Guest guest Posted July 16, 2010 Report Share Posted July 16, 2010 One of the most important discussions a patient needs to have with a physician, and that includes any Oncologist that suggests a " good response " and specifically what they mean by that. Too often we have learned that " response " is relative to Tumor Shrinkage, not Survivability. I have read study after study regarding 'response' and in the same study, the admission that no benefit towards longevity is seen. One needs to 'pin' those kinds of statements down and to do it, ask exactly what 'they' consider 'Good Response'? If another term is 'thrown at you', the one that uses " Relative " in their positive talking, ask them what the 'Absolute' benefit is. Conventional practitioners and researchers often use the " relative " term which might be, for example, a 2% benefit and make it look like it is 40-50% but in reality is just the 2% figure that is real while the other is manipulation. Joe C. Incigul Sayman wrote: I am sorry about your diagnosis. I am triple negative as well, though not IBC. One thing that is emerging as therapy for triple negatives (and others) is the PARP trial. I know of several women with stage IV triple negative who are responding well. Have you asked your onc. about this? Also, I would seek out IBC experts for your treatment. You need knowlegable oncologists who are familiar with this challenging diagnosis. A major cancer center or hospital can help direct you to the proper doctors. My best to you. Mimi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2010 Report Share Posted July 17, 2010 The good response has to do with arresting the progression of the disease and extending life. The PARP trial is so far promising in this area. I am sorry about your diagnosis. I am triple negative as well, though not IBC. One thing that is emerging as therapy for triple negatives (and others) is the PARP trial. I know of several women with stage IV triple negative who are responding well. Have you asked your onc. about this? Also, I would seek out IBC experts for your treatment. You need knowlegable oncologists who are familiar with this challenging diagnosis. A major cancer center or hospital can help direct you to the proper doctors. My best to you. Mimi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2010 Report Share Posted July 17, 2010 If an article is going to herald " arresting Progression " and " extending life " then what needs to be shown is the evidence of that. Admittedly I did find one reference where PARP, compared to Chemotherapy alone, is claimed to have resulted in three months more survivability. Additionally the study I read about claimed that 41% of the women in the trial showed a " positive " result. What " positive " means in this situation was not easily determined. Assuming one was going to use Chemotherapy, and many on this list will not, or any longer, I am sure they would want the additional three months of life that PARP treatments indicated might be possible. No attempt here to minimize living longer. The advice to 'pin the practitioner down is as valid now as it always has been. Too often the figures are skewed to show a non-existent benefit or one that is so minimal that if known, would often preclude accepting the treatment. What needs to be shown are the trials showing the Real successes, not just a statement about them. Often the time between 'remission' and disease progression is extremely small and often doesn't show up in initial tests. What I did read in some of the information about PARP, and there are many methods using it, is a lot of words such as " potential " , " may " and statements that more testing needs to be done. So, if your Oncologist is recommending anything in the way of treatment, make them provide you with the answers. If they balk at giving you straight answers, find another physician. Here's a simple example how numbers can be presented and in a way that would fool the average person: The following assumes a doctor talking to a patient: Dr. White-Coat took as an example the prescription of the bisphosphonate drugs in the treatment and prevention of osteoporosis...but identical issues apply to the use of anticancer drugs. The journal in question had written that one of those drugs produced almost " a 50 percent decrease " in the risk of new fractures. Addressing himself to a hypothetical patient, Dr. McCormack reinterpreted this statement in terms of absolute risk: " Mrs. , your risk of developing a...fracture over the next three years is approximately 8 percent. If you take a drug daily for the next three years, that risk can be reduced from 8 percent to around 4 percent, or a difference of just over 3 percent. " Of course that sounds far less impressive than saying that taking the drug will decrease the risk of fracture by almost half, even though technically both are mathematically accurate ways of expressing the benefit to be gained by the therapy. Unfortunately some doctors would have said it: " Mrs. , this reduces your chance of fracture by about 50% " 3 vs. 8 right? NO, it's still only 3%. Ask and do not settle for voodoo numbers. Joe C. Joe C. From: Incigul Sayman Sent: Saturday, July 17, 2010 2:47 PM Subject: Re: [ ] Scared - well terrified and trying to keep it together--Responding Well The good response has to do with arresting the progression of the disease and extending life. The PARP trial is so far promising in this area. I am sorry about your diagnosis. I am triple negative as well, though not IBC. One thing that is emerging as therapy for triple negatives (and others) is the PARP trial. I know of several women with stage IV triple negative who are responding well. Have you asked your onc. about this? Also, I would seek out IBC experts for your treatment. You need knowlegable oncologists who are familiar with this challenging diagnosis. A major cancer center or hospital can help direct you to the proper doctors. My best to you. Mimi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2010 Report Share Posted July 17, 2010 Joe, My stage 4 friends on the PARP trial have had all their bone pain go away and some are now NED. That sounds pretty damn good to me. Does it really matter how long the remission is? If it means they have better quality of life, is that not important? I know you think that there have been no advancements in the western medicine world, but you are incorrect. I don't know what the future holds for PARPs, but my friends are living their lives. Their progression has stablized or they've become NED. ar > > I am sorry about your diagnosis. I am triple negative as well, though not IBC. One thing that is emerging as therapy for triple negatives (and others) is the PARP trial. I know of several women with stage IV triple negative who are responding well. Have you asked your onc. about this? Also, I would seek out IBC experts for your treatment. You need knowlegable oncologists who are familiar with this challenging diagnosis. A major cancer center or hospital can help direct you to the proper doctors. My best to you. > > Mimi > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2010 Report Share Posted July 17, 2010 ar, I agree with you. I tried natural treatments, and I still believe that diet is extremely important, but it did not stop my stage II breast cancer from progressing over a period of a year from 3rd to 4th stage cancer. On the other hand, the chemo and herceptin stopped the cancer dead in its tracks after just two treatments (6 weeks). My bone pain is gone and I can breathe again (the cancer was in both lungs). So, I know now, to keep my mind open to everything. I also followed a macrobiotic diet, which I believe made me strong enough to deal with getting better. Best wishes Fern From: arlynsg Sent: Saturday, July 17, 2010 Joe, My stage 4 friends on the PARP trial have had all their bone pain go away and some are now NED. That sounds pretty damn good to me. Does it really matter how long the remission is? If it means they have better quality of life, is that not important? I know you think that there have been no advancements in the western medicine world, but you are incorrect. I don't know what the future holds for PARPs, but my friends are living their lives. Their progression has stablized or they've become NED. ar Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2010 Report Share Posted July 17, 2010 Testimonials are fine and what I suggested was that practitioners or people making claims, provide the evidence, from the people that work with a particular treatment. There was no denigrating of PARP or any other treatment and it isn't me that " thinks " there is no advancement in Western Medicine but from the mouths of their own practitioners that as regards cancer, the advances are far behind what is often claimed and certainly for the outlay and that because the money is being skimmed off the top by the fund-raisers. Without qualifying what I am about to say, except for a very few cancers, there has been little progress in how people are treated. Of course we are not speaking about comfort. Does it matter how long one is in remission? Of course it matters and if many people were given the facts (truth) about some of the protocols for cancer and given the horrendous facts about how long they might be in remission, or live, I suspect a lot of people would be thinking differently as to whether or not to proceed with a treatment that offers little in the way of benefit. Of course quality of life is important and I dare say that most chemotherapy is not designed to give a better quality of life........on the other hand, is designed, out of necessity, to offer much less quality of life or it would not work. It is a powerful poison. You cannot lump all conventional medicine into what I wrote about making an Oncologist show you exactly what he/she is saying. As for my belief in what Medicine in general is all about...........I venture to say that my thoughts on the subject dovetail with most people seeking Alternative measures or, at least, those that have studied it long enough. It is not me that has condemned the Cancer Industry but professionals, both Conventional and Alternative. To sum it up: Yes quality of life is important. VERY. Most conventional treatments for cancer provide very little. Does how long one is in remission matter? VERY MUCH. Especially to know whether to proceed or not OR if it would offer relief for someone in an irreversible situation. Irreversible by conventional standards. Remember, none of the original discussions on this subject spoke to Bone Pain Going Away so there was no need to jump to the defense of The Cancer Industry. You responded to a question or comment that was never made. I do not think you are questioning the wisdom in making a physician commit themselves to what they are saying. If you are and you don't think that is necessary then I take exception to that. That was pretty much my point in both e-mails besides my doing a little searching on PARP. Note I said 'little'. I did not see anything about Bone Pain so perhaps doctors need to start publishing things we we outsiders can learn more. Perhaps you can find reference material (links) so we can learn more. Joe C. From: arlynsg Sent: Saturday, July 17, 2010 5:59 PM Subject: [ ] Re: Scared - well terrified and trying to keep it together--Responding Well Joe, My stage 4 friends on the PARP trial have had all their bone pain go away and some are now NED. That sounds pretty damn good to me. Does it really matter how long the remission is? If it means they have better quality of life, is that not important? I know you think that there have been no advancements in the western medicine world, but you are incorrect. I don't know what the future holds for PARPs, but my friends are living their lives. Their progression has stablized or they've become NED. ar > > I am sorry about your diagnosis. I am triple negative as well, though not IBC. One thing that is emerging as therapy for triple negatives (and others) is the PARP trial. I know of several women with stage IV triple negative who are responding well. Have you asked your onc. about this? Also, I would seek out IBC experts for your treatment. You need knowlegable oncologists who are familiar with this challenging diagnosis. A major cancer center or hospital can help direct you to the proper doctors. My best to you. > > Mimi > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2010 Report Share Posted July 17, 2010 Hello All Thank you for the responses and the valid subjects and testimonials that have been brought up. I live in Canada btw - Alberta - and the Onc Doc I have is very progressive in regards breast cancer and to my weird cancer and the pathology is truly weird. I however am not giving up and I will start the Budwig Protocol. My cancer is very aggressive and it is both IBC as in Inflammatory Breast Cancer - mind you my Onc said that just basically means 'Red Hot Breast' and well, mine was before my mastectomy - the tumors are coming back however - I still have radiation to go. I think a combo of things is what I am looking at to help me. And I am not dwelling on 'how much time I have or how many months etc'. I am concentrating on quality of life and getting to that magic of remission! As for the Parp inhibitor trials I am not eligible for them. It was one of the first things I asked my Onc Doc. I was tested for the BRCA1 and BRCA2 genes and I don't test positive for either therefor it makes me ineligible for the trials. I am very realistic about all of this and I again thank you all for the suggestions - I have a lot of research to do I think! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2010 Report Share Posted July 17, 2010 Karin, I LOVE the Budwig mixture, but I'm allergic and can't eat it. I see you are looking for a combination of treatments. Please double check, but I think with Budwig, it is best not to combine it with other protocols. I have no idea how it would work with radiation. Best of luck to you. ar > > Hello All > > Thank you for the responses and the valid subjects and testimonials that have been brought up. > > I live in Canada btw - Alberta - and the Onc Doc I have is very progressive in regards breast cancer and to my weird cancer and the pathology is truly weird. I however am not giving up and I will start the Budwig Protocol. > > My cancer is very aggressive and it is both IBC as in Inflammatory Breast Cancer - mind you my Onc said that just basically means 'Red Hot Breast' and well, mine was before my mastectomy - the tumors are coming back however - I still have radiation to go. I think a combo of things is what I am looking at to help me. And I am not dwelling on 'how much time I have or how many months etc'. I am concentrating on quality of life and getting to that magic of remission! > > As for the Parp inhibitor trials I am not eligible for them. It was one of the first things I asked my Onc Doc. I was tested for the BRCA1 and BRCA2 genes and I don't test positive for either therefor it makes me ineligible for the trials. > > I am very realistic about all of this and I again thank you all for the suggestions - I have a lot of research to do I think! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2010 Report Share Posted July 17, 2010 Hi ar - what I meant was I am still going ahead with the radiation that is scheduled for me and I am gong to go on the Budwig Protocol. I am not planning to mix a bunch of protocols - the Budwig one is probably all I can handle! I believe I have read that people can be n radiation and are also on BP. I am sure that there are others that will correct me if I am wrong. Thank you for your note. Best karin > > > > Hello All > > > > Thank you for the responses and the valid subjects and testimonials that have been brought up. > > > > I live in Canada btw - Alberta - and the Onc Doc I have is very progressive in regards breast cancer and to my weird cancer and the pathology is truly weird. I however am not giving up and I will start the Budwig Protocol. > > > > My cancer is very aggressive and it is both IBC as in Inflammatory Breast Cancer - mind you my Onc said that just basically means 'Red Hot Breast' and well, mine was before my mastectomy - the tumors are coming back however - I still have radiation to go. I think a combo of things is what I am looking at to help me. And I am not dwelling on 'how much time I have or how many months etc'. I am concentrating on quality of life and getting to that magic of remission! > > > > As for the Parp inhibitor trials I am not eligible for them. It was one of the first things I asked my Onc Doc. I was tested for the BRCA1 and BRCA2 genes and I don't test positive for either therefor it makes me ineligible for the trials. > > > > I am very realistic about all of this and I again thank you all for the suggestions - I have a lot of research to do I think! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2010 Report Share Posted July 17, 2010 Hi, I do know people here in the U.S. who are not BRAC positive who are on the PARP trials. I would pursue this further and perhaps taking treatment elsewhere if possible. None of this is easy and I'm sorry that you are faced with these decisions. Let us know how you're doing. Mimi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2010 Report Share Posted July 18, 2010 Would you search and try on Immunocal - it's made in Canada and Paw Paw Reg Cel made in USA (Healthy Sunshine Inc) Vishwajith / Sri Lanka From: karin uu <delightyear@...> Subject: [ ] Re: Scared - well terrified and trying to keep it together--Responding Well Date: Saturday, July 17, 2010, 5:14 PM Â Hello All Thank you for the responses and the valid subjects and testimonials that have been brought up. I live in Canada btw - Alberta - and the Onc Doc I have is very progressive in regards breast cancer and to my weird cancer and the pathology is truly weird. I however am not giving up and I will start the Budwig Protocol. My cancer is very aggressive and it is both IBC as in Inflammatory Breast Cancer - mind you my Onc said that just basically means 'Red Hot Breast' and well, mine was before my mastectomy - the tumors are coming back however - I still have radiation to go. I think a combo of things is what I am looking at to help me. And I am not dwelling on 'how much time I have or how many months etc'. I am concentrating on quality of life and getting to that magic of remission! As for the Parp inhibitor trials I am not eligible for them. It was one of the first things I asked my Onc Doc. I was tested for the BRCA1 and BRCA2 genes and I don't test positive for either therefor it makes me ineligible for the trials. I am very realistic about all of this and I again thank you all for the suggestions - I have a lot of research to do I think! Quote Link to comment Share on other sites More sharing options...
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