Field Notes

Evidence-rated, plain-language breakdowns of adjunct and integrative approaches in oncology — things worth considering alongside standard treatment, not instead of it.

The gap isn't physician failure. It's structural: short appointments, no reimbursement for integrative care, no referral infrastructure. This series exists to help patients and families have better-informed conversations with their care teams.
Published monthly · First Wednesday
All posts
01
When hope meets data: exercise, evidence, and integrative oncology

The CO.21 CHALLENGE Trial published in NEJM in 2025 was the first phase 3 RCT to show that exercise improves survival in cancer patients. What it means, why it took this long, and what patients and families can do with the information.

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02
Lost in translation: when promising cancer science gets stuck in the valley of death

The research ecosystem doesn't fund what it can't patent. This post looks at the structural reasons why promising science never makes it to clinical conversation — and why that's not the same as the science being wrong.

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03
From fringe to frontline: how integrative oncology is quietly rewriting the rules

What was dismissed as alternative medicine a decade ago is increasingly showing up in peer-reviewed literature and major cancer centres. What changed, what hasn't, and what it means for patients navigating the space.

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04
Searching for trust in cancer care

When a family member is diagnosed, the first question is who to trust. This post explores the information gap that opens the moment treatment begins — and the difficulty of navigating it without a guide.

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About the author

Pablo García is a life sciences operations professional and founder of Primed Growth. Field Notes is a personal project that exists independently of his consulting work — driven by a family experience with glioblastoma grade 4 and a belief that patients deserve better access to the evidence that exists.

If you work with early-stage biotech or diagnostics companies and need operational infrastructure —

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