Expanded Text Nocebo Vs. Placebo

March 6th, 2010

I still remember an article I read many years ago that said many studies showed that the success of a prescribed drug was impacted by the words the doctor spoke when prescribing it. If a patient was told “This is a miracle drug. It will make you well” it was very likely to work wonders. If, on the other hand, the patient was told “Let’s try this out. If you have……… this will help. Otherwise, we’ll try something else” the treatment was likely to fail. I now know that the placebo effect is well documented and shown to have direct and measurable physiological effects.

I’ve learned about the “Nocebo Effect”. In Latin this means “I will harm”. This term refers to the adverse effects of expectations about disease, treatments, and pharmaceuticals. A commonly quoted story is one about a man back in the 1970’s who first won a bout with cancer. He was later told his cancer had returned and he had only a short time to live. He did pass away at the prescribed time. An autopsy showed that he did have a minute tumor on his liver that did not kill him. He died with cancer rather than from cancer.

In June of this year, a very vibrant, determined young women, Jessica, was diagnosed with rectal cancer that had already spread to her lungs and liver. Early on, Jessica made the decision that in spite of her doctor’s dire predictions, she would survive and live a long and healthy life. The blog her mother created reflects her expectations http://jessicasvictory.blogspot.com/ She agreed to have chemotherapy and chose not to learn about possible adverse reactions. (This information was shared with her mother who could monitor Jessica’s well being). She researched and used acupuncture, proper nutrition, guided imagery, and participated in a Tong Ren group led by a healer and acupuncturist for people who were given no hope by their doctors. She was also given my Guided Imagery CD “Cancer Be Gone” by her oncology nurse at Portsmouth Regional Hospital. 6 months have now passed and Jessica’s primary tumor is completely gone! She remains beautiful, full of life, and her cancer markers are very low. Many would call her a miracle.

A California man was given two of my guided imagery CD’s (“Cancer Be Gone” and “Peace of Mind”) when he was diagnosed with terminal esophageal cancer. He also chose to have chemotherapy. His course was very difficult but he has been declared cancer free.

How is this possible? Looking at these situations from a practical standpoint, 1. guided imagery allows people to sleep at night. This alone is  important. It allows our body to be refreshed and the immune system to be stronger. 2. Guided Imagery reduces stress. The negative impact of stress on the body’s ability to heal is very well documented in studies done by Dr. Janet Kiecolt Glaser and many others. 3. The messages and suggestions in guided imagery are encouraging and create feelings of optimism. In this particular situation, cancer is compared to weeds in a beautiful garden that are easily managed by removal (surgery) or chemicals (chemotherapy) that target only the unhealthy cells.

Let’s look at these simple changes in light of our understanding of the mind’s functions and power.

Have you ever heard it said that we use only 10% of our mind? This is only partly true. We have control of only the 5 or 10% of our mind that is our conscious mind. The other 90 to 95% is on autopilot using our beliefs and expectations to call the shots. The process of guided imagery or hypnotherapy makes changes at the level of the subconscious mind. Limiting beliefs can be reframed.

Let me share a quote from Bruce Lipton, PhD and Steve Bhaerman’s new book “Spontaneous Evolution”:

“Cells, tissues and organs do not question information sent by the nervous system. Rather they respond with equal fervor to accurate life affirming perceptions and to self-destructive misperceptions. Consequently, the nature of our perceptions greatly influences the fate of our lives.”

The takeaway for me is twofold. First, those who practice guided imagery and hypnotherapy need to keep up the good work. Second, huge positive strides could be made in the health care system many now embrace if health care providers used to our advantage the power of the placebo effect by choosing words that truly encourage health and wellness.

Let me ask you this question. In your life, do you choose PLACEBO or NOCEBO?

Resisting Exercise?

March 2nd, 2010

Have you made regular exercise a priority?  Yes, we are all busy,  have responsibilities, etc.   Always squeezed for time.  What if our life time were to be cut short because of cancer or heart disease?  We’re talking years of lost time.

Jane Brody’s column today quotes  evidence based research reinforcing what we have already read about the dramatic impact regular exercise has on our physical health and cognitive abilities.

Check it out:  Even More Reasons to Get a Move On

Our Basic Human Pleasures

January 17th, 2010

Nicholas Kristof hit the nail on the head yet again with his Op-Ed Column in the Times today.

Nicholas is talking about happiness and compares the lives of a financially successful white, male commodities trader living in Florida and an older black grandmother living in Boston with some health issues and also a devoted husband and grandchildren. In this case, the grandmother has a very busy social life, in active in the lives of her grandchildren, is respected by others and  has a “happy” life.

Nick quotes Brian Mullaney who says “The most selfish thing you can do is help other people.   Hmmm.  Maybe there really is more to life than our possessions and social status.

Take a minute to read Nickolas’ column Our Basic Human Pleasures: food, Sex and Giving.

Gifts from Aviation to Western Medicine

December 24th, 2009

My son is a pilot, now a captain for American Eagle with 25 years of flying experience.  Years ago, both he and his wife, who was at the time a flight attendant, taught their co-workers a required course called “Crew Resource Management”. It’s my understanding that a number of plane crashes were found to be the result of ineffective communication between the captain and co-captain.  Think of the fear and frustration you would feel as a co-captain if you knew smething was very wrong; the plane was going down and the captain wouldn’t listen.

The second piece of the puzzle is something we all know.  The flight crew has a checklist that is completed before each flight.  How simple and effective.

We are well aware that hospital oversights take a huge toll on patients and are very expensive.  The problem is seldom lack of knowledge.  It’s just that people are human.

The New York Times reviewed a book by Atul Gawande “The Checklist Manifesto How To Get things Right”.  Many hospitals worldwide are providing checklists of essential interventions for various procedures. Most hospitals support the  nurses in completing the lists and intervening if a step is missed. The results are remarkable.

“The study began in 2008…….. Without adding a single piece of equipment or spending an extra dollar, all 8 hospitals saw the rate of major postsurgical complications drop by 36% in the six months after the checklist was introduced. deaths fell by 47%,”

Check our the article “A Hospital How-To Guide That Mother Would Love” along with the work of Dr. Peter Pronovost of Johns Hopkins.

An Economc Perspective of Health Care Reform

December 19th, 2009

Not too long ago, I was very excited about health care reform because our President declared that it would encourage the use of interventions that WORK.  That’s good for me since Hypnotherapy works, has only positive side effects, helps many people who were given little help or encouragement by Western Medicine and is affordable.  I now realize that this battle is about dollars and cents.

So, I haven’t been writing about this topic.

Two days ago, David Leonhardt wrote an article in the NY Times that’s worth reading.  It takes a look at the impact of health insurance on innovation and economic growth in the US.

He suggests that 1.5 million people are making career decisions based on health insurance benefits.  This means they may not be choosing a company where their expertise and skills can make the most difference.

This scenario coincides with a decade during which time the US has had “the slowest economic growth since before  WWII. The No 1 reason, I’d argue, was our innovation deficit.”

Take a minute to check out this well thought out article ending with comments by some well known economists about both the House and Senate versions of the health care reform bills.

Nocebo or Placebo?

December 17th, 2009

I still remember an article I read many years ago that said many studies showed that the success of a prescribed drug was impacted by the words the doctor spoke when prescribing it. If a patient was told, “This is a miracle drug. It will make you well,” it was very likely to work wonders. If, on the other hand, the patient was told, “Let’s try this out. If you have……… this will help. Otherwise, we’ll try something else,” the treatment was likely to fail.

I now know the placebo effect is well documented and shown to have direct and measurable physiological effects.

I then learned about the “Nocebo Effect.” In Latin this means “I will harm.” This term refers to the adverse effects of expectations about disease, treatments, and pharmaceuticals. A commonly quoted story is about a man who lived in the 1970s who first won a bout with cancer. He was later told his cancer had returned and he had only a short time to live. He did pass away at the prescribed time. An autopsy showed that he did in fact have a minute tumor on his liver but it did not kill him.

In June of this year, a very vibrant, determined young woman, Jessica, was diagnosed with rectal cancer that had already spread to her lungs and liver. Early on, Jessica made the decision that in spite of her doctor’s dire predictions, she would survive and live a long and healthy life. The blog her mother created — Jessica’s Victory — reflects her expectation. She agreed to have chemotherapy and chose not to learn about possible adverse reactions. (This information was shared with her mother who could monitor Jessica’s well being). She researched and used acupuncture, proper nutrition, guided imagery, and participated in a Tong Ren group led by a healer and acupuncturist for people who were given no hope by their doctors. She was also given my Guided Imagery CD “Cancer Be Gone” by her oncology nurse at Portsmouth Regional Hospital. Six months have now passed and Jessica’s primary tumor is completely gone! She remains beautiful, full of life, and her cancer markers are very low. Many would call her a miracle.

Let me ask you this question. In your life, do you choose PLACEBO or NOCEBO?

Five Steps to Better Health Through Integrative Medicine

December 10th, 2009

Ode Magazine has a rather lengthy but informative article about focusing on prevention rather than treatment  of disease and integrating both lifestyle changes and complementary healing modalities to reduce health care costs.

According to this article “Health care costs are continually rising but people are not getting any healthier. Any reform that does not address this fact will fail.”

The article refers to a study recently published in the Archives of Internal Medicine of over 20,000 Germans. Non-smokers who maintain a healthy weight, healthy diet and exercise 30 minutes a day reduce their risk of developing diabetes by 93%, heart attack by 81%, stroke by 50% and cancer by 36%.  In a country where about half the population has a chronic illness (that would be US) making these changes could take bring us a lot closer to having an affordable and effective health care system.

Ode Magazine Article

Meditation for the Mind and Heart

November 24th, 2009

A short article in the New York Times reports a small but significant study of 200 patients  at high risk for coronary artery disease over a 5 year period.  Among those who meditated, there were 20 heart attacks, stokes and deaths. In the control group, there were 32.

The meditators remained healthy longer and had lower blood pressures.

Dr. Robert Schneider, Director of the Institute for Natural Medicine and Prevention, states that the stress reduction that accompanies meditation can reduce the production of stress hormones and lessen the inflammatory processes which are associated with atheroschlerosis.

Check out  the article “Regimens:  Meditation, for the Mind and the Heart”

Reflection on Summer

October 3rd, 2009

What a wonderful day. I’m spending the day in the comfort of our motor home, in Meredith,  Lakes Region of New Hampshire. Rain is falling gently on the roof and I’m feeling very grateful as I contemplate the passage of time, growth, and the changing seasons.

Summer has transitioned into autumn. As shadows grow longer, days shorter, air so cool and very clear, I’ve been thinking about the summer that was filled with friends, family, fun and learning experiences.

Each July, we have a family vacation at a kid friendly campground in Freedom, NH, Danforth Bay Campground. This July was no different. It’s so much fun watching the kids enjoy the swimming, kayaking, biking, making tie dye shirts and roasting marshmallows over the campfire, getting so exhausted that they collapse into bed at night.

Then there was a beautiful August.   My friend Toby, invited me to “Crew” on his sailboat. This must be a sign of desperation since sailing is totally new to me. I  love being on board the sailboat and I’m happy to pitch in to keep it moving forward. But, there is a steep learning curve.

Toby has the idea that if I can drive a motor home on land, I can sail his sailboat. It could be true. I’m not yet sure. There are some major differences. It’s a good thing that Toby is a very patient man.

The moment you set foot on the dock, many things change. Ropes become “lines”. Words I’ve used for years such as “Right, left, back, front” are just never heard. There are all sorts of fasteners for fenders, steps, those handles you switch from one side to the other depending on what sail you want to adjust. Nothing like driving.  Using what I learned in kindergarten, I can just “stay in the lines” with the motor home. There are no “lines” in the ocean. Red and green corks bounce in the waves where the fog lines should be.  There are hundreds of lobster pots to dodge. And, while Toby raises the mainsail, It’s my job to aim the 30+feet of Sabre into the wind. While he is raising the jib, my assignment is to keep it heading any direction except into the wind. Can you guess how I know?? Picture sitting totally still…. in irons?? even more jargon. I offered to start the engine.  That seemed to be the wrong answer.

The joys and fun of summer have been replaced by the cool, clear autumn air, the crisp, sweet taste of fresh apples, and the promise of winter to come. I am cherishing this time to move forward with optimism, hope and joy. I hope you are too.  There is always  next year to continue learning that new language and keep the Sabre on course.

Stress Relief for Today’s Businesswoman

September 23rd, 2009

How is life treating you? Many women feel pressured by a combination of home and work demands — responsibility that creates a lot of stress.

According to an American Psychological Association online study, 77% of those polled said they experienced physical symptoms of stress during the prior month; 73% experienced psychological stress during that same time frame. If you’re experiencing stress, you’re not alone.

Enter an ancient art and medical practice called hypnotherapy. Hypnosis and hypnotherapy have been around for as long as people have been sharing stories to encourage or inspire others. It remains a simple, cost effective, evidence based tool that is far underused.

Can hypnosis help you? Probably.

First, hypnotherapy is fabulous for reducing stress. Most stress has an external component-what is going on outside of you- and all stress has an internal response- how you respond. Emotions are created by the subconscious mind and not totally within your control.

For instance, if you watch a sad movie, do you choose to cry? Not usually. It just happens. It’s the emotion that our subconscious chooses based on our past experiences.

Hypnotherapy is a powerful tool to reframe your past simply and easily and allow you to experience relaxation even in the face of challenges.

Take, for instance, the female executive responsible for 125 employees who sought help for managing stress. Supported by three group hypnotherapy sessions, she was able to accomplish the very unpleasant task of staffing cutbacks and remain appropriately relaxed.

Another young woman who sought help for PTSD (post traumatic stress disorder) experienced positive changes in every aspect of her life. After 15 years of traditional psychotherapy with minimal results, hypnotherapy was able to allow her to sleep at night, drive a car without fear, enhance her public speaking abilities, successfully change careers and become financial successful.

We create a belief system based on our experiences and then build a protective barrier around our beliefs. Hypnotherapy relaxes that barrier allowing limiting beliefs to be changed and reducing the emotional impact of challenging experiences we’ve had. The process is simple and comfortable. In a quiet, safe setting, the hypnotherapist, acting somewhat like a tour guide, speaks using a calming tone and carefully chosen words. Past events may be reframed; direct suggestion may be used. The barrier is bypassed and changes happen.

It is important to remember that your beliefs control your actions and accomplishments. If, in the back of your mind, you have negative beliefs about sales people, your sales success will be limited. If you have experienced embarrassment speaking to others, your public speaking abilities are impacted. Conversely, if you believe you are capable, knowledgeable and hugely successful, you will be. If you feel you are worthy, you will fulfill your potential.