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View Diary: Healthcare Reform and the Economy (160 comments)

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  •  here's the thing about it, though (0+ / 0-)

    I've been in practice long enough to have seen a myriad of treatments for breast cancer come and go. I truly wish the best for your wife and I hope she beats it. Pre-menopausal breast CA is a beast, but many people do well - 80% as you say.

    But the thing that has been shown over the past few years is that more is not always better. When I was in training and coming out of it (and I almost went into an oncology fellowhip) the big deal was to do fully ablative chemotherapy and then do a bone marrow or stem cell transplant. What was found was that the toxicity and risks (especially of the transplant not engrafting or not fully, I saw cases related to that which were truly ugly) were not outweighed by higher disease free survival rates and that overall survival was not better.

    Yes, I'd give it a full guns gonzo blast, too. I'm the same age, and I have kids.

    And I appreciate that you recognize and would be willing to pay the cost. It's not an option even open to most people.

    Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

    by stitchmd on Sun Jul 26, 2009 at 03:12:07 PM PDT

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    •  It is not more... (0+ / 0-)

      MSK has a protocol for otherwise healthy women to concentrate the chemo every 2 weeks while increasing the imune system...this is more effective and also shortens the overall treatment time...but there is an additional cost involved...

      Obama - Change I still believe in

      by dvogel001 on Sun Jul 26, 2009 at 04:42:28 PM PDT

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      •  I just realized (0+ / 0-)

        that the paper I cited below is not what you're talking about. Sorry.

        Chemo has always been limited by the side effects, primarily the ones on the immune system. It appears what you're talking about is giving a pre-emptive boost to the immune system in all cases rather than doing it when needed.

        I'll try to look it up, but since you said it's a protocol, is it in progress or do they already have data? Just wondering.

        Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

        by stitchmd on Sun Jul 26, 2009 at 04:51:06 PM PDT

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      •  also (0+ / 0-)

        is this adjuvant chemo or treatment related?

        Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

        by stitchmd on Sun Jul 26, 2009 at 04:52:27 PM PDT

        [ Parent ]

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