Health Canada has approved a medicated spray made from the ingredients of the cannabis plant. The medication, called Sativex, provides patients with advanced cancer a new option for pain management.

Sativex was approved in 2005 for use by patients with multiple sclerosis and has not caused any adverse side effects. Most pain-killing drugs, like Opioids, can't make this claim. They are still very good at what they do, though so for cancer pain, it's likely they will be used in conjunction with Sativex but at lower doses.

For those who may view drugs like Sativex as illicit substances -- because they are derived from cannabis -- one palliative medicine physician says the original substance has been modified and in its medicinal form is an appropriate and legitimate treatment.

The idea of music as a healing influence which could affect health and behavior is at least as old as the writings of Aristotle and Plato. The American Music Therapy Association (AMTA) promotes a vast amount of research exploring the benefits of music as therapy through publication of the Journal of Music Therapy, Music Therapy Perspectives and other sources. A substantial body of literature exists to support the effectiveness of music therapy.

You don't have to have a particular music ability to benefit from music therapy. No particular style of music is more therapeutic than any other. You just need to enjoy your experience. Music will lower stress and help you relax. It has been proven that it reduces acute and chronic pain. Even during child birth. It can elevate moods to counteract depression and it can counteract apprehension or fear.

So today just sit back and listen to some music, do some drumming or percussion rhythms, hum some tunes, blow on a flute or harmonica even if you don't know any particular songs. Be creative. Take advantage of the sunshine and beautiful weather and just step outside and listen to the birds, the wind, and the rhythm of mother nature. The stand by of anything else is to plug in a favorite CD and close your eyes and just let it sink in.

Surely, everyone can benefit in some way from yoga. Women with breast cancer that has spread beyond the breast, however, may benefit greatly from a tailored program featuring gentle yoga postures, breathing exercises, and meditation.

The great benefits: less pain and fatigue and more vigor, relaxation, and acceptance," says Dr. James W. Carson from Duke University Medical Center and lead of a study published in the Journal of Pain and Symptom Management.

Carson says women with advanced breast cancer need effective methods for curbing cancer-related symptoms.

The pilot study included 13 women who attended yoga classes once per week for eight weeks. The women, with an average age of 59 and with diagnoses occurring an average of seven years earlier, were helped significantly. They felt more invigorated and gained a greater sense of acceptance. They also found they felt better not only on the day they practiced yoga but the next day too.

This study offers the first, small-scale evidence for yoga's potential benefits for women with limited life expectancy.

Cisco Network Systems, a company that creates intelligent integrated networks to adapt to current and future business needs, reported on a study that says one in three Americans claim that the Internet changed the way they manage their health.

The main findings of this survey of over 4,000 people include:

• 62% reported using online health tools.
• 56% reported improvement in their health management due to personal technology.
• 2% of patients with chronic diseases thought that online health tools had improved their management.
• One third of patients thought that online tools enabled them to be an "equal partner with my care providers in making health decisions."
• 62% reported that they would go to their personal physician for information and advice; 44% said they sought information and advice on medical Web sites; 32% said that found healthcare information and advice through an online search.
• The Internet ranked as number 3 among the top 5 sources for medical information.
• 62% said that their physician did not utilize the Internet to manage their health.
• Among ways respondents said that their physicians do utilize the Internet include: direct e-mail communication with patients; scheduling of appointments; offering a way to check on practice and credentials on a Web site.
• 27% thought their physician fully embraced the Internet.
• Only 11% of physicians communicate by e-mail even though 45% of Americans would like this method of contact.
• 34% of patients wanted to access lab results by a secure Web site while only 7% stated that they had this option.
• 33% would like to schedule appointments online but only 7% said that this was currently available to them.
• 40% of patients had privacy concerns with the use of the Internet. A quarter of patients were concerned that private medical information could be used inappropriately.

There is a general belief that opioid use to control pain around the time of death causes the patients to die sooner. "Hospice providers, families, and patients should not be afraid of opioid drugs because of the belief that their use to control pain shortens life" says, Dr. Russell K. Portenoy, of the Beth Israel Medical Center, New York.

Dr. Portenoy and his colleagues examined the relationship between opioid use and survival using data from the National Hospice Outcomes Project (NHOP).

After analysis of all the factors, opioid use accounted for very little in differences of times of death. He believes that opioid therapy by itself contributes very little to the time before death occurs in hospice programs.

"Opioid drugs," Portenoy concludes "can be used aggressively at the end of life to relieve pain and suffering, and this use should not be constrained by inappropriate fear of serious consequences like earlier death".

Nearly a decade ago, women in Long Island began to worry about their high rates of breast cancer. So they advocated and lobbied and pushed until a public law was passed that allowed for the creation of the Long Island Breast Cancer Project. Funded by both the National Cancer Institute and the National Institute of Environmental Health Sciences, great data has emerged from this project -- like the data linking breast cancer and household pesticides.

Although much research has linked cancer with pesticides in work and industrial settings, few studies have investigated what these chemicals can do in households -- until now, thanks to research conducted as part of The Long Island Breast Cancer Project.

Published online in the December 13 American Journal of Epidemiology, researchers found an association between lifetime residential pesticide use and breast cancer risk in a sample of 1,508 Long Island women diagnosed with breast cancer between 1996 and 1997. These women were compared to 1,556 random controls. All women were asked to self-report their pesticide exposure and to offer blood samples for the study of organochlorine compound levels -- found in lawn and garden products.

As expected, researchers found an increased breast cancer risk for women whose blood samples showed the highest levels of organochlorine compounds. They also found it hard to find women who did not use lawn and garden pesticides to some degree.

Use of household pesticides has infiltrated our society, says researcher Susan Teitelbaum, assistant professor in the department of community medicine at Mount Sinai School of Medicine in New York, who reports she is happy to see a movement toward use of alternative methods, like integrated pest management.

Teitelbaum has just one recommendation as result of this study. It's quite simple really -- stop using pesticides.

From houseplants to raised beds, to plant a seed, tend the soil, and watch a plant grow is one of the most inspiringly hopeful of activities. In hopefulness is found a kind of healing. According to the American Horticultural Therapy Association, horticulture therapy is defined as "a process utilizing plants and horticultural activities to improve social, educational, psychological and physical adjustment of persons thus improving their body, mind, and spirit." The American Cancer Society offers a list of some of horticulture therapy benefits one can expect from gardening that include:

• Feelings of hope.
• Stress reduction.
• Social interaction.
• Pain relief.
• Improved muscle tone, flexibility, and cardiopulmonary capability.
• Creativity and self-expression.
• Enhanced self-esteem and improved mood.
• Motor skill development.
  

As the New Year arrives, so do the gardening catalogs in the mail. Interested in receiving gardening catalogs but not certain where to start? Cyndi's Catalog of Garden Catalogs lists over 2,000 mail-order gardening catalogs for the home gardener.

Two of my favorite gardening websites and online catalogs are found at Seeds of Change and Seed Savers Exchange.

At Seeds of Change, you can find garden seeds, seed collections, cover crops, seedlings, fruit trees, garden tools, kitchen items, and a bookstore. All organic. In addition, Seeds of Change publishes a newsletter.

Seed Savers Exchange is a nonprofit organization that saves and shares heirloom seeds. According to Seed Savers Exchange, "Our organization is saving the world's diverse, but endangered, garden heritage for future generations by building a network of people committed to collecting, conserving and sharing heirloom seeds and plants, while educating people about the value of genetic and cultural diversity."

But, wherever you start, once you catch the gardening bug, you will understand why horticulture therapy is becoming an integrated part in healing programs adopted at some of the medical centers across the country.

A plant-based diet plentiful in vegetables, fruits and whole grains, combined with stress management techniques, slowed or stopped the spread of prostate cancer, according to a pilot study conducted by University of California San Diego Moores Cancer Center researchers. A diet with less meat, dairy products and refined carbohydrates was encouraged.

During the six-month study, results found nine out of 10 men had a reduction in their prostate-specific antigen (PSA) rates.

To reduce stress, the study participants were taught meditation, yoga and tai chi exercises. When the six-month study was completed, four out of 10 men experienced an absolute reduction in their PSA levels. You can read the abstract concerning this study, Potential Attenuation of Disease Progression in Recurrent Prostate Cancer Progression With Plant-based Diet and Stress Reduction here. You can access the entire study for a fee.

Oregon Senator Ron Wyden is introducing a new proposal to provide affordable, high quality, private health coverage for everyone regardless of where they work or live with the Healthy Americans Act.

"The Healthy Americans Act provides a guarantee -- health coverage for every American that is at least as good as Members of Congress receive and can never be taken away," Wyden explained. "The Act provides universal coverage for no more money than our country spends today. Better care, financial health and security, no increase in costs."

The plan outlines an approach to success by eliminating inefficiency, trips to the emergency room and incentives for prevention and wellness as the primary focus of health care. In addition, the plan provides tough cost containment and saves $1.48 trillion over ten years; and is fully paid for by spending the $2.2 trillion currently spent on health care in America.

"We're here because it is time to fix health care," Wyden added. "After decades of talk and study, it's time for action. Fixing health care is not as complicated as one might think."

Basically, every American will have access to the same opportunity and level of health care coverage that the members of Congress enjoy now. The full text of the 166-page Healthy Americans Act is available as a PDF document.

Just two months after her mother lost her battle with gall bladder cancer, Liane was diagnosed with breast cancer. It all happened earlier this year -- and while Liane is still mourning the loss of her mother, she is also still managing the madness of her own disease. Liane is surviving with courage, with determination, with the same powerful spirit that powered her mother's fight.

Liane lives in a small city -- population 43,000 -- in northern Alberta Canada. She has been happily married for 18 years and has two daughters, ages 13 and 15, and a golden retriever named Sunny. Liane loves to garden, cook, read, and spend time with family. She normally works full-time in a real estate and property management office but has been blessed with six months off for treatment. Liane is already -- without a doubt -- a survivor.

The most recent season of MTV's Real World/Road Rules Challenge reality show has just ended. Customary after each season finale is a reunion show -- where a sampling of contestants recap their experiences, answer questions, confirm or dispel show rumors, and update viewers on the status of their post-television lives. The winners -- a twosome who took home $250,000 -- sit front and center at the reunion and get to bask in the glory of the physical and mental prowess that allowed them to win the big bucks. Two contestants clearly won -- they have the money to prove it. But another contestant -- who didn't take home a dime -- is the true winner in my book.

Diem Brown, 25, was cast on the MTV challenge show before she knew she had ovarian cancer. But prior to the start of the show, Brown did know of her diagnosis -- and she still decided after just a few treatments to head for Australia where she competed in physical stunts and tough competitions. The producers never knew of Brown's illness and she confided in only two castmates while she battled through fatigue and nausea to complete her own personal survival mission. She succeeded -- and she returned home victorious in her own right. And she has no regrets.

On the reunion show, Brown said the show made her more fierce, that she came out of the experience a stronger person, that she tried her hardest, put everything on the line, and didn't feel sorry for herself. And it put her mindset in a great place prior to returning home for continued treatment.

And now Brown is home. She is receiving treatment. And she is managing her foundation -- Live for the Challenge -- a wedding-type registry
where patients can register for wigs, prescriptions, anything critical to the management of their illness.

Ovarian cancer affects one in 50 women, mostly in a silent fashion -- with no overt symptoms until it's often too late. And there is currently no accurate screening for this life-threatening disease that can have tragic outcomes.

Brown seems to be managing just fine with the cancer she calls "the disease that whispers." She is strong, spunky, enthusiastic and positive about life, about her future. She is clearly a winner.

For fitness, the practice of yoga promotes balance, flexibility and strength. America loves yoga, according to a survey conducted by the Yoga Journal. The top four reasons given for the interest in yoga were: flexibility, stress reduction, strength, fitness and conditioning. As yoga grows in popularity, it is also becoming Americanized, and there are a number of hybrid yoga practices springing up like: Acu-yoga, Yogilates, Disco Yoga, Hip-Hop Yoga, Punk Rock Yoga, Aqua Yoga, Doga (with your dog), Yoganetics, Soul FlowYoga, Freestyle Vinyasa Flow, Sonic Yoga, Yogic Arts (yoga combined with martial arts) and Nude Yoga -- which is a good thing, or a bad thing, depending on who you are asking.

Of the survey participants who were asked , these were the top four good/bad statements made to the increasing popularity of yoga in this country:

• "Americans need to recognize that practicing yoga doesn't conflict with mainstream religious values."
• "The commercialization of yoga is a good thing. It attracts many more people to the practice who otherwise wouldn't know about it."
• "Innovation is good for yoga. The many different styles that are evolving make the practice accessible to everyone."
• "Yoga in America is becoming too commercialized."
  

Is yoga the current fitness fad? Maybe. Will it fade in popularity? I suspect it will for those who flitter from one new trend to the next new trend. But, for example, there have been years of research into the potential benefit of yoga in improving the quality of life for cancer patients and survivors, and the National Cancer Institute has recently awarded M. D. Anderson a $2.4 million dollar grant to study the benefits of Tibetan yoga for cancer patients and survivors.

According to M. D. Anderson researchers, cancer and its treatment are associated with considerable distress, impaired quality of life, poor mental health and reduced physical function. For thousands of years, Tibetans have been practicing a form of yoga that might help reduce treatment-related side effects that accumulate over time for cancer patients. As research continues, yoga may become an accepted alternative and complementary therapy incorporated into mainstream medical practice for the treatment of disease and improving health.

Realistically, I am not certain that some of the trendy hybrid forms of yoga will endure over time, but the yoga that has been around for thousands of years is here to stay.

Why don't more people stick with an exercise routine? Perhaps in part because it gets repetitious and boring. Exercise can be a lonely activity and it is more difficult to keep yourself motivated. Personal trainers have always been a remedy for both of the aforementioned problems, but realistically, how many of us can afford a personal trainer?

According to iTrain, with an MP3 player you can now download customized workouts with a personal trainer. The downloads are set to music and combines modern technology, entertainment, and health in a portable format. It doesn't matter what kind of workout you enjoy, iTrain seems to offer a program. There is iTread, iCycle, iClimb, iStrength, iSculpt Traditional and iSculpt Ballet, iStretch, iTeenTrain Hip Hop, iTeenTrain Kick Boxing.

Grace Lazenby, a fitness expert with 15 years in the Hollywood training industry, realized that MP3 players might be an excellent means of offering her fitness and training to the masses.

In addition to Lazenby, other fitness experts who keep you going through your workout include yoga instructor Heath House, boxing expert and member of the US Air Force boxing team Nick Narvaez, boxing expert and Group Exercise Instructor of the Year Keith Irace, and member of the Brazilian National Team of Gymnastics.

Anything that adds to the enjoyment of a workout is a bonus, and I can see the benefits of iTrain for all ages, but one of my first thoughts when I read about iTrain is that it makes an excellent gift for a teen or young adult.

via Adam at Netscape

Welcome back from the weekend! Here is a review of what we were talking about during the second week in July in our other health blogs.

From The Cardio Blog:

• Bucindolol: experimental heart failure drug.
• Mammograms can find heart health problems.
• Eggs: bad or not bad for heart health -- which is it?
• The clock of life and time of day determines heart health.
• Extreme obesity raises mortality rate in women.
• Austrailian stem cell research innovates new heart treatment.
• Public physical activity program helps weight loss, lower blood pressure.
• Tuna imported from Latin America has highest mercury level.
• Eating less helps slow aging process.
• Teens helped to learn healthy diet habits with household food rules.
• Volunteer work helps seniors stay active and healthy.
• Working overtime worse for womens health.
• Aging and single living combined linked to higher heart disease risk.
• Tubby kids motivated to exercise by reward of TV time.
• Humidity and high temps linked to rise in summer heart attacks.
• Comedian Red Button dies of vascular disease.
• Migraine aura linked to increased heart attack stroke risk.
  

From The Diabetes Blog:

• Martial arts black belt uses youth group to fight diabetes.
• FDA approves GlaxoSmithKline diabetes drug.
• Pink Floyd Syd Barrett dies from diabetes complications.
• Update on fatal NC car crash involving diabetic driver.
• Major study links Type 2 diabetes and glaucoma risk.
• Life insurance industry plays catch-up.
• A1c Champions program trains diabetes mentors.
• Danish study confirms suspected diabetes, multiple sclerosis link.
• Debate continues on virtues, shortcomings of inhalable insulin, Exubera.
• Blogger's advice to T2 diabetics: follow in footsteps of movie producer Weinstein.
• Diabetes, obesity blamed for sky-high US kidney failure rates.
• Canadians await approval of inhalable insulin.
• Lifestyle ed could greatly reduce diabetes onset in older Americans, say researchers.

To your good health! To a great week!

Chronic pain is physically debilitating and emotionally draining. Cancer patients and long-term cancer survivors often have issues with chronic pain. Many doctors seem uncomfortable dealing effectively with alleviating pain, as the most effective methods of lessening pain include narcotics. So, cancer patients and long-term cancer survivors are left to find ways to help themselves live a more pain-free life.

In a recent research study conducted at Cleveland Clinic Foundation, demonstrated that people suffering from chronic pain who listened to relaxing music had up to a 21 percent reduction in the level of pain they were experiencing, and a 25 percent reduction in depression. Dr. Sandra Siedlecki was quoted as saying that pain remains a major health problem and sufferers continue to report high levels of unrelieved pain despite using medication and anything that can provide relief is welcomed. As for music therapy, many researchers hold that the perception of pain is a complex phenomenon and is influenced by factors such as emotion, experience and mood, and that the benefit music therapy provides is short term in managing chronic pain. But, as Dr. Siedlecki said, any relief is welcome. And as I said, chronic pain sufferers in this country are unfortunately left to their own devices when it comes to finding pain relief. No one can argue that music has a profound effect on emotion and can alter mood depending on the music being played. I think many of us use music as therapy for a number of reasons, including pain relief, without realizing we are doing it.