May (not actual title) is a 39-year-old-female. In mid-2008 she delivered her baby. Two months earlier than supply, she observed the hardening of her left breast. Ultrasonography didn’t present something fallacious. The physician recommended it might be because of the breast being engorged together with her milk. Although she breast fed her child the breast remained arduous. There was no drawback together with her proper breast. She went to seek the advice of order docs and all of them got here to the identical conclusion – no drawback!
Utrasonograhy of her breasts on 1 December 2008 indicated subtle inflammatory course of. The left nipple was retracted. Conclusion: in all probability diffuse mastitis. A biopsy is advisable. Subsequent needle biopsy finished didn’t present any malignancy. Not glad, a tru-cut biopsy was finished on 29 January 2009. The outcome confirmed atypical proliferation of cells suggestive of an intra ductal carcinoma. An open biopsy of the breast lump confirmed invasive ductal carcinoma with excessive grade intra-ductal carcinoma.
May sought a second opinion from a health care provider in a non-public hospital in Singapore. The histology slide was restudied. It was concluded that it was a ductal carcinoma in-situ, intermediate grade with comedonecrosis and infiltrative ductal carcinoma.
CT scan finished on 31 January 2009 confirmed: a) no metastataic deposits within the liver, b) a number of rounded sclerotic lesions seen within the thoracic and higher lumbar backbone suspicious of metastatic lesions, c) a tiny nodule within the higher lobe of the precise lung – in all probability a solitary pulmonary metastatic nodule. A bone scan confirmed bony metastases on the left scapula, left third rib and websites alongside the backbone.
Histopathology report confirmed carcinoma cells are immunopositive for oestrogen rerceptors and progesterone receptors. HER2 oncoprotein is overexpressed.
May was suggested to start out chemotherapy instantly. The first chemo-treatment began on 2 February 2009. A pump was fitted to constantly ship 5-FU. May additionally acquired two doses of Navelbine for every 5-FU cycle. In addition, May was given Zometa for the bone. In complete May acquired 13 cycles of chemotherapy from February 2009 to October 2009.
At this level I requested two questions:
1. What did the oncologist say concerning the probabilities of a treatment? The reply was: The physician stated there could be no treatment. The remedy was solely to regulate the issue.
2. You should have spent quite a bit for this remedy? The reply: Yes, roughly RM 500,000. That is half one million ringgit – proper? Yes, it’s.
A CT scan on 27 April 2009 confirmed: a) a solitary pulmonary nodule in the precise center lobe. This measures lower than 5 mm. It exhibits no change from earlier examination, b) a number of sclerotic bony lesions. These had been already famous within the earlier CT scan.
May went to China for one more opinion in May 2009. A PET /CT scan was finished. The docs in China concluded that May’s situation had stabilised and there was no want for remedy.
A CT scan finished on 12 October 2009 confirmed the most cancers had stabilised. However, all through the entire month of October 2009, May complained of complications, pains within the neck and shoulder. The oncologist stated the pains had nothing to do together with her most cancers!
In October 2009, May accomplished her thirteenth chemo remedy in Singapore.
In November 2009, May went to India for additional remedy utilizing the Cytotron (Cytotron is the commerce title of the machine developed in India. It appears to be like like a MRI machine that makes use of Rotational Field Quantum Magnetic Resonance Generator).
May acquired an hour of Cytotron remedy per day. While present process the Cytotron remedy, May continued to obtain the 5-FU-Navelbine routine (the 14th cycle). The remedy was scheduled for a complete of 28 days however after the twentieth tretment, May developed unhealthy coughs and chest ache. The physician thought this was attributable to pneumonia and she or he was given antibiotics and cough syrup. An X-ray indicated left pleural effusion (i.e., fluid within the lung). Every week later the pains nonetheless endured and the coughs grew to become unhealthy each time May moved. A CT scan was ordered and revealed pulmonary embolism (blockage of the arteries within the lungs by blood clots that journey to the lungs from different elements of the physique). May was placed on Heparin, an anti-blood coagulation remedy.
May returned to Malaysia in mid-December 2009. May began to have pains once more. Her shortness of breath additionally endured. She coughed wherever she moved. The oncologist in Kuala Lumpur talked about that the most cancers appeared secure and there was no hurry to proceed with chemotherapy however the pulmonary embolism needed to be resolved first. May was prescribed Warfarin. Her pulmonary embolism cleared off.
A PET CT scan on 23 February 2010 confirmed secure outcomes. The oncologist stated no additional chemotherapy was needed in the meanwhile. But May needed to proceed receiving Bonefos (for the bone). In addition May was began on Tamoxifen starting March 2010.
In June 2010, May’s left breast hardened once more. The oncologist didn’t assume chemotherapy was needed however May was requested to proceed together with her Tamoxifen and Bonefos.
In July 2010 the pores and skin color of her left breast turned darkish. A PET scan on 29 July 2010 indicated elevated FDG avid exercise and this might signify an inflammatory technique of tumour exercise. There was additionally elevated FDG uptake within the thymus. At this level, the oncologist recommended a mastectomy.
On 2 September 2010, May had her left breast eliminated. There had been some wound infections after the surgical procedure and it took two months to get well. The histopathology indicated invasive ductal carcinoma, grade 2 with a couple of foci of ductal carcinoma in-situ, excessive grade. Twelve of the 13 lymph nodes had been utterly infiltrated by malignant cells with infiltration into the encircling adipose tissue in 4 nodes.
On 20 October 2010, there was a slight swelling in May’s proper breast close to the nipple. Ultrasonography of the precise breast didn’t present something fallacious. May was prescribed antibiotics. Since there was no enchancment, a needle biopsy was finished on 27 October 2010. The proper breast tissue confirmed invasive ductal carcinoma.
The physician recommended mastectomy of the precise breast. This could be adopted by radiation remedy for the left breast. There would even be radiation remedy for the precise breast after the wound has healed. Bonefos could be modified to Zometa.
A PET scan finished on 10 November 2010 confirmed most cancers exercise in the precise breast.The bone lesions which had been secure earlier than had now turn into energetic. In view of this, the oncologist recommended extra chemotherapy.
May underwent 3 cycles of chemotherapy utilizing a mix of 5-FU, epirubicin and cyclophosphamide (FEC) along with Zometa. The third FEC cycle was accomplished on 14 January 2010.
How CA Care Got Into the Picture
On 3 November 2010, we acquired this e-mail:
I’m Don (not actual title) and got here throughout your web site whereas trying to find some different most cancers therapies. My spouse was recognized with breast most cancers stage 4 in February 2009. She had undergone chemo and only in the near past did a mastectomy of her left breast. Unfortunately now her proper breast can also be affected. Last week the biopsy exhibits it’s an invasive ductal carcinoma. Doctor is suggesting one other mastectomy however we’re anxious as we do not assume it may assist.
Can you assist us? How good is your remedy? Can I ship you the studies for assessment?
Hope to listen to from you quickly.
On 14 January 2011 was one other e-mail:
I want to come to Penang and meet you to debate relating to my spouse. I’ve obtained the newest scan outcomes with me. What are the times and time handy so that you can see sufferers?
Actually earlier than these e-mails, Don got here to our centre to gather some herbs however didn’t take them attributable to insecurity. Then she began to obtain her first chemo remedy and suffered extreme uncomfortable side effects. She had complications, felt nauseous and was dizzy.
Before receiving her 2nd cycle of chemotherapy, May began to take our Chemo-tea. The uncomfortable side effects of this second chemo remedy had been decreased by about fifty %. This constructed up her confidence in our natural teas. When May had her third cycle of chemotherapy, she felt even higher.
The War Has Not Ended Yet – maybe a “surge” is nearly to start
May was scheduled to obtain three extra cycles of chemotherapy. This time the medicine for use are Taxotere plus Herceptin. May is meant to obtain Herceptin indefinitely as soon as each 3 weeks (however a minimum of a 12 months). May can also be to obtain Zometa as soon as each 3 months.
From March 2010 to finish of July 2010, May was on Tamoxifen. According to the oncologist since there was a recurrence, Tamoxifen was due to this fact not efficient. He is of the opinion that May ought to change to a different drug – the newer era of aromatase inhibitor. But for the aromatase inhibitor to be efficient affected person have to be in her menopause. So to attain this menopause, the oncologist recommended elimination of May’s ovaries.
Don (husband) got here to our centre in Penang and advised us the above story on 18 January 2011.
1. The Breast Cancer War – fancy gadget plus half one million ringgit
Most sufferers (particularly those that by no means had the expertise of getting a member of the family undergone medical remedy for most cancers) have the misunderstanding that after surgical procedure / chemotherapy, their most cancers will go away. Unfortunately, that is removed from being true. Read the next two quotations.
Amy Soscia, a most cancers affected person stated: There isn’t any treatment for metastatic breast most cancers. It by no means goes away. You simply transfer from remedy to remedy.
A famend oncologist in Singapore wrote: Oncology isn’t like different medical specialties the place doing effectively is the norm. In oncology, even prolonging a affected person’s life for 3 months to a 12 months is taken into account an achievement. Achieving a treatment is like hanging a jackpot.
In a assessment entitled: In the End What Matters Most? A Review of Clinical Endpoints in Advanced Breast Cancer (Oncologist, January 2011; 16:25-35), Sunil Verma et al, wrote:
– Many brokers are being studied for the remedy of metastatic breast most cancers (MBC), but few research have demonstrated longer general survival, the first measure of medical profit in MBC.
– Of the 73 part III MBC trials reviewed, a strikingly small proportion of trials demonstrated a achieve in general survival length (12%, n = 9).
From the very starting May was advised the therapies she acquired had been to solely management the state of affairs – and on this case, the place is the management? Almost half one million ringgit has been spent however May was not getting any higher. In reality her situation grew to become worse. She is beginning the second part of one other battle now that the most cancers had unfold to the opposite breast, after one had been eliminated. The warfare will go on. Based on the assessment paper revealed in The Oncologist per week in the past, the general survival benefit attributable to chemotherapy may simply be an phantasm.
Can we not study a lesson from May’s expertise? Albert Einstein stated: Insanity is doing the identical factor time and again and anticipating totally different outcomes.
2. Total Commitment – do you actually imagine in herbs?
Not all sufferers who come to hunt our assist imagine in what we do. We are agency in saying that It isn’t for us to “influence” you to observe our methods. This needs to be solely your selection.
We are absolutely conscious that after spending hundreds of ringgit on the so-called scientific, high-tech therapies supplied by the very best brains in medication, it’s arduous to imagine that some roadside weeds may assist your most cancers. To the educated thoughts it looks as if an enormous joke. So believing in what we do is a vital ingredient for fulfillment. Past statistics confirmed us that solely 30% of those that come are actually dedicated or imagine in what we do.
3. Chemo-Tea Helped Her – she gained extra confidence
I advised Don that I’d be scripting this story. Otto von Bismarck wrote: A idiot learns from expertise. A sensible man learns from the expertise of others. So the primary intention of scripting this story is to share May’s expertise with others – maybe those that want to study wouldn’t must expertise related bitterness.
Some sufferers imagine even earlier than they expertise, however others have to expertise earlier than they’ll imagine. It is a selection.
4. Cancer War – In a warfare, nobody ever wins!
Tragic tales about breast most cancers warfare abounds. But all isn’t misplaced. There are some sufferers who’ve the center to say: “Chemo? No thank you!” Many of them survived to inform their candy tales.
Let me shut by quoting Dr. Bernard Jensen (in Empty Harvest): “While the situation is dire, should fear be the correct catalyst for change? I don’t think so. For fear is a disease in itself – a disease of the mind. Therefore, it is not out of fear, but courage, that mankind will be most effective in restoring health and harmony.”[ad_2]
Source by Chris Teo, Ph.D.