Breast Cancer: Fancy Gadget and Half A Million Ringgit Failed to Cure Her – What Now?

May (now not actual call) is a 39-12 months-old-lady. In mid-2008 she delivered her toddler. Two months earlier than delivery, she noticed the hardening of her left breast. Ultrasonography did not display something wrong. The health practitioner suggested it may be because of the breast being engorged with her milk. Although she breast fed her toddler the breast remained hard. There was no hassle along with her proper breast. She went to seek advice from order medical doctors and all of them got here to the same end – no problem What is an endocrinologist?!

Utrasonograhy of her breasts on 1 December 2008 indicated diffused inflammatory manner. The left nipple become retracted. Conclusion: probably diffuse mastitis. A biopsy is advisable. Subsequent needle biopsy completed did now not display any malignancy. Not glad, a tru-reduce biopsy turned into achieved on 29 January 2009. The end result confirmed strange proliferation of cells suggestive of an intra ductal carcinoma. An open biopsy of the breast lump confirmed invasive ductal carcinoma with high grade intra-ductal carcinoma.

May sought a second opinion from a physician in a personal sanatorium in Singapore. The histology slide become restudied. It was concluded that it was a ductal carcinoma in-situ, intermediate grade with comedonecrosis and infiltrative ductal carcinoma.

CT test carried out on 31 January 2009 showed: a) no metastataic deposits in the liver, b) numerous rounded sclerotic lesions seen inside the thoracic and higher lumbar backbone suspicious of metastatic lesions, c) a tiny nodule within the upper lobe of the right lung – possibly a solitary pulmonary metastatic nodule. A bone experiment showed bony metastases at the left scapula, left third rib and sites along the backbone.

Histopathology file showed carcinoma cells are immunopositive for oestrogen rerceptors and progesterone receptors. HER2 oncoprotein is overexpressed.

May changed into counseled to start chemotherapy immediately. The first chemo-remedy started out on 2 February 2009. A pump changed into suited to constantly deliver 5-FU. May additionally received doses of Navelbine for each five-FU cycle. In addition, May turned into given Zometa for the bone. In general May acquired 13 cycles of chemotherapy from February 2009 to October 2009.

At this factor I asked two questions:

1. What did the oncologist say about the possibilities of a remedy? The answer become: The physician stated there would be no remedy. The treatment was handiest to manipulate the hassle.
2. You need to have spent loads for this remedy? The solution: Yes, about RM 500,000. That is half of one million ringgit – right? Yes, it’s miles.

A CT experiment on 27 April 2009 showed: a) a solitary pulmonary nodule in the right middle lobe. This measures much less than 5 mm. It suggests no change from previous examination, b) multiple sclerotic bony lesions. These had been already stated within the preceding CT experiment.

May went to China for any other opinion in May 2009. A PET /CT experiment turned into accomplished. The docs in China concluded that May’s situation had stabilised and there has been no want for treatment.

A CT test completed on 12 October 2009 showed the cancer had stabilised. However, during the entire month of October 2009, May complained of headaches, pains within the neck and shoulder. The oncologist said the trials had not anything to do together with her cancer!

In October 2009, May finished her thirteenth chemo remedy in Singapore.

In November 2009, May went to India for similarly treatment the usage of the Cytotron (Cytotron is the exchange call of the tool evolved in India. It looks as if a MRI system that makes use of Rotational Field Quantum Magnetic Resonance Generator).

May received an hour of Cytotron treatment in step with day. While present process the Cytotron treatment, May persevered to get hold of the 5-FU-Navelbine routine (the 14th cycle). The treatment changed into scheduled for a total of 28 days but after the twentieth tretment, May developed terrible coughs and chest ache. The doctor thought this become due to pneumonia and she became given antibiotics and cough syrup. An X-ray indicated left pleural effusion (i.E., fluid within the lung). A week later the trials nonetheless persevered and the coughs became terrible on every occasion May moved. A CT experiment become ordered and revealed pulmonary embolism (blockage of the arteries in the lungs by means of blood clots that journey to the lungs from different parts of the frame). May become put on Heparin, an anti-blood coagulation remedy.

May lower back to Malaysia in mid-December 2009. May began to have pains once more. Her shortness of breath additionally persevered. She coughed anywhere she moved. The oncologist in Kuala Lumpur referred to that the cancer regarded strong and there was no hurry to maintain with chemotherapy but the pulmonary embolism had to be resolved first. May changed into prescribed Warfarin. Her pulmonary embolism cleared off.

A PET CT scan on 23 February 2010 confirmed solid consequences. The oncologist said no similarly chemotherapy changed into essential in the interim. But May had to keep receiving Bonefos (for the bone). In addition May became started out on Tamoxifen beginning March 2010.

In June 2010, May’s left breast hardened once more. The oncologist did now not suppose chemotherapy changed into vital however May become requested to retain with her Tamoxifen and Bonefos.

In July 2010 the pores and skin color of her left breast grew to become dark. A PET test on 29 July 2010 indicated multiplied FDG avid activity and this can represent an inflammatory technique of tumour hobby. There changed into also increased FDG uptake in the thymus. At this factor, the oncologist recommended a mastectomy.

On 2 September 2010, May had her left breast removed. There had been some wound infections after the surgical procedure and it took months to get better. The histopathology indicated invasive ductal carcinoma, grade 2 with a few foci of ductal carcinoma in-situ, high grade. Twelve of the thirteen lymph nodes had been absolutely infiltrated by way of malignant cells with infiltration into the encompassing adipose tissue in 4 nodes.

On 20 October 2010, there has been a slight swelling in May’s right breast near the nipple. Ultrasonography of the proper breast did no longer display some thing incorrect. May became prescribed antibiotics. Since there has been no development, a needle biopsy was done on 27 October 2010. The proper breast tissue confirmed invasive ductal carcinoma.

The physician counseled mastectomy of the proper breast. This might be followed via radiation remedy for the left breast. There might additionally be radiation treatment for the proper breast after the wound has healed. Bonefos would be changed to Zometa.

A PET test done on 10 November 2010 showed cancer hobby within the right breast.The bone lesions which had been stable before had now grow to be active. In view of this, the oncologist advised greater chemotherapy.

May underwent 3 cycles of chemotherapy the use of a combination of five-FU, epirubicin and cyclophosphamide (FEC) together with Zometa. The 3rd FEC cycle became completed on 14 January 2010.

How CA Care Got Into the Picture

On 3 November 2010, we acquired this email:

Hi Chris,
I am Don (not real name) and got here across your website even as searching for a few opportunity cancer treatments. My wife turned into identified with breast cancer degree four in February 2009. She had undergone chemo and just lately did a mastectomy of her left breast. Unfortunately now her proper breast is likewise affected. Last week the biopsy shows it’s far an invasive ductal carcinoma. Doctor is suggesting another mastectomy however we’re worried as we do not suppose it could assist.
Can you assist us? How desirable is your treatment? Can I ship you the reports for assessment?
Hope to hear from you quickly.

On 14 January 2011 changed into any other electronic mail:

Dear Chris,
I would like to come back to Penang and meet you to speak about regarding my spouse. I even have were given the state-of-the-art test results with me. What are the days and time convenient with a purpose to see patients?

Actually earlier than those e-mails, Don got here to our centre to gather some herbs but did now not take them because of lack of self assurance. Then she commenced to acquire her first chemo treatment and suffered excessive aspect consequences. She had headaches, felt nauseous and turned into dizzy.

Before receiving her second cycle of chemotherapy, May began to take our Chemo-tea. The facet results of this 2nd chemo treatment had been decreased with the aid of approximately fifty percentage. This built up her self belief in our natural teas. When May had her 3rd cycle of chemotherapy, she felt even higher.

The War Has Not Ended Yet – perhaps a “surge” is just about to start

May become scheduled to get hold of 3 extra cycles of chemotherapy. This time the medicine for use are Taxotere plus Herceptin. May is supposed to get hold of Herceptin indefinitely as soon as each 3 weeks (however at least a yr). May is also to acquire Zometa once each 3 months.

From March 2010 to cease of July 2010, May changed into on Tamoxifen. According to the oncologist considering there has been a recurrence, Tamoxifen changed into consequently now not powerful. He is of the opinion that May need to switch to any other drug – the more moderen generation of aromatase inhibitor. But for the aromatase inhibitor to be effective patient must be in her menopause. So to reap this menopause, the oncologist cautioned elimination of May’s ovaries.

Don (husband) came to our centre in Penang and informed us the above story on 18 January 2011.
Comments:

1. The Breast Cancer War – fancy machine plus 1/2 one million ringgit

Most patients (specially people who in no way had the enjoy of having a member of the family undergone scientific remedy for cancer) have the misconception that once surgical treatment / chemotherapy, their most cancers will go away. Unfortunately, that is a long way from being proper. Read the following two quotations.

Amy Soscia, a most cancers patient said: There is no therapy for metastatic breast most cancers. It in no way goes away. You just move from treatment to treatment.

A famend oncologist in Singapore wrote: Oncology isn’t like other clinical specialties in which doing nicely is the norm. In oncology, even prolonging a patient’s life for three months to a yr is considered an achievement. Achieving a remedy is like hanging a jackpot.

In a evaluation entitled: In the End What Matters Most? A Review of Clinical Endpoints in Advanced Breast Cancer (Oncologist, January 2011; sixteen:25-35), Sunil Verma et al, wrote:

– Many retailers are being studied for the treatment of metastatic breast cancer (MBC), yet few studies have verified longer usual survival, the number one degree of clinical gain in MBC.
– Of the 73 section III MBC trials reviewed, a strikingly small share of trials proven a gain in normal survival duration (12%, n = nine).

From the very starting May become told the remedies she acquired have been to only control the state of affairs – and in this situation, in which is the control? Almost half of one million ringgit has been spent but May became no longer getting any better. In fact her condition became worse. She is starting the second segment of any other battle now that the cancer had unfold to the other breast, after one were eliminated. The conflict will go on. Based at the evaluate paper published in The Oncologist per week in the past, the general survival advantage because of chemotherapy should just be an phantasm.

Can we no longer study a lesson from May’s enjoy? Albert Einstein stated: Insanity is doing the same component time and again once more and looking ahead to one of a kind consequences.

2. Total Commitment – do you truly believe in herbs?

Not all sufferers who come to are looking for our help accept as true with in what we do. We are company in announcing that It is not for us to “affect” you to follow our ways. This must be absolutely your desire.

We are absolutely aware that after spending lots of ringgit at the so-known as scientific, excessive-tech treatments furnished by the best brains in medicine, it is hard to agree with that some roadside weeds may want to help your most cancers. To the educated mind it looks as if a massive funny story. So believing in what we do is an critical component for fulfillment. Past statistics confirmed us that most effective 30% of people who come are simply dedicated or trust in what we do.

3. Chemo-Tea Helped Her – she received extra self belief

I told Don that I could be penning this story. Otto von Bismarck wrote: A idiot learns from revel in. A wise man learns from the experience of others. So the main intention of penning this story is to share May’s enjoy with others – perhaps people who wish to study could not ought to enjoy comparable bitterness.
Some patients consider even before they enjoy, but others want to enjoy earlier than they could agree with. It is a choice.

Four. Cancer War – In a conflict, no one ever wins!

Tragic stories about breast most cancers battle abounds. But all isn’t misplaced. There are some sufferers who’ve the heart to say: “Chemo? No thanks!” Many of them survived to tell their candy testimonies.