When I was diagnosed with breast cancer in August of 2005, the doctors immediately put me on the conveyor belt that would carry me, in no time flat, through the standard treatment routine. First, stop hormone replacement therapy. Second, have surgery to remove the lump. Third, remove a few lymph nodes. Fourth, do eight weeks of dose dense chemo (twelve weeks if not dose dense). Fifth, several weeks worth of radiation. Sixth, take an estrogen blocker such as tamoxifen or Arimidex for the next five years.
I allowed myself to be whisked along through steps one, two and three. And I came very, very close to going through with step four. I met with three oncologists, picked the one who offended me the least, did some pre-chemo acupuncture, and went to the chest x-ray appointment that I had to have prior to the operation to insert a "porta-cath" contraption next to my heart (a way to have the chemo drugs delivered without having all the painful intravenous needles in the arm, etc.)
The date for the porta-cath operation was set for three days prior to the first round of chemo. One thing I remember from this blur of frightening (terrifying, actually) preparations was my fear of living with non-stop nausea for eight to twelve weeks. How would I run my business? I couldn't afford to just stop working. Besides, chemo sounded as if it would be miserable enough even without any nausea. Infections right and left, weakness, exhaution, bloating, weight gain, baldness, sores on your skin, sores in your mouth, constipation, diarrhea, memory loss (chemo brain), depression . . . Well, the oncologist assured me that I had very little to fear in that department, because "anti-nausea" drugs would be pumped into me right along with the chemo. He told me that the dangers of these anti-nausea drugs were negligible.
I was also scared of infections that could result from having my immune system wiped out. I was especially scared of ending up, after any given round of chemo, with such a bad case of anemia that they'd have to postpone the next round of chemo, thus extending the whole process even more. But again I was told that there were now these wonderful new drugs that I could take along with the chemo that would help to keep my blood cell counts up enough that it would be unlikely that we'd ever have to postpone chemo. The nifty drug I'd be given, I was told, was called Procrit.
Procrit, Epogen and Aranesp - known collectively as epoetins or ESAs
(erythropoiesis stimulating agents) - are among the world's
best-selling drugs, with combined sales of $10 billion last year. In
the US, they constitute the single biggest drug expense for Medicare
and are given to about a million patients each year to treat the anemia
that is caused by cancer chemotherapy or by kidney disease. Two of the
world's largest drug companies, Amgen and Johnson & Johnson, have
been paying hundreds of millions of dollars in incentive bonuses to
doctors - including medical oncologists - who prescribe the anti-anemia
drugs.
Procrit and Aranesp can be very
effective in correcting the severe anemia that often accompanies
cancer. Epogen is widely used in the treatment of patients with renal
(kidney) failure, another situation in which anemia is extremely
common. . . . However, there is an emerging downside to the use of these drugs.
An
increasing number of researchers have become concerned that the drugs
may increase a patient's risk of heart attack and strokes. Furthermore,
they do not improve the outcome of cancer treatment. In fact, there is
growing evidence that they may actually shorten, rather than lengthen,
survival....
Click here for the rest of this report, taken from the Ralph Moss newsletter, Cancer Decisions. (You'll have to scroll all the way down to the bottom.)
I changed my mind about doing chemo a few days before I was scheduled to start it. And I'll tell you this. If my breast cancer recurs or metasticizes, and if I ever get to the point where I have to consider chemo again, I'm going to: 1) Get low dose, fractionated chemo if at all possible (not dose dense!), and 2) do everything I can to fight the side effects via ALTERNATIVE means, such as acupuncture, natural herbs, supplements, and anything else I can come up with that doesn't reek of greed, corruption and misinformation.
I realize this may sound extreme, but now, after almost two years of immersing myself in research, my disillusionment with the American healthcare system runs so deep, and my trust in it has disintegrated so much, that I question everything. It's exhausting but necessary...and, despite the exhaustion, empowering.
I know. What a way to start a Sunday morning...writing this downer of a post. But this blog isn't just for talking about my son, my boyfriend, my dog, my shoes and my hair color. It's also my attempt to help other women who have breast cancer. We have to help each other, and we have to learn how to help ourselves.
Also, I've done other things this morning besides writing a downer post. While eating breakfast I started to watch Arnold Schwarzenegger in Kindergarten Cop, and I give this movie, made in 1990, two thumbs up. It's cute and funny, and I don't care if you think I'm ninny for liking it. So there.
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