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Chapter 1: What role does food play in cancer care and prevention?
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Chapter 2: How has Sheila Dillon's personal experience shaped her views on diet and cancer?
I work at the food program, Natalie.
Maybe more intentional about some.
I was more intentional. And what were you kind of hoping for? I was hoping that it would boost my immune system. It would work along with the chemo. I also took curcumin, which is the compound within turmeric. That was the main supplement I took. So I was on this chemo. I responded really well within eight weeks. My numbers had dropped. You can't prove it was the food.
I can't, no.
That's the problem because at the minute, you know, I mean, I may go off this, you know, I may fall off the cliff again any time now. But, you know, my oncologist today is the same oncologist that I saw then. And he says my immune system had really recovered in a way that he often hadn't seen in cancer patients. And two or three years ago, he said, what is it you're doing now?
What is it you're doing now? I said, well, you know, I'm doing... curcumin and I'm eating all these vegetables and I'm taking mushroom supplements and I'm doing this and that. And he said, well, whatever you're doing, keep doing it. And that's what a lot of oncologists, you know, that's the position they're in.
But as we hear in this program from Professor Robert Thomas and what we hear from the head of research at the World Cancer Research Fund is that we know a lot more now about cancer
the effect of diet on the body on the immune system we just know a lot more we do know a lot more which is what seems to have pushed the government into a commitment in that new national plan that everyone diagnosed with cancer will have access at least by 2029 to pre-habilitation and what is that you might ask
Well, Claire Doney is a nurse and the clinical lead for Living With and Beyond Cancer with the Northern Cancer Alliance, a group of NHS trusts in the North East. They have been pioneering prehabilitation.
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Chapter 3: What does the National Cancer Plan for England say about diet?
And the grade A type, double-blind, randomised, robust data research, seems to be a little bit lacking, and that's what the authors of these documents tend to look at, which is why we as a cancer unit are concentrating on that sort of trial.
I wondered what Professor Thomas made of England's cancer plan's new emphasis on prehabilitation.
The evidence for prehab is very, very strong. In fact, the Royal College of Anaesthetics, in partnership with Macmillan, just before Covid, had advisory committee and we looked at the... I was on that and we looked at the evidence. You know, people come out of hospital quicker, they have less complications such as blood clots.
And, you know, there's a school of thought that it could, you know, the tumour could be altered. So when you manipulated it, they could have better outcomes.
And what about when you're being a more conventional oncologist at Addenbrookes Hospital, which is the big teaching hospital in Cambridge? How do you talk to your patients there?
Well, I don't see my two roles as very different. I think all oncologists should be integrating lifestyle and nutritional advice as part of their main treatment. But I have to say, there are some colleagues which do, and others say I'm just too busy. But it's what patients want to hear. They want to know how to help themselves.
But I've spent a lot of time lying on those day beds in the chemotherapy day wards. And... They mean so well, but somebody will ask a question about eating and they say, it doesn't matter, love. It doesn't matter what you eat. And I want to stand up and go, that's absolutely wrong.
Because, you know, there's so much goodness and kindness in what is being said and how it's being said and the intention. You would get really, really confused.
A lot of patients are told the wrong thing, unfortunately. In fact, we did an audit recently where we looked at what patients have been told and we put it into three categories. virtually nothing, the right information and the wrong information. And it was 65% either of the wrong information or not enough. I saw a patient the other day who's a big city executive.
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