CN (H878) is a 61-year-old male. For the past four or five years he suffered urine blockage. The doctor prescribed Xatral, a medication to treat the symptoms of enlarged prostate (benign prostatic hyperplasia or BPH). No one bothered to check his PSA. Xatral apparently helped resolve his problem.
In October 2009, he started to have backpain in addition to urine blockage. On 25 March 2011 his PSA was at 991.90. This alarmed his doctor. The doctor told him that CN had prostate cancer.
A biopsy was done on 29 March 2011 but the result indicated no malignancy. A second biopsy was done on 5 April 2011. Again it was negative for malignancy although benign prostatic hyperplasia was indicated.
Due to the severe backpain, MRI was done and showed L4 vertebra was more sclerotic than the other vertebrae. A biopsy was done of the L4 and the result indicated metastatic carcinoma consistent with a primary from the prostate. His PSA then was at 1018.
CN was subsequently treated with Lucrin injection (RM 1,300 per month per injection). He also took the oral drug, Casodex (RM 21 per tablet /day). The treatment brought down his PSA level from the initial level of 991 to 0.2 within six months. Unfortunately, after six months, the PSA started to rise again from 0.2 to 25.1 in May 2012 (Table below).
CN was asked to undergo chemotherapy. He refused. CN came to seek our help on 11 May 2012.
Declined Chemotherapy and Radiotherapy
Chris: The doctor asked you to go for chemo and radiotherapy – you want that?
Patient: No, don’t want. No point.
C: Why no point?
Daughter: No meaning!
C: Why no meaning?
Daughter: He is taking these medications that the doctor gave and he already suffered.
C: Do you have friends or relatives who had gone for chemo or radiotherapy – were they cured?
D: Cannot cure.
P: I know of two friends. About two months ago one of them, aged 67, had colon cancer. After operation he did chemo for four times. The doctor asked him to go home – six months later, he died. There was another one, 51 years old. He had skin cancer. He received radiation but there was one more tumour which could not be treated. He had chemo – four times, he also died.
C: So two friends went for chemo – they all died. So you don’t want to follow them?
When CN came to see us on 11 May 2012, he presented with the following:
- He was unable to sleep – remaining awake till 4 to 5 a.m. each night.
- He had backache.
- He had no strength and found it difficult to even bend forward.
- He had difficulty moving his left arm.
- He suffered hot flushes and felt “heaty” in his body.
CA Care Therapy
CN was prescribed Capsule A, deTox tea, Prostate A, Prostate B, Bone and Pain Tea. He was also given Menopause Pill for his hot flushes. He was told to abide by our recommended diet. After two weeks, he returned and told us that he was happy! Look at the video – he could walk normally!
Chris: When you came you said the doctor gave you the injection and also the oral drug, Casodex. Because of that you said you could not sleep, had hot flushes. I gave you the Menopause Pill. After taking the Menopause Pill – still has problem?
Son: Much less now.
C: And you said you could not sleep at night – you were still awake until 4 a.m. or 5 a.m. Only then you could sleep. What happen now?
Patent: Can sleep. Better, very good.
C: You feel good already – so no need to take herbs!
P: No, no, cannot. I feel very happy.
(Note: Since patient could not speak / understand much English, our conversation was very limited).
He returned home with a month’s supply of herbs but he never came back after that.
To our surprise, CN and his son and daughter turned up on 10 August 2012. He was in severe pain and could hardly walk into our centre. His son had to support him to slowly walk into our centre – watch the video to see how he suffered. In short, his health had deteriorated – WHY?
Chris: I asked you to come back and see me in July – you did not come. Why?
Son: When taking the herbs, he was okay already.
C: So when you were on the herbs, everything was okay? No pain?
S: Just a bit of pain only.
C: So you were happy. Then now there is this pain – what did you eat wrong? Tell me what did you eat that I say you cannot eat?
Patient: Fish head curry!
C: Okay, very good. (Pointing to the daughter) You took care of him?
S: No, me, me! I brought him to Kuala Lumpur the last two weeks.
C: Before that he was not in Kuala Lumpur? In your hometown, did he eat anything he liked?
Daughter: A little bit la! Went out to eat outside.
C: But still okay?
D: Under control.
C: So the past two weeks he went to KL. And what did he eat?
S: Eat outside lor.
C: Everyday eat outside? Aya, you want to die la. Can die one you know!
S: Every night we went outside to eat – like pan mee.
C: You see I have told you before. One day eat, okay. Two days eat outside, okay. And one week, was he still okay?
S: One week still okay but after that he started to have pains.
C: Where is the pain?
P: From the stomach radiating to the back.
C: Before this bad food, do you ever have this problem?
S: No, no, never have this kind of problem.
C: This is my experience. Patients – when they eat bad food for a day, never die. Two days also never die but after two weeks they begin to see the bad effects. Only two days ago, I asked my wife why you did not come. I was wondering why – either you are already well or you are already dead. Now you are here.
S: (Everyone laughing). Ya, now want to die already. The past few days he could not walk much and his condition became more serious.
Why did he suffer again? Two reasons: He stopped taking our herbs for the past one month and on top of that started to eat any food he liked.
e-Therapy Restored Him
We immediately put CN on the e-Therapy. His condition improved after one session. And after four sessions of the e-therapy (i.e. four days) CN felt he had recovered and did not feel it was necessary to travel (one and a half hours drive) to Penang to undergo more sessions of the e-therapy. When CN left he gave me a hug! After that CN mysteriously disappeared (again!). Since then we did not get to see him again!
Since CN felt well with the herbs – no more pains and he could sleep well – he decide to forget taking the herbs. Since preparing herbs is indeed a chore and he is feeling great, CN decided not take the herbs for a while. So he did not take the herbs for a month. In addition, he went to stay with his youngest son in Kuala Lumpur for two weeks. His son is a bachelor and does not cook at home. Father and son went out for outside food every evening. After two weeks on bad food CN started to have pains. He had to return to his hometown and immediately drove to see us in Penang. CN was in severe pains. His son had to support him to slowly walk into our centre. The video would be able to convey the agony he suffered. And this was on 10 August 2012. Compare this situation to what he was like some ten weeks ago, 25 May 2012.
To us at CA Care, things like this happen very often. When patients get well, they will not come and see anymore. When they get into trouble they will show up. Some patients do not take their herbs or they go out to eat anything they like once they feel well. They want to believe they are cured!
For CN’s case, I really empathize with him. What happened is understandable – but NOT excusable because he cannot get away with what he did wrong. CN’s wife died in an accident some twenty two years ago, so CN lives alone in his home. His children are married and they live their separate lives while the youngest who is close to him, works in another town. My guess is that life to CN could be boring and probably meaningless as well. My favourite author, Harold Kushner – a Jewish Rabbi, in Who Needs God wrote: More than any other human problem, loneliness, the absence of meaningful human connection, drains the joy and the sense of purpose from our lives … in my experience, more die of loneliness. There is perhaps nothing sadder than experiencing intense joy or intense grief and having no one to share it with. At CA Care we understand this message. We try our best to treat patients like a human being. As I have often said cancer is not only about a tumour in your breast, lung or liver. It is about you as a person.
Having seen CN in severe pain, we immediately put him on the e-Therapy. His condition improved after one session. And after four sessions, CN felt he had recovered enough and did not feel it necessary to undergo more sessions of the therapy. The sad part of the story is, up to this day we do not know what has happened to him. Since our last hug, we never get to see CN again. We are more than happy to help him or any other patients, in any way we can – that is, if the patient is willing or needs our help!
The following are the side effects of Lucrin and Casodex, as obtained from the internet.
Side effects of Lucrin: Approximately 52 percent of lucrin users report hot flashes and fluid retention under the skin occurs in at least 8 percent of users. More than 5 percent of patients experience dizziness, pain throughout the body, headache, nausea and vomiting. Some patients experience diarrhea, loss of appetite, anxiety, tingling in the extremities, forgetfulness, sour taste and insomnia. Fever and fatigue, breast tenderness and impotence in men are also possible.
Source: Lucrin Side Effects | eHow.com http://www.ehow.com/about_5306460_lucrin-side-effects.html#ixzz24XoOrKCa
Side effects of Casodex: The very common side effects are: dizziness, hot flushes, feeling sick, abdominal pain, constipation, blood in the urine, abnormal enlargement of the breasts, breast tenderness, chest pain, weakness or loss of strength, fluid retention. the less common side effects are: sleepiness, decreased sex drive, impotence, depression, loss of appetite, weight gain, anaemia, indigestion, wind (flatulence), hair loss (alopecia), excessive hair growth, dry skin, itching (pruritis), rash and liver problems.