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An open letter to my patients
Dear New Patient,
Cancer sucks.You are probably still in disbelief, tired, terrified, and maybe even angry. Thankfully, by the time most of my patients arrive to see me, they are already weeks out from the first news of their diagnosis. Spared of this unpleasant job, your diagnosis nevertheless catapulted you here to meet me, a total stranger.Within the span of less than an hour you will share with me more details than your best friend might ever know in a lifetime. Your gastrointestinal symptoms, your two hundred paged medical file and the details of your social and personal life. I realize that you have placed your trust in my education and literally your life in my hands. In exchange I promise to offer you the latest, most effective treatments for your cancer.

Knowing this, I have a few secrets to share with you.Some of you are still recovering from a badly executed “delivery of THE diagnosis”. I am sorry that it happened that way, and I wished I could have been the one who delivered the news to you. But what is done is done. I can only help by making things smoother and perhaps more hopeful from this day on.
CHEMOTHERAPY: Despite being a Keto Oncologist, I still do believe in chemotherapy.Some patients come to me already skeptical of chemotherapy, because of a relative whom they believed went “downhill” as soon as treatment began. But is it possible that perhaps they went “down hill” not because of the chemotherapy, but rather because the chemo did not work?Chemotherapy can still provide a cure for many cancers, especially the early staged ones and especially in patients who are otherwise in good health. However, the most aggressive treatment may not always be the best for you.If you are too weak or ill, it might be better to start slow and work your way up to more complex regimens . Clinical trials are a way to get to a new treatment before it is FDA approved. FDA stands for the Federal Drug Administration, which approves drugs before they go out to market.
GOOGLING the RESEARCH : I don’t mind if you do some of your own research. In fact it is a sign that you are involved in your care. I’m happy to help you with that too. Googling your research is nice but sometimes is not the best resource since many of the facts could be more than 5 years out of date or worse, flawed. We cancer doctors like to do our research on Pubmed. Sometimes also on Google Scholar. https://en.m.wikipedia.org/wiki/PubMed. If you are searching for a bonafide clinical trial, try www.clinicaltrials.gov The NIH stands for National Institute of Health. Based in Bethesda, Maryland, this is a federally funded facility where the cutting edge cancer research is being done. You don’t have to be a veteran to avail of the free medical services. Civilians are welcome. If you are accepted into one of their trials, they also pay for travel expenses and maybe a tiny bit for housing. We also have this big organization called ASCO, the American Society of Clinical Oncology. Once a year oncologists from all over the world attend an ASCO meeting in Chicago to exchange ideas and our members include expert oncologists from all over the United States and all over the world. Most of the ideas that come out of this yearly meeting will eventually go into clinical practice.
FINDING SUPPORT : If you have a solid organ type of cancer, it is a good idea to find and join an online support group. https://www.cancer.net/coping-with-...upport-groupsIf you don’t have anyone to talk to , a virtual friend with a similar cancer might actually be an emotional lifesaver.If you have a blood cancer, consider the Leukemia and Lymphoma Society. https://tinyurl.com/y6utvpweIf I sent you to see the Palliative Care doctor, this does NOT mean that I am already giving up on you. Although hospice is one of their services, they have other useful things to offer. Counseling, pain management, spiritual support, referral for home nursing services.I do wish that YOU try be part of our team, because you can make a difference!
WHAT TO EAT , or NOT EAT …Other little things that you need to know….Cereal and oatmeal are no longer my idea of the best foods for breakfast. Too much carbohydrates which when eaten, turn into sugar/glucose. Same with the whole grain muffins and brown bread. Evidence is emerging that eating grain based diets have links to increased inflammation which in turn can promote cancer. Swap your rice, pasta and potatoes for spinach, broccoli and cauliflower.Juicing sounds like it’s healthy, but did you know that a glass of orange juice is full of sugar, and low in fiber? If it was shaken in a blender, chances are, it now has very little vitamin C. If you like fruit, I would prefer that you eat the whole fruit itself.Learn to love cheese, and cook omelets with veggies and mushrooms for breakfast. These are low in carbs but high in protein and nutritional value. Eat more green vegetables.Meat is not always bad if you choose well. https://tinyurl.com/y9xj68sySpice up your food with curry, garlic, butter and salt and learn to love seafood.Dairy has lactose which is a form of carbohydrate.Sugar sounds harmless, but it isn’t!