Total Health: Vol. 1: Issue 18, November 25, 2009

Total Health

Volume 1, Issue 18 November 25, 2009

 

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Fighting Cancer:  On Call with Dr. Raj
By Betsy Allen

DrRaj_tag-1.jpgIf there is such a thing as a peaceful warrior, Dr. Rangappa Rajendra is one. 

As an oncologist, he often has to tell patients they have cancer or that the disease is spreading within their bodies. These experiences are difficult, fraught with fear, uncertainty and a tangle of other emotions. But for many, Dr. Rajendra (or "Dr. Raj," as he is known by patients) is the ideal person to fill two roles - to provide comfort even as he joins them in what may be the fight of their lives.

"He is such a peaceful person," explained Betsy Reeve, who has accompanied her mother, Suzanne Titus, on her weekly trips to Dr. Rajendra's office. "He has such a calming personality." It's a saving grace, she observed, because an oncologist "is not a doctor you want to see. It's not a fun place to be."

Dr. Rajendra's own journey to his place in a Lansdowne oncology office started on the other side of the world, in his native India. He grew up in Bangalore, a high-tech center in the southeastern part of the country. While he was initially interested in mathematics, Dr. Rajendra's mother urged him to become a doctor. His father was a professor of medicine, trained in England, and he has many medical professionals in his family. "I didn't want to say no to my mom," Dr. Rajendra said. DrRaj_tag-2.jpg

Arriving in America in 1983, he underwent medical training in New York and Chicago. At first, he gravitated toward cardiology, but a certain rotation during his internship changed his mind. "I started to take care of oncology patients, and they were the people who really touched my soul," Dr. Rajendra said. "I used to talk to them. It didn't matter who they were - rich, poor, white, black, brown. What they cherished was always the same thing."

That thing was life, and Dr. Rajendra noted that his patients experienced a transformation with a cancer diagnosis. "You start looking at life differently. These patients might be alive 5, 10, 20 years from now - or three months - but they want to live their life. You have to remember that. A diagnosis of cancer makes you confront your mortality. People have said, 'I was going like a train, 200 mph, and now I might go off a cliff.' It kind of shakes you to your core, like a knock on the head. Even if they are cured, their life is never the same."

Dr. Rajendra likened it to being bitten by a cobra in a basket. "Once bitten, you are scared to reach in again, even if you are told there's nothing there." He added that the image is a metaphor for the way cancer can change a person - perhaps for the better, or for the worse - and how they approach life forever afterward. 

At Oncology/Hematology of Loudoun and Reston, his practice at Lansdowne, Dr. Rajendra encourages clinical trials for some of his patients and urges them to use a variety of avenues to address their illness. He stressed that, because each person and each situation is unique, it is never certain what will work for one patient and not another. "There's no other person like you in the whole world, with your DNA," he said. It can be a hopeful thought when one has a disease for which prognoses are often quantified by statistics. DrRaj_tag-3.jpg
"I can't tell people how much time they have," Dr. Rajendra said. "If I tell you that, I'm not a human being that day. I'll be something else. You have to be careful not to pigeonhole people. You have to be pragmatic, but you have to keep that
hope."
Betsy Reeve has noticed how Dr. Rajendra is a constant source of hope and support for her mother. "No matter how scared my mom is, he helps. He holds her hand - that touching comforts her." Suzanne Titus was originally diagnosed with lung cancer two years ago; since then, it has spread to other parts of her body. She has undergone both chemotherapy and radiation treatments in the past. While she has completed the radiation, chemo was resumed this fall.

In the infusion room at Dr. Rajendra's office, the door is open and a caring attitude is on display - from both his staff and the DrRaj_tag-4.jpgpatients in the chemotherapy chairs. If they do not see the person they are accustomed to seeing in the chair beside them, the doctor noted, they instantly voice concern. Where is he/she?" they ask. "Are they alright?"

While an effective treatment for many, chemo can be hard on patients and make it difficult for them to participate in life's special times. So, while her therapy is ongoing, Titus will have a respite over the month of December. "I'll give you Christmas off," Reeve remembered Dr. Rajendra saying. "Spend the holidays with your family." She emphasized how that one little action made all the difference to her mom. "It changed her whole mood completely."

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To Your Health:
Celebrating Healthy Food as a Family Trade

By Yolanda Reyes

wineKit_tag-1.jpgStaci LaRue sits her baby upon a stool along the marble-topped bar. Chubby and blond, August Miller wobbles a bit and stands up, examining everything with the keen eye of first interest. LaRue supports him with one arm as she pops the top on a small glass container of homemade chicken puree with a free hand and begins to feed him.

August's father and LaRue's husband, Jason Miller, pulls a rack of glasses from behind the bar and starts to wipe them down with a clean bar rag.

"It was either this or law school," Miller said, picking up another glass and peering through it.

August, now 10 months old, isn't quite as old as The Wine Kitchen, "which isn't exactly how we planned it," LaRue said. "But we make it work."

Considering the couple is simultaneously raising a new business and a new baby, the young 30-somethings are trim, fresh-faced and healthy-looking. LaRue attributes their good health to the family business: healthy, organic and locally grown food.

The two have immersed themselves cup and spoon in the flavors of Loudoun County since they moved to Leesburg in 2006, including as many organic locally grown products as possible in their daily menu, both at home and at this small restaurant in the heart of Leesburg's downtown.

The Wine Kitchen hones in on American bistro cuisine with a healthier twist, incorporating fresh organic ingredients into every plate and providing a well-rounded list of local and international wine flights for the sophisticated palate.

"You know everything that's in there," LaRue said. "And that's the food that we've always enjoyed."

At home, the focus is on complete nutrition from local, organic sources. As a certified holistic nutritionist, Pilates instructor and personal trainer, LaRue firmly believes that diet and exercise are the missing components that leave so many people obese, unfulfilled and ill. Personal experience, she said, has taught her so.

"I was sugar addicted and white flour addicted," she said. "I was dancing and doing personal training, but I couldn't get rid of this weight and I didn't know why."

Through a long process of self-education that included returning to school to gain her certification in the field of nutrition, LaRue started to change her diet and began to drop the weight. It took about three years, but since she's changed her lifestyle she has not bought clothes in a new size. Even after the birth of August, she's returned to the weight she's maintained since 2004. 
wineKit_tag-2.jpg"I know what it's like," she said. "I grew up with Shake 'n Bake and blue-box mac and cheese. It was only in my 20s that I woke up."

Since that rude awaking she's begun working with overweight women seeking to improve their lives through proper nutrition and exercise. She now works with Loudoun Holistic Health Partners in Leesburg on Fridays and teaches Pilates Tuesdays and Thursdays.

When working with clients at Loudoun Holistic Health Partners, the first thing she does is take a health history so she can create a plan to treat each person's specific needs. She also asks them to drink more water, get a good night's sleep and read label ingredients. "If there's more than five I'm skeptical," she said. "And you must recognize each ingredient." According to LaRue, the three most important things to avoid are high fructose corn syrup, artificial sweeteners and hydrogenated and partially hydrogenated fats and oils.

At home she uses minimally processed sugar for baking, blackstrap molasses, and Rapadura, a form of sugarcane juice used as a sweetener.
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