Prostate Cancer: Hormonal therapy did not work. Don’t be fooled by a drop in PSA!

James (not real name) is a 58-year-old Indonesian. His problem started in early 2016 when he lost his appetite, felt fatigue and lost weight. Blood test showed his PSA was more than 500 and his alkaline phosphatase was 200 plus.

James went to Singapore to consult an urologist at a private hospital. A bone scan showed his prostate cancer had spread to his bones.

James was given Lucrin injection (three months once) and an oral drug, Casodex.

Three months later, the doctor increased the Casodex dosage because his PSA was rising.

With the treatment, James PSA dropped to 0.03, his alkaline phosphatase was at 270 (table below).

Eight months later, (December 2016) his PSA started to increase again from 1.6 to 6.0 and by June 2017 it was at 89.4. The treatment failed (Table 1).

Table 1: The fall and rise of PSA after hormonal treatment

Date PSA Alkaline phosphatase
12 Apr 2016 0.03 270
12 July 16 0.04 102
29 Sept 16 0.19 84
13 Dec 16 1.63 82
7 March 17 6.07 72
5 June 17 89.4 87

Disappointed with the results, James consulted another doctor in The Singapore General Hospital. A PET scan results showed evidence that the cancer had spread to his bones.

James continued to receive his Lucrin injection but Casodex was discontinued. He was asked to take a new oral drug Enzalutamide (or Xtandi). This cost SGD 5,600 per month.

James was also told that if the above treatment is not effective, then there is no other option but to go for chemotherapy.

James found us in the internet and decided to seek our help. During his first visit we prescribed herbs for his problems.

Three months later, September 2017, James came back to see us again. James told us that after seeing us, he went back to his doctor in Singapore and was started on the new oral drug Xtandi. He took 4 tablets of Xtandi per day for the three months while at the same time half-heartedly following our therapy.

Let’s look at his blood test results done in Singapore (Table 2)

Table 2: Blood test results done in Singapore

5 June 2017 11 Sept 2017
PSA 89.4 High 19.8 High
Liver Function
Alkaline phosphatase 87 110 High
Alanine transaminase – ALT 16 23
Aspartate transaminase – AST 35 49 High

When James showed me the two blood test results done in Singapore, my immediate remark was, Good – what else do you expect? Cannot ask for more! His PSA in June was 89.4 and with Xtandi and herbs the PSA dropped to 19.8. Great result! But hang on, James had not finished his explanation yet. Actually I am being fooled by these numbers.

James said, he monitored this PSA level often (Table 3). And if you study the numbers below properly you will note that James is heading for another disaster. That SGD 5,600/month drug and our herbs did not work!

28 June 2017 12  July 2017 2 Aug 2017 30 Aug 2017 6 Sept 2017
PSA 101 High 55.5 H 8.85 H 14.29 H 16.6 H
Liver Function
Alkaline phosphatase 77 n/a 197 H 105 102
Alanine transaminase – ALT 15 n/a 22 41 31
Aspartate transaminase – AST 24 n/a 29 52 H 48 H
GGT 31 n/a 35 52 n/a

After James took Xtandi (+herbs) for about 2 weeks, the result was dramatic fall of PSA from 101 to 55.5. That’s a 50% reduction. You cannot ask for more. Then for another 2 weeks, the PSA dropped further to 8.5. Fantastic results — PSA dropped from 101 to 8.5 after one month on Xtandi.

Hang on! Barely a month later, the PSA on 30 August showed the PSA had gone up to 14.9 from 8.85. That the beginning of disaster. Within a month, between 2 August and 6 September the PSA had doubled from 8.85 to 16.6. This is a clear sign of failure.

Besides the PSA what could be another possible problem is James’ liver function is deteriorating as shown by the increase in AST and GGT. James has to watch out  for this too.

Some notes from the internet

  1. Xtandi: Expensive drug and price merry-go-round

Xtandi is a drug used to treat hormone-resistant prostate cancer that has metastasized, or spread to other areas of the body. Xtandi costs $7,450 per month. The average treatment course is eight months, so the cost of Xtandi is usually about $60,000 for a full course of treatment.

Xtandi (enzalutamide) is an expensive prostate cancer drug market by Astellas Pharma, a Japanese pharmaceutical company. The total cost for a one-month supply of Xtandi (120 pills) comes to $8,839.49, or around $73.66 per pill, $294.64 per day, and $107,617.26 per year.

The drug costs much more in America than it does elsewhere, with a U.S. list price of about $129,000 per treatment course, compared with $39,000 in Sweden and in Astellas’ native Japan.

In Singapore, James paid SGD 5,600 for a month supply.

  1. Xtandi increased survival by 4 to 4.8 months

Xtandi is an oral medication that inhibits the androgen receptor, which drives prostate cancer progression.

In a phase III clinical study of patients previously treated with chemotherapy, Xtandi reduced the risk of death by 37 percent and increased median survival by 4.8 months, compared to instances where subjects took a placebo.

In a separate phase III clinical study of patients not previously treated with chemotherapy, Xtandi reduced the risk of death by 23 percent and increased median survival by 4 months.

  1. Side effects of Xtandi include:
  • seizures,
  • back pain,
  • diarrhea,
  • joint or muscle pain,
  • hot flashes,
  • flushing (warmth, redness, or hot feeling),
  • headache,
  • muscle weakness or stiffness,
  • anxiety,
  • dizziness,
  • sleep problems (insomnia),
  • feeling tired,
  • numbness/burning pain/tingling/prickly feeling under your skin,
  • swelling in your hands or feet,
  • cold symptoms (such as stuffy nose, sneezing, and sore throat),
  • high blood pressure,
  • upper respiratory tract infection,
  • blood in the urine,
  • urinary frequency,
  • dry skin,
  • itching, or
  • nosebleeds.
  1. Can Xtandi cure prostate cancer? Try google this question and see what you get. There is NO mention of cure, only delayed deterioration.

In the case of James he is still fine and he is not dying yet. HIs main concern is his PSA is rising in spite of all the drugs taken.

Comments

From our conversation with James and his wife, it appeared that we are wasting our time. I told James and his wife our herbs are not magic bullets and I do not expect his PSA will drop like when he was medical drugs. Healing needs full commitment. James did not show that he has that commitment. He did not take care of his diet. Once a while he ate things that he is not supposed to eat. Did he really take his herbs properly? I am not sure either and I did not ask him about this.

In fact I told James and his wife. If I was told earlier that he wanted to take Xtandi, I would not have prescribed him the herbs. It would be better that he takes the Xtandi first and see what happened. If and  when the doctor’s drugs cannot work anymore then he can come and see us for help.

Although James said he benefited from taking our herbs, I am not sure if this is true or not.

Listen to our conversation that morning.

  1. Lucrin & Casodex

  1. Xtandi & Herbs

 

 

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Bile duct Cancer: To live or to die is your choice!

LY is a 68-year-old lady from Indonesia. In late 2015, she had fevers on and off. This had been going on for some six months. At the end of February 2016, LY went to a private hospital in Johor for check up.

Blood test on 29 February 2016 showed elevated liver function enzymes:

Alk. phosphatase 302
ALT / SGPT 66
GGT 603
AST / SGOT 59

The tumour makers were normal: Alpha-fetoprotein = 1.9, CEA = 1.6 and CA 19.9 less than 2.0.

MRI done on the next day showed dilatation of the CBD (common bile duct). There is a round mass lesion in the lower end of the CBD protruding into the duodenum. Impression: biliary obstruction due to a polypoid mass arising from the lower end of CBD — ampullary tumour ?

LY was asked to do a scope but she refused. She decided to come and seek our help. After going through her medical reports, I advised LY to see a “liver” specialist in one private hospital in Penang. I advised LY that she might need to install a stent and clear off the blockage in the bile duct. After this is done, she can come back to see me again if she wants to take herbs.

Blood test done on 14 March 2016, showed LY’s liver function had deteriorated.

Alk. phosphatase 1,094
ALT / SGPT 121
GGT 1,239
AST / SGOT 134

CT showed a soft tissue mass at the ampulla of vater measuring 2.1 cm x 2.2 cm. The common bile duct is also dilated with greatest diameter measuring 2.3 cm. LY’s problem was diagnosed as cancer of the ampulla with biliary obstruction. There is no evidence of liver metastasis.

LY underwent an Endoscopic Mucosal  Resection (EMR) and pathology report confirmed a Grade 2 adenocarcinoma of the periampullary region.

An expandable metal biliary stent (8 cm x 10 mm) was inserted at the common bile duct.

Blood test two days after the stenting showed improvements of her liver function enzymes.

20 Mar 16
Alk. phosphatase 752
ALT / SGPT 67
GGT 785
AST / SGOT 26

LY was asked to undergo follow-up chemotherapy. She refused to see an oncologist and came back to seek our help again. LY was prescribed Capsule A, C, D and M, in addition to Liver-1 tea.

For the rest of 2016 and until August 2017, LY was doing fine. Her blood test results are as follows:

22 May 16 26 Sept 16 19 Mar 17
Alk. phosphatase 183 125 100
ALT / SGPT 43 41 26
GGT 124 74 29
AST / SGOT 38 41 27

Ultrasound on 19 March 2017 showed a large stone or sludge, 3.8 cm, in the gall bladder. There is a 3.1 x 3.7 cm septated cyst in the spleen.

Ultrasound of the pelvis and X-ray of the chest showed no abnormality.

In July 2017, LY felt discomfort in the liver region. She came to see her surgeon again in Penang. CT scan on 22 August 2017, showed the common bile duct and intrahepatic ducts are dilated with greatest diameter of CBD measuring 2.3 cm. Intraluminal soft tissue tumour thrombus nearly completely filled up the biliary stent in keeping with biliary obstruction and could represent cholangiocarcinoma.

The doctor flushed off the obstruction. LY felt better. This procedure cost RM 2,800.

LY came to our centre and told us what had happened. She looked good.

 

Comments 

For the past fifteen months, LY was doing fine and led a normal life. Only the past 2 months did she feel discomfort. Did you take care of your diet? Not exactly! She said at times she took fried food! I told LY, If you want to live longer, take care of your diet. 

LY installed a metal stent in her bile duct and refused chemotherapy. So far she had lived a normal life! So patients, to live or to die is your choice! Know that you have a choice. Know also that what you choose to do will determine how you live and die later. Let me reproduce the emails I received from Canada. 

14 November 2016: Dear Dr. Teo: I am hoping that you will be able to help us.  My mother has cholangiocarcinoma with metastasis to the liver.  Her primary tumour is just outside the liver in the common bile duct.  I have attached her recent MRI and blood work.   

We are heading to the hospital right now because she has had a fever around 100-101 degrees F for several hours.  She has two plastic stents in the bile duct which are situated side by side.  In the last couple of days she is having some sharp pain over the spleen area.  She is on a mainly vegetarian diet since she was diagnosed June 29, 2016.  Her plastic stent is likely infected and her surgeon will change it this Tuesday.  I hope it doesn’t get worse by then. 

As you can see, she is in no shape to travel.  She is dependent on me to take care of her. I know that you do not believe in treating patients at a distance without meeting the patient or a knowledgeable family member in person.  However, we are praying that God will send someone like you who can help us.  We put all of this in God’s hands and are praying you will be able to help us. I would greatly appreciate hearing back from you. My mother has not had any chemo, radiation or surgery.  She is still eating and can walk for 25 minutes without stopping. 

16 May 12017:  She’s still in the hospital in palliative care.  We are trying our best to see if we can get her home.  Has been here 3 weeks … she is on: 

morphine, buscopan, ursadiol, acid reducer ( pantalog), unfortunately salt tablet because sodium and albumin is very low, dexamethasone, blood thinner – ?daltoperrin – a small clot was found in her lung.

She has a paracentesis stent draining her abdomen and she has leg edema. 

She is no longer on meropenum for a possible infection even though blood cultures came back negative.  Could localized in bile duct.

22 May 2017:  If I knew in December 2016 she would have made it this far before the Dec 2016 stent got blocked,  we would have taken a plane to come to see you. 

It may be too far gone, but I know with God anything is possible. She is very weak and cannot walk anymore and hardly eating.  The hospital staff keep trying to  give her morphine around the clock even when she doesn’t want it.   

The morphine and buscopan had her so constipated for 4 days that she could not have a bowel movement even after using the hospital protocols and my coffee enema.

My mother is still hanging on and has not been in hospital since Dec 22, 2016 when she got the two plastic stents in addition to the metal stent she previously had.  We have taken the kid and liv teas and the one for constipation. She has some leg pains at night and I am contemplating giving  the pain tea for it . Bilirubin is 14, but ALT is about 499 and GGT about 440. 

I think she could benefit from the capsules but cannot do so without your guidance and feedback about healing reactions to expect . 

23 May 2017: Dr. Chris, …. everything went downhill when the stent procedure didn’t work and the rest of the family who know nothing about health and who don’t want to learn anything new insisted she stay in the hospital for the past month in palliative care with no fresh air, sunshine or healthful food and supplements/herbs etc and was just fed painkillers etc. 

The doctors say it may happen anytime and she is so weak that it could be days. Her albumin is only 14 or 15 and her sodium was 116. She has been taking 4 g of NaCl capsules each day and the sodium is up temporarily to 121-125. Sometimes she has problems swallowing when she is sedated. However, she had begged me to take her home which I intend to do tomorrow. 

5 August 2017: Sadly my Mom passed away May 29th.  My siblings argued with me and kept her in the hospital and it broke my heart to see them kill her with drugs. So we were never able to use your herbs. 

 My 65 year old brother just got diagnosed with small cell ca of the lung – 7 cm which they told him that surgery is not an option. Chemo or radiation. Could these herbs help him?

Reply: Like your mom too, no, I cannot help patients from faraway places! Let the doctors help him.

 The above story happened in Canada. Here are stories which happened in Malaysia. 

  1. My dad (aged 75) has been diagnosed with bile duct cancer – advanced stage.

Dear Dr. Teo: I hope this finds you well. I got in touch with you earlier about my dad. Sadly he lost the battle with cancer. He went down the chemo route and we lost him pretty soon after. https://cancercaremalaysia.com/2017/08/31/they-went-for-chemo-and-they-died/

  1. Bile Duct Cancer: When MORE = WORSE https://cancercaremalaysia.com/2017/01/02/bile-duct-cancer-when-more-worse/

Here are some stories of hope and success!

Had Three Cancers! Three To 12 Months To Live. Three years on CA Care Therapy still okay!

https://cancercaremalaysia.com/2015/07/23/had-three-cancers-three-to-12-months-to-live-three-years-on-ca-care-therapy-still-okay/

Liver-Bile Duct Cancer: Herbs Kept Him In Excellent Health

https://cancercaremalaysia.com/2010/12/09/liver-bile-duct-cancer-herbs-kept-him-in-excellent-health/

Advanced Bile Duct-Liver Cancer: Doctor’s prognosis three months — Now one and half years, still alive!

https://cancercaremalaysia.com/2015/03/03/advanced-bile-duct-liver-cancer-doctors-prognosis-three-months-now-one-and-half-years-still-alive/

Pancreatic Cancer: No chemo, only on herbs. Still fine after 4 years

https://cancercaremalaysia.com/2015/02/05/pancreatic-cancer-no-chemo-only-on-herbs-still-fine-after-4-years/

 Let me end by asking you to reflect on the quotations below:

 

 

 

 

Breast Cancer: Five years on herbs

TGS was 66 years old. In January 2012, she had an ultrasound and this is the picture showing a lump in her left breast at 2 o’clock position.

TGS was referred to a breast surgeon and had a trucut biopsy. The result confirmed a high grade ductal carcinoma. TGS then had a mastectomy. Histopathology report showed infiltrating ductal carcinoma and 2 out of 8 lumph nodes with metastasis. One out of 3 lymph nodes of the armpit was infected with cancer.

In short, the cancer had spread. TGS was told to see an oncologist for follow up. She was prescribed Femara and did not suffer any side effect. Femara costs RM 683 per month. She was on Femara for 2 months and decided to stop it.

TGS was told to undergo chemotherapy. She refused.

TGS also took Sabah Snake Grass (SSG) — 100 leaves blended with apple. After 3 days drinking this, both her legs swelled. She stopped SSG after 10 days.

TGS came to seek our help and was prescribed Capsule A and Breast M tea. She complained of numbness in her left arm.

In 2012, TGS came to see us 4 times and she was doing fine. In 2013, we saw her once. In 2015, TGS came to see us again. She told us that in August 2014, she had a heart by-pass surgery.

In August 2017, TGS’s daughter brought a friend who also had breast cancer to our centre. She told us that her mother is currently doing fine. And it has been 5 years now. She confirmed that her mother did not receive any chemotherapy and has not gone back to her doctor for her cancer.

Comment

According to most people, if you survive 5 years, then you are cured! This is not true. The cancer can come back even after 10 or more years!

Read these stories:

Her Breast Cancer Came Back After 14 Years. https://cancercaremalaysia.com/2016/03/16/her-breast-cancer-came-back-after-14-years/

Breast Cancer: When a so-called “cure” was not a cure. https://cancercaremalaysia.com/2012/05/12/breast-cancer-when-a-so-called-cure-was-not-a-cure/

Pain gone, Slept well, Went shopping

Part 3: Four days on CA Care Therapy

22 July 2017: Dear Mr. Chris kh Teo,

Hi there, My name is M and I have pancreatic cancer with metastasis to the liver and lung. I found your web site while I’m searching for alternative medication for my cancer. I’m a Filipino but residing here in Australia. I am interested to try your herbal medicine. I want to know how could I get it.

Do I need to come there in Malaysia or can you ship your herbal medicine here in Australia. Or can I see you personally so that you could discuss to me all the information that I need to know. If I need to come there in Malaysia can you book me an appointment as soon as possible. Is there any fees do we need to pay and how much does it cost to buy your herbal medicine

Hope you can give me more information about your herbal medicine and hope to see you soon.

Reply: There is NO cure for such cancer —- I am not sure if you even travel  with such condition … the best is for you to send someone to come and see me …. that someone must know your health condition ….then I can give the herbs …. Chris

Dear Dr. Chris Teo,

I am able to travel to see you. I’m still in good condition as of now. I will travel with my husband. Is there any specific day and time that I can visit you?  Please I really want to see you.

Reply: Are you from Sydney / Melb / Perth? My concern is the air travel — too taxing. But if you want to come — I am okay. Monday to Friday at about 11 am ….. go to my website www.CancerCareMalaysia.com and click what to do next . You get all the details.

I need to see all medical reports and scans …. and then please read this.

 Some important points for you to know before you see me

  1. NO CURE FOR CANCER  

a) Most patient who come here, have already undergone medical treatments – surgery, radiation or chemo. Do these cure you?

b) If you come here expecting me to cure you, know that I too cannot cure your cancer. From my experience, NO one on earth can cure any cancer. After some years cancer comes back again!

c) But if you want me to help you – to give you another option, to have a better quality of life   — may be it is possible. But it all depends on you. Because your health is your responsibility. Are you willing to help yourself? Are you willing to change your lifestyle, your diet, etc.? 

2. OUR HERBS ARE BAD-TASTING, AND HAVE AWFUL SMELL

a) Besides the bad taste and smell.

b) You need to boil the herbs a few times a day — that’s a lot of work!

c) You need to take two, three or four types of teas each day.

3. YOU MUST TAKE CARE OF YOUR DIET – YOU CANNOT EAT ANYTHING YOU LIKE

a) You cannot eat anything that walks – meaning, no meat, no egg, no milk, etc.

b) Don’t take sugar (sugar is food for cancer).

c) Don’t eat oily or fried food, table salt. 

4. TRY OUR THERAPY FOR TWO TO FOUR WEEKS

a) May be the first 2 weeks on our therapy, you may suffer more pain, more tired, etc. That’s healing crisis. Don’t stop. Hopefully after 3 to 4 weeks you may feel better.

b) If after a month on our therapy you still don’t feel better — the herbs are not helping you in anyway — then stop following our therapy. Please ask someone else to help you.

c) If you feel better, continue with our therapy.

If you are still on chemo or radiotherapy (or are planning to do chemo or radiotherapy), or are taking other treatments elsewhere, go ahead and continue with these treatments first, do not take our herbs yet.

Good morning Dr. Teo. I am from Perth.  Me and my husband would love to travel to see you. We will try to get flight the soonest as possible maybe this week or early next week. I just have one question do we need to stay there while I’m taking your medication or can we go back to Australia and bring the medication here.

Thank you very much may God Bless You always.

Reply: Just see me for an hour or two … you can take the herbs home and start taking them at home ….. so one or two days in Penang is good enough.

Pain gone, Slept well, Went shopping

 

Our advice

Update

 Mei’s pain was gone and she became a “normal” person — can eat, can sleep, etc. just after a day in Penang! Is this a placebo effect?

After returning home to Australia, Mei wrote: Thank God… I’ve been drinking the tea for 5 days now so far I don’t have any problem I don’t have any pain. I’m still in good condition. Thank you very for your concern.

 

 

He Prayed, God Answered

Part 2: Desperate Search for Alternative Therapy

Desperate, Mei decided to go to the Philippines for immunotherapy-herbal treatment. A one-month stay and treatment in a “private hospital” cost AUD 4,500. Unfortunately, the treatment did not make Mei any better.

After Mei returned to Australia she did an ultrasound which showed the tumour had increased in size.

A CT scan in July showed the nodule in her lung had also increased in size from 5 mm to 8.5 mm. The “multiple hepatic lesions appear somewhat numerous and slightly larger than before.”

Mei and her husband was in a desperate situation having to face the possibility that Mei may die anytime soon.

Mei did not want to give up hope.

She started to surf the net and found a hospital in China which offers a special treatment. She wrote to the hospital and was told that she would need to undergo 3 to 4 treatments and each treatment cost AUD 20,000.

Mei’s husband said they do not have the money to pay for such an expensive treatment but he was ready to go to the bank and ask for a loan to finance his wife’s treatment.

Mei’s husband said that his wife did not know that all day and night and where ever has was — driving or in the toilet — he kept praying and praying, asking God for a sign of what to do to help his wife.

Then, something wonderful happened! While he and Mei were reading the website of this Chinese hospital, CA Care’s website suddenly popped up. It was a video of a man with black hair (not white like now!) and he was talking. Mei and her husband read more about us, and according to Mei’s husband he was certain that God had answered his prayer. He told his wife, we must go and meet this man!

He prayed, God answered.

 

CA Care: God’s answer to my prayer

For more go to Part 3

 

They went for chemo and they died

  1. Bile duct cancer

Dear Dr. Teo,

My dad (aged 75) has been diagnosed with bile duct cancer – advanced stage. He has Hepatitis B, so the liver is functioning at only 20% of normal capacity. The oncologist has suggested chemo as the only option and it is scheduled on the 14th of June. My family and I are trying to explore other options, or at the very least, want him to be nourished and protect the body from the ill-effects of chemo.

Would you be able to help? I am based in London, but I am heading back to Kuching early next week. Looking forward to hearing from you. Best regards.

( No news after this!)

Dear Dr. Teo,

I hope this finds you well. I got in touch with you earlier about my dad. Sadly he lost the battle with cancer. He went down the chemo route and we lost him pretty soon after.

A friend of mine who is based in America (HK Chinese born in the UK) is wondering if you are able to help her friend who has just been diagnosed with stomach cancer stage 1b. This will be reconfirmed soon after a laparoscopy surgery which is scheduled to take place soon. My friend is now in HK to sort out a few personal thing and is wondering she could visit you in Penang in the next week or so to get some help for her friend (based in the US). She has all the relevant information with her including medical records. Please could you assist? Blessings.

  1. Sarcoma

Hi, think you should know this. My cousin sister’s husband just passed away two days ago. His condition deteriorated after chemo, How I wish he didn’t undergo any chemo…..Thanks

More details …..

Aug 23, 2017 Dear Dr Chris,

Good day! My cousin sister’s husband who is only 32 years old is suffering from sarcoma, final stage. He was diagnosed with it in late March (due to coughing non-stop) and is now in final stage. They just got married last year and my cousin sister just gave born to a baby boy (one month old).

He has undergone treatment (previously surgery done in China) and chemotherapy (for 1 time) only in GMC. His condition deteriorate after the chemo while my cousin was in confinement. He couldn’t walk now due to edema.

I came across your blog and I am impressed with your ideology, probably we can alleviate the condition by using herbs. I myself believe herbs can create miracles. There must be something which can help to suppress the development of sarcoma or even reduce the extension of it.

It’s sad to see a good family in bad shape. Hope to receive your feedback. Thanks.

Dear Dr Chris,

I myself believe in herbs. I would like to ask can he take both, meaning undergoes chemo and take herbs at the same time?

Reply: Go and do all the chemos first …. no need to take my herbs

Which means you only help those who don’t do or has stopped chemo?

Reply: Better… anything wrong they all blame me not the chemo.

Hmmm…… Understood

Comment

Many people write to ask me if they should undergo chemotherapy or not. No, I cannot and would not answer such question.

Read what chemo is all about and you make your decision. In this way, if there is something wrong, you or others around you, cannot blame me.

Read this ….

 

 

Cancer of the pancreas-liver-lung: Surgery and chemo failed. She came to CA Care

Mei (not real name) is 53-year-old lady who flew to Penang with her husband from Australia. They were desperately in need of help. According to her doctors, Mei would not live long — it is a month to month case and Mei would probably not survive to celebrate Christmas 2017 (5 more months!).

Mei’s problem started in March 2016, when she had problem swallowing food or even water. Both her hands and legs itch. Her GP did a blood test and found her liver function enzymes were elevated. This could be due to obstructive jaundice. She was then referred to a specialist.

CT and MRI showed tumour in the head of the pancreas. In early April 2016, Mei underwent a Whipples resection in which part of the pancreas, intestine, bile duct, gallbladder, omentum and 8 lymph nodes were removed.

After the surgery, Mei received 6 cycles of chemotherapy. 

Chris: Did you ask if the chemo was going to cure you? There  is no clear cut answer to this question. According to Mei, she was given the impression that everything would be okay after completing the chemo.

Did you suffer from the chemo? Yes. Listen to our conversation. It was 5 months of hell.

 

 

Unfortunately too, after the fifth chemo, Mei was told that the cancer had spread to her liver. There were “innumerable foci throughout all segments of the liver.” Mei was also told that there was a spot in her lung.

Mei had to undergo more chemo. Mei received 4 more cycles of chemo. On two occasions she had to be hospitalized due to breathing difficulties. She decided to give up chemotherapy.

The oncologist and Mei’s husband came to a compromise — Mei would go on a “drug holiday” for 2 months and then resume chemo again. When the 2 months were up, Mei told the oncologist she would not want to continue with her chemotherapy any more. The oncologist said he hoped Mei could make it to December.

Comments

Many people have written about chemotherapy and its devastating effects on patients. Reflect on these quotations.

 

For more go to Part 2.

 

Skin Cancer That Spread to Her Lungs: Severe headache and numbness of face and jaw gone!

Su (not real name) is a 42-year-old Indonesian lady. Some years ago, she was told she had endometriosis and was given hormone medication. Then in 2013, she came to a private hospital in Penang and had her uterus removed. She was told nothing else was wrong and she did not need any medication.

A year later, 2014, she developed a lump, the size of a mole, on her head. Once a while this lump became painful. She did not consult any doctor and ignored the problem.

In September 2015, Su came to Penang again to seek the help of a doctor in a private hospital. This was because the swelling over her scalp had grown bigger, burst and was bleeding. It was something like 6 to 8 cm in size. This was after she was using some herbs for the lump.

A biopsy was done and confirmed as squamous cell carcinoma.

Su went to another doctor in another hospital to remove the lump. After the “successful” surgery, nothing else was done. Su came back once a while for follow up. Everything was okay!

The operation scar after a big lump was removed from the back of her head.

A year later, Su had a whole body check up. A CT scan showed 3 tiny spots in her lungs. The doctor was not sure what these were. She was told to come back after 3 months for another scan.

After 3 months, Su was told to go for a PET scan. She refused.

Su went to consult another specialist in another hospital. A CT of chest was done and showed multiple well defined nodules in both lungs. The largest of these is 16 mm in size. Conclusion: Lung metastasis.

Su was told to consult an oncologist. She refused. She went home and searched the internet. She found Keladi Tikus (not from CA Care) and started to take this together with other herbs.

Three months later, she came back to the doctor who did the surgery for her. A CT scan showed multiple bilateral lung metastases. The metastatic lung lesions are progressively increased in size and number.

 

Su was told to go and see an oncologist. She came to seek our help instead.

I prescribed her: Capsule A, C, D and M sides Lung 1 and Lung 2. We don’t have any specific herbal tea for skin cancer.

After 3 months on the herbs, Su said she got better — of course, far from being cured. We are glad that she look well, feel well and has no pain. Her severe headache which occurred for the past 3 to 4 months started to subside after a week on the herbs and eventually disappeared totally. Su said besides the headache which lasted from 2 or 3 p.m. until dinner time, she also had pain and numbness of her face and jaw. These too were gone after taking the herbs.

Listen to her conversation.

Comment

Melanoma or skin cancer is very rare. But fortunately, we have helped two melanoma cases with great success before. See here: https://cancercaremalaysia.com/category/melanoma/.

When Su came to see us, we were hopeful that we could help her as well. On the onset Su seems to be responding to our therapy very positively. She is leading a normal, pain-free life. That is a great blessing enough. My only advice I have for Su is to continue doing what she is doing. Unfortunately, my experience showed me that when a patient gets well, she/he will forget what we told them!

 

 

Rectum-Liver Cancer: Part 3: Eat anything you like, you die faster!

 

Kanker-Usus Hati 3: Makan apapun yang kamu suka, mati lebih cepat!

In our discussion with Jasmine’s daughter and son-in-law, I related the story of one of our patients. He was a 79-year-old Datuk — an educated man of high standing. Let’s call him Peter. He came with his brother who was a minister in the government.  He had cancer in his colon that had spread extensively to his liver.

Peter refused further medical treatment in spite of the seriousness of his illness. According to him: I would not be able to endure all these treatments. Presented with such a situation, what could I do?

There were two realities we must face in this case.

  • One, there was a tumour in the rectum and this had not been removed. It was almost blocking the passage way. I pointed out to Peter, if the tumour grew bigger and block the passage of stools then he would be done. Peter understood the message. But he was told by his doctor that even if he was to go for an operation, his life could be prolonged by another three to four months only. Peter categorically told me he would not want to go through the hassle. Okay, this was my bargain with him. Take the herbs and change your diet and lifestyle and if the stools become smaller and smaller (meaning the passage way is blocked) then he has no choice but to go for surgery.  There is nothing much I can do to help if this happened.
  • Problem number two is obviously more serious. The cancer had spread to his liver. I make it clear to Peter that no one on earth can cure liver cancer (for that matter any cancer!).

We prescribed herbs to Peter. Surprisingly he got better. I often called me over the phone. One time he asked if he could continue to enjoy his cigar after dinner. He said he had “sacrificed” enough forgoing all his favourite food when he was invited out for dinners. Then he wanted to know if he could still drink his wine since he had a good collection of wine at home. To that I remember saying, No – why don’t you have just give those wine to your friends. He answered, But you know each bottle cost a few thousand ringgit. 

Once Peter called me to say that according to his niece who is a medical specialist,  it was dangerous not to remove the tumour in his colon. The tumour would grow bigger and bigger and eventually  block the passage way. According to theory or textbook knowledge the tumour will grow if not removed but my experience shows that with herbs and change of diet, this does not necessarily happen!

I asked, But can you pass your stools? Are the stools getting smaller and smaller? He answered, No. Then I said, In that case the tumour has not grown in size yet. We can still wait – but of course you can go for surgery if you like. So we waited. Six months passed and Peter was still alright – no problem of blockage.

About nine months later, I got a phone call from his brother.  I was told that Peter was not doing well. His stomach was bloated and he felt uneasy and had no strength, etc. Without hesitation, I asked: What did your brother eat the past few days? The brother replied: I was told he ate pulut laced with sugar and salted fish. Not long after this, Peter died.

There are two lessons that we can learn from this story.

One, if the cancer has already spread, from the rectum to the liver, what good is surgery unless the tumour has blocked the passageway. In this case, Jasmine was able to move her bowels without any problem. You may wish to ask if what Jasmine underwent was the best option?

Two, learn that: What you eat is important. If you want to get well, you need to refrain from “bad food.” You cannot eat anything you like!

After hearing this, Jasmine’s son-in-law was eager to tell me his story too.

From the internet, the family learned that the chances of Jasmine surviving her cancer is extremely low. So all the family members had come to term with this and adopt this attitude: Let her eat what she wants to eat. Although the son-in-law did not agree with this he could not do anything. So there was tension in the family about Jasmine’s diet.

The daughter said, Even the doctor said my mother can eat anything — no pantang.

Last week they were all in a shopping mall in Medan. The son-in-law said, She does not like shopping.But she likes eating. So she ate laksa, koay teow and rojak. My mother-in-law became so ill that she had to be rushed to the hospital after that.

So it goes again. The same old story being played over and over again!

So I told Jasmine’s daughter and son-in-law. If she is not going to take care of her diet, then there is no point taking our herbs. It would just a wasted effort. If you don’t want to take care of your diet, you die faster. It is as simple as that. And if I know that my patients go back to their old eating habits after being well, I would not want to see them again. I am just fed up. I can help with the cancer, but I know I cannot change human being.

Comments

Over the years dealing with cancer patients, I have come to accept that we cannot help everyone. We can only help those who want to help themselves. I often tell patients:  If you can eat, can sleep, can move around and have no pain – what else do you want? Each day, learn to be grateful for what you are. 

Unfortunately not all patients have that virtue. Once they feel well, they will demand to eat what they like! Unfortunately most patients have to pay a heavy penalty after that. Click this link: https://cancercaremalaysia.com/category/diet-nutrition/, and pick your story!

To me, the secret of happiness in life is to cultivate a sense of gratitude.

  • Be grateful for what we are.
  • Be thankful for what we have and what we are blessed with.

This virtue on its own breeds a sense of contentment and satisfaction in life. That is healing. We learn to live with the cancer but at the same time we live in peace with ourselves.

 

Rectum-Liver Cancer: Part 2: Chemo can cause severe side effects. It can also kill you!

Kanker Usus-Hati 2. Kemoterapi — menderita dan bisa membunuh

When Jasmine’s daughter and son-in-law came to see us, I asked both of them: Why do you come and see me?

The daughter said the family is not going to proceed with the chemo anymore.

According to the son-in-law, Jasmine was a normal healthy-looking person before the operation. No one could tell that she had cancer. After the operation, even a kid would know that she was sick. Then after the first shot of chemo, Jasmine’s health dropped. She had so much difficulty sleeping, was lethargic and overall felt very uncomfortable, she had sores in her mouth and felt nauseous and vomit often.

Jasmine had to be brought to the hospital twice while at home after her chemo treatment. She had to be carried down from the upper floor of her house and rushed to the hospital which is some hours away from home.

Again I asked, Are you sure you want to give up this chemo?  After all, the doctor said after 8 shots your mother would be cured? You don’t want that? Why not complete the treatment?

Daughter: No, we don’t want chemo anymore.

Don’t you know anything about chemo and its side effects? Chemo can kill — do you know that?

Daughter: Yes, I know that.

Do you have any personal experience of knowing cancer patients who underwent chemo and died?

Daughter: Yes.

Tell me then … why did you agree to undergo chemotherapy in the first place?

Both Jasmine’s daughter and son-in-law said there were two reasons why the family opted for chemo.

One, while in the hospital, they met an Indonesia lady who had been undergoing chemo for her breast cancer. The advice of this lady was to go for chemo! There is a good chance for a cure than doing something else. So this testimony was a big push for Jasmine.

The second reason was, Jasmine wanted a cure so that she need not have to use the colostomy bag. According to the surgeon, after the surgery the cancer can be cured if she undergoes 8 cycles of chemo. So, Jasmine fell for his assurance — Must do chemo for 8 times if you don’t want to use the colostomy bag.

During our conversation, I pointed out that such logic may not be correct. The ability to rejoin the colon to the anus does not depend entirely on chemotherapy. It depends on how near the tumour is to the anus. If too much of the rectum has been removed during the operation, the chances of joining it back to the anus is very remote. I believe, a good surgeon would be able to know this if he /she studies the case properly.

I have learned many years ago that there is a colorectal surgeon in Singapore who could do a great job with such problem. I have not come across any surgeon in Malaysia who can do this. If there is one, please let me know (I would like to send patients to you!).

Now, back to Jasmine. Let us ask a few questions.

One, can chemotherapy cure stage 4 rectum-liver cancer? The surgeon said Yes. Really? You believe that?

Click this link and read this article, Yet again, research shows chemo can make cancer worse! Then, make up your mind who and what you want to believe.

One more factor that never gets into the equation is according to the medical report, the non-cancerous part of the liver shows features of chronic hepatitis. Can chemotherapy cure chronic hepatitis? Would surgery make the problem worse? Can surgery cure or treat chronic hepatitis?

Unknown to most people, after the tumour(s) is resected from the liver, it may just recur within a short time. As an example, read this story: Liver Cancer: 3 cm tumour OUT, 8 cm tumour IN after 9 months

Recurrence of cancer in the liver is a far more important issue than just not wanting to wear a colostomy bag. Unfortunately, the patient and her family do not seem to be aware of  all these.

Second facotr, Jasmine suffered severe side effects after just one shot of chemo. Would the side effects get better if she was to undergo more chemo?

Read what others say about chemotherapy.

Three, what do we do now?

This is exactly why Jasmine’s daughter and son-in-law came to see us for! They wanted a way out. At CA Care, we try to be as honest and upfront as we know how. Any patient who come to our centre will be given this notice to read. If patients come to see us wanting to find a cure, I would tell them, You have come to the wrong place! To help you attain a better quality of life — probably can, but to cure you — NO. Please read our notice.

Some important points for you to know before you see me

NO CURE FOR CANCER

  • Most patient who come here, have already undergone medical treatments – surgery, radiation or chemo. Do these cure you?
  • If you come here expecting me to cure you, know that I too cannot cure your cancer. From my experience, NO one on earth can cure any cancer. After some years cancer comes back again!
  • But if you want me to help you – to give you another option, to have a better quality of life — may be it is possible. But it all depends on you. Because your health is your responsibility. Are you willing to help yourself? Are you willing to change your lifestyle, your diet, etc.?

OUR HERBS ARE BAD-TASTING, AND HAVE AWFUL SMELL

  • Besides the bad taste and smell.
  • You need to boil the herbs a few times a day — that’s a lot of work!
  • You need to take two, three or four types of teas each day.

YOU MUST TAKE CARE OF YOUR DIET – YOU CANNOT EAT ANYTHING YOU LIKE

  • You cannot eat anything that walks – meaning, no meat, no egg, no milk, etc.
  • Don’t take sugar (sugar is food for cancer).
  • Don’t eat oily or fried food, table salt.

TRY OUR THERAPY FOR TWO TO FOUR WEEKS

  •  May be the first 2 weeks on our therapy, you may suffer more pain, more tired, etc. That’s healing crisis. Don’t stop. Hopefully after 3 to 4 weeks you may feel better.
  • If after a month on our therapy you still don’t feel better — the herbs are not helping you in anyway — then stop following our therapy. Please ask someone else to help you.
  • If you feel better, continue with our therapy.

If you are still on chemo or radiotherapy (or are planning to do chemo or radiotherapy), or are taking other treatments elsewhere, Go ahead and continue with these treatments first, do not take our herbs yet.

 

 

 

 

 

 

Rectum-Liver Cancer: Part 1: Undergo surgery, chemo and radiation and you will be cured. Do you believe that?

Kanker Usus-Hati 1: Operasi diikuti kemo dan radioterapi bisa sembuh. Apakah ini benar? 

Jasmine (not real name) is a 54-year-old Indonesian lady. Her problem started with bleeding. The doctor was not sure if it was from the anus or the female reproductive organ. Jasmine consulted a gynaecologist who told her that her uterus was “dirty” and may need cleaning up (whatever that means!). Jasmine did nothing after that.

Some months later, while at home, Jasmine could not stand up. She was also bleeding. The doctor diagnosed the problem as vertigo (dizzy spell and feeling off balance).

A few months later, Jasmine went to see a doctor in Medan who performed a digital rectal examination. He felt  a mass in there! Jasmine was asked to undergo an operation.

Jasmine and her family came to Penang for further consultation. Her blood test results showed CEA = 247.03 and CA 19.9 = 72.2. Jasmine was also told that her cancer had already spread to her liver. She immediately underwent an operation in Hospital A. The procedure cost her RM 60,000 plus.

The pathology report indicated:

  • A moderately differentiated adeocarcinoma with metastases in pericolic lymph nodes (11/11) and segment 4a of liver. This was a T3N2Mx, Stage 4 cancer.
  • The non-neoplastic liver shows features of chronic hepatitis with grade 2 activity, Stage 3.

Jasmine was asked to start chemotherapy three weeks after the surgery but she was unable to do so because of infection. She was told she needed 8 cycles of chemo to be cured.

Later, Jasmine switched to Hospital B and had her first cycle of chemo there.

After her first shot of chemo, Jasmine suffered severe side effects and decided not to stop the treatment. No more chemo for her! Her daughter and son-in-law came to seek our help.

I asked her daughter: You had surgery in Hospital A but you went for chemo in Hospital B. Why did you switch hospital?

Daughter: The cost of chemotherapy in Hospital A is very expensive — RM7,000 per cycle. In Hospital B it was only RM3,500 per cycle.

How could there be such a great difference, I wondered.

In Hospital A the oncologist suggested using Oxaliplatin + oral drug, Xeloda or TS-One. In Hospital B, the drugs used were Oxaliplatin + oral drug TS-One. They are basically the same!

This is one lesson I learned this morning. Though the drugs used are the same, patients who don’t know enough, may be asked to pay twice the price for getting the same treatment. So beware!

Before I proceeded further with our consultation this morning, I asked this important question (which I hope all patients should learn to ask their doctors).

Before you undergo the operation, did you ask the doctor if the operation can cure your mother?

This was what the surgeon told Jasmine. You operate first and then go for 8 cycles of chemotherapy. In addition you also need radiotherapy. If you do all these you will be cured!

Did you specifically ask the doctor if he can cure your mother by the operation?

Daughter: I did ask exactly that and the doctor said it depends on chemotherapy — must do 8 times chemo first, otherwise the cancer may recur.

When you started the first chemo in Hospital B, did you ask the oncologist if the treatment was going to cure your mother?.

Daughter:  Yes, I asked. The oncologist in Hospital B replied: Cannot guarantee!

Did you tell the oncologist that the surgeon in Hospital A said that by undergoing 8 cycles of chemo it would cure your mother?

Daughter: Yes, I told the oncologist what the doctor in Hospital A said. He said just kept quiet. He said nothing!

Lesson number two I learned this morning — Someone is not telling the whole truth! Two doctors did not give the same answer for doing the same treatment! That much about the so called “scientific medicine.”

So patients, know that you are responsible for yourself. You have to find truth yourself. You can’t depend on others to tell you what you need to know!

So what is the truth in this story? You will know later. But in the meantime, please ponder carefully the following quotations said by doctors themselves:

 

 

 

 

 

 

NPC: Undergo chemotherapy,100 percent cure; if radiotherapy, 80 percent cure. You believe that?

Dear DR Chris Teo,

I apologize for writing without the benefit of an introduction, I am writing this email, with hope that I can scheduled an appointment with you, on behalf of my father who has been diagnosed with nose cancer(T2N1).

My father, Aba (not real name), 58 years old, has been diagnosed with nose cancer (T2N1) in February 2017 and was scheduled for 33 sessions of radiotherapy and 6 rounds of chemotherapy (4 hrs of cisplatin IV infusion),with an approximate total cost of SGD$9,700.

He declined the chemotherapy treatment (oncologists here are very persistent, we had to go thru series of ‘debates’) but complied to radiotherapy treatments. We was initially ensured a total recovery. Doctor mentioned that only 30% suffered from mild side effects and seeing my father is young he is confident that my father will be able to spring back to life in seconds.

Little did we knew, radiotherapy is just as bad. He is currently on his 13th session. The tormenting days started as early as day 2.  He is unable to eat maybe because of the many big ulcers, sudden chills, fever, nausea/vomiting and scalded skin. He is so weak. And ever since radiotherapy, I noticed he started to develop tight congestive cough at night. As of now, he said he had lost his sense of taste and hearing to his right ear.

On 6/6/17, during a scheduled consultation, we expressed our concern on his deteriorating health, and if there is anything that they can provide to aid him during this time, and they mentioned a few lists of medications in which they don’t recommended.  Their only advice is to allow his antibody to fight it off naturally. At the end of the day, we was only prescribe with a tin of Ensure Vanilla powder.

Disappointed with their lack of concerned and couldn’t help feeling betrayed, that was when we finally decided to called it off and stop the radiotherapy treatments.

It has been more than 48 hrs from his last radiotherapy session and he doesn’t seems to be getting any better.

Our family do believe in herbs but we have no knowledge on it.  He has been taking rodent tuber and  jus rerama (butterfly plant)  as supplements for almost a month now. We sincerely hope you are willing to look into my father’s case.  My father is eager to take all possible aggressive measures to combat this disease or at least to live peacefully with it.

We understand that this is one of many such requests that come across your desk and greatly appreciate any guidance that you can lend. We live in Singapore and ensure that I have no issues travelling to Penang on behalf of my father for the consultation and also the follow up treatments.

Thank you, in advance, for your help. I look forward to hearing from you at your earliest convenience.

Best of regards.

Reply: Come and see me with all the medical reports and scans … no need to bring your father … only you come ….. fly in the morning … go back in late afternoon. 

Summary of medical reports:

  1. 9 Feb. 2017: Right PNS biopsy — Non-keratinizing papillary squamous cell carcinoma.
  2. 23 Feb. 2017: MRI – Nasopharynx and Neck — right nasopharyngeal mass (4.8 x 3.9 x 3.0 cm) with extension across midline and into the right parapharyngeal space with right mastoid effusion. Enlarged right lateral retropharyngeal node, 1.4 x 1.2 cm.
  3. 23 Feb. 2017: Bone scan — there is no conclusive scan evidence of bone metastasis.
  4. 5 April 2017: Diagnosed with T2N1 nasopharyngeal cancer, EBV negative, p16 positive.
  5. 30 May 2017: MRI — Since the previous MRI stuy dated 23 Feb. 2017
  • stable size and extent of the known right nasopharyngeal tumour.
  • slightly larger right lateral retropharyngeal lymph nodes — 1.5 x 1.2cm fro, 1.4 x 1.1 cm.
  • larger cystic right level 2 lymph node suspicious for nodal metastasis — 2.2 x 1.5 cm fro, 1.3 x 0.7 cm.

Aba’s daughter (let’s call her Linda) and her husband came to seek our help. We talked for more than an hour. Below are some excerpts of our conversation that morning.

 

 

Here are some of the points we discussed.

  1. Do chemo, 100 percent cure, if radiotherapy 80 percent cure

Linda: He was told to go for chemo – 6 times and radiotherapy – 35 times. He declined chemo but went along with radiotherapy.

Chris: Chemo! Can cure or not?

L: The doctor said, 100 percent cure with chemo. The doctor also said if the patient is my father or mother, I would also ask him/her to do the same.

C: So chemo can cure 100 percent. What about radiotherapy?

L: If he did radiotherapy it will be 80 percent cure.

  1. Only 30 percent of patients will suffer mild side effects of radiation

L: The doctor also said that only 30 percent of patients will suffer from mild side effects of radiation.

C: Mild side effects? That’s what the doctor said?

L: The doctor said my father is still young.

C: Did you father know that the doctor said the radiation side effects is very mild?

L: He knew.

C: And after 13 times of radiation, why did he gave up?

L: He had bad mouth ulcers, etc. When to see the doctor and was told no medication to help him. Only let the body’s antibodies (immune system?) help him.

  1. Why are you so against chemotherapy?

C: Chemo would give a 100 percent cure — why don’t you ask your father to go for chemo?

Son-in-law: He wanted to go for it.

L: I quarrelled with the doctor. I have read a lot of stories. Even my uncle — he had one cycle of chemo for his colon cancer and he wanted to die already. Only one shot, and want to die already.

  1. Oncologist pushing my father to go for chemo!

L: The doctor was very, very …

SIL: insisting.

L: When I told the doctor that I don’t want my father to go for chemo, she was like trying to put the blame on me — if my dies, I would be the one responsible for it.

C: The doctor was really pushing you on that? How old is this oncologist?

L: She is a young lady doctor.

SIL: Some  young doctors are like that! Very pushy — chemo, chemo, chemo!

L: She said, this is the standard American protocol.

C: (From my experience) Nobody can cure any cancer! There is another young oncologist who told one of our patients. In my professional life as an oncologist, I have not come across a case where a patient dies because of my chemotherapy!

  1. Fellow patient undergoing the same treatment already died!

L: There was another patient who also underwent the same treatment (like my father in the same hospital). Last week my father asked the nurse what had happened to him. The nursed checked and found out that he already died.

  1. Mom with colon cancer. Surgery but refused chemo. Ten years still alive!

L: I read a lot.

C: Before you father got cancer, did you also read?

L: Actually my mother also had cancer — colon cancer. She went for surgery but she refused chemo. It’s now ten years. She never go for any check-up and she is still alive.

7. My take on this case

  • We cannot change human attitude. So let me tell you honestly — out of ten patients who come and seek our help, only three patients would benefit from our therapy. We cannot help the remaining seven patients because we cannot change their attitudes. We can help the cancer but we cannot help human beings.
  • You need to take care of your diet. You cannot eat anything you like. So what to eat now? I can’t help people like that! I know many people swear and curse me because I say you cannot eat this and cannot eat that.

SIL: My father is a very stubborn person. He likes to eat — so we have to change him on that.

C: That is the problem. I have no herbs to make him change his attitude, his stubbornness. I can tell you, I give up on such person. No use. My experience is when he gets well, he will not listen to my advice anymore. He eats anything he likes and he dies.

Comments

There are many lessons we can learn from this story.

  1. It pays to read and read, to know more. It is not enough to just go and see an oncologist and believe he/she can take care of you.

Linda read about her father’s cancer treatment. She took note that her uncle almost died after one shot of chemo. Linda’s mother also had cancer. She was told to undergo chemotherapy after her colon cancer surgery. She refused. She is still alive after ten years!

When the oncologist told Aba and his family members that chemo was going to provide a one hundred percent cure of his NPC, Linda was skeptical. You can only be skeptical and dare to question the doctor if you have some basic knowledge of what cancer treatment is all about. Unfortunately, many patients dare not ask. And they don’t read. They swallow everything that is being fed to them!

 

  1. Experience and wisdom are what you need to look out for when it comes to making life and death decision. Read and ponder the following wise words of Dr. Ruggeiri below.

It is not difficult to understand what Dr. Paul Ruggieri is trying to tell us. Substitute the word surgeon with oncologist and see how the message strikes you! It may sound like this … the first ten years of practice, an oncologist learns how to chemo people …. she is eager to chemo anyone who walks into her office … she is going to show off her stuff …. bla, bla, bla.

So if I have a choice, I would choose an experienced, sympathetic and wise doctor rather than a sweet, young one! (I know it is hard, wishful thinking?).

 

  1. Radiotherapy provides a 80 percent chance of cure. And only 30 percent of patients suffer side effects. Even that, according to the oncologist, these side effects are mild. Do you believe that?

Obviously this oncologist does not know what it is like to suffer from the treatments she is dishing out to her patients!

Pastor Danny had NPC and underwent chemotherapy and radiation treatments (using the same drugs as recommended for Aba). And he suffered severe side effects.

  • Suffered severe side effects of radiation – mouth sore, difficulty swallowing, burnt skin, etc.
  • At the same time, he received two cycles of chemotherapy.  The side effects were worse than radiation and he had to be hospitalized. He was unable to sleep, was in pain and became anxious and depressed. He was put on morphine and as a result suffered constipation and hallucination.
  • The treatment caused much misery. I would rather die – it was miserable and never again!

Read more: https://cancercaremalaysia.com/2012/05/21/a-u-turn-from-death-the-nose-cancer-journey-of-pastor-danny/

Dr. Peter Ooi related his NPC treatments as below:

Radiotherapy Experience

  • The treatment burnt my whole throat – like it was on fire.
  • My wife cried, because I couldn’t drink even a drop of water.
  • I could not walk by myself.
  • I was not told about the side effects of radiotherapy.
  • I have no more salivary glands (that is why in the video you see Peter having to taking sips of water very often when talking to us). 

Chemo Experience

  • I was not told about the side effects of chemotherapy – the only thing mentioned was hair loss.
  • I stopped chemo after the fourth cycle – I was too weak.
  • I developed a phobia for “needle”. The veins in my hands just “disappeared” when I see a needle!

Read more: https://cancercaremalaysia.com/2012/01/29/nose-npc-cancer-eleven-plus-years-on-herbs-part-1-my-radio-chemotherapy-experience/

Doc, you call these mild side effects?

  1. The oncologist told Linda that chemotherapy can provide a one hundred percent cure! What the oncologist did not tell is that chemotherapy can also come with a heavy toll! Sometimes, chemotherapy kills.

According to Linda, a fellow patient undergoing the same treatment as her father died along the way!  Is that not proof enough? Read what these two doctors say.

Last week the newspapers reported that one of Singapore’s most prominent oncologist was suspended for eight months due to professional misconduct. According to this report, Dr. Ang Peng Thiam, a 35-year veteran and medical director of Parkway Cancer Centre, was found guilty of these charges:

  • That he made false representation to the patient who was suffering from lung cancer that there was a “70 per cent” chance of responding to the treatment he suggested, and
  • That he failed to offer her surgery as an option.

The patient died six months after seeing this famous oncologist.

The disciplinary tribunal found that Dr Ang “had no reasonable basis” for saying there was a 70 per cent chance of response and felt that he had “wrongly held out false hope” to the patient and her family. He made the claims intentionally even though he knew or ought to have known there was no basis for him to do so.

The judges said doctors were obliged to present the range of viable options and what the pros and cons of each of these were. Patients must get to decide for themselves what treatment they want, the judges added. “It was not Dr Ang’s role to decide, but to inform,” the judges said.

Cancer patients, can you learn anything from the above episode?

Read more: https://badscienceblindtruth.wordpress.com/

Let me end by asking you once again to reflect on the wise words of Dr. Ruggieri below:

 

 

 

 

She refused to undergo chemo after her mastectomy

Ros is 55-year-old Indonesian lady. In early January 2016, she found a lump in her left chest just above her breast. A doctor in her hometown requested her to do a biopsy. She refused. She did nothing after that.

Some eight months later, Ros had no choice but had to consult the doctor again since the lump had grown bigger.

A biopsy was done, followed by a total left mastectomy.

Histopathology confirmed a malignant tumour — ER negative, PR negative and HER-2 positive.

After the surgery Ros had to be hospitalised for one month due to complications with her diabetes.

Two weeks after being discharged, Ros had to be hospitalised again for 27 days due to fluid accumulation in her breast.

By November 2016, Ros was okay. She was scheduled for 6 cycles of chemotherapy. She refused the treatment.

I asked her: Why don’t you want to go for chemotherapy?

Ros replied: My son works in the hospital! I saw patients who had undergone chemotherapy. The treatment did not cure them.

Ros and her family came to seek our help in mid-December 2016 after being told by another patient about us.

Six Months Later

Ros’s daughter came back to see us again. Her mother’s health was restored.

I asked: Is she better now compared to the time when she first came here?

Daughter: She is far better off now than before taking the herbs.

Her back pains are gone. Stomach discomforts due to wind was resolved. Her CEA is at 1.9 and CA15.3 at 6.2.

Comments

So far so good. Everyone is happy. But let me remind all patients this. This good time may not last forever. Please take care of yourself. Ros is not out  of the woods yet. Her healing journey has just started. The cancer can recur anytime if she is not careful.

Many patients assume that they are “cured” after awhile. Then  they will go back to their own ways of life and eating habits. Some would stop taking the herbs.

Well, we have a choice. We can do our best to heal ourselves or we can go back to our old ways of life.

In Ros’s case, I have a few concerns.

  1. Ros is obese. I am afraid this is not a positive factor for her healing. She has a long way more to make her life heathy.
  2. The good part of this story is that Ros had undergone a mastectomy. We hope that all the cancerous tissue had been removed. But who can say that with certainty?
  3. The bad part of this story is that we don’t know if the cancer had already spread elsewhere. No one can tell. When she presented with back pain, I feared that the cancer had gone to the bone? But with the herbs, the pains were gone.
  4. The doctor said it was a Stage 2 cancer. But how “correct” is he in his prognosis?
  5. Will the cancer come back again? We hope not but the chances could be high that this can happen. We need to take note that this is a double negative tumour.
  6. In this case, would it not be better if Ros undergo chemotherapy as a “double” insurance? Your guess is as good as mine. In fact, during her daughter’s visit, she brought another case of breast cancer. This patient had undergone rounds and rounds of chemos (about a dozen cycles at least). The treatment did not cure her.

So, Ros understood what chemo could do for her!

 

 

Let Death Be Her Final Healing: Five surgeries, chemo, Glevec, Sutent, hyperthermia and immunotherapy did not cure her

I received this email one Sunday morning.

Dear Dr Chris, 

My sister has returned to the Lord on 1/6, a peaceful passing. Her well deserved rest finally. Thank you for all your kind assistance throughout. Really appreciate that. 

Regards, Polly (not real name).

On the one hand, I felt sad to receive this update. But on the other hand, I felt it was indeed a blessing that she had passed on. She had suffered enough and I knew from the start that there is nothing anybody on earth could do to ever cure her.

Ten years ago, Mary (not real name) was 20 years old. She had a lump in her pelvic region.  A CT scan on 23 October 2006 suggested that it could be a lymphoma. However, a biopsy later confirmed it was a sarcoma of the lining of the small intestine. The doctor suggested it was a GIST – gastrointestinal stromal tumour.

The size of the small bowel tumour (GIST) was 10 x 14 x 14 cm. Since the size of the tumour was really huge, the doctor suggested that Mary take the oral chemo drug, Glevec — to shrink the tumour. So Mary was on Glevec for 2 years and the tumour shrunk to 6 x 8 x 9 cm ( as of 7 February 2007).

In 2008, Mary underwent an operation to remove the tumour and continued to take the Glevec.

One year later, 2009, the tumour recurred. The mass was now 8.5 x 5.5 cm. There was a 2 cm liver metastasis in segment 5 of her liver. Mary underwent a second surgery and continued to take same drug, Glevec.

In 2011, the cancer came back again. There was a new 12 mm lesion in segment 6 of the liver. There were 3 peritoneal masses: 5 x 3.5 cm, 5 x 3 cm and 3.2 x 2.2 cm. Mary went for her third surgery. After surgery, she was given the oral drug, Sutent instead of Glevec.

In 2014, the cancer came back again. There were two masses: 17 x 13 x 17 cm and 6 x 5 cm.  In addition she had a 2.8 cm right ovarian cyst. The two lesions in the liver remained unchanged. Mary had her fourth surgery and continued to take Sutent after that.

In 2015, The surgeon who operated on Mary died of heart attack. So Mary had to find another doctor to take care of her.

Under the direction of her “new” doctor, Mary continued with Sutent.

A CT scan on 4 December 2015, showed the tumour had increased in size, 18 x 15 x 13 cm. Mary underwent surgery for the fifth time.

A PET scan in July 2016 showed that the tumour had grown back again. At this stage, no more surgery was indicated.

Mary was to told to change her drug to Stivarga (RM30,000 for 3 weeks). Fortunately, she did not take this drug which has more side effects.

On 22 August 2016, Mary left for further treatment in Switzerland. This is a famous alternative clinic and she was there for three weeks receiving all kinds of infusion, including ozone therapy, etc. etc. The treatment in Switzerland cost RM 130,000.

No, the treatment in Switzerland did not work either. To be fair, the doctor there was not optimistic at all because the tumour was too big.

Back to Malaysia, Mary tried hyperthermia and targeted heat treatment.

Then Mary went to a doctor who was treating patients with immunotherapy.

Mary consulted an American hospital. She was told her cancer was not curable but treatable! The treatment would cost about half a million ringgit.

CT on 21 October 2016, showed the solid mass in her pelvis had grown to 24 x 16 x 13 cm in size. In addition she had mild ascites and mild bilateral hydronephrosis.

In early November 2016, Mary was started on dialysis due to kidney failure.

On 22 November 2016, Polly (Mary’s sister) came to seek our help. We went through her story above and at the end I said this to Polly.

  1. There is really nothing much I can do to help. Everything that could have been done was done.
  1. She is now on dialysis. Generally, I would not accept patients with kidney failure. After all, people say that herbs cause kidney damage. How can we reconcile this?
  1. After all the explanation, I came to one very sad proposition. Let’s not do anything anymore.Let her live the remaining time that she has without having to endure anymore treatment. She has suffered enough and no one could cure her. Why not let her die naturally. 

No, Polly was adamant that she wanted me to try and help her sister. No, she was not prepared to let her sister die just like that. I sent Polly home without any herbs! No, I was not going to abandon her but I requested that Polly go home and discuss with her family members — the risks, pros and cons of doing something with no realistic hope of achieving anything meaningful. Why prolong the agony?

To my surprise, Polly came back to our centre again a week later. No, she wanted me to prescribe some herbs for her sister.

Okay, deal done if she was prepared to accept whatever consequences that may arise without putting any blame on CA Care.

I told Polly, our first strategy was not to even treat the cancer. Let’s figure out how to help with her failed kidney. Currently Mary had to undergo dialysis 3 times per week. Both her feet (and sometimes face) were swollen.

So we started off with herbs to help her kidney and fluid retention.

Mary started to take the herbs. Her creatinine level improved. By mid-December 2016, the frequency of dialysis was reduced from 3 to 2 times per week.

Date Creatinine
7 Nov. 2016 670
12 Nov. 2016 720
19 Nov. 2016 520
29 Nov. 2016 438
5 Dec. 2016 346
19 Dec. 2016 330
Dialysis twice per week
23 Dec. 2016 322
2 Jan. 2017 365
5 Feb. 2017 330

Comments

Polly was indeed committed to her sister’s healing. I admired her dedication of wanting to do everything for her sister, in the face of hopelessness. She visited CA Care a couple of times to update me of what had happened.

After taking the herbs there was no doubt that Mary’s health had improved! Polly wrote, Her face puffiness and bloatedness have reduced much … she looks better than before she started the herbs. 

Polly once told me that Mary could now walk around in the house and could smile! Before that, she would not smile!

During Polly’s last visit to us, I asked, What happened to your sister now? Polly replied, She is now in Singapore — holiday with my parents.

I shook my head in disbelief and we could only thank God for this blessing. Perhaps at the beginning, I was cruel to suggest that we would just let Mary die without doing anything more. But at that time, I thought I was just wanting to be kind — why prolong the agony? After all we know that this is a hopeless case.

About 6 months later, reality struck. Mary returned to be with her Lord on 1 June 2017.

I now wonder if all the efforts of taking herbs (and prolong her life for another 6 months without pain) is worth it after all.

Mary had gone to Switzerland for a special treatment and spent RM150,000. Then an oncologist in a US-linked hospital suggested more treatments that would not cure. This would cost some half a million ringgit.

Paul Workman, Giulio Draetta, Jan Scellens and Rene Bernards wrote an article, How Much Longer Will We Put Up With $100,000 Cancer Drugs? I  too  just wonder, has the world of cancer treatment gone crazy and out of control — like Mary’s incurable cancer ?

Mary’s case is my first case where I agreed to prescribe herbs in spite of her failed kidney. I would not want to take on such kidney failure case in the future. So, for those of you reading this story, please go to your doctor for help and do your dialysis.

Let me conclude with one point for you to think about. Often — very often — many people warn you that taking herbs can damage your kidney or/and liver.

In this case, Mary came with a failed kidney and her creatinine was better and her health improved instead of going downhill after taking the herbs. You still believe that herbs can hurt your kidney?

Read related stories:

Bring her home and let her die in peace and with dignity. Part 1: The mantra of  NO CURE BUT THERE ARE TREATMENTS is meaningless.

How Much Longer Will We Put Up With $100,000 Cancer Drugs?

 

 

 

 

 

 

 

 

 

 

How Much Longer Will We Put Up With $100,000 Cancer Drugs?

  • Of 91 new therapies approved for solid tumours between 2002 and 2016, the median overall survival benefit was little more than two months. 
  • Yet the annual price tag per patient now regularly exceeds $100,000.

 European School of Oncology

Paul Workman, Giulio Draetta, Jan Scellens and Rene Bernards wrote an article, How Much Longer Will We Put Up With $100,000 Cancer Drugs? DOI: http://dx.doi.org/10.1016/j.cell.2017.01.034

  • The spiraling cost of new drugs mandates a fundamentally different approach to keep lifesaving therapies affordable for cancer patients.
  • As early as 2012, 12 of the 13 newly-approved cancer drugs were priced above $100,000 annually, and the situation has only gotten worse since (Light and Kantarjian, 2013, Mailankody and Prasad, 2015). For instance, the cost of the combination of nivolumab (anti-PD-1) and ipilimumab (anti-CTLA4) is priced around $252,000, exceeding the median cost of a US home ($240,000 in 2016).
  • With a lifetime risk of developing cancer of close to 40%, the problem is clear.
  • The pharmaceutical industry has traditionally defended these high prices by pointing at the high attrition rate during clinical drug development and the cost of large registration studies.
  • If development cost would be a major factor in the pricing structure, a simple law of economics would have mandated a considerable reduction in price when the eligible patient population increases, but that has hardly happened.
  • This is a recurring theme in pharma. For instance, trastuzumab was first approved for advanced breast cancer and later also for early disease (adjuvant) without a reduction in price. Healthcare payers should not accept this lack of price-volume relationship.
  • Moreover, there is very little relationship between drug price and clinical benefit (Mailankody and Prasad, 2015). This has sparked widespread criticism, alleging that cancer drug pricing is primarily based on “what the market will bear.” 
  • There is a clear and urgent necessity to lower cancer drug prices to keep lifesaving drugs available and affordable for patients. As one patient advocate recently put it: “Innovation is meaningless if nobody can afford it.”
  • Much has been written about the reasons behind the exorbitant drug prices and what to do about it. One recurring theme is the notion that the US federal government is prohibited by law from negotiating drug prices as a result of the 2003 Medicare Prescription Drug, Improvement and Modernization Act.
  • Considering that Medicare and Medicaid spend $ 140 billion on medicines annually, this represents a serious impediment in driving down drug prices. Lack of competition and a general absence of a connection between drug price, sales volume, and clinical performance are other arguments in the drug pricing discussion (Jaffe, 2015).
  • Indeed, lack of competition and bargaining power made US prices of cancer drugs among the highest in the world, increasing by 10% annually between 1995 and 2013, far above the average inflation rate (Howard et al., 2015).
  • While negotiations may bring prices down, a recent cost comparison in EU countries shows that the ability of individual nations to negotiate discounts is limited, most likely due to the modest market sizes of the EU countries (van Harten et al., 2016).

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Beware the Medical-Industrial Complex

Stevens CW1Glatstein E.   Oncologist. 1996;1(4):IV-V.

  • “. we must guard against the acquisition of unwarranted influence, whether sought or unsought, by the military industrial complex.” Dwight D. Eisenhower, 34th President of the United States (1953-1961). Farewell Address, January 17, 1961.
  • If Ike were with us today, he might well expand his views on power and influence to include modern American medicine. The corporatization of health care in the United States has moved rapidly in recent years.
  • New developments in cancer treatment include expensive technological “bells and whistles” which physicians must ultimately evaluate objectively, despite lush advertisements from companies with obvious vested interests, and authoritative testimonials from biased investigators who presumably believe in their own work to the point of straining credulity and denying common sense.
  • The 3-D image that was created by a computer may look beautiful (and cost accordingly), but it is hard to believe that it can fundamentally change the outcome of patients when it does not add any new data that bear on basic issues.
  • Thus, new equipment will be exploiting issues of convenience, efficiency, and increased throughput (translate: economic improvement, not biological superiority).
  • We must remember that every new therapy costs money ….
  • Improvement in cancer cure rates has been frustratingly slow. We work against a clever, tenacious adversary – both in the clinic and in the corporate board room. It is our responsibility to tout our accomplishments, admit our failures, and provide progressively better basic and clinical research with an eye toward future improvements in outcome. We must not be seen as yet another special interest come to drink at the well of public spending, but as advocates for the public good.

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The prince and the pauper. A tale of anticancer targeted agents.

Dueñas-González A1García-López PHerrera LAMedina-Franco JLGonzález-Fierro ACandelaria M.   Mol Cancer. 2008 Oct 23;7:82. doi: 10.1186/1476-4598-7-82.

  • Cancer rates are set to increase at an alarming rate, from 10 million new cases globally in 2000 to 15 million in 2020.
  • Regarding the pharmacological treatment of cancer, we currently are in the interphase of two treatment eras. The so-called pregenomic therapy which names the traditional cancer drugs, mainly cytotoxic drug types, and post-genomic era-type drugs referring to rationally-based designed.
  • Although there are successful examples of this newer drug discovery approach, most target-specific agents only provide small gains in symptom control and/or survival, whereas others have consistently failed in the clinical testing.

There is however, a characteristic shared by these agents: their high cost.

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Anticancer Drug Development: The Way Forward.

Connors T1. Oncologist. 1996;1(3):180-181.

  • Cancer chemotherapy celebrated its fiftieth anniversary last year. It was in 1945 that wartime research on the nitrogen mustards, which uncovered their potential use in the treatment of leukaemias and other cancers, was first made public.
  • Fifty years later, more than sixty drugs have been registered in the USA for the treatment of cancer, but there are still lessons to be learnt.
  • One problem, paradoxically, is that many anticancer agents produce a response in several different classes of the disease. This means that once a new agent has been shown to be effective in one cancer, much effort is devoted to further investigations of the same drug in various combinations for different disorders.
  • While this approach has led to advances in the treatment of many childhood cancers and some rare diseases, a plethora of studies on metastatic colon cancer, for example, has yielded little benefit. 5-fluorouracil continues to be used in trials, yet there is no evidence for an increase in survival.
  • The lesson to be learnt is that many common cancers are not adequately treated by present-day chemotherapy, and most trials of this sort are a  waste of time.
  • Significant increases in survival will only occur if the selectivity of present-day anticancer agents can be increased or new classes of more selective agents can be discovered.