Part 2. Prolonging Life for 3 Months is an Achievement! Really?

How long does Xtandi extend life?

Xtandi (enzalutamide) is a hormone therapy used for treating advanced prostate cancer.

  • Treatment with Xtandi resulted in a median overall survival time of 18.4 months compared with 13.6 months in the placebo recipients.
  • Treatment with Xtandi extended life by almost 5 months.

https://www.drugs.com/medical-answers/long-xtandi-enzalutamide-work-3554743/

Lilly stomach cancer drug extends survival vs placebo

  • The overall survival among patients treated with the Lilly drug in the study was 5.2 months, compared with 3.8 months for those who received a placebo.

https://www.reuters.com/article/us-lilly-cancer-idUSBRE90M04E20130123

Effect of Fruquintinib vs Placebo on Overall Survival in Patients With Previously Treated Metastatic Colorectal Cancer

  • Median overall survival was significantly prolonged with fruquintinib compared with placebo – 9.3 months vs 6.6 months. (note: prolong survival of 2.7 months).
  • Median progression-free survival was also significantly increased with fruquintinib – 3.7 months  vs 1.8 months (note: extend progression-free survival for 2.9 months).

https://jamanetwork.com/journals/jama/fullarticle/2685988

“Landmark” study shows breast cancer drug Xeloda can extend lives

  • In one study, Xeloda cut patients’ risk of relapse or death by 30 percent over five years.
  • 74 percent of patients were still alive and recurrence-free, versus 68 percent of women who’d received placebo pill.
  • Ask this: The difference is only 6% – why do we need to massage the data to become 30%?

In another study – only one group received Xeloda, while women in the other group were given placebo pills. The treatment was given in six or eight three-week “cycles,” with two weeks on the drug, one week off.

  • Five years later, 89% of Xeloda patients were still alive, compared with just under 84% of placebo patients.
  • The difference? Only 5%. Great achievement?

https://www.cbsnews.com/news/breast-cancer-drug-xeloda-can-extend-lives-landmark-study/

Why Don’t More New Cancer Drugs Help Patients Live Longer?

  • Researchers say many new cancer drugs don’t improve life or increase lifespan. 
  • There’s no clear evidence that most new cancer drugs extend or improve life.
  • According to a research team in London, when drugs do show survival gains over other treatments, those gains are often marginal.

https://www.healthline.com/health-news/why-dont-more-new-cancer-drugs-help-patients-live-longer

Watch this video: https://cancercaremalaysia.com/2019/09/13/our-wonderful-reunion-with-ella-in-singapore/

Case Study 4. Endometrial Cancer Part 2: No chemo – healthy life, wonderful life for 14 years and more!

Ella is doing well. And she is taking the herbs, and of course NO chemo. Let me reproduce some of the e-mails she wrote us over the years.

30 August 2019 – With Ella and Peter in Singapore

14 May 2020: after twelve years.

It seems so long ago when we last met … it was a get together for all of us and so lovely seeing Irene and family.

You must be so proud of your grandsons … Chris I have read all the books you gave me and they are fantastic. So easy for the lay person to understand and full of great information. Your passion shines through each page and your knowledge is priceless.

As I have mentioned before, it is so hard to educate the people here … It is much easier to pop a pill than to take the time to understand what your body needs to survive. You must see this all the time, especially from those in the

western world.

We are into winter now and feeling the cold … I love rugging up and taking a 4 km walk along the cliffs where we live with so much wild life to see … I am at my happiest when I am with Mother nature. I know you both are too.

Anyway, keep up the good work as the world needs people as you. After reading all the stories of your patients and how they found wellness, thanks to your dedication on helping them to heal. It is a great feeling to help those who look outside the square when given a cancer diagnosis and with guidance take on their own healing to wellness. You and Im must see these many times.

Sending love and blessings and keep forwarding the emails. Until we meet again, Hugs

xx Ella xx

May 2023 – Almost 14 years after her diagnosis, Ella sent us this note.

We are glad that we are able to help Ella in her time of need. We are even more happy and grateful to the Almighty to see her again in Singapore – so well and full of life. There are a few things we can learn from Ella.

  1. Patients have choices or options.

You choose what you believe in and live with the consequences of your choice – for good or for bad. There is no point in trying to point fingers at others when things go wrong. Remember, it was your choice.

Ella knew what she wanted. She empowered herself well ahead of time about what cancer really is and what chemo could do to her. She was not blind when she made her choice.

  • She was right, the doctor was wrong!

Ella said she wanted to prove her doctor was wrong! Good to have something to look forward to, a wish in life, so to say. At CA Care we have seen such predictions proven wrong most of the time. But let us not blame the doctors. They only say things based on what they know or have been taught in medical school or while under practical training. And that is all there is to it. I have since realized about the tight system or box that they are brought up in.

Patients who choose to go into the box with them have a limited view about the well-known limited choices of

surgery, chemo or radiation. Get out of the box and you see a totally different view for your problem. When we met Ella again in Penang and then Singapore (twelve years later), she had proven her doctor wrong many times over!

  • Quality life.

I have posed this question to Ella when she came to visit us about a year after taking the herbs. Given a choice – which

one would you choose? Do chemo and live for two-and-a-half years OR have a solid one-year life of happiness without chemo?

Ella took a calculated risk or gambled with her life and she won. She had lived longer than what her doctor had predicted. Even with chemo she was told she would have only two and half years – and remember, most of the time would probably be spent going in and out of the hospital. But with the herbs, she suffered no side effects and she had lived a good life.

What else can you ever bargain for? And what additional proof do you need in order to believe?

  • Positive attitude.

Ella was so lively and positive in her attitude. That is the way it should be. Do what you have to do first, to help

yourself and then be happy with it. Live a positive life. Enjoy life to the fullest – busy being a grandmother of six kids, and at the same time being a wife running a happy family.

Many patients say they have positive attitudes. Saying is one thing, practising it is another. Ella is not a lamb easily led to the slaughter. She worked for her healing.

Actually, we knew Ella way before she had cancer. She is a health activist in Australia and she has been helping cancer patients as well, but not to the same extent as we do in CA Care due to the limitations imposed by the laws of her country.

Christmas time is party time with all the so-called great and wonderful food. Ella enjoyed the celebration but chose to stick to her healthy diet. Many patients don’t have that willpower. One lung patient said to me: Oh, the Hari Raya – we went home to our kampong (village) and I “tak tahan” (cannot stand) seeing those foods. So, I ate some, here and there. I suffered after I came home.

  • Don’t be a kiasu.

Ella is not a kiasu (afraid-to-lose-want-to-win all-the-time) type. Kiasu people like to ask a lot of questions but it is

no use – waste of time, because they don’t really believe in what we do. When they face a little problem they run away!

The herbs have to be boiled – that’s a big chore! The herbs do not taste good, that is also unbearable to the kiasu.

Our therapy is not easy to follow. It is not for any Tom, Dick and Harry. It is not for the faint hearted either. Patients need to be brave and be fully committed to find their own healing. There is no magic bullet. It requires a change in lifestyle, diet and attitude towards life.

We can show you the way, but you have to travel that road yourself. For that reason, it is a pleasure and our privilege to be able to help such a person like Ella – not a kiasu. We share the joy of her healing.

Case Study 6. Endometrial Cancer Part 1: If no chemo may be just 3 months!

Spring cleaning is a great Chinese tradition. I (Chris) now understand its benefit. I got caught up with this tradition in a half-hearted way on 18 January 2012 – just four days before the Year of the Dragon (2012) sets in. Actually, I was not spring cleaning at all. I just spent one morning clearing some of the untidy old papers left on my shelves – to be recycled at our centre.

To my surprise I discovered many things. And one of which are the faxes and medical reports that Ella, from Melbourne, Australia, wrote me 4 years ago. I knew I kept them somewhere. I have been hunting for them earlier but could not find them. This morning I found them. Because of this I can now relate to you Ella’s story with much confidence. I generally don’t write if I don’t have enough information.

19 November 2008: Ella’s CA125 was at 70. It was high. Only 45 and below is considered normal.

27 November 2008: I received a 3-page fax from Australia with the following message:

  • Here are the results of the tests. I am going in for an operation tomorrow 28 November 2008. And looking forward to all this behind me. I will call as soon as possible. Thank you so much for your support and love. Good health and lots of laughter. Love, Ella.

Ella’s medical report indicated:

  • In the pelvis, the uterus is markedly enlarged with extensive heterogenous soft tissues measuring 7 x 10 cm in maximal diameters, entirely consistent with endometrial tumour.

Conclusion: Intrauterine tumour. Poorly differentiated carcinoma favouring uterine origin. No evidence of tumour spread elsewhere.

The doctor suggested that Ella undergo surgery as soon as possible. I concurred and urged Ella to go ahead as soon as she was ready for it.

28 November 2008:

  • Operative specimen: TAHBSO (total abdominal hysterectomy with bilateral salpingo-oophorectomy), omentum and left and right pelvic nodes.
  • Size: 75 x 65 mm
  • Conclusion: Extensively necrotic poorly differentiated adenocarcinoma of the endometrium, consistent with Grade 3endometrioid carcinoma with myoinvasion 11 of 14 mm and focal lymphovascular space involvement. No tumour identified in sixright pelvic and five pelvic nodes.
  • Cytology report: Endometrial cancer. Peritoneal washings – no cytological evidence of malignancy.

12 December 2008: We received an 11-page fax from Ella.

Chris, here are the reports from the hospital. I hope it gives you a clearer picture of my condition. I look forward to receiving your herbs. And am doing all I can to return my body to wellness. Thanking you for all your help and God bless.

Ella was started on herbs right away – Capsule A, C-tea, Utero-ovary 1 and 2 and T & E teas.

Almost a year later, in mid-September 2009, Ella and her friend, Helen, came to Penang for a week’s holiday and stayed the hotel by the Batu Feringghi Beach. It was our pleasure to welcome her to this Island Paradise. Ella visited our center and got to meet some patients during our CA Care session.

One evening we sat down to talk. Listen to what we talked about and at the same time learn some survival

tips from this full-of-life-friend from Melbourne.

Survival Tips from Ella.

No chemo for me after surgery – never ever!

Watch these videos: