O Stoma Mia wrote:
behconsult wrote:...Can I hear an Amen?
Yes, I agree with you. What I would like to ask is this: Realistically, what can be done about the current situation? How can we shift to a different paradigm that will give more rights to cancer patients? Any idea?
Most of it starts on the first day, usually with the gastroenterologists (scoped CRC diagnosis). Loss of adequate information gathering, no initial neoadjuvant sequence preparatory to surgery, misdirections and confusions for patients who could be easily saved now and during the first year.
1. Basically a lot of identifiable stage 2 and 3 patients lose the cimetidine etc opportunities, and this probably relates to the majority of stage 2 and 3 recurs due to unnecessary mets and stem cells spread with growth spurts of early sequence seedlings.
2. A lot of stage 4 patients are denied surgery. A better understanding of inoperable reversed by neoadjuvant treatments, most them mild, would literally make them operable, and recognize them as operable. This includes cimetidine etc, lots of etc, in early stage 4, perhaps a lot of advanced stage 4s too.
3. Better bloodwork would help early stage 4 who are missed, or should be classed as potential clinical Mx, to be followed.
4. A lot of problems could be short circuited by better treatments on, or following, the first day by better problem identification and remediation. Gross vitamin D deficiency is just a small tip of the iceberg.
It should be this simple:
1. give them extensive blood work, CBC + 35-40 panels + Fdn1, drawn at diagnosis.
2. give those in satisfactory shape (no contraindictations), 2-3 days of pills before walking out, or a menu for shopping.
3. Give them LEF type literature, but a bigger booklet with other technical options.
4. Receive and assess the initial bloodwork, CBC + 35-40 chemistries and markers, make initial biochemical classifications, neoadujuvant recs, and surgical recommendations. Give out several one week packs of pills for until surgery. No advanced blood work has been received back yet.
5. Later, after surgery, add CA199 and CSLEX1 to the required path stains.
These simple steps could save a lot of grief, money and lives. Also it would broaden their technical options greatly.
"etc." leaves open important chemical choices for the moment and paradigm issues
Colon Club could do this with 100-200 patients with a few cooperating GI drs to demonstrate this, for $1000 each, except Foundation 1 type stuff.
Most of these were cheaply doable 10-15 years ago but are financial orphans in the medical complex.
If we could pool the bloodwork and have some participate in crowd sourcing, you would have additional potential to crack serious issues faster.