Credibility of source, "What Your Doctor..."
Comments
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I ask this in all seriousness and sincerity - what makes Dr. Lee and Dr. Zava "credible" (for those who believe they are credible)?
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MBJ...curious, what, if anything do u do for your adrenals? i was on nueroephrinephrine, but dr. stopped it. i only make enuff for two days a wk..not thryroid problem. definitely adrenal synapses worn out. not working to max..could you pm me, and let me know, if anything helps? thanks in advance... light and love 3jaysmom
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I think the one thing that I like about Dr. Lee (haven't heard of the other doctor) is that he does question mainstream medicine. Not to give misinformation, but there should always be questions posed about our medical care. Whether he is correct or not is another issue, but I find myself on the cynical side of medicine these days, despite the fact that I have doctor friends who have dedicated their lives to creating better health for people. As a culture, we try too hard to medicate instead of treat, and we don't spend nearly enough time finding the cure for cancer. After all the funds that have been created for cancer research, all we can show for it is better chemo???? Come on!
As far as preventative medicine for cancer, there has got to be better research going on for these purposes.
So, in the end, Dr Lee represents something that we should all be doing-- questioning the system. ALWAYS. Even though the system works in our favor at times, you always must ask yourself who has the most to gain from a sick populace--- Big Pharma.
OK, you can relegate me to Montana now, but I do believe all must be questioned, even when we willfully have to accept our treatments because we're scared to death we're gonna die.
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Hear Hear! What she said!
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I have read all the books and done lots of research and the more I read the more confused I got. So, I finally added an NP to my team. I see my primary doc, my oncologist, my radiologist, my surgeon and now I also see my naturepath. My team is now complete. I take what each of them says and add that to my own research and make my own decisions about my health. This is a terrifying disease and I would love to have someone give me the answers, but the best I can hope for are educated opinions. I have taken control of my lifestyle and that's one thing I can control. How much and what I eat, what nutrients I take, how much alcohol I drink, and how often I exercise. The rest is one big ?.
Roseann
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The reason so many women on the "How old were you when diagnosed" thread have had recurrences is because it is in the Stage IV section. (A previous poster raised this as an indication that chemo doesn't work.) I wouldn't expect many women who do not have mets to even be posting there,
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Hi MariannaHB, I absolutely agree that we need to question everything, and that we need more research to find prevention and cure, and I'm sure we all agree with that!
For me personally, questioning things is only part of the equation. For the reasons I posted before, I don't think Dr. Lee is/was a credible health expert at all. I very much appreciate that he questioned mainstream medicine, which is a great start, but I don't agree with the conclusions he reached from that questioning.
You said in regards to Dr. Lee, "...whether he is correct or not is another issue." IMHO correctness, based on reproducible and fact-based evidence, is a huge and critical part of credibility. I'm curious about what others think about it. Could semantics be a part of our "disagreement" about credibility?
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Whether he is correct or not seems to me the very essence of the argument. After all, he's advocating that women turn their backs on modern medicine, and go the progesterone route. It would be one thing if he simply said, "question authority". That's good advice for anyone. Instead, he uses some pretty hard-hitting statements to suggest progesterone is THE way to go.
I'm all for questioning authority, believe me. But I also think the answer to this big debate, like many things in life, is somewhere in the middle. I think the pharma industry is hugely corrupt, absolutely. But if the answer were in progesterone, the Europeans, who he alleges are way ahead of us because they aren't beholden to the pharma industry would have "cured cancer" by now.
I don't mean to sound a cynic. I'm not! I just got back from my naturopath,I agree with the poster here who said that was the best way to wade through the huge amount of conflicting info. I'm getting B12 shots. Am I mad no one bothered to point this, or my lousy Vitamin D levels out in the past? You betcha!
And all of this is to say, I hope I am wrong. I wish with all my might that I could avoid these horrible treatments, get on progesterone, and be done with it. But I'm lacking good, current evidence that this is the right way to go.
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Saying something is "credible" is just another way of saying "I believe." It's a totally subjective adjective.
So when people go around saying this is "credible" or this isn't "credible," they're just expressing their ideas, feelings or prejudices, not any real facts. They are trying to get the conversation going to see if others agree with them about something.
But it would be more honest and accurate for people to say, "I don't like (fill in the blank)" rather than try to brand it as "credible or not credible."
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Lucy88, you've taught me a heckofa lot. Many thanks! What I currently want is more current studies on progesterone--the ones are all around the time of Dr. Lee's death. I'm not seeing follow up studies.
My faith is dependent on research. I'm not skilled at it yet, but I'm working on it. Right now, I have studies on the value of Oncotype, and why I might consider turning my back on chemo. That makes sense to me. But progesterone, I want a recent study.
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MHP,
Could you be more specific about what you want to ascertain as correct? The book covers a very broad field of information, some of it in great detail. You sound very intelligent and you are trying to zero in on something or perhaps a few things. If you could figure out your most specific concerns, they would be easier address. I'm saying this as a person who has often taken a year to pin down what my concern is with a book/article/study because I need to boil down several thoughts to find the key issue.
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MHP, our posts crossed at the same time. Give me a sec.
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MHP, the data and findings in the studies remain the same whether it was 20 years ago or yesterday. The studies' information doesn't diminish with age. Others have raised your concern about recentness of studies regarding other approaches so I understand your raising the "recent" issue.
Yes, for absolute certainty, we need better controlled studies to pin down and compare those who didn't take progesterone with those who did. And we need to know exactly what kind of USP progesterone they were taking. Best wishes in your journey
In the end, I promise you will feel empowerd.
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Hi Lucy88,
Of course credibility is totally subjective, and that's exactly why discussion is helpful. Like MHP70, I like to question everything and do my research. When I read or hear things that are contrary to what I know or believe, it's helpful for me to get clarification and discuss things in order to learn.
I'm hoping we can have a discussion here about the topic of the thread, which is the credibility of Dr. Lee. As I've said, I believe Dr. Lee is NOT credible as a health expert, for specific reasons that I've posted above. Do you believe he is credible? Why or why not, specifically?
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Hi MHP70,
Wikipedia, while certainly not a definitive primary rsource (and should always be fact-checked!), has an article on BHRT here: BIOIDENTICAL HORMONE REPLACEMENT THERAPY
I've found Wikipedia to be helpful in a lot of my research, since it is publically editable and therefore often includes discussion from both "sides." It includes a lot of reference citations, so it's relatively easy to do fact checking and further research. If you do use Wikipedia and find inaccuracies or omissions, definitely add your input to help make it a more useful resource!
Like you, I'm very interested in the hormonal aspects of BC. For me it's because I'm triple negative (not hormonally-driven BC) and so I would love to find fact-based evidence that I could take progesterone and be done with it too! Unfortunately, I keep coming up empty handed in my research, and most of what I find is regurgitation of the same unproven ideas and therapies coming from the same few sources (Lee, Zava, Hopkins, Life Extension/LEF, Natural News, Suzanne Somers, Whaleto, CureZone, Flechas, Hulda Clark, Breastcancerchoices, Burzynski, etc). In my humble opinion, I personally don't find any of these sources to be credible health experts. Feel free to disagree and/or discuss, as I always welcome discussion!
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Thanks so much, Lucy88. I'm probably more tenacious than intelligent...balancing progesterone makes sense to me, especially since I believe I'm estrogen dominant. Estrogen in, progesterone out--if you don't have the "out" for the bad cells, voila, cancer. That makes a lot of sense to me. Why strip it all away when you could potentially bring it back in balance? I say this on the precipice of chemo, which will probably throw me right into menopause...finding a doctor who doesn't think a 39 year old should have chemo with a grade 3 tumor is more than challenging.
So, what is my question, exactly. First, I know there are good doctors who will prescribe bioidenticals. How do you locate a practitioner interested in working in this way with a breast cancer patient? My naturopath is really gunshy of even phytoestrogenic foods and supplements, despite the fact there are plenty of studies showing "good" vs. "bad" estrogens.
Second, are there any current studies that talk about progesterone balancing, that I could take to my oncologist/obgyn (cool lady), or etc.? For me, the larger issue is that I'm pre-menopausal, and think that zeroing everything out with chemo then Tamoxifen is basically like Nagisaki on my body. Anything to balance the insta-menopause makes sense to me.
ANewMe, I think you and I are going through the same thinking (tho I'm ER/PR+)...thanks for the Wiki leads. Lucy88 is a librarian, and she's shown me a lot about, for instance, teaching myself absolute risk. So I really am trying to do better with reading and getting to the "bottom line". Ideally, what I want is a good study to take with me to my doc appointments.
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MPH70,
As an ER/PR+ who was tossed into instant menopause earlier this year (courtesy of Zoladex and perhaps chemo) I can certainly understand wanting to mitigate a sudden menopause. There are many positive studies on the breast-protective attributes of natural bioidentical progesterone. However, do these benefits still apply after a cell has undergone a malignant transformation? When dealing with mutated DNA anything is possible and therefore I'm leary. I'd love to know more though because like you I believe health is best found and restored through balance, and that there may be other terrible consequences down the road for me because of the sudden loss of estrogen!
I want to believe in John Lee too, but just not sure.
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Hi the New me,
I think it's completely up to the patient, the researcher, to determine if that is the correct choice. I absolutely agree with you that it's all subjective, and that we need to include the research as part of our equation when it comes to determining our paths. I have learned more about hormonal processes, cancer cell growth and apostosis, and how we work on a cellular level through the BC Forum, Google (working on my Google M.D.!!!), and from research provided by some of my friends in healthcare. How lucky are we that as patients we have all of this information, but on the other hand, it's a double edged sword, because it makes you see just how precarious our medical community is.
I would estimate that the medical community has only entered into 1/10th of the realm of how things really happen in our bodies. The fact that research started in the early part of the 20th century is just now coming back "around" and getting attention (Vitamin D, anyone?) is just one example of how disjointed studies and research are in the medical community.
Thankfully, through all the research that's available to us laypeople, we can form our own opinions about what works for our bodies, with the gentle guidance from a medical professional.As for Doctor Lee, the hormonal question looms in my mind. I tend to think that tinkering with hormone levels is pretty dangerous, given that I think birth control was at least a partial, if not complete, cause of my breast cancer. However, there is some merit to the fact that estrogen promotes cell growth, while progesterone stops that growth. That fact, in itself, has made me wonder why progesterone is not looked at more carefully by the medical community. When I told my oncologist that I would not take Tamox based on the fact that my tumor was 98% Estrogen, 98% Progesterone, she smiled and agreed with me that it seemed that I had my facts straight when it came to tumor growth. In my estimation, my body was fighting tumor growth due to the equally matched levels of prog/estrogen. However, I would never have known that iota of information had it not been for reading Dr. Lee's book. So, you can say in some senses, he was absolutely correct in his assessments of cell growth, but perhaps flawed in his treatment..... in my humble opinion...
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Oh boy, this is interesting...what exactly do the markers test? I thought the more ER+ you are, the more your tumor loved estrogen. They like to see PR+, but no one ever talks about the role of PR in this game. I don't have that info...where can I suss that out a bit more? I know I'm hugely ER+, but less PR+.
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Well, I'll have to dig for more information, but here are a few links on that topic to read:
http://www.ncbi.nlm.nih.gov/pubmed/9846203
This one's about endometrial cancer, but perhaps applicable....
http://cancerres.aacrjournals.org/content/62/3/881.full
http://www.health-science.com/breast_cancer.html
Sorry, I don't have all my information at hand, but Dr. Lee mentions this as well in his book. I have read a few studies which point to progesterone inhibiting growth as well. There are probably quite a few threads out there on BC Forums where more details are found.
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...finding a doctor who doesn't think a 39 year old should have chemo with a grade 3 tumor is more than challenging.
Your Oncotype DX score was 12 and you can't find a doctor who will treat you unless you do chemo???? You may need to look outside your immediate area because doctors in a specific area tend to have similar treatment approaches.
You may also want a second opinion on the original pathology report to make sure that the tumor really is grade 3 BEFORE you even think about starting chemo with such a low Oncotype score. Pathologists are human, and labs can make mistakes. It is worth double checking before making a potentially lifechanging decision based on a single report.
No matter how old or young you are, as an adult, you are the one who has the final say in what your treatment will be every step of the way. Doctors can advise and recommend, but they cannot treat you against your will. If you insist, they will prescribe Tamoxifen without the chemo. They may also want to add Lupron to shut down your ovaries at least temporarily, but that again is your call in the end.
It will likely be very difficult to find one who will do progesterone balancing with you, but they must exist somewhere, otherwise no woman would be able to do it.
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I will speak to the Labs making mistakes: mine did. I was at first diagnosed with ER NEG, and questioned it. I finally had to arrange for my tissue to be sent to another lab and it dx'd ER POS.
It was rechecked by the first lab and it, too, got ER pos.as did the university lab where my onc. had it done again.
You can get your surgeon to have it sent to another lab--I recommend one at a major city university, like Dallas or NYC.
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Hi
Im new, and my sister has just been diagnosed with mets to the spine.
She hasnt been on these boards, but I'm hoping she will
Just want to tell her story:
She was initially diagnosed 9yrs ago with I guess would have been IDC because it was in several nodes. She had a mastectomy and radiation I believe.
She did lots of research and decided that the risk of chemo was high....did heaps of alternative things, everything you have ever heard of. The main things though were vitamin b17 (apricot kernals) and vitamin c IVs plus photo (micro wave) therapy.
She really knows her stuff. We really thought she should do chemo, but anyhow supported her decision.
She had recurrences local and nodule. My point is though....her quality of life has been very good. Who knows what the outcome would have been if she had done chemo....based on the evidence here I think that she has done at least as well with alternatives as she would have with chemo.
I think though, anyone deciding to do alternative stuff and forego chemo should research everything and educated themselves, dont just stick with one book or idea (eg. iodine etc). It all plays a part.
PS laetrile is the correct name for the b17...
PSS she declined chemo against docs orders, but found an oncologist who supports alternative treatments. It has cost her a fortune, and a lot of her day to day activities are around her treatments (which she has maintained for nine years). She has also been on Tamoxifen (I think)....
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MPH70,
If your naturopath is of the belief that phytoestrogens are a problem, then he/she probably is not someone you should be working with in my humble opinion. Unfortunately, some of the non mainstream docs are subjected to the same flat earth quality misinformation as the mainstreamers. You are in good company
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I am afraid I have to disagree with the "iodine" theory. I have been midly HYPERthyroid since teenagehood. Got full-blown Graves Disease in 2003 and severe thyrotoxicosis. Had high iodine levels all my life. For the last year before my BC diagnosis I had to avoid seafood and even use non-iodized salt in my food. I still got BC, and by what my BS said it has been there for 20 years, and didn't show up in mammo until it was already extensive.
So, yes, the "iodine" thing doesnt' stand up in my book. The vit D though does - due to the hyperthyroid, my VitD levels were always low, and in the last two years before my dx even had severe defficiency - was put on Vit D2 100,000 UI bi-weekly, then monthly, now I'm on 50,000 UI monthly.
I am still researching the progesterone thing, as well as BHRT. My invasive part of the BC was very highly +, like ER 98% and PR 96%.
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Hey Lucy, you are a gem, thanks. I got majorly side-tracked: second opinion said no chemo. Monday is third opinion. For now, naturopath has me on fish oil, b12, and l-glutamine, and I'll pursue the progesterone connection in earnest. Honestly, I wish I were a little older. BC is a bear in the first place, but there really is a lack of information for the under 40 set. As I currently describe it: to menopause, or not to menopause, 'tis the question. Doctors don't know. At least they admit that part. I'm struggling with low Oncotype, and "you should do chemo because it's grade 3 and you are young, even though the test you just paid $3500 for says that you'll only get 2% benefit".
Today, I'm just totally drained.
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