Extensive spread to liver after seven shots of chemo

PR is a 33-year-old Indonesia. This is an email (translated and edited from Bahasa Indonesia) I received from him on 10 October 2017.

Part A: Medical history

A year ago, I often had stomach pains on the left side. I consulted doctors in Indonesia and Malaysia and did USG, CT Scan and colonoscopy. There was a tumor inside the colon. After a biopsy, I had surgery.

After operation the result was malignant tumor and I was required to undergo chemo for 8 times (infusion) and take medication (Xeloda) for 2 weeks and rest of 1 week.

After 4 cycles of chemo I did a CT scan again. The cancer had spread to the liver. I have to chemotherapy until 7 times. Then I did a CT scan again. The result was still the same, I decided to stop chemo and I chose my own herbal consumption (garlic mixed with honey).

Part B: Are you currently taking herbs?

No. I consumed herbs 1 month ago, some kind of  root, but it was not effective. I now feel pain and uncomfortable in the upper right abdomen and waist and shoulder.  For more than 2 weeks I stopped taking the herbs again. I am now taking painkillers from the doctors (Ultraset and Acorxia).

Part C: Current health condition

The more detailed information you provide, the better we can understand your problems.

  1. Do you feel pain? Where, how often and how serious? I often experience pain at the bottom of the right rib, pain when exhaling and also often uncomfortable at the waist, shoulders, and abdomen.
  1. Can you sleep? I have trouble sleeping. While sleeping only briefly and often woke up again.
  1. Do you feel tired? Sometimes.
  1. How often have you had a bowel movement? Is it difficult, with blood? Defecate sometimes 1 to 2 times a day, no bleeding and no pain.
  1. How is your appetite? Normal appetite, but I eat less because of stomach feeling full.
  1. Any bleeding? Where? No bleeding.
  1. Do you have a problem: digestion? diabetes? high blood pressure? No diabetes or high blood. Only when defecate feeling less satisfied (stools only a little bit sometimes).
  1. How often do you urinate? With blood? Normal, and no blood.
  1. Do you cough? With phlegm, what color (white / yellow)? Throat itchy? No cough, just throat often feel thirsty. 
  1. Breathing difficulties? Yes, sometimes with pain in the upper abdomen right under the ribs.
  1. Any other complaints: The stomach, shoulders and waist feel uncomfortable. The portion of the pit of the stomach is rather hard. Body often feels hot but cannot stand the cold weather.

PR came seek our help after this email.

Listen to our conversation that morning.

Gist of our conversation.

His problem started about 2 years ago when he lost his appetite and had difficulty moving his bowels. After a medical checkup he was told there was a mass in his colon. He went to a private hospital in Melaka for a colonoscopy. It was colon cancer and he underwent an operation in July 2016. The operation cost RM 30,000.

Chris: Did you ask the doctor if the operation can cure you?

PR: Bisa sembuh (yes, can cure!). But after the operation the doctor said the cancer was aggressive. I have to undergo chemotherapy.

C: So you have chemo?

P: Yes, after the fourth chemo, CT scan showed the cancer had spread to the liver. Then, I have more chemo and stopped after the 7th chemo.

C: Did the cancer go away?

P: No, the liver got worse. 

CT scan: 6 October 2017 

  • Liver metastasis in both lobes, predominantly right lobe. The conglomerate of nodules in right lobe measures 11.4 x 15.1 x 18.1 cm. Mild ascites seen.
  • Multiple para-aortic adenopathies, largest 1.8 x 2.2 cm.

Chest X-ray: Left lower zone nodules seen. Lung metastasis.

Blood test: 6 Oct. 2017

ESR 42 H
Platelet count 245
ALT (SGPT) 63 H
AST (SGOT) 150 H
ALP 256 H
GGT 211 H

C: How much did you spend in all for the treatments?

P: The operation cost about RM 30,000 and the 7 cycles of chemo (including Xeloda) cost RM5,000 / cycle.

C: Let me ask you this — before the operation did the scan show any cancer in your liver?

P: No, there was no liver metastasis.

C: Before the chemo — was there any cancer in your liver?

P: No cancer in the liver.

C: But after 4 shots of chemo, CT scan showed the cancer had gone to the liver?

P: Yes.

C: So, what did the doctor say?

P: Continue with the chemo!

C: What is the whole idea of doing more chemo when you got worse? What do you think made the cancer spread to the liver?

Comments

To answer the last question, perhaps you may want to reflect to the following reports.

Shock study: Chemotherapy can backfire, make cancer worse by triggering tumor growth

The extremely aggressive therapy, which kills both cancerous and healthy cells indiscriminately, can cause healthy cells to secrete a protein that sustains tumor growth and resistance to further treatment.

The scientists found that healthy cells damaged by chemotherapy secreted more of a protein called WNT16B which

“WNT16B, when secreted, would interact with nearby tumor cells and cause them to grow, invade, and importantly, resist subsequent therapy,” said Nelson.

In cancer treatment, tumors often respond well initially, followed by rapid re-growth and then resistance to further chemotherapy.

Source: http://www.nydailynews.com/life-style/health/shock-study-chemotherapy-backfire-cancer-worse-triggering-tumor-growth-article-1.1129897

Chemotherapy could spread cancer cells and lead to more advanced tumours, says study

Chemotherapy is used to kill cancer cells and stop tumours from growing – but a new study suggests it could in fact help the disease spread, leading to more aggressive forms of cancer.

While the treatment was found to shrink tumours in the short term, chemotherapy drugs increase the chance that cancer cells will migrate to elsewhere in the body and may trigger a ‘repair’ system which allows them to grow back stronger, according to a team of US researchers.

Source: http://www.independent.co.uk/news/health/chemotherapy-cancer-spread-cells-tumours-more-advanced-treatment-study-breast-metastatic-albert-a7826461.html

Treatment Can Make Cancer Stronger

Doctors use radiation and chemotherapy to destroy cancer cells. About half of patients are cured — that is, all of their tumor cells die.

The other half of the time, some tumor cells survive treatment. These cancer cells are more aggressive than they were before treatment, says Mark W. Dewhirst, DVM, PhD, professor of radiation oncology at Duke University.

“When you give a tumor treatment, whatever cells survive are going to be more resistant to that treatment,” Dewhirst tells WebMD. “Those not killed are healthier cancer cells.”

Source: https://www.webmd.com/cancer/news/20080610/treatment-can-make-cancer-stronger#1

Why do chemotherapy drugs cause liver damage?

Chemotherapy drugs may cause liver damage because they are toxins and they place added stress on the liver’s filtering function. The liver removes toxins and chemicals from the blood stream and changes them into products that can be readily removed through the bile or urine. If toxins accumulate in the body faster than the liver can process them, then liver damage will result.

Source: http://cancer.unm.edu/cancer/cancer-info/cancer-treatment/side-effects-of-cancer-treatment/less-common-side-effects/organ-problems/liver-damage-hepatotoxicity/

Read our two articles:

Chemotherapy SPREADS and MAKES cancer more AGGRESSIVE

Chemotherapy Spreads Cancer and Makes It More Aggressive: Articles From the Internet

 

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Cancer of Rectum-Liver, Part 2: After one chemo I told the doctor, I would rather die!

Jas was diagnosed with rectal cancer that had spread to the liver. She underwent surgery and was told to undergo chemotherapy (and radiotherapy). After that she would be cured!

With full confidence she went for her first shot of chemo. She suffered badly. She had difficulty sleeping, had sores in her mouth, felt nauseous and vomited. She felt very tired and very uncomfortable.

Jas told the surgeon that she did want anymore chemo and would rather die than continuing with the remaining 7 cycles of chemo!

Desperate, the family looked for another direction. Incidentally, a relative who lives behind her home is a patient of ours. Jas’s daughter and son-in-law came to seek our help. Jas was prescribed herbs. Three months later, Jas, her husband and another daughter turned up at our centre.

 

Gist of our conversation that day.

Chris: You don’t want to do any more chemo?

Jas: No, I don’t want anymore. I can’t stand those side effects.

C: You spent RM3,500 and you suffered?

J: It is better that I die than going through those chemo again. I told the surgeon I don’t want to continue with the chemo.

C: Did the doctor get angry?

J: No. He asked if I went for the first cycle of chemo. I said yes, but I am not going for anymore chemo after that. Whatever it is I just don’t want to continue with the chemo. After the chemo, I could not sit, vomited, could not eat — from morning to night. Could not sleep. Mouth with sores.

C: Good that you did not die!

J: Ya.

C: Who ask you to come here.

J: A friend. Actually a relative who is living behind our house (also colon cancer and was on your therapy for the past 2 years and doing well).

C: Do you believe in what we do?

J: Ya. If I don’t believe I would not have come here.

C: (Knowing that this is a fussy and difficult patient). The herbs are difficult to take — bad taste, lousy smell and you need to take care of your diet — cannot eat anything you like. Can follow?

J: Yes, you have already told me that.

C: Know that your health and your healing is your responsibility. So Ibu (mama) you have to take care of yourself. We can teach you what to do but eventually it is all about your responsibility.

If you continue with another 3 cycles of chemo, would you “fly away”?

Husband and daughter (laughing): Yes, fly away. Gone. One shot already so bad.

C: You have been on the herbs for 3 months already and you did not have any problem. So let us hope that you keep it that way. Take care of yourself.

Daughter: Yesterday the doctor did a scan and said the mass in the liver had shrunk. Before it was big, now it has gone smaller.

C: Did the doctor know that you have given up chemotherapy?

J: Yes, we told him. After hearing that he just kept quiet.

C: I have given you herbs for your liver. Keep taking it. Don’t get angry if it does not taste good. Thank God for it and ask for His blessing. Be happy and I hope you will be okay.

Beside that (the liver mass being smaller) did you feel better after taking the herbs?

J: Yes, I felt better. I can sleep now (before difficult). I have appetite (before none).

Husband: Her diabetes had improved.

C; Your bowel movements were not good before. Now?

D: No problem now.

Comment

Jas was told that after surgery and 8 cycles of chemo she would be cured. A great promise indeed. But after one shot of chemo, Jas gave up — could not stand the side effects.

But after taking the herbs for 3 months, Jas is still doing fine. What could have happened if she were to continue with another 3 months of chemo? Your guess is as good as mine!

 

 

 

 

 

 

 

 

 

 

Cancer of Rectum-Liver: Stage 4 – Part 1: Surgery followed by 8 times of chemo can cure you!

Jas is a 54-year-old Indonesian lady. Her daughter came to seek our help. Jas’s problem started in mid-2016 when she had bleeding. She could not tell where it came from — through the vagina or rectum. Anyway, she consulted a gynaecologist who told her that her uterus was “dirty” and needed “cleaning up” (whatever that means!).

One day in October 2016, while a home, Jas was unable to stand up. She still had bleeding then. The doctor said she suffered from vertigo.

Fast forward to March 2017, Jas consulted another gynaecologist in Medan and was told that besides the “dirty” uterus there was a mass in her anus.

Jas came to a private hospital. in Penang. A blood test on 4 April 2017 indicated CEA = 247.03, CA19.9= 72.2, ESR = 57.

Jas underwent an operation. Histopathology confirmed the following:

  • Moderately differentiated adenocarcinoma of rectum with metastases in pericolic lymph nodes (11/11) and segment 4a of liver.
  • T3N2Mx, Stage 4.
  • Non-neoplastic liver shows features of chronic hepatitis.

The cost of the operation was RM 60,000.

Jas was told to take a rest for 3 weeks after the surgery and then come back for chemotherapy. The drug to be used was Oxaliplatin + Xeloda (oral) or Oxaliplatin + TS-One (oral). Each cycle would cost RM 7,000.

Jas needed to receive 8 cycles of chemo plus radiation after that.

Chris: Before the operation, did you ask the doctor if he can cure you?

Daughter: The doctor said you have to operate and then followed by 8 cycles of chemotherapy and radiotherapy. You will be cured.

Son-in-law: The doctor said it depends on chemotherapy. 

Jas eventually underwent one cycle of chemotherapy. She had the treatment in another hospital. Why?

The chemo treatment in another hospital using the same drugs: Oxaliplatin + TS-One cost only RM 3,500 (half the price of the other hospital where she had her surgery!).

Chris: Did you ask the oncologist if chemotherapy would cure you?

Daughter: The doctor was not sure. 

C: Did you not tell him that the doctor in another hospital said it can be cured after surgery and chemotherapy?

D: I told him. He did not respond and kept quiet. 

C: Did your mother suffer any side effects of the chemo?

D: She had difficulty sleeping, had sores in her mouth, felt nauseous and vomited. She did not vomit if she did not take TS-One. She felt very tired and very uncomfortable. No, my mother is not going for the second chemo. She does not want anymore chemo.

 

Comments

Can we all learn something from this sad story?

  1. Right from the start something did not seem to be right — being told about “dirty uterus”. What was that? After further consultations, Jas was told there was a big tumour near her anus. How could that be?

2.. Jas came to Penang and underwent an operation. She did the right thing! After surgery, she was told to take a rest for about 3 weeks and then proceed with chemotherapy. Chemotherapy — there is no need to rush to do that. Now, let us ask two important basic questions.

  1. Before undergoing any treatment, I always tell patients to ask their doctors — Can the surgery (chemo or radiation) cure me? This is a legitimate question to ask and don’t be afraid to ask!
  1. Yes, Jas asked that question. Can surgery cure me? Jas got this answer. After surgery, you need to go for 8 cycles of chemo (plus radiation) and you will be cured. 
  1. Is that an honest, truthful answer? It sound like undergoing surgery by itself is not enough to cure you. You need chemo and radiation as well to be cured.
  1. Or, by giving such vague answer, was the surgeon trying to pass the buck to the oncologist?
  1. What if chemo / radiation do not cure?

Let me relate what happened to one patient who did surgery in that same hospital A. His surgeon said he needed to cut off a part of his liver immediately, otherwise he would die soon. A few months after the surgery, the cancer came back again. The patient and his wife confronted the surgeon and was given this answer, I have already done my job. I have removed the tumour in your liver. He walked away refusing to see the couple again.

  1. Jas went to Hospital B. She asked the oncologist if chemotherapy would cure her. The oncologist said, NOT SURE ! When told that the doctor in Hospital A said after 8 chemo Jas will be cured, this oncologist kept quiet! Take note, people of the same tribe takes care of each other, right?
  1. Take note also that this is a stage 4 cancer — from the rectum the cancer has spread to her liver. Can surgery and chemo cure such cancer?
  1. Lesson two: Before undergoing any treatment ask how much it cost – that is if money is important to you! Using the same drugs, each cycle of chemotherapy in Hospital A cost RM 7,000 but in Hospital B it was only RM3,500 (half the price!).Treatment for cancer is extremely lucrative!

 

 

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

 

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

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

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

There were two realities we must face in this case.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Comments

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

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

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

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

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

 

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

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

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

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

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

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

The pathology report indicated:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

 

 

 

 

 

Shopping for an illusive cancer cure!

A young Indonesian man and his sister came to our centre, trying to “shop” for a cure for their father’s cancer. They came with a long, rolled piece of fax-paper.

The following were written on that paper.

  1. August 2013. Father was diagnosed with cancer of the rectum which had spread to the liver.
  2. Went to a private hospital in Singapore for a biopsy.
  3. Underwent chemotherapy in a private hospital. Drugs used: Oxaloplatin + Leucovorin + 5-FU + Erbitux.
  4. After 4 cycles of chemo, underwent robotic surgery of the rectum in October 2013.
  5. One month after surgery, underwent 8 cycles of chemotherapy again. In total he had 12 chemos. His CEA reduced to less than 5.0. Metastases in liver disappeared!
  6. Took oral drugs: Xeloda and TS One.
  7. CEA shot up again.
  8. More chemo — 8 cycles. Drugs used: Compto + Leucovorin + 5-FU + Erbitux (note: same as before except for Compto instead of Oxaloplatin).
  9. CEA was 10.
  10. Through recommendation of his doctor in Indonesia, went to a doctor at NUH Singapore for surgery to remove the tumour in segment 5 of liver. This was in October 2014.
  11. Underwent radiofrequency ablation (RFA) in June 2015, in Mount Elizabeth, Singapore.
  12. Back in Indonesia, underwent TACE in Gatot Subroto Hospital, Jakarta in July 2015.
  13. CEA shot up to 40.
  14. Went back to the same private hospital in Singapore to undergo more chemo. Received 2 shots of chemo using the same previous drugs: Compto + Leucovorin + 5-FU + Erbitux.
  15. CEA reduced to 15.
  16. Continued with 6 more cycles of chemo with a private hospital in hometown, Semarang.
  17. CEA increased to 50.
  18. Continued with 4 cycles of chemotherapy in Semarang. Drugs used: Avastin + FOLFOX.
  19. Not effective.
  20. Chemo drugs changed to: Compto + Leucovorin + 5-FU + Erbitux (previous drugs as in Singapore).
  21. CEA reduced to 4.
  22. In February 2017, took Stivarga — oral drug (regorafenib).
  23. CEA shot up to 300 and in March 2017 it was at 800.
  24. Suffered severe side effects besides being not effective.
  25. Came to Penang cancer hospital and had one shot of chemo. Drugs used: Paritumumab (or Vectibix) + 5-FU + Irenotecan. One shot of this chemo cost RM 10,000.

After two weeks in Penang, this young man came to our centre. He came to know about CA Care from the internet and wanted to know more about our therapy.

While waiting to talk with me, this young man and his sister was given this notification to read.

Some important points for you to know before you see me

NO CURE FOR CANCER

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

OUR HERBS ARE BAD-TASTING, AND HAVE AWFUL SMELL

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

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

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

TRY OUR THERAPY FOR TWO TO FOUR WEEKS

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

If you are still on chemo or radiotherapy (or are planning to do chemo or radiotherapy), or are taking other treatments elsewhere,

Go ahead and continue with these treatments first,  do not take our herbs yet.

 Comments

While waiting for me to talk to them and after reading the statements above, the daughter said: I don’t think my father can keep up with your therapy!

During the meeting I asked both of them the following questions:

  1. Why did you come to see me after everything else has failed?

Answer: Oh, we never knew that it is another option. We only thought medical treatment is the only way out.

  1. How much did the family spend for all these treatments?

Answer: Oh, could not count! So much.

  1. You were in Penang for 2 weeks already, what makes you take that long to come and see us?

Answer: I could not find CA Care!

  1. But, if you go into the websites: http://www.CancerCareMalaysia.com or CancerCareIndonesia.com, we have a google map in there that shows you exactly where we are.

Answer: Oh, I did not go into the website! I called your number but could not get through.

  1. We only answer phone from 10 am to 1 p.m. We close at 1 p.m. That is also stated in the website.

Response: I used my Indonesian hand phone and could not get through.

  1. Did you use the correct country code?

Answer: I just dialed without the country code!

  1. This a quotation:

Response: I agree.

  1. This is another quotation:

Response: I also agree with that.

After spending about 30 minutes with them, I sent them home to think carefully about the above.

I never get to see them again!

Let me close with another quote from an oncologist:

 

 

 

 

A Tale of Two Patients: Alive and healthy — miraculous healing or fluke shot?

There is a town in Indonesia where it appears everybody seems to know everybody — that is, if you are a somebody in town. Many patients came to see us because “somebody” told them about us. For us too, we often learn about the wellbeing of our patients from “somebody” who came to visit us!

Here is a story of two patients who are from this dynamic town.

AS with Liver Cancer

AS was 65 years old when he was diagnosed liver cancer. His problem started in late December 2011 when he felt gastric-like pain in the abdomen. His doctor suspected gallbladder infection. He went to Jakarta and underwent a surgery to remove his gallbladder. During the operation, the surgeon also did a liver biopsy for suspicious liver tumour.

In February 2012, AS went to the National Cancer Centre in Singapore for follow-up treatment.  A PET / CT revealed a  3.2 x 2.6 cm in the left lobe of his liver. AS did nothing after this. But two months later,  AS did another CT scan. The tumour had grown in size.

On 3 May 2012, AS underwent a surgery to remove the tumour. The procedure cost him SGD28,000. Liver histology indicated a hepatocellular carcinoma (HCC or liver cancer) and it was 4 cm in size.

About three months after the surgery,  AS went back to Singapore for a review. A repeat CT showed NO evidence of recurrent HCC or focal liver lesion.

Unfortunately six months later (i.e. about 9 months after the surgery) another PET /CT revealed a new recurrent mass in the liver measuring 8.0 x 4.8 cm. Surgery failed and AS was asked to undergo chemotherapy.

On 22 March 2013, AS underwent TACE (transarterial chemo embolization). Unfortunately, the interventional radiologist was unable to access the tumour feeding vessel. TACE was aborted. In spite of the failure, AS had to pay S$5,000 for the procedure.

AS was discharged on 25 March 2013 and was referred to an oncologist for intravenous chemotherapy. AS was disappointed with the doctors and  decided to give up further medical treatment. He came to seek our help.

AS was prescribed Capsule A, B, C and D. In addition he had to take LL-tea, Liver 1 and Liver 2 teas. We sent him for a blood test. The results as of 15 April 2013, showed his alpha-fetoprotein = 1,064.0 and total bilirubin = 25.0. Other liver function enzymes were within normal range.

After the CA Care Therapy

Eight months after taking the herbs, a CT indicated the tumour had shrunk to 5.2 x 2.2 x 3.9 cm in size (from 8.0 x 4.8 cm).

About 2 years later, 18 January 2015, AS and his wife came to visit us. AS’s wife was very agitated and upset. Since the past few weeks AS had been taking “bad food” – food that we tell patients not to eat. On top of that AS sometimes was not taking the herbs properly.

Briefly my message to AS (and also all cancer patients) that night was very clear, crude and blunt.

  1. When patients are “half dead,” they would follow our advice without protest. But when they get well, most of them will “misbehave.” That is normal.
  2. To live or to die is your choice.
  3. There is no need to be upset about the patient’s choice. If he wants to die, let him die.
  4. My experiences have shown that if patients eat anything they like, this “good time” would probably last about 2 months. After that the cancer would recur and they would not be able “enjoy” food anymore.
  5. I also told AS, Perhaps it is time you stop taking the herbs. Go home and eat a lot of what you want to eat and “go” faster.
  6. AS had lived for almost 2 years. He should be grateful that he is still alive – healthy and without pain. What more do you want? Be grateful for what you are now!

I wish to state too that telling AS the above was not done with anger! But I suspect these words were too harsh for him. I did not get to see AS again!

Later I learned that AS is a somebody in his town! He owns rubber plantations and his son-in-law is a medical doctor!

Did his son-in-law stop him from taking our herbs? No, on the contrary, his son-in-law was the one who asked him to come and see us after the medical treatment in Singapore had failed.

It is now 2017 — it has been four years since we first met AS. What has happened to him? Many visitors from his town told us he is still healthy and doing fine!

Let’s hear what Jaya has got to tell us about AS in the video below.

 

Gist of our conversation

Chris: Let me ask you about your friend with liver cancer, who brought you here. I did not get to see him anymore. Is he still alive? And healthy?

Wife of Jaya: Yes, yes.

C: Have you seen him lately? When was the last time you saw him?

W: I met him and his wife in the market, a few days ago.

C: And he is really healthy?

W: Yes and he has a big tummy and his face looks pink and healthy.

C: Still alive!

W: Yes, very much alive! His son-in-law is a medical doctor. It is his son-in-law who asked him to come and see you.

C: Oh, the son-in-law did not object him taking our herbs?

W: No, no.

C: I am really happy to know that he is doing fine. That is the most important thing. Good for him. In your past conversation with him, did you ever hear him saying that the herbs are not effective and that is why he does not want to continue taking it anymore?

W: No, never. He said he is already old (72 years already). So there is no need to take anymore herbs. But he said he still takes care of his diet.

C: The last time he and his wife came here, I remember I scolded him for not wanting to take care of his diet. His wife was also mad at him. May be because of that that he did not want to see me anymore.

Jaya: Before we came here, his wife talked to me over the phone. She wanted me to send you her regards and let you know that AS is doing fine. Only that he does not want to continue with the herbs anymore.

C: That is okay. As long as he is fine, there is no need to take the herbs. Why waste time to come here and waste all the money. I am not unhappy about that. What is important is to know that he is doing okay.

Jaya with colon cancer

Another somebody in town is Jaya. Actually it was AS (above) who brought Jaya to see us in 2015.

Jaya was then 48 years old when he was diagnosed with colon cancer — T3N8X, stage 2. He underwent an operation in October 2014. This was done by a surgeon in a Jakarta hospital. A chemo-port was installed and Jaya had 2 cycles of chemotherapy with FLOFOX 6 regimen (oxaliplatin + Leucovarin + 5-FU).

The first chemo was on 16 November 2014 and the second on 30 November 2014, done in a hospital in Jakarta. Jaya was scheduled for 10 cycles of chemo,  every 2 weeks.

Unfortunately after the second chemo, Jaya developed serious infection. He was rushed to Singapore and was hospitalised for 17 days for Staphylococcus aureus infection (because of chemo-port infection).

While in the hospital he remained unconscious for 3 days. The doctor had asked the family members to “get ready.” Fortunately, Jaya recovered from this ordeal. The treatment in Singapore cost him SGD31,118.

Jaya and his wife flew together with AS and his wife flew to Penang to seek our help. Jaya did not want to continue with his chemotherapy anymore although his wife insisted that he follows the doctor’s advice.

Jaya was started on our herbs and was told to take care of his diet — no more chemo!

It has been two years now, Jaya is doing fine, like his friend AS.

 

Gist of my advice to Jaya

Chris: What is important now is to ensure that you maintain our wellbeing as it is now. Continue to do the right thing that you are doing now. It has been two years since you first came to see us and was started on the herbs. It seems (based on the blood test results) that everything is just fine.

But be careful and know that being good for two years is NOT a cure.

Jaya & Wife: (nodding their heads). Ya.

C: Don’t ever think that your cancer is already gone and cured. From my experience, I know that we cannot cure any cancer. It will come back! Look at one of our patients there (pointing to a picture). He was with us for more than twenty years. Doing fine. Then the cancer recurred (because he did something wrong). Now he is dead.

Comments

When AS with recurrent liver tumour first came to see us, we told him that he had a serious problem. I was not sure if I could help him in anyway. I can only do my best. Back in my mind, in a case such as this — 8 cm recurrent tumour in the liver — at best, survival would be six months! I did not expect him to survive! But as this story has it, it has been 4 years now and AS is still healthy.

AS had given up further medical treatment after surgery and attempted TACE had failed him. He took herbs and changed his diet. And he survived. That’s amazing!

Then you have Jaya. After surgery, he did the so called “right thing” medically. He had two shots of chemo which almost killed him. He had to be rushed to Singapore for help — to clear off his severe infection. Luckily he survived the ordeal when even the doctors thought that he would die.

I remember clearly when AS, Jaya and their wives came to see us that night. Jaya wanted to give up chemotherapy. Jaya’s wife wanted him to continue with the chemo. Later commonsense prevailed. Jaya decided to follow our therapy.

It has been two years now and Jaya is as healthy as anyone else — yes, without chemo!  He took herbs and watch out for his diet.

Often patients are being told, If you don’t operate you die! You don’t do chemo you die! You take herbs — that’s unscientific and unproven! Quackery. In the USA, they call people like me, snake oil salesman!

Which do to prefer? Snake oil or chemo that may kill you?

Related stories

  1. Liver Cancer: 3 cm Tumour OUT, 8 cm Tumour IN After 9 Months and S$28,000-Surgery
  2. 8 cm Liver Tumour Shrunk After 8 Months On Herbs. Still Alive and Well After 2 Years
  3. Colon Cancer: My Chemo Experience

 

 

 

Colon Cancer: Go, have it removed!

RS is a 51-year-old Indonesia lady.  About two years ago, she passed out blood-stained stools. The doctor in her hometown said she had a tumour in her rectum.  RS was told to have it removed. She refused to undergo an operation. She said, I was afraid! She then opted for herbal therapy.

  • RS was given three types of herbal capsules. The herbalist told her that within three months she would be cured.
  • Three months came, nothing much happened. RS was told to take other capsules for another three months. Again nothing happened.
  • RS continued taking the capsules for another three months.
  • After a total of nine months on the herbal capsules, something happened. Her condition deteriorated!

RS  then switched to taking daun binahong tea and also used a type of spray for the mouth. You can read how great these products are in the internet. The spray that she used cost IDR 1.8 million per bottle.

RS never found any relief (let alone cure) from what she did. She and her daughter came to consult a doctor in a private hospital in Penang.

A colonoscopy confirmed an ulcerative tumour at the distal rectum involving the anal canal. CT scan showed an irregular lesion in the lower rectum measuring 1.5 to 2.0 cm in thickness. No evidence of distant metastasis.

RS’s daughter wrote me an email (unedited):

dear Dr Chris,

advise doktor that my mom has to operation, cut her rektum. is it only the way dok,? but we hope with another way. now my mom at XX hospital dok, do colonoscopy and ct scan. may i sent you the result of medical check up before we come. thank you.

Reply: No need to send the reports. Just come and see me and I’ll tell you what to do.

RS and her daughter came to CA Care. Listen to our conversation that morning.

 

 

The gist of our conversation

Part 1: Go for surgery

Chris: Tell me what happened from the very beginning.

Daughter: She passed out blood in her stools.

C: When was that?

RS: About two years ago.

C: What did you do?

R: I went to see a doctor and did a colonoscopy. There was a tumour in the rectum.

C: The doctor asked to operate but you did not want? Why?

R: I was afraid!

Herbal Capsule — Herbalist said can cure!

C: So did you go to the bomoh (sharman) and do jampi-jampi (chanting)?

R: No. I went to a herbalist and he gave me three types of herbal capsules.

C: How long were you on this capsules?

R: About 9 months. After that I stopped.

C: Before you took the herbal capsules, did you ask if these can cure you?

R: I did ask and he said, yes — can cure!

Daughter: The herbalist said can cure.

C: Can cure? After how  long?

R: The herbalist said take the herbs for 3 months, and I would be cured.

C: And did it cure you after 3 months?

R: No. So the herbalist said take for another 3 months?

C: Was it the same herbs? And are they more expensive?

R: He gave me different herbs. Yes, it cost more now.

C: So, you took the herbs for another 3 months.

R: I took a total of 9 months and I gave up. It did not cure me and I had more pain.

C: Did you ask him why the herbs did not cure you?

R: He asked me to continue taking the herbs!

Switched to binahong tea and spray

R: I stated to take herbal tea — binahong. The leaves of a creeping plant.

D: Boil the leaves as tea.

R: And I took it every morning.

D: Mom also use a spray (for the mouth). It is actually a nutritional supplement. It cost IDR 1.8 million per bottle.

C: Are you on all these now?

R: No more.

Doctor in Penang

C: Then you came to Penang and did a colonoscopy. What did the doctor ask you to do after that?

D: Operate, but mom did not want it.

C: Did you ask the doctor is surgery is going to cure you?

R: Never ask.

C: Did he say you need chemo after the operation?

D: The doctor said after the operation, mom can live a normal life.

C: Did he said, mama need to use a colostomy bag?

D: Ya. The doctor also said, if the cancer has spread, then mom has to go for chemotherapy.

C: How much is the operation going to cost you?

D & R: About RM25,000.

Go to Dr. X to your surgery

C: Removing the tumour would not kill you! It is okay. But remember that NOT all doctors are the same. Some do a good job, some don’t. If I were you, I would NOT think too much. Believe me, go for the operation. But let’s find a good surgeon for you! Yes, this is important — who can do a good job for you.

I know of one colorectal surgeon who is good. I have sent a few patients to him. He is a good person and did a good job. But I also want you to know that I do not get any financial incentive (professional they call it referral fee!) by asking you to go and see him. NO, I don’t do such thing — making money that way. What knowledge God gives me, I would share that with my patients without any fee.

So, I suggest that you go to Dr. X for the surgery. If you don’t want to go to Dr. X, of course, you can go to Singapore. But that is going to cost you three times more!

After the surgery, the doctor may want you to do chemo. If you want to do chemo, go ahead. But if you don’t want to go for chemo, you can come back to see me again after that, about 2 weeks after the surgery. Bring along all the medical reports.

If you don’t want to go ahead with the chemo, let the doctor know that you want to take herbs. As I have said, a few of my patients just did that. They had the operation but no chemo.

 

 

Part 2: My advice — why you need surgery

D: Actually we were supposed to go for surgery yesterday. But I consulted my friends in Surabaya. They suggested that I try to find out another option. One of them send me your name card. Mom does not want surgery if possible.

C: You were supposed to go for surgery and you deferred it. The doctor was angry with you?

D: No, he said it’s okay. I told him that we need to discuss with our family members first. .

  1. The cancer has not spread yet

C: Okay, Ibu. If you come with a tumour in your brain, liver, pancreas or lung, I would not encourage to go for an operation. But your case is different. There is a tumour is your rectum.

According to the report, the cancer has not spread to other organs yet. So you are lucky. If the cancer has spread to the liver, then it could meaningless for go for the operation.

In your case, the cancer has not spread yet. So it is best that you have it removed.

  1. No reason for you to suffer

C:  Ibu, you have made a mistake earlier for not going for an operation. The tumour is growing bigger and bigger. And now it is causing you so much pain and discomforts.

If you want to live a bit longer without sufferings, my advice is to have it removed. The tumour is growing in there. It will get bigger. You will have bleeding, pain and find it difficult to move your bowels. Why do you need to suffer like that? I hope you understand.

D: Yes.

  1. You are still young

Think properly, Ibu. You are still young. There is no reason why you need to die of this cancer. If you are at my age, perhaps there is no need to think of going for an operation.

There was a 80 plus-year-old lady who had colon cancer. Her children came to seek our help. The doctor was angry because the family declined surgery. The reason being, at that age, she might just die on the operating table. I gave her the herbs. She had pain after taking the herbs. After two weeks she was okay. She survived a few years and died of old age. No, her cancer was okay.

So Ibu, if you are as old as that lady — 80 plus,, then I would NOT push you to go for an operation.

  1. Herbs do not cure cancer

So please listen — don’t take the wrong path again! Taking herbs for 3 months and hoping the cancer would go away is absurd, not intelligent, not honest and not right. Outright stupidity.

If that herbalist said his capsules can cure your cancer, then we might as well close all the hospitals in this world. Everybody goes to him for a cure. It is not true, Ibu.

I have come across such case like yours before. A herbalist ask patients to take herbs and promised the cancer would be cured. Yes, he made money. The cancer does not go away. The patients go back to him again. This time, he will say, I have a better herbs for your problem. You pay more for this herbs. He makes more money the second round.

Now, do you want to go and see the herbalist who says he can cure you? You want to go to him? He would guarantee you a cure? You want?

R: No, don’t want.

C: Ibu, I have Jesus in my heart. I believe that God is with me in my work here at CA Care. I want to be honest to my patients. I will give my advice truthfully. I don’t want to bluff anybody. I also do not want to sugar-coat what I say. I know that sometimes what I say is something you don’t want to hear. Yes, truth hurts. Some patients come here wanting to hear only what they want to hear.

Even if you take my herbs, I cannot say that the tumour will disappear. My guess is, it will not disappear.

From my experience no one on earth can cure any cancer. Please know that. It is not that I don’t want to cure you. The truth is I cannot do that. This is my honest assessment of your situation. If my herbs can cure you, then we can tell all the hospitals to close shop!

  1. No need to rush — think carefully

C:  You have been living with this cancer for the past two years. So there is no need to rush to make your decision. Take your time — one week or one month — think carefully what you want to do. Remember what I have told you. But as I have said earlier, I do not think what you did earlier was right — wrong path.

If I am here only wanting to sell you my herbs, then I would surely tell you to take our herbs NOW. Take our herbs and don’t go for the operation. But I know right down in my heart, that is not the right thing to do.

  1. Follow your heart

C:  Mama, if you don’t want to follow my advice, I would not force you. It is up to  you. Yes, take my herbs and then some months or years down the road you may suffer. The cancer spreads to your liver. Of course you would not die yet — then you come to me again. What can I do?

Ibu, you are still young but if you want to “go home” faster or sooner, that’s okay. After all we learn that Up There Above is a better place than right down here! Right? So, can go home if you like.

  1. Pray and ask Jesus for guidance

C: Have peace in your heart and consider what you want to do next. For now there is no need for you to take my herbs yet. It would not make any difference and it is just a waste of money. Go home and pray first. Talk to Jesus what you have to do. But Ibu don’t tell Jesus what to do like saying I don’t want to operate. I don’t think that is right. Ask Jesus to guide you — open a way for you.

I know many people came to see us because they said god sent them here — some said Buddha asked to come, some said Kuan Yin (Goddess of Mercy) asked to come.

Okay, do you want to ask any more question? Mama, you are still young, you look healthy. There is no reason why you need to die because of this cancer. Please go home and discuss with your family first. And most important talk to God.


Comments

On 8 May 2017, I received this email from her daughter:

dear Dr Chris,

terima kasih Dokter, mama sudah operasi oleh Dr X, dokternya baik dan Helpful. saat ini mama tinggal pemulihan pasca operasi. terima kasih banyak Dokter. Tuhan Yesus menyertai dan memberkati pelayanan Dokter. amin.

(Thank you Doctor, mama already had surgery by Dr. X. This doctor is kind and helpful. Currently mama is in postoperative recovery. Thank you very much Doctor. May our Lord Jesus be with you and bless Doctor’s ministry. Amen.)

I spent talking to RS and her daughter for almost one and a half hours. I accept no professional fee. The greatest satisfaction I have is to be able to help people in need. I am glad that RS’s daughter wrote back to say that her mom had been operated on and was recovering in the hospital. When she left our centre, I thought I would not hear from anymore — because that is what usually happen!

To those of you who are reading this article, please also know that if you have a tumour in your colon or rectum, know that I would ask you to have it removed first before taking our herbs. This is if the cancer has not spread yet. If it has already spread to other organs, than it is a different story.

 

 

Colon Cancer: Surgery and chemo failed to cure him. Part 2: Go seek spiritual guidance!

Guna is a 45-year-old Indonesian. He underwent surgery and chemotherapy for his colon cancer. Things were fine for a while. But two and a half years later, his cancer recurred in his abdomen and lung. The doctor suggested a PET scan to be followed by another surgery and/or more chemotherapy.

What to do now?

From our years of experience, this is the stage when most patients come to CA Care for help. And their expectation — to find a magic bullet to cure their cancer! To them I have this answer. No, I cannot cure you! That was exactly what I told Guna and his wife.

I spent about two hours listening to his sad story. But what can I say? What had to be done (based on the doctor’s recommendation) had been done. The result is a tragic failure.

If I have my way, I would want to send Guna and wife away and tell them to do what the doctors want them to do. Then we see what happen next and at the same time hope for the best! But I did not have the heart to say “no”.

I saw the despair in their faces. Guna and his wife probably expected me to say that I can cure them! I cannot! And I told them I am not god. It is better to be honest than to mislead them — to sell false promise or false hope!

It is always my policy to tell patients the truth — clearly and bluntly. I hope they can learn something from what I said. Likewise, I also hope that Guna and his wife have learned their lesson after this failure. The reality speaks for itself. But many people cannot see reality. You need to tell them that they are blind! Hopefully they learn how to see.

For Guna, there are two options.

One, go back to the doctors and undergo what medical science has to offer. But no, Guna and his wife did not want to do that.

Two, follow our therapy. His wife said, let’s take the herbs and hopefully this will cure him. But I said, No way!

Before I sent them away empty-handed, I asked one final question. To whom do you pray? The wife answered, Buddha.

Okay, why don’t you go home and take time to talk to Buddha. Ask Him for guidance. Then follow what He says. For those reading this article, this is exactly what I would say to YOU too, if you come and see me at this late stage. What else can I do?

Guna’s wife answer turned the table on me. After being told of his relapse, Guna’s wife  was very upset and confused, not knowing what to do. She then went to pray and consulted the medium of two Buddhist temples in Medan. She was told “not to undergo further medical treatment and should see Dr. Chris instead.”

They did exactly that — flew to Penang specially to consult with us. I could not send them home just like that — “empty handed.”

Listen to our conversation.

 

 

Gist of our conversation

Chris: What can you do now? Yes, follow the doctor’s advice. Go for a PET scan. With the scan we can know if the cancer has spread elsewhere. This is from the doctor’s viewpoint. But for you, I am not sure what benefit you will get out of it.

As you told me earlier, the first time you did chemotherapy the doctor said chemo was going to reduce the chances of recurrence. Without chemo, the chances of recurrence would be higher. You did what the oncologist asked you to do. And the cancer still come back! So, what is the benefit then?

Perhaps, if you did not do the chemo, you would be better off? Who knows?

How long after the chemo that the cancer came back?

Wife: After two and a half years.

C: Ask yourself this question. If after the PET scan they find more tumours. Can you cut out all of them? Not likely. Yes, can cut, but can that cure you? Earlier on one big tumour was cut out. What happened? It came back in spite of the cutting and the chemo. So what do you expect the result is going to be this time around?

W: According to your opinion, what is the best way out?

C: I don’t know. If I use my head, option1 is for you to follow your doctor’s advice. Go for a PET scan, operate and chemo. I really cannot say if this is going to do you any good. It is up  to you.

Guna: What is your advice? I am already confused.

C: I am just as confused. If I tell you to take our herbs, and after a few months the scan shows that the tumour has grown bigger, you will blame me! How?

Go, Seek Spiritual Guidance

C: Who do you pray to?

W: To Buddha.

C: Okay, you can go home. In your quiet time pray to Buddha and ask Him to show you the way. Take your time — one or two weeks, to meditate and pray. Ask Buddha to open a path for you. You are already  confused and lost. Ask Buddha to help you.

I am not Buddha. I can cheat you. Buddha will not cheat you. So go home and pray.

After that follow what Buddha tells you.

W: Last week, I went home to Medan. I went to two temples to pray. I consulted the medium. I told him about my husband’s problems. I also told him about my plan to fly to Penang to see Dr. Chris. The medium replied: Yes, go and see Dr. Chris. Both the two medium told me it is better to consult Dr. Chris instead of the doctor.

C: The medium did not tell you to go for medical treatment?

W: No, go and see Dr. Chris.

C: Are you sure?

W: Yes.

C: Did you really go to consult these medium?

W: Yes.

C: (Asking Guna) Now the medium told you to come here. Do you believe that?

G: I have no choice. No other option. I don’t know what to do. So I have to believe what the Spirit told me.

C: If our therapy does not turn out right — no good results — who is going to be responsible?

G: That’s my fate.

C: So, you would accept it as fated. And you are not going to blame me if our herbs are not effective?

W: No.

G: Yes right (we will not blame you).

C: Since you have no other way out, let me explain again. You have two options. One is to follow your doctors and do what they want you to do — scan, operate, chemo and chemo. Spend all your money and eventually you die. This is one option.

Option two, is to see me and follow our therapy. No scan, no chemo. But there is no cure. You want that? You want to follow this path?

G: You say cannot cure. But does that mean we can make the cancer stop growing? Can live longer?

C: I cannot answer that. I cannot guarantee. Different people react differently. But I know this — if I am a businessman and only think of making money — I can say these to you:

Yes, the herbs can shrink the tumour, they herbs will stop the cancer from spreading, the herbs will prevent recurrence. Also if you take our herbs, it will prolong your life.

If I say all these to you, know that I am just bluffing — telling you a bunch of lies.

Do you understand what I am trying to tell you?

I don’t want to cheat my patients. Also understand this — if you take our herbs and you believe that you will not be cured, know that you will never be cured! You will not benefit from our therapy. On the other hand, if you believe that our herbs will heal you, may be you will be healed. I cannot tell you for sure.

Do you understand this?

I have many patients who took our herbs and followed our therapy after their surgery. They did not go for any chemo. They survived for many years — eight years, ten years and are still okay today.

What does this mean? Healing is about YOU. And only YOU can heal yourself. Do you really want to take care of yourself? Do you really want to follow our instructions? Do you really want to change your lifestyle and your diet? What is in your head is important — the worry, the stress, etc. These are all important.

If you want to take our herbs but don’t believe in what we do, then don’t take our herbs. It is not going to help you.  No use.

In the same note, after taking our herbs, everyday you worry and ask when you will be cured — my answer is, you will never be cured! You make your life too stressful, fighting inside you!

If you take our herbs and feel good. Can eat, can sleep, no pain — don’t think too much. And don’t ask for more.

The most important thing to remember is to take care of your diet. Don’t eat what we tell you not to eat.

Be at peace without yourself. May be you may end up living longer a bit.

We tell our patients to learn how to live with their cancer.

A Patient Who Does Not Understand Gratitude

There was a man who had liver cancer. The doctor could not cure him. He came and took our herbs and he lived for two and half years without any problem. He was strong and healthy.

But I told him, I could not cure his cancer.

He came to know about a treatment in China. Someone said in the hospital there they can cure your cancer! So this man told his family: Dr Teo’s cannot cure me. I want to go to China for my cure. He spent S$60,000 and after six months of treatment he came home on a wheelchair. His stomach was bloated. He died.

Too bad. He was with us for two and a half years. He did not have to spend that kind of money. He was okay and well. But he wanted a cure!

So if any one of you come here and ask me to cure you, my answer is simple and blunt: NO CURE!

CA Care Therapy

Back to you. If this is what you wanted to do — take our herbs and follow our therapy, let me remind you again.

Take care of yourself.

Take care of your diet.

Change your lifestyle.

Believe in what you are doing.

I don’t know — may be one day you may end up healing yourself. I have many patients who survived for years and are still doing fine.

But can I cure you? I don’t think so. But can you live a normal, healthy life? Yes, many patients are doing fine but the moment they don’t follow our instructions, they die!

Comments

This is another article which I believe for many would not like to read or find it difficult to swallow. I make no apology for saying what I have said. If you want to survive cancer, you have to be on the right track — do the right thing and have to make hard choices. The question is: Do you really want to live or to die? What a question to ask!

Yes, many who came always tell us — I have a strong desire to live. I am ready to fight. Really?

Seventy percent of those who came to us, are patients I know cannot make it — say what you like. It is easy to say I want to live. But for these people, to do what it takes to live is another matter! If I cannot eat laksa, life is not worth living! And you dare say you have the will to live!!!

There are a few lessons we can learn from Guna’s tragic story.

  1. 1. Medical treatments — surgery and chemo — did not cure cancer. Chemotherapy was given based on meaningless expectation. If chemo can reduce recurrence by only 10 percent, then what use is it?

Guna was not explicitly told by the oncologist the reality that the treatment had a 40 percent chance of failure, based on the statistics he quoted.

Patients want 100 percent chance of NO recurrence. You don’t need to have a university education to understand that what Guna was subjected to did not make sense from day one!

Patients are just like  pawns. Trapped like the foot soldiers fighting in the battle field, while the general sits in the safety and comfort of his bunker. Helpless patients are confused and desperate. Full of fear, they panic and don’t know what to do.

That was how Guna and his wife felt after the battle was lost. They did not know what the next step is.

  1. There is another failure in medicine. Dr. Barry Boyd in his book, The cancer recovery plan, wrote:
  • Many doctors don’t bother to counsel their patients after treatment. Once cancer treatment is completed, most patients are left on their own to cope with the rest of their lives. This is what I call falling off the cliff. Patients are left in free fall.

Correct. After surgery and chemo, Guna was left on his own, to fend for himself. There is no guidance of what to do after the treatments. When the cancer recurred, the doctors have ready answers for him: do PET scan, go for more surgery and more chemo — more of the same treatments that did not work, right?

Now, let me share with you a few quotations written by doctors who understand a bit more about cancer. Hear what they said.

Dr. Martin L. Rossman in his book Fighting Cancer from Within, wrote:

  • Conventional medical care for cancer has for many years concentrated on destroying tumors without paying much attention to supporting the patient as a whole person, with innate healing capacities … Most people put themselves in the hands of an oncologist and did what they were told. While you almost certainly need a good oncologist to prescribe and monitor your medical treatment, there is often much more to surviving cancer. 
  • A strong spiritual belief system is helpful when fighting cancer.

Charles Smith, M.D., is a prominent urologist who specialized for years in treating prostate cancer. Then he himself  had prostate cancer. After going through medical treatment, he wrote:

  • Cancer is not just a lump in your body that can be cut out or killed by radiation or drugs. I have come to the conclusion that you, as a patient, cannot simply allow the management of your cancer and your life to be limited by the narrow views of the physicians you encounter. 
  • A major problem with the conventional approach to cancer …(is) it does little or nothing to promote the health, vitality, and well-being of the person who is fighting that cancer.

Rachel Naomi Remen was born into a family of doctors and nurses. At age 15 she was diagnosed with severe Crohn’s disease. Throughout medical school, residency and fellowship she was a very ill person. In all, Dr. Rachel Naomi was chronically sick for over fifty years.

She survived her sickness and is now professor of family and community medicine at the University of California San Francisco. This is what she wrote (in Foreword, Fighting Cancer from Within):

  • A diagnosis of cancer is a personal encounter with the will to live … the will to live cannot be measured, which puts it beyond the reach of science. 
  • Science defines life in its ways but life is larger than science. Many things happen that science cannot predict or explain. 
  • In my forty years of medical practice, people have often told me that they have recovered from their cancer because of chemotherapy, surgery or radiation. 
  • Chemotherapy and radiation may be the means by which we recover but the reason that we recover may be something quite different, something we brought with us to our doctor’s office and not something that we found there.
  • We each heal in ways that are as unique as our fingerprints.

In other words, to heal and survive cancer, patients need more than just surgery, chemotherapy and radiotherapy. Now many of you reading this, know this truth? How many of your doctors or oncologists dare to admit that patients need more than their surgery, chemo or radiation to overcome cancer?

Guna said he is just a layman. He followed everything what the doctors wanted him to do. He ended up in a deep, dark pit and did not know how to get out of it.

I really don’t know what is going to happen to Guna. I can only pray that he keeps to his words to live well, keeps up his spirit and perseveres.

 

 

 

Colon Cancer: Surgery and chemo failed to cure him. Part 1: So, what’s next?

Guna is a 45-year-old Indonesian. He was diagnosed with colon cancer and had an operation.  Guna then came to CA Care but decided to undergo chemotherapy instead. He received 8 cycles of chemotherapy. Each cycle cost about RM5,000. Every six-monthly follow-up examination showed he was well.

However, in March 2017, i.e. about two and half years later, a CT scan showed the following:

  1. An 8 mm nodule in left lumbar region, marginally increased in size. This could represent mesenteric lymph node.
  2. There is a 2.2 x 2.1 cm hypodense lesion in the left lower lumbar region, increased in size. Tumour deposit is considered.
  3. There is a 8 mm nodule in the left upper lobe of lung. This is suspicious of tumor or metastasis.
  4. Prostate is enlarged, measuring 3.4 x 6.8 x 4.6 cm.

The oncologist suggested that Guna do a PET scan to assess if there is any further spread of the cancer. If the metastasis is not extensive, Guna needs another surgery. If the metastasis is extensive, Guna has to undergo chemotherapy again.

Not knowing what to do, Guna went back to consult the surgeon who operated on him. He was given the same advice — go for a PET scan. A PET scan would cost RM4,000 plus.

Confused and not knowing what to do, Guna’s wife consulted the medium of two Buddhist temples in Medan. She was told “not to undergo further medical treatment and should see Dr. Chris instead.”

So, it was. A sad morning indeed. How did I handle such a case? Listen carefully to the video below.

 

 

Gist of our conversation

Guna: The oncologist asked me to go for a PET scan. If the result shows no extensive spread, then I need an operation. If the cancer has spread extensively, then no operation. Just chemotherapy.

Chris: PET scan can  show if there are any more cancer somewhere else. But after knowing this, what do you want to do? I don’t know what to say. I agree, you can go ahead and do the PET scan if  you like. This is to know exactly what is going on in your body. Correct logic – go ahead.

But after spending RM4000 plus for the PET scan what benefit do you hope to get? What if after the scan shows there are many more tumours. What do you want to do? Or what can you do?

The doctors say, go for another operation. Do you want that? You have to decide for yourself.

Or you have to go for more chemo. Do you want that?

Wife: My idea is this. We do not go for all these. Just take your herbs. May be that will help (cure?).

C: I don’t have any magic herbs to do that. You have already done 8 cycles of chemo and paid RM40K for that treatment. It did not cure you. It is not right for me to tell you that my herbs will make the tumours go away. How can? No, just not right and not honest! I am not god.

If you were to come and see me earlier — immediately after your operation —  and you started to take the herbs, maybe the story would be different. But you did not believe me then.

Now the cancer had metastatised and you expect my herbs to cure you. No way. But I am not blaming you. Cases like yours are very common! Operate, chemo and the cancer recurred. That is nothing unusual.

At CA Care, I want to be honest with my patients. I don’t want to mislead you. From my experience, I know that there is NO cure for cancer. Now, you have experienced this yourself. You have undergone the operation, had chemotherapy and spent so much money — did these treatments cure you? No, right? Now, you understand what I mean.

Most patients came here after their medical treatments have failed them. Then, they expect me to cure them! What can I do?

So, what do you want me to do for you?

As far as the oncologist is concerned there is a CT scan in the hospital. Okay use it. You pay RM4000 plus for that. I cannot dispute that suggestion. I also want to know what is going on in you. The scan can tell you that.

But think for yourself first, what do you want to do after the PET scan? Operation? Chemo again?

So, to ask you to go for the scan is not right. Not to ask you to go for the scan is also not right. My main concern is not to spend too much money to do something which may not benefit you.

So, what do you want to do now?

G: I really don’t know what to do now.

C: I too don’t know what to do. But I know the doctor knows what to do. He will ask you to go for more chemo.

Ask if Chemo Can Cure You

The last time you had your chemotherapy (two and a half years ago), did you ask the doctor if the treatment was going to cure you? Did you ask?

G: I did. The doctor said if no chemo, the chances of recurrence is higher. With chemo, the chances of recurrence is lower.

C: Chemo is said to reduce the chances of recurrence only? Reduction of a recurrence is not necessarily a cure. Right?

G: Yes.

C: Of course no one is going to say things honestly. Actually reducing the chances of recurrence also implies there is “no cure.” No guarantee that the cancer goes away.

Did the oncologist tell you about the percentage benefits you would get from chemo?

G: If no chemo, the chances of recurrence is 50:50. If chemo the chances of recurrence is 40:60, meaning 60 percent no recurrence.

C: This seems to say that the benefit of chemotherapy is only 10 percent. Chances of recurrence reduced from 50 percent to 40 percent. Right?

It also means that even with chemo there is still a 40 percent chance that the cancer can recur and the treatment will fail. Is that not what it means?

But cancer patients like you want a 100 percent chance of no recurrence, 100 percent of cure. Right?

Now you understand what I mean when I told you that there is no cure for cancer.

So, what can I do for you now?

Most patients who come to see me are asking for a cure. They expect the cancer to just disappear. Correct? It is not fair. You have undergone the surgery and had chemo and these did not cure you. Now, you expect the herbs cure you?

G: I am just a layman. I just did everything that the doctor wanted me to do.

C: I understand. Now, tell me what can I do for you? I am not god. I also feel very sad to hear your story. It breaks my heart.

G: I am confused.

C: I understand. I am also confused.

Comments

I am aware that some of you reading this would not like what I said. Surely you are entitled to your opinion. Most patients come wanting to hear what they want to hear only — they want to hear me saying that I can cure them.

If you belong to this group of patients, let me tell you. I know of some herbalists who can guarantee that their herbs can cure your cancer! You want to go there? Come and see me personally and I can show you the way to them if you like!

Take it from me, facing patients like this one is heart breaking. If I could have my way, I would want to send them away “empty-handed.” Go home and think first what you want to do. Or I would say, go to someone else who can help you. This is to say, I am being polite and indirectly telling you not to come and see me.

But for Guna and his wife this morning, it did not turn out that way. Both the patient and his wife went away rather satisfied. Part 2 of this story tells you why!

 

 

 

 

After 12 cycles of chemo, his liver function worsened. So, what’s next doc?

capture8

This is a normal scenario I often encounter. A patient is diagnosed with cancer. He undergoes surgery immediately, followed by chemotherapy and/or radiotherapy. After completing these treatments, the patient is told to come back for routine check-up. What has to be done, has been done. Probably he thinks, he is cured! But if he knows enough about cancer, deep within, is this scary concern — Can the cancer come back again? Yes, the chances are very high that it would come back.

So, what can you do about it? Nothing much! Wait and see — that probably is the advice given.

The patient goes back for routine check-up once every few months. During this consultation, the doctor may ask a few questions,  press here and press there, do a blood test, X-ray, scan, etc. In reality, all these procedures would not help stop the cancer from coming back. On the contrary, it is during one of these procedures that patients could be told that the day of reckoning has arrived! There — another lump! Then more treatments are suggested.

Ask your oncologist what can you do, as a patient, to help yourself so that the chances of recurrence would be minimized? He would probably say, Okay, swallow this pill for prevention or may not be able to give any answer.

Let me share with you this classic example that I often encounter.

HT is a 61-year-old male. His problem started with having blood in his stools. He went to Dr. A in G hospital, and did a colonoscopy. The doctor found many polyps and signs of gastritis. There is a tumour in his transverse colon.

CT scan confirmed colonic neoplasm in the transverse colon with enlarged lymph nodes.

A CT scan done two days later showed two small pulmonary nodules – one in the middle lobe and the other in the left lower lobe, raising the possibility of pulmonary metastasis. There are hypodense lesions in the left adrenal gland which could be metastases.

HT was scheduled to undergo an operation by Dr. A but made a last-minute change to let Dr. B do the surgery instead. The surgeon removed most of the polyps beside performing a hemicolectomy, removing 58.5 cm long segment of this transverse colon.

Histopathology report indicated an invasive moderately differentiated adenocarcinoma. Four out of 28 mesenteric lymph nodes contain metastatic tumour. This is a Stage C2 cancer.

HT then underwent 12 cycles of chemotherapy. The treatment was completed by end of August 2016.

What’s next after chemo? Nothing. But is he cured? Your guess is as good as mine. HT went home to wait — to carry on with his own life! Do what you are doing, eat whatever food you want to eat! But come back for routine check up once every 2 or 3 months.

Dr. Barry Boyd, an oncologist, wrote this:

barry-boyd-cancer-recovery-plan-quotation

HT is a typical example of what Dr. Barry Boyd meant — and mind you, what he wrote is what most cancer patients experience most of the time, not only in America but also here. To me, this is one of the main drawback of medical treatment for cancer! Doctor only treats you! But treating does not mean cure. After the completion of the treatment patients are left “in a free fall. This is what I call falling off the cliff.”

HT tolerated the chemo rather well. He only suffered blackening and numbness of the fingers and toes. For that the doctor prescribed Neurobion. He also lost his appetite. His body itched and was given Claritin.

As the chemo treatment progressed, his liver function test values deteriorated. See the 2 tables below. At two months after completion of the chemo, these values deteriorated further which made HT rather worried. The oncologist prescribed milk thistle but HT was not satisfied and wanted more help. He came to see us.

During his first visit to us, I told HT to go home and think seriously what he wanted to do. Since he has been under the care of an oncologist, there  is no reason why he needs our help. Let the doctor repair the so called “damage” because if anything goes wrong later, then someone is going to make us the scapegoat! Remember, this is a Stage 3B cancer. It has spread to the lymph nodes and possible metastasis to the lungs and adrenal gland. The chances of recurrence is very high. And most of the time, if this unfortunate event occurs, people will point their fingers at us — It is because of your herbs! So this is what I told HT. Go home and think about what I have said. I cannot cure your cancer. You can come back again, if you think I can help you.

The next day, HT came back and wanted us to help him — after all, is he not about to fall off the cliff? He has seen his oncologist and was told his liver functions are not good! And he was prescribed milk thistle!

Below is HT’s blood test results over the months.

Table 1: Blood test results up to the 6th chemo.

lft-1

In January to February, HT had his operation and did not receive any chemo yet. His blood results were good. His blood test results were still okay after 2 shots of chemo. The third shot of chemo lowered his red blood count (RBC) and platelets. This is to be expected — the norm! If the RBC and platelets become too low, the doctor will give you the “red juice” or the “white juice” injection to boost this up again.

Now, let us try to understand what liver function test results tell us.

  1. Alanine transaminase (ALT). Large amounts of ALT occur in liver cells. When your liver is injured or inflamed (as in hepatitis), the blood level of ALT usually rises.
  2. Aspartate aminotransferase (AST). When a blood test detects high levels of this enzyme in your blood it usually means your liver is injured in some way. AST can also be released if heart or skeletal muscle is damaged.
  3. Alkaline phosphatase (ALP). The blood level is raised in some types of liver and bone disease.
  4. Gamma-glutamyltransferase (GGT). This may be elevated with even minor, subclinical levels of liver dysfunction. It is also raised in chronic alcohol toxicity.

After the third chemo, AST level started to become abnormal and this continued to be elevated throughout and even after  the treatment period.

Table 2: Blood test results from the 7th to 12th chemo and 2 months after completion of chemo.

lft-2

As chemotherapy progressed, HT’s RBC, platelets, alkaline phosphatase, ALT, AST (and later GGT) were adversely affected. We know that the use of chemo-drugs often results in elevated liver function enzymes, which may represent liver toxicity or damage.

In fact, even two months after completion of chemotherapy, HT’s liver function enzymes were elevated. HT started with a good liver, and now has it been damaged by the chemotherapy? Only time can tell what is going to happen next.

Since, HT is worried about this problem, we try to help him by prescribing some liver herbs. Of course, certain people would say, taking herbs would cause more damage to the liver! But, let me tell you, our experience shows otherwise — herbs can repair that damage! Again, only time can tell who is right.

Besides learning the chemo can cause liver toxicity or damage, there are two more lessons we can learn from HT’s experience.

Lesson 1: HT said, initially he was supposed to be operated on by Dr. A but at the last minute he requested to have  Dr. B do the operation instead. Why? He did a bit of “homework” and felt that Dr. B is more competent. Bravo! Patients, you must learn to be empowered! Don’t just be led by the nose “to be slaughtered.”

I understand, most cancer patients don’t like to read books or to put it mildly, don’t have time to read books. Let me share with you what I read. Dr. Paul Ruggieri wrote Confessions of a Surgeon, which can give you an insight of what can happen in the operating theatre. He said:

  • The “white coat code of silence” is a term I used to describe the dark side of a profession that, despite its noble intentions, enables incompetent surgeons to continue to work.
  • The operating rooms are even more insular; there, secrets are often not openly discussed; rarely going beyond the double doors.
  • The sad thing was … patients had no idea who they were getting as a surgeon. How does anyone who is about to have surgery truly know how competent the surgeon is? How can the public know?
  • Yes, doctors (especially surgeons, because of what they do) are human, and capable of making mistakes. When mistakes are made, people get hurt or die.
  • There is no website, no ability to research important, relevant data on your surgeon’s track record before your operation … all we know … he or she has a “good” reputation. Is this enough?
  • Hospitals have relevant information … Operating room nurses quickly figure out which surgeons know what they’re doing and which ones should be looking for another profession.
  • I believe every person who is about to undergo surgery should have the opportunity to access unbiased performance information about his or her surgeon.

Unfortunately, this ideal is yet to be recongised, let alone practised in hospitals. So, patients, the only way out is for you to use your intuition! If you “feel inside you” that a doctor is not good for you, go find another one!

Lesson 2: I asked HT, How much did he spend for all these treatments — surgery and chemotherapy? He did not know! Because the health insurance paid for everything.

Then HT added, Actually I learned from the Accounts Department that the costs of my treatment were inflated because I have insurance!

Yes, it is common knowledge (not a secret anymore) that if you are insured and landed in the hospital, the treatment charges will automatically sky rocket! While it sounds okay for now, but at the end of it, it is the patients who would suffer from such practice. Your health insurance premium will go up! This unfortunately is one sickness of the health industry which we all know exists but cannot do anything about it!

 

 

Rectal Cancer: What to do next? Oncologist said he has not come across any research report that links diet to cancer.

tea

WL is  35 year old Malaysia male. On 25 September 2015, he sent us an e-mail as below:

Hi Dr Chris,
My name is WL. I have worked in Penang for the past 12 years. Recently I have took  up a job in China and I have been there for about a month. Last week I went back to Malaysia and I went to see doctor in Ipoh because I found blood in my stool. Also it’s not easy for me to pass motion.

Initially, I thought it could be my piles which I’m having for more than 10 years back. During that time the doc asked me to leave it since it was not serious. When I got back to see the same doctor last week, he felt something was not right. He asked me to do an endoscopy.

Unfortunately, the report said, “moderately differentiated adenocarcinoma”.

I am going back to Penang next Wednesday (9/28) to get more opinions from different doctors. I’m thinking if I can meet you, I can find more from you about the alternative way of using herbs. Can I know if you will be available next week or the following week? If yes, should i come to see you after or before the tumor surgery? Kindly advice. Thanks.

Reply: Go and get the cancer removed. Either do it in KL or Penang. There are many doctors who can cut you up but be careful where you go to.

Hi Dr Chris,
Thanks for the reply. Attached files of medical report. I understand your point. Do you have any recommendations for a doctor in Penang? It will be easier for me and my family because my wife is just 4 months pregnant.
CT scan, 19 September 2016: Slight irregular and eccentric wall thickening at lower rectum n keeping with lower rectal tumour/lesion as noted clinically.

Histopathology report: Rectal tumour biopsy – moderately differentiated adenocarcinoma.

WL came to seek our opinion. This was what I told WL.

  1. There is no other option. The tumour has to be removed.
  2. The main concern is whether WL has to use a colostomy bag after that, because this a rectal cancer. According to WL the doctor he consulted said that might be the case. It would indeed be a great disadvantage if WL, being a 35-year-old, has to deal with such a bag throughout his life. Stressful and messy indeed. The idea is try to avoid having to use a colostomy bag if possible.
  3. I suggested that WL take time to “shop” around for a better surgeon. One surgeon I had in mind was in Kuala Lumpur. It would be worth that extra effort for WL to consult him and let him do the operation if there is not necessary to use a colostomy bag after that.
  4. I also informed WL that there is a surgeon in Singapore (in private practice) who would be able to construct an “artificial rectum” should there is a need for one. In this way, WL would not have to use a colostomy bag. It would be worth spending some money to go to Singapore to consult him. But perhaps, before seeing someone in private practice, it would be a good idea to start seeing someone in Singapore General Hospital and take it from there.

About three weeks later, WL came back to see us again.  He had his rectal tumour removed by the surgeon in Kuala Lumpur, as suggested. The total cost of the treatment was RM 40,000. WL was hospitalised for a week.  After the surgery, WL had to use a temporary colostomy bag for a few weeks. After that he needs another surgery to rejoin the rectum.

Before the surgery,  as suggested, WL went to Singapore General Hospital for consultation. The total cost of the surgery would be SGD 50,000 — almost four times more expensive than the cost in KL hospital.

Chemotherapy

An oncologist came to visit WL while he was still in the ward. According to the oncologist WL needs to undergo chemotherapy, using Xelox regimen (Xeloda + Oxaliplatin). WL needs 8 cycles and each cycle would cost about RM 4,000. Chemotherapy would start 2 to 6 weeks from the operation date.

The oncologist told WL the following:

  1. You are still young.
  2. Your situation is very critical.
  3. If you don’t do chemo, you will lose the battle.
  4. Within two years the cancer will spread all over.
  5. If you don’t do chemo, you have a 65 percent chance of recurrence, i.e. the cancer would come back.
  6. If you do chemo, you have a 65 chance that the cancer will not come back.
  7. You can eat anything you like. According to the oncologist he has not come across any research report that links diet to cancer.
  8. While warded in the hospital, WL had diarrhoea. The oncologist suggested that WL take fried food to stop the diarrhoae!

Chris: Do you believe what the oncologist told you about the diet — that your husband can eat anything he likes?

Wife: No, I never believe him.

There are three lessons we can learn from this case.

One, chose you surgeon wisely. If you go to the “wrong” surgeon, you may end up having to wear the colostomy bag the rest of your life!

Of course, it is logical to expect that it is more expensive to undergo medical treatment in Singapore than in Kuala Lumpur or Penang. No one to blame here — it is the exchange rate! It cost almost the same on a dollar-to-dollar basis.

Two,  when told to do chemo, always ask if this treatment is going to cure you? What is your chance of obtaining a hundred percent cure — after all this is what you want anyway.  When you get the answer from your oncologist, evaluate his answer critically.

WL was told: If you don’t do chemo, you have a 65 percent chance of recurrence, i.e. the cancer would come back. What does this mean? In  simple language, it means that even without chemo there is a 35 chance that you will survive! Not ALL those  who do not do chemo ended up dead. Right?

WL was told: If you do chemo, you have a 65 chance that the cancer does not come back. It means that even if you undergo chemo as suggested,  there is 35 percent chance that the cancer can come back — meaning chemo does not guarantee you a cure! Right?

Therefore, it is up to YOU — the patient — to decide which path to take! Make your own decision because no one can help you  in this dilemma.

Third,  even WL’s wife — an ordinary housewife, could see the fallacy of the oncologist’s advice about diet. But if you need to read to believe, there are hundreds and hundreds of books written about diet and cancer. In my library at home I have no less than a hundred books on food and cancer! For those who prefer not to buy books, then go to the internet for free information. Click this link: http://www.wcrf.org/,  http://www.aicr.org/cancer-research/.  In 1982, American Institute for Cancer Research (AICR) was founded to advance the simple but then-radical idea that cancer could be prevented. AICR focused on the link between diet and cancer, and immediately began supporting cutting-edge research in this area and educating the public about the results. It has published three global expert reports:

  1. Food, Nutrition and the Prevention of Cancer: a global perspective, published in 1997
  2. Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective, published in 2007; and
  3. Policy and Action for Cancer Prevention, published in 2009.

For those caregivers, be forewarned though, that teaching patients to become healthy makes no money! Asking them to change to good diet and lifestyle means you cannot prescribe any more drugs or herbs for their ailments. And when patients become healthy they don’t need to come back and see you again! So, from all angles, it appears that suppressing the truth and letting the status quo prevails is better?

For busy people out there, let me help you a bit on this connection between diet and cancer. Read what these outstanding doctors said:

1-devita

3-oncologist-dont-know-nutrit

8-diet-must-be-integral-par

 

6-pig-knows-better-nutrtion

Ho, ho, I believe we all want to be just as smart (or even smarter) than a pig, right?

 

 

 

 

.

CanSurvive Workshop 17 September 2016: Sharing Our Experiences

sharing-2

The second part of the workshop was about sharing experiences. We were glad to have six panelists to come on stage to share their experiences. Here are what they said:

  1. Truth from different perspectives

 

  1. My first patient (prostate spread to bone) did well on herbs


 3. I am glad that I am still alive (NPC spread to bone)


4. I outlived my two doctors (cancer of the tonsil)

 

5. Twelve years – I am still healthy and full of energy (colon-liver cancer)

 

  1. Let me make my own decision: No chemo for me! (ovarian cancer)

 

  1. I want to be beautiful when I die. But with herbs and good diet I am still alive and healthy (breast cancer)

 

Thank you for sharing and praise God for this blessing!

 

 

 

Colon Cancer: Surgery but declined chemo: “My mother is doing good!”

AB is  77-year-old lady from Indonesia. In early 2015, she had pains on the left side of her abdomen. Then she developed constipation. She was brought to a private hospital in Johor. Colonoscopy indicated a 4 cm tumour in the sigmoid colon. A CT scan showed the following:

  • a diffuse circumferential thickenings of the sigmoid colon with narrow lumen.
  • masses in the uterine wall measuring about 2.5 x 2.6 cm and 2.1 x 2.7 cm.

AB was brought to the colorectal department of the university hospital in Singapore where she underwent a surgery on 5 May 2015.

The colon tumour and the uterus and its appendages were removed. Nine of the 27 lymph nodes were with metastatic carcinoma. This was considered a stage 3 cancer.

AB stayed in the hospital for 12 days and the cost of the treatment came to about SGD 28,000.

After the surgery, the doctor suggested a follow-up chemotherapy but AB and her family members refused the treatment. In March 2015, AB’s son came to seek our help.

AB had the following complaints:

  1. Pain at the operation site — scale of 4 out of ten.
  2. Unable to sleep well. Most of the time lying in bed day and night, feeling awake most of the time.
  3. Not much energy.
  4. Poor appetite. After the surgery, suffered intestinal paralysis and was unable to eat.
  5. Bowel movements many times. Always feeling wanting to move bowels but only little came out — soft and watery stools.
  6. Coughs with yellowish phlegm and itchy throat.

AB was started on the herbs for colon and lymph nodes. She also took herbs for appetite. AB’s conditions improved significantly. Her son said, “My mother is doing good!”

AB’s progress was regularly monitored by the following blood tests.

30 May 2015 8 Sept 2015 7 Dec 2015 1 March 2015
CEA 0.97 0.82 0.97 0.88
CA 19.9 6.76 10.50 6.49 9.52
CA 125 38.8 H 5.1 4.9 4.7
Alkaline phosphatase 91 57 69 68
GGT 48 H 19 22 20
SGOT 26 33 H 30 H 21
SGPT 21 39 H 46 H 33

Note: From September 2015, AB took additional herbs for her liver.

Lessons we can learn from this case.

  1. After surgery, AB was asked to undergo chemotherapy. What would you do if this 77-year-old lady is your mother? What could have happened if AB were to go for chemotherapy?

Read what a colonel of the US Air Force and Sara Shane, a movie star wrote about chemotherapy ….

30-Chemo-hell-wife-died-of-

12 Chemo-short-cut-to-make-mon

  1. Herbalists are often called snake oil peddlers, quacks, etc., and herbs are condemned as “unscientific and unproven”. To AB’s son herbs did a lot of good to his mother! What do you want to believe — text-book knowledge or personal experience?

1 Sunday-Star-report-90-go-fo

7 Chemo gamble seek alternat

  1. Often we are told that herbs can cause damage and are toxic to the liver, kidney, etc. This is often the mantra held by the noble profession that only prescribes chemical drugs. Have a close look at AB’s blood test results again. From the beginning after her surgery, certain liver enzyme were elevated — GGT = 48 in May, SGOT and SGPT were elevated in September 2015. What could be the reason? We know that colon cancer can spread to the liver rather soon. Could this be a beginning of liver spread? Or was this because AB took herbs?

Realizing that AB’s liver function was out of range, we prescribed herbs for her liver. Not long afterwards, her liver function enzymes were back to normal. If herbs damage the liver, taking more herbs means more damage done to the liver, right? You don’t need to go to a university to understand this logic. But in this case AB’s liver became better not worse.

9-Alternative-as-valid-even

  1. In May 2015, before taking the herbs, AB’s CA 125 was at 38.8. After taking the herbs, her CA 125 dropped to around 4.7 and 5.1. One would expect that her CA 125 would have risen higher and higher if she was just taking useless “snake oil.” Is this not a simple logic too?

Many years ago this was what I wrote in our book, Cancer Yet They Live.

4 Weeds-by-the-roadside-Joke

Related story: If this is a “happy” story, the next upcoming post is a sad one. A 34-year-old female with colon cancer had surgery and rounds after rounds of chemo. The treatments failed to cure her.

 

 

 

Eighty-Two-Year-Old Colon Cancer Patient Shares His Story

This is a happy story about a 82-year-old colon cancer patient. To us, he is known as Penang Hill Uncle (PHU). This is because his hobby is hill climbing and he has been doing this everyday for the past 30 years! Even today he still goes hill climbing, never mind that he has cancer!

PHU came to see us in October 2012 after undergoing surgery for his colon cancer. He refused chemotherapy. He said. “Chemo is difficult. I prefer to try my chances with your herbs.”  After 3 years, we sat down with PHU to recall what he had gone through. And PHU said he was very happy to share his story with us.

November 2015:

Chris: Uncle, we are going to write your story. Is it okay with you? For the video, we will mask your face so that they don’t know your identity.

PHU: It is okay. No need to mask my face! I am not ashamed. I am not a thief. Let everyone know about this!

So here goes, PHU’s story.

 

Initial Problem and Hospital Experience

In July 2012, 79 year-old-PHU did a colonoscopy followed by a  CT scan. The result showed the presence of a 3.1 x 3.0 x 3.3 cm fungating mass at the sigmoid colon, in keeping with a primary tumour. There was no evidence of distant metastasis although the cancer had spread to the surrounding nodes.

The only option for PHU was surgery. But before surgery, PHU was told that the procedure could be risky. He might suffer a heart attack, stroke or may even die. However, PHU had no choice but to go under the knife. He survived without any problem! The surgery was done in August 2012 and it only cost him RM 3,000 (in a government hospital).

Two days after surgery, one of his leg became numb and was unable to move! One doctor asked him to take Hacks. The problem was resolved. He was discharged from the hospital after a week.

The histopathology report confirmed a rectosigmoid colon cancer – well-differentiated with visceral peritoneum involvement and lymph node metastases (7/12); pT4,pN2,pMx. PHU was told his cancer was Stage 3 (going to Stage 4).

No to Chemotherapy, Took His Chances with Herbs and Diet Change

PHU was asked to consider undergoing 8 cycles of chemotherapy. But the doctor did caution him about the risks involved.

PHU also was also told that the benefit of chemotherapy is only 10 percent. Without chemo, the chances of the cancer recurring and spreading is 50 percent. If PHU were to undergo chemotherapy, the chances of recurring and spreading is 40 percent.

Due to his old age and also him being without any symptom, PHU and family opted to “watch and see.” No chemotherapy! He said, ” I decided to take my chances with your herbs and therapy.” That was when PHU came to seek our help in early October 2012. He was started on the herbs for his colon and metastatic lymph nodes.

PHU went back to see his doctors at the general hospital for monitoring every few months. All was well. The doctors were also aware that PHU was on herbal therapy and they did object about this.

In September 2013, PHU had his heart checked. Look at what the doctor wrote below:

Fit-and-Healthy

The AcuGraph readings over the years showed improved energy levels.

16 Nov 12

16 November 2012

14 Nov 13

14 November 2013

18Dec15

18 December 2015

(Note: AcuGraph 4 was donated by Dr. Adrian Larsen of Miridia Technology Inc., USA. Use of AcuGraph at CA Care is free of charge)

 

The following are his blood test results over the years.

Date CEA Remark
13 Aug 2012 10.1 Before surgery
18 March 2013 3.2  
20 Nov. 2013 2.8 Started herbs & good diet, October 2013
20 Jan. 2014 4.5 Started to eat outside food
13 June 2014 2.1  
4 Aug. 2014 5.4  
26 Nov. 2014 5.6  
18 May 2015 9.1  

 

 

Sudden Rise of CEA to 9.1

After 3 years of “doing well” PHU told us that his CEA had started to increase from 2.1 to 9.1. PHU said in the first year after surgery he was very strict with his diet. So his CEA was well within normal limit, below 5.0. But as he got better and better, PHU started to eat  “outside” food. It was then that his CEA started to climb out of normal range.

Such development is not surprising at all. It happened most of the time with most patients. This reflects human nature. Since he is already 80 plus, so be it! We hope that his problem will not go out of control!
Each Day, I Never Think About My Cancer or that I Am Going to Die

Chris:  Uncle, does this cancer bother you every day? Does it worry you? Do you ever think that it is going to die because of this cancer?

PHU: No, it does not worry me. People who does not have cancer also die. So why worry so much? Also people tell me that too much worry can kill you!

Hill Climbing – My only job!

Chris: What do you do every day? Hill climbing?

PHU: Yes, Monday to Friday I go out to climb the hills. I started off about 3 pm and come home at 5.30 pm. Every day I do that. I have been doing this for the past 30 years! It has become my job!