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Thoughts on Cancer Cancer of course is best treated by excising the cancer before it spreads and that is how one can be cured of cancer. We usually determine that if there is no cancer that can be found in a person after 5 years that they are “Cured”. I have seen metastatic breast cancer return 19 years after her initial treatment. I think it may have been another breast cancer that was not big enough to be found or maybe it just did jump on her after so many years of being dormant. People that have one cancer tend to get another. I have had only two people that I can consider to have been cured of Cancer of the Lung and both of those were kind of like John Wayne. An incidental finding leading to surgery and excised before it spread. There are certain cancers that have been found to respond better to chemotherapy agents better than others. Most of the time if a cancer is found to have metastasized at the time of discovery, it will lead to death. Can life be prolonged with treatment? I think yes in prostate cancer and in breast cancer, but in lung and pancreas probably not. What happens with cancer if it is untreated? I have seen very large breast cancers where the cancer eroded through the skin making a perfect mess for the patient, but the patient refused surgery. This one went on to die in a few years. Would surgery and irradiation and chemo prolonged life in this patient. Won’t ever know. Are alternative therapies like the big Laetrile thing of any help? NO they just help empty the pocket book, but if they give the patient a realm of hope then so be it and it may be worth the expense and trouble for the hope it brings. At least the treatment is not worse than the disease. Laetrile and doing nothing are the same thing, but if a patient gets better with nothing we say God did it, if they get better with Laetrile we say Laetrile did it, but God did them both. So, what do doctors do when they get cancer? They do what the patients do. Stop being a doctor and be a patient. There was a story in the Reader’s Digest some years back by a Thoracic surgeon that saw his chest x-ray and made is own diagnosis of Cancer of the Lung. He had the surgery, the irradiation and the chemotherapy. When all had been done and a two years later when he was dying they asked him if he had it to do over would he do anything different? He said yes. I would have the surgery and the irradiation, but not the chemotherapy. The surgery and the irradiation were not too bad, but the chemo made sick during the few days I had left and I would have preferred to feel better so I would not take the chemotherapy. Are there cases where people get better when they do nothing for Cancer? Of course I’m sure there are some. I had a 28y/o man with cancer of the colon that was locally invasive when he had his initial surgery and later had recurrence causing small bowel obstruction for which I operated on him again a year after his first surgery. He didn’t have any metastases to the liver. I advised him to take disability but he refused. He said “I want to work”. I lost him to follow up, but to this day, I don’t know how long he lived. He had no chemo. He should have died in 2 years but in 5 years he was alive and working and then I don’t know. I have seen patients with little cancers of the colon like a polyp die from metastasis despite all types of treatment. I have seen patients with very large locally invasive cancers that one would think should be gone in a year, but they just continued to survive. That is why I would operate on patients that looked they were beyond curing. We should do what we can without risking the life of the patient, because we can’t really predict the ultimate outcome. No one can predict the future. We should cure sometimes, relieve often and comfort always. We in medicine give out information determined by statistics obtained from historical reviews, but I hate statistics, because I always think I am in the group that dies.
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| Posts: 45 | Location: Bastrop, La USA | Registered: 02-08-07 |    |
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If one doctor proclaims that an illness is serious, if there is time, such an ill person should get a second opinion. At least, one of the doctor's should be in a setting in which he/she is up on the latest techniques, success rates, etc. and the performing surgeon should have ample experience in the correct surgical area. Even then, one does what one does and should not blame the doctor for any type of failure unless there is obvious negligence, which is a lot rarer than thought by patients who have undergone so much stress, etc. After surgery, one may also benefit from any available support group. Way before surgery, there are cancer help lines where often successful patients are eager to offer practical advice and referrals.
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quote: Originally posted by tsaeb: If one doctor proclaims that an illness is serious, if there is time, such an ill person should get a second opinion. At least, one of the doctor's should be in a setting in which he/she is up on the latest techniques, success rates, etc. and the performing surgeon should have ample experience in the correct surgical area. Even then, one does what one does and should not blame the doctor for any type of failure unless there is obvious negligence, which is a lot rarer than thought by patients who have undergone so much stress, etc. After surgery, one may also benefit from any available support group. Way before surgery, there are cancer help lines where often successful patients are eager to offer practical advice and referrals.
Very well said.
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| Posts: 45 | Location: Bastrop, La USA | Registered: 02-08-07 |    |
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