DS-M906, is a 69-year-old feminine from Indonesia. Someday in July 2009, DS had issues along with her abdomen. She consulted an internist at a non-public hospital in Medan. A biopsy was carried out and the outcome indicated an adenocarcinoma, i.e. most cancers of the abdomen. After this examination, DS determined to not do something. Her drawback escalated and she or he suffered extra pains.
In December 2010, DS went to see one other physician in one other personal hospital in Medan. A biopsy was once more carried out. The histopathology outcome indicated a reasonably differentiated adenocarcinoma. Not glad, in January 2011, DS got here to a non-public hospital in Penang for additional session. A CT scan didn’t present any focal lung lesion. Her stomach organs had been regular. A colonoscopy confirmed easy hemorrhoids whereas the remainder of the bowels had been regular. A biopsy of the pre-pyloric area was carried out. The outcome indicated signet ring-type adenocarcinoma. There was additionally Helicobacter pyloriassociated persistent energetic gastritis. Briefly, for the third time, DS had been advised that she had abdomen most cancers.
The physician in Penang recommended two choices – DS take medicines or bear an operation. DS declined additional medical remedy and got here to hunt our assistance on 21 January 2011. Under is the video recording of our dialog.
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Since DS and her kids had already made the choice to not bear any surgical procedure, DS had no different alternative however to take our natural teas. We cautioned her to rethink her determination to say no surgical procedure. She was adamant that she didn’t need any medical remedy. One among her kids stated: “After surgical procedure, she has to bear chemotherapy. And we all know that isn’t the factor we need to do.”
We posed this query to DS – and for that matter, to all sufferers. If she has already determined to not bear surgical procedure after a biopsy, why does she do one biopsy after one other? It’s comprehensible if just one biopsy is finished – to find out what has gone unsuitable. However what does she count on to get by doing three biopsies?
That is one peculiarity we regularly discover amongst Indonesian sufferers. They arrive to Penang – convey all the cash that they’ve. They spend their cash on blood take a look at, X-ray, CT scan, PET scan, biopsy, and so forth. When they’re advised that they’ve most cancers and must medical remedies, a few of them simply pack off and go residence the subsequent day. Is that this not losing cash unnecessarily? Is there any logic in doing such factor?
That is our message to affected person: In the event you do not need to proceed with medical remedies really useful by your physician, there isn’t any must do a biopsy. A biopsy is finished to verify when you’ve got most cancers, to be able to transfer to the subsequent step – be it surgical procedure, radiotherapy or chemotherapy. In the event you didn’t need to do any of those, why do a biopsy?
Once more we are saying – earlier than doing a biopsy, ask your self first: Whether it is most cancers, do I need to bear surgical procedure / chemotherapy / or radiotherapy? In the event you comply with such remedy, go forward with the biopsy to make certain that it’s actually most cancers. But when you don’t want to bear additional medical remedy as within the case of DS, why do you spend a lot of your cash doing the biopsy within the first place?
Granted – some sufferers say, the medical remedies are costly they usually can’t afford it. Or, some might say they do not want medical remedies as a result of the docs can’t assure a treatment. If these are your considerations, why do not you ask the prices first or ask for a assure first earlier than doing something?
