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St john’s wort in the elderly: gabrielle’s story (rediscovering hope) ST JOHN’S WORT IN THE ELDERLY: GABRIELLE’S STORY (REDISCOVERING HOPE)
Gabrielle, aged 62, has had many roles during her life: wife to a foreign diplomat, mother of five, indefatigable fund-raiser for her favourite charities, and formerly a public relations consultant for the fashion industry. But none of these roles prepared her for the role that many of us dread and for which none of us is truly prepared: the role of cancer patient.
In retrospect, warning signs had extended back for many months but, as is often the case, they were missed both by Gabrielle and her doctors. She had previously suffered from colitis, so the typical bowel symptoms of cancer were easily explained away. But after her symptoms had continued for five months, she underwent a colonoscopy and a large tumour of the colon was diagnosed. This was removed at surgery but unfortunately the cancer had already spread to the liver by that time.
Gabrielle had never previously been depressed even though depression runs in her family. Her mother had been affected by the condition, as had three of her four sisters, two of whom spent lengthy stays in psychiatric hospitals and one of whom committed suicide. After the surgery Gabrielle could understand how this third sister had been driven to such a desperate act as she herself was overcome by a 'tremendous' depression. She felt sad and tearful much of the time. Riddled with guilt, she blamed herself for not having attended to the symptoms of her tumour more promptly. She couldn't eat and felt like being sick almost all the time. Normally a very sociable person, she didn't want to talk to anyone or answer the phone. Gabrielle spent much of the day lying in bed, looking at the ceiling. Her legs were heavy and she was unable to walk, which was perhaps just as well because she had thoughts of running into the street and putting an end to it all.
Her doctor prescribed Lustral, which she took for three days but stopped because it suppressed her appetite, made her feel nauseated and interfered with her sleep. Another anti-depressant was prescribed but she was reluctant to take it as it came with warnings against going into the sun and she and her family were on the verge of taking a trip to Puerto Rico to see one of her children. In Puerto Rico Gabrielle's husband told her about St John's Wort and she felt there seemed to be little harm in trying the herbal remedy. Even though the setting was lovely and she was with family, she still felt very down and 'like a drag on everybody'.
Gabrielle bought some St John's Wort in a health food shop in Puerto Rico and began by taking one capsule twice a day. It worked 'like magic' and after a week she felt wonderful. She has been on it now for two months and all symptoms of depression have left even though she needs to go for chemotherapy once a week. 'I go out, I talk to people again and I don't think of my physical illness.' Gabrielle attributes some of her recovery to the loving support of her family and holidays they have taken together, but she is sure that none of this would have been possible without the power of St John's Wort which, to her relief, has been without any side-effects whatsoever. So excited is she about the herb that she suggested that her daughter, who was also depressed, start St John's Wort at the same time as she did. According to Gabrielle, 'my daughter is very happy with its effects.' Gabrielle has been told that the prognosis for her cancer is good and she is determined to live her life as fully as possible. Now that her depression is better she is able to make good on this resolution.
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What your doctor should know; women tell their stories