Here's what's going on in alternative medicine in Australia. Unfortunately this article is behind a paywall, so I'll give you an excerpt. (It helps to understand that when you give a lung x-ray, you have a good chance of finding spots that nobody can really interpret, that usually turn out to be harmless.)
http://www.nejm.org/doi/full/10.1056/NEJMp1110812 [nejm.org]
What's the Alternative? The Worldwide Web of Integrative Medicine
Ranjana Srivastava, F.R.A.C.P.
Department of Medical Oncology, Monash Medical Centre, Melbourne, VIC, Australia.
N Engl J Med 2012; 366:783-785 March 1, 2012
Out of curiosity, an impressionable woman in her 30s attends an integrative medicine exhibition; having recently had a child, she's been sleep-deprived and wants to investigate natural remedies. At the seminar, she wins a door prize ? a blood test that promises to diagnose cancer. She was considering getting a blood test anyway and seizes this opportunity for a more comprehensive workup. After all, you can't be too careful about avoiding cancer.
Weeks later, she receives a call from an apologetic but alarmed stranger telling her she has advanced cancer.
?How do you know?? she gasps.
?Your blood test is positive for circulating tumor cells.?
?What does that mean?? she cries.
He sends her a three-page report and tells her to seek immediate help. She spends a nail-biting week awaiting an appointment with the recommended integrative health expert.
Glancing at the report, the expert declares, ?You have advanced non?small-cell lung cancer. You need treatment now.? The woman is petrified: Has her teenage smoking habit come back to haunt her?
?Are you sure?? she asks.
?Absolutely. There are circulating tumor cells in your blood.?
Tears streaming down her face, the woman asks, ?What now??
The practitioner prescribes a 12-week course of intravenous vitamin C, at a cost of $6,000, paid up front. Without further discussion, an appointment is made.
[Gets a CT scan, which shows 2 2mm nodules. They could be lung cancer.]
The hunt for a rapid cure brings the woman to my office. Relating her story, she shifts between self-assurance and sheepishness. ?I know you find this incredible, but I need your help. I am dying of cancer.?
?There's no evidence of cancer,? I reply, seeking to reassure her.
Instead, her tone sharpens: ?But I have circulating tumor cells! How can you say that??
Incredulous, I try to explain too many things. The blood test is a long way from being validated for clinical use. It was unscrupulous even to offer it. Does it make sense to her that it was sent to an unheard-of overseas laboratory for processing? Why did no one recommend that she see an oncologist?
[Demands a PET scan. PET scan clear, the 2 nodules on the CT have disappeared. Probably transient foci of inflammation. Srivastava tells her, "There is no cancer." Woman still insists she has lung cancer. Demands to see a surgeon. Surgeon refuses to see her.]
sturgis whitney houston laid to rest daytona bike week amazing race maya angelou mary kay ash tiny houses
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.