A director of surgery in our unit and a good friend died of lung cancer the year before last, and only lived for more than 9 months, but it didn't seem too painful.
I feel a little pain and discomfort in my right chest after coughing. Did a chest CT scan and found pleural effusion. I also found a blood-rich shadow about 2 cm on my lung. I felt uncomfortable and had a puncture drainage for pleural effusion. Adenocarcinoma cells were found in pleural effusion. He is a medical expert himself and his family can't hide it from him. He knows very well that lung cancer has metastasized to the pleura, which is already advanced!
I have done genetic testing of lung cancer cells to determine which targeted therapeutic drugs are effective. While waiting for the results, I bought a plane ticket to Lhasa directly. At that time, there was not much pleural effusion and my physical fitness was ok, so I went to fulfill his unfinished wish-to see the Potala Palace.
Unfortunately, no targeted drugs are sensitive to his tumor, so we have to give up. Following the advice of the oncologist, I received routine chemotherapy, but after a course of treatment, I didn't give up decisively. Because of nausea, vomiting and unspeakable pain all over the body, white blood cells also dropped to the alert value! He himself said that chemotherapy would definitely not work like this. After a week's rest, I slowly recovered. Finally, I accepted my suggestion. It is a tumor with rich blood supply. Under DSA, the catheter was inserted into tumor blood vessels, and microspheres loaded with chemotherapy drugs were inserted into tumor blood vessels. The microspheres can slowly release chemotherapy drugs in tumors and play a role in killing tumors locally. The general release period is more than 15 days, which is equivalent to two weeks of continuous chemotherapy for tumors. In addition, the tumor blood vessels are filled with microspheres, and the tumor loses its nutritional supply, which will greatly hinder its growth rate. The side effects of the whole body are not great. Because there is pleural effusion, some chemotherapy drugs are also injected into pleural cavity to get in close contact with tumor cells with pleural metastasis to reduce the amount of pleural effusion.
One week after interventional embolization, I began to go sightseeing and enjoy life with my family. During the period, I came back occasionally, and CT examination found that the shadow had shrunk, and I received another intrathoracic chemotherapy injection. About seven months after the discovery, unfortunately, a large amount of pleural effusion was produced out of control, even if it was injected into pleural cavity, it would not work, compressing lung tissue, often lacking oxygen and unable to go out for activities. The hospital arranged a quiet single ward for him, and his family took turns to accompany him and pumped pleural effusion regularly.
Then there was a sharp pain in the chest. After conventional painkillers didn't work, they used powerful painkillers, and they had arranged a funeral. It was a comfortable day to start taking medicine, and then it increased to two days. The last time it really hurt, I injected two directly, stopped breathing calmly and left quietly.
As a doctor and his friend, I don't know if we gave him the best treatment. But one thing is certain, our philosophy is to try not to make him too painful during the treatment, and finally we didn't go to the intensive care unit. When you know that you can't pull him back, it may be a helpless and appropriate choice to choose the right opportunity to let go!
The answer to this question mainly depends on two points: first, whether the patient's condition has a chance to improve; The second is whether the patient's economic ability can bear it.
These two points are complementary and indispensable, regardless of the patient's status, occupation and background.
Human beings are equal in the face of diseases. Of course, they are not necessarily equal before money.
However, in life, many patients are trapped here.
Some patients are hopeless, but they are still wasting a lot of medical resources.
Patients with obvious hope of illness can only give their fate to time.
In a word, my opinion is: I would rather live a happy day than a month without dignity.
Anyway, I know one thing very well: respect my original intention, abide by scientific rules and follow the laws of nature.
I have relatives with cancer, advanced gastric cancer. At present, although the number of chemotherapy is less than 23 times, it has been done nearly 10 times. I have to say that the side effects of chemotherapy are really uncomfortable, but they do play a role in the development of the disease.
The 23 times of chemotherapy mentioned by the subject may not be done once. For patients who have been eroded by cancer cells, it is likely that even if they do, they can't afford it. Whether to do chemotherapy so many times depends first on the effect of chemotherapy and the patient's physical endurance.
If chemotherapy is really effective and the patient's body can bear it, then chemotherapy schemes may be used more and last longer. If the patient is intolerant, or the effect is not good at all, then it is estimated that the treatment plan of the attending physician will be gradually adjusted.
I think for cancer patients, as long as they are not at the last moment, they must be eager to live, so as relatives, we must work hard to complete it. It is hoped that chemotherapy may indeed bring some side effects to cancer patients, but it cannot be denied that chemotherapy has curbed the spread of cancer cells to a great extent and won more time for patients.
Ants still live a disgraceful life. If it is really effective and necessary, then the number of chemotherapy can be adjusted according to the actual situation. After all, it brings hope beyond time.
Do doctors believe in the traditional treatment of cancer?
This should be the essential meaning of this question.
The answer is: no oncologist and other doctors think that traditional treatments such as surgery, radiotherapy and chemotherapy can cure cancer!
First of all, they are convinced that surgery, radiotherapy and chemotherapy are just a gamble of treatment failure they have witnessed. The probability of winning this gamble is very low, less than 50%, and most cancers are only 20-30%!
First, most of their advice to themselves and their relatives suffering from cancer is conservative treatment and palliative treatment.
First of all, even if they try the traditional treatment, they will regret it.
Famous is Hua Yiwei, a tumor treatment expert with gastric cancer. He finally concluded: traditional treatment does not help to reverse.
More famous is Academician Tang Zhaoyou, who directly pointed out that cancer treatment can no longer focus on killing cancer cells.
First, why do doctors continue to carry out traditional treatment operations?
Their duty is to treat cancer. They must also treat cancer according to the guidelines approved by the government. The guidelines approved by the government are: surgery, radiotherapy, chemotherapy!
Therefore, if you know that it is not easy to use, you must also recommend it. The fault is not the doctor. Modern medicine is powerless against cancer.
First, don't say that "early cancer can be cured by more than 80% according to traditional treatment methods".
The truly effective treatment will not only apply to a certain period of the disease.
The cure of early cancer, most of the success comes from the strong self-reversal ability of the body. -If you make a comparison, it is likely that for early cancer, the cure rate will be higher with palliative treatment and without traditional treatment!
First, I have no intention to oppose traditional treatment, but I just want to make everyone sober: traditional treatment is a hopeless treatment. Cancer treatment must find another way.
Focusing on effectively blocking and eliminating carcinogenic damage and effectively improving the vitality and immunity of the body may be the ultimate treatment direction.
The answer is above.
To share Professor Huang Tao's real cancer experience in the field of breast cancer in wuhan union hospital Cancer Center.
1993, Huang Tao, who graduated with a doctorate only two months ago, was diagnosed with lung cancer in the physical examination of the unit, and it was the small cell lung cancer with the highest malignant degree and mortality. After nearly 10 years of medical career, Huang Tao understood that he might only have 3~6 months to live at that time.
Because there were only a few doctors at that time, the hospital leaders immediately called on the powerful professors in Wu Hanyou, Hubei Province to set up a rescue team and try their best to save the young doctor's life. However, after the expert group made a detailed diagnosis, they all felt sorry for the doctor. Despite this, Huang Tao did not give up on herself. After consulting a large number of domestic and foreign literatures, he decided to be his "attending doctor" and make a treatment plan for himself. He originally studied thoracic surgery and became a monk in the middle of a cancer conference.
After imaging examination, the lung mass of yellow peach is as big as a fist, and there are metastatic cancer cells in lymph and a nearby rib. Huang Tao's plan for herself is to do radiotherapy first, but after 2/3 courses of treatment, the situation is not very good. He changed to chemotherapy and did two interventional chemotherapy. After examination, the lung mass basically disappeared. At this time, Huang Tao proposed surgery. Many people think it's too risky, but Huang Tao thinks that the best treatment for cancer is comprehensive therapy. So the upper part of the right lung was removed, the ribs of metastatic cancer cells were removed and the lymph was cleaned. 1995 Finish the last time on New Year's Day 1 chemotherapy.
After his own tossing, 25 years have passed, and Huang Tao has been active in the field of manicure breast cancer. Also promoted from the "attending doctor" at that time to the current professor and doctoral tutor. It has also won many awards in Hubei Province and even the whole country.
My mother-in-law has thyroid nodules. She has been taking Perrin for many years and has been seeing his clinic. Naturally, her mother-in-law praised his medical skills, but in addition, her mother-in-law praised his doctor's goodness. He will consider the patient from many aspects, whether it is cost, surgery or rehabilitation. At the same time, he also passed on his positive and happy mood and experience of overcoming the disease to his patients to help them fight cancer together.
The purpose of telling this story is to say that whether it is chemotherapy or radiotherapy, the number of times does not mean anything. There are many people who have received radiotherapy for nasopharyngeal carcinoma, thyroid cancer and laryngeal cancer for more than 30 times. Don't be intimidated by this number. When doctors experience cancer themselves, they are also treated by surgery+radiotherapy/chemotherapy, and there is no other panacea for the disease. Therefore, there is specialization in the art, so please leave the professional things to the professionals. Those patients who recover clinically are often people who have good compliance and trust doctors.
I hope my answer is helpful to you.
As a western doctor, I don't want to take an example to illustrate the problem, because everyone's individual differences are too great. But answering this question really needs some cases to illustrate the problem.
In 2008, a patient with advanced lung cancer received chemotherapy 10 for more than five or six targeted drugs and lived for 10 years. It is still there, witnessing the marriage of sons and the birth of grandchildren.
14 A patient with liver metastasis from colon cancer received more than 40 times of chemotherapy. The quality of life is very good. Hospital chemotherapy targeting once every two weeks.
10, a little girl got primitive neuroectodermal tumor, a kind of tumor with high malignancy. After 18 times of chemotherapy and local radiotherapy, it is now reviewed regularly every year. Get married and have children.
.........
There are too many examples, but these are all individual cases. Every time a new patient comes, how the road ahead will develop is unknown. The doctor can only say how long the patient can live on average at this stage of the disease. When it comes to individuals, that's not necessarily true.
But science is developing, and new technologies and drugs are developing every year. As long as you are alive, there is hope.
If chemotherapy can cure cancer, cancer will survive much better in the world. The problem is that the highest cancer mortality rate is chemotherapy, and chemotherapy causes the most complications. If you are a senior doctor in the hospital, if you judge that the surgical resection of cancer focus is accurate, you can do chemotherapy for up to five to eight times to kill the remaining cancer cells, or even not, knowing that chemotherapy can't change the metastasis of cancer cells. You can imagine the great harm of doing it 23 times.
Skilled Chinese medicine practitioners are even less likely to do chemotherapy. Cancer treatment is not easy to treat, but also can improve the quality of life and live with cancer. Compared with chemotherapy, it can cure the unknown and bring more pain, 95% people and money.
Let's talk about real examples around us. We have two relatives around us, one is breast cancer and the other is liver cancer. Once this time comes, we can often consider which hospital resources can be used. Well, yes, and he is the director of the provincial hospital.
But their own economic conditions are limited, and neither of these two relatives has a special system to treat them. Breast cancer has familial genetic factors. My mother lived for more than 30 years after breast cancer in her 80 s, and now the patient is in her 50 s, about the same age as her mother when she was sick. Mom had an operation, and she also had an operation. She was optimistic.
Another patient with liver cancer usually drinks 2-3 meals a day, drinks less white wine and often drinks beer. Now he has completely given up drinking, because the child is not married, so he has not made any special efforts to treat it, but he has always maintained a good attitude, dare not die, and is still trying to save money for the bride price for the child.
Whether there is a doctor at home or not, once you get sick, how to treat it is your own business. Because you can only make your own decisions at this time, isn't it just as embarrassing for doctors to get cancer?
After all, every doctor has expertise and not everything. Just like a pediatrician's family had a heart attack and went to a cardiologist for help; Of course, cancer should be decided by oncologists, but the final decision is in the hands of patients and their families: economic strength is on the one hand, and recognition of treatment plans is on the other. In short, it is not something that others can do with one word, but it can be controlled with one word.
As for whether chemotherapy will be given 23 times, it also depends on the financial resources and the needs of treatment.
My mother was diagnosed with advanced lung adenocarcinoma this year, and I have been with her. First of all, we should make a clear diagnosis, and then make the most suitable plan for patients, so we chose the famous Huaxi. My mother is a veterinarian, and many friends and relatives around me have lung cancer, so I have some guesses about my illness. Her old man's plan is to take Chinese medicine, because she thinks that western medicine is either surgery or radiotherapy and chemotherapy, which is too hard. After emergency treatment, she has a lot of pleural effusion and has been admitted to the hospital. In fact, full-court escort is "psychological massage". Basically she can take care of herself. After the pleural effusion and inflammation were solved, there was no treatment, mainly waiting for the test results. So when all the results came out, I transferred to the Department of Chest Oncology. On the same day, the doctor communicated with me "to prolong my life on the basis of ensuring the quality of life as much as possible", and I agreed. Then wait for the genetic test results to see if you can take targeted drugs, and the result is yes. In the middle, it also experienced a series of problems such as cancer pain, pneumonia and drug withdrawal caused by decreased liver function, which are still under control. The mistress didn't feel hard and gained a few pounds. Mainly listen to doctors, I believe that doctors and we are a team, and professional things are given to professional people, so cooperation is good.