Might (not actual title) is a 39-year-old-female. In mid-2008 she delivered her little one. Two months earlier than supply, she seen the hardening of her left breast. Ultrasonography didn’t present something mistaken. The physician advised it could possibly be as a result of breast being engorged along with her milk. Though she breast fed her child the breast remained onerous. There was no drawback along with her proper breast. She went to seek the advice of order medical doctors 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 The left nipple was retracted.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 achieved didn’t present any malignancy. Not glad, a tru-cut biopsy was achieved on 29 January 2009. The consequence 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.
Might 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 achieved 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 suitable 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.
Might was suggested to begin chemotherapy instantly. The primary chemo-treatment began on 2 February 2009. A pump was fitted to repeatedly ship 5-FU. May additionally obtained two doses of Navelbine for every 5-FU cycle. As well as, Might was given Zometa for the bone. In whole Might obtained 13 cycles of chemotherapy from February 2009 to October 2009.
At this level I requested two questions:
1. What did the oncologist say in regards to the probabilities of a treatment? The reply was: The physician mentioned there can be no treatment. The remedy was solely to manage the issue.
2. You could have spent loads for this remedy? The reply: Sure, roughly RM 500,000. That’s half 1,000,000 ringgit – proper? Sure, it’s.
A CT scan on 27 April 2009 confirmed: a) a solitary pulmonary nodule in the suitable center lobe. This measures lower than 5 mm. It exhibits no change from earlier examination, b) a number of sclerotic bony lesions. These have been already famous within the earlier CT scan.
Might went to China for an additional opinion in Might 2009. A PET /CT scan was achieved. The medical doctors in China concluded that Might’s situation had stabilised and there was no want for remedy.
A CT scan achieved on 12 October 2009 confirmed the most cancers had stabilised. Nonetheless, all through the entire month of October 2009, Might complained of complications, pains within the neck and shoulder. The oncologist mentioned the pains had nothing to do along with her most cancers!
In October 2009, Might accomplished her thirteenth chemo remedy in Singapore.
In November 2009, Might went to India for additional remedy utilizing the Cytotron (Cytotron is the commerce title of the machine developed in India. It seems like a MRI machine that makes use of Rotational Discipline Quantum Magnetic Resonance Generator).
Might obtained an hour of Cytotron remedy per day. Whereas present process the Cytotron remedy, Might 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, Might developed dangerous coughs and chest ache. The physician thought this was because of pneumonia and he or she was given antibiotics and cough syrup. An X-ray indicated left pleural effusion (i.e., fluid within the lung). Per week later the pains nonetheless persevered and the coughs turned dangerous each time Might 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 components of the physique). Might was placed on Heparin, an anti-blood coagulation treatment.
Might returned to Malaysia in mid-December 2009. Might began to have pains once more. Her shortness of breath additionally persevered. She coughed wherever she moved. The oncologist in Kuala Lumpur talked about that the most cancers appeared steady and there was no hurry to proceed with chemotherapy however the pulmonary embolism needed to be resolved first. Might was prescribed Warfarin. Her pulmonary embolism cleared off.
A PET CT scan on 23 February 2010 confirmed steady outcomes. The oncologist mentioned no additional chemotherapy was mandatory in the intervening time. However Might needed to proceed receiving Bonefos (for the bone). As well as Might was began on Tamoxifen starting March 2010.
In June 2010, Might’s left breast hardened once more. The oncologist didn’t assume chemotherapy was mandatory however Might was requested to proceed along 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 symbolize an inflammatory means of tumour exercise. There was additionally elevated FDG uptake within the thymus. At this level, the oncologist advised a mastectomy.
On 2 September 2010, Might had her left breast eliminated. There have been some wound infections after the surgical procedure and it took two months to recuperate. The histopathology indicated invasive ductal carcinoma, grade 2 with a number of foci of ductal carcinoma in-situ, excessive grade. Twelve of the 13 lymph nodes have 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 Might’s proper breast close to the nipple. Ultrasonography of the suitable breast didn’t present something mistaken. Might was prescribed antibiotics. Since there was no enchancment, a needle biopsy was achieved on 27 October 2010. The best breast tissue confirmed invasive ductal carcinoma.
The physician advised mastectomy of the suitable breast. This could be adopted by radiation remedy for the left breast. There would even be radiation remedy for the suitable breast after the wound has healed. Bonefos can be modified to Zometa.
A PET scan achieved on 10 November 2010 confirmed most cancers exercise in the suitable breast.The bone lesions which have been steady earlier than had now change into lively. In view of this, the oncologist advised extra chemotherapy.
Might 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 Acquired Into the Image
On 3 November 2010, we obtained this e-mail:
I’m Don (not actual title) and got here throughout your web site whereas looking for some various most cancers remedies. My spouse was recognized with breast most cancers stage 4 in February 2009. She had undergone chemo and only recently did a mastectomy of her left breast. Sadly now her proper breast can be affected. Final week the biopsy exhibits it’s an invasive ductal carcinoma. Physician is suggesting one other mastectomy however we’re fearful as we do not assume it may well assist.
Are you able to assist us? How good is your remedy? Can I ship you the experiences for assessment?
Hope to listen to from you quickly.
On 14 January 2011 was one other e-mail:
I wish to come to Penang and meet you to debate concerning my spouse. I’ve bought the most recent scan outcomes with me. What are the times and time handy so that you can see sufferers?
Really earlier than these e-mails, Don got here to our centre to gather some herbs however didn’t take them because of insecurity. Then she began to obtain her first chemo remedy and suffered extreme unwanted effects. She had complications, felt nauseous and was dizzy.
Earlier than receiving her 2nd cycle of chemotherapy, Might began to take our Chemo-tea. The unwanted effects of this second chemo remedy have been lowered by about fifty p.c. This constructed up her confidence in our natural teas. When Might had her third cycle of chemotherapy, she felt even higher.
The Conflict Has Not Ended But – maybe a “surge” is nearly to start
Might was scheduled to obtain three extra cycles of chemotherapy. This time the medicine for use are Taxotere plus Herceptin. Might is meant to obtain Herceptin indefinitely as soon as each 3 weeks (however at the least a 12 months). Might can be to obtain Zometa as soon as each 3 months.
From March 2010 to finish of July 2010, Might was on Tamoxifen. In response to the oncologist since there was a recurrence, Tamoxifen was subsequently not efficient. He’s of the opinion that Might ought to swap to a different drug – the newer technology of aromatase inhibitor. However for the aromatase inhibitor to be efficient affected person have to be in her menopause. So to realize this menopause, the oncologist advised removing of Might’s ovaries.
Don (husband) got here to our centre in Penang and advised us the above story on 18 January 2011.
1. The Breast Most cancers Conflict – fancy gadget plus half 1,000,000 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. Sadly, that is removed from being true. Learn the next two quotations.
Amy Soscia, a most cancers affected person mentioned: 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 nicely 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. Reaching a treatment is like hanging a jackpot.
In a assessment entitled: Within the Finish What Issues Most? A Overview of Medical Endpoints in Superior Breast Most cancers (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 total survival, the first measure of scientific profit in MBC.
– Of the 73 part III MBC trials reviewed, a strikingly small proportion of trials demonstrated a acquire in total survival period (12%, n = 9).
From the very starting Might was advised the remedies she obtained have been to solely management the state of affairs – and on this case, the place is the management? Virtually half 1,000,000 ringgit has been spent however Might was not getting any higher. In actual fact her situation turned 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 conflict will go on. Based mostly on the assessment paper revealed in The Oncologist per week in the past, the general survival benefit because of chemotherapy might simply be an phantasm.
Can we not be taught a lesson from Might’s expertise? Albert Einstein mentioned: Madness is doing the identical factor again and again and anticipating completely different outcomes.
2. Complete Dedication – do you actually consider in herbs?
Not all sufferers who come to hunt our assist consider in what we do. We’re agency in saying that It’s not for us to “affect” you to comply with our methods. This must be fully your selection.
We’re absolutely conscious that after spending hundreds of ringgit on the so-called scientific, high-tech remedies supplied by the most effective brains in medication, it’s onerous to consider that some roadside weeds might assist your most cancers. To the educated thoughts it looks like a giant joke. So believing in what we do is a vital ingredient for achievement. Previous statistics confirmed us that solely 30% of those that come are actually dedicated or consider in what we do.
3. Chemo-Tea Helped Her – she gained extra confidence
I advised Don that I might be scripting this story. Otto von Bismarck wrote: A idiot learns from expertise. A sensible man learns from the expertise of others. So the principle intention of scripting this story is to share Might’s expertise with others – maybe those that want to be taught wouldn’t should expertise comparable bitterness.
Some sufferers consider even earlier than they expertise, however others have to expertise earlier than they will consider. It’s a selection.
4. Most cancers Conflict – In a conflict, nobody ever wins!
Tragic tales about breast most cancers conflict abounds. However all isn’t misplaced. There are some sufferers who’ve the heart to say: “Chemo? No thanks!” A lot of them survived to inform their candy tales.
Let me shut by quoting Dr. Bernard Jensen (in Empty Harvest): “Whereas the state of affairs is dire, ought to concern be the right catalyst for change? I do not assume so. For concern is a illness in itself – a illness of the thoughts. Due to this fact, it isn’t out of concern, however braveness, that mankind will probably be simplest in restoring well being and concord.”