Rebecca Bechhold, MD, writes for medical professionals and her latest article is in response to the American Society of Clinical Oncology's recently published clinical guideline on how to evaluate patient fatigue. With fatigue being a common complaint with CLL, reading Rebecca's article can give you some insight into the difficulty doctors face in determining a cause for fatigue and even if they find a cause, suggesting an effective remedy.
When someone states they are “tired,” it prompts follow-up questions regarding activity, sleep, diet, and stress, among other things—just as a complaint of pain leads to where, what kind, how long, etc.
The simple answer to “Can’t you do something about that?” is often no, because there is no pathologic etiology; much of fatigue is lifestyle. But the approach to evaluation and recommendations is a sensitive and important part of supportive oncology.":
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'“Physical activity can reduce cancer-related fatigue in post-treatment survivors.” A significant portion of the recommendations are aerobic exercise; strength training; and mind-body interventions like yoga, meditation, and massage, among others.
Pharmacologics are not shown to help.'