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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Holistic cancer care for The Miami Herald

September 28, 2007 / (3) comments


OK so here was last week's Miami Herald column. In case you're wondering how I field questions for this column you should know that some of them come from my own clients. This one is about my very own patient, Mr. Beebop.

Q. My dog Beebop has been diagnosed with a rare tumor in his neck called a thymoma. It’s so big the specialists don’t want to remove it surgically. Instead, we’re going to try radiation therapy to see if we can shrink it. I’m a biologist and happen to know of a plant called Pettiveria which has been used to treat cancer in people. My vets don’t know whether this is a safe, appropriate adjunct to Beebop’s treatment. Can you help?

A. I contacted Dr. Robert Ferran of Ludlam-Dixie Animal Clinic on Beebop’s behalf. He’s a licensed veterinarian, certified acupuncturist and holistic care provider (this includes herbal medicine). He explains that the plant you refer to is used to treat the pain associated with cancer—but does not reportedly shrink tumors. So in this case, your specialists’ traditional treatment recommendations seem appropriate to him.

Although Pettiveria may be beneficial before and after radiation, he warns strictly against using herbal remedies during either radiation or chemotherapy. There are other treatments, however, that may help boost his immune system and deal with any symptoms during this time. These would have to be tailored specifically to his individual needs.

The general issue you raise is an interesting one. At what point do traditionally trained veterinarians consider the use of so-called “alternative” medicine? How can pet owners like you take advantage of complementary methods when so much of veterinary medicine seems so strictly scripted by our country’s standard vet school education?

It’s certainly a conundrum for those of us in the profession who believe other approaches to pet medicine can be appropriate but for whom most non-traditional medicine seems alien. It’s definitely not what we studied in vet school alongside the pharmacology, surgery and internal medicine curricula. But that doesn’t mean alternative therapeutic modalities don’t have merit.

In fact, when presented with particularly difficult cases where traditional medicine has failed (or where pain is a significant component), even the most conventional vets among us often look to acupuncture, massage, traditional Chinese medicine, homeopathy and other modalities as potential solutions. We just want to see your pet get better—whatever it takes.

That’s when vets like Dr. Ferran become indispensable to general practitioners like myself. Either through consultation or referral, an expert is always the way to go when your regular vet is stumped.

I wish you and Beebop the best of luck. I happen to know your specialists are the best. You’re in great hands—and that’s half the battle. The rest is up to him.

 

PS: After this was published last Sunday, Beebop was set for radiation treatment. After being re-evaluated on Monday, it was clear that the tumor had shrunk considerably. So far we're at a loss to explain this change. Was it the Pettiveria? Maybe. Either way, it now looks like Beebop wil be having surgery after all. And that's excellent news.

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COMMENTS (3)
1
by on 09/29/2007 12:01pm

"Although Pettiveria may be beneficial before and after radiation, he warns strictly against using herbal remedies during either radiation or chemotherapy." To me, this statement is ambiguous and needs clarification. Does this mean during an individual session or during a course of sessions? As a theoretical example, if my dog is getting radiation treatments every day at 10am for 5 days, can I give him the herbal remedy at 6pm on those 5 days, or only before and after the entire 5 days?

I like clarity, whether it's from my vet or my own doctor. Or cooking recipes, for that matter.

2
by on 09/28/2007 08:58pm

Former? I thought once an organic chemist....

3
by on 09/28/2007 02:13pm

The precursor to aspirin can be found in willow bark. A potent cytotoxin, Taxol is extracted from yew trees. These are but two of many examples of drugs that are natural products. Hemlock is also a natural product. So there is sound science behind many holistic treatments...nothing mystical going on. But the "natural is better synthetic" mantra is in many ways baseless, since some the products from Bayer/Pfiezer/Abbott/Eli Lily, etc. contain natural extracts or derivatives thereof. Moreover, some plant extracts are actually dangerous (e.g. hemlock)...so experimentation with natural products (especially in nonhuman species where research may not exist) should be done with extreme caution.

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About fully vetted

Patty Khuly, VMD, MBA

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Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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