BOOK REVIEW: Your Brain After Chemo

A Practical Guide to Lifting the Fog and Getting Back Your Focus 
by Dan Silverman, MD, PhD and Idelle Davidson

Silverman_BrainAfterChemo_mech.indd

Reviewed by Yeong Sek Yee & Khadijah Shaari

As we were reviewing this book, we had a firsthand encounter with an old classmate with “chemo-brain.” This lady has undergone 8 cycles and is currently undergoing another series of 18 cycles of chemotherapy treatment for cancer of the pancreas which has spread to the liver. Recently we (and some other old classmates) made arrangements to visit her on Sunday 18th Aug at 3.00 pm, but this was subsequently changed to Tuesday at 11.00 am. When the group arrived at her house on Tuesday at 11.00 am, this lady insisted that our rendezvous was supposed to be at 3.00 pm and not 11.00 am

The above is a good illustration of what “chemo brain” is. The mental fog and forgetfulness are no figment of the patient’s imagination. It is very real.

The book is co-authored by Dr. Daniel Silverman, head of neuronuclear imaging and Associate Professor of Molecular and Medical Pharmacology at the David Geffen School of Medicine at UCLA and award-winning journalist and breast cancer survivor Idelle Davidson.

This book validates what cancer patients and survivors have been telling doctors for a long time and that is, chemotherapy can cause significant cognitive dysfunction – even years after treatment. Until recently, oncologists often discounted or trivialized “chemo brain.” The authors gave 2 clear examples:

  • Barbara, unemployed related the following story….”my oncologist said there are no data out there about chemo brain. He discounted it, saying I’m fifty, the whole menopause thing. He patted me on the back, made me feel like I’m an idiot.”
  • Jessica, an office manager related….I was halfway through my chemo regimen, and I felt dull, like I was running on all cylinders. My oncologist said…”well, we’ll put you on an antidepressant; that should take care of everything.” Jessica was so taken aback that she remarked to the oncologist….”I am not crazy or deeply depressed.”

But the authors present plenty of evidence to the contrary. This well-researched book provides alarming-but-necessary information on chemotherapy’s effect on patients’ cognitive abilities. A significant number of patients reported concentration losses, multitasking problems, attention deficits, as well as many types of memory loss.

However, Dr Silverman and Davidson do acknowledge that there is a fine line between a patient who has cognitive impairment and one who has depression, pointing out that mood can also affect cognitive functioning and vice versa. The book highlights that depression, anxiety, and cognitive impairment are sometimes all intertwined. For example, according to the authors, when people are depressed, “they also struggle with memory, attention, and concentration problems.”

The authors also guide readers through the kinds of questions about chemotherapy that patients can ask their doctors. Silverman and Davidson also provide excellent information on methods that might work to alleviate depression – such as cognitive therapy, yoga, acupuncture, and meditation.

The book also covers foods that can help foster a healthy mind, as well as ways of coping with insomnia, fatigue, inattention, and problems concentrating. The authors devoted CHAPTER 6 to explaining the type of BRAIN FOODS that cancer patients should avoid/consume in order to improve their brain functions. Briefly, these are:

  • Avoid all saturated and trans fats—cheese, whole milk, butter, lard, etc all can cause a “brain attack” or the death of brain cells caused by poor blood flow.
  • Also avoid all Omega 6 products besides the above—these are essentially fried foods, mayonnaise, cookies, cakes, chips, crackers, cereals, seeds and nuts and refined oils such as soybean, safflower, sunflower, cottonseed and corn oils.

(Omega-6 promote inflammation and causes chronic inflammation)

  • Omega-3 fatty acids are crucial to brain development and in maintaining optimal brain function and vision….main sources are oily cold-water fish and plant sources like flaxseed, flaxseed oils and walnuts.

(Omega -3 fatty acids help promote healthy mental processing)

  • Consume some “brain-friendly antioxidants” such as beta-carotene, lycopene, Vitamin E, selenium and Vitamin C. Other phytochemicals recommended are Vitamin D, Vitamin B12, Coenzyme Q10 and gingko biloba.

Good nutrition is not just about the body. What we consume has a direct relationship to our cognitive well-being. Omega-3 fats are linked to good brain (and heart) health and protect against neurodegenerative diseases and may help with mood, learning and memory. When we nourish the brain, we feed the mind.

Did your doctor/oncologist recommend to you any of the above or did he just prescribe you some anti-depressants just like Jessica??

Filled with personal stories from many cancer survivors, the authors present many long-term strategies that anyone can use to start recovering from chemobrain. Included is a daily nine-step program that should boost your brain functioning over time. You will learn how and why to sleep well, watch your diet, be careful of what you drink, do regular exercise, monitor your mood, and stay healthy. As your memory and other strategic thinking processes return, you will feel better about yourself and regain confidence.

For further information, do visit the authors’ blog at:

http://yourbrainafterchemo.blogspot.com/

Another book in the same category as this one reviewed is ChemoBrain: How Cancer Therapies Can Affect Your Mind by Ellen Clegg (Author), Dr. Steward Fleishman, MD .

The brain fog that afflicts many people who have undergone standard or high-dose chemotherapy is known as “chemobrain.” In this clear, concise guide for cancer patients, survivors, families, friends, and caregivers, journalist Ellen Clegg provides the latest information on this much-discussed but poorly understood side effect of chemotherapy treatment.

Based on interviews with physicians and scientists who have treated and studied this problem, Clegg explains in understandable terms how chemotherapy works at the most basic biological level and also provides practical tips for coping with the aftermath of chemotherapy treatment. Website: http://www.chemobraininfo.org/

If you are keen on more information on chemobrain, just follow the following links:

RELATED REFERENCES:

1)    Scientists Find ‘Chemo Brain’ No Figment Of The Imagination

Link: http://www.sciencedaily.com/releases/2006/10/061006072544.htm 

2)    Scientific Basis for Cognitive Complaints of Breast Cancer Patients

Link: http://www.sciencedaily.com/releases/2013/04/130419132613.htm

3)    Neuroscientist Sheds Light On Cause for ‘Chemo Brain’

Link: http://www.sciencedaily.com/releases/2013/02/130221115922.htm

4)    ‘Chemo Brain’: Researchers Identify Physiological Evidence of Chemotherapy-Induced Changes in the Brain

Link: http://www.sciencedaily.com/releases/2012/11/121127003324.htm

5)    Breast Cancer Survivors Struggle With Cognitive Problems Several Years After Treatment

Link: http://www.sciencedaily.com/releases/2011/12/111212093738.htm

6)    Chemobrain: The Flip Side Of Surviving Cancer

Link: http://www.sciencedaily.com/releases/2009/09/090917111518.htm

SOME VIDEOS ON CHEMO BRAIN

1)    WHAT IS CHEMO BRAIN?

Link: https://www.youtube.com/watch?v=EbKYn4ZtQcA 

2)    Chemo brain after cancer treatment – Dana-Farber Cancer Institute

Link: https://www.youtube.com/watch?v=iK1UqTnD5GI 

3)    Cure for Chemo Brain / Brain Fog

 Link: https://www.youtube.com/watch?v=PXKbYaYk3ys 

4)    Deanna’s Discovery: Chemo brain

https://www.youtube.com/watch?v=GRa_LvBZjS4 

5)    Chemo Brain

Link: https://www.youtube.com/watch?v=Q5NPh1u4N9U

 

CANCER’S COLLATERAL DAMAGE: PART 1 A LYMPHOMA STORY

By Yeong Sek Yee & Khadijah Shaari

 Conventional cancer treatments, especially the chemotherapeutic agents are toxic and can cause a great deal of collateral damage to the body besides the nausea, vomiting and hair loss that your doctor tells you about. Collateral damage is damage to things that are incidental to the intended target and this is best illustrated by Dr. David Levy, former president of the British Columbia Cancer Agency, Canada:

  • “In fighting the war on cancer, there is, like in any war, unwanted collateral damage. There is no silver bullet, but in many ways, a refined shotgun, blasting the tumour while pellets hit other vital organs.
  • ·         “The bone marrow, liver, and nervous system get their share of hits, but the heart and vascular system are certainly at risk depending on the weapon used, particularly because the vascular system and blood supply are intimately involved in any treatment delivery.

Link:http://blogs.vancouversun.com/2010/09/25/the-heart-collateral-damage-from-cancer-treatment/

Dr Russell Blaylock, a neurosurgeon, described other more serious collateral damage such as depressed production of blood-forming cells, cardiac toxicity, pulmonary complications, gastrointestinal complications, liver injury, kidney and neurological complications in Chapter 3….Chemotherapy: Poisoning Cancer (and You) in the New York bestseller, NATURAL STRATEGIES FOR CANCER PATIENTS. 

In 2012, Dr Margaret I. Cuomo, MD, a board- certified radiologist, published A WORLD WITHOUT CANCER. In Chapter 7, “Cancer’s Collateral Damage,” Dr Cuomo described the cancer journey of Toni, a 50 year old artist and her husband Doug, a golf professional and how the couple saw “the darkest side of our current cancer care paradigm” The couple endured Toni’s frequent hospitalizations, the debilitating side effects of one cancer drug after another, false hope, and a mounting pile of bills. Their ordeal ended with Toni’s death less than 4 years later after her diagnosis of lymphoma.

Below is Toni’s sad story as told by Dr Cuomo in her book:

In late November 2007, Toni, was diagnosed with diffuse large B-cell lymphoma, a common form of non-Hodgkin’s lymphoma. Scans revealed Toni had an especially aggressive cancer with tumors scattered across her abdominal area and elsewhere. Still, her oncologist spoke optimistically about the package of treatment options available, and she was co-operative and prepared for the fight.

After surgery to remove the tumors, Toni began a six-cycle regimen of chemotherapy, receiving an eight-hour infusion every few weeks. By the third round, she could barely move from her bed between infusions, but she persevered, and at the end of June 2008, Toni and her husband Doug, received good news. “We got it” her doctors proclaimed. Everyone believed the cancer was gone.

Toni was told she would have to return for scans every three months for the first year, and then less frequently. Doug remembers the doctor saying, “After five years, you won’t have to come back at all.”

Weakened by the chemotherapy, Toni spent much of the summer and fall regaining her strength. Life for the couple was good again. Until March 2009, that is, when a post-treatment scan showed that the cancer had recurred and had spread. Toni’s oncologist suggested that she would be a good candidate for a bone marrow transplant, which had to be done at a cancer center about 100 miles from their home.

After learning more about the rigorous and difficult procedure – including claims (by their oncologist) that it had a 95% success rate – Toni agreed to begin treatment.

Additional potent chemotherapy had to come first. This time, Toni was admitted to the local hospital, where she received chemotherapy around the clock for three days every three weeks. A post-chemo scan again showed no evidence of cancer, and the couple headed to the cancer center, ready for the bone marrow transplant. Their insurance company had already said yes to the US$400,000 treatment. It was July 2009.

The first step was to harvest Toni’s bone marrow stem cells, which took eight hours a day over five consecutive days. Another week of chemotherapy came next, and then the stem cells were infused back into her body during a four-hour procedure.

She remained hospitalized for the next three weeks, as the stem cells started to grow again. Once, her blood pressure plunged and her platelet levels dropped to dangerously low levels, bringing her perilously close to death.

Although she recovered, Toni’s health had been compromised, and remained so after her release from the hospital. Shortly afterward, her temperature spiked to 105 F, a fungal infection was found in her lungs, and she was readmitted for further treatment. The fungus might have been there for a long time, held in check until her immune system was weakened by chemotherapy and could no longer fight the latent infection. Her antifungal medicine cost US$5,600 a month.

Toni was finally able to return home in late October 2009, although the demands of continuing treatment and follow up meant the couple had to make weekly four-hour round-trip drives to the hospital.

In February 2010, Toni returned for a scan, expecting it to show that the bone marrow transplant had worked. The couple thought this would be their moment of triumph, a second chance for a longer life. Instead, they learned that Toni still had evidence of cancer. A year of suffering had been in vain.

Her doctors suggested another transplant. Nothing else will work, they said. Toni balked. “No,” she said. “You didn’t have to go through what I went through. You didn’t almost die. You’re not the ones who didn’t have any quality of life for almost a year.” Then, she added quietly, “I don’t know whether or not we can afford it”

The doctor’s response: “You don’t have to worry. Your insurance company paid for everything the first time. It will pay for everything again.”

That wasn’t quite true, of course. “Insurance didn’t pay for us to live away from home for eight months,” Doug recalls. “It didn’t pay for a lot of the drugs Toni needed, It didn’t pay for the fact that both of us were out of work for quite some time. The insurance company covers the medical cost, but it doesn’t cover the costs of the disease.”

Even so, they decided to try another transplant. Over the next few months, more health problems intervened. Toni’s spleen swelled to five times its normal size, her white blood cell count plunged and she developed pneumonia. Meanwhile, scans showed that her cancer kept surging.

Still, the doctors insisted she remained a candidate for the transplant. The procedure was scheduled, canceled, rescheduled, and canceled once more.

As many patients do when they have exhausted all other options, Toni entered a clinical trial, this one assessing a new combination drug treatment. Beginning in April 2011, the couple began making regular trips to the hospital for the protocol. With the tumors shrinking, the punishing treatment schedule seemed worth it. The second bone marrow transplant again seemed possible.

Then, new obstacles arose. When Toni complained of headaches, invasive tests revealed that lymphoma cells had invaded her cerebral spinal fluid. The cancer was in her brain.

Yet another drug treatment option was put on the table, but this time her oncologist was finally ready to advise against it. “You can do this if you want, but I don’t recommend it”, he said bluntly. “You will be in the hospital for six months. It’ll be hell, and then you will die.”

Toni’s fight was over. The doctor said that she would probably survive until Thanksgiving but doubted that she would make it to Christmas. On September 29, 2011, Toni’s courageous four-year battle came to an end. She was 54.

When illness first occurred, Toni and Doug had steady jobs, good insurance, and friends willing to help. The couple incurred US$50,000 in out-of-pocket medical costs and another US$150,000 in living expenses, including bills for hotels, food, and gas. After long periods without a regular income, the couple couldn’t meet their monthly obligations. Decades of careful savings vanished.

Doug wondered now if they were given false hope. Had we known the full extent of what was ahead, I don’t think we would have gone through what we did,” he says. Was what we went through done to teach somebody else? Or was it done for the revenue?

It is hard for him not to feel cynical about the agenda of those in the cancer industry and the influence of money on decision making. In my heart, I believe if we wanted to find a cure for cancer, we would have done so a long time ago,” Doug said. “I don’t believe the medical profession wants to find a cure. They would like to find effective treatments for cancer, but a cure? No. There would be too many people out of work.”

I truly believe,” he adds, “that if our insurance hadn’t paid the doctors as well as it did, they wouldn’t have encouraged us to keep on with treatment.”

Dr Cuomo’s concluding remarks:

Understandably, Doug may be a bit harsh in his judgment of Toni’s physicians. Treating people with cancer is a delicate and tricky process, with oncologists trying to keep their patients alive by staying one step ahead of the disease. It is hard to know just how much extra gain can be achieved, at what price, and exactly when the struggle becomes futile. Right now, most therapy buys patients with advanced cancer only a little more time.

Postscript

Another sad story is that of Jacqueline Kennedy Onassis who was diagnosed with NHL in Jan 1994. She received chemotherapy and radiation treatments at the prestigious New York Hospital-Cornell Medical Centre. The New York Times reported that she “initially responded to therapy, but it (the cancer) came back in her brain and spread through her body.”

For the unrelenting pain in her neck, Mrs. Onassis received more drugs. For the acute pneumonia she developed in her weakened state, she received more drugs. Steroids were part of the mixture in her chemotherapy, which caused a perforated ulcer in her stomach. In the middle of her ordeal, she had to be operated on to sew up the hole in her stomach.

She went from bad to worse, and as a final assault on her body, she was subjected to even more radiation and chemotherapy, only this time it was shot directly into her brain. The cancer spread to her spinal cord, her liver, and throughout the body. She became weak and disoriented, lost weight, developed shaking chills, her speech slowed, and she had difficulty walking.

Mrs. Onassis passed away in May 1994…..just 5 months after diagnosis.

Similarly, King Hussein of Jordan was diagnosed with NHL July 1998 and began 6 months of chemotherapy and 2 bone marrow transplants. King Hussein passed away in Feb 1999 at age 63……..just 8 months after diagnosis.

FOOD FOR THOUGHT

In the stories of Jacqueline Kennedy Onassis, and King Hussein of Jordan, was it a case of excessive collateral damage or did the chemotherapy drugs spread the cancer? How come scientifically tested, evidence-based medicine could not save them then or was the lymphoma too aggressive?

We welcome your thoughts.

HOW MISSING DATA CAN MISLEAD DOCTORS AND HARM PATIENTS

Bad Pharma

Reviewed by: Yeong Sek Yee & Khadijah Shaari

This article is a summary of Chapter 1 “MISSING DATA” of the bestselling book, BAD PHARMA by Dr Ben Goldacre which was released in Oct 2012. The author Dr Ben Michael Goldacre, graduated in 1995 with a first-class honors degree in medicine from Magdalen College, Oxford, obtained an MA in philosophy from Kings College London, and undertook clinical training at UCL Medical School, qualifying as a medical doctor in 2000 and as a psychiatrist in 2005. As of 2012 he is Wellcome research fellow in epidemiology at the London School of Hygiene and Tropical Medicine.

“Missing Data” in the context of clinical trials/research means data that are not reported by the drug companies when the clinical trials/research are completed or not completed. Obviously these are data that are “negative” or “unflattering” for the drug being tested. And obviously, these “unfavourable” results will not be included in their submissions to the respective regulators. In other words, only favourable results are submitted or published.

Dr Goldacre strongly argued that the clinical trials undertaken by drug companies routinely reach conclusions favourable to the company. These positive results are achieved in a number of ways:

  • Sometimes the industry-sponsored trials are flawed by design (for example by comparing the new drug with something that is known to be rubbish or an existing drug at an inadequate dose or perhaps a placebo sugar pill that does almost nothing).
  • Trial patients can be chosen very carefully, to make a positive result more likely.
  • In addition, the data is studied as the trial progresses, and if the trial seems to be producing negative data it is stopped prematurely and the results are not published.
  • On the other hand, if the trial is producing positive data, it may be stopped early so that longer-term effects are not examined.
  • Drug companies are free to conduct as many trials as they wish…they can then choose which ones to publish. This is known as “publication bias.”

According to Dr Goldacre, “the problem of negative studies going missing has been known for almost as long as people have been doing serious science” This was formally documented by a psychologist Theodore Sterling in 1959. He went through every paper published in the 4 big psychology journals of the time, and found that 286 out of 294 reported a statistically significant result. This, he explained, was plainly fishy. Sterling was the first to put these ideas into a formal academic context, but the basic truth had been recognized for many centuries. Francis Bacon explained in 1620 that we often mislead ourselves by only remembering the times something worked, and forgetting those when it didn’t.

Watch Dr Goldacre on YouTube…What Doctors Don’t Know About the drugs they prescribehttps://www.youtube.com/watch?v=RKmxL8VYy0M

Why Does “Missing Data” matter?

1)      According to Dr Goldacre:

  • Evidence is the only way we can possibly know if something works or doesn’t work in medicine. In the real world of medicine, published evidence is used to make treatment decisions.
  • When doctors are misled about the effects of the medicines they use, they can end up making decisions that can cause avoidable suffering, or even death. We (doctors) might choose unnecessarily expensive treatments; having been misled into thinking they are more effective than cheaper older drugs. This wastes money, ultimately depriving patients of other treatments….
  • While doctors are kept in the dark, patients are exposed to inferior treatments, ineffective treatments, unnecessary treatments, and unnecessary expensive treatments that are no better than cheap ones…

2)      According to the British Medical Journal:

  • In Jan 2012, Britain’s top medical journal, the British Medical Journal disclosed that “missing data is a serious problem in clinical research given that it distorts the scientific record and prevents clinical decisions from being based on the best evidence available.” As part of an in-depth BMJ review on the subject, experts on bmj.com warn that patients can be harmed through missing clinical trial data, leading to unnecessary costs to health systems. Read the 2 articles below for further information.

a)      Article: Missing Data – A Serious Problem in Clinical Research   http://www.medicalnewstoday.com/articles/240032.php

b)      Article: Patients at risk after scientists withhold test results from clinical trials of new medicines  Read more: http://www.dailymail.co.uk/health/article-2082116/Patients-risk-scientists-withhold-test-results-clinical-trials-new-medicines.html#ixzz2cJb8VxLZ

  •  has published several papers on the subject, assessing the causes, the extent, and consequences of unpublished evidence. The papers confirm that “large proportions of evidence from human trials remain unreported, and that a lot of what is reported is inadequate.” 
  • In an editorial, Dr. Richard Lehman from the University of Oxford and BMJ Clinical Epidemiology Editor, Dr. Elizabeth Loder, revealed a “culture of haphazard publication and incomplete data disclosure,” calling for more vigorous regulation and full access to raw trial data to enable scientists to gain a better understanding of the benefits and harms of many kinds of treatment.

Besides the above, Dr Marcia Angell, MD very bluntly describes what “bias” is in clinical research. Chapter 6 of her best-seller (which all doctors and patients should read) THE TRUTH ABOUT THE DRUG COMPANIES asks “How Good Are New Drugs?” The main points in the chapter are:

  • Bias is now rampant in drug trials…this can be built into the study design, as is the case with placebo-controlled trials.
  • Another form of bias is to compare the new drug not just with a placebo but with an old drug given at too low a dose or the old drug can be administered incorrectly,
  • The trials can be designed to be too brief to be meaningful. That is true of many trials of drugs that need to be taken long term…sometimes treatments look pretty good for a short time but are not effective and may be harmful for long term use. (Is that why a lot of drugs are “recalled” after some time in the market?)….See the list below:

LINK: http://en.wikipedia.org/wiki/List_of_withdrawn_drugs

  • One of the most common ways to bias trials is to present only part of the data—the part that makes the product look good—and ignores the rest. This is the most dramatic form of bias…out-and-out suppression of negative results.

Is this how new drugs are “scientifically” tested? Dr Angell also gives us an idea how new drugs are “scientifically” approved:

  • The FDA may approve the drug on the basis of minimal evidence. For example, the agency usually requires simply that the drug work better than a placebo in 2 clinical trials, even if it doesn’t in other trials.
  • But companies publish only the positive results, not the negative ones. Often in fact, they publish positive results more than once, in slightly different forms in different journals, and
  • The FDA has no control over this selective publishing. This practice leads doctors to believe that drugs are much better than they are, and the public comes to share this belief, on the basis of media reports.

(Additionally, Dr Goldacre clearly pointed out in BAD PHARMA that…”Regulators frequently approve drugs that are vaguely effective, with serious side effects, on the off-chance that they might be useful to someone, somewhere, when other interventions aren’t an option.”)

To conclude, let us quote Dr Goldacre again…..

  • ”For many of the most important diseases that patients present with, we (the doctors) have no idea which of the widely used treatments is best, and, as a consequence, people suffer and die unnecessarily. Patients, the public, and even many doctors live blissful ignorance of this frightening reality, but in the medical literature, it has been pointed out again and again.”
  • “Missing Data ….poisons the well for everybody. If proper trials are never done, if trials with negative results are withheld, we simply cannot know the true effects of the treatments that we use”

After you have read both BAD PHARMA and THE TRUTH ABOUT THE DRUGS COMPANIES (there are many other such books), you will understand why Dr Russell Blaylock, a former professor of neurosurgery blatantly proclaimed that…..evidence-based medicine is the biggest con job in the history of the world (see page 161 in KNOCKOUT..Interviews with Doctors Who are Curing Cancer by Suzanne Somers).

SOME FURTHER REFERENCES ON “MISSING DATA”

1) Missing Data in Clinical Studies (Statistics in Practice) by Dr Geert Molenberghs and, Michael Kenward … provides a comprehensive account of the problems arising when data from clinical and related studies are incomplete,

2) Article: Addressing missing data in clinical trials.  http://www.ncbi.nlm.nih.gov/pubmed/21242367

3) Article: Missing Data May Skew Clinical Trials.  http://health.usnews.com/health-news/news/articles/2012/10/03/missing-data-may-skew-clinical-trials

3) Talk: Handling of Missing Data in Clinical Trials (26 min) http://hstalks.com/main/view_talk.php?t=550&r=15&j=754&c=252

4) Spot On London 2012: Ben Goldacre’s Keynote Speech  http://www.youtube.com/watch?v=cUvd4zZckrs

Book Review: Bad Pharma—How Drug Companies Mislead Doctors And Harm Patients

Bad Pharma

Reviewed by: Yeong Sek Yee & Khadijah Shaari

Dr Ben Michael Goldacre, the author,  graduated in 1995 with a first-class honors degree in medicine from Magdalen College, Oxford. He obtained an MA in philosophy from Kings College London, and undertook clinical training at UCL Medical School, qualifying as a medical doctor in 2000 and as a psychiatrist in 2005. As of 2012 he is Wellcome research fellow in epidemiology at the London School of Hygiene and Tropical Medicine.

We have heard about “Big Pharma.” Little did we know that it is also known as “Bad Pharma” and this book certainly enlightened us. According to Dr Goldacre, the whole edifice of medicine is broken, because the evidence that we (the doctors) use to make decisions is hopelessly and systematically distorted. We (doctors) like to imagine that:

ü  Medicine is based on evidence, and the results of fair tests. In reality, those tests are often profoundly flawed.

ü  Doctors are familiar with the research literature, when in reality much of it is hidden from them by drug companies.

ü  Doctors are well-educated, when in reality much of their education is funded by industry.

ü  Regulators only let effective drugs onto the market, when in reality they approve hopeless drugs, with data on side effects casually withheld from doctors and patients. 

The essence of the whole book is distilled and summarized in the introductory pages of the book. The following paragraphs meticulously defends every assertion made by Dr Goldacre:

Drugs are tested by the people who manufacture them, in poorly designed trials, on hopelessly small numbers of weird, unrepresentative patients, and analysed using techniques which are flawed by design, in such a way that they exaggerate the benefits of treatments. Unsurprisingly, these trials tend to produce results that favour the manufacturer. When trials throw up results that companies don’t like, they are perfectly entitled to hide them from doctors and patients, so we only ever see a distorted picture of any drug’s true effects.

Regulators see most of the trial data, but only from early on in its life, and even then they don’t give this data to doctors or patients, or even to other parts of government. This distorted evidence is then communicated and applied in a distorted fashion.

In their forty years of practice after leaving medical school, doctors hear about what works through ad hoc oral traditions, from sales reps, colleagues or journals. But those colleagues can be in the pay of drug companies – often undisclosed – and the journals are too. And so are the patient groups.

And finally, academic papers, which everyone thinks of as objective, are often covertly planned and written by people who work directly for the companies, without disclosure. Sometimes whole academic journals are even owned outright by one drug company.

Aside from all this, for several of the most important and enduring problems in medicine, we have no idea what the best treatment is, because it’s not in anyone’s financial interest to conduct any trials at all. These are ongoing problems, and although people have claimed to fix many of them, for the most part, they have failed; so all these problems persist, but worse than ever, because now people can pretend that everything is fine after all.

Watch Dr Ben Goldacre’s speech on TEDTALK…What doctors don’t know about the drugs they prescribe…LINK:

http://www.ted.com/talks/ben_goldacre_what_doctors_don_t_know_about_the_drugs_they_prescribe.html

From the above, it is very clear that from Dr Goldacre’s perspective, medicine’s evidence base has been undermined by an unscrupulous alliance of the pharmaceutical industry and regulators, which leads to the routine suppression of negative studies revealing many drugs to be either ineffective or less effective than those they seek to replace.

This suppression has been willful and many academics (the industry’s “key opinion leaders”) have acted as willing partners in the enterprise, putting their names to ghostwritten articles reporting positive trials, while failing to publish negative trials.

Since there’s so much missing data, we (doctors) can’t really say whether the therapies we use work or not. Doctors generally want to do the best for their patients, but they can’t know what that is if half of the data on clinical trials of drugs is missing and some of the rest is distorted.  Thus, according to Goldacre, medicine’s evidence base is irredeemably corrupted and needs reconstruction.

This book (448 pages) is divided into six chapters, which cover different aspects of the pharmaceutical industry:

Chapter 1 is entitled Missing data, and Dr Goldacre described at considerable length the important problem of publication bias. The take home message from this chapter is that we cannot assess the evidence for a particular drug if all the trials on it are not published, and worse still, those that are not published tend to be different from the ones that are.

Chapter 2 ‘Where Do New Drugs come from?’ is a brief description of the drug development process. Risky ‘first-in-man drug tests are conducted on homeless people, full clinical trials are globalised which raises serious ethical problems…also trial participants  in developing countries are often unlikely  to benefit from expensive new drugs…thus it also raises new problems for trusting the data.

Chapter 3 Bad Regulators, does what it says on the tin, and explains the many ways in which Goldacre believes that drug regulation isn’t working.  The bar is very low: that drugs must only prove that they are better than nothing, even when there are highly effective treatments on the market already….this means that real patients are given dummy placebo pills for no good reason.

Chapter 4 ‘Bad Trials’ talks about the design of individual clinical studies and how they can be flawed. Several tricks have been introduced…one allows researchers to overstate and exaggerate the benefits of the treatments they are testing.

Chapter 5Bigger, Simpler Trials’ describes how pragmatic randomised trials could be (but very rarely are) incorporated into routine clinical practice.

Chapter 6 ’Marketing’  In this chapter, Dr. Goldacre addresses the abuses and excesses of the pharmaceutical industry marketing machine, which exists entirely to increase the revenue generated by the industry’s products and yet which masquerades as a system for disseminating useful information to doctors, patients, and politicians.

When you have read all the 6 chapters (as we did during the Ramadan), you will realize why Dr Goldacre decided to title the book as Bad Pharma. For the still unconvinced, we recommend that you peruse the following articles with the links as attached:

1)    List of largest pharmaceutical settlements

Link: http://en.wikipedia.org/wiki/List_of_largest_pharmaceutical_settlements

2)    List of off-label promotion pharmaceutical settlements

Link: http://en.wikipedia.org/wiki/List_of_off-label_promotion_pharmaceutical_settlements

3)    Pharmaceutical frauds

Link: http://en.wikipedia.org/wiki/Pharmaceutical_fraud

4)    GlaxoSmithKline controversies

Link: http://en.wikipedia.org/wiki/GlaxoSmithKline#Controversies

 5)    Ethics in pharmaceutical sales

Link: http://en.wikipedia.org/wiki/Ethics_in_pharmaceutical_sales

 6)    Pharmaceutical marketing

Link: http://en.wikipedia.org/wiki/Pharmaceutical_marketing

7) Why doctors don’t know what they’re prescribing

Link: http://www.abc.net.au/unleashed/4323556.html

NB: In the list of pharmaceutical settlements, most of the fines runs into hundreds of millions (USD) and mainly for offences like off-label promotions, false marketing, kickbacks, medicare fraud, etc. Recently a drug company was fined US 3 billion for various offences (see link below). To Dr Goldacre, these fines/settlements are just small change to Big Pharma.

Link: http://www.justice.gov/opa/pr/2012/July/12-civ-842.html

In addition to the above, you may want to read the following books (there are many, many more such type of books):

1)    Big Pharma: How the World’s Biggest Drug Companies Control Illness is a 2006 book by British journalist Jacky Law. The book examines how major pharmaceutical companies determine which health care problems are publicised and researched.

2)    Side Effects: A Prosecutor, a Whistleblower, and a Bestselling Antidepressant on Trial is a nonfiction book by investigative journalist Alison Bass, which tells the true story of a court case and the personal drama that surrounded the making of a bestselling drug. It chronicles the lives of two women – a prosecutor and a whistleblower – who exposed deception in the research and marketing of Paxil, an antidepressant prescribed to millions of children and adults. The book shows the connections between pharmaceutical giant GlaxoSmithKline (the maker of Paxil), a top Ivy League research institution, and the government agency designed to protect the public – conflicted relationships that arguably compromised the health and safety of vulnerable children.

3)    The Emperor’s New Drugs: Exploding the Antidepressant Myth by Irving Kirsch demonstrated that in trials, SSRIs (a common class of antidepressants known as selective serotonin re-uptake inhibitors) performed no better than placebos, a fact that would have been known had some clinical trial data not been suppressed by pharmaceutical companies. Regulators happily licensed these new drugs in full possession of this knowledge.

4)    The Truth About the Drug Companies…How they Deceive us and What to do about it by Dr Marcia Angell, MD…..read how the drug companies promote diseases to match their drugs and have  enormous influence over what doctors are taught about drugs and what they prescribe. Drug companies have substantial control over clinical trials of their drugs…as a result the research results are biased.

5)    What the Drug Companies Won’t Tell you and Your Doctor Doesn’t Know by Michael Murray, N.D.…the alternative treatments that may change your life –and the prescriptions that could harm you.

6)    Rethinking The Ethics of Clinical Research….Widening The Lens by Dr Alan Wertheimer, MD……Clinical research requires that some people be used and possibly harmed for the benefit of others. What justifies such use of people? This book provides an in-depth philosophical analysis of several crucial issues raised by that question.

7)    Money Driven Medicine by Dr David K. Cundiff, MD….Read the details of dozens of prescription drugs which extensive research has proven to be ineffective or dangerous for continued use.

After reading the whole book and the various links, we are really amazed how Big Pharma has the courage to market their drugs as “scientifically tested, evidence-based,” etc, etc (and everything else is not scientifically tested and not evidence-based). How can Big Pharma’s drugs be “scientifically tested and evidence-based” when clinical trials designs are flawed, negative data are missing/not revealed, and regulators, doctors and politicians are bribed or silenced, etc, etc. As Dr Goldacre mentioned, medicine’s evidence is irredeemably corrupted and needs serious re-construction. But, will it ever happen when there is so much at stake?

Perhaps, Dr Goldacre should have named the book as BIG, BAD PHARMA. What do you think?

BLOOD BOOSTING INJECTIONs (ESAs) WHILE ON CHEMO ENCOURAGE TUMOUR TO GROW!

Not many MDs, least of all an oncologist, would dare to break ranks from the rules of the medical establishment and especially from the clutches of Big Pharma in the present day cancer industry. One exception is Dr Otis Webb Brawley, MD, and oncologist and the Chief Medical and Scientific Officer and Executive Vice President of the American Cancer Society.

As we were reading the 2011 best seller in America “HOW WE DO HARM” by Dr Brawley, we were shocked to read in Chapters 6 and 7 that Erythropoiesis-Stimulating Agents (ESAs) causes tumour promotion i.e. the anemia-building drugs seemed to be encouraging tumors to grow.

How we do harm

 What Are ESAs?

Erythropoiesis-stimulating agents are one of the most common drugs used to treat anemia i.e. these are medication that increase the production of red blood cells. For a brief introduction, go to: http://www.anemia.org/patients/feature-articles/content.php?contentid=000379

The doctor would give you ESA or a blood boosting injection if you do not enough blood after a chemo treatment. They use “the red juice” to fight anemia by stimulating red blood cell production and “the white juice” to fight neutropenia, a deficiency of white blood cells.

If these ESAs or “hemoglobin-building” drugs are supposed to perform a useful function in overall cancer treatment, why then is Dr Brawley so vociferous against these drugs? He even mentioned that “these drugs stimulate cancer growth”

Let us examine some of the reasons:

  • The FDA approved the drugs for the treatment of anemia in cancer patients in 1993 based on data pooled from only 6 small studies that altogether enrolled a total of only 131 patients (page 76).
  • The 6 minuscule trials… asked only whether Procrit (one of the ESA drugs) had the ability to prevent blood transfusion. Not a shred of data said anything about “fatigue” or its opposite “strength” (page 77).
  • There were a lot of unanswered questions such as: was their anemia corrected? Did their underlying cancer recur? Did they die sooner? Did they face a higher risk of blood clots? (page 77).

Soon after hemoglobin-drugs were approved, a German radiation therapist named Michael Henke decided to test one of the fundamental tenets of his subspecialty: that patient with higher hemoglobin levels have better responses to radiation therapy. Henke believed in the connection between hemoglobin and response to radiation. However the study’s results didn’t come out the way Henke expected. The result of Henke’s study, which was initiated in 1997, was published in 2003. The study showed that patients who received the hemoglobin-building drug didn’t live as long as those on placebo. Also, the disease progressed more rapidly in patients receiving the drug. Henke concluded that he had encountered a biological phenomenon: the drug seemed to be encouraging tumors to grow (page 81).

In August 2003, researchers had to stop another study, the Breast Cancer Erythropoietin Survival Trial (BEST), when more women died on Procrit than on the control arm. In both the Henke trial and BEST trial, the survival curve showed an increased risk of death from cancer, which suggested something you don’t want to see in patients you are treating for cancer –  tumour growth (page 82).

In other words, pharmaceutical companies were promoting an untested therapy that was supposed to make patients feel better and stronger when, in fact, it caused stroke and heart attacks and in some cases made tumors grow (page 73).

According to Dr Brawley, FDA approved these drugs to reduce the risk of blood transfusion in patients with solid tumours treated with chemotherapy. That’s it. Not a word was said about “tiredness”, not a word about “cancer fatigue”

In Chapter 6, Red Juice and Chapter 7, Tumour Progression, Dr Brawley described how cancer patients are routinely “offered” hemoglobin-building drugs to even borderline anemia, a common side effect of cancer drugs. The drug companies manufactured a medical condition called “cancer fatigue” and nurses were trained to “suggest” “erythropoiesis-stimulating agents (ESA)” to all patients undergoing chemotherapy – “the red juice” to fight anemia by stimulating red blood cell production and “the white juice” to fight neutropenia, a deficiency of white blood cells.

  • With powerful incentives set in motion, many hospitals and oncology practices in the US instructed nurses to ask leading questions about “fatigue” with the intent of expanding sales to a growing number of patients and upping the dosage to each patient. This is referred to as “an ESA treatment opportunity”
  • These drugs are still being prescribed routinely. According to Dr Brawley,” these ESA drugs were not used to cure disease or make patients feel better. They are used to make money for doctors and pharmaceutical companies at the expense of patients, insurance companies and taxpayers “(page 97)
  • Also the disease progressed more rapidly in patients receiving the drug (page 81) i.e. the drug seemed to be encouraging tumors to grow…this compound is a stimulant, a “tumor fertilizer”. A patient with active disease is more likely to suffer tumour progression: the more tumor you have, the more tumor there is to stimulate!! (page 97). 
  • Commenting further on ESA drugs, some doctors didn’t bother to check what the patient’s hemoglobin was and erred on the side of giving the ESA every time they give chemotherapy. Doctors routinely prescribed the drugs for uses in which it had not been studied-such as anemia caused by cancer itself, as opposed to anemia caused by chemotherapy (page 78).

Besides Dr Brawley’s comments in the book, we searched further for sound scientific validation of ESAs causing tumor promotion. These are extracted from prominent sources like the FDA, Journal of Clinical Cancer Research, Annals of Oncology, British Journal of Cancer, PubMed Medline, Journal of Oncology Practice, etc. There are lots more. The following are some of the links you may be interested to read:

1)      THE FOOD AND DRUG ADMINISTRATION (FDA) of the US issued a Drug Safety Communication dated 26/2/2010 under the following title: “Erythropoiesis-Stimulating Agents (ESAs): Procrit, Epogen and Aranesp.”

In the article, the FDA warned that cancer patients using ESAs should understand the risks associated with the use of ESAs. These risks include:

  • ESAs may cause tumors to grow faster.
  • ESAs may cause some patients to die sooner.
  • ESAs may cause some patients to develop blood clots, and serious heart problems such as a heart attack, heart failure or stroke.

http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm200297.htm

2)      In July 2011, THE AMERICAN ASSOCIATION FOR CANCER RESEARCH, in its journal, Clinical Cancer Research published an article entitled: The Role of Erythropoietin and Erythropoiesis-Stimulating Agents in Tumor Progression” It reported that:

  • Erythropoiesis-stimulating agents (ESA) are used clinically for treating cancer-related anemia [chemotherapy-induced anemia (CIA)].
  • Recent clinical trials have reported increased adverse events and/or reduced survival in ESA-treated cancer patients receiving chemotherapy, potentially related to EPO-induced cancer progression.

 http://clincancerres.aacrjournals.org/content/17/20/6373.abstract

3)      THE EUROPEAN SOCIETY FOR MEDICAL ONCOLOGY in its journal, Annals of Oncology (2010) published the following guidelines: “Erythropoiesis-stimulating agents in the treatment of anemia in cancer patients: ESMO Clinical Practice Guidelines for use.” The lead author, Professor Schrijvers, although on the Advisory Board of Johnson and Johnson admitted the following:

  • The influence of ESAs on tumour response and overall survival in anemic cancer patients remains unclear. Several randomized trials have demonstrated decreased survival times and poorer loco-regional control or progression-free survival 
  • Other recent meta-analyses showed that ESAs increase and worsened overall survival when given to cancer patients. 

 http://annonc.oxfordjournals.org/content/21/suppl_5/v244.full

4)      In September 2007, THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY published the following article in its Journal of Oncology Practice: “Erythropoiesis-Stimulating Agents: Continued Challenges” in which:

·         The FDA revised both the epoetin alfa and darbepoetin alfa product labels, with new “black box” warnings and expanded information on safety, tumor progression, and survival.

·         Additionally, the new warning states that ESAs are not indicated for patients with active malignant disease receiving neither chemotherapy nor radiotherapy.

 http://jop.ascopubs.org/content/3/5/248.full

5)      In March 2012, THE BRITISH JOURNAL OF CANCER (of the CANCER RESEARCH of UK) published several research studies done on the usage of ESAs and concluded that….”several trials have reported an association between ESA use and increased disease progression and/or mortality” The article is entitled: “Effects of erythropoietin receptors and erythropoiesis-stimulating agents on disease progression in cancer”

 http://www.nature.com/bjc/journal/v106/n7/full/bjc201242a.html

In another book, A WORLD WITHOUT CANCER, Dr Margaret Cuomo, a radiologist also stated that… “even drugs used to treat the side effects of chemotherapy have been linked to secondary cancers”. For example, patients who need medication to raise their white blood cell counts may be injected with granulocyte colony stimulating factor (G-CSF), a substance normally found in the blood. Researchers observed that this doubled the risk of developing myelodysplastic syndrome (MDS) or acute myelogenous leukemia (AML)… (page 69)

READ THE FOLLOWING LINKS FOR MORE INFORMATION ON MDS/AML: 

1)   THE STORY OF ROBIN ROBERTS:

http://abcnews.go.com/Health/robin-roberts-myelodysplastic-syndrome-diagnosis-beat/story?id=16540293#.UZnTWaKLC-U

2)   In 2007, THE NATIONAL CANCER INSTITUTE (US) published the following article in its Journal (JNCI J Natl Cancer Inst Volume 99, Issue 3 pp. 196-205).…. “Acute Myeloid Leukemia or Myelodysplastic Syndrome Following Use of Granulocyte Colony-Stimulating Factors during Breast Cancer Adjuvant Chemotherapy” The article concluded that….”the use of G-CSF was associated with a doubling in the risk of subsequent AML or MDS among the population that we studied”……

http://jnci.oxfordjournals.org/content/99/3/196.short

FOOTNOTE: In Malaysia, these ESAs (and G-CSF) are commonly referred to as “booster” or “booster jabs” and are generally given after the 3rd or 4th cycle of chemotherapy when the patient’s RBC, WBC, Platelets, Hemoglobin, etc are low. These booster jabs are costly…..and that is why patients are warned not to use cheaper and (safer) methods (because it will clash with the chemo drugs!!)

A POINT TO PONDER UPON:

When a patient decides on chemotherapy treatment, he or she expects to be healed and not to have the cancer spread or suffer second malignancies shortly after completion of the scientifically tested and proven treatments. And to be given ESAs or G-CSFs which later promotes tumour growth isn’t it too much for the patients to bear? Is this a double bonus or a double whammy for the patients? (Please note we have not factored in the damaging side effects of radiotherapy into the above scenario).

We welcome your views.

HOW WE DO HARM: PART 3: CASE OF PROSTATE CANCER

How we do harm

 

Shortly after he turned 70, Mr. Ralph De Angelo, a retired department–store manager in the heart of black America, saw a newspaper advertisement that claimed that prostate cancer screening saves lives. The advertisement also mentioned that 95% of men diagnosed with localized disease are cured. (So, was Dr Albert Lim, Malaysia’s leading oncologist who died of prostate cancer on March 8 2013, in the unfortunate 5 % ?)

The following is the tragic story of Mr. De Angelo after his prostate screening and how unnecessary harm can be done to those who go for screening of the prostate, breast, etc. This is a classic example of collateral damage (due to overtreatment) described in the book “HOW WE DO HARM” by Dr Otis Webb Brawley, MD a medical oncologist and Executive Vice President of the American Cancer Society.

In 2005, Mr. De Angelo, after his prostate screening, was diagnosed with prostate cancer, with a PSA reading of 4.3 ng/ml (just 0.3 above is considered normal). He was urged to have a biopsy. Two of the 12 biopsies showed cancer. The Gleason score was 3 plus 3 which is associated with the most commonly diagnosed and most commonly treated form of prostate cancer. There is no way to know whether a patient with this diagnosis will develop metastatic disease or live a normal life unaffected by the disease.

With this uncertainty, Mr. De Angelo was persuaded by his urologist to perform a radical robotic prostatectomy which he (the urologist) thought was the gold standard of care. After the operation, he was told he had a small tumour 5mm by 5mm x 6mm in a moderate size (50cc) prostate. The tumour was all in the right side of the prostate. This means that the tumor didn’t appear highly aggressive under the microscope. Good news? Unfortunately, Ralph realized that he was then incontinent. Three months later, the incontinence was still there and he had to wear pampers continuously. Besides incontinence, Ralph was also impotent and given Viagra.

With a lingering 0.95 ng/ml (even though his prostate has been removed), a radiation oncologist suggested “salvage radiation therapy” to the pelvis. Four weeks into the radiation, Ralph saw blood in his stool. This was due to radiation proctitis, i.e. radiation damage to the rectum. He continued having incontinence, but also developed a burning sensation upon urination. Later, Mr. De Angelo stopped his radiation with one more week to go. For the rectal proctitis, he went to a gastroenterologist, who prescribed steroids in rectal foam that he had to put up his rectum four times a day.

About three weeks after stopping the radiation, Mr. De Angelo realised that whenever he passed gas, some of it came out of his urethra. He also sensed liquid from his rectum soiling his diapers. He was confirmed having a rectal fistula into the bladder…there was a hole between Ralph’s rectum and his bladder. After several urinary infections and when the fistula didn’t seem to be healing, he had to see a GI surgeon. He performed a colostomy to keep stool off the inflamed rectum and the hole into the bladder. The next step was an ureterostomy, a surgery that will bring urine to abdominal wall and collect it in a bag, just like his bowel movements.

In Dec 2009, Mr. De Angelo’s daughter called Dr Brawley to inform that her father had “urinary tract infection” which later progressed to sepsis, a widespread bacterial infection in the blood. On the fifth day of hospitalisation, Ralph passed away (only 4 years from diagnosis). Interestingly…”the death certificate reads that death was caused by a urinary tract infection. It doesn’t mention that the urinary tract infection was due to his prostate-cancer treatment and a radiation-induced fistula….Mr. De Angelo’s death will not be considered a death due to prostate cancer, even though his death was caused by the cure. (We just wonder how the hospital in KL recorded the cause of Dr Albert Lim’s death).

In conclusion, Dr Brawley strongly believed that… “the majority of these men, who are treated with radiation or hormones or both, got no benefit from treatment. They get only the side effects including those that Mr. De Angelo had: proctitis i.e. inflammation and bleeding from the rectum, cystitis, burning sensation on urination and a feeling of urgency, a rectal fistula in which bowels and bladder are connected. The side effects of hormones can be diabetes, cardiac diseases, osteoporosis, and muscle loss.

In the case of Mr. Ralph De Angelo, both the surgeon and the radiation oncologist got paid handsomely. They both likely thought they were doing the right thing. However, Ralph got the side effects, and his quality of life was destroyed (too much collateral damage?).

One parting remark by Dr Otis Webb Brawley which is very relevant to this article:

“Prostate-cancer screening and aggressive treatment may save lives, but it definitely sells adult diapers “

Got the message?

FOOTNOTE:

Dr Albert Lim, Malaysia’s leading oncologist, died on March 8 2013 from prostate cancer, in less than a year after diagnosis. At the time of his death, he had metastasis to the bones and liver (some said his lungs were affected as well). We just wonder whether he died because of the cancer or because of the scientifically tested and evidenced-based cancer treatment.

Read more: https://cancercaremalaysia.com/2013/04/03/someone-wrote-the-oncologist-had-prostate-bone-liver-cancer-and-he-died/

FURTHER REFERENCES:

If you wish to find out more about prostate cancer, screening and/or prostate cancer treatment, we recommend the following:

1)   PROSTATE CANCER HEALED NATURALLY by Dr Chris Teo, PhD. (If you follow the advice in this book, you will not have to suffer the same fate as Mr Ralph De Angelo or Dr Albert Lim) ISBN No. 978-9832590-248 

2)   A WORLD WITHOUT CANCER by Dr Margaret Cuomo, MD…In Chapter 3, “The Promise and Limits of Cancer Screening” Dr Cuomo quoted:-

  • NCI’s Dr Barnett Kramer – “PSA testing finds many silent tumours that never would have caused problems had they not been detected”
  • Dr Richard J. Ablin, PhD, who discovered the PSA said “…it is hardly more effective than a coin toss. Testing should absolutely not be deployed to screen the entire population of men over the age of 50…I never dreamed that my discovery would lead to such a profit-driver public health disaster”. ISBN NO: 978-10609-618858. 

3)   MORE HARM THAN GOOD by Dr Alan Zelicoff, MD, a physician and physicist. Notes on Prostate Cancer screening/treatment can be found in:

  • Chapter 5 – Screening out Common Sense
  • Chapter 6 – News from the Front: The War on Prostate Cancer and Other Cancers. The most notable statement by Dr Alan Zelicoff, MD is found on page 117:-

“…studies to-date involving over 55,000 men with prostate cancer does not validate the hypothesis that early aggressive treatment will save lives.  This is very puzzling, no doubt.  How is it possible that this treatment has not led to better outcomes?”  ISBN NO: 978-0814-400272

(Question: Did Dr Albert Lim opt for early aggressive treatment?) 

4)    OVER-DIAGNOSED: MAKING PEOPLE SICK IN THE PURSUIT OF HEALTH by Dr H. Gilbert Welch, MD. (Chapter 4 is entitled “We look harder for Prostate Cancer – read how screening made it clear that over-diagnosis exists in cancer. According to Dr Welch, “the decision to use a PSA cutoff of greater than 4 as the threshold for biopsy was purely arbitrary” (Page 50) ISBN NO: 978-0-8070-2199-6 

5)    SHOULD I BE TESTED FOR CANCER by Dr H Gilbert Welch, MD. (This is Dr Welch’s earlier book – learn what total body scans, mammograms, PSA checks, and other common tests can and can’t do and discover why screening can do more harm than good). ISBN No. 978-0520248-366

 

6)   WHAT YOUR DOCTOR MAY NOT TELL YOU ABOUT PROSTATE CANCER by Dr Glenn J. Babley, MD, Professor of Medicine, Harvard Medical School. (According to Dr Babley, “PSA testing in its present form has not yet been shown to save lives, and its use definitely leads to more procedures and tests, many of which carry risks and side effects…most men die with prostate cancer, rather than from prostate cancer). (page 25) ISBN NO: 978-446690-805 

7)    THE DEFINITE GUIDE TO PROSTATE CANCER by Dr Aaron E. Katz, MD, Professor of Clinical Urology at Columbia University College of Physicians and Surgeons. (Dr Katz also believes that screening…may cause more harm than good because they can lead to aggressive treatment of disease that might not otherwise cause any harm.  Allopathic treatment applied to cure early-stage disease may cause side effects that are worse than the disease itself (page 59). Not all prostate cancers that are diagnosed require medical treatment. (page 62) ISBN NO: 978-1-60961-310-5

8)   INVASION OF THE PROSTATE SNATCHERS by Dr Mark Scholz, MD and Dr Ralph Blum, Ph/d. (Read why the risks of prostatectomy may be greater than the threat of the disease (page 43). ISBN NO: 978-159051-5150

9)   EARLY DIAGNOSIS AND TREATMENT OF CANCER – PROSTATE edited by Li-Ming Su….Read about Overdiagnosis and Insignificant Cancer:-

  • There is mounting evidence that a substantial proportion of men with screen-detected prostate cancer would otherwise not have known about the disease during their lifetime in the absence screening (page 20).
  • Cancer detection does not need to immediately trigger a treatment since men in low-volume and low-grade diseases may also be managed expectantly (page 20).
  • Most of the previously discussed studies examining watchful waiting as a treatment option come out in favour of watchful waiting…(page 93) ISBN No. 978-1-4160-4575-5 

10)        DR PETER SCARDINO’S PROSTATE BOOK by Dr Peter Scardino, Chairman of the Department of Surgery at the Memorial Sloan-Kettering Cancer Center. (In Chapter 13, Watchful Waiting, Dr Scardino commented that “…many prostate cancers are so slow-growing, they are unlikely to cause symptoms during the remainder of a man’s natural life…also, all the treatment we currently have for this disease carry a risk of troublesome side effects, so you do not want to have treatment unless you absolutely want it.” (page 251) ISBN No. 978-1583333-938 

VIEW THE FOLLOWING LINK FOR DR BRAWLEY’S VIEWS ON PROSTATE CANCER SCREENING: https://www.youtube.com/watch?v=wYvUU9XJDU0

 

Quotations from Never Fear Cancer Again

Never-fear-cancer-again

Most cancer research dollars have been wasted by asking the wrong questions, looking in the wrong places, and recycling the same failed approaches while expecting different results. Conventional cancer treatments damage health, cause new cancers, lower the quality of life, and decrease the chances of survival. In fact, most people who die from cancer are not dying from cancer, but from their treatments!

The Author: Raymond Francis, a chemist and a graduate of MIT, found himself in a hospital battling for his life. The diagnosis: acute chemical hepatitis, chronic fatigue, multiple chemical sensitivities, and several autoimmune syndromes, causing him to suffer fatigue, dizziness, impaired memory, heart palpitations, diarrhea, numbness, seizures and numerous other ailments. Knowing death was imminent unless he took action, Francis decided to research solutions for his disease himself. His findings and eventual recovery led him to conclude that almost all disease can be both prevented and reversed. This is what he wrote: “I brought myself back from the brink of medically certain death at age forty-eight. At age seventy-four, I am in superior health. I never get sick and feel and function like I am in my twenties, with boundless energy and a sharp mind. I have only one cold in the last twenty-four years.”

Root Causes of Chronic Diseases

There is only ONE disease (but given many different names by doctors)!

  • The body wants to be well, it knows how to be well, and it will be well if only we give it a chance. To give it a chance, our job is to give the body what it needs and then not interfere with its work.
  • Because cancer is a process and not a thing, attempting to surgically remove it, poison it with chemotherapy or burn it with radiation doesn’t work. The cancer will likely come back because the process of producing cancer is still operating.
  • There are two reason why cells malfunction: deficiency and toxicity. When cells don’t get what they need to function properly or when they get too much of something that interferes with their operations, they’ll malfunction. To get well and stay well, it is necessary to remove the deficiencies and toxicities and restore cells to normal function.
  • Health is your responsibility. For those willing to accept responsibility for their health, miracles happen.
  • We dramatically increase the number of cancer cells … What is driving this explosion? Our junk-food diets, living in a sea of manmade toxins and electromagnetic fields, high-stress lifestyles, lack of exercise, exposure to artificial light and health-damaging medical treatments.
  • The reality is: We are now eating a diet, functioning in an environment and living a lifestyle that promotes cancer.
  • These … factors also shift the body’s internal environment to one that promotes the growth of cancer. You must change your internal environment into one that supports health rather than one that promotes cancer.
  • You must learn how to give your cells the nutrients they need, how to reduce your toxic load and how to live a lifestyle that supports health rather than disease.
  • Cancer can be prevented and reversed by addressing the underlying causes.

Medicine’s Failure to Cure Cancer

  • The disease we fear the most: cancer … and the treatments are worse than the disease. There is a reason why people fear cancer the most: conventional cancer treatments don’t work.
  • More Americans die of cancer EACH  year than all the servicemen and women who lost their lives in World War II, Korea and Vietnam put together.
  • Every 30 seconds more than one person is being diagnosed with cancer. And more than one person dies every minute.

Why Researchers Failed to Find a Cure for Cancer

  • Most cancer research dollars … have been spent trying to find new moneymaking treatments for cancer rather than finding what causes cancer and discovering natural cures.
  • New cancer treatments are constantly being developed, highly publicised and tested – but none of them work.
  • Cancer researchers are asking the wrong questions, looking in all the wrong places and recycling the same failed approaches while expecting different results.
  • There is little money to be made in preventing or curing cancer. The money is in diagnosing and treating cancer.

Consequences of Medical Failure

  • Conventional cancer treatments damage your health, cause new cancers, lower your quality of life and decrease your chances of survival.
  • They are both ineffective and dangerous.
  • You can cut, poison and burn the symptom all you want, but unless you turn off the cancer process – you still have cancer and it will come back.
  • Today, most people who die from cancer are not dying from cancer. Most cancer patients die from their treatments.
  • You can actually live longer and better if you do nothing because “doing nothing” does no further damage to your already sick cells.
  • Journalist Upton Sinclair wrote: “It’s difficult to get a man to understand something when his salary depends upon his not understanding it.”

Medical Treatment for Cancer

  • Surgery, chemotherapy and radiation all suppress the immune system and cancer grows and metastasizes when the body’s natural immune defense are depressed.
  • In almost all cases, conventional treatments actually make matters worse and work against long-term recovery.
  • Conventional medicine has little to offer the cancer patient except high costs, pain and perhaps a few additional weeks of miserable, low-quality life – yet doctors are telling us it is effective.
  • If your cancer has metastasised, and most have by the time they are diagnosed, you need to know that conventional treatments will not help you.

Surgery

  • Surgery is known to promote the spread of active cancer cells throughout the body by a process called tumour spillage.
  • Even a diagnostic needle biopsy can spill cancer cells into the bloodstream or lymphatic system and spread active cancer cells throughout the body.
  • Removing a primary tumour reduces the body’s natural production of cancer-fighting substances. The tumour stimulates the production of antitumour chemicals; removing the tumour stops their productions. The growth of distant clusters of inactive cancer cells is no longer inhibited, allowing whole new cancers to grow.

Chemotherapy

  • Chemotherapy drugs and radiation are themselves carcinogenic, causing entirely new cancers a few years later. Chemotherapy drugs are some of the most powerful carcinogens known.
  • Chemotherapy increases your risk of dying from cancer as well as from infection.
  • Chemotherapy kills only the cancer cells that are the most susceptible to the drug. The tumour shrinks and your doctors declare success. However, the cancer cells that are more drug resistant don’t die. They continue to multiply and the cancer comes roaring back.
  • The US Food and Drug Administration (FDA) … defines “effective” as achieving a 50 percent or more reduction in tumour size for 28 days. Does that sound effective to you?
  • Despite the fact it has been known for decades that chemotherapy doesn’t work, neither doctors nor patients seem prepared to give it up. 

Medical X-rays

  • X-rays are a type of ionizing radiation, and is one of the best-known and universally recognised causes of cancer.
  • Radiation damages DNA and switches cancer on, yet conventional medicine remains in denial, insisting that diagnostic x-rays are safe, even though it is an established fact that ionizing radiation is not safe.
  • Dr. John Gofman, a medical doctor, nuclear physicist and renowned radiation expert … concluded after decades of research that x-rays are an essential cofactor in more than 60 percent of all cancers.
  • Gofman estimated that more than 80 percent of all breast cancer is caused by chest x-rays, mammograms and other x-rays for spinal, back and neck problems.
  • Radiation damage to genes is cumulative over a person’s lifetime and as small exposures accumulate, the risk of developing cancer goes up.
  • CT-scans are particularly dangerous because their excessive amount of x-ray exposure. A single full-body CT scan exposes a person to a total radiation dose close to the dose linked to cancer in Japanese atomic bomb survivors. Each additional scan adds significantly to a person’s total lifetime radiation exposure.
  • Children are especially vulnerable to radiation and should be protected from x-rays.

Cancer Statistics Are Misleading

  • Cancer statistics have been manipulated …. The following are a few examples of how the statistics are being falsely manipulated.
  • Lung cancer is the top cause of cancer death in the US. Lung cancer kills more people than colorectal, breast and prostate cancers combined. Deaths from lung cancer are not included in the statistics!
  • Skin cancers are not life threatening, but they are included in the survival statistics!
  • Other non-life-threatening, precancerous conditions, such as ductal carcinoma-in-situ are also included in the survival statistics.
  • To hide medicine’s colossal failure to deal with cancer ….(they) have invented an entirely new definition of the word “cure.” “Cure” is arbitrarily defined as being alive five years after diagnosis. This means if you die five years and one day after diagnosis, you have been cured. This phony definition is deliberately deceptive. It makes the survival statistics look better and fools a lot of people into thinking that conventional cancer treatments can help them.
  • As a result of collapsed immune systems, cancer patients develop infections, such as pneumonia and many die from these infections. The death is then recorded as being death from pneumonia or other infection and not from cancer or the toxic chemotherapy drug that actually killed them.
  • To hide its failure, the extent of deceptions in the cancer industry is so colossal that even clinical-trial studies on cancer are rigged to give misleading results. For example, say there is a 90-day trial of a new chemotherapy drug.  People in the chemotherapy group who die before the end of the 90-day period are dropped from the study and their deaths are not recorded. Such people could be dying from the chemotherapy drug or from the cancer itself. Meanwhile, anyone in the control group who dies within the 90-day period is listed as a cancer death. This deceptive practice helps to get dangerous cancer drugs approved.
  • Published cancer statistics are fictitious. 

How to Get Well Again

The author proposed a The Beyond Health Model. It model acknowledges only One Disease – malfunctioning cells. There are many different ways in which they can malfunction, producing thousands of different symptoms. Doctors call these different diseases. They key to understanding this is to understand why cells malfunction.

There are only Two Causes of cellular malfunction:

  • Deficiency: the lack of something cells need to function properly
  • Toxicity: the presence of something that interferes with normal cell function

Think of deficiency and toxicity as too little or too much.

The Beyond Health Model offers Six Pathways, six roads, which lead to either health or disease. Where you are and what direction you move on each pathway will determine the state of your health. The Six Pathways are:

  • Nutrition: chronic deficiency of even a single nutrient can cause disease
  • Toxins: toxins in our environment interfere with cell chemistry
  • Mental: the activity of our mind affects every cell in our body
  • Physical: exercise resets your body’s metabolism
  • Genetic: genes are not a guarantee that something will happen – just the potential for something to happen
  • Medical: health-enhancing therapies – not to be confused with conventional medicine – repair and strengthen the cells in your body.

Click here to download: The Roadmap to Ultimate Health

http://www.beyondhealthnews.com/bh_custompages/freereport/FreeReport_UltimateRoadmap.pdf

Switch Off Your Cancer Process

  • Cancer is a biological process and in order for cancer to happen you have to turn that process on. If you can turn the process on, you can turn it off.
  • Most Americans, especially those over age fifty, now have numerous microclusters of cancerous cells in their bodies. Our only option is to keep the microtumours from growing. Even if you have microtumours that are already growing, they take years to develop to the stage where they can be diagnosed. This means that you have time to change your lifestyle and make them go away before they become a problem.
  • Start now by avoiding processed oils, sugar, salt, wheat, milk products and excess animal protein.
  • As much as possible, avoid toxins in the food you eat and in your environment.
  • Avoid processed foods.

To get sick, all you have to do is eat the Standard American Diet (SAD). The SAD has been depleted of essential nutrients and is loaded with toxic chemicals. A cancer-causing diet creates an internal environment that supports cancer.

You are what you eat. Every cell in your body is made from what you eat and drink. You must be willing to shift to an anti-cancer diet. Simply eating a diet of predominantly fruits and vegetables can cut your cancer risk by 50 percent and in some cases by 75 percent!

What nature provides is food; what man provides is garbage. If it comes out of a factory, it is low in nutrition and high in toxins and will make you sick.

Is The Present Day Cancer Treatment Based on Faulty and Inadequate Science?

Fall-into-hole

Albert Einstein is said to have defined insanity as “doing the same thing over and over again and expecting different results”. This great scientist went on to say that “Any intelligent fool can make things bigger, more complex and more violent. It takes a touch of genius – and a lot of courage – to move in the opposite direction.”

You may interpret the above quotations anyway you like and for whatever reason or circumstances you like. Let me put them in the perspective of my own work – herbal therapy for cancer. If I have patients coming to me  every day and I prescribe  A, B or C to them and they don’t get well. I must be a real idiot to keep on giving out the same A, B or C to them again and again hoping that one day someone get cured!

To avoid being an idiot, I tell patients to stop taking our herbs if they feel that they are NOT getting any better after two or three weeks. We do not want to mislead you nor waste your precious time. I take this stance because I really believe in what Einstein said.

There is another lesson I learnt from Einstein. To him complex problems may not need complex answers. There can  just be a simple answer to it! But the problem is, many people in this world want to believe that a complex problem must have a “scientific, complicated and complex” answer. That is why we end up with having “experts.”

These so-called experts are highly educated people who talk a language that you and I may not understand. They make things to appear complicated and complex (so that their expertise are always required!)  Let me repeat, any intelligent fool can make things bigger, more complex and more violent. It needs a real touch of humility, courage and a lot of common sense to see things differently. In short, complex problem can just be solved simply! Unfortunately again, to many people simple answers are not impressive – too good to be true!

For the past week,  I spent some time surfing the net in addition to reading a book.  I have shared with you what I read about the insights of Professor Paul Davies in the previous posting, Looking At Cancer Through the Eyes of a Physical Scientist, Stop thinking cancer as a disease! I don’t think we need to cure cancer.

I must admit I don’t know if I am happy or I am angry after reading all these. Perhaps a mixture of both.

I am happy, because I thought the experts have decided to wake up and they don’t want to be insane (as defined above) anymore. For the past many decades the cancer problem was handled by “experts” who make things more complex and violent. And the result was dismal. Then not too long ago, someone important decided that perhaps non-cancer experts could provide a better solution to the present day cancer problem. They have decided that it is time to see things from outside the box. For that, I am real glad.

Why was I angry at the same time? If you hear stories day in and day out that people don’t get better because of someone else’s “insanity” you cannot help but become angry – why does the world allow or even encourage such a thing to happen? I don’t have to answer that question! Some patients know why.

And to make things even worse, alternative healers  who propose something “effective” but outside the norm or prevailing paradigm are labeled as quacks or snake oil peddlers.

In this second posting, I ask this question: is the present day cancer treatment based on faulty and inadequate science? I don’t have to answer that question either. Here are some research papers that I came across. Bear with me if you find it difficult to understand the jargons used and the ideas beside the reports.

In a paper, Cancer treatment as a game published in Physical Biology, 2012, Paul Orlando et al wrote:

  • Chemotherapy for metastatic cancer commonly fails due to evolution of drug resistance in tumor cells.
  • We view cancer treatment as a game in which the oncologists choose a therapy and tumors ‘choose’ an adaptive strategy.

Read more: http://iopscience.iop.org/1478-3975/9/6/065007/article

In a paper by Ariosto Silva et al (Cancer Res; 72(24); 6362–70. 2012.)

  • Many cancers adapt to chemotherapeutic agents by upregulating membrane efflux pumps that export drugs from the cytoplasm, but this response comes at an energetic cost. Chemoresistant cells must consume excess resources to maintain resistance mechanisms.
  • In breast cancer patients, expression of these pumps is low in tumors before therapy but increases after treatment.
    • The authors proposed a new method of treatment which they called “adaptive therapy.” They wrote: “Our findings challenge the existing flawed paradigm of maximum dose treatment, a strategy that inevitably produces drug resistance.”

Source: http://cancerres.aacrjournals.org/content/72/24/6362.abstract)

What is adaptive therapy?

  • At the moment, the future of cancer research seems to be centered in the field of targeted chemotherapy. However, it is evident that currently neither conventional nor targeted chemotherapies will suffice against resilient tumors. 
  • Conventional therapies generally aim for maximum cell death in the shortest amount of time using fixed regimens of drugs designed to eliminate as much of the tumor mass as possible under tolerable levels of toxicity to the patient. 
  • However, our perception of cancer has begun to change. It is becoming increasingly evident that an individual’s cancer can be viewed as a Darwinian ecosystem containing a heterogeneous mixture of genetically distinct cancer cell types that compete amongst each other for space and resources. 
  • This competition, combined with conditions within the tumor micro-environment and cancer phenotypes conducive to increased DNA damage, stimulate the rapid evolution of tumor lineages. Unfortunately, this often renders current therapies ineffective against highly adaptable cancers that quickly develop resistant cell types. 
  •  Adaptive Therapy, a relatively new field of cancer treatment, has the potential to counteract cancer’s ability to adapt. 
  • When intensive drug regimens are applied, the competition pressure of the chemosensitive cells is removed. This allows the resistant cells to proliferate freely, essentially dooming the patient. 
  • An adaptive approach would take advantage of this discrepancy in fitness to hold the overall population of cancer cells at a low constant, avoiding the possibility of tumors consisting entirely of resistant cells. Essentially, the ultimate goal of adaptive therapy would be to manage a tumor mass efficiently by administering drugs in a dynamic regimen tailored to each individual cancer, thereby allowing the patient to effectively outlive the cancer by managing its growth over time.

Source: http://islaslab.blogspot.com/2011/05/cancer-management-through-adaptive.html

In another paper, Adaptive therapy (Cancer Research, 69:4894-903,2009) Gatenby et al. wrote:

  • A number of successful systemic therapies are available for treatment of disseminated cancers. However, tumor response is often transient, and therapy frequently fails due to emergence of resistant populations. The latter reflects the temporal and spatial heterogeneity of the tumor microenvironment as well as the evolutionary capacity of cancer phenotypes to adapt to therapeutic perturbations.
  • Although cancers are highly dynamic systems, cancer therapy is typically administered according to a fixed, linear protocol.
  • If resistant populations are present before administration of therapy, treatments designed to kill maximum numbers of cancer cells remove this inhibitory effect and actually promote more rapid growth of the resistant populations.
  • We present an alternative approach in which treatment is continuously modulated to achieve a fixed tumor population. The goal of adaptive therapy is to enforce a stable tumor burden by permitting a significant population of chemosensitive cells to survive so that they, in turn, suppress proliferation of the less fit but chemoresistant subpopulations. 

In a paper, Physics of cancer – the impact of heterogeneity, Annual Review of Condensed Matter Physics, Vol. 3: 363-382, 2012, Qiucen Zhang and Robert Austin wrote:

  • It is a common mistake to view cancer as a single disease with a single possible cure which we have just not found yet.
  • In reality cancer takes on many forms that share a common symptom: uncontrolled cell growth and successful invasion of cancer colonies to remote regions of the body.
  • The key reason why we may never be able to defeat cancer may lie in the extreme heterogeneity of the population of the cells in a tumor: there is no one magic bullet.
  • All malignant cancers… are fundamentally governed by Darwinian dynamics.
  • The process of carcinogenesis requires genetic instability and highly selective local microenvironments, the combination of which promotes somatic evolution.
  • These microenvironmental forces, specifically hypoxia (low oxygen conditions), acidosis and reactive oxygen species, are not only highly selective, but are also able to induce genetic instability.
  • As a result, malignant cancers are dynamically evolving clades of cells living in distinct microhabitats that almost certainly ensure the emergence of therapy-resistant populations.
  • Cytotoxic cancer therapies also impose intense evolutionary selection pressures on the surviving cells and thus increase the evolutionary rate. 

Gillies et al ( Nat Rev Cancer. 12: 487-93, 2012) in their paper Evolutionary dynamics of carcinogenesis and why targeted therapy does not work.

Eric Schuur in his blog post Time to Rethink Cancer Therapy? on 28 November 2012 wrote:

  • The feeling of frustration in chasing cancer up the path only to have it resurrect out of seemingly nowhere still further upstream is a signal to me. I have sensed in this frustration a signal to think about cancer pathogenesis and treatment in new ways, like I’m sure others have.
  • Recently I have been gratified to hear a number of researchers propose new views of what cancer is and new strategies for treating it.
  • I have been a member of a tumor microenvironment interest group for a while, mostly to keep an ear to the ground in that area. Having spent many years trying to grow cancer cells in various ways, it is clear to me that they depend heavily on their microenvironment to survive.
  • I noticed a few publications suggesting that resistance to chemical therapy may be mediated by more than just the response of the tumor cells. These studies suggest that the tumor microenvironment may provide protection from anti-cancer agents by secreting of growth factors from stromal cells intermingled with the tumor cells.
  • In one study, WNT16B growth factor secretion was induced in stromal fibroblasts, which in turn protected the cancer cells from programmed cell death.
  • Rethinking cancer therapy has been proposed by Robert Gatenby and colleagues for some time.

Source:  http://mendelspod.com/blog/time-to-rethink-cancer-therapy#sthash.EvaA1gqw.dpbs

Comments

Let me briefly summarise what these researchers said.

1. Chemotherapy for metastatic cancer commonly fails due to evolution of tumour cells to become  drug resistant.

2. So going to the oncologist is like playing a game .. the oncologists choose a therapy and the tumors ‘choose’ an adaptive strategy. A famous Singapore oncologist put it in a different way – It is just like buying a lottery hoping to strike a jackpot!

3. When chemo drugs are pumped into you, the cancer cells work overtime to pump out the drugs from their cells. If no chemo drugs were applied, the pump activity was low. This activity increased after chemo treatment. Increased activity means the cells need more energy – will this not make your MORE sick?

4. The researchers said that the commonly practised maximum-dose-shoot-to-kill treatment is flawed.  Oncologists have been doing this for years. And the patients are made to believe that the stronger the dosage of poison used the higher the chances of  “cure.” And that practice has now been challenged!

5. Now there is a new buzz word —  the future of cancer research seems to be centered in the field of targeted chemotherapy.  Take note of the terminology used nowadays, Targeted Therapy! However, it is evident that currently neither conventional nor targeted chemotherapies will suffice against resilient tumors. Target therapy make a lot of money but for patients I don’t see much meaningful results. Very often, we see disappointment. Why?

6. The researchers provide the answer:  tumor response is often transient, and therapy frequently fails due to emergence of resistant populations. Why are they resistant to the chemo-drugs? The latter reflects the temporal and spatial heterogeneity of the tumor microenvironment as well as the evolutionary capacity of cancer phenotypes to adapt to therapeutic perturbations.

7. Is the kill-all-cancer-cells strategy that is done today the correct approach? Not so. You don’t have to kill all the cancer cells in your body. The goal of adaptive therapy is to enforce a stable tumor burden by permitting a significant population of chemosensitive cells to survive so that they, in turn, suppress proliferation of the less fit but chemoresistant subpopulations.

8. It is a common mistake to view cancer as a single disease with a single possible cure which we have just not found yet. The key reason why we may never be able to defeat cancer may lie in the extreme heterogeneity of the population of the cells in a tumor: there is no one magic bullet.

9. The process of cancer that occurs in your body requires genetic instability and highly selective local microenvironments, the combination of which promotes somatic evolution. Hypoxia (low oxygen conditions), acidosis and reactive oxygen species … are also able to induce genetic instability. Don’t blame it all on only the  genes. You don’t have to remove your two beautiful breasts trying to prevent cancer! O, poor actress? There are MORE to it than just the genes.

10. Malignant cancers are dynamically evolving … living in distinct microhabitats that almost certainly ensure the emergence of therapy-resistant populations. Cytotoxic cancer therapies also impose intense evolutionary selection pressures on the surviving cells and thus increase the evolutionary rate. Take note, cytotoxic cancer therapies also contribute to this problem! You don’t cure cancer – you make cancer – with chemotherapy!

11. At long last, someone –  Eric Schuur in his blog post said: Time to Rethink Cancer Therapy? Having spent many years trying to grow cancer cells in various ways, it is clear to me that they depend heavily on their microenvironment to survive. Cancer treatment is not just about KILLING cancer cells. There is more to this!

12. If there is one message you need to know, here it is: Chemotherapy Spreads Cancer and Makes It More Aggressive.  (Click link to read more.)

If you have appetite for more, read my next post: Quotations from: NEVER FEAR CANCER AGAIN.

Looking At Cancer Through the Eyes of a Physical Scientist

Stop thinking cancer as a disease! I don’t think we need to cure cancer

Cancer research has traditionally been carried out by biologists and medical researchers. They did not seem to get  anywhere, in spite of being able to generate tons and tons of data.

In 2008, the US National Cancer Institute (NCI) created 12 “Physical Science-Oncology Centers institutions” and sponsored mathematicians and physical scientists to initiate new, non-traditional approaches to cancer research.

NCI Director John E. Niederhuber said: “By bringing a fresh set of eyes to the study of cancer, these new centers have great potential to advance, and sometimes challenge, accepted theories about cancer and its supportive microenvironment. Physical scientists think in terms of time, space, pressure, heat and evolution in ways that we hope will lead to new understandings of the multitude of forces that govern cancer.”

One of the scientists involved in the “rethinking”  of cancer is Professor Paul Davies, a British-born theoretical physicist, cosmologist and  astrobiologist. He is Regents’ Professor and Director of the Beyond Center for Fundamental Concepts in Science, co-Director of the Cosmology Initiative, and Principal Investigator in the Center for the Convergence of Physical Science and Cancer Biology, all at Arizona State University.

I have the benefit of reading some of Dr. Davies’  papers found in the internet.

Physics not biology may be key to beating cancer. Source: http://www.newscientist.com/article/mg21728970.200-physics-not-biology-may-be-key-to-beating-cancer.html

Cancer: The beat of an ancient drum. Source: The Guardian,  25 April 2011 http://www.guardian.co.uk/commentisfree/2011/apr/25/cancer-evolution-ancient-toolkit-genes

New research program to approach cancer studies differently. Source: http://www.statepress.com/archive/node/8973 

Rethinking cancer. Physics World, 2010. Source: http://cancer-insights.asu.edu/wp-content/uploads/2010/01/Physics-World-June-20101.pdf 

For your information, let me quote what this learned, non-medical professor said about cancer. Indeed we need non-medical researchers to call a spade a spade. Let’s hope that those in the medical profession take heed.

Present Day Cancer Research

  • Cancer touches almost everyone in some way. Forty years ago President Richard Nixon declared a “war on cancer”. Yet in spite of $100 billion of taxpayer-funded research in the US alone, the mortality and morbidity rates for most cancers have remained almost unchanged. 
  • Dozens of much-hyped “cures” developed by drug companies are either useless or have marginal effect. 
  • Billions of dollars have been spent on cancer research and a million research papers have been published, yet most cancer sufferers have not benefited greatly from that effort. 
  • With the exception of a handful of cancer types, such as childhood leukaemia, progress on treatments has been limited to baby steps …  leading to marginal extensions of life expectancy.
  • Cancer biology is a subject about which a vast amount is known but very little is understood. So could it be that researchers cannot see the wood for the trees? 
  • Right now, the huge cancer research programme is long on technical data, but short on understanding.
  • Cancer research is dominated by genetics and biochemistry. That’s why we have the therapies, genetic and chemotherapy, as the main approaches. I think that we can open up a whole new frontier just by thinking about the problem in a totally different way.

Changing Concept of Cell

  • In the 19th century, living organisms were widely regarded as machines infused by vital forces.
  • Biologists eventually came to realise that cells are … complex networks of chemical reaction pathways.
  • Then came the genetics revolution, which describes life in the informational language of instructions, codes and signalling.

Mainstream research today focuses almost exclusively on chemical pathways or genetic sequencing. For example, drugs are designed to block reaction pathways implicated in cancer. But while of great scientific interest, such projects have not led to the much-anticipated breakthrough. Why?

There are fundamental obstacles: living cells, including cancer cells, are a bottomless pit of complexity, and cancer cells are notoriously heterogeneous. A reductionist approach that seeks to unravel the details of every pathway of every cancer cell type might employ researchers for decades and consume billions of dollars, with little impact clinically.

  • Here is …  another way of looking at cells. In addition to being bags of chemicals and information processing systems, they are also physical objects, with properties such as size, mass, shape, elasticity, free energy, surface stickiness and electrical potential. Cancer cells contain pumps, levers, pulleys and other paraphernalia familiar to physicists and engineers. Furthermore, many of these properties are known to change systematically as cancer progresses in malignancy.
  • The challenge is now to unify all three pictures – chemical, genetic and mechanistic.

Need to Change the Perception About Disease and Cure

  • To make a start …  it is helpful to stop thinking of cancer as a disease to be cured.
  • Many accounts misleadingly describe cancer as rogue cells running amok.
  • Cancer cells are not themselves “germs”; rather, they are part of one’s own body, misbehaving in a manner that may produce undesirable consequences for the organism. 
  • I don’t think we need to cure cancer.  We do not need a “cure”; rather, we need to better control and manage how cancer cells behave and, ideally, prevent cells turning malignant in the first place. 
  • In fact, I don’t really think of cancer as a disease as much as an alternative form of living matter. We don’t need to cure it, we just need to manage it for long enough that people die of something else. 
  • It is a misconception to think that people either “have cancer” or not. Cancers usually go through a progression from mostly innocuous progenitor cells to full blown malignancy, and at any given time most people (at least those of middle age and beyond) harbour cancer cells and even small tumours in their bodies that produce no ill effects.
  • Cancer cells are not the invincible enemy of folklore, but recalcitrant variants of healthy cells that face their own struggle for survival against the body’s immune system. 
  • We need to get away from the notion of a cure, and think of controlling or managing cancer. And just as the effects of ageing can be mitigated without a full understanding of the process, the same could be true of cancer. 

Darwinism and Cancer: the Evolutionary Roots

  • With no prior knowledge of cancer, I started asking some very basic questions. What struck me from the outset is that something as pervasive and stubborn as cancer must be a deep part of the story of life itself. 
  • Sure enough, cancer is found in almost all multicellular organisms, suggesting its origins stretch back hundreds of millions of years. 
  • Oncologists tend to think of cancer as a motley collection of cells gone berserk, but to me the way that tumours grow and spread to other organs indicates an organised and systematic strategy, designed to evade all that the body and the medical profession can throw at it. Such well-honed behaviour suggests they are the product of a long period of biological evolution. 
  • Cancer is pervasive among all organisms (not just mammals) in which adult cells proliferate. There is a simple – some may say simplistic – Darwinian explanation of cancer’s insidiousness, which is based on the fact that all life on Earth was originally single-celled. Each cell had a basic imperative: replicate, replicate, replicate. However, the emergence of multicellular organisms about 550million years ago required individual cells to co-operate by subordinating their own selfish genetic agenda to that of the organism as a whole.
  • The genes needed to fashion the primitive cellular aggregates of the Proterozoic era did not all become defunct. Some were incorporated into the genomes of later, more sophisticated, organisms, and lurk inside human beings to this day. That’s because they still serve a crucial function.
  • It  has long been recognised that there are many similarities between cancer and embryo development, and evidence is mounting that some genes expressed during embryogenesis get re-awakened in cancer.  When an embryo develops, its genes lay down a body plan, starting with the most basic and most ancient features.
  • So when an embryo develops, identical stem cells progressively differentiate into specialized cells that differ from organ to organ – be it kidney, brain or lung. All these cells contain the same genes, but not all of the genes are constantly active. The body has a number of chemical mechanisms to switch genes on and off, which allow cells in different organs to have different properties that can vary with time. The colon, for example, needs to rapidly replenish cells sloughed off by the passage of food, whereas the cells in other organs, such as in the brain, have a slow turnover and reproduce only rarely. 
  • With advancing age, however, that command and control system develops flaws. If a cell does stop responding properly to the regulatory signals, it may go on reproducing in an uncontrolled way, forming a tumour specific to the organ in which it arises. 
  • The implications of our theory, if correct, are profound. Rather than cancers being rogue cells degenerating randomly into genetic chaos, they are better regarded as organised footsoldiers marching to the beat of an ancient drum, recapitulating a billion-year-old lifestyle. As cancer progresses in the body, so more and more of the ancestral core within the genetic toolkit is activated, replaying evolution’s story in reverse sequence. And each step confers a more malignant trait, making the oncologist’s job harder. 
  • It is well known that cells regulate the action of genes not just as a result of chemical signals, but because of the physical properties of their micro-environment. They can sense forces such as shear stresses and the elasticity of nearby tissue. They are also responsive to temperature, electric fields, pH, pressure and oxygen concentration. Most normal cells seem to come pre-loaded with a “cancer subroutine” that can be triggered by a variety of insults.

Metastasis – the Spread of Cancer

  • Only 10 percent of people die from primary tumors.  The mere presence of cancer cells in the body is not in itself necessarily a danger. 
  • It is their ability to target, invade and cling to other tissues that leads to problems. 
  • Most existing cancer treatments involve trying to remove a tumour surgically or destroying it with radiation … oncologists are often in the dark about why certain drugs actually work, or why normal dose–response relationships do not seem to apply. Cancer cells are notorious for mutating rapidly, often developing resistance to specific drugs or undergoing a resurgence years later with an acquired immunity somehow remembered. 
  • Chemotherapy can be effective at shrinking tumours and prolonging life somewhat, but …  can even be counter-productive by leaving a handful of resistant cells alive with no competition to arrest their explosive spread. As a result, drugs are rarely the perfect solution. 
  • When cancer cells spread around the body, this is a physics problem. These cells are microscopic bodies being swept along in this raging torrent. They wriggle around, they latch on to surfaces, they drill their way through. This is the sort of language that physicists and engineers can understand.  
  • Although metastasis seems fiendishly efficient, most disseminated cancer cells never go on to cause trouble. The vast majority die, and the survivors may lie dormant for years or even decades, either as individual, quiescent, cells in the bone marrow, or as micro-metastases in tissues, before erupting into proliferating secondary tumours. 
  • When tumours start shedding cells into the bloodstream and lymphatic system, allowing the cancer to spread around the body, a secondary tumour may then develop in organs far removed from the original. 
  • The spread of cancer presents many possibilities for clinical intervention once the dream of a cure has been abandoned. For example, if the period of dormancy can be extended by, say, a factor of five, many breast, colon and prostate cancers would cease to be a health issue. How could this be achieved? 
  • A key hallmark of cancer is that it can also grow in an organ where it does not belong; for example, a prostate-cancer cell may grow in a lymph node, or an ovarian-cancer cell in the liver. 
  • Metastatic cells may lie dormant, like spores, for many years in foreign organs, evading the body’s immune system while retaining their potency. Healthy cells, in contrast, soon die if they are transported beyond their rightful organ. 
  • Although tumour cells struggle to obtain oxygen from the normal blood supply, in response they can switch their metabolism to a low-oxygen cycle, thereby creating acidic conditions as a by-product that can harm other cells. In some respects, the self-centred nature of cancer cells is a reversion to an ancient, pre-multicellular lifestyle. 
  • Cancer cells are therefore neither rogue “selfish cells”, nor do they display the collective discipline of organisms with fully differentiated organs. They fall somewhere in between, perhaps resembling an early form of loosely organized cell colonies. 
  • Nowadays, most cancer researchers adopt a “followthe-genes” approach, based on the notion that an accumulation of defective (mutated) or misbehaving genes are the primary cause of cancer. Humans have between 20 000 and 30 000 genes in total, but many are switched off depending on the type of cell or its stage of growth.

Comments 

The world ought to be glad to learn that at last someone has decided that perhaps non-medical scientists ought to have a look at cancer from a different perspective. So the US National Cancer Institute decided to invite non-medical experts to research on cancer.

Is this not what Albert Einstein, the greatest scientist of the 20th century said years back?

  • We cannot solve our problems with the same thinking we used when we created them.
  • When all think alike, no one thinks very much.

I am happy that Professor Paul Davies had come out with his new insights about cancer. He made these suggestions:

  • STOP thinking of cancer as a disease to be cured that must be totally destroyed or bombed out of existence.
  • STOP frightening  or put FEAR in us that cancer consist of rogue cells running amok. These are not an enemy. It is a part of the complexity of life that we inherited since life on earth begun. 
  • TEACH us how to manage the cancer like we manage our ageing process.

For years, practitioners of alternative healing  are saying the same things.  At CA Care I have been telling patients to learn how to live with their cancer. There is no need to fight. Fighting to me implies “war” – and we don’t want to start a war in our body. We need peace and harmony. When the times comes, let us die with our cancer.

Watch this video.

Many cancer patients come to us with a very naive notion. They are bought up by the idea that chemo is going to destroy all the cancer cells and they will be cured. The enemy in the body is done with. Soon afterwards many patients learn the folly of their ignorance.

Then,  they are told,  If the medical treatments cannot destroy all, at least the cancer is brought under control. Here again patients are just being misled — read the next posting to know that medical treatments could actually cause cancer to spread more and make it even more aggressive!`

5 Chemo does not curecancer

HOW WE DO HARM PART 2: CASE OF BREAST CANCER

Review by YEONG SEK YEE & KHADIJAH BINTI SHAARI

How we do harm

 

In this segment of HOW WE DO HARM (or How Doctors Do Harm), we summarise 2 cases of ladies with breast cancer and how harm was inflicted onto them by their respective doctors.

In Chapters 3 and 4 of the book, Dr Otis Webb Brawley, an oncologist, described 2 typical breast cancer treatment cases that were referred to him.

In the first case Helen, 50, had mastectomy in 1990 to remove a 4 cm lump together with 21 lymph nodes, all negative and classified stage II. She was “offered” post surgical chemotherapy. Her oncologist explained that a stronger dose is better than a weaker dose. “More is better” has been the hallmark of the oncology profession since the 1950s, the more chemotherapy you administered to the patient, the more effective in terms of killing the disease.”

To save Helen from succumbing to the toxic effects of chemotherapy, she was “offered” autologus bone marrow transplantation since her insurance company will pay for more of the costs of the transplant and chemotherapy (page 32). The side effects (page 33) Helen experienced from the transplant and chemotherapy was far more severe than she expected or was explained to her.

She experienced the following:

  • Nausea, vomiting, diarrhoea, dehydration,
  • Her marrow was slow to re-implant and start producing,
  • She had bleeding caused by a low platelet count and severe anaemia,
  • She had gastrointestinal bleeding and bleeding from the incisions made to harvest her bone marrow,
  • She had mouth and gum problems and cardiac rhythm problems,
  • She had a change in mental status due to electrolyte imbalance,
  • She had respiratory arrest and is put on a ventilator,
  • She developed pneumonia and had a tracheotomy

Altogether, she spent 5 months in a hospital only to be discharged to a rehabilitation hospital.

  • Helen survived it all. However three years after her discharge, she read a news story about randomized clinical trials that showed that bone marrow transplantation for breast cancer doesn’t prolong survival!! (page 33).
  • Naturally she was devastated. Why had she been subjected to a devastating procedure when no one, including her doctor, could say with certainty whether it worked? Why wasn’t she told about this uncertainty? Was it possible she was duped? Was it possible she had nearly died to help her doctor and various medical institutions accumulate wealth? (page 30)
  • When confronted, her oncologist admitted and responded that…”this was what everybody was doing at the time” (page 34)…so much for “FIRST, DO NO HARM!!”
  • Four years later, a routine chest X-ray showed a lesion in Helen’s lungs… had Helen’s breast cancer returned despite the transplant? As further lesions developed in her lungs after the initial chest X-rays, Helen was told by her insurance company that she was pronounced uninsurable (page 36).
  • From a middle-class woman who has done everything her doctors told her to do and had been put through tremendous amount of what is now considered unnecessary treatments that she suddenly found herself uninsured and dying of cancer. What are her options now? (page 36).
  • A few months later, Dr Brawley was handed Helen’s PET-CT scan which she described as” it lit up like a Christmas tree.” Indeed the scan lights up bright, showing lesions in the spine, ribs, pelvis, lung, liver and the opposite breast…. What happened to her? (page 40).
  • This is indeed a real tragedy of “modern, scientifically tested, evidence-based medicine.” Helen received a bone marrow transplant without being told all that was known about it, and, more important, all that was unknown. She got the transplant because she was insured and doctors could convert her suffering into cash (page 45). 

In the second case, Lilla Romeo was first diagnosed with breast cancer (Stage 1) in 1995.  She had surgery followed by radiation. Five years after the initial diagnosis, a routine scan (how many scans did she have in the 5 years?) showed the disease had returned. The doctors told her that “the prognosis turned grim…the cancer was incurable, and the goal of treatment was to delay the inevitable.” So Lilla was persuaded, and started non-stop chemotherapy (page 71).

In 2003, Lilla remembered an oncology nurse at the New York University Medical asked if she was feeling tired and with a hemoglobin reading just under ten, she was “suggested and offered” cancer-fatigue drugs (at that time, the popular one was Procrit by J&J)

In 2004, she was told that the hospital had switched from Procrit to another drug, Aranesp (manufactured by AMGEN), which caused a burning sensation under her stain at the injection site (page 79).

In 2010, when she requested copies of her medical records from the doctors who had treated her, Lilla learned that she had received a lot more Procrit and Aranesp than she knew. Her first dose was administered on 1/11/2001 and then almost weekly thereafter. Altogether, she was given 221 1/2 doses.

When Lilla was started on the hemoglobin-building drugs (also known as ESAs), little did she know that the drug companies manufactured a medical condition: cancer fatigue. She also had no idea that “her infusion was the front-row seat for observing a spectacular, indeed, cataclysmic, failure in medicine.” Pharmaceutical companies were promoting an untested therapy that was supposed to make patients feel better and stronger when, in fact, it caused strokes and heart attacks and in some cases made tumors grow.

By the time she discovered the harm inflicted on her (after 221 1/2 doses), it was too late. She had spent about US 600,000 for the hemoglobin-building drugs alone. Dr Brawley strongly believed that these drugs have shortened Lilla’s life. She died on June 9, 2010 at the age of 63 (Just before her death, Lilla was suggested and given “Avastin”!!)

A POINT TO PONDER

Have you noticed a new trend in breast cancer treatment? More and more ladies are told that they have to undergo chemotherapy first to shrink the lump (whether the lump size is 3.0 or 3.5 cm) before surgery can be done, then further chemotherapy  and radiotherapy and perhaps hormonal treatment.

Why do you need to shrink the lump first in an external organ (like the breast) if mastectomy can be carried out? Recently we have seen a lady with an almost 5 cm lump removed by lumpectomy. So why is it necessary to shrink a lump of 5 cm or even 3.5 cm first by chemotherapy?  The patient will incur additional costs (for the chemotherapy drugs) and the additional toxicities and harm to the body.

We welcome your views on this matter.

FURTHER REFERENCES

There are lots of books/references on breast cancer screening/treatments, etc.  The following is a short list:-

1)       BREAST CANCER: THE HERBAL OPTION by Dr Chris Teo, PhD (If you follow the advice in this book, you will not have to suffer the collateral damage done to Helen and Lilla Romeo in the article above). ISBN No: 978-9832-590231.

2)       THE TOPIC OF CANCER by Jessica Richards (Read why and how Jessica decided against chemotherapy – her advice to all readers…”Don’t assume that what you are told by your doctor/oncologist is the only way or the best way for you”…For your information, Jessica did not have surgery, chemotherapy or radiotherapy and is still alive more than five years later after her diagnosis). ISBN NO: 978-0957-064409

3)       YOU DID WHAT? By Hollie and Patrick Quinn (Hollie Quinn was diagnosed with Stage 2 breast cancer while 38 weeks pregnant and just three weeks before her 28th birthday.  She had a mastectomy but refused all other forms of conventional cancer treatments). ISBN No. 978-0-692-009048 

4)       MY HEALING FROM BREAST CANCER by Dr Barbara Joseph, MD (A physician’s personal story of recovery and transformation). ISBN No. 978-0879-837-112 

5)       www.drday.com – Website of Dr Lorraine Day, an orthopedic surgeon who healed herself by surgery alone – no chemotherapy or radiotherapy. Watch her DVD…”You can’t improve on GOD”…..how she healed herself.

6)       AFTER CANCER TREATMENT by Dr Julie K. Silver, MD, an assistant professor of Physical Medicine and Rehabilitation at Harvard Medical School (she advises patients to explore Eastern and other medical systems-read chapter 6). ISBN NO: 978-081-884382 

7)       YOUR LIFE IN YOUR HANDS by Professor Jane Plant (Despite five recurrences from 1987 to 1993, she finally defeated her breast cancer using natural methods). ISBN No. 978-0753-505502 

8)       WHAT YOUR DOCTOR MAY NOT TELL YOU ABOUT BREAST CANCER by Dr John Lee, MD, a hormone specialist and Dr David Java, PhD, a biochemist. Find out why the authors believe that:-

  • The women who agree to try new chemotherapies are guinea pigs for a type of treatment with a notoriously poor track record (page 13).
  • Chemotherapy is an attempt to poison the body just short of death in the hope of killing the cancer before the entire body is killed.  Most of the time it doesn’t work (page 13).
  • Some chemotherapy does prolong life for a few months, but generally at the price of devastating side effects, and if a woman does happen to get lucky and survive that bout of cancer, her body is damaged; recurrence rates are high…the use of chemotherapy is purely a gamble…(page 13). ISBN No. 978-0446-679800

9)       A WOMAN’S GUIDE TO HEALING FROM BREAST CANCER by Dr Nan Lu, OMD (Discover how the miracles of ancient healing techniques can complement modern medicine to battle breast cancer). ISBN NO: 978-0380-809028.

10)    A WORLD WITHOUT CANCER by Dr Margaret Cuomo, MD and radiologist. (Throughout the book, Dr Cuomo made various references to breast cancer and its treatments. One notable point is that—breast cancer radiation seems to carry a particularly higher risk, and may be associated with subsequent lung cancer, as well as cancers of the blood vessel, bone, and connective tissues (page 79).  Interestingly, Chapter 4 is called “Cut, Poison and Burn: A Look at Today’s Treatment Options). ISBN No. 978-1109-618858.

NB: THESE NOTES, COMPILED BY YEONG SEK YEE AND KHADIJAH BINTI SHAARI, ARE MEANT STRICTLY FOR YOUR INFORMATION AND NOT INTENDED TO DISSUADE YOU FROM SEEKING CONVENTIONAL CANCER TREATMENTS. THIS HAS TO BE SOLELY YOUR RESPONSIBILITY/DISCRETION.

BOOK REVIEW: MY CANCER IS ME

JOURNEY FROM ILLNESS TO WHOLENESS by Vijay Bhat and Nilima Bhat

Review by Yeong Sek Yee & Khadijah Shaari

My Cancer is me

We chanced upon this book at the Mumbai airport on 24th May 2013 on our way to GOA. Vijay Bhat’s first career was in the high pressure world of advertising for over 20 years. Later, after his recovery from surgery, he started afresh as an independent leadership consultant to corporate clients, as well as a cancer coach to support other people battling cancer.

The title of the book, “MY CANCER IS ME” is central to Vijay’s belief that “since my life was about me, my cancer was also about me” When he focused on himself, Vijay realised that his cancer originated within and only then manifested as a “tumour” in his body i.e. “my cancer was about myself.”

Vijay’s cancer journey began in Dec 2001 when he was diagnosed with cancer in the transverse and descending sections of his colon. He underwent a surgical process called subtotal colectomy (i.e the removal of the entire large intestine) with ileorectal anastamosis (where the small intestine is connected to the rectum). His case was classified as Stage 3 with no metastasis.

The authors’ views on conventional cancer treatment

After surgery in London, Vijay was “offered” chemotherapy which he decided not to do after much thought and research. Some of his reasons are: –

a)     He was told by the oncologist that, with chemotherapy, his cancer had a 28% chance of recurrence and without chemotherapy, a 30% chance of recurrence. Considering this tiny 2% gap between the 2 options, and keeping in mind all that he knew about the debilitating side effects of chemotherapy, he decided against it.

b)    Vijay’s extensive research after his surgery made him truly believe that “the cancer establishment may be barking up only one tree and perhaps the wrong one at that”. Typically, Western medicine focuses on the physical aspects of cancer and the organ/ part of the body where the cancer has originated, for example, the breast, colon, or lung. This “organ-centric” approach assumes that if the cancer (and the affected body part/organ) is dealt with, the problem has been adequately addressed. Vijay believes that healing cancer requires going beyond an “organ-centric” approach and adopting a “person-centric” approach that takes the whole person into account, not just the body or part of the body.

c)      In addition, Vijay strongly believe that cancer treatment is often a hit and miss game; and that chemotherapy treatment carries a large margin of error because, beyond a point; the therapeutic drugs cannot distinguish between healthy and cancerous cells. As a result, chemotherapy has an adverse impact on the bone marrow, hair skin, digestive tract and the immune system, leading to side effects such as fatigue, bruising, bleeding, anemia, nausea, a poor appetite, a metallic taste in the mouth, etc.

To give him the best chance of remaining free of cancer, Vijay tried various alternative healing therapies and treatments. With the help of his wife Nilima, he created a personal healing regimen based on principles drawn from Traditional Chinese Medicine (TCM), yoga, meditation and the latest in Western medical research.

Vijay has crossed the five-year milestone in Dec 2006 and the ten-year milestone in December in 2011. This (Vijay’s case) clearly debunked the normal conventional cancer treatment myth that “you have no choice; you must do chemotherapy straight away”. As a result of his personal research, Vijay and Nilima came to the conclusion that “there are many approaches to dealing with cancer (or any illness for that matter), for instance, medical, nutritional, psychological and spiritual”

According to Vijay and Nilima Bhat, cancer is the result of your physical lifestyle along with your mental, emotional and spiritual processes and the “stressors” associated with these processes. For instance, negative thoughts and attitudes are mental stressors while negative emotions such as anger and guilt are emotional. Healing these aspects of you is essential for physical healing. The authors guide you through your process of self discovery, showing you how to find your stressors and teaching you how to recover from them.

The book also gives useful information on the biological aspects of cancer and its causes; dietary and nutritional needs of cancer patients; how to maintain optimum immunity; how to confront love and death; and the role of the caregiver.

The authors’ views on nutrition and cancer

After his cancer surgery (to remove the whole colon), Vijay Bhat was put on a liquid diet and then later a solid one. As he began to get his appetite back, the hospital nurse asked him cheerfully “Are you ready for a steak-and-fries lunch today?” Vijay thought she was joking. Anyway, he requested for some vegetable broth and mashed potatoes. When the surgeon came by on his rounds, Vijay asked him if there was a recommended diet and nutrition plan for cancer patients. The surgeon replied “Not really…though there is some evidence linking dietary habits with cancer, it is not conclusive.” Since Vijay had a major colon surgery, he asked…”even though my digestive system has been dramatically affected by the surgical removal of the entire colon (large intestine)? The surgeon still maintained that… “as long as you are sensible , you can eat whatever you feel like. (This dietary advice is very similar to the advice given to Dr David Servan Schreibar in his best seller, ANTICANCER: A NEW WAY OF LIFE. In Dr Schreiber’s case, his oncologist told him “Eat what you like. It won’t make much difference. But whatever you do, keep up your weight.” (For more elaboration, read Chapter 8: The Anticancer Foods of Dr Schreiber’s book).

As the authors lament, there are very specific dietary recommendation for ailments of the heart, kidney and liver, for diabetes, ulcerative colitis, and irritable bowel conditions and so on. What about cancer? Surely a situation where the body’s nutrients are hijacked by tumour cells and its immunity compromised, and where there may be further stress due to toxic treatments such as chemotherapy or radiation, deserves special care as it seeks to heal itself?

Paradoxically, there is a growing recognition of diet as a major causative factor in cancer. It has been established that diet contributes significantly to 6 of the 10 major causes of death in modern society…also there have been over 10,000 peer-reviewed scientific studies pointing to the connection between dietary habits and cancer.

From our (Vijay and Nilima Bhat’s) perspective, diet is the foundation upon which all the other holistic and integrated therapies can be built; ignoring it runs the risk of undermining the efficacy of the whole program. The following is a summary of the author’s research on the subject of nutrition and cancer: –

  • A meat-based diet increases the risk of cancer; a plant-based diet protects against some cancers. A plant-based diet is best.
  • A low fibre intake increases the risk of cancer. A high-fibre diet, with whole grains cereals and pulses is beneficial
  • A high-fat intake (particularly animal fat) increases the risk of cancer.
  • Excess animal protein increases the risk of cancer.
  • Alcohol & obesity increases the risk of cancer. 

Based on the 5 key dietary principles with reference to cancer, Vijay recommends some of the foods that boost immunity such as fresh fruit and vegetables, garlic, green/black tea and red wine, yoghurt, sweet potatoes, mushrooms, fish, apples, broccoli and red onions, oats and barley etc.

Vijay followed a strict plant-based diet and he is still alive 10 years later after surgery (without any other forms of conventional therapy). In the case of Dr Schreiber, he had brain surgery and chemotherapy. It was when he had a recurrence 3 years later that he decided to follow a plant-based diet and survived a total of 19 years (he had glioblastoma multiforme, a very aggressive form of brain tumour)

Point To Ponder

Would Vijay survive more than 10 years (surgery in Dec 2011) and Dr Schreiber survived 19 years if they had not changed their diets and follows an integrative program? We welcome your thoughts.

FURTHER REFERENCES:

To gain more insight on the benefits of a plant-based diet, read the following: –

1. THE CHINA STUDY by Dr Colin T. Campbell, PhD.

2. ANTI-CANCER: A NEW WAY OF LIFE by Dr. David Servan Schreiber.

BOOK REVIEW: CHASING MEDICAL MIRACLES

The Promise and Perils of Clinical Trials by Alex O’Meara, a freelance journalist.

Review by: Yeong Sek Yee & Khadijah Shaari

http://www.alexomeara.com/books-writing-other-work/chasing-medical-miracles/

chasing medical miracles

Alex O’Meara researched and wrote this book after he participated in a risky and ground breaking type-1 diabetes clinical trial. In this book, Alex reveals what every health-conscious person needs to know about how drugs, devices and procedures are tested and approved.

In this segment, we detail how Alex was involved in a clinical trial and his subsequent discovery that clinical trials is not to cure anyone but merely to obtain data. Alex O’Meara, in his own words, “has served as a clinical trial guinea pig.”

In 2004, Alex signed up to take part in a clinical trial (The Pancreas Islet Cell Transplant Study) involving an experimental transplant to cure diabetes. He had been suffering from type 1 diabetes for almost 30 years and had “hypoglycemic unawareness”, a condition where his blood sugar, instead of staying chronically high, would plunge dangerously low which can cause seizures, coma, and in some cases even death.

The experimental procedure which Alex took part, replaces the insulin-producing cells that have died in a diabetic’s pancreas with living, healthy, insulin-producing cells. Because the cells are located in a part of the pancreas called the Isle of Langerhans, the cells are called islet cells. Those islet cells are taken, or harvested, from a recently deceased organ donor and infused through a tube into a person’s portal vein, which leads to the liver. The idea was that once in the liver, the islet cells would nestle in and produce insulin as if they were in a pancreas.

After stringent interviews and tests, Alex was accepted into the experimental procedure at the University of Virginia. Later he found out that he was the only one “selected” at the UVA. This made him realise that he was merely “a test subject, the monkey in the space capsule”. The transplant was really experimental and he had donated his body to science and he wasn’t even dead as yet (page 17).

What shocked  Alex more was that, on admission into the UVA hospital (in May 2006), he discovered that his doctor Susan Kirk, MD, an endocrinologist who specialised in diabetes also had type 1 diabetes for also almost 30 years. When Alex asked whether she would consider getting an islet cell transplant, Dr Susan said she wouldn’t…perhaps she might consider it in the future, “once the procedure is perfected.”

This encounter with Dr Susan Kirk prompted Alex to spend some time to chronicle his own personal experience and to research further the promise and perils of the entire industry of clinical trials. The following are the main points of the perils of the risky world of clinical trials: –

a)     Clinical trials are conducted to collect data only…however some clinical trials candidates suffering from cancer, diabetes, asthma, and other life-threatening conditions sincerely believe (or led to believe) that clinical trials are a valid medical treatment option (page 49).

b)    Subjects often come into clinical research studies believing that their own interests will be met in the same way as if they were receiving ordinary medical treatment (page 49).

c)     Terrible things happen in clinical trials because they are the most dangerous part of medical discovery. Very little in medical research, of which clinical trials are only the final phase, goes according to plan (page 21).

d)    Clinical trials are the one part of medical discovery where human lives are put directly at risk… in the absence of guidelines and agreed-upon definitions of what is ethical and not ethical, subjects in clinical trials get trampled in the blind pursuit of trying to apply medical breakthrough (page 23).

e)     There have also been concerns about whether the FDA allows pharmaceutical companies too much freedom in how they design trials and how they report the results of these trials. Pharmaceutical studies can be designed to falsely increase the likelihood of getting the results the drug companies wants (page 46).

f)     ….drug companies may skew the design of clinical trials so their drugs will come out looking more effective or less dangerous than they are. Among the tricks that can be used are testing the drug in a healthier population that will be taking the drug and comparing the new medication to a lower dose of an existing medication so the results look better for the drug being tested (page 75).

g)    ….consent forms that the trial subjects signed always overstate the benefits and the risks of the trial are understated (page 88).

h)    Because clinical trials are not therapy, because they are by definition research, terminally ill patients who do consent to participate in trials are usually persuaded to do so because of therapeutic misconception or the implication they will receive treatment in the trial (page 90).

Regardless, clinical trials are not designed to provide patients with quality care. Somehow, patient care became part of a process designed to only gather information. The doctor administering the trial might be wearing a stethoscope and a lab coat, but he/she is not there to cure anyone. He/she is there purely to collect information from a subject and learn more about medicine (page 30).

The history of clinical trials shows great swings between significantly helping and dramatically harming people (page 52). They are, after all “medical experiments” dismissed in the public consciousness as “a fringe medical endeavour along the lines of “Frankenstein cooking up a monster in a lab” (page 3).

So, for cancer patients opting/signing up for clinical trials, remember it is an information gathering exercise only and not a medical treatment at all. And in some trials, a placebo (sugar pill) may be used. If you are a cancer patient, you do not have the luxury of time for some drug companies to experiment with your body. Only the drug companies will benefit…..after you are long gone.

Postscript

Alex’s experiment was not successful. In May 2007, one year after the transplant took place he had to increase his insulin intake and in 2008, he was an insulin-dependent diabetic again. His wife, who could not bear it anymore, filed for divorce. Subsequently, the drug company sponsoring the trials also terminated the protocol….and Alex O’ Meara was back to square one.

FURTHER RELATED REFERENCES

There are a lot of books/references if you have the interest/inclination to read further on the subject of ethics (or lack of it) in clinical research. Below is just a short list.

1)   HE BODY HUNTERS by journalist Sonia Shah. In the book, she shares that: The main business of clinical research is not enhancing or saving lives but acquiring stuff: data. It is an industry, not a social service.The people who sponsor and direct clinical trials do it for the data, not to please patients or help bolster ailing health facilities, although they may point to these side effects to justify their activities.

2. WHITE COAT, BLACK HAT: ADVENTURES ON THE DARK SIDE OF MEDICINE (2010) by Dr Carl Elliott, MD, PhD, Professor in the Center for Bioethics at the University of Minnesota, who says medical trials that were once carried out by medical schools and teaching hospitals have moved to the private sector and drug companies manipulate the research and review boards to get the results they want. After drugs are released they again manipulate the system to get drugs recognized on the market even if the risk to patients outweighs the benefits.

3. EXPLOITATION AND DEVELOPING COUNTRIES: THE ETHICS OF CLINICAL RESEARCH by Jennifer S. Hawkins (Editor), and Ezekiel J. Emanuel (Editor).  The book is an attempt by philosophers and bioethicists to reflect on the meaning of exploitation, to ask whether and when clinical research in developing countries counts as exploitative, and to consider what can be done to minimize the possibility of exploitation in such circumstances.  A case in point is clinical research sponsored by developed countries and carried out in developing countries, with participants who are poor and sick, and lack education. Such individuals seem vulnerable to abuse. But does this, by itself, make such research exploitative?

4. RETHINKING THE ETHICS OF CLINICAL RESEARCH: WIDENING THE LENS by Alan Wertheimer, Senior Research Scholar, Department of Bioethics, The National Institutes of Health, and Professor Emeritus, University of Vermont.

Clinical research requires that some people be used and possibly harmed for the benefit of others. What justifies such use of people? This book provides an in-depth philosophical analysis of several crucial issues raised by that question. Much writing on the ethics of research with human subjects assumes that participation in research is a distinctive activity that requires distinctive moral principles. Specifically, read chapter 5, “Exploitation in Clinical Research.”

5. WATCH THE MOVIE….The Constant Gardener, a 2005 drama thriller film directed by Fernando Meirelles. The screenplay by Jeffrey Caine is based on the John le Carré’s novel of the same name. The film follows Justin Quayle, a British diplomat in Kenya, as he tries to solve the murder of his wife Tessa, an Amnesty activist. The story is told using many flashbacks and it is gradually revealed that Tessa was trying to uncover dubious drug tests by a Swiss-Canadian drug company on the local population.

It was filmed on location in Loiyangalani and the slums of Kibera, a section of NairobiKenya. Circumstances in the area affected the cast and crew to the extent that they set up the Constant Gardener Trust in order to provide basic education for these villages. The plot was based on a real-life case in Kano, Nigeria in which a meningitis drug, approved for use on adults were used on children (in Europe, the same drug was never approved for adults or children).

6. VISIT THE WEBSITE OF GUINEA PIG ZERO, a Journal for Human Research Subjects…..http://www.guineapigzero.com……lots to read. Then you will understand why you should not be a guinea pig

Cancer: You Always Get What You Deserve

Confession-of-Cowboy

The author of this book, Dirk Benedict, shared the real story of his life – his health and illness, his discovery and recovery. 

The word kamikaze literally means divine wind in Japanese. But in Western culture, this word refers to the pilots of the Japanese Empire of World War 2 and their suicidal crash attacks on enemy ships. 

Who is Dirk Benedict?   

The author wrote: If you perchance see me on TV or in movies, observe a man well into his forties and possibly the first meat-free, sugar-free, brown-rice celebrity Hollywood has ever produced.Benedict is a movie star, actor and of course now an author. He starred on Broadway, in films and TV series including The A Team, Battlestar Galactica, etc. 

What was wrong with him? 

I’ve had at one time or another, all of the following ailments: falling hair, arthritis, acne, lower back pain, impotence, weight problems, excessive drinking habits, and finally at age THIRTY, the really Big One … the disease that keeps the wheels of Corporate Medicine well oiled and spinning … cancer … tumour in my prostate gland. 

Why did he write this book? 

Because I am a man of conscience, this book got written. I do know that truth is inclusive, not exclusive, and it is the unavoidable consequence of those who experience it to share that experience without reservation. It isn’t only misery that loves company but also joy. Benedict, however, cautioned readers that: This book is not for those who disbelieve, who attack, who resent. 

Why did he get prostate cancer at age 30? 

Prostate cancer generally appears in men at the ripe old age of 65 and above. But the author wrote:Today one-fifth of all cases will occur in men younger than 65.  Want to know what causes it? Don’t ask them (the doctors). They don’t know. They’re still looking. They will tell you there is no cure and could you please make another donation so they can keep looking. Want to know? I’ll tell you … and for the cost of this book you can have that for which they have spent billions of your dollars in search of. 

Again, the question: why prostate cancer at such a young age? It is the result of over-consumption of mucus-forming foods rich in fat and protein such as meat, eggs and dairy …. Sugar, refined flour products and fruits also produce fats and mucus. 

My past eating habits were proof that it was inevitable: you can’t eat meat (deer, elk, beef, lamb, etc.) to say nothing of milk, cheese and eggs, three times a day for twenty-five years and not have problems with your prostate! 

Up until the past few years, anybody such as myself who held forth that cure of sickness lies in what we eat was laughed at hysterically. And worse, was attacked as un-American, anti-Christian and just plain ol’ crazy. Wacko! How stupid to think that food could be the cause and cure of our illnesses. 

Cancers all have one thing in common. They are all the result of a life or lives lived in ignorance of the eternal, infinite laws that govern the universe. There was nowhere to place the blame but directly on my own being. We do get what we deserve. In other words, our fortunes or misfortunes are a direct result of the level of ignorance. 

The more responsibility I took for my own life, in sickness and in health, the more personal freedom and joy would be mine, as surely as the day follows the night. 

Healing of his prostate                                                 

The only real path to personal health and happiness was through my own slow and painful understanding. 

Good behaviour: there lay the secret to the success or failure of my swollen prostate. I got the message. Good behaviour … no cheating, whereby the only one who gets cheated is yourself. Good behaviour. There would be no Junk Days for me. That would be the most difficult aspect of the journey – resisting the limitless tempations that America has to offer throughout this sugar-coated land.

Because my prostate tumour has been caused by dietary habits, it would be treated by dietary means. Since 1972 I hadn’t consume meat, poultry, sugar, chocolate, sugar-treated foods or chemicalised foods. To be added to that list of untouchables were fish and all other seafood; eggs, all dairy products (including butter) honey, all flour products (bread, pancakes, cookies), all stimulants such as pepper, mustard, curry, mint, peppermint, all alcoholic beverages, coffee, teas, fruit and fruit juices; all nuts and nut butters; almost all oils (including unsaturated vegetable oils), salt and salty foods and finally all vegetable of tropical origin, such as eggplant, tomatoes and potatoes. 

What does that leave? Grains, vegetables, beans and bean products and seaweeds. Beverages were to consist of water and nonstimulating teas. All foods to be cooked, including vegetables. No raw foods, including salads. Methods of cooking were steaming, boiling or pressure cooking. Sauteeing was okay occasionally. 

My routine was simple: Oatmeal and light miso soup with wakame for breakfast. Lunch was nothing or some leftovers from dinner the night before and several mugs of bancha tea. Dinner was brown rice … lightly sauteed vegetables and either azuki beans or black beans cooked long and slowly with various kinds of seaweed added. I had steamed diakon for dessert. 

I weighted 152 pounds … I was shocked .. I hadn’t been aware of losing any weight at all and in about six weeks I had lost 23 pounds … I was a thirty-year-old with the body of a twelve-year-old. 

Throughout this period of my life, those people who told me that I was “killing myself” were entirely correct, but not in the way they intended. I was killing myself. My OLD self. My body was dying for the food it had been used to since the womb and not receiving it; my body was simply dying. And this included the tumour in my prostate, which was no longer receiving the food it needed to continue expanding. With time it began to shrink. 

Healing crisis 

Prior to stopping my carnivorous ways I ate meat three times a day. When I stopped, I stopped completely. This was dangerous … eventually the body will want to rid itself of all the stored animal protein / minerals it no longer needs. The vomiting, the violent convulsions were all symptoms of a body discharging … excess animal flesh. In Leros I experience the awesome power of nature as my body violently regurgitated masses of stored animal food it was not longer required to hang on to, due to my drastic change in diet. 

Did he cure himself of his prostate cancer?       

You bet! He wrote: Do I think cancer is curable? I’m alive, ain’t I? If you wish to learn more about him, google him yourself and you will know that he is very much alive and cancer free at that. He wrote: The cost of my cure was less than what most people spend on diet soft drinks in one year … it is economically available to all America. It would put modern medical megacorporations out of business.

Was my cancer back? No.

Could I now finally call myself cured? No.                                                              

Is there such a thing as being cured? No, no, no.                                                       

Could my prostatic cancer tumour return? Yes. 

Some quotes for you to meditate on 

  • There are no such things as coincidences. Accidents are never accidental. What we call good luck and bad luck we do so merely out of an ignorance of the reality of our own behaviour. We always get what we deserve. 
  • Once we initiate direct action toward the realization of a dream and totally commit our mind, soul and body, then the most miraculous and unforeseeable forces comes into play in the realization of that dream. 
  • I … vowed never again to eat anything from the Kingdom of Animal. 
  • Meat ties you to the earth; grains tie you to the stars, the universe. 
  • How can we have gratitude when we take everything, including life itself, for granted? We are taught as children that the world owes us! Our parents owe us! Our friends owe us! Our loved ones owe us! Our government owes us!  Without gratitude there is no divinity in our lives. There is no order in our lives. 
  • What we eat, the food you put into your body, dictates the physical condition of that body. 
  • There is a unique point to all our lives, a divine purpose that can only be realised when we get our glorious personalities, wills, intellects out of the way and let nature take its course. 
  • My life is my own. Nothing can kill me but my lack of judgment and understanding. 

Dirk Benedict’s final advice 

If you decide to follow the dietary principles in this book, that alone means nothing. You must do it yourself. 

  1. Cook your own food
  2. Take your own advice
  3. Learn by your own mistakes
  4. Be the captain of your own ship
  5. Do so for seven or eight years and perhaps then you begin to get the point.
  6. Until then, keep your mouth shut! Don’t join the thousands proudly announcing they’ve been practising something called macrobiotics for six days, weeks, months, and gee do they feel great. Wait. 

The path to understanding is not paved with joyous days of munching brown rice! This book is not fiction. Be patient. Be doctor. Be well. 

Stars like John Wayne, Gary Cooper, Steve McQueen (and now Farrah Fawcett) – the list is endless, died of cancer. Dirk Benedict wrote: McQueen’s book is about what modern medicine can’t do for you. Mine is about what an understanding of the universal laws of nature …can do for you. Steve McQueen was rich and famous. Because he was rich, he could afford the astronomical expense of modern treatment for his terminal disease.   

McQueen’s Junk Day: In Mexico, McQueen found his alternative. His last chance. He had been given certain dietary rules to follow. But literally days prior to his death, he was still having ice cream sneaked into his room, to say nothing of the one day a week he had organized for himself and other patients … during which they would eat all the junk food he could arrange to have smuggled in. He name this day of carcinogenic feasting Junk Day. His reasoning: “How can it be bad for me? All hospitals serve it.”  Not very good behaviour. He should have known better.  Right up to his Last Supper, Steve was going to have his dish of frozen milk and sugar.  

You want to be free of sickness. Die! Death is the only real cure for the maladies of life.

How Doctors Do Harm: Case of Breast Cancer

by Yeong Sek Yee & Khadijah Shaari

How we do harm

 

 

Being an oncologist, the following are Dr Brawley’s comments on cancer treatments:

In Chapters 3 and 4, a typical breast cancer treatment case was described. Helen, 50 had mastectomy in 1990 to remove a 4cm lump together with 21 lymph nodes, all negative, and classified stage II. She was “offered” post surgical chemotherapy. Her oncologist explained that a stronger dose is better than a weaker dose. “More is better” has been the hallmark of the oncology profession since the 1950s, the more chemotherapy you administered to the patient, the more effective in terms of killing the disease.

  • To save Helen from succumbing to the toxic effects of chemotherapy, she was “offered” autologus bone marrow transplantation since her insurance company will pay for more of the costs of the transplant and chemotherapy (page 32).
  • The side effects (page 33) Helen experienced from the transplant and chemotherapy was far more severe than she expected or was explained to her.

She experienced the following:

  • Nausea, vomiting, diarrhoea, dehydration,
  • Her marrow was slow to re-implant and start producing,
  • She had bleeding caused by a low platelet count and severe anaemia,
  • She had gastrointestinal bleeding and bleeding from the incisions made to harvest her bone marrow,
  • She had mouth and gum problems and cardiac rhythm problems,
  • She had a change in mental status due to electrolyte imbalance,
  • She had respiratory arrest and is put on a ventilator,
  • She developed pneumonia and had a tracheotomy

Altogether, she spent 5 months in a hospital only to be discharged to a rehabilitation hospital.

  • Helen survived it all. However three years after her discharge, she read a news story about randomized clinical trials that showed that bone marrow transplantation for breast cancer doesn’t prolong survival!! (page 33).
  • Naturally she was devastated. Why had she been subjected to a devastating procedure when no one, including her doctor, could say with certainty whether it worked? Why wasn’t she told about this uncertainty? Was it possible she was duped? Was it possible she had nearly died to help her doctor and various medical institutions accumulate wealth? (page 30)
  • When confronted, her oncologist admitted and responded that…”this was what everybody was doing at the time” (page 34)…so much for “FIRST, DO NO HARM!!”
  • Four years later, a routine chest X-ray showed a lesion in Helen’s lungs… had Helen’s breast cancer returned despite the transplant? As further lesions developed in her lungs after the initial chest X-rays, Helen was told by her insurance company that she was pronounced uninsurable (page 36).
  • From a middle-class woman who has done everything her doctors told her to do and had been put through tremendous amount of what is now considered unnecessary treatments that she suddenly found herself uninsured and dying of cancer. What are her options now? (page 36).
  • A few months later, Dr Brawley was handed Helen’s PET-CT scan which she described as” it lit up like a Christmas tree.” Indeed the scan lights up bright, showing lesions in the spine, ribs, pelvis, lung, liver and the opposite breast…. What happened to her? (page 40).
  • This is indeed a real tragedy of “modern, scientifically tested, evidence-based medicine.” Helen received a bone marrow transplant without being told all that was known about it, and, more important, all that was unknown. She got the transplant because she was insured and doctors could convert her suffering into cash (page 45).

Quotes from Killing Cancer Not People

Killing Cancer Not People

 

Author:  Robert G. Wright founded the American Anti-Cancer Institute in 2008 after 25 years of private study.  He previously had careers in aerospace and business before founding the Institute.

Bill Henderson, in the Foreword, wrote:

  • In my 12 years of helping cancer patients heal themselves, I become more convinced everyday that there is only one reason people die of cancer. It is lack of information.  There is no more important message to learn and teach your loved ones than “… only you can heal yourself.”

Dr. Lynn Jennings, in the second Foreword, wrote:

  • I hear this again and again. When a patient is diagnosed with cancer, they feel forced into making immediate decisions on treatment. They are intimidated into thinking that a delay to make a decision will be the cause of failure of the prescribed treatment.
  • Cancer doesn’t occur “overnight.”  It is generally accepted that cancer has been present for many years before symptoms or sign develop. A short delay to explore your options is not going to be the cause of a failure.
  • I object to the way that patients are frightened into believing that the only chance they have is with one of the “golden three” …  surgery, chemotherapy and radiation. Worse, is the fact that patients are not told that there are alternatives.
  • It is my opinion that, of the three golden three, only surgery seems to be helpful (in early stage cancer) … Chemotherapy and radiation treatments increase your risk of developing a new cancer by suppressing or destroying your immune system.

The author, Robert G. Wright wrote:

  • My motivation lies in the healed bodies of multitudes of cancer sufferers who are walking around and thriving today because they did the right thing – not the usual and customary thing. There is no satisfaction and no consolation in the latter when your family hears “we did the best we could.” And, the truth be known, most of us are aware, deep down, that the result is usually always the same – the patient “didn’t survive.”

Why We Get Cancer

  • Statistics published on the American Cancer Society Website say that one in two men and one in three women – over 40% of us – will have a “cancer experience.” Very soon that figure will be a full 50%.
  • The way we live, what we eat and drink, the environment we exist in, the toxins we ingest – either by choice or chance – these, in large part, are the reasons we get cancer. The so-called experts want you to believe that genetics play a major role. They don’t!
  • It has become increasingly evident that the food we eat is killing us.
  • Most of us are doing the wrong things by eating wrong foods, living lives largely devoid of real nutrition, adequate hydration and exercise and, instead, filling our swelling bodies with poisons, toxins, proton-pump inhibitors and sugar – then wondering why we have acid reflux and cancer.
  • It simply means that you are responsible – nobody else – for your own health and whether cancer manifests itself in your body.  Sadly, we live in a culture that, in many instances, wants to assign blame and does not want to accept responsibility.
  • I ask you to always keep at the forefront of your thoughts the concept that what heals cancer also prevents it; and what prevents cancer also heals it.

Brain Washed

  • We are trained to go to the doctor when we believe something is wrong… As a result, we did exactly what he or she said –no wavering, no question, no debate.
  • We trust our doctors (and pharmaceuticals) to heal us when they really have no ability to do so. Contrary to popular belief (and hope), drugs don’t heal people and neither do doctors.
  • Don’t be fooled. Chemotherapy, radiation and surgery cannot heal you – although surgery is sometimes absolutely necessary.

Cancer Treatment

  • Slash, Poison, Burn. The Big Three. What you probably don’t know is that they have no possibility of healing your cancer. Let me repeat that. They have absolutely no possibility of healing your cancer. They actually cause cancer.
  • The saddest and most tragic part of all is that we’re not only dying of the “disease” now, we’re dying from the treatments.
  • Let’s face it; there is no money in a cure for cancer.
  • And cancer cannot be cured with drugs, surgery, chemo or radiation; not now, not ever, not possible.
  • When it comes to cancer, your doctor / oncologist will fail you.
  • We know that conventional therapy doesn’t work – if it did, you would not fear cancer any more than your fear pneumonia.
  • Modern medicine, with all its wonderful new diagnostic equipment, surgical techniques and drugs, would have you believe that the tumour is the cancer and if you don’t get it out right now you are done. Not true on both counts. The tumour is a symptom and you almost always have time.
  • You are frightened into believing that surgery and chemical/radiological treatments are your only chance and you must start right now and, second, you are scheduled for surgery, cut open and cut up, told “we got it all” (they never get it all), then set up for chemo and radiation. Your demise has begun.
  • You are told nothing of alternative therapies and, in many instances, threatened if you even consider them.

Empowerment

  • It’s your life – not his (doctor’s) – take charge of it.
  • No one has the right to tell you what to do – especially if you have cancer. That’s a decision you must make for and by yourself.
  • I know for a fact that most of us do not have all the pertinent and correct information to make it accurately or correctly … most people, due to their lack of understanding concerning the facts surrounding cancer and how it is really healed, make the wrong decision. And although it’s not their fault, for many of these, the statistics prove that it will cost them their lives.

Quotations to Reflect On

Dr. Julian Whitaker said:

  • You must remember this. If you or a loved one ever faces the scourge of cancer, it is your life that is at stake, not your doctor’s. It’s up to you to take control of your own health… Conventional cancer therapy is toxic and dehumanizing, and it doesn’t work. If it did, we wouldn’t fear cancer. But people rush into these therapies that don’t work because they are too scared to do anything else.

Oncologist James Holland, M.D. wrote:

  •  My definition of cancer quackery is the deliberate misapplication of a diagnostic or treatment procedure in a patient with cancer …The culprit who victimizes his fellow man suffering from cancer … all the  while greedily enriching himself, is a quack, a criminal, a jackal among men who deserves the scorn and ostracism of society. Because human life is at stake, he must be controlled.