An Alternative approach to Stage IV Health and choices

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  • thats-life-
    thats-life- Member Posts: 1,075
    edited November 2011

    This one's for you Princess:

    From The Oncologist: http://theoncologist.alphamedpress.org/content/15/suppl_1/65.full

    Concrete Options and Ideas for Increasing Value in Oncology Care: The View from One Trench:  "In the U.S., medical oncology as a profession is wrestling with conflicting and often unrealistic clinical and financial expectations. Office-based practitioners face an environment of low reimbursement for cognitive care, high but declining reimbursement for chemotherapy and supportive care, and high income expectations of oncology professionals. As a field, there has been little incentive to assess or improve the quality of cancer care. Current incentives are often misaligned to reward doing the most aggressive and expensive actions, as long as patients are satisfied, because this leads to the highest return to the practice. Some consequences include U.S. cancer treatment costs that are twice that of any other nation with no or minimal differences in survival, late referrals (if at all) to hospice, and 14%-20% of patients receiving chemotherapy within 14 days of their death when it is highly likely to harm and cause complications. This pattern of care may lead to a significant risk for stress and burnout, as well as being economically unsustainable......"

    A very interesting article.

  • thats-life-
    thats-life- Member Posts: 1,075
    edited November 2011

    Obesity Is an Independent Predictor of Poor Survival in Metastatic Breast Cancer: Retrospective Analysis of a Patient Cohort Whose Treatment Included High-Dose Chemotherapy and Autologous Stem Cell Support

    "Until now, obesity and its effect on outcomes in MBC have not been examined in depth, and this is the first report to implicate obesity in poorer outcomes. While this observation was made in the setting of HD-ASCT, conclusions about the contribution of HD-ASCT to long-term survivorship cannot be made, given retrospective study design, diverse study patient population, and mixed treatment algorithms. However, our results demonstrate that ultra-long-term survivorship can be achieved in the setting of more aggressive chemotherapy with HD-ASCT and that obesity was deleterious in MBC. In contrast to MBC, correction of unhealthy life-style behavior associated with obesity is the subject of intense exploration after adjuvant treatment for breast cancer, where patients are officially recognized as "breast cancer survivors." Results from the Women's Healthy Eating and Living (WHEL) study [53] suggest that obese patients can experience significant overall survival benefit if compliant with a combination of diet and exercise. We believe that our findings generate the hypothesis that obesity may be a potentially correctable patient-related adverse survival factor in MBC and, similar to approaches for locoregional stages of breast cancer, can serve as a target for intervention given the prospect of long-term survival in certain settings."

    http://www.hindawi.com/journals/ijbc/2011/523276/

    ok, im done for now :)

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited November 2011

    Wow, that's life.....You really do a lot of reseach!  I think that's what helps us understand why WE got our cancer....or maybe not.  I mean who can really tell?  You read about the women who are life-long athletes, who are ideal weight, always eaten "right" and get cancer at an early age.  Even Vegetarians who are so in-tune with their bodies, get breast cancer.

    I read once that maybe it is because we were "injured" when we were small...Maybe our breast was hit, or had trauma along the way, and then years later cancer developed.  Or maybe it was all those hormones, like "the pill" or the estrogen therapy I took since I was 27....Or maybe again it was the Saccharin I have used, like in the diet sodas!  

    Honestly, no-one can say "why" I got breast cancer. And no-one can say why Tamoxifen made me go deaf! It just did..... There is nothing I could have done, to not have this happen.   Sometimes when you think you are doing all you can for yourself, that road takes a sharp turn & knocks you silly!   Who knew?   All we can do is go on.....................and not try THAT one again.

    I think if we take care of ourselves, are aware of what we are eating and doing, or NOT doing, then that's about all we can do.

    When I reasearched "Deafness from Tamoxifen" I also saw an article about this on PubMed.... And again, researching the link between breast cancer and artificial sweeteners, they swear you get cancer because of using that!   

    Sometimes there is no "right" answer.... We are all different.

    I guess I'm like Marybe, in the feeling that I'm gonna live as best as I can, and not let breast cancer or any other disease control me..... It's like I'm going to live until I die.... or something like that.   Take good care.

  • Kaara
    Kaara Member Posts: 3,647
    edited November 2011

    that's-life:  Thanks for all of that awesome research...appreciate all that you do to educate us.  I am more convinced than ever that nutrition plays a role in disease prevention, so much so, that I am willing to make whatever changes are necessary to have a better quality of life going forward.  Now that I have made many of those changes, I wonder why I didn't do it years ago, because it was so easy and I feel so much better!

    Chevyboy is right...we're going to live until we die..that is a given.  While I'm living, I want my body to be in the best condition possible so that I can maintain my quality of life.  That is my priority, and these alternative threads are helping me achieve that status.

    Thank you again for making that possible. 

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited November 2011

    thatslife has welcome to this thread any bc women who or stage who might contribute to who are looking for alternative approach to treating their cancer. For those who think I have no right to be here know that thatslife invited us to this thread. I do not go to the stage IV threads. This is a thread hopefully to educate and to help us improve our lifestyle, and overall health. No one knows for sure what caused their cancer, but we all know that sugar feeds cancer, and lack of exercise does not aid our immune system. No one here has all the answers.

    And for those who are offended by me being here, please take in consideration that right now as the doctor said I won't be staged until after surgery and further test. So, far the biopsy, 2 Cem puts me at idc with the aggressive her2+++. I've living in the unknown factor until after my surgery on Dec 27th. All the early stagers know that if we aren't proactive that we too could very well be stage IV.

    So, the alternative forum is for those who are working together to share what's working for us. Sorry if any of you stage IV bc sisters are offended by sharing that a positive attiutde helps with pain. Perhaps this is why I feel that Maybe has been pain free, who by the way has bone mets.

  • PlantLover
    PlantLover Member Posts: 622
    edited November 2011

    Marybee ... I LOVE the way you write!  Good luck on Monday!! You will be in my thoughts!

  • Heidihill
    Heidihill Member Posts: 5,476
    edited November 2011

    I like hearing everyone's viewpoints. I think it's important to keep an open mind. I just read on another thread for example that DMSO and/or (?) ethanol might work together with Avastin to enhance tumor angiogenesis (blood vessel growth) inhibition.

    Marybe, mushrooms are supposed to be cancer fighters! I think it was a Chinese study that showed the combination of mushrooms and green tea reduced breast cancer risk by 80%.

    Regarding obesity (thanks, thats-life), a related study shows a link between insulin levels and breast cancer risk. http://www.sciencedaily.com/releases/2009/07/090709170819.htm

    In one subgroup "women in the upper third for insulin level had a more than three-fold increased risk for breast cancer compared with those in the bottom third." Insulin is known to enhance breast tumor growth in animal models. So getting insulin under control by diet, exercise or by taking metformin (as a calorie restriction or exercise mimetic) can help us.

    Speaking of diet, now that I'm no longer fasting, I am losing weight. I guess I ended up eating more than I should.

    On a new anti-cancer strategy for me: I saw my onc recently and he readily prescribed baby aspirin after I questioned him about it. He mentioned that it was a good idea to prevent colon cancer as well. A new study shows that platelets are a key player in metastasis. To the extent aspirin suppresses platelets, this could be part of the reason along with COX inhibition for its anti-cancer effect. http://web.mit.edu/press/2011/metastasis-platelets.html It's interesting that platelets and white blood cells are now being seen as likely factors in carcinogenesis and metastasis. This would suggest that not just aspirin but some chemo might actually benefit us by suppressing our immune systems, and not allowing cancer to get a free ride on our own immune cells.

    But maybe this paradigm isn't for everyone, nor would the same dosing apply to everyone. It would probably pay to seek out a "functional profiling" lab as in this video. I wonder...Anyone do this?

    http://www.youtube.com/watch?v=4bwx-Z2ANq4

    Sorry, I know this post is ALL over the place. But I just wanted to get my thoughts out.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited November 2011
    My mother-in-law was diagnosed with breast cancer in 2004 and fought it for 7 years until it finally won last month. She was very courageous during those years and of positive high spirits. During that difficult time for our family, my father-in-law, who is an experienced Pharmacist in Canada, developed the "over the counter" skin treatment called "Radia Kit" to help his wife. The cream/gel kit is formulated with all natural ingredients to restore skin damaged from radiation. The gel/cream kit is applied before and after radiation and the cream is sold separately for those who already completed radiation. It is patent pending in Canada and the USA (patent pending 2639525) and we have sold it mostly in Canada and Europe. Now it is available here in the USA to help minimize the side effects of skin damage from radiation. My mother-in-law was the first to try it years ago and it really helped her to live a better life, which made us a little happier. We hope others will discover it too. It is only available online at www.skin-safety.com. We don't want to only sell a product, but we want to hear from you. Please feel free to send us any questions you may have about improving damaged skin and we'll be glad to respond to your inquiries.
  • thats-life-
    thats-life- Member Posts: 1,075
    edited November 2011

    I wasnt really making a point about prevention chevboy...more about how there IS evidence that diet can affect outcome with Metastatic BC. Some of the information is for earlier stage research, but when you overview the information provided, i hope it also shows that science is also looking at 'botanical therapy' as they call it, in the search for a cure, or for life extention at least. (My little manic posting effort last night was of only a few things i have collected in the last year) The last post of mine from "The Oncologist" was brutal, as Medici said, but an important insight into the practice of oncology.

    Im concerned about my hearing too....did you have any warning? I have an orchestra of sounds going on ..from the normal high pitch ringing that we all get, to a low toned 'hum'..and im saying 'huh?' to everyone...i cant hear as well as i did a year ago. Or was yours sudden? Im sorry tamoxifen caused that for you, is it considered permanent?

    Eve, you are so welcome, as you help to inspire and share information that may be of benefit in living with chronic stage IV disease. That was what i hoped for when i started this thread. A place to discuss what we are doing to fight this disease aside from the drugs we decide to take. I did invite discussion and asked for help from those who may know more than me!..as I wanted to learn as much as possible, as quickly as possible, while i had a window of opportunity with stable disease. I wanted to explore with others an approach to stage IV disease that was not about taking responsibility for developing cancer, but taking responsibility for living with it.

    I appreciate every effort here.

    I actually think the "WHY' or "HOW' we got Breast Cancer is too complicated to argue. I see threads where people say 'oh, but i was healthy' or 'I was an athlete'...i wish we could all understand that there is a trigger effect...genetics/environment/diet/bumps...whatever!...but the mystery of the many "HOWS' do not justify doing nothing but drugs once you have the disease. If you read the article from "the Oncologist" above, you will see that the drugs they offer us are sometimes offered to satisfy the patient!... All I am trying to show is that we have an opportunity to help ourselves...how this ideology can be interpreted as anything but positive is beyond me....how anyone can want to come to this thread and negate the effort we put into the discussion is also beyond me, and a little depressing!

  • thats-life-
    thats-life- Member Posts: 1,075
    edited November 2011

    I mean, i could go to an online club for runners and tell them they might as well not bother because we're all going to die sometime.....

    or, i could join their online group and offer nutritional suggestions to help them deal with the physical trauma of constant running....

    i choose the latter.

  • thats-life-
    thats-life- Member Posts: 1,075
    edited November 2011

    Heidi: Chemotherapy probably has put some people into a NED state..and probably does have a short term positive benefit re suppressing the immune system, and killing off some cancer cells. But please, read 'The Emporer of all Maladies" by Siddhartha Mukheriee, who is an Oncologist in the US. I cant stress enough how important an insight that book is into Cancer from the perspective of Oncology. As i was reading it, i was thinking i should copy out, or even jot down page numbers to quote some of the information here, but i was so enthralled with the book, tucked into my bed at 2am, that i didnt. Its a big book!, and i am going to borrow it again from the lIbrary, and read it again, to find the information i wish i had copied out at the time, as it is very important.

    One thing that has remained with me, and concerned me the most, but that i have been hesitant to bring up here, was his almost direct understanding and admission that with all the treatments we use for cancer, the cancer builds resistance (that we all know)....but that, most importantly, They believe that the treatment, drives the cancer to a safe haven, being the Brain. That information has disturbed me. I now wonder if/when cancer would have progressed to the brain if no toxic treatment was used.

    I think our hope lies with immune rebooting therapy. Tcell therapy. I know its in early stages, and has had a few fails, but i think the world of Oncology knows toxic therapy has had its day, but for now, as they say "Its all they have to offer us". But they are aware of the outcomes of their therapies, as much as they are aware of the outcome of no therapy. I dont want to sound like a know it all, but I did have the same 'theory' re Zometa 'driving' cancer from a safe haven (and thats a safe haven for us too when in the bone only) I wondered if a bisphosphonate would make the environment so hostile to cancer that it would choose to migrate. You remember that I asked "the professor" about this. He said that a Japanese professor had the same thought, and studied it, and that 'our' theory could not be proven, as Bone mets cells injected in mice went to the bone, Liver mets cells to the mice' liver etc...

    Now recent studies (on women!) are showing that Bisphosphonates (dont forget, used only to delay fractures, which may be a medical $ saving option, as they only count on us living, in the majority, a few years) ...most likely encourages progression to other organs in pre menstrual women, and may be 'dangerous' to prescribe to pre menstrual women.

    My question: how do we know that treatments dont drive cancer to migrate/mutate/become stronger faster than if cancer was left to its own devices, and fought with immune rebooting strategies?

    The question i have asked since joining this site: Why is it that stats show that 80% of us will only live 3 years from commencment of treatment? how many years did we live with this disease prior to treatment?

    I try to hold back with these thoughts, but am getting a bit tired of it. It upsets me just as much as it may others. That is why i am trying to help my body, until immune therapies/vaccines/targeted therapies are refined.

    p.s. The professor has not mentioned my starting bisphosphonates since. The other oncs used to harrass me at each visit.

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited November 2011

    That's life.... Oh man I'm sorry about your hearing.  I didn't know WHAT happened, except that one day I could hear, and the next day I couldn't.  My PC told me to try the nasal rinses for a month, along with Claritin, and nose spray.  Didn't help at all.... I tried to figure out "what happened!"  But my Husband kept saying it HAS to be something you are taking....And all I was taking was Tamoxifen.

    So I researched it, found 5 web-sites that talked aobut it...wrote the drug company, even sent them some pills, wrote the FDA.... But I just couldn't hear.   If you check into it, try Costco, they don't charge for a hearing test I don't think.... But I took my test from the ENT to them, because their aids are a lot less....and I knew I had to have them....It's been 9 months now...but I can hear alright with my aids....it's just never the same as my hearing was.  Let me know if I can help you with anything....Okay?

    Your ears have little "hairs" that are the nerves.  and I have permanent nerve damage.... 100% word recognition loss in my left ear, but only 50 in my right...So it's alright....nothing I can do about it....except I did quit Tamoxifen.   And I have great hearing aids from Costco.  The ENT that my PC sent me to wanted TWICE as much for the same aids.  

    So like you That'slife, I try & read eveything I can find too! Especially about stage 1V gals, and how they do it.... I am so much older than the rest of you, and I thank God I don't have little kids to raise, but I'm just trying to find out everything I can, in case this happens again.

    I was just so sure that the saccharin, or anything else I was doing wrong caused my cancer....then I just gave up.... What I don't understand is how stage 1V happens, especially with clean nodes! I read everyone's bio, and sometimes nodes aren't even involved.

      So I'm still afraid.... mostly because I don't take Tamoxifen, which is a chemo drug, and I'm too scared to try any of the others.  I shouldn't even be posting here I guess, but you gals who are stage 1V, and trying alternative ways to get healthy, is so important and interesting!

    Yes, we should think for ourselves, and not always follow what the oncologists say....I just quit going to mine, because I told her I went deaf, and she still wanted me to take Tamoxifen.   I just have to take those supplements, I guess....  I know the DimPlus, and Chaga, and the  VitD3, and the Grapeseed Extract, are supposed to help us!

    You guys, are those spammers that post and then delete right away?  I hope not.... 

  • thats-life-
    thats-life- Member Posts: 1,075
    edited November 2011

    BC can progress through the blood, and not the lymphatic system..apparently i had just a few stray cells in my lymph sample. and tiny 1cm tumours (but 2 of them)  in one breast. But dont live afraid chevboy!...you can do your best to help yourself, educate yourself on your options, relaxation and happiness give off good chemicals :) You are in a good position to start exercise (heidi has uploaded heaps of info on the estrogen lowering benefits of it, as well as other benefits) here in earlier posts.I had that discussion with my GP re tamoxifen when he called it chemotherapy in conversation while filling out a form for me. I said "what?!" I asked the oncs, Apparently it is classed as one, as it is a chemical medication to treat cancer, but its not chemotherapy in that it is a hormone antagonist only. It doesnt poison cancer cells, it feeds them a false product through the cancer cell's receptors, which they think is estrogen, and blocks the receptors from accessing estrogen...they (hopefully) starve, or go to sleep, or die off.

    I dont know if that was a spam post earlier, i just saw the deletion.

  • thats-life-
    thats-life- Member Posts: 1,075
    edited November 2011

    p.s. thanks for the information re your experience, and thanks for the offer of help :)

  • impositive
    impositive Member Posts: 629
    edited November 2011

    thats-life, your on it!!  I am amazed at the information you post. 

    I have often had the same thought about people who probably lived years with cancer only to die within months of taking chemo. That was one of the first thoughts I had when I was diagnosed.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited November 2011

    Chevyboy, I am truly sorry. I was referred to an ORL who had me do the hearing/audition test and it turned out normal. But....I swear I cannot hear well :( Someone will tell me something and i will have heard something else or watching TV, i swear i miss half of what is said, as i cannot make out the words. As i write this, my ears are buzzing like crazy, just took the Tamox. It's really playing a number on me. I'm seriously considering quitting the drug and replacing it with the kinder combo you mentioned.

  • thats-life-
    thats-life- Member Posts: 1,075
    edited November 2011

    Tamoxifen and hearing loss....i found this reference guide on the issue, with graphs on ages most likely to experience hearing loss. The other was a study on mongolian gerbils, which was either a joke, or I would be considered one for uploading it :)

    http://www.ehealthme.com/ds/tamoxifen+citrate/deafness

  • Heidihill
    Heidihill Member Posts: 5,476
    edited November 2011

    Due to meds, I also have tinnitus. When it's loud I don't hear as much.Thyroid meds, Femara and antihistamines are cultprits, the last being the worst for me. Chevyboy, did you try doing the nasal salt sprays in your ear and nose without Claritin? Maybe that would help. What also has helped me is no longer wearing headphones while exercising and putting 2 drops of coconut or sesame oil in each ear daily. I also bought an ear solution made with edelweiss oil for my daughter who has earwax problems. Haven't tried it yet. I also haven't tried the nasal spray in the ear, which my onc recommended and calls the Maldives treatment, as in salt water in the ear. I wanted to buy separate bottles for my nose and for my ears so as not to mix the germs up.

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited November 2011

    Morning gals!  That'slife.... Yes, that is one of the websites I was referring to.... But there are at least 4 other gals on these boards that also lost their hearing, and 2 are much younger than I.  I just wanted the drug companies to at least put a "Warning" on the labels...

    Yes, drugs can cause hearing loss, sometimes only temporary, like taking a LOT of aspirin at one time, but the hearing came back in that person.

    I used ear candles, which always helped remove wax...(I still do)  I used the "Netti-pot" nasal rinses, plus a prescription nose spray.  (The PC first thought it was allergies)...AND the Claritin...  I even tried holding my nose closed & blowing...they pop, but never open..... The ENT said it is permanent, but it's just hard to believe that....

     And yes, Medici ....my left ear especially will "click" and ring, or "roar"....and sometimes it's worse than others.  The Costo Audiologist gave me "Calm Ear"....Because I was allergic to the little plastic "anchor" things that stabilize the tiny plastic piece in my ear.  But that all cleared up...

    Honestly, the Hearing Aids are great...from Costco...  At least you know you can get help.  And their test is free.

    That'slife, I don't have a orderly exercise program, but I'm always busy doing something, or we go walking all over the malls, Mile Hi Farmers Market, and in the Summer I'm always working in my gardens, and cleaning our yard.  My Daughter & I just installed a Laminate flooring in the bedroom, but we gave up on trying the big dining/living room! Wink  We had a flooring guy do THAT job!  Man, my knees took a beating!  And I love to paint and  lay floor tiles, re-arrange closets, etc.  But I think I do pretty good for being 74. Ha!   I really believe in staying active...But walking is what we do best.

    Heidi...I didn't know about the Maldives treatment.... But I have used "ear candles" for wax removal...it's really simple, and my PC says, "whatever works."  It's better than when they put that fire-hose in your ear to flush it out! 

    Sorry about all the ear-talk gals, but maybe it can help someone....

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited November 2011

    I found this Pic on Google Images, that shows the tiny "hairs" (nerves) in our ears.  When they are "damaged' they lay down, and don't relay sounds to your brain.  When working, they are like when you hold your hand palm up, & wiggle your fingers, like the little "hairs" are supposed to do.

  • Heidihill
    Heidihill Member Posts: 5,476
    edited November 2011

    Thanks for the pic, chevyboy. Now I know not to go too far with those q-tips so as not too damage those hair cells.

    Here is a link to a 1965 article on the natural history of breast cancer. Raises some interesting questions. Wonder if some have been answered in the intervening four decades.

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1847027/pdf/brmedj02607-0018.pdf

    Natural History of Breast Cancer

    Cancer of the breast is a notoriously malignant tumour. It

    spreads relentlessly through the parenchyma and surrounding

    fat to the overlying skin, and soon metastasizes to the axillary

    lymph nodes. But its lethal effects are related to the frequency

    of blood-borne metastases in distant sites such as the lungs,

    liver, and skeleton, especially the vertebral column. The

    duration of life in untreated cases is usually about three years,

    but the range varies from a few months to over thirty years.'

    Some of these tumours are hormone-dependent, and a regression

    may follow bilateral oophorectomy and adrenalectomywith

    or without hypophysectomy-but the effect is only

    temporary.2 3 In four cases metastases regressed spontaneously

    after mastectomy.4 Breast-cancer cells tend to lie

    dormant in the tissues for long periods of time,' and metastases

    may suddenly appear as long as thirty years after the

    successful removal of the primary tumour.6 Intercurrent

    illnesses and operations sometimes act as precipitating factors.

    It follows, therefore, that no matter how early and thorough

    the treatment there is a danger of recurrence and metastasis

    so long as the patient remains alive.7

    Despite the variability of the course of the disease, it is

    possible to predict the degree of malignancy of individual

    tumours with reasonable accuracy. H. J. G. Bloom and his

    colleagues have investigated the prognosis of breast cancer,

    and find that the two most important factors are the extent of

    spread, or stage, of the tumour and its degree of differentiation,

    or grade.8'- Thus a tumour confined to the breast itself

    (stage I) and well differentiated (grade I) has a much better

    prognosis than one which has spread to the axillary lymph

    nodes (stages II and III) and is very poorly differentiated

    (grade III). In a series of untreated patients they found that

    22% with grade-I and grade-II tumours survived over five

    years, whereas no patient with grade-III cancer was alive after

    53 months.'1 Age itself bears no relation to prognosis,9 but

    pregnancy and lactation are periods in which particularly

    lethal tumours occur.

    It is very common for a patient treated as promptly as

    possible to succumb to widespread metastases within a year.

    The value of early treatment in reducing the mortality rate

    from cancer of the breast has been seriously questioned, since

    sometimes spread of the tumour by the blood-stream may

    occur so early that interference is impractical. Furthermore,

    the good results of treatment in stage-I cases might be due to

    many of these tumours being intrinsically non-lethal and nonmetastasizing.'

    2 1 But even in treated stage-I cases with

    grade-I tumours the survival rate falls with the passage of

    time, and most of the patients die of breast cancer." So also

    do the great majority of untreated cases; only 5% succumb

    to intercurrent disease while the tumour remains confined to

    the breast." The value of treatment is confirmed by the

    finding that 82% of treated cases of grade-I tumours and

    33% of grade-III tumours survive over five years as compared

    with 22% and 0%, respectively, of untreated cases.'"

    Nevertheless, it is common for patients who delay over a

    year before seeking help to survive at least as long as those

    who are treated as soon as the disease is detected.9 In a

    recent paper Bloom has investigated this paradox, analysing

    the relevant factors in great detail."5 As cancer spreads with

    the passage of time, and the prognosis worsens as the stage

    advances, it follows that delay must affect the outcome of the

    disease. But in tumours of great intrinsic malignancy distant

    spread occurs so early that even the most expeditious treatment

    can seldom prevent death. As the most malignant

    tumours tend to produce the most alarming symptoms, they

    are likely to be diagnosed earlier than the more slowly

    growing types of cancer, in which early treatment does

    prolong life and delay is most serious. This shows how

    important is the intrinsic malignancy of the individual tumour

    when the effects of delay or a particular therapy are being

    assessed in relation to survival rate.

    Unfortunately it is very difficult to assess the intrinsic

    properties of cancer in an individual patient. As regards

    breast cancer, grading in terms of differentiation and nuclear

    morphology has been shown to correlate fairly closely with

    the pattern of behaviour of the tumour.8' While even

    tumours of low-grade malignancy may metastasize at an early

    stage, probably these develop slowly and become active much

    later than do the metastases of highly malignant tumours.'0

    Perhaps the intrinsic malignancy of a tumour is related to

    factors of host resistance, and the degree of differentiation is

    merely an expression of this. If this is so it might be fruitful

    to spend more time studying the metabolic, immunological,

    and psychological responses of the patient herself.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited November 2011

    The ENT told me not to go to the pharma nurse for wax removal. "they use water" he said and did not agree with it...he goes in with a pick which a nurse is not allowed to use. I have used vit E on an on and off basis



    Chevyboy, why do you suppose meds, ie Tamox would cause hearing problems in spite of normal testing ? The tech who did the testing was an extremely nice person, she explained how intricate an instrument the ear is. I was in awe !

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited November 2011

    Medici, I was told that any drug can have bad effects on the nerves in our ears, especially ones like Tamoxifen, which also caused my hair to really thin out, and since the nerves in your ears are like little "hairs" they were damaged.... An emergency Doc I went to a few months ago, looked in my ears, after I took the aids out,  (I had bronchitis & asthma....) & I asked him, "Have you ever heard of Tamoxifen causing hearing loss?"  And he said, "Yes, a few times, although it doesn't happen enough to be reported." 

    Heidi...thanks for that link and article....I have to read it over again & then "save" it with my medical information!

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited November 2011

    I heard that chemo, and tamoxifen is a type of chemo is the reason we lose hair everywhere...even in the ears which is the cause of hearing loss????

  • lulubee
    lulubee Member Posts: 1,493
    edited November 2011

    I've had tinnitis for about 12 years, but it is suddenly much worse, and consistently so.  I had wondered if Femara was to blame...

    But then again I've been drinking a mug of coffee every morning since the weather cooled, and I know for a fact that coffee, too much salt, and poor sleep have always made my ear ringing noticeably louder for a day or two.  The volume also rises remarkably for several days after any surgery.

    heidihill -- can you tell me more about putting coconut oil in your ears?  How do you do it, and why, and does it seem to help?  Thanks.

    About ear candling... please, y'all be careful with that.  I stopped candling many years ago when some scorching hot wax dripped back down the candle and burned the living daylights out of my eardrum.  You can't imagine the pain, trust me.  It took a long time for my ear to recover from that.  Frankly, I have wondered whether THAT incident is what damaged the cilia (little hairs) in my ears and caused my tinnitis in the first place.  

    Sometime after that I became skeptical of the claims about candling, and as an experiment a friend and I lit a couple of ear candles and let them burn over a clean plate to see what would happen.  We examined the candles afterward, and were dismayed to find that the collection of matter inside those candles was identical to matter we had observed inside candles after ear treatment -- leading us to conclude that all that junk which we had been led to believe was ear wax, pollen, and such was actually just the residue of the effect of heat on the candle material.  So... I don't know what I think about all of that anymore.  

    If you think candling helps you, just please be super careful!  At least have someone shine a bright flashlight on the candle the whole time it's burning.  That way if they see a shadow of anything dripping downward, they can spare you the agony of a scorched ear!  And it IS agony, believe me.

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited November 2011

    eve.... Tamoxifen was the cause of me losing my hearing, for the reasons you stated...but it doesn't happen to everyone....in fact, not enough for the drug company to even put a warning on it.  I took the generic of Tamoxifen, so Astra-Zeneca said they do not make it.  But I googled the name on my pills, and the opposite side, and the right drug company came up.  It was the FDA that wanted all the information I had, and the Drug Co. never answered nor called back. 

    Lulu...sorry about what happened to you, with the ear candles....I know what you mean, about the "other stuff" in the candle.....When I cut open the rest of the candle after it burns, the ear wax is really evident, from the rest.  I only use them about once a month or two.  Some people produce more wax than others....I guess I just think that someday, I might be able to hear again, and that I "need to clean out my ears..." 

    I had a "perforated ear drum" once, when I was a lot younger....My ear just started bleeding once, and the Dr. said it was some sort of infection..... Man, THAT hurt...for about 2 weeks! 

    Sorry I don't stay on the stage 1V subject, nor Alternative, but I just wanted to help someone...I think I'm into more "complimentary" treatments, so I don't mean to intrude....

  • thats-life-
    thats-life- Member Posts: 1,075
    edited November 2011

    ooww lulu...a burnt eardrum!...thanks for the warning. I read that having a radio on low, or having a tape of ocean sounds etc can help too....its bl**dy annoying though.

    Heidi!: cool article..how would we search in google for old articles? are there some key words you have had success with?...I can see its an article that needs some thinking time to ponder..i will look forward to assessing it.

    Well i had a yucky day yesterday organising my advanced care directive, and medical power of att. Good to get it over with (or nearly over with re signatures etc) I still have to answer one Q re do i want to have CPR, like, if tomorrow i had a heart attack...very interesting question to ask one's self, at stage IV. another thing i have to ponder and decide on in the next few days. 

    Re chemo, this ER nurse/palliative expert/form fillerinera expert ;) agreed with my desire to most likely say no to palliative chemo when the time comes. She said chemo is crap. I said that will probably mean my time will be over a little sooner than others. She said no. Chemo gives you a longer progression free time, but then a sharp decline. In my situation, i would progress slowly, but the end would come in pretty much the same time frame, save a few months, if that, if i chose to do it that way. Its a quality of life issue only. And a personal decision. I dont want to make this thread an anti treatment one though, as im on treatment too!..but i do want it to look at alternatives to the standard approach to stage IV..and am mentioning the above, as i do think its a valid option.

    On a lighter note...she said my daughter could be an adult by the time i have to make these choices...so back to the drawingboard Cool (these are my reading glasses)...I liked the mention of those exciting spontaneous remissions in the article you linked to Heidi :) and I like the word Indolent now.

  • Kaara
    Kaara Member Posts: 3,647
    edited November 2011

    Wow...scary info on the history of bc!  Guess we just have to believe we're going to be one of the good statistics and keep on keeping on!

     I saw my medical team today and was impressed with the fact that they all took the time to come and meet me, go over my treatment plan, and see if I had any questions.  There was even a nutritionist on the team and she talked to us for a while about our diet.  She liked what we were doing.  The breast center is starting a "survivorship program" which brings nutrition and supplements as well as exercise to the forefront in helping to prevent recurrances.  I thought that was very progressive based on what I've read so far about conventional medicine.

     The onco mentioned taking Tamoxifen, and I said no way (mentioned the hearing SE's) so he suggested several others, which I said I would consider but wouldn't decide now.  He also asked about the oncotype test which I said I wanted even though I wasn't going to consider chemo at this time.  The rads onco threw me for a loop when I told her my stage and she corrected me and said I wouldn't know that until after the surgery.  I had specifically asked my BS that question and he said the stage, grade and receptors were as defined in the pathology report, so maybe the onco didn't know I'd had a biopsy.  Anyway, it looks like some kind of rads are in the cards for me.  She is going to meet with me after surgery and go over all of them and we can decide then.

    I feel much more comfortable that I am getting good quality care, so am just looking forward to getting the surgery over with on Dec 12.  Next hurdle will be meeting with my PCP to get the clearance for surgery next Monday.

    that's-life:  That was a very positive statement from your nurse.  Those are the kind of words everyone wants to hear and it gives so much empowerment to the person who is fighting a disease like bc.

    chevyboy:  I appreciate your story on the hearing loss (sorry that it happened to you) because I have some inner ear problems and can just see this as a possiblity if I take that drug.  It isn't worth the risk of losing my hearing, because my eyes are already failing from macular degeneration.  I'll need to keep at least some of my senses to grow old gracefully! 

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited November 2011

    Oh Dang!  I just lost a post by going back to read that article you posted Heidi!  Thanks again for that....I copied and pasted & will read it again!

    Kaara.... I don't mean to scare you about Tamoxifen....because it doesn't happen to very many women....  And actually the SE's were not that bad for me.  I only wish I could feel "safe" like I did when I was taking it!   It just scared me so much, that I didn't want to even try the other Als....

    But your team is right, you won't know all about your cancer until the "Final Pathological Report" and be sure to ask for a copy!  That will tell you the size, margins, about your lymph nodes, etc.

    Your biopsy was only a clarification about your having a malignant tumor, and the approx. size.   Also they will send some of this tissue to be tested for your Onco test, if you have one.

    That was funny....Wink About growing old gracefully...Ha!  I know I'm growing "older" but I like to think I'm just growing up....I like the "gracefully" part.... 

  • Kaara
    Kaara Member Posts: 3,647
    edited December 2011

    Chevyboy:  You didn't scare me, just made me aware that I already have problems with my inner ear and don't want to take any risk.  I already had vertigo, tinnitus and so on, so that could become a problem for me again and I don't want it.  He mentioned other things I could take, but you know me, I'll have to think long and hard about it.

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