enhance the patient's constitution in order to accept the orthodox treatment or alleviate the side effects of treatment. The patient or family members can also use the guidelines set out in front of Chinese medicine to assess.
The treatment of pain
Some cancer patients in different stages to go through pain or physical discomfort. But because of pain in patients aware of this matter is not clear, coupled with incorrectly relay an erroneous message, making the patient of pain there is a fear that everyone will be very painful for cancer patients. In fact, not all of the cancer will cause pain; even if patients have pain, doctors can also make use of effective methods to deal with pain problems. These methods include drugs, non-drug, and the pain from nerve approach.
First, patients must be clearly part of the pain, nature (such as the pain felt like acupuncture, knife cuts, cramps, swelling, etc.), strength, timing, contribute to or mitigate the causes of pain, and the currently used analgesic drugs or methods Tell your doctor. Then, doctors can try feasible method or adjust the dose of drugs, to effectively handle the pain.
When patients and doctors to discuss treatment of pain, you can ask the doctor: What are the methods available? Whether the first try non-pharmacological approach? If it is drugs, then the use of these drugs, side effects, the pros and cons of that? If the side effects occurred, to how to deal with?
Another patient or family members worried that fear of the use of analgesic drug addiction problems, with the result that patients and their families did not dare use of drugs, which patients suffer in vain, endure pain. In fact, the correct prescription and use of painkillers, and there will be no cases of drug addiction. The so-called drug addiction is the psychological dependence on drugs. The proper use of painkillers should aim is to reduce the patient's pain, to improve the quality of life of patients, so that patients can enjoy he want to do. Sometimes doctors will use low-level radiation on bone cancer cells more places, to prevent bone degradation and pain.
In addition to pain medication and radiotherapy, but also can make use of other non-pharmacological, cognitive methods to deal with pain. For example, likes to do and meaningful activities: Walking, easy movement, wrote a letter to talk with friends, listening to music, for the pain of the hands in prayer and so on, attention shifted to other things. These methods coupled with positive thinking, method of relieving pain with drugs used to protect patient's quality of life improved.
Pain from the nerve on the methods intense, more far-reaching effects, there is a need to discuss with the doctor and weigh the pros and cons before using.
First, patients must be clearly part of the pain, nature (such as the pain felt like acupuncture, knife cuts, cramps, swelling, etc.), strength, timing, contribute to or mitigate the causes of pain, and the currently used analgesic drugs or methods Tell your doctor. Then, doctors can try feasible method or adjust the dose of drugs, to effectively handle the pain.
When patients and doctors to discuss treatment of pain, you can ask the doctor: What are the methods available? Whether the first try non-pharmacological approach? If it is drugs, then the use of these drugs, side effects, the pros and cons of that? If the side effects occurred, to how to deal with?
Another patient or family members worried that fear of the use of analgesic drug addiction problems, with the result that patients and their families did not dare use of drugs, which patients suffer in vain, endure pain. In fact, the correct prescription and use of painkillers, and there will be no cases of drug addiction. The so-called drug addiction is the psychological dependence on drugs. The proper use of painkillers should aim is to reduce the patient's pain, to improve the quality of life of patients, so that patients can enjoy he want to do. Sometimes doctors will use low-level radiation on bone cancer cells more places, to prevent bone degradation and pain.
In addition to pain medication and radiotherapy, but also can make use of other non-pharmacological, cognitive methods to deal with pain. For example, likes to do and meaningful activities: Walking, easy movement, wrote a letter to talk with friends, listening to music, for the pain of the hands in prayer and so on, attention shifted to other things. These methods coupled with positive thinking, method of relieving pain with drugs used to protect patient's quality of life improved.
Pain from the nerve on the methods intense, more far-reaching effects, there is a need to discuss with the doctor and weigh the pros and cons before using.
Physical fatigue and improving methods
The process of cancer treatment is sometimes caused by fatigue. This fatigue or physiological phenomenon is sometimes caused by psychological factors. It makes the patient feel weak, limb weakness, dizziness, no appetite, and are not interested in anything, boredom, impatience, tension, and even frustration.
From the physical side, the course of treatment in cancer cell is damaged (such as anemia), increased serum calcium, or the body electrolyte imbalance, it will make the patients feel that the abnormal fatigue,and weak limbs. Sometimes transferred to the bone cancer cells, resulting in the loss of calcium, blood calcium concentration is higher than the normal range, the patient will also occur. If the patients have this phenomenon, we should tell the doctor as soon as possible and asked the doctors to identify the causes of fatigue. You can then take the appropriate measures, such as blood transfusion, the use of oral medication or injection of other pharmaceutical agents, and to improve these phenomena.
From the psychological aspect is concerned, if there is no effect of cancer treatment, his condition not improve, cancer patients may have fatigue. This fatigue is a popular and unusual. When patients have such a feeling of exhaustion, she often remind myself to have a positive idea, proper rest, balanced diet and adequate nutrients, not to exceed the capacity of her body, and arranged for some regular physical activity, the her focus on what she really likes it or enjoy the activities. In addition, she also often meditation God, in the course of meditation, with some beautiful melodies poetry to help their own feelings of relaxation and muscle tension, and imagine himself as a baby in the love of her arms was to appease God the Father and rest in peace. In some cases, may also be thinking over and over again the Bible the Word of God, to remove the heart of some of the negative thinking. Spirit also often in the process of updating these souls, so that patients have a positive attitude or approach to face the challenges of cancer.
From the physical side, the course of treatment in cancer cell is damaged (such as anemia), increased serum calcium, or the body electrolyte imbalance, it will make the patients feel that the abnormal fatigue,and weak limbs. Sometimes transferred to the bone cancer cells, resulting in the loss of calcium, blood calcium concentration is higher than the normal range, the patient will also occur. If the patients have this phenomenon, we should tell the doctor as soon as possible and asked the doctors to identify the causes of fatigue. You can then take the appropriate measures, such as blood transfusion, the use of oral medication or injection of other pharmaceutical agents, and to improve these phenomena.
From the psychological aspect is concerned, if there is no effect of cancer treatment, his condition not improve, cancer patients may have fatigue. This fatigue is a popular and unusual. When patients have such a feeling of exhaustion, she often remind myself to have a positive idea, proper rest, balanced diet and adequate nutrients, not to exceed the capacity of her body, and arranged for some regular physical activity, the her focus on what she really likes it or enjoy the activities. In addition, she also often meditation God, in the course of meditation, with some beautiful melodies poetry to help their own feelings of relaxation and muscle tension, and imagine himself as a baby in the love of her arms was to appease God the Father and rest in peace. In some cases, may also be thinking over and over again the Bible the Word of God, to remove the heart of some of the negative thinking. Spirit also often in the process of updating these souls, so that patients have a positive attitude or approach to face the challenges of cancer.
The importance of "Medical care advance directives ADVANCE HEALTH CARE DIRECTIVE"
In early 2005 the United States has a national sensation of social news, that is, who lives in Florida because of Terri Schiavo in a 26-year-old at the time of the accident, coma asphyxia than 15 years, makes her husband and her parents in court on the controversial question of whether or not to provide nutrients, moisture and maintenance of the tube pulled out of her life. The results in the court ordered the removal of this tube after a living, Terri finally March 31, 2005 passed away at the age of 41 years.
The reason why this incident caused such a stir nationwide social news, one of the reasons is that if Terri Schiavo has never been a vegetative state when she became, she wanted to or not to use any means to maintain her life. And these decisions in advance can be a legitimate document accountable clear. This document is the "health care advance directives Advance Health Care Directive" or referred to as "advance directives Advance Directive".
California's Silicon Valley according to a number of 800 Chinese elderly informal survey indicates that about 95 percent of Chinese, or do not know, or know that there is no right to use the patients to fill out a "medical care advance directives. " This is not only caused by individuals in the medical decision on the wishes can not be achieved, while the family or difficult to let go because of family ties, or at a loss as a result of the various contradictions and guilt.
What is "medical care advance directives Advance Health Care Directive"?
"Medical care advance directives" are you writing or orally, to allow medical staff to understand when you unconscious, coma or seriously ill and unable to communicate with people, you are willing or unwilling to accept medical care. You can also designate a person you trust your agent to do medical care decisions.
Legally, you have the right to send a copy of the instructions to your health care workers or your trusted agent. If you choose to be represented by an agent to make decisions for you, the person's responsibility is to ensure that medical care you desire to achieve, and this document so that he (she) has the responsibility and rights.
Why do we need a "health care advance directive"?
Ready for a "health care advance directive", have the following benefits:
1. To protect you would like to express their acceptance of and which do not want to accept the rights and interests of medical care;
2. To make your family, friends and health care workers could be more clearly know that you care about the will and choice;
3. Reduced because of differences of opinion between friends and relatives caused by conflict;
4. Reduce the families and caregivers do for you the decision between life and death, the heart may have anxiety and guilt;
5. To avoid unnecessary treatment of you and the families of the financial burden;
6. Alleviation you are "over-treatment" fear;
7. If you wish, you can also specify donate.
When you fix the "health care advance directive", you can also change the content at any time, as long as you let your agent or health care workers know that your new wishes. In addition, you can also change your agent.
The reason why this incident caused such a stir nationwide social news, one of the reasons is that if Terri Schiavo has never been a vegetative state when she became, she wanted to or not to use any means to maintain her life. And these decisions in advance can be a legitimate document accountable clear. This document is the "health care advance directives Advance Health Care Directive" or referred to as "advance directives Advance Directive".
California's Silicon Valley according to a number of 800 Chinese elderly informal survey indicates that about 95 percent of Chinese, or do not know, or know that there is no right to use the patients to fill out a "medical care advance directives. " This is not only caused by individuals in the medical decision on the wishes can not be achieved, while the family or difficult to let go because of family ties, or at a loss as a result of the various contradictions and guilt.
What is "medical care advance directives Advance Health Care Directive"?
"Medical care advance directives" are you writing or orally, to allow medical staff to understand when you unconscious, coma or seriously ill and unable to communicate with people, you are willing or unwilling to accept medical care. You can also designate a person you trust your agent to do medical care decisions.
Legally, you have the right to send a copy of the instructions to your health care workers or your trusted agent. If you choose to be represented by an agent to make decisions for you, the person's responsibility is to ensure that medical care you desire to achieve, and this document so that he (she) has the responsibility and rights.
Why do we need a "health care advance directive"?
Ready for a "health care advance directive", have the following benefits:
1. To protect you would like to express their acceptance of and which do not want to accept the rights and interests of medical care;
2. To make your family, friends and health care workers could be more clearly know that you care about the will and choice;
3. Reduced because of differences of opinion between friends and relatives caused by conflict;
4. Reduce the families and caregivers do for you the decision between life and death, the heart may have anxiety and guilt;
5. To avoid unnecessary treatment of you and the families of the financial burden;
6. Alleviation you are "over-treatment" fear;
7. If you wish, you can also specify donate.
When you fix the "health care advance directive", you can also change the content at any time, as long as you let your agent or health care workers know that your new wishes. In addition, you can also change your agent.
If the cancer treatment ineffective, how should I do?
Cancer patients or their families face the most difficult moments, in addition to cancer recurrence or metastasis, the doctor told patients that he had no longer be able to provide effective treatment programs. Many people will be very disappointed, because they often hold a glimmer of hope that the doctors there are always ways to solve all problems. Some people think that can finally breathe a sigh of relief, because the treatment does not need to face the inconvenience and harm to the body. But there is no treatment or a result of being physically too weak and can no longer receiving treatment, they mean a serious condition; At that time, patients and their families how to do?
At this point even if the doctor can not continue to provide effective health care program, he is still able to provide appropriate recommendations. You can openly discuss with his follow-up medical care and so on. Usually he would suggest home or palliative care (home or palliative care), or palliative care (Hospice Services) (hospice care). These two programs seem very similar to the surface, but differ widely in real terms.
"Home or palliative care" as its name suggests is in the home care of patients by family members, and then by the home care agency to assist some of the basic care. This program services provided by the content or medical equipment covered by the project according to the National Health Insurance payment. Its biggest benefit is the patient can still see a doctor or hospital emergency room; However, these movements are to no avail. Because of a terminally ill patient to see a doctor or hospital emergency room, but no real increase in torment and medical role.
"Palliative care" is specifically for medical and life of the latepatients to provide professional care institutions. Their expertise is to help families deal with the symptoms of patients that may occur and pain. In addition to professional palliative care nurse regularly to observe the home care patients and their families to answer the questions, they also have other professionals to provide services, such as: Care and file to help clean up the patient's physical, social workers for the provision of community resources and contacts of patients with insurance companies, Good Hope to provide spiritual counseling. The use of palliative care, the patients and their families can call to contact the nurse on duty asked about ways to deal with the situation; therefore, can reduce heart patients and their families a sense of helplessness and anxiety. In addition to patient services, palliative care is also provided with the necessary equipment, such as: hospital beds, oxygen cylinders / machine, urinals, wheelchairs and so on, and dealing with symptoms related to drugs and painkillers. Those who have not experienced the hospice, this is a best option. General health insurance are usually covered by palliative care, but patients without health insurance, it may find a non-profit hospice care agencies to provide help. If families can not afford care because of special circumstances for terminally ill patients, they can be discussed with the social workers find the appropriate provision of care for nursing homes. Unfortunately, the Chinese care for terminally-ill patients, some misconceptions, so understanding and use of palliative care patients are not many, or until a few days before dying patients rush to join.
In fact, in the face of life's end with the birth of the baby's face is similar, it can look forward to and prepared. When a person can face the end of their life when perhaps he could be more easily arranged for some medical care thing. Chapter 3 of Ecclesiastes in the Bible 1-2 festival said, "everything has from time to time, and the world have regularly Treasury million. Health Sometimes, sometimes death ..." 11 said, "God created all things, each according to become better again eternal life was placed in the world. However, throughout the act of God, people can not. "14 said" I know God will have everything done by perpetuating anything to add, nothing to reduce. God this line is He kept in front of dignitaries in the heart of fear. "Indeed, human life is a mystery of things, even people like a cloud, like life, there a moment and disappeared. But if we have the opportunity throughout his life to create awareness of the universe the only true God, and fear Him, to comply with his wishes, he would look after our life and soul of it!
Jesus Christ said, "Let not your heart be troubled, you believe in God, now trust in Me. In my Father's house there are many accommodation; If not, I already told you; I went to was originally a place to prepare for you. If I to prepare a place for you, then you come back to me where to go; where I told you was there. "Jesus said," I am the way, the truth and the life; not by me, no one can to the Father. "
At this point even if the doctor can not continue to provide effective health care program, he is still able to provide appropriate recommendations. You can openly discuss with his follow-up medical care and so on. Usually he would suggest home or palliative care (home or palliative care), or palliative care (Hospice Services) (hospice care). These two programs seem very similar to the surface, but differ widely in real terms.
"Home or palliative care" as its name suggests is in the home care of patients by family members, and then by the home care agency to assist some of the basic care. This program services provided by the content or medical equipment covered by the project according to the National Health Insurance payment. Its biggest benefit is the patient can still see a doctor or hospital emergency room; However, these movements are to no avail. Because of a terminally ill patient to see a doctor or hospital emergency room, but no real increase in torment and medical role.
"Palliative care" is specifically for medical and life of the latepatients to provide professional care institutions. Their expertise is to help families deal with the symptoms of patients that may occur and pain. In addition to professional palliative care nurse regularly to observe the home care patients and their families to answer the questions, they also have other professionals to provide services, such as: Care and file to help clean up the patient's physical, social workers for the provision of community resources and contacts of patients with insurance companies, Good Hope to provide spiritual counseling. The use of palliative care, the patients and their families can call to contact the nurse on duty asked about ways to deal with the situation; therefore, can reduce heart patients and their families a sense of helplessness and anxiety. In addition to patient services, palliative care is also provided with the necessary equipment, such as: hospital beds, oxygen cylinders / machine, urinals, wheelchairs and so on, and dealing with symptoms related to drugs and painkillers. Those who have not experienced the hospice, this is a best option. General health insurance are usually covered by palliative care, but patients without health insurance, it may find a non-profit hospice care agencies to provide help. If families can not afford care because of special circumstances for terminally ill patients, they can be discussed with the social workers find the appropriate provision of care for nursing homes. Unfortunately, the Chinese care for terminally-ill patients, some misconceptions, so understanding and use of palliative care patients are not many, or until a few days before dying patients rush to join.
In fact, in the face of life's end with the birth of the baby's face is similar, it can look forward to and prepared. When a person can face the end of their life when perhaps he could be more easily arranged for some medical care thing. Chapter 3 of Ecclesiastes in the Bible 1-2 festival said, "everything has from time to time, and the world have regularly Treasury million. Health Sometimes, sometimes death ..." 11 said, "God created all things, each according to become better again eternal life was placed in the world. However, throughout the act of God, people can not. "14 said" I know God will have everything done by perpetuating anything to add, nothing to reduce. God this line is He kept in front of dignitaries in the heart of fear. "Indeed, human life is a mystery of things, even people like a cloud, like life, there a moment and disappeared. But if we have the opportunity throughout his life to create awareness of the universe the only true God, and fear Him, to comply with his wishes, he would look after our life and soul of it!
Jesus Christ said, "Let not your heart be troubled, you believe in God, now trust in Me. In my Father's house there are many accommodation; If not, I already told you; I went to was originally a place to prepare for you. If I to prepare a place for you, then you come back to me where to go; where I told you was there. "Jesus said," I am the way, the truth and the life; not by me, no one can to the Father. "
How to determine cancer treatment strategies
Cancer treatment involves many factors, including the patient's age and physical health, cancer site, stage, you can use methods of treatment and side effects of the impact on patients and so on. Typically, the oncologist will do a series of test patients in order to suggest possible treatment options. And he will explain the pros and cons of various treatment programs, effective rate of side effects and so on. Therefore, the patients if there is enough time and knowledge, he can read the relevant information in order to discuss and doctors, and then select one as he thinks fit treatment. Usually, each of a treatment program or drug use in different patients have different time for effectiveness; some people will be very effective, some people slightly effective, some people is totally futile. Doctors will use "effective probability" (Response Rate) to explain his proposal to use a certain program or the causes of drug. For example, doctors may recommend the use of a drug in the past experience, 60 percent of the patients with effective, so the drug "effective probability" is 60%.
Doctors usually use for patients with cancer "effective rate of" higher or drug treatment programs. Or drug use of the program several times, doctors would once again be tested in patients, if the patient's tumor shrinkage or reduction of the proliferation of sites, doctors will be able to take patients with physical conditions to continue to use the drug to achieve the symptoms completely remove (Total Remission ) purposes. If the drugs or the program does not work, doctors will try other drugs or treatment.
During treatment of patients with their own bodies should pay attention to the situation changes, if any abnormal pain, fever, cough, bleeding, tired of such a phenomenon should tell their doctor immediately in order to identify the causes and take appropriate response measures. Even patients with symptoms have been the elimination of time, he should also be subject to regular inspections to cancer recurrence or metastasis will be able to detect the early stages. Patients to be active in the face of cancer, while not taken lightly, because most patients know their own bodies and changes in circumstances.
If a doctor a few trial programs or drugs are not effective, doctors may recommend the use of clinical trials (Clinical Trials). At this time, patients and doctors should discuss the pros and cons of clinical trials, treatment on the body, whether the local hospitals can be conducted, and whether insurance companies pay and other issues. Although the clinical trial does not guarantee an effective, but at least it is a feasible method. At this point, to other tumor specialist to seek a second opinion (Second Opinion) on the very important. Patients should keep an open mind and a doctor together to face these important decisions.
During cancer treatment, patients may be recommended by many friends and relatives to try complementary and alternative therapies. For example, someone will introduce prescriptions, diet, health, drugs, or practicing qigong and other methods. These have not been scientifically proven methods most use of personal witness to attract patients. In some cases, patients or their family in the mentality of thinking under the will of his hopes on the way these are not confirmed, even to a point away from the orthodox treatment. This "hope that any treatment not miss the opportunity to" mentality is not unusual, but the wisdom to distinguish patients should do, so keep the hearts of luck but the loss of opportunities for cancer treatment and death of people or financial break. Taiwan's de peach Cancer Information Network http://www.cancer.org.tw/Library/content4.asp some alternative therapies on the Chinese articles for reference. U.S. National Center for complementary and alternative medicine (National Center for Complementary and Alternative Medicine) is also available in English website http://nccam.nih.gov information for readers to understand the English query. If patients complementary and alternative therapies have any questions, to take the initiative to discuss with the attending physician.
Cancer treatment is a science is also an art. The course of treatment for each patient is unique, so patients and cancer specialists to cope with, and actively participate in his treatment. Even when treatment fails, patients may still choose to palliative care (Hospice Service) in the health care workers and under the care of their families safe and sound through a lifetime. Cancer likely to harm the physical or killed, but the letter of the person of Jesus and his colleagues hope grant eternal life, she can have real peace.
Doctors usually use for patients with cancer "effective rate of" higher or drug treatment programs. Or drug use of the program several times, doctors would once again be tested in patients, if the patient's tumor shrinkage or reduction of the proliferation of sites, doctors will be able to take patients with physical conditions to continue to use the drug to achieve the symptoms completely remove (Total Remission ) purposes. If the drugs or the program does not work, doctors will try other drugs or treatment.
During treatment of patients with their own bodies should pay attention to the situation changes, if any abnormal pain, fever, cough, bleeding, tired of such a phenomenon should tell their doctor immediately in order to identify the causes and take appropriate response measures. Even patients with symptoms have been the elimination of time, he should also be subject to regular inspections to cancer recurrence or metastasis will be able to detect the early stages. Patients to be active in the face of cancer, while not taken lightly, because most patients know their own bodies and changes in circumstances.
If a doctor a few trial programs or drugs are not effective, doctors may recommend the use of clinical trials (Clinical Trials). At this time, patients and doctors should discuss the pros and cons of clinical trials, treatment on the body, whether the local hospitals can be conducted, and whether insurance companies pay and other issues. Although the clinical trial does not guarantee an effective, but at least it is a feasible method. At this point, to other tumor specialist to seek a second opinion (Second Opinion) on the very important. Patients should keep an open mind and a doctor together to face these important decisions.
During cancer treatment, patients may be recommended by many friends and relatives to try complementary and alternative therapies. For example, someone will introduce prescriptions, diet, health, drugs, or practicing qigong and other methods. These have not been scientifically proven methods most use of personal witness to attract patients. In some cases, patients or their family in the mentality of thinking under the will of his hopes on the way these are not confirmed, even to a point away from the orthodox treatment. This "hope that any treatment not miss the opportunity to" mentality is not unusual, but the wisdom to distinguish patients should do, so keep the hearts of luck but the loss of opportunities for cancer treatment and death of people or financial break. Taiwan's de peach Cancer Information Network http://www.cancer.org.tw/Library/content4.asp some alternative therapies on the Chinese articles for reference. U.S. National Center for complementary and alternative medicine (National Center for Complementary and Alternative Medicine) is also available in English website http://nccam.nih.gov information for readers to understand the English query. If patients complementary and alternative therapies have any questions, to take the initiative to discuss with the attending physician.
Cancer treatment is a science is also an art. The course of treatment for each patient is unique, so patients and cancer specialists to cope with, and actively participate in his treatment. Even when treatment fails, patients may still choose to palliative care (Hospice Service) in the health care workers and under the care of their families safe and sound through a lifetime. Cancer likely to harm the physical or killed, but the letter of the person of Jesus and his colleagues hope grant eternal life, she can have real peace.
When you suffer from cancer or serious illness, how to communicate with their families?
In the United States, physicians have a responsibility to tell patients the disease, unlike other areas in Taiwan or in some cases a doctor will first diagnosis of patients tell their family members, and then decide whether or not to tell patients their families. But in the United States if the patient did not understand English, and to help the families of the translation will not tell patients the truth, the future will have communication problems. To hide the disease is usually the family in order to protect patients, for fear of hurting his feelings, can not afford. In fact, most patients have known it himself, and he should be the correct understanding of the disease, he can exercise the autonomy to make appropriate medical decisions and plan for the future.
When a patient was diagnosed with cancer, heart be worried, frightened, overwhelmed and so on, it is very normal phenomenon. In fact, families will have the same feelings. At this time, patients need the support of his family and encouraged to care for. In some cases, patients will be added due to family troubles feel guilt, when the patient needs to be comfort and affirmation. When a patient can feel the sincere concern for his family, his mind will be able to have a sense of security. On the other hand, patients have family members for their hard work and considerate to the heart of Thanksgiving with the family to face the impact of cancer.
Although cancer is a health crisis, but when the patients and their families can be treated each other with sincerity, and by appropriate means of communication, this may be the construction of a turn for the better family relations. Communication, we should respect each other, listen to each other's needs and feelings, to confirm each other's feelings, to give a caring and comfort, not judge or criticize.
How to communicate it? First of all, you want to become a listen. A person who listened patiently to be willing to listen to each other so far that he needs, from where he needs to answer, help him. The following are some ways to communicate:
The use of open-ended questions, let the other have a chance to express himself. Open-ended questions that were asked were not only very brief question and answer sentences. For example: Do not ask each other, "you alright?" This question is usually only a very short answer, such as: "good" or "bad." If you ask him "how do you feel today?" In this way, the other side can have the opportunity to say something of his own feelings.
To be able to listen to people sensitive to the situation are located, have listened carefully to the words of the words, it is necessary to clarify your understanding, and guide each other to express inner thoughts and feelings. By listening, when you clearly understand each other's position and feelings of the time, then help him find a reasonable, workable response. Listen, you can use your own words you hear in response to the content and feelings.
In response to the content so as to make sure you get the correct information so you can ask the question a number of follow-up to understand each other's thinking and the real picture. For example: You can say: "I heard ..." or "Do you mean ..." If you think you understand the other side is wrong, he can clarify.
To respond to feelings, is to let each other know that you understand and to confirm his feelings. For example: you can say "you think ..." or "It sounds like you think ..." When you can be sure of each other's feelings when you are with each other virtually on the shorter distance.
Do not interrupt each other, not to deny each other's feelings or the other thesis. For example: If a patient to tell you: "I am worried about my condition will deteriorate." You should not arbitrarily, said: "Do not be afraid." You can ask him, "Why do you think so?" (This is an open question sentence.) Perhaps, when you asked patience, he will be really worried about things tell you. You can also at the right opportunity to express your feelings. For example: "I am also worried about ..." When patients and family members should be allowed to communicate sincerely treat each other, you will be able to support each other, face the problem together.
Do not gossip (especially other people's treatment and response), because each patient the treatment of choice and the response is unique. Met health care, drugs or care, it is best from the doctor, pharmacist or nurse there was a correct answer, to avoid mishandling.
In-depth understanding of the situation have not been before, not to rush to provide an answer. The best way is to assist each other to find the correct and reasonable answer. Because you have to offer potential benefit to patients, but harmful to him. You may win him the right to independent thinking, even when you do not really provide the answer, you would be complaining.
When a patient was diagnosed with cancer, heart be worried, frightened, overwhelmed and so on, it is very normal phenomenon. In fact, families will have the same feelings. At this time, patients need the support of his family and encouraged to care for. In some cases, patients will be added due to family troubles feel guilt, when the patient needs to be comfort and affirmation. When a patient can feel the sincere concern for his family, his mind will be able to have a sense of security. On the other hand, patients have family members for their hard work and considerate to the heart of Thanksgiving with the family to face the impact of cancer.
Although cancer is a health crisis, but when the patients and their families can be treated each other with sincerity, and by appropriate means of communication, this may be the construction of a turn for the better family relations. Communication, we should respect each other, listen to each other's needs and feelings, to confirm each other's feelings, to give a caring and comfort, not judge or criticize.
How to communicate it? First of all, you want to become a listen. A person who listened patiently to be willing to listen to each other so far that he needs, from where he needs to answer, help him. The following are some ways to communicate:
The use of open-ended questions, let the other have a chance to express himself. Open-ended questions that were asked were not only very brief question and answer sentences. For example: Do not ask each other, "you alright?" This question is usually only a very short answer, such as: "good" or "bad." If you ask him "how do you feel today?" In this way, the other side can have the opportunity to say something of his own feelings.
To be able to listen to people sensitive to the situation are located, have listened carefully to the words of the words, it is necessary to clarify your understanding, and guide each other to express inner thoughts and feelings. By listening, when you clearly understand each other's position and feelings of the time, then help him find a reasonable, workable response. Listen, you can use your own words you hear in response to the content and feelings.
In response to the content so as to make sure you get the correct information so you can ask the question a number of follow-up to understand each other's thinking and the real picture. For example: You can say: "I heard ..." or "Do you mean ..." If you think you understand the other side is wrong, he can clarify.
To respond to feelings, is to let each other know that you understand and to confirm his feelings. For example: you can say "you think ..." or "It sounds like you think ..." When you can be sure of each other's feelings when you are with each other virtually on the shorter distance.
Do not interrupt each other, not to deny each other's feelings or the other thesis. For example: If a patient to tell you: "I am worried about my condition will deteriorate." You should not arbitrarily, said: "Do not be afraid." You can ask him, "Why do you think so?" (This is an open question sentence.) Perhaps, when you asked patience, he will be really worried about things tell you. You can also at the right opportunity to express your feelings. For example: "I am also worried about ..." When patients and family members should be allowed to communicate sincerely treat each other, you will be able to support each other, face the problem together.
Do not gossip (especially other people's treatment and response), because each patient the treatment of choice and the response is unique. Met health care, drugs or care, it is best from the doctor, pharmacist or nurse there was a correct answer, to avoid mishandling.
In-depth understanding of the situation have not been before, not to rush to provide an answer. The best way is to assist each other to find the correct and reasonable answer. Because you have to offer potential benefit to patients, but harmful to him. You may win him the right to independent thinking, even when you do not really provide the answer, you would be complaining.
How doctors and medical staff to communicate
Chinese doctors have a general attitude of reverence, it met with the doctors as primary and secondary school students to see the same principals, I do not know what to do. In fact, doctors and other medical staff are professionals who help patients, they need your initiative and active participation in order to help you. In fact, if the patient to his correct understanding of the disease, he can make the most appropriate medical decisions.
Communication between doctors and patients of other obstacles, including: the language barrier, do not understand the health care system, do not understand the patient's interest, lack of medical knowledge, are not familiar with medical terminology, and do not know how to communicate. Let us explain them one by one and to seek appropriate solutions.
The language barrier: If you do not know English or English is not fluent, you can find friends and relatives in advance to help you pass your hospitals require a language interpreter. Act now California hospitals need to provide translators. Otherwise, you can find a fluent English relatives clinics or hospitals to help you translate.
Do not understand the health care system: Patients usually look at the family doctor or physician, if a doctor suspected or diagnosed cancer patients, he will be patient referral to a surgeon (surgery) or other specialists (for further diagnosis). Doctors may have to be patient in order to accept the inspection confirmed. Some patients need surgery, if the post-operative patients need to receive other forms of treatment, then referral to a radiation oncologist or GP. In the benefits of the hospital is that these different specialists and testing will be in the same place, the patient does not need to different clinics, testing or treatment. In private clinics or therapeutic benefit is the patient and doctor relationship may be more direct, or close proximity without long-distance travel.
Do not understand the patient's interest: The United States federal "consumer protection and quality of medical advisory committee" (Advisory Commission on Consumer Protection and Quality in the Health Care Industry) following patient's rights and responsibilities of regulations to protect consumers.
Patients have the right to clearly understand the medical diagnosis, and assistance for the medical program, medical personnel, and medical institutions decision.
Patients have the right to choose the institutions or the provision of medical staff and obtain high-quality medical care.
Patients have the right to receive emergency medical services.
The patient himself or his agent has the power and responsibility to participate in medical decisions.
In any case, all medical staff must be based on respect and considerate attitude towards patients.
Medical institutions should be conservative and patient privacy. Patients have the right to view, copy of his medical records or request to correct errors.
Patients the right to appeal and may be a fair and efficient assessment.
When the patient responsibilities in order to meet with the medical staff to achieve the best results.
Lack of medical knowledge, or are not familiar with medical terminology: You may want a medical certificate to the medical staff would like to ask a friend for your note. When necessary, the angle the sound of cancer care may request the tumor specialist for you to explain the contents of a medical certificate, please contact (408) 263-8585 ext 102. You can also go to the library or reliable computer Web site to find reliable information. See the first article listed some of Kok cancer information website in Chinese and English. Kok voice cancer care have been produced in both Chinese and English vocabulary commonly used in medicine and cancer are available.
Communication: When you and your family to read cancer information, you will come up with some problems. You can find a durable notebook to write down these problems, next time see a doctor when asked about his 11. You can also put all the important information relating to cancer, such as: medical certificate, inspection reports, test reports, medical programs, drug name and how to use side-effects or pain occurred at a time and processing methods, and information on this notebook Lane. When you put together such information, you will easily find what you need.
Most doctors clinics to follow the process of a program: (1) exchanged greetings, (2) asked about the condition, (3) inspection or testing, (4) diagnosis, (5) proposed treatment recommendations or methods, (6) end. You can put forward at the appropriate time you think of the problem in advance. You can use the following sentence began to ask questions. "Doctor, I can ask you a question? Doctor, may I have a question?" In addition, doctors usually ask the patient "Do you have any other problems you? Do you have any other questions?" At this time, you can think of will be temporarily problems, doubts or concerns raised. Do not feel embarrassed to ask questions to doctors. You with a doctor to try to establish a positive and appropriate communication, so that can help you to your doctor have a sense of trust and confidence. Patients should also be asked about the doctor, if there is a special situation, it should be contact with doctors and medical staff's name and contact telephone numbers registered in the notebook Lane.
You can ask the doctor the following information about the diagnosis and general treatment of the problem:
Why is my diagnosis? What is my diagnosis?
Whether the cancer has been transferred? If so, where? I belong to what period? Has the cancer spread? If so, where? What is the stage of the disease?
Cancer treatment to achieve? I can accept what treatment? Do you suggest I choose what kind of treatment? Why? What is the goal of treatment? What are my treatment choices? Which do you recommend for me? Why?
Each of the expected results of treatment for that? What are the expected benefits of each kind of treatment?
Each of the risk of treatment and potential side-effects are? Going to deal with the side effects? What are the risks and possible side effects of each treatment? How can side effects be managed?
I would like to receive treatment for what to do to prepare? What can I do to prepare for treatment?
My treatment of how to proceed? How long for the first time? To be long? How do I get my treatment? How often will I have treatments? How long will my treatment last?
I need to change their daily routine for it? If you want to, the duration? Will I have to change my normal activities? If so, for how long?
About how much the cost of treatment? Does my medical insurance pay? What is the treatment likely to cost? Will my insurance cover the costs?
Are there new treatments? Clinical trials suitable for me? What new treatments are under study? Would a clinical trial be appropriate for me?
Communication between doctors and patients of other obstacles, including: the language barrier, do not understand the health care system, do not understand the patient's interest, lack of medical knowledge, are not familiar with medical terminology, and do not know how to communicate. Let us explain them one by one and to seek appropriate solutions.
The language barrier: If you do not know English or English is not fluent, you can find friends and relatives in advance to help you pass your hospitals require a language interpreter. Act now California hospitals need to provide translators. Otherwise, you can find a fluent English relatives clinics or hospitals to help you translate.
Do not understand the health care system: Patients usually look at the family doctor or physician, if a doctor suspected or diagnosed cancer patients, he will be patient referral to a surgeon (surgery) or other specialists (for further diagnosis). Doctors may have to be patient in order to accept the inspection confirmed. Some patients need surgery, if the post-operative patients need to receive other forms of treatment, then referral to a radiation oncologist or GP. In the benefits of the hospital is that these different specialists and testing will be in the same place, the patient does not need to different clinics, testing or treatment. In private clinics or therapeutic benefit is the patient and doctor relationship may be more direct, or close proximity without long-distance travel.
Do not understand the patient's interest: The United States federal "consumer protection and quality of medical advisory committee" (Advisory Commission on Consumer Protection and Quality in the Health Care Industry) following patient's rights and responsibilities of regulations to protect consumers.
Patients have the right to clearly understand the medical diagnosis, and assistance for the medical program, medical personnel, and medical institutions decision.
Patients have the right to choose the institutions or the provision of medical staff and obtain high-quality medical care.
Patients have the right to receive emergency medical services.
The patient himself or his agent has the power and responsibility to participate in medical decisions.
In any case, all medical staff must be based on respect and considerate attitude towards patients.
Medical institutions should be conservative and patient privacy. Patients have the right to view, copy of his medical records or request to correct errors.
Patients the right to appeal and may be a fair and efficient assessment.
When the patient responsibilities in order to meet with the medical staff to achieve the best results.
Lack of medical knowledge, or are not familiar with medical terminology: You may want a medical certificate to the medical staff would like to ask a friend for your note. When necessary, the angle the sound of cancer care may request the tumor specialist for you to explain the contents of a medical certificate, please contact (408) 263-8585 ext 102. You can also go to the library or reliable computer Web site to find reliable information. See the first article listed some of Kok cancer information website in Chinese and English. Kok voice cancer care have been produced in both Chinese and English vocabulary commonly used in medicine and cancer are available.
Communication: When you and your family to read cancer information, you will come up with some problems. You can find a durable notebook to write down these problems, next time see a doctor when asked about his 11. You can also put all the important information relating to cancer, such as: medical certificate, inspection reports, test reports, medical programs, drug name and how to use side-effects or pain occurred at a time and processing methods, and information on this notebook Lane. When you put together such information, you will easily find what you need.
Most doctors clinics to follow the process of a program: (1) exchanged greetings, (2) asked about the condition, (3) inspection or testing, (4) diagnosis, (5) proposed treatment recommendations or methods, (6) end. You can put forward at the appropriate time you think of the problem in advance. You can use the following sentence began to ask questions. "Doctor, I can ask you a question? Doctor, may I have a question?" In addition, doctors usually ask the patient "Do you have any other problems you? Do you have any other questions?" At this time, you can think of will be temporarily problems, doubts or concerns raised. Do not feel embarrassed to ask questions to doctors. You with a doctor to try to establish a positive and appropriate communication, so that can help you to your doctor have a sense of trust and confidence. Patients should also be asked about the doctor, if there is a special situation, it should be contact with doctors and medical staff's name and contact telephone numbers registered in the notebook Lane.
You can ask the doctor the following information about the diagnosis and general treatment of the problem:
Why is my diagnosis? What is my diagnosis?
Whether the cancer has been transferred? If so, where? I belong to what period? Has the cancer spread? If so, where? What is the stage of the disease?
Cancer treatment to achieve? I can accept what treatment? Do you suggest I choose what kind of treatment? Why? What is the goal of treatment? What are my treatment choices? Which do you recommend for me? Why?
Each of the expected results of treatment for that? What are the expected benefits of each kind of treatment?
Each of the risk of treatment and potential side-effects are? Going to deal with the side effects? What are the risks and possible side effects of each treatment? How can side effects be managed?
I would like to receive treatment for what to do to prepare? What can I do to prepare for treatment?
My treatment of how to proceed? How long for the first time? To be long? How do I get my treatment? How often will I have treatments? How long will my treatment last?
I need to change their daily routine for it? If you want to, the duration? Will I have to change my normal activities? If so, for how long?
About how much the cost of treatment? Does my medical insurance pay? What is the treatment likely to cost? Will my insurance cover the costs?
Are there new treatments? Clinical trials suitable for me? What new treatments are under study? Would a clinical trial be appropriate for me?
I heard that you had just been diagnosed with cancer
Dear friends, when you had just been diagnosed with cancer, you may not be able to immediately accept this fact. Even your doctor would think that the inspection reports of other people linked to your name. This "denies the facts" attitude is a kind of self-protection measures, so that your brains have a chance to adjust to face approach. Perhaps you may feel "very angry" because you feel you should not have the disease. Sometimes, you will feel "very depressed" because of this disease will give you and your family a great deal of impact, and you do not know how to face it. Sometimes, you will want to own "isolated", and not let any friends know that you are afraid they will thesis. Even you, with God "bargaining" in the hope he give you a number of years so that you may wish to complete certain. But you must be eventually had to "accept the truth" in the face of it. Such thoughts will occur repeatedly, does not necessarily follow a certain order. Even if you accept the fact, you may still have in front of any state of mind. But the most important thing is that you should have a positive attitude to face. When you to face, you will be able to participate in your health care decisions; you have autonomy, you will not have the feeling at the mercy of others.
Cancer Diet and Food Safety
Diet during treatment and rehabilitation after the diet, are basically pay attention to balanced nutrition. Eat well during treatment of patients, side effects than the stand can be quickly restored or receive a higher dose treatment. Good nutrition will build up their strength, increase resistance to reduce the chance of infection, and treatment is the need for additional nutrients to supplement the manual. During treatment in order to maintain a certain weight, to cope with the loss of appetite and taste, repairing injured organizations, improve one's body resistance, so food and drink have to bother, we may have to reluctantly eat his own high-nutrient foods , food tastes to moderate, and maintain a pleasant dining atmosphere. Protein intake during treatment with special needs adequate, normal cells have the ability to repair and to increase the combat effort, but please pay attention to not want you to enjoy the steak dinner every day, there are many vegetable protein may be more suitable for your body's needs. During treatment unless they are severely malnourished or excessive weight loss, the general still need to eat less high-animal fat, high-sugar foods. It should be noted that during chemotherapy water supply, because the water helps the absorption of nutrients and waste discharges, so as to alleviate the burden on the kidneys and bladder can be reduced because of drug side effects.
Diet during chemotherapy, can refer to the United States National Institute of Health provided Eating Hints (see the Web site www.cancer.gov / cancerinfo / eatinghints) or the American Institute for Cancer Research's recommendations (see the Web site http://www. aicr.org / site / PageServer? pagename = cs_home). Rehabilitation after the appropriate diet to eat in order to rebuild a better physique.
According to many experts in cancer research results indicate that consumption of multiple colors, different types of fruits and vegetables help reduce the incidence of cancer, because these fruits and vegetables contain many plant-derived compounds (or plant nutrients). They can protect human cells from injury, in addition to promoting the immune system to rule out the possibility of toxins.
Organization of the United States, a cancer "Cancer Lifeline" (Cancer Lifeline) on the proposed focus of the following 10 samples of food, because they contain natural plant nutrition more agent physical health.
• Green broccoli, kale or cabbage, cauliflower (white cauliflower), and other cruciferous vegetables.
• a variety of beans (including soy beans).
• a variety of berries.
• onion, garlic, green onions for a class of plants.
• containing "Gardn Su-type" (Carotenoids) more (for example: deep orange-red, yellow, red, green) vegetables and fruit.
• fish.
• tomatoes (cooked containing lycopene more).
• mushroom category.
• Nuts and seeds.
• green tea.
Cancer patients could be 10 categories of food from the deployment of a delicious dish. In principle, each of the weight of each meal consumed at least 2 / 3 should be more than plant food, the other 1 / 3 The following is a low-fat meat, poultry or fish. Staple food should choose unprocessed grains refined cereals and brown rice.
Because of the immunity of cancer patients or vulnerable to prepare food should also pay attention to health, to avoid infection caused by bacteria. The following example may focus on ensuring food safety.
• hands frequently used kitchen utensils to washing detergents, especially between handling raw meat and vegetables.
•菜瓜布regular replacement, sponge and cloth, as easy to breed bacteria.
• carefully wash fruits and vegetables to remove pesticide residues.
• avoid raw meat and vegetables share the same chopping board or after the meat must be cleaned.
• Do not mess with the meat on the water to thaw, due to breed fungi, can use the microwave or refrigerator freezer slowly thawed meat.
• eggs, meat must be cooked thoroughly.
Moldy • Do not eat food.
Not fresh • Do not eat dairy products.
• food not stored at room temperature more than two hours due to go stale easily.
• refrigerator temperature should be lower than 40 ℉ or 5 ℃.
Diet during chemotherapy, can refer to the United States National Institute of Health provided Eating Hints (see the Web site www.cancer.gov / cancerinfo / eatinghints) or the American Institute for Cancer Research's recommendations (see the Web site http://www. aicr.org / site / PageServer? pagename = cs_home). Rehabilitation after the appropriate diet to eat in order to rebuild a better physique.
According to many experts in cancer research results indicate that consumption of multiple colors, different types of fruits and vegetables help reduce the incidence of cancer, because these fruits and vegetables contain many plant-derived compounds (or plant nutrients). They can protect human cells from injury, in addition to promoting the immune system to rule out the possibility of toxins.
Organization of the United States, a cancer "Cancer Lifeline" (Cancer Lifeline) on the proposed focus of the following 10 samples of food, because they contain natural plant nutrition more agent physical health.
• Green broccoli, kale or cabbage, cauliflower (white cauliflower), and other cruciferous vegetables.
• a variety of beans (including soy beans).
• a variety of berries.
• onion, garlic, green onions for a class of plants.
• containing "Gardn Su-type" (Carotenoids) more (for example: deep orange-red, yellow, red, green) vegetables and fruit.
• fish.
• tomatoes (cooked containing lycopene more).
• mushroom category.
• Nuts and seeds.
• green tea.
Cancer patients could be 10 categories of food from the deployment of a delicious dish. In principle, each of the weight of each meal consumed at least 2 / 3 should be more than plant food, the other 1 / 3 The following is a low-fat meat, poultry or fish. Staple food should choose unprocessed grains refined cereals and brown rice.
Because of the immunity of cancer patients or vulnerable to prepare food should also pay attention to health, to avoid infection caused by bacteria. The following example may focus on ensuring food safety.
• hands frequently used kitchen utensils to washing detergents, especially between handling raw meat and vegetables.
•菜瓜布regular replacement, sponge and cloth, as easy to breed bacteria.
• carefully wash fruits and vegetables to remove pesticide residues.
• avoid raw meat and vegetables share the same chopping board or after the meat must be cleaned.
• Do not mess with the meat on the water to thaw, due to breed fungi, can use the microwave or refrigerator freezer slowly thawed meat.
• eggs, meat must be cooked thoroughly.
Moldy • Do not eat food.
Not fresh • Do not eat dairy products.
• food not stored at room temperature more than two hours due to go stale easily.
• refrigerator temperature should be lower than 40 ℉ or 5 ℃.
Diet and Nutrition
Cancer patient's diet and nutrition is a very important and practical issues. Diet during cancer treatment and rehabilitation after the diet, are basically pay attention to balanced nutrition. Eat well during treatment of patients, more able to stand the side effects of treatment can be quickly restored or receive a higher dose treatment. Good nutrition will build up their strength, increase resistance to reduce the chance of infection, and treatment is the need for additional nutrients to supplement the manual. During treatment in order to maintain a certain weight, to cope with the loss of appetite and taste, repairing injured organizations, improve one's body resistance, so food and drink have to bother, we may have to reluctantly eat his own high-nutrient foods , food tastes to moderate, and maintain a pleasant dining atmosphere. Protein intake during treatment with special needs adequate, normal cells have the ability to repair and increase the body's efforts, but please pay attention to not want you to enjoy the steak dinner every day; there are many vegetable protein may be more suitable for your body's needs. During treatment unless they are severely malnourished or excessive weight loss, the general still need to eat less high-animal fat and high sugar foods. It should be noted that during chemotherapy water supply, because the water helps the absorption of nutrients and waste discharges, so as to alleviate the burden on the kidneys and bladder can be reduced because of drug side effects.
Palliative care (or Hospice Services)
Terminal cancer patients at some stage might wish to have a better quality of life, but not with the length of life. This time may be decided in the patient's body condition, treatment efficacy and side effects of size. The patient himself, his doctor or his family would be very natural to achieve this decisive moment. At this point, the doctor may suggest patients received palliative care (or Hospice Services), the purpose is to help terminal cancer patients to spend a little pain, there is peace, dignity, good quality of life of the hospice. Through effective pain management, palliative care to make a terminal cancer patients in a caring loving care, what comes naturally journey through life.
A palliative care institutions in addition to special nurses, social workers, there are security guards and file, spiritual, animal husbandry staff and volunteers, these people with the patient's family members to form a "whole-person care" of the team to fulfill patients in body, mind, and soul III needs. Contributing nurses focus on patient care, with the attending physician contact, and medical equipment acquisition and use. Guarding file is to help patients maintain the cleanliness and personal hygiene. Social worker responsible for the mental patients and their families assisted by or on behalf of the community look for other resources. Ling, animal husbandry staff at patients and their families to provide the religious background or find the appropriate spiritual counseling. Volunteers can help with patients, so that families can go out to do important things, or a breather rest.
Contributing nurses are often associated with the patient's attending physician to keep in touch, according to the patient's condition in a timely manner to adjust the way health care or drug doses in order to maintain the patient's quality of life. All patients required oxygen, beds, mattresses, wheelchairs, and other painkillers, as long as appropriate and agreed to by doctors, they immediately contact the provision of medical equipment firms. These services for those who choose home care, there are positive benefits significance. In addition to patients, they also "family care", including family assistance, counseling, patient died young children and leave behind family and grief counseling. Patient died, the organization grief counselors will regularly write to their families, counseling the families of how to deal with grief.
U.S. general health insurance and the U.S. government contains items palliative care, so patients do not usually be an additional fee. If a patient has no health insurance or can not afford, they will not refuse to provide services. Such institutions also replace direct patient contact with insurance companies, can be removed from the many representations cumbersome. In terms of patients and their families, it is one less headache.
A palliative care institutions in addition to special nurses, social workers, there are security guards and file, spiritual, animal husbandry staff and volunteers, these people with the patient's family members to form a "whole-person care" of the team to fulfill patients in body, mind, and soul III needs. Contributing nurses focus on patient care, with the attending physician contact, and medical equipment acquisition and use. Guarding file is to help patients maintain the cleanliness and personal hygiene. Social worker responsible for the mental patients and their families assisted by or on behalf of the community look for other resources. Ling, animal husbandry staff at patients and their families to provide the religious background or find the appropriate spiritual counseling. Volunteers can help with patients, so that families can go out to do important things, or a breather rest.
Contributing nurses are often associated with the patient's attending physician to keep in touch, according to the patient's condition in a timely manner to adjust the way health care or drug doses in order to maintain the patient's quality of life. All patients required oxygen, beds, mattresses, wheelchairs, and other painkillers, as long as appropriate and agreed to by doctors, they immediately contact the provision of medical equipment firms. These services for those who choose home care, there are positive benefits significance. In addition to patients, they also "family care", including family assistance, counseling, patient died young children and leave behind family and grief counseling. Patient died, the organization grief counselors will regularly write to their families, counseling the families of how to deal with grief.
U.S. general health insurance and the U.S. government contains items palliative care, so patients do not usually be an additional fee. If a patient has no health insurance or can not afford, they will not refuse to provide services. Such institutions also replace direct patient contact with insurance companies, can be removed from the many representations cumbersome. In terms of patients and their families, it is one less headache.
CLINICAL TRIALS
Generally speaking, the clinical trial is a scientist or research institutions Medical Center physicians, in order to test the effectiveness of new cancer therapies proposed research projects. For some higher stage of cancer or can not find an effective formal standard therapy for cancer patients, the attending physician may be recommended for cancer patients participating in clinical trials. The main purpose is to assist the scientist or a doctor to complete the study of these new therapies to determine whether it can be effective and safe to use in other cancer patients.
Clinical trials are usually some laboratory and animal tests that can be used in humans think of the new treatment. Clinical trials in three phases; the first phase of a small number of patients for testing is to determine ways and medication use the safe dose and frequency; The second stage is to find more patients to test the safety of new therapies, side effects and the effect of drugs; the third phase is usually different in various medical centers from more patients to participate in a relatively new sub-standard treatment therapy and regular results. In some cases, new treatments for drug testing by allowing the use of the Authority, they are still continuing to do the tracking, if found on the human body have serious side effects, we immediately stop the use of new therapies.
Clinical trials usually have each selected the conditions of some patients, only patients who meet the conditions to join the clinical trial. Therefore, when conditions permit, the patient may also want to consider participating in clinical trials. But you should discuss with the attending physician to participate in the pros and cons of whether or not, and overall understanding and acceptance of the risk of clinical trials to participate to do when.
Clinical trials are usually some laboratory and animal tests that can be used in humans think of the new treatment. Clinical trials in three phases; the first phase of a small number of patients for testing is to determine ways and medication use the safe dose and frequency; The second stage is to find more patients to test the safety of new therapies, side effects and the effect of drugs; the third phase is usually different in various medical centers from more patients to participate in a relatively new sub-standard treatment therapy and regular results. In some cases, new treatments for drug testing by allowing the use of the Authority, they are still continuing to do the tracking, if found on the human body have serious side effects, we immediately stop the use of new therapies.
Clinical trials usually have each selected the conditions of some patients, only patients who meet the conditions to join the clinical trial. Therefore, when conditions permit, the patient may also want to consider participating in clinical trials. But you should discuss with the attending physician to participate in the pros and cons of whether or not, and overall understanding and acceptance of the risk of clinical trials to participate to do when.
Fresh start
When doctors tell you that your cancer recurrence or metastasis, you thought what? Does this news than the original diagnosis of cancer when you are sad more people? Are you worried that this means more treatment, the painful side effects, treatment is effective, quality of life are affected, medical costs and economic burden ... and so on. Indeed, these are annoying things. But as long as a doctor to find effective treatment of cancer you can still be controlled. Therefore, you should not be discouraged. Cheer up and tell your relatives and friends, you need to encourage and help them to face this new challenge.
This new pressure could become the driving force of your spiritual growth and opportunities. You can read the "spiritual support" the article to clarify your thoughts. Perhaps you can from other cancer Friends "shared witness" was encouraged. If you need Christians to pray for you, you can "request to pray" Let us pray to know matters. In the process you would like to personally experience the same God.
This new pressure could become the driving force of your spiritual growth and opportunities. You can read the "spiritual support" the article to clarify your thoughts. Perhaps you can from other cancer Friends "shared witness" was encouraged. If you need Christians to pray for you, you can "request to pray" Let us pray to know matters. In the process you would like to personally experience the same God.
Organization of anti-cancer support unit
When patients with a positive attitude in the entire treatment process. Cancer is not to allow doctors to sing a one-man show, the patient is not placed at the mercy of medical experiments goods. In contrast, patients themselves are the real "combat commander-in-chief", the need for strong and determined to grasp the overall anti-cancer program. Health care workers is only part of combat troops, several weeks before they meet again. But the battle with cancer every day thing, is not it? Organization of anti-cancer support units include:
1. To invite family, friends, relatives, colleagues and neighbors together to help you cancer
Cancer of the roads are bumpy and difficult long-term war of resistance. Illness is not only weak and tired body, daily life can not take care of many things, spiritually, more often need to be supported by the understanding, was to encourage and comfort. When discouraged tired to be down to when we need someone to pull together. Dear Friends of the cancer, not to go it alone, frankly let you know that you support life difficulties, physical discomfort, and a variety of actual needs. Let them know how effectively to help you cancer.
2. Looking for Mutual Aid Association of Friends of Cancer
Mutual Aid Association is not a formal organization, when the two cancer Friends of mutual concern, exchange ideas with each other, it is already a mutual aid groups. But in many cities, have a little more formal Mutual Aid Association of Friends of the cancer, but also have a fixed meeting time. Mutual Aid Association in these years, learn some of their predecessors, they have gone through and we are now to take. They understand our suffering and pain of the local, it is able to comfort and encourage us. Familiar with each other very quickly, but also easy to know each other, to suppress the feelings are easy to vent out. More importantly, no longer feel lonely. But not all cancers are suitable for Mutual Aid Association of Friends of you, the best of which is the same disease, and to do the same treatment for cancer of Friends, you get the help may be larger. American Cancer Society has cancer in various parts of the Friends of Mutual Aid Association, in New York and California, while there is a Chinese branch of (please refer to community resources listed in the address and telephone number), you can contact them to obtain newsletter.
3. To accept other people to pray for your illness
"Bible" said: "The joy of the heart, is good medicine." Cancer is not just physical battle, but also a great spiritual challenge. Spirituality weak, the confidence is gone, people began to be depressed by the shackles, the immune system gradually strike, physical condition also decline. "Bible" and added: "It is often joy, not the prayer." Prayer can help us better than the dark power, prayer can bring unexpected Ping'an.
1. To invite family, friends, relatives, colleagues and neighbors together to help you cancer
Cancer of the roads are bumpy and difficult long-term war of resistance. Illness is not only weak and tired body, daily life can not take care of many things, spiritually, more often need to be supported by the understanding, was to encourage and comfort. When discouraged tired to be down to when we need someone to pull together. Dear Friends of the cancer, not to go it alone, frankly let you know that you support life difficulties, physical discomfort, and a variety of actual needs. Let them know how effectively to help you cancer.
2. Looking for Mutual Aid Association of Friends of Cancer
Mutual Aid Association is not a formal organization, when the two cancer Friends of mutual concern, exchange ideas with each other, it is already a mutual aid groups. But in many cities, have a little more formal Mutual Aid Association of Friends of the cancer, but also have a fixed meeting time. Mutual Aid Association in these years, learn some of their predecessors, they have gone through and we are now to take. They understand our suffering and pain of the local, it is able to comfort and encourage us. Familiar with each other very quickly, but also easy to know each other, to suppress the feelings are easy to vent out. More importantly, no longer feel lonely. But not all cancers are suitable for Mutual Aid Association of Friends of you, the best of which is the same disease, and to do the same treatment for cancer of Friends, you get the help may be larger. American Cancer Society has cancer in various parts of the Friends of Mutual Aid Association, in New York and California, while there is a Chinese branch of (please refer to community resources listed in the address and telephone number), you can contact them to obtain newsletter.
3. To accept other people to pray for your illness
"Bible" said: "The joy of the heart, is good medicine." Cancer is not just physical battle, but also a great spiritual challenge. Spirituality weak, the confidence is gone, people began to be depressed by the shackles, the immune system gradually strike, physical condition also decline. "Bible" and added: "It is often joy, not the prayer." Prayer can help us better than the dark power, prayer can bring unexpected Ping'an.
A comprehensive anti-cancer: an inventory of your equipment
A comprehensive anti-cancer: an inventory of your equipment
1. When the doctor announced that it is cancer
‧ I understand that cancer and death are not synonyms.
‧ I would like to adopt a positive attitude to meet the challenge.
‧ I believe that my illness can be brought under control, I do not compared with others.
‧ I have made reference to the statistics, but I intended to go beyond its scope.
‧ I know I need help, I will not be closing their doors.
‧ I do not think, "Why me?"
‧ effort and I will not regret it, "Why not earlier found?"
‧ I am not thinking very hard, "is how I get this disease?"
‧ I am determined battle with cancer, and restoration of health.
2. The choice of treatment methods and the right doctor
‧ I would like to understand my current situation, the types of cancer, location, stage.
‧ I would like to as soon as possible to seek appropriate treatment.
‧ I would like to find a qualified, experienced, and there is sure to be able to cure my doctor.
‧ I call the doctor about my illness completely honest.
‧ I asked the doctors to answer all my questions or provide me with accurate information so that I have cancer have a better understanding.
‧ my treatment, there are difficulties and doubts, they can always call for help to the health care team.
‧ I have full confidence in my doctor.
‧ I am advised that other cancer experts, a second opinion, know my choice is right.
‧ I have called the National Cancer Institute (NCI) 1-800-4-CANCER, or other reliable cancer agencies, inquiries of all the most advanced treatment methods.
‧ I selected treatment methods have confidence in it.
‧ I will make every effort to meet with a doctor, insisted in the end.
‧ I write all my problems, and treatment of the detailed response in order to discuss with the doctor.
‧ I call family or friends to accompany me a clinic.
‧ I tried to read with my cancer-related information.
‧ I and medical insurance institutions dealing with the payment of the cost of treatment.
‧ I, when necessary, will be careful to choose non-traditional adjuvant therapy.
3. Organization of anti-cancer support unit
‧ I call on the full support of family or friends I have cancer, but also ask them to respect my decision.
‧ I let family or friends know that I am grateful for their care, have much need for their support.
‧ I let the whole family or friends know that the disease progresses.
‧ I frankly with family or friends to share my inner feelings.
‧ I am willing and family or friends to discuss problems with my question.
‧ I implore the church family or friends to pray for my disease.
‧ I would like to actively participate in Mutual Aid Association of Friends of Cancer, and constantly learning.
‧ I want to enjoy today and family members, friends of the good old days.
‧ I personally give every family know, I love them.
‧ I am concerned about and help each family to adapt to new challenges, in particular, is a minor child.
‧ I would like to take the time to the children can understand words to explain the disease and to answer his question.
4. Equip the body's ability to combat
‧ I let the body adequate rest, physical never overdraft valuable.
‧ I have changed my bad eating habits, declined sweets, fried food, junk food and so on.
‧ I eat more fresh vegetables and fruit.
‧ I eat nutritious food to supplement the manual.
‧ during my efforts in the treatment of eating nutritious food to maintain normal weight.
‧ I quit smoking, alcohol, drug, quit bad habits harmful to the body.
‧ my daily fitness campaign.
‧ I make every effort to learn to deal with the pressures of life.
‧ I pay attention to strengthening the immune system function.
‧ chemotherapy, I avoid the occasions and wash their hands often to reduce the risk of infection by bacteria.
5. To safeguard the health of the soul
‧ my illness still is often the joy of everything to show their gratitude.
‧ I know that my emotions, I do not hide or suppress, but do not let my emotions to jurisdiction system.
‧ I told myself "I can beat cancer, I will get better day by day."
‧ I did I love to do, such as: Reading a good book to complete a painting, and other ... ....
‧ I am learning and cultivate a sense of humor, enjoy laughter every day.
‧ I feel self-pity and frustration, I left my room, went out to do interesting things.
‧ I will not let down its own decadence, the establishment of short-range objectives and efforts to complete.
‧ I was in line with the framework of physical strength, and maintain active, try to lead a normal life.
‧ I empty out a daily quiet time meditation God and God's Word.
‧ I realize my thoughts every day, instant removal of unhealthy ideas.
‧ I forgive those who offend me, I release the hearts of hatred, so I am full of warm love.
‧ I believe that this suffering to me useful, I am therefore more mature sophisticated.
‧ I am not going to lose some value, I still have all my Thanksgiving.
‧ I went to visit in poverty and hardship need to help people share with them my experience.
‧ I do to pursue the truth of life, because you will be searching to find see.
‧ I do not fear death, because I have hope for eternal life.
1. When the doctor announced that it is cancer
‧ I understand that cancer and death are not synonyms.
‧ I would like to adopt a positive attitude to meet the challenge.
‧ I believe that my illness can be brought under control, I do not compared with others.
‧ I have made reference to the statistics, but I intended to go beyond its scope.
‧ I know I need help, I will not be closing their doors.
‧ I do not think, "Why me?"
‧ effort and I will not regret it, "Why not earlier found?"
‧ I am not thinking very hard, "is how I get this disease?"
‧ I am determined battle with cancer, and restoration of health.
2. The choice of treatment methods and the right doctor
‧ I would like to understand my current situation, the types of cancer, location, stage.
‧ I would like to as soon as possible to seek appropriate treatment.
‧ I would like to find a qualified, experienced, and there is sure to be able to cure my doctor.
‧ I call the doctor about my illness completely honest.
‧ I asked the doctors to answer all my questions or provide me with accurate information so that I have cancer have a better understanding.
‧ my treatment, there are difficulties and doubts, they can always call for help to the health care team.
‧ I have full confidence in my doctor.
‧ I am advised that other cancer experts, a second opinion, know my choice is right.
‧ I have called the National Cancer Institute (NCI) 1-800-4-CANCER, or other reliable cancer agencies, inquiries of all the most advanced treatment methods.
‧ I selected treatment methods have confidence in it.
‧ I will make every effort to meet with a doctor, insisted in the end.
‧ I write all my problems, and treatment of the detailed response in order to discuss with the doctor.
‧ I call family or friends to accompany me a clinic.
‧ I tried to read with my cancer-related information.
‧ I and medical insurance institutions dealing with the payment of the cost of treatment.
‧ I, when necessary, will be careful to choose non-traditional adjuvant therapy.
3. Organization of anti-cancer support unit
‧ I call on the full support of family or friends I have cancer, but also ask them to respect my decision.
‧ I let family or friends know that I am grateful for their care, have much need for their support.
‧ I let the whole family or friends know that the disease progresses.
‧ I frankly with family or friends to share my inner feelings.
‧ I am willing and family or friends to discuss problems with my question.
‧ I implore the church family or friends to pray for my disease.
‧ I would like to actively participate in Mutual Aid Association of Friends of Cancer, and constantly learning.
‧ I want to enjoy today and family members, friends of the good old days.
‧ I personally give every family know, I love them.
‧ I am concerned about and help each family to adapt to new challenges, in particular, is a minor child.
‧ I would like to take the time to the children can understand words to explain the disease and to answer his question.
4. Equip the body's ability to combat
‧ I let the body adequate rest, physical never overdraft valuable.
‧ I have changed my bad eating habits, declined sweets, fried food, junk food and so on.
‧ I eat more fresh vegetables and fruit.
‧ I eat nutritious food to supplement the manual.
‧ during my efforts in the treatment of eating nutritious food to maintain normal weight.
‧ I quit smoking, alcohol, drug, quit bad habits harmful to the body.
‧ my daily fitness campaign.
‧ I make every effort to learn to deal with the pressures of life.
‧ I pay attention to strengthening the immune system function.
‧ chemotherapy, I avoid the occasions and wash their hands often to reduce the risk of infection by bacteria.
5. To safeguard the health of the soul
‧ my illness still is often the joy of everything to show their gratitude.
‧ I know that my emotions, I do not hide or suppress, but do not let my emotions to jurisdiction system.
‧ I told myself "I can beat cancer, I will get better day by day."
‧ I did I love to do, such as: Reading a good book to complete a painting, and other ... ....
‧ I am learning and cultivate a sense of humor, enjoy laughter every day.
‧ I feel self-pity and frustration, I left my room, went out to do interesting things.
‧ I will not let down its own decadence, the establishment of short-range objectives and efforts to complete.
‧ I was in line with the framework of physical strength, and maintain active, try to lead a normal life.
‧ I empty out a daily quiet time meditation God and God's Word.
‧ I realize my thoughts every day, instant removal of unhealthy ideas.
‧ I forgive those who offend me, I release the hearts of hatred, so I am full of warm love.
‧ I believe that this suffering to me useful, I am therefore more mature sophisticated.
‧ I am not going to lose some value, I still have all my Thanksgiving.
‧ I went to visit in poverty and hardship need to help people share with them my experience.
‧ I do to pursue the truth of life, because you will be searching to find see.
‧ I do not fear death, because I have hope for eternal life.
Anti-cancer plan
When the doctor announced that it is cancer, most patients are in extreme shock, often at a loss-stricken, doctors simply can not listen to the words entered. Therefore, the best way is to have family or friends with you, or re-arrange a second meeting, with the prior written down your problem. If in the United States can even consult their doctors agreed to use the recorder to talk about the contents of the following, and this speech difficulties or those who are not familiar with medical terminology is helpful. The next is in the midst of confusion in the strive to maintain a sober and calm in order to do all sorts of decisions. The process of selection of treatment include:
1. To understand the disease
Asked the doctors to tell you the site of cancer, size, type. Clarify the cancer has not spread to nearby lymph node or other organ? This cancer is in the first several stages? The reliability of the test results? The need for further check-ups?
2. To understand at this stage treatment can be chosen
Orthodox treatment of surgery, radiation therapy, chemotherapy, hormone therapy, bone marrow transplant, such as immunotherapy. In accordance with the type of cancer, the patient body condition and the condition of patients, doctors will do different options, and sometimes just a way to have several and sometimes. May wish to invite the doctor explained the various methods of the strengths and weaknesses, listen to the doctor recommended a treatment program which, to be used to understand what drugs? How long course of treatment? What course of treatment or the risk of side effects? If the orthodox method of cancer you can not effectively control the disease, whether or not there are the experimental stage (clinical trial) of drugs and therapy can be considered? If doctors can not fully answer your question, they can ask him to recommend appropriate books or let you go back and read the information. In the United States National Cancer Institute-Cancer Information Service (Tel: 800-4-CANCER, http://www.cancer.gov/cancerinfo/) also provides many free anti-cancer information to the English cancer patients. Which PDQ (Physician Data Query) database available to more patients and medical professionals the most advanced treatment methods, drug selection and variety of the experimental stage of the treatment of information. If in Taiwan, they can approach the National Institutes of Health Cancer Research Group, Taiwan Clinical Cancer Research and Development Foundation, the cancer hospitals and treatment centers, or to the Republic of China Association for Cancer hopes to obtain the appropriate anti-cancer information. (Appendix "cancer information" in these units communications address, telephone number and website.)
3. Inquired about the other cancer experts, a second opinion
Have a second opinion does not mean that the first suggestion is not good, only that you have the power to know that your treatment is correct, there is no place omissions. The United States there are many cancer treatment centers, each with its own expertise, can call to make inquiries or seek more advice from experts in the experience. So to find a second doctor's opinion, should not be limited to no more than local. In order to fight aging, when you find the views of other experts, it is best to put all the medical records and test results complete collection, and X-ray, CT and ultrasound or scan copy of the film to be to provide a reference doctors. You can put loose in the clinic or hospital medical records of all collected into a great set, so look at the second, third, before doctors complete medical records on the first to send the past, so that eliminated many medical records were transferred trouble interviewed many efficiency.
4. Choose a suitable doctor
The trust of patients to doctors and patients and doctors can influence the relationship between the entire treatment process. Some doctors in addition to a wealth of medical experience, but also concerned about the psychological needs of patients, to spend time talking with patients and explain the various questions. This can reduce the number of patients unnecessary worry. The actual experience of doctors is very important. In the choice of doctors, you may ask, whether he treated the same case with your patients. If you do not have much experience, or find another clever better. Therefore, if possible, as far as possible in the short term look at two or three doctors, and then choose the most suitable for your doctor and treatment methods. In the United States, if the call to the National Cancer Institute ─ Cancer Information Service, they can also help you set out a list of experienced doctors. The way cancer doctors to peer with us a long time, you have the responsibility and power to choose the most suitable for your doctor.
5. With a doctor to maintain smooth communication channels
Treatment, each patient reacts differently, but also often require patients to doctors told him in detail on a wide range of changes in the body to determine the therapeutic effect as his reference, if necessary, can adjust the amount of drugs, and even dressing. On the other hand, patients also need to know by the doctors there that may arise response and temporary side effects. In order to avoid the misconception that a patient whose condition had deteriorated and the treatment of invalid disheartened Zhi funeral. Doctors cure the attitude and confidence, often imperceptibly affect patient response to treatment and patient trust in doctors, but also is built on the doctors of his illness understanding and holistic care. Thus, when each went to the attending grasp opportunities, and maintain good communication with doctors. Chinese people usually fear doctors are generally very cooperative, obedient good patient, and is often asked too many questions so embarrassed. But in the United States by the statistics, more active, the comments, questions, and demand to know every detail, the so-called "less troublesome cancer patients" instead of better anti-cancer results. Would like to provide your reference.
6. Ask the medical insurance and medical expenses
Choose the right doctors and treatment programs, if not a formal standard treatment method (that is still in the experimental stage), the best first contact and insurance companies to obtain their approval, so as not to complicate the issue and the future, but also for the medical costs of La Tortura. If necessary, a lawyer and insurance companies come forward to negotiate. In case you do not have insurance, but also not to become discouraged and give up, because some major medical institutions have a wide variety of clinical trials of therapies (clinical trials). If your condition with their research projects, they can provide some drugs free of charge, and even some Cancer Society can teach you how your medical expenses for fund-raising. In addition, when necessary, can also turn to the hospital social workers (social worker), think of ways to arrange for a medical subsidy, which in the United States and Taiwan are both feasible. In short, not because of medical expenses due to give up, or delay the timing of treatment.
7. Know that feeling the impact of treatment side effects
Each person's response to treatment is different, and sometimes the patient's heart can greatly affect the strength of the side effects. Sometimes our thinking can be reflected in the side-effects, so allow us to adopt a more positive frame of mind to deal with treatment, may be able to reduce the number of unnecessary suffering.
8. To adhere to finish the full course of treatment
Any kind of treatment methods are time-consuming and laborious, and sometimes the side effects are intolerable. Some vomiting, some diarrhea, some into a large head, and sometimes pain, sometimes very , some weak and thin, some fat swelling, such as some. But also because of insufficient blood volume, so that patients vulnerable to all kinds of virus infection, so secluded. However, in order to move toward the rehabilitation of road, such suffering is meaningful, must persevere and not give up halfway.
9. Caution unorthodox methods of alternative medicine
In addition to conventional medicine to treat cancer of surgery, chemotherapy, radiation therapy, hormone therapy, immunotherapy, etc. In addition, there are alternative non-traditional treatment methods, such as: to eat grains and cereals are the main dietary therapy, there is emphasis on removal of the body raw toxin therapy, there is wheat grass therapy, there lingzhi therapy, the use of shark cartilage powder to treat cancer, and have a high measurement of vitamin and mineral therapy, many different types, some in the United States are not allowed to do therapy, and even to to clinics in Mexico can be used for treatment. Chinese people have many more secrets, read newspapers everywhere can see many cancer medicine ads. Members seemed to cancer patients in the hair of Finance. Carcinoma of the faithful do not want to desperately trying everything. Unorthodox approach is generally more complete lack of scientific evidence, only with a way to rule all of the disease, and most people are to the orthodox method is invalid when the use of unorthodox methods. So the lack of efficacy reasonable statistics are available. Generally speaking, the composition of greater risk, the need to pay medical expenses, and sometimes need to go abroad to do treatment, at least a few days, as much as a month. Therefore, if it is decided to use unorthodox methods, to do more research. The best with the attending physician discussed the possibility of a combination of both, and to achieve good results. If the first choice of unorthodox therapy, then invalid, and then to convert orthodox therapy, it may be time delay, so that the spread of cancer, and held up the best time to treat cancer, so please carefully considered. Even the doctors announced that orthodox therapy can not help you, and you want to resort to unorthodox methods, is still to be careful. In the United States assisted the United States and non-traditional therapy research center (National Center for Complementary & Alternative Medicine) can provide you complete information. If you are familiar with English and computer network, please visit http://nccam.nih.gov inquiries.
1. To understand the disease
Asked the doctors to tell you the site of cancer, size, type. Clarify the cancer has not spread to nearby lymph node or other organ? This cancer is in the first several stages? The reliability of the test results? The need for further check-ups?
2. To understand at this stage treatment can be chosen
Orthodox treatment of surgery, radiation therapy, chemotherapy, hormone therapy, bone marrow transplant, such as immunotherapy. In accordance with the type of cancer, the patient body condition and the condition of patients, doctors will do different options, and sometimes just a way to have several and sometimes. May wish to invite the doctor explained the various methods of the strengths and weaknesses, listen to the doctor recommended a treatment program which, to be used to understand what drugs? How long course of treatment? What course of treatment or the risk of side effects? If the orthodox method of cancer you can not effectively control the disease, whether or not there are the experimental stage (clinical trial) of drugs and therapy can be considered? If doctors can not fully answer your question, they can ask him to recommend appropriate books or let you go back and read the information. In the United States National Cancer Institute-Cancer Information Service (Tel: 800-4-CANCER, http://www.cancer.gov/cancerinfo/) also provides many free anti-cancer information to the English cancer patients. Which PDQ (Physician Data Query) database available to more patients and medical professionals the most advanced treatment methods, drug selection and variety of the experimental stage of the treatment of information. If in Taiwan, they can approach the National Institutes of Health Cancer Research Group, Taiwan Clinical Cancer Research and Development Foundation, the cancer hospitals and treatment centers, or to the Republic of China Association for Cancer hopes to obtain the appropriate anti-cancer information. (Appendix "cancer information" in these units communications address, telephone number and website.)
3. Inquired about the other cancer experts, a second opinion
Have a second opinion does not mean that the first suggestion is not good, only that you have the power to know that your treatment is correct, there is no place omissions. The United States there are many cancer treatment centers, each with its own expertise, can call to make inquiries or seek more advice from experts in the experience. So to find a second doctor's opinion, should not be limited to no more than local. In order to fight aging, when you find the views of other experts, it is best to put all the medical records and test results complete collection, and X-ray, CT and ultrasound or scan copy of the film to be to provide a reference doctors. You can put loose in the clinic or hospital medical records of all collected into a great set, so look at the second, third, before doctors complete medical records on the first to send the past, so that eliminated many medical records were transferred trouble interviewed many efficiency.
4. Choose a suitable doctor
The trust of patients to doctors and patients and doctors can influence the relationship between the entire treatment process. Some doctors in addition to a wealth of medical experience, but also concerned about the psychological needs of patients, to spend time talking with patients and explain the various questions. This can reduce the number of patients unnecessary worry. The actual experience of doctors is very important. In the choice of doctors, you may ask, whether he treated the same case with your patients. If you do not have much experience, or find another clever better. Therefore, if possible, as far as possible in the short term look at two or three doctors, and then choose the most suitable for your doctor and treatment methods. In the United States, if the call to the National Cancer Institute ─ Cancer Information Service, they can also help you set out a list of experienced doctors. The way cancer doctors to peer with us a long time, you have the responsibility and power to choose the most suitable for your doctor.
5. With a doctor to maintain smooth communication channels
Treatment, each patient reacts differently, but also often require patients to doctors told him in detail on a wide range of changes in the body to determine the therapeutic effect as his reference, if necessary, can adjust the amount of drugs, and even dressing. On the other hand, patients also need to know by the doctors there that may arise response and temporary side effects. In order to avoid the misconception that a patient whose condition had deteriorated and the treatment of invalid disheartened Zhi funeral. Doctors cure the attitude and confidence, often imperceptibly affect patient response to treatment and patient trust in doctors, but also is built on the doctors of his illness understanding and holistic care. Thus, when each went to the attending grasp opportunities, and maintain good communication with doctors. Chinese people usually fear doctors are generally very cooperative, obedient good patient, and is often asked too many questions so embarrassed. But in the United States by the statistics, more active, the comments, questions, and demand to know every detail, the so-called "less troublesome cancer patients" instead of better anti-cancer results. Would like to provide your reference.
6. Ask the medical insurance and medical expenses
Choose the right doctors and treatment programs, if not a formal standard treatment method (that is still in the experimental stage), the best first contact and insurance companies to obtain their approval, so as not to complicate the issue and the future, but also for the medical costs of La Tortura. If necessary, a lawyer and insurance companies come forward to negotiate. In case you do not have insurance, but also not to become discouraged and give up, because some major medical institutions have a wide variety of clinical trials of therapies (clinical trials). If your condition with their research projects, they can provide some drugs free of charge, and even some Cancer Society can teach you how your medical expenses for fund-raising. In addition, when necessary, can also turn to the hospital social workers (social worker), think of ways to arrange for a medical subsidy, which in the United States and Taiwan are both feasible. In short, not because of medical expenses due to give up, or delay the timing of treatment.
7. Know that feeling the impact of treatment side effects
Each person's response to treatment is different, and sometimes the patient's heart can greatly affect the strength of the side effects. Sometimes our thinking can be reflected in the side-effects, so allow us to adopt a more positive frame of mind to deal with treatment, may be able to reduce the number of unnecessary suffering.
8. To adhere to finish the full course of treatment
Any kind of treatment methods are time-consuming and laborious, and sometimes the side effects are intolerable. Some vomiting, some diarrhea, some into a large head, and sometimes pain, sometimes very , some weak and thin, some fat swelling, such as some. But also because of insufficient blood volume, so that patients vulnerable to all kinds of virus infection, so secluded. However, in order to move toward the rehabilitation of road, such suffering is meaningful, must persevere and not give up halfway.
9. Caution unorthodox methods of alternative medicine
In addition to conventional medicine to treat cancer of surgery, chemotherapy, radiation therapy, hormone therapy, immunotherapy, etc. In addition, there are alternative non-traditional treatment methods, such as: to eat grains and cereals are the main dietary therapy, there is emphasis on removal of the body raw toxin therapy, there is wheat grass therapy, there lingzhi therapy, the use of shark cartilage powder to treat cancer, and have a high measurement of vitamin and mineral therapy, many different types, some in the United States are not allowed to do therapy, and even to to clinics in Mexico can be used for treatment. Chinese people have many more secrets, read newspapers everywhere can see many cancer medicine ads. Members seemed to cancer patients in the hair of Finance. Carcinoma of the faithful do not want to desperately trying everything. Unorthodox approach is generally more complete lack of scientific evidence, only with a way to rule all of the disease, and most people are to the orthodox method is invalid when the use of unorthodox methods. So the lack of efficacy reasonable statistics are available. Generally speaking, the composition of greater risk, the need to pay medical expenses, and sometimes need to go abroad to do treatment, at least a few days, as much as a month. Therefore, if it is decided to use unorthodox methods, to do more research. The best with the attending physician discussed the possibility of a combination of both, and to achieve good results. If the first choice of unorthodox therapy, then invalid, and then to convert orthodox therapy, it may be time delay, so that the spread of cancer, and held up the best time to treat cancer, so please carefully considered. Even the doctors announced that orthodox therapy can not help you, and you want to resort to unorthodox methods, is still to be careful. In the United States assisted the United States and non-traditional therapy research center (National Center for Complementary & Alternative Medicine) can provide you complete information. If you are familiar with English and computer network, please visit http://nccam.nih.gov inquiries.