Pleomorphic Sarcoma: Tumour shrunk after 3 months on herbs!

On the last day of 2017, I received an email from a Malaysian lady in Germany. Let’s call her May. This is what she wrote:

Dear Mr. Chris Teo,

…. I would like to tell you a bit about my case. All our reports are in German. We will translate them and bring them back to you.

  • December 2016: I was diagnosed with undifferentiated pleomorphic sarcoma at blood vessels, which was near to my heart.  The tumor grew from my right upper pulmonary vein through the mitral valve into my left ventricle of my heart. Via complete sternotomy, the tumor was excised.(Sternotomy — surgery where sternum or breastbone in centre of chest was divided or cracked).

Sternotomy was done one more time to stop internal bleeding and to remove a hematoma.

  • January – June 2017: Cytostatic chemotherapy was done with Doxorubicin and Ifosamid for 6 cycles.
  • October 2017: From standard checkup (CT scan and MRI), it was confirmed that a tumor, 2.4 x 2.2 cm is growing close to the right upper pulmonary vein and it presses onto the vein.

This result highly indicates a local  recurrence. Sample of the tumor was taken via Endobronchial Ultrasound to pathology and it was confirmed it is the same high graded sarcoma.

  • November – December 2017: Chemotherapy (Gemcitabin and Docetaxel) for 2 cycles were done. Along with the chemotherapy, I took part in a double blind clinical study for Antibodytherapy Olaratumab).

During chemotherapy and antibody therapy  the tumor had shrunk to 1cm (result from a CT scan).

  • 27 December.2017:A CT scan of the whole body was done and metastasis was found in my brain. It was located above my left eye.
  • 2 January 2018: It is planned now to remove the tumor, as the tumor has caused brain edema which can cause stroke or bleeding anytime.

If the recovery process and the operation turns out successful and I still can fly, we will come back to find you to try your method to control the primary tumor near my heart.

Regards.

This was my reply to May.

Thank you for your email. Actually I was wondering who you are and why you want to come and see me. You are from Germany and I am in Malaysia, half a world away. 

Since Netherlands is so near you, why don’t you see Dr YY below. You can get her contact from the internet. I have read her 2 books but I have never met her personally. But that is the way to start … see her and ask for her advice. 

I also know Germany is very famous for alternative cancer therapy — why don’t you  scout around to go to these clinics — if you need help to find where and what, let me know. I may be able to help.  

Sarcoma is a very difficult problem … see, even chemo and chemo … did not work. You asked to see me in Penang — you are welcome to see me. Are you from Penang? 

Dear Mr Chris Teo,

I am from Kedah. If I am fit and the operation goes smoothly, I will come and meet you. Thank you and Happy new year.

In early February 2018, May, her husband and her mother came to our center.

https://youtu.be/k9D0BGSH5DI

May was prescribed a variety of herbal teas for her brain and sarcoma. Once in a while, I received updates of May’s progress.

Hello Uncle Chris,

8 Feb: I started soft tissue tea. My thigh has less pain. A bit pain at my left chest.

9 Feb:  I feel some short pain at my left chest. When I first swallow food or water, my tracea is pain.

10 Feb:  Same like 9.2

11 Feb:  My thigh is less pain. But still pain when I swallow food or water.

12 Feb:   My thigh still has a bit pain. Still pain when I swallow food and water.

13 Feb:   still pain when I swallow food and water.

14 Feb:   My cheek and neck is itchy and red. My thigh has no more pain.

15 & and 16 Feb:  My cheek and neck still itchy and red. Still a bit pain when I swallow food.

17 Feb:   No more pain when swallow food or drink water. My cheek and fore head are still itchy and red.

18 Feb:  Still itchy at fore head and cheek.

19 Feb:  Light pain at my left chest. A bit hard to explain.

On 28 March 2018 May, her husband and mother dropped by the centre before returning to Germany. And while in Germany May did write once a while to update us.

On10 May 2018, this is what she wrote:

Hello Dr.Teo,
I have check up and it shows that the tumour has reduced its size to half and no metatasis. A very big thanks to you from me and my whole family. My oncologist here in Germany is so curious about my therapy and would like to know more. So I gave him your website.  They haven’t see such improvement before with chemo and radiation especially with my rare sarcoma. Thank you once again.

Reply: You wrote: I have check up and it shows that the tumour has reduced its size to half and no metatasis.

Can you tell me what does this mean? Before the herbs you have tumour ? Where? What is the size?

Now, what did the doctor do? CT or MRI … then what is the size?

10 May 2018:

Dear Dr.Teo,

I had recurrence before I came to see you.  The primary tumour is located in the lymph node near my heart. The cancer metatasized to my brain. When I first met you in January. The doctor had removed the tumour in the brain but not the primary one.

The primary tumour in December was 5.5 x 3.2cm. Now it has become 3.2 x 1.9 cm. 

Comments

  1. When I received May’s email, my first reaction was to ask her to see other alternative healers — Germany is so famous for alternative medicine — why come to CA Care? But since she insisted of following our therapy, I could not turn her down. Perhaps she missed “home” too. Good to be back in your own “kampong” and be among your loved ones when you are ill — right?
  1. Below are pictures of the mass around her heart (top) and a tumour in her brain (below). After seeing this I shook my head in despair. As I told May, in my twenty plus years helping cancer patients, this is my first time seeing such a cancer. I really don’t know what I can offer May. But as you can see from this report, the herbs gave very encouraging results.

Sarcoma in blood vessel around heart

Sarcoma spread to brain.

Note:  Undifferentiated pleomorphic sarcoma (UPS), is a type of soft tissue cancer. The word “undifferentiated” means that the cells don’t resemble the body tissues in which they develop. The cancer is called pleomorphic because the cells grow in multiple shapes and sizes.

While sarcomas are rare tumors, they do represent one of the most common soft tissue malignancies in adults. Soft tissue sarcomas can develop in blood vessels and in deep skin, fat, muscle, fibrous or nerve tissues. The cancer typically becomes quite large over a period of weeks or months, sometimes growing quite rapidly. The cancer can spread to other locations in the body, most often the lungs.

  1. May told her German doctor that she wanted to come home to undergo our therapy. The doctor did not object to her taking herbs! After all the doctors in Germany had done their best — even surgery and chemotherapy failed — what else could they offer her except more of the same treatments.

From the start, I make it clear to May that I would not be able to cure her — to help her, probably yes. I know sarcoma is a very difficult cancer to handle. But, right in my head, I know that I had some wonderful successes with sarcoma. Read these stories if you want to know more: https://cancercaremalaysia.com/category/sarcoma/

  1. Now that the tumour has shrunk rather significantly, just after three months of herbs, I pray that things become better and better with time. But May will have to help herself. She should keep on doing what she has been doing after seeing us. Don’t ever think that she can do and eat anything she likes!
  1. This statement that May wrote, My oncologist here in Germany is so curious about my therapy and would like to know more, tickled me a bit! Most doctors/ oncologists generally don’t want to know! If you don’t want to know you are like “a frog under the coconut shell”, right?
  1. I must say frankly, I would not know what is May’s future but for what it is we need to lift up our eyes to Heaven and praise the Almighty God for this healing. God bless.

 

 

 

 

 

 

 

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Colon cancer: After three surgeries and two cycles of chemo, he wanted to give up

Sam (not real name) is a 43-year-old Malaysian from a town in central Malaysia. He came with his family to seek our help. Unfortunately, he came empty-handed — no medical reports.

Generally in a case like this, we would ask the patient to go home and bring his medical reports before we prescribe the herbs.

But in this case, I could not send Sam home empty-handed since he had travelled so far to come and see us. I made clear to Sam that I am “blind” and I would take what he tells on faith, as the real truth. The next time, if he ever returns, I asked him to try and get all his medical records.

Sam said since he received treatments in a government hospital, it is not likely that they would release this records. I know this is not necessarily true!

This is  Sam’s story.

  1. His problem started with abdominal pains and difficulty in moving his bowels. This happened a year ago, April 2017.
  1. Sam went to a private clinic. But the GP asked him to go the government hospital for help.
  1. In May 2017, a colonoscopy and biopsy were done. He was diagnosed with cancer of the colon.
  1. Sam underwent an operation in July 2017. He stayed in the hospital for 3 weeks. After his discharge, just a few days at home, Sam suffered abdominal pains again. He was again admitted to the hospital. On examination, Sam was told that there was an internal leakage.
  1. Sam had to undergo a second operation. A colostomy bag was installed. This time, he spent 2 weeks in the hospital. About 3 weeks at home, he had problems again. This time pus started to ooze out through the wound.
  1. Sam was readmitted to the hospital for the third time. This time the doctor drained out 8 liters or 2 gallons of pus from his abdomen.
  1. While in the hospital he was in coma for 3 days. After two weeks of hospitalization, Sam was again discharged.
  1. Sam was told to undergo 12 cycles of chemotherapy.
  1. In February 2018, Sam received his first shot of chemo, followed by another shot 2 weeks later.
  1. The chemo made him sick — he had fevers on and off for 2 weeks and his back ached. It was at this time that Sam felt he could not finish the scheduled 12 cycles, and decided to come and seek our advice.

Listen to our conversation that morning.

 

Comments 

Can we learn some lessons from this tragic story? Yes, absolutely.

Lesson one: not all doctors have the same expertise and capabilities. Not all hospitals can offer equally effective treatment for cancer.

When patients with colon cancer come to us for advice, this is what I would say: Go and have the tumour removed. If you want a “good” colorectal cancer doctor, go and see Dr. X in Hospital Y in Kuala Lumpur. I have sent many patients to him and he did a very good job! According to my patients, he is also a compassionate doctor.

Let me be up front. By sending patients to Dr. X, I do not get any “referral fee”. Get that right. I am sticking my neck out for him because I want you to get the best treatment possible! I know Dr. X professionally through my patients and I am not sure if he even knows who I am either!

Not long ago, a man whom I knew years ago, came to see me because of his wife’s leukemia. She was seen by a doctor in a government hospital. Apparently she was not  given any “chemo-drug” and was sent home. To me, it looked like it was a “gone” case. I suggested to his man, Why don’t you bring your wife to see Dr. N. (in P hospital). He is good with leukemia. At least go and listen to what he has got to offer.

This is what the man answered me, What is it that the Dr. N can offer that cannot be found in the government hospital? After all the medicines are all the same. And the doctors are just as qualified. 

Yes, I know this man always acted “smart” since I knew him. There is no use for me to argue with him.

Not long after that, his wife died. It looked like he believed he had given his wife the best! Or, was it because treatment in a government is free of charge (being a retired government servant) whereas going to a private hospital cost money? Your guess.

Lesson two: Before you undergo any treatment, ask the doctor there basic questions! Can your treatment (surgery, chemo or radiotherapy) cure me? What are the side effects of the treatment? How much is the treatment going to cost? (in case your bank account cannot stand the “drainage”). 

In Sam’s case, can the three surgeries cure his cancer? Not likely. In fact, these could even make the cancer spread more aggressively.

Sam did ask the doctor about the side effects of chemo. The doctor explained there was no other option that he knows of. Yes, chemo causes many severe side effects. But without chemo, the cancer would spread. So it is a choice between the devil or the deep blue sea. Unfortunately, doctors are not taught more than this! If you have been reading my case reports in this website, you will learn that many colon cancer patients do not need  chemotherapy after their surgery. Yet they live!

Lesson three: Be knowledgeable. Read as much as you can about your problem. One point that sticks out like a sore thumb is the question about diet. Patients are often told to go home and eat anything they like. Take eggs, eat meat to become strong so that you can go through your chemo easily.

At CA Care we tell you to take care of your diet. You cannot take all these! What you eat will determine the direction of your healing.

Dr. Vincent deVita is one of the outstanding, “blue-blooded” oncologists in the United States. He was once the director of the National Cancer Institute. Read what he wrote (in Foreword, The Cancer Recovery Eating Plan):

  • We know that the cause of more that 70% of malignancies may be due in some ways to what we eat — what we eat has a tremendous influence on whether we will develop cancer.
  • Why has it taken the medical community so long to appreciate the connection between diet and cancer?
  • Most doctors are regrettably uneducated about the connection between what we eat and our health.
  • Most medical students receive little or no training in nutrition.

Read what Dr. Russell Blaylock wrote:

 

 

Surgery did not cure his liver cancer

LKS is a 63-year-old man. Eight years ago he was diagnosed with liver cancer and underwent a surgery. His gall bladder and part of his liver was removed. According to the surgeon there was no need for follow up chemo. There was no need to take medication either.

LKS was well and went back to his normal life — of course, eating what likes.

In late December 2017 (eight years after his surgery), LKS had wind in his abdomen and he had difficulty emptying his bowel. He went back to the same hospital where he had his surgery and did a CT scan.

LKS was told there was fluid in his abdomen. He was prescribed some medication and sent home. He was told nothing else could be done.

LKS and his family came to seek our help in mid January 2018. He presented with distended abdomen, otherwise he was alright.

His liver function test done on 19 December 2017 was as below.

Albumin 34 L
Globulin 46 H
Total bilirubin 73 H
Alkaline phosphatase 307 H
GGT 349 H
AST 136 H
ALT 44

LKS was prescribed liver herbs in addition to herbs for his abdominal distention. Within a week he felt better. Unfortunately this improvement did not last! LKS felt hungry and went to supermarket and bought some “instant food stuff” to eat. He was back to square one!

Comments

Most patients never learn. In spite of us spending hours telling them to stick to healthy diet, they would sure go back to their “bad” diet the moment they feel well. This is my advice to all patients who come and see us. If you want to take our herbs, take care of your diet. If you want to eat anything you like, then don’t come and see us. Yes, your doctors say you can eat you like or your diet has nothing to do with your cancer! Our 20 plus years of experience tell us otherwise — diet plays a vital role in cancer healing!

No need to listen to me. Read what other “enlightened” doctors have got to say.

The take home message of this case is there for you to see! Surgery does not cure liver cancer.

Yes, surgery can buy you some time. After surgery you may be told it is all “taken care off” or “I got the cancer all out”. Don’t be taken up by such assurance — I have seen enough cases of recurrence to tell you that such advice is misplaced and misguided. A misinformation.

Read more stories in: https://cancercaremalaysia.com/category/liver-cancer/

 

 

Surgery did not cure his colon cancer

MW is a 47-year-old vegetable seller at a wet market in Singapore. He is a jovial man! His problem started about 9 years ago, August 2007, when he passed out blood in his stool. He went to a “very good” doctor in a private hospital and was told he had colon cancer. He underwent a surgery. MW was fitted with a colostomy bag for a while and then underwent a second operation to rejoin his colon. MW said the total treatment cost is about SGD 40,000.

After the surgery the surgeon said there was NO need to undergo any chemotherapy, radiotherapy or take any medication.

Since MW did not bring his medical reports, I am not able to know more about his colon cancer.

About 9 years later, MW suffered a relapse. A PET-CT scan showed:

  • soft tissue lesion involving the prostate.
  • several sub-centimeter lung nodules.

His CEA in February 2017 was 34.0 (high).

MW consulted an oncologist in a government hospital. He was told to undergo chemotherapy. The drugs to be used are either: Oral capecitabine (Xeloda) + oxaliplatin injection, or Oral capecitabine (Xeloda) + Irrinocetan.

MW hesitated to undergo chemotherapy. The oncologist told him, If you do not want to undergo chemotherapy, then no need to come and see me. Don’t waste my time. I have too many patients to take care. 

Through the recommendation of a friend, MW went to Thailand for further treatment in September 2017. A six-week treatment in Thailand cost him about SGD 40,000.

Did the treatment in Thailand help you? MW said he felt better and his CEA dropped from 34 to 8. But unfortunately, MW said, This improvement was not sustainable.

After MW returned to Singapore, his CEA increased to 18.0

Did they ask you to go back again for more treatment? They never suggest that but I decided not to go back there again. I already spent so much money. In addition, the patient who recommended me to that place also suffered the same fate like me. Her well being worsened again.

Comments 

There are a few lessons that we can learn from this story.

  1. Surgery did not cure cancer! 

Over the years dealing with cancer patients, I have learned that patients like to hear what they only want to hear! They believe that “doctors know all” and whatever their doctors say will be the whole truth!

Listen to what Dr. Veatch said:

With due respect to the learned surgeon. He did his best and he believed that he “Got it all out.” That is what all patients want to hear any way!

  1. Cancer can come back again.

The truth is, if you think you are done with your cancer, know that the cancer may not be done with you yet!

In this case, MW was told everything was removed —  “clean” and he was cured by the surgery! Nine years later, we know that his doctor was wrong.

Here is another quotation for you to reflect on.

Dr. Barry Boyd highlighted what happens today in most health care settings. And probably this is going to happen in the future too. It happens in America and it happens in Singapore and Malaysia!

  1. To stay healthy is your responsibility.

I always remind patients to be careful — take steps to take care of yourself to minimize the possible recurrence of your cancer! Yes, you can do that but your doctors may not tell you, or may not know what to tell you!

You need to seek out such information yourself. Understand that to stay healthy or to get sick is your responsibility, not your doctor’s.

But take it from me, most patients couldn’t care less about my advice!

 

 

 

Lung Cancer: After Surgery, Chemo and Radiation, the cancer spread to his healthy lung

CK is a 62-year-old male from Kuala Lumpur. He and his wife came to see us with copies of his medical reports neatly filed in a folder. This is a very pleasant couple who is now helpless and directionless. This is what happened.

1)  20 December 2015: Had food poisoning after taking expired red wine. 

2)  21 December 2015: Consulted a GP who discovered “cracking sound” in his left lung.

3) 22 December 2015: CT scan of chest showed a 3.2 x 5 cm mass in the left lung.

4)  2 January 2016: A CT-guided biopsy confirmed a bronchoalveolar adenocarcinoma.

CK was referred to a cardio-thoracic surgeon in a “heart hospital.”

5)  14 January 2016: PET scan confirmed carcinoma of the left lung with no associated locoregional or distant metastasis.

6)  23 January 2016: Admitted to the “heart hospital” for lower lobe lobectomy, i.e. surgery to remove a quarter of the lung.

The surgery was a “success” and histopathology report showed:

  1. a) Aortic wall adventitia was infiltrated by tumour.
  2. b) One pulmonary lymph node showed tumour metastasis.
  3. c) lower lobe of left lung — invasive adenocarcinoma with predominant bronchoalveolar and papillary pattern.

7)  February to June 2016: Underwent 4 cycles of chemotherapy and 20 sessions of radiotherapy.

Things seemed to be okay after all these treatments but CK had chest pains, coughs and fever. He was prescribed “strong” antibiotics.

8) 30 March 2017 — after slightly more than a year.

Follow up CT scan showed multiple nodules and patchy opacities in the upper and lower lobes of right lung.

Radiologist suggested: Differential diagnosis: lung metastases and pneumonia. Suggest close follow up CT lung after a course of antibiotics.

CK went back to his surgeon about this new development. The surgeon was pretty sure that the spots were not cancer related.

9)  1 June 2016:  CT scan of chest. The radiologists wrote the following:

CT on 23 March and 30 March 2017 were reviewed. The current CT is about 2-3 months after  the previous CTs. The current CT showed the following:

  1. a) The ground glass opacities in the right upper and lower lobes of the lung appears more dense and larger.
  2. b) Newer small nodular lesions are seen in the right upper and lower lobes.

Based on the above observations, the radiologist was of the opinion that this new development was a metastasis or recurrence. However, ground glass opacities may  be due to drug induced lung changes and infection.

The changes in the left upper lobe (note: left lower lobe was removed) are suggestive of non-neoplastic process and fibrosis. If DXT (radiotherapy) was given, these could be due to that treatment.

10) 18 September 2017: Went back to the same GP again (as in 2). “Cracking sound” at the lower part of my good lung.

Cancer marker in December 2016 was 16. In July 2017,it was 173.

CK and his wife decided not to go back to his doctors again. Because it will just be repeating the same procedures all over again — another biopsy and more chemo.

Total cost of treatment = RM130,000 of personal savings.

Comments 

I had my first lesson about lung cancer some 22 years ago. The second patient of CA Care is VJ. He had lung cancer and had one side of his lung removed and underwent treatments at the “cancer hospital.” I was at the hospital and saw him suffer and eventually died.. Surgery did not cure lung cancer. Treatments received in the cancer hospital also did not cure lung cancer.

My second lesson about lung cancer came a few years later when the mother of my student underwent radiotherapy for her lung cancer. Yes, I encouraged her to go for the treatment. After completion of her treatment she died. Lesson number two, radiation does not cure lung cancer. To understand why, just go to the market and buy a piece of lung. Bring home and place the lung over fire and see what happen! The lung hardened — and is this not why the patient cannot breath?

Over the years, I have seen this story being repeated over and over again. In the case of CK, it is another one of those cases I have come across over the years.

Can herbs cure CK’s cancer? No. Can we help him? May be. CK’s problem recurred less than 2 years after treatment. After spending RM 130,000 he got nothing out of it.

Perhaps some people would want  to tell you that if you don’t go for treatment, you would die sooner. Nope — I don’t believe so. Over the years, I have patients who led a much better life if they do nothing.

Perhaps you may want to read some of the articles I have written earlier:

  1. He Died Of Lung Cancer — Treated by the Best Oncologist in One of the Best Hospitals in the World

2. Medically Given Up Lung Cancer: She died after 5 years on CA Care Therapy

3. Lung Cancer: Six to 12 Months to Live. Must do chemo, that’s the only way. With herbs still alive after 2 years!

4. Lung Cancer: Given Honest Answers Patient May Run Away from Chemotherapy

5. Two Billion Rupiah, Chemo And Surgery Failed. Oncologist said, “More chemo, you just have to trust me!”

6. Lung Cancer: Chemo Experiments That Failed and Failed

7. Lung Cancer Success Stories

My advice to CK.

Don’t give up hope yet. We shall do our best. If you can sleep, can eat, can move around and have you no pain, don’t ask for more. To that CK and his wife totally agreed. In fact that was what they hope for when they came to seek our help … “to have quality life.”

 

 

 

May God bless you.

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:

 

 

 

 

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.

 

 

Brain Tumour & Diabetes: 1. His prayer answered in an unexpected way!

In an earlier article, I wrote about one bad morning at CA Care —  sharing with you a disappointing story. But luckily, not all days are like that — although you need to know that only 30 percent of patients who come to see us benefit from our work. The remaining 70 percent don’t. They just cannot benefit because of all kinds of reasons or excuses that they have. But to be frank, I am well prepared for such disappointments because I know I cannot win all! And most important of all, I know I cannot change the attitudes of human beings!

Not all days are cloudy though. Let me share with you what a great and blessed morning is like. A morning like this is worth many times the bad mornings!

Amar (not real name) is a 49-year-old Indonesian. In early December 2016 he had two seizures. He was unable to talk and had to be hospitalised. His blood sugar was extremely high, more than 600 mg/dl. Amar was asked to take three medications — Nocid, Eclid and Glucophage. In addition he had to be given insulin injection, Novorapid,10 units three times per day.

A CT scan and MRI on 9 December 2016 showed a 4.26 x 5.16 x 2.2 cm lesion in his brain. This was diagnosed as vertex meningioma. The doctor in Jakarta asked Amar to undergo an operation but he refused.

In January 2017 Amar and his wife came to a private hospital in Penang. He was asked to continue taking his medication:

  1. Dilantin(phenytoin) — an anti-epileptic drug.
  2. Hepamax — for his liver.
  3. NovoRapid® — insulin injection.

A month later, February 2017, he came back to Penang again with the main purpose of undergoing  an operation. This surgery would cost him RM35,000.

Chris: Did you ask the doctor if the surgery would cure you?

Patient: The doctor said some parts of the lesion can be removed! Even that the most serious risk of such surgery is getting a stroke. In addition, my hands and legs may become weak.

The night before the scheduled operation, Amar and his wife prayed to God for guidance! If possible, he would not want to undergo the operation!

Listen to this video!

 

 

Who ask you to come to our centre?

Gist of our conversation

Amar: The night before my scheduled operation, my wife and I prayed telling God that if possible, I do not want to undergo this operation. But I knew in my heart that this was not possible! After our prayer, that same night, we were told to come and see Pak Teo first before undergoing any operation.

Chris: Who asked you to come and see us?

A: My wife’s friend in Jakarta.

C: (Asking the wife). Tell us what happened.

Wife: I phoned my best friend in Jakarta that night. I told her about my husband’s operation. Then she told me, Don’t do any operation yet. Go and see Pak Chris first. She gave me your address. The next morning, we came to see you. I showed your address to the Grab driver and he brought us here.

C: So, you did not do the operation?

A: No. I went to see the doctor in the hospital that morning and told him that I was not ready to undergo the operation. I need some time to sort things out.

C: The doctor was not angry that you decided to postpone the surgery?

A: No. So we came to see you after that.

C: When you came here, did you believe what we told you?

W: Yes, absolutely.

Comments

At CA Care we encourage patients to talk to their God — never mind who you believe in. Just pray to God to help you. We believe if you sincerely pray, God will answer your prayer! But remember, the answer you get may not be what you want!

Many patients told us many “amazing stories” how they came to know us. One lady once told me that she was very desperate and did not know what more to do for her sister who had been hospitalised for some two months already. So that night she prayed (she is not a Christian!) before she went to sleep (in the hospital taking care of her sister). The next morning, she switched on her lap-top. She could not remember what she did but there it was the CA Care website that popped out in front of her!

I once asked a lady who go home and pray to her God first before deciding to take our herbs. She replied, I have already done that. The Goddess of Mercy (Kuan Yin) told me to come and see you!

In this case, you can hear for yourself how Amar and his wife came to know CA Care just the night before Amar was to undergo his brain operation! It is just like a fairy tale, but is that not a miracle? God works in mysterious ways, if only you sincerely ask Him for guidance and help.

But don’t misunderstand. Coming to CA Care is not the ultimate answer. We are not bomohs (sharmans) or magicians. The tumour will not go away. We cannot cure your cancer — get that straight and clear! Nevertheless many patients who came to seek our help benefited from our advice and what we do. Some live a normal life without the surgery!

In the next article, let us hear why Amar was  “fortunate” not to undergo his surgery yet!

 

 

Breast Cancer Part 1: Cancer Recurred Soon After Surgery, Gerson Therapy and Supplements

SN is a 40-year-old lady. Her problem started at the end of March 2016 when she found out that her right breast was swollen with rashes of the surface. There was also a lump in her right arm pit. A biopsy pn 29 March 2016 showed invasive ductal carcinoma.

At the time of this diagnosis, SN was breast feeding her baby. She did not immediately undergo any medical treatment, not until a few months later when her breast turned hard.

She started on an intensive Gerson Therapy in April 2016 based on the manual and Gerson Online Course. The therapy consisted of juicing, supplements and coffee/castor oil enema. She adopted a no salt, no oil (except flaxseed oil) diet.

SN was supposed to take 13 glasses of juices a day but she could only manage to take 8 glasses. She was supposed to do 5 times of coffee enema per day but she managed to do only 4 times a day.

She took the following:

Gerson supplements

  1. Acidol persin
  2. Potassium compound solution
  3. Lugol, half strength drop
  4. Niacin 50 mg
  5. Thyroid 2 grains
  6. Pancreatin
  7. B-12 tablet
  8. Dessicated liver
  9. CoQ10
  10. Selenium
  11. Milk thistle
  12. Inf-Zyme Forte (digestive enzyme)
  13. Colostrum
  14. Vitamin C 1000 mg
  15. Flaxseed oil

Other supplements

  1. Coconut oil
  2. Wheat germ oil
  3. Regulatpro Bio
  4. Wheat grass powder
  5. Chollera powder
  6. Chlorophyll powder
  7. Super blend wild berry by EzyProtein
  8. Natural raw food by Juvo
  9. Vitamin D 800IU
  10. Spirulina
  11. Garlic pill
  12. Probiotic powder

Spices / Herbs (dried)

  1. Oregano leaves
  2. Thyme leaves
  3. Dill leaves
  4. Tumeric powder
  5. Cayenne pepper powder
  6. Ginger powder
  7. Garlic powder 

All these went on for about one and a half month. It was a disaster after that! She ended up with a bloated stomach, vomiting and bad gastritis. Then she started to bleed for 2 weeks and had to be admitted into a hospital. In July, August and September, SN went in and out of the hospital for 5 times.

An endoscopy/colonoscopy was carried out. Nothing was found and the doctor said her intestine was just “too” clean.

USG of her right breast was done in May 2016 and showed multiple lesions, suspicious of malignancy.

  1. At 1.30 o’clock, 3-6 cm from nipple: a well-defined nodule with microcalcifications, 4.5 x 4.7 x 3.2 cm.
  2. At 1.00 o’clock, 6 cm from nipple: lobulated solid lesion, 2.3 cm in diameter.
  3. At 1.00 o’clock, 2 cm from nipple: deep seated nodule, measuring 1.8 x 1.2 cm.
  4. At 1.00 o’clock, 8 cm from nipple: 3 tiny nodules.
  5. At 1.30 o’clock, 6 cm from nipple: 9 x 6 x 9 mm nodule.
  6. At 1.30 o’clock, 10 cm from nipple: 8,2 x 6 mm nodule.
  7. At 11.00 o’clock, 4 cm from nipple: microlobulated nodule 2.2 x 3.8 cm.
  8. At 10.30 o’clock, 5 cm from nipple: 2 nodules, measuring 8 x 8.8 x 10 mm and 17 x 11 x 13 mm.
  9. At least 8 enlarged right axillary nodes, largest measuring 5.2 x 5.2 x 2.5 cm.
  10. 3 infraclavicular nodes measuring 11, 6.8 and 2 mm.\
  11. No focal solid or cystic lesions in left breast.
  12. No left axillary, left supraclavicular or infraclavicular abnormality.

On 2 June 2016, SN underwent a right mastectomy. Histopathology report confirmed an invasive ductal carcinoma with residual chest wall lesion. It was triple negative breast cancer — estrogen receptor negative, progestrone receptor negative and Cerb-B2 negative.

Her operation cost RM 33,000 (cover by health insurance!).

SN was asked to undergo follow-up chemotherapy. She refused.

Chris: Why did you not want to go for chemotherapy?

SN: I know of persons who had cancer and went to chemo. They all died. One was a breast cancer lady, about 50 + years old. After surgery she had chemo and was on an oral drug. Six years later the cancer came back and she died within a year. The second case was my Aunty. Also 50 + years old. It was tongue cancer and two-third of her tongue was removed. She had no chemo but underwent 30 sessions of radiotherapy. The cancer came back. She went for an “oxygen bath” in Hungary. She died within a year.

My grandma was 80 + years old. She had ovarian cancer. She underwent a hysterectomy, but no chemo. She died within 2 years.

C: I understand the phobia you have.

SN came to see us in October 2016. The cancer had recurred.

pt-1-swollen-neck-and-recurrence

Mastectomy did not cure her cancer. Gerson Therapy and all kinds of supplements did not cure her cancer. I told SN, My herbs would not cure your cancer as well. It is indeed a very, very difficult case to handle. I suggest that you try chemotherapy!

 

 

Part 2: Go for chemotherapy!

Part 3: Did chemo helped her?

 

 

Bile Duct Cancer: When MORE = WORSE

AM is a 48-year-old lady. About nine months ago she passed out tea-coloured urine. Her body was itchy. A blood test was done and her doctor said it was not good. She was referred to a private hospital near her hometown. From there she was referred to another private hospital in Kuala Lumpur.

A CT scan on 11 March 2016, showed:

  • A gross intra hepatic biliary tree dilation secondary to obstruction at the proximal common bile duct due to suspected cholagiocarcinoma.
  • No focal liver lesion.

AM had a blood clot in her neck. was treated with Clexane (an blood thinning injection to stop blood clots forming within the blood vessels). A biliary stent was inserted to help relieve the blockage.

A scan  on her brain and head showed no evidence of abnormality.

Her problem was diagnosed as inoperable cholangiocarcinoma and right IJV (internal jugular vein) thrombosis. That is to say AM had a bile duct cancer that should not be operated on.

A follow-up CT scan done about a month later, 25 April 2016 showed:

  • An increase in size of known cholangioncarcinoma.
  • Enlarged spleen.
  • Uterine fibroids.
  • Multiple tiny pulmonary nodules, bilaterally.

A CT scan done on 27 July 2016 showed the following:

  • Biliary stent in situ … stable in appearance.
  • Main and right hepatic arteries demonstrate normal enhancement.
  • Spleen is enlarged.
  • Uterine fibroids.
  • No focal bony lesion.
  • Multiple pulmonary nodules stable in numbers and sizes.

From this follow-up scans, it appeared that AM condition was stable — did not deteriorate. However, after 3 months, the stent was clogged. Although AM’s cancer was initially regarded as inoperable, in August 2016, the doctor decided to operate on AM.

Pathology report indicated that many lymph nodes were infected with cancer.

Two months after surgery, AM had fluid in the abdomen. She did not feel good and had to undergo another surgery to “clean” up her abdomen.

AM was referred to a government hospital for chemotherapy. Her 6 cycles of chemo was due to start in mid-December 2016. A week before commencing her chemo, AM and her family came to seek our advice.

My advice then was to go ahead with her chemo. But AM was reluctant to undergo chemotherapy. I told her to go back and think about it properly and come back to see me again if she needed our help.

AM came back a few days later and said she decided to try our therapy first and would not go for chemotherapy for the moment.

Her blood test results done on 14 December 2016 are as follows:

 

ESR 50  H
RBC 3.6  L
Haemoglobin 10.7  L
Platelet count 122  L
WBC 3.8  L
Alkaline phosphatase 403  H
SGOT/AST 67  H
SGPT/ALT 57  H
GGT 198  H
Alpha fetoprotein Less than 1.3
CA 19.9 11,500.5  H
CEA 2.2

 

During our conversation, I asked AM a few important questions.

  1. In all, for the stenting and 2 follow up surgeries, how much did you have to pay? According to her husband, the total medical cost in this private hospital came to about RM 120,000.
  2. Did you ask if the surgery was going to cure you? No, there would be no cure.
  3. Were you okay before the bile duct surgery when you only had the stent? Yes, okay except that the stent was clogged after 3 months.
  4. What was your condition like after the surgery? My condition deteriorated. I was better off before the surgery.

 

 

Comments

What can we learn from this case?

  1. Why do you think an initially inoperable cancer suddenly was operated on? Was it because the stent was clogged after 3 months?
  2. If clogging of the stent was the main reason, would a change of a new stent not help solve the problem? I recalled a case of a patient who had to change his “plastic” stent every 6 months (and he did it for about 6 times). He underwent our therapy and refused chemotherapy. Eventually the cancer disappeared and he is well up to this day. Read more here: https://cancercaremalaysia.com/2011/11/04/pancreatic-cancer-severe-itch-disappeared-and-health-improved-after-herbs-and-the-e-therapy/
  3. AM started off with a normal liver. After the surgery, she was worse off. Her CA 19.9 was 11,000 plus and her liver function parameters were all high. Before the operation, her condition was not like that. What if she were to just change her clogged stent again and again and not do the surgery? Did surgery spread her cancer?
  4. There is another story which was posted in this blog not too long ago, Gallbladder Stone to Stage 4 Liver Cancer: How is that possible? Would you like this to happen to your mother? This patient had surgery to remove her “so called gallbladder stone.” Surgery did not solve her problem. Later it turned out to be a stage 4 liver cancer. The patient died. How could it be?
  5. However, many of us have the impression that the more we do, the greater are the chances that we get a cure! Doing less or nothing is never an option! But often, with cancer, it is the other way round, the more we do may mean the worse we become, as in this case.

 

You taking herb? It would not work! Now, the herb works!

capture3

LF is 51-year-old lady. In September 2015, she had bleeding every day. She went to a GP. USG was done but the doctor found nothing wrong. She was given hormone pill to take. She also took supplements. They seemed to help. But, her problem did not go away.

LF suffered heavy bleeding and this made her go and consult a gynaecologist. She was given some medications but they were not effective. Then, her stomach became bloated. She consulted another GP who told her it was cancer.

Eventually LF was referred to a private hospital and did a CT scan. And there it was a mass of soft tissue, measuring 5 x 3.8 x 4.3 cm on the right side of the lower abdomen/pelvis. There was also fluid in the lungs and abdomen (pleural effusion and ascites).

The ascitic fluid contained malignant cells with features suggestive of metastatic adenocarcinoma.

LF underwent surgery immediately. It was a total hysterectomy and bilateral salpingo-oophorectomy. The appendix and omentum were also removed.

According to the histopathology report, it was a well-differentiated endometriod adenocarcinoma of the uterine corpus. Stage 1A. In addition, LF also had a left ovarian tumour with metastasis to the omentum. It was at least stage 3A cancer.

LF was told to commence with follow-up chemotherapy 3 to 4 weeks after the surgery. LF decided not to undergo chemotherapy. She took Sabah Snake grass (SSG) instead — 70 leaves, twice a day.

CT scan done in August 2016, showed enlargement of the para aortic lymph nodes. There was no free fluid in the pelvis.

Her CA 19.9 was at 322.6 before the surgery and this dropped to 30.3 after the surgery. A few months later it went up to 35.0.

Her CA 19.9 also increased from 29.7 to 69.9 and progressed to 105.6 (see Table below). It was at this point in time that LF decided to come and seek our help. She presented with abdominal discomfort and severe numbness of the legs.

Less than 3 months on the herbs, her health improved! Her abdominal discomfort disappeared and the numbness of her legs was almost resolved. Of course, she had stopped taking the SSG.

On 9 August 2016, her CA 19.9 was at 105.6 and after taking the herbs, on 2 November 2016, her CA 19.9 was 30.0 (within normal range).

One lesson we can learn from this case. LF’s husband told me this.

I went to have the blood test done in my friend’s lab. I told him, My wife is taking herbs and does not want to go for chemotherapy. The doctor said, Herbs will not work! Three months later, this same doctor said, Yes, now the herbs work! Because the CA 19.9 came tumbling down from 105.6 to 30.0 (normal range).

blood-test-results-lf

 

Good news also comes with “bad” news! LF expressed her concern that she might have to go back to teach now! Why? Because her blood test showed she was normal!

Besides that, disaster may also follow good news! LF may believe that she is really “cured” and will become complacent! She may go back to the previous life style and eat what she likes! I warned LF — The cancer will come back again if you do that! There is no cure for cancer. There is no question, that LF’s cancer is serious. It has spread. Feeling better and the CA 19.9 came down to 30 does not mean that she is cured.

 

 

Brain Cancer: Operation, Radiation, Blind After Two Weeks

rice-field

Amar (not real name) is a 32-year-old Indonesia male. In April 2016, he had a seizure and vomited. He was immediately sent to the hospital in Batam. After performing an X-ray, he was given some medication and sent home. He was able to go back work.

One week later, Amar went into a coma and was sent back to the hospital again. The doctor told the family Amar had stage 4 brain cancer. He was asked to immediately undergo a brain surgery. The doctor said that was the only option left. The risk of surgery would be: Amar could suffer memory loss or he could go blind.

The operation was carried out in Batam and Amar regained consciousness. The operation cost IDR 170 million. Unfortunately the surgeon was only able to remove 70 percent of the tumour. Amar was asked to undergo chemotherapy which the family rejected.

This is what Amar’s brain looked like after the surgery.

brain-augus-batam

Amar was brought to consult two doctors in Johor Baru. One surgeon suggested that Amar should undergo another surgery to removed more of the tumour in his brain. An oncologist suggested radiotherapy. The family opted for the latter and he had 30 sessions of radiation. Radiotherapy cost the family RM 12,000.

Two week after the completion of the radiation treatment, Amar became blind. As a follow up the oncologist put Amar on oral chemotherapy. Amar had three round of chemotherapy. Then his brother decided to come to Penang to seek our help.

 

Chris: When you were asked to undergo the operation, did you ask the surgeon if he was going to be able to cure your brother?

Brother: We did not ask. We did not know else to do.

C: Actually, surgery would not cure anything! Then you went for radiotherapy. Did you ask if this was going to cure him?

B: We asked about the benefit of radiation. The doctor said radiation cannot cure, but we need to try. We want the radiation to kill the cancer cells!

C: Then the oral chemo-drug. What good will that do to your brother? Let me be very outright with you. No one can cure your brother’s cancer. For all that you have done, your brother ended up blind. You now come and see me. What do you expect me to do?

B: I want to find a cure for my brother.

C: That is impossible. There is really nothing much I can do. You may just waste your money and efforts. So go home and discuss with the family — what they really want to do.

B: The family do not know what to do. I want to try your herbs.

What if you do nothing?

do-nothing

The son and daughter of this patient came to our centre. Yes, they felt compelled to do the utmost for their father. But sometimes, it is wiser and braver not to do a thing. In this case, it would be a bad joke to believe that 5 times radiation and a biopsy would make sense. What do you hope to achieve? To say that radiation is going to kill the cancer cells or to stop the cancer from spreading is only a good selling point, nothing than that. Let’s not be naive.

Let us recall two well documented brain cancer cases in the US. Let’s see if we can learn anything from these.

  1. Senator Kennedy and glioma

Senator Kennedy was diagnosed with a malignant glioma in May 2008, after being hospitalized following a seizure. A month later, he underwent what was described as “successful” surgery at Duke University Medical Center, Durham, North Carolina, and then received both chemotherapy and radiation after returning home to Massachusetts.

Six months after the diagnosis, Senator Kennedy had returned to the Capitol and was working part-time while still continuing with treatment. However, in January 2009, he collapsed during the inaugural luncheon for the new president Barack Obama. Senator Kennedy died in August 2009 — barely one year after his diagnosis.

Source:  http://www.medscape.com/viewarticle/708105

  1. Beau Biden, US vice president’s son, died at 46 of brain cancer.

The son of Vice President Biden and former state attorney general of Delaware, died after battling brain cancer. In 2010, Beau Biden had suffered what officials described as a mild stroke. Three years later, 2013,  he was admitted to the University of Texas M. D. Anderson Cancer Center in Houston. Doctors removed a small lesion from his brain and then followed a normal course of radiation and chemotherapy. By November 2013, he had been given a clean bill of health, but after a recurrence in 2015, Biden began an aggressive treatment and was admitted to Walter Reed.  He died in May 2015.

Source:  https://www.washingtonpost.com/politics/2015/05/30/e1ac5a2a-0731-11e5-a428-c984eb077d4e_story.html

The above are outstanding “sons” of America where the best of medical treatments can be found and are available. Senator Kennedy or AG Biden would have access to the best of medical technology to combat their brain cancer. Yet, they died. What chance do we — common folks — have? Or are we  being misled and sold false hope?

Read what Dr. Tobias has got to say about surgery for brain cancer ….

6-surgery-tobias-brain-ca

See our next posting: Brain Tumour – No to Surgery.

 

 

 

Surgery and Chemotherapy Did Not Cure Their Breast Cancer: Equally A Big Mistake?

Lately, we encountered many breast cancer cases. Indeed pathetic. By sharing these stories with you, we hope that those who come after this unfortunate patients, can learn and understand that cure for cancer is rather elusive.

—————————————————————————————————————

Earlier, we posted about patients who took herbs to “cure” their breast cancer. They ended up in a deep, dark pit. It appears that we have a fool-proof scapegoat to blame. Ah, I told you so, why do such “silly” things taking those unproven and unscientific herbs! Sound familiar right?

But here are patients who did the “right thing” from the very start. They went to see their doctors, did what their doctors wanted them to do — i.e. surgery and chemotherapy. After undergoing all these treatments and having spent so much money besides enduring all the nasty side effects, they also ended up in the deep, dark pit — equally messy and equally dangerous situations like the patients who took the “unscientific” path.

Let us present you these 4 sad cases which we encountered very recently.

Case 1: Jati (not real name) is a 60-year-old Indonesian lady.  She was diagnosed with right breast cancer and underwent a mastectomy. Then she underwent 12 cycles of chemotherapy and 5 sessions of radiation. She was told the cancer had already spread to her lungs. Jati took 2 cycles of Xeloda.

The cancer did not go away. Jati came to a private hospital in Penang and underwent 6 cycles of chemo. Each cycle cost her RM 4,500.

CT scan on 4 May 2016 showed:

  • The mass seen in the right axilla and right retropectoral region appears slightly larger compared with the previous scan on 24 February 2016.
  • The nodules in the right and left lungs are larger and more in number compared with the previous scan.

Blood test on 4 May 2016 showed her CA 125 was at 165 (High, normal 0-35) and GGT at 123 (High, normal 9-36).

The above results showed that the chemo was not effective. Not only that, the cancer had grown to be more serious. The oncologist asked Jati to do more chemo! And more chemo? Actually, Jati had just been hospitalised for 5 days due to severe diarrhea after the chemo.

Jati refused further chemotherapy and came to seek our help. Chemo made her skin turn dark like the pictures below:

Composite-Jati

Case 2: Shirley (not real name) is a 53-yer-old Indonesian lady. In 2012, she was diagnosed with Stage 2B, right breast cancer. She underwent a mastectomy. Histopathology confirmed an infiltrating carcinoma, mixed ductal & lobular. The tumour size: 2.4 x 2.4 x 1.5 cm.  One of 12 lymph nodes were positive for tumour cells. The tumour was negative for estrogen receptor, negative for progresterone receptor and negative for Her 2/neu.

Shirley received 6 cycles of chemotherapy. No radiation or medication was indicated since this was a triple negative cancer.

Shirley had regular checkup and everything seemed to be normal. CT scan on 17 April 2015 showed no signs of metastatic process. Upper and lower abdominal organs are within normal ecopattern. But the good news did not last. A few months later, blood test showed the CA 15.3 was rising.

PET scan on 14 August 2015, showed:

  • the cancer had spread to the lymph nodes — left collar bone and arm pit, paratracheal, etc.
  • there is fluid in the lung, probably due to metastasis.
  • there is a lesion in Segment 7 of the liver.
  • metastatic lesions in the bone — sternum and rib bone.

Composite-Shirley

Shirley was asked to undergo chemotherapy again. After 2 cycles of chemo, she was told that the treatment was not effective. Shirley then went to another hospital where she received another 3 cycles of chemo — Brexel (Docetaxel), Epirubicin and Cyclophasphamide. After that Shirley decided to give up.

The following is her blood test results — in spite of the chemo.

  CA 15.3
30 December 2015 41.99
12 February 2016 43.00
30 April 2016 114.10

Having run out of option, Shirley and her husband came to seek our help.

Case 3: Mas (not real name) is a 44-year-old Malaysian lady from Sabah. In May 2015, she felt a lump in her left breast and did not bother about it. About 7 months later, in December 2015, she went for a check-up.

Ultrasound on 4 December 2015, showed:

  • a large ill-defined hypoechoic lesion at 2:00 – 26.9 x 33.0 mm.
  • two ill-defined hypoechoic lesons at 11:00 – 5.5 x 5.4 mm and 8.9 x 8.2 mm.
  • enlarged left axillary lymph node, 1 cm.

A mammogram on 4 December 2015, showed a large ill-defined mass with spiculated margins and architectural distortion at the left upper outer quadrant, 2 o’clock.

Mas complained of pains in her backbone. A CT scan on 15 December 2015 indicated the following:

  • confirmed earlier finding of an irregular mass in the left breast, 2.0 x 3.8 x 3.8 cm in size.
  • multiple hypodense lesions of varying sizes scattered in both liver lobes in keeping with liver metastasis. The largest at segment 8, measuring 3.4 x 3.2 cm.
  • a small hypodense cystic lesion at pancreatic body measuring 0.5 x 0.3 cm, likely benign.
  • multiple lytic lesions scattered in almost entire visualised vertebrae, both iliac bones and sternum in keeping with bone metastasis.

Composite Mas Sabah

Mas underwent a mastectomy in January 2016.  The tumour was ER positive, PR positive and HER2 positive.

After surgery, in February 2016, Mas was started on chemotherapy (drugs: EC). The treatment was scheduled for 6 cycles but after 3 cycles the doctor stopped the treatment because Mas’s liver was badly affected. Mas also suffered side effects of the chemo for the entire 3 weeks after each cycle of chemo.

  1 March 2016 22 March 2016
ALP 308 H 455 H
ALT 153.3 H 96.1 H
AST 228.7 H 200.4 H

 

Case 4:  Yan (not real name) is a 36-year-old Indonesian. She felt a small lump in her breast in January 2016. The nipple discharged pus. A biopsy indicated cancer. Yan underwent a mastectomy on 26 February 2016 in a private hospital in Melaka, Malaysia. Histopathology confirmed an invasive ductal carcinoma. Fourteen of the 16 axillary lymph nodes showed evidence of tumor metastasis. One lymph node at Level II showed evidence of metastasis.

The tumour was positive for oestrogen receptor, negative for progesterone receptor and positive for C-erbB-2.

PET scan on 23 March 2016 confirmed the cancer had spread to the numerous lymph nodes in the body.

Dwi Jandayani Yan

Yan was referred to an oncologist for follow-up. Based on the above, the oncologist recommend the following:

  1. Chemotherapy – 8 cycles, 3 weeks once. Cost: AC + Gran RM 2,500 x 4 = RM 10,00. Docetaxel + Pegasta RM 5,600 x 4 = RM 22,400. So in total the 8 cycles of chemo would cost about RM 32,400.
  2. Heceptin, total of 17 injections, to start at 5th chemo session. This could take a year at total cost of RM 150,000.
  3. Radiotherapy, 15 sessions, for three weeks. Cost RM 10,000.
  4. Hormonal therapy to take for 10 years. Nolvadix (or Tamoxifen), 20 mg, RM 150 per month.

Did you ask if the above treatments are going to cure you? I never ask! I only asked about the side effects.

What are the side effects? Total hair loss, nausea and onset of menopause.

So what do you want to do now? I don’t want to do any chemo.

A quick addition of all costs: RM 200,400 (besides the surgery).

Can we learn some lesson from all these cases?

These four patients did the “right thing” from the medical perspective. After all we have been told and made to believe that medicine is scientific and proven. Reflect on the various quotations below, then ask these question: Is the present treatment of breast cancer (or any cancer at all) based on science? Or is it just a guessing game based on biased opinions? Are you being told the truth or being misled?

Why The Current Cancer Treatment Failed

42 Whitaker Treatment-failure

26 Successs-is-an-illusion

 

37 War-on-Cancer-wrong-concept

Cancer Treatment is a Guessing Game — no one can tell why

3 Chemo attempt to kill cancer before killing patient JohnLee

Am I Not Told All These?

You are not alone. Even educated people like an army colonel also got trapped. 

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

The Cruel, Mad and Greedy World

We really felt sorry for Yan, sitting in front of us not knowing what to do.

Let’s take a closer look at her case. She was 36 years old when diagnosed with breast cancer. After surgery, the follow-up chemo treatments alone would coast her about RM 200,000. That did not take in consideration cost of travel and stay in Malaysia (on and off) for the treatment for about a year. Let’s assume that everything comes to about RM 300,000 for the treatment.

Let us also assume that she will be cured after all these treatments — which may not necessarily be the case. She may die half way through the treatment. She may suffer a relapse after spending that RM 300,000. No one can predict, no one can tell and no one can know for sure.

If there is a recurrence, there will be another pile of medical bills to settle.

If Yan were to start saving right on  the first day when she was born, it would come to about RM 694 per month or RM 8,333 per year. Do that for 36 years to be able to raise that kind of money for her “unpredictable” breast cancer treatment.

Look at it another way. If Yan were to go to the university and started work at age 20, it would mean that each year she has to save RM 18,750 per year or RM 1,562 per month for 16 years to be able to accumulate RM 300,000 to pay for her medical bills.

Indeed, something must have gone wrong in this world today? Is it not about time that someone come out with an cheap but effective option to heal cancer?  Knowing how the world operates that is another illusion! Read these quotations:

1 Medicine-greed-cant-change

3 Treatment-that-makes-money 4 Oncology-all-about-money

 

After all the staggering cost and believing that there is a cure, here’s the real bomb shell

32 Chem-spreads-cancer-Fred-Hu

Related cases:

Listen, there is NO cure for metastatic cancer!

Breast Cancer: Surgery, Chemo, Radiation and Hormonal Therapy Did Not Cure Her. Xeloda made her miserable! Patient, Only You Should Decide What You Want To Do!

Breast Cancer: Surgery did not cure. Recurrence and cancer spread extensively to her lungs. But does she want to live?

Look at the Bigger Picture Part 2. You don’t have to “swallow” everything that they offer you!

2.3 cm Malignant Breast Lump: Surgery, Chemo and Radiation — Disaster

Breast Cancer: Surgery, Chemo, Radiation and Tamoxifen Did Not Cure Them

 

 

 

Cancer Recurred After Liver Surgery: The same story again and again!

In the past few weeks, three liver cancer patients came to seek our help. These are their stories and we hope readers and patients can learn from their tragic experiences.

Case 1

Patient is a 66-year-old man from Singapore. He did not have any symptoms. His liver function was normal but a CT scan in September 2014, showed he had liver problems. Patient was referred to a liver specialist in a government hospital. MRI was done and on 26 February 2015, patient underwent a laparoscopic liver resection of segments 5, 6, 7 and 8 of his liver. At the same time, he also had a cholecystectomy (removal of gallbladder).

Histopathology report confirmed a hepatoceullular carcinoma (HCC).

Five months later, 14 July 2015, MRI showed new foci of the HCC seen in segments 7 and 2/3 of the liver. The cancer had recurred.

In August 2015, patient underwent a second liver surgery. This time it was a wedge resection of segments 6 and 7 of his liver. At the same time FRA (radiofrequency ablation) was performed onthe tumour in segment 2/3.

Three months later, 13 November 2015, MRI showed the cancer had come back again — “interval progression of disease with numerous bilobar foci of HCC in the remnant liver.”

Patient was told another surgery was not an option anymore. He could go for TACE (transarterial chemoembolization) or a liver transplant.

Patient and his son came to seek our opinion. We told the patient: “If you come here expecting us to cure you, then we are sorry to say that we have no magic bullet to cure you!”  Patient went home disappointed.

Case 2

Patient is a 73-year-old Malaysian. Sometime in December 2014, he had jaundice. A CT scan showed his liver was really bad.

CompositeOoi

On 29 January 2015 patient underwent surgery in a government hospital. His gallbladder was removed. Segment 3, 4B and left lateral section of his liver were also removed.

Histopathology report confirmed hepatocellular carcinoma (HCC) with foci of angioinvasion.

Two months later, March 2015, a CT scan showed a few spots in his liver. The doctor suspected recurrence.

A CT scan on 1 December 2015, showed “innumerable arterially enhancing nodules seen in both lobes of liver. Disease in progression.”

Patient was referred to a private hospital in Penang and was offered to participate in Phase 3 Clinical Trial — Selective Internal Radiation Therapy (SIRT)  versus Sorafenib.

Sorafenib (also known as Nexavar) is a so called targeted oral chemo drug. Normally it cost RM 15,000 to 20,000 per month. The SIRT (radiation) would normally cost RM 50,000.

Can the above treatments cure patients? This patient was told it would just prolong life. Prolong for how long? No one does not seem to know! Patient was also told that he “qualifies” to participate in this clinical trial, Nexavar would be provided to him for free but he was pre-warned about the following side effects of Nexavar.

Case 3

Patient is a 67-year-old Malaysian. On 16 December 2014, he had biliary sepsis (infection of the bile duct which is generally followed by obstruction of the bile duct). A biliary sphincterotomy was performed (Sphincterotomy is a complex procedure…. involves deep cannulation of the bile duct followed by severance of the sphincter of Oddi with the electrocautery).

Unfortunately, his problem persisted. On 29 January 2015, his blood test returned the following results.

Globulin 40     H
Alkaline phosphatase 135   H
ALT 46     H
GGT 363   H
AST 46     H
CA 19.9 85.17  H

A CT scan on 20 February 2015, showed an ill-defined hypodense lesion in the left lobe of the liver and para-aortic lymphadenopathy. Findings are suggestive of cholangocarcinoma (bile duct cancer) and bile duct obstruction.

Blood test on 23 February 2015 showed his condition had deteriorated.

Total bilirubin 239.8  H
Direct bilirubin 169.0  H
Indirect bilirubin 70.8    H
Alkaline phosphatase 245  H
ALT 91    H
GGT 666  H
AST 92    H
CA 19.9 85.17  H

On 23 February 2015, patient underwent another operation — a left hemihepatectomy and radical choledochectomy (removal of a portion of the common bile duct).

2

1

 

Everything seemed to work well for a while. Patient returned to his surgeon for routine check-up every 3 months. Unfortunately, 9 months later, the cancer started to recur in his liver again.

A CT scan on 7 December 2015 stated: There are “at least 9 low attenuation lesions in the right lobe of the liver, largest at anterior segment 8 measuring 4.1 x 3.8 cm. These could be due to recurrent tumour and metastases.

Patient spent RM 74,910 (covered by medical insurance) for the above failed treatment.

Like the patient of Case 2, this patient was referred to the same oncologist and was offered the following options:

  1. Sorafinib or Nexavar
  2. TACE – transaterial chemoembolization
  3. SIRT (Selective Internal Radiation Therapy).

Daughter Told About CA Care

While flying from Penang to Singapore, the patient’s daughter was seated next to an Indonesian lady who is our patient. During their casual conversation, the patient’s daughter came to know about CA Care. As a result, father and daughter came to seek our help and decided not to pursue further medical treatment.

Comment

For the treatment of HCC, Harrison’s Principles of Internal Medicine, 15th Edition, page 589 says:

  • Surgical resection offers the only chance for cure; however, few patients have a resectable tumour at the time of presentation.
  • Randomized trials have NOT shown a survival advantage after chemoembolization.
  • The liver cannot tolerate high doses of radiation.
  • The disease is not responsive to chemotherapy.

If there is a tumour in the liver, the answer is probably “CUT it out”. But take note that cutting does not necessarily cure your cancer because in the first place it is not suitable for cutting — it could be too big in size or the cancer has already spread too extensively. But cutting seems to be the only sensible option.  And many patients, like the above cases, have gone through it. Disaster.

One important aspect of liver surgery which you should know is that, as in the above cases, the cancer can come back again 3 to 9 months after an apparently “successful surgery.”  Patient No: 2 spent RM 75,000 for the operation and 9 months later, 9 new lesions were found in his liver.

After surgery has failed, patients are offered the next “useless” line of defence — Go for TACE, i.e. chemoembolization, radiation or chemotherapy. The above medical textbook says, all these are not effective.

Reflect on these Quotations

Insanity both

5 Ssurgery come back again