Discussing alternative medicine choices for better health outcomes

In the field of medicine there has often been a divide between those who focus on modern medicine and those who prefer alternative practices. But pediatrician Sunita Vohra is a firm believer there should be room for both.

A new study from Vohra, a professor in the Faculty of Medicine & Dentistry's Department of Pediatrics at the University of Alberta, and a pediatric physician for Clinical Pharmacology with Alberta Health Services, is giving insight into the use of alternative medicines by pediatric cardiac patients and how effective they are seen to be. "We wanted to know if the use of alternative therapies helped or not, and we wanted to know if it hurt them or not," she says.

The study, published in the journal CMAJ Open, examined the use of alternative therapies such as multivitamins, minerals, chiropractic care and Aboriginal healing in 176 patients at the Stollery Children's Hospital in Edmonton, Alberta, and the Children's Hospital of Eastern Ontario (CHEO) in Ottawa, Ontario.

It found 64 per cent of patients at the Stollery Children's Hospital reported using complementary and alternative medicine products and practices, compared with just 36 per cent at CHEO. Of those patients, Vohra says most had no regrets about their choices.

"The vast majority felt that they had been helped by the complementary therapy that they took and it was extremely unusual for them to report that they felt an adverse event had occurred because of it."

The study also found one third of patients and their families did not discuss the use of alternative medicines with their physicians. Vohra believes it shows that patients may be reluctant to discuss their choices if they're not sure how it will be received by health care providers.

That decision could have important health consequences, says Vohra, who also serves as director of the Complementary and Alternative Research and Education (CARE) program at the University of Alberta, and that patients' discussing alternative therapies with health professionals is vital in order for them to make informed choices.

"There may be some therapies that help children feel better, but there may be others that, unbeknownst to the family, cause interaction between a specific natural health product and a prescription medicine. In that setting, instead of helping the child get better, harm may actually be happening."

Vohra stresses the need for open communication and says children's hospitals in Canada need to do a better job of providing information to patients looking at other avenues to health.

"That communication is essential because the health-care providers and the parents -- together we are a team. And everyone's hope is for that child's better health."

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Discussing alternative medicine choices for better health outcomes

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Inova said to be in negotiations to buy 117-acre campus for genetics institute

Inova Health System executives have engaged in lengthy negotiations with officials from Exxon Mobil in an effort to acquire the energycompanys 117-acre campus in Merrifield as a new home for its Translational Medicine Institute.

The deal could allow thethe expansion of Inovas high-profile genomics research led byDr. John Niederhuber, a nationally renowned surgeon who is chief executive of the institute and co-director of a clinical research network at Johns Hopkins University.

Sources familiar with the discussions, who spoke on the condition of anonymity because the talks were meant to be private,cautioned that negotiationshave not neared completion and a deal may still not be reached.

An overhead image of Exxon Mobils Merrifield campus, from the companys marketing materials. (Courtesy Exxon Mobil)

Two sources said Inova, Northern Virginias largest healthcare provider, made its first offer for the property months ago andhave since conducted escalatingback-and-forth discussions with Exxon over how to reach a deal for the institutes future home.

Theyve been going back and forth and back and forth, said one source. The initial offer was an insult to Exxon. But now [Inova] isthe only one that theyre focused on. Theyre not talking to anybody else.

Anothersource said Inova was also considering the relocation of its cancer center onto the Exxon property.

Spokespersons for Exxon Mobil and Inova declined to comment.

Personalized medicine based on genetic research is considered a major opportunity for expansion by Inova Health, led by presidentJ. Knox Singleton, and a field ripe for commercialization that could boost the economy in Northern Virginia.

The campus is located just off the Capital Beltway at Route 50 and across the street from Inovas flagship facility, Inova Fairfax Hospital.

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