Kidney-Bone Cancer: Herbs and e-Therapy Helped Reduce His Pain

RZ (S-143) is a 48 year-old Indonesian.  He came to seek our help on 18 March 2012, immediately after being discharged from a private hospital. And he was in severe pain. How could this be? This is RZ’s story.

About one and a half months ago, RZ was told by the doctor in Aceh, Indonesia that he had kidney problem. In early March 2012, he came to a private hospital in Penang for further management. A CT scan was done and showed a 10 x 9 cm enhancing lesion in the left kidney with renal vein thrombosis. The right kidney was normal. There were multiple nodules noted in the left upper paraaortic area.  Histopathology report confirmed a poorly differentiated renal cell carcinoma, sarcomatous type, Stage 3 – 4 (T2N2Mx). Four of 8 paraaortic lymph nodes had metastatic disease.

X-ray of his left shoulder showed a large lytic area with pathological fracture of the left scapula. Actually RZ came to Penang because of the severe pains in his swollen  left shoulder (picture below).

RZ was admitted on 5 March 2012 and underwent surgical removal of his left kidney.  Nothing was done for his swollen left shoulder which according to the surgeon was due to the cancer that had spread from his kidney. RZ told us that the pains became more intense after his kidney surgery. He was unable to sleep at night and had to endure pains throughout the day and night.

The kidney operation cost him RM 14,000. RZ was told that with this surgery he will be cured. If he did not undergo the surgery, but only take medication, he would be 30 percent cured.  After being discharged from the hospital, the surgeon scribbled these words on his medical report: Targeted therapy + DXT to (L) shoulder. RZ confirmed that he was asked to see a radiologist for radiotherapy. However, he was not able to do this because he had run out of money and could not afford anymore treatment in Penang.

RZ was prescribed Tramadol for his pains. This medication helped relief pains for about two hours only and the pains  recurred.

Comments

This is the second of such case – after surgery patients were in pains and they came to seek our help instead of asking the doctors for help. And they came immediately after being discharged from the hospital. This is the story of an earlier case:  https://painandwellness.org/2011/12/10/ovarian-cancer-after-surgery-left-leg-swollen-painful-and-uncomfortable-herbs-and-e-therapy-helped-her/

When we looked at RZ we really felt sorry for him. The reason he and his wife came to Penang was to find relief for his shoulder pain – but after spending RM 14,000 the pains became worse.  And they had no more money for more treatment. He could not afford the radiation treatment in Penang. And to tell him to take the Target Therapy medication as suggested by the surgeon is unrealistic. If I could guess rightly, that would involve taking Sutent and this is going to cost about RM 18,000 to RM 20,000 per month. This medication does not cure cancer! How can RZ ever afford to pay for such a treatment?  If you wish to know what Sutent can do click these links:

https://painandwellness.org/2011/12/10/ovarian-cancer-after-surgery-left-leg-swollen-painful-and-uncomfortable-herbs-and-e-therapy-helped-her/

http://cancercaremalaysia.com/2011/09/18/sutent-for-advanced-kidney-cancer/

RZ and his wife said that they were about ready to go home to Aceh in the next three days. The question in my mind then was: What can I do to help this unfortunate man the next days while he is here in Penang ? I suggested that RZ come to our centre every morning and try the e-Therapy and at the same time take the herbs: Capsule A, C-tea + WF tea, Kidney Tea, Bone Tea and Pain Tea (six times per day). This is what happened:

18 March 2012: e-Therapy – detox program. The night after this treatment, he felt better. He could sleep about half of the night.  The pains were less and he did not take the Tramadol prescribed by the doctor.

19 March 2012: e-Therapy – detox program + program for shoulder pain. He felt much better. The pains were less and he could sleep throughout the night. He woke up at about 5 a.m. due to coughs.

20 March 2012: repeat of the e-Therapy as yesterday and he was ready to return to Aceh.

The following is the gist of our conversation.

Part 1: Remove your kidney – 100 percent cure. But doc., the cancer had already spread to the bone!

Wife: His kidney problem surfaced about one and a half months ago.

RZ : There was no pain in the kidney.

Chris: You have removed your kidney?

RZ: Yes.

W: After the surgery, the doctor asked him to go for radiotherapy. We did not want to do that yet. We want to go back to Aceh first. We can do the radiation in Aceh.

C:  What did the doctor say about the pain in your shoulder?

W:  It is a cancer. But the doctor did not do anything about it. The whole night he was not able to sleep.

C: How much does it cost you to operate the kidney?

W: RM 14,000.

C:  And now you are in pain?

RZ:  Yes. It is a dull kind of pain – not pulling type. If I massage my shoulder, the pain goes away for a while and then comes back again. The pain becomes more intense when I move. At night, I am not able to sleep because of the pain.

C: Did you have this swelling on your shoulder even before your surgery?

RZ: Yes. But it was not as painful like now. The pain just came on and off. Even when I was in the hospital, the pain was not serious. I felt more pain after being discharged from the hospital.

C: So, even before the surgery, the doctor already knew about your shoulder – and he did not say anything?

RZ: No. I did ask him about this swelling in my shoulder. The doctor said: “Just wait first, we need to remove the diseased kidney first.”

C: Did you ask the doctor why there is this lump in your shoulder?

W: Yes, the doctor said this is due to the kidney cancer that has spread to the bone in his shoulder.

C: How long were you in the hospital? Did you derive any benefit gong into the hospital?

W: He was in the hospital for two weeks.

RZ: Before the operation, I was very weak. I became better after the operation. But the pain in my should became worse after coming out of the hospital.

C: Before you agreed to the surgery, did you ask the doctor if the surgery is going to cure you?

W: The doctor said the cancerous kidney has to be removed – it was an aggressive type.  If he (the patient) only takes medication, there is only a 30 percent chance of cure. But if he goes for surgery, it will cure him a 100 percent.

C: Is this why you agreed to the surgery – to get a 100 percent cure? Do you really understand “cure” really means when the doctor said the operation can “cure” you? Do you really understand him?

RZ: If the kidney is not removed, the cancer will spread. If the kidney is removed, the cancer will all be gone. No more cancer.

C: Did he tell you how he can cure the bone cancer in your shoulder?

 

Part 2: After one session of e-Therapy: Pain was less and he slept through half of the night

C: Last night you took the herbs and did the e-Therapy. How do you feel now?

RZ: There is improvement. I could sleep on and off.

C: After the e-Therapy, did you have any difficulty?

RZ: No, no problem. And I felt better. The pain was much less.

C: Before you came and see me, how was your pain?

W: He was in pain throughout the night but now the pain is much less.

RZ: The pain came on and off only. I woke up three times last night and went back to sleep again. Before I came to see you, I was not able to sleep the whole night.

C: This pain now, is it the same type of pain? Is the intensity of the pain the same when you feel that pain?

RZ: Same type of pain and the intensity is also the same. But the pain did not last long. It came on and then went off.

 

Part 3: After two sessions of e-Therapy: Pain gone and he slept through the night.

C: Yesterday  you did the e-Therapy one more time.  How are you now? Do you have more or less pain?

W: Less pain. There was no pain the whole night. Early morning, at about 5 a.m. he had coughs and he felt “heaty”.

C: Okay, did he drink a lot of water? He should drink more water. And you said there was no pain throughout the night.

W: Yes, no pain. Only at about 5 a.m. when he woke up he felt the pain.  Before we came to see you, he had pain throughout the night. We have done the e-Therapy twice. After the first therapy, the pain came on and off. It helped him nad he could sleep at least half of the night. After the second therapy, he did not feel any pain for the whole night. Only when we work up at about 5 a.m. that he felt the pain again.

C: Let me ask you again. Before you took the herbs and did the e-Therapy, did you need to take the pain killer (Tramadol) that the doctor gave you?

W: Yes. He had to take the painkiller. It was effective only for about two hours, then the pain came back.

C: Now, after the herbs and the e-Therapy, do you still need to take the painkiller?

W: No need to take any painkiller.

C: So, you did not take the painkiller for the past two nights?

W: No need for painkiller and he only took your herbs.

RZ: Now, I feel better. The pain is very much less. Before this I was not able to sleep because of the pain.

C: Did the treatment of the past two days, helped you?

W:  Yes, it helped him very much.

C: That’s about all that I can to help you. It seemed that he able to walk with more strength?

W: Yes, more strength and his movements had also improved.

Reflection

This is indeed a sad story. Reflect on this case again and ask some questions:

  1. If you were RZ, what would you have done differently?
  2. The surgeon said surgery could cure his cancer 100 percent – what you think?
  3. Do you think, surgery is really necessary given that the cancer had already spread to his bone?
  4. The doctor suggested radiotherapy and then possibly the Targeted Therapy – what do you say to that? Is this a genuine attempt to “cure” the cancer, or it is just an effort to feel that he is doing the right thing? A hero with no realistic chance of success?

Advertisements

Cancer Pain – Part 1: Symptoms and Types of Pain


This is what Dr. Patrick Dixon wrote about cancer pain (in:http://www.globalchange.com/painreli.htm): As a doctor who has cared for the dying I have often been asked to kill people. One reason is that the fear of pain is usually greater than the fear of death itself. All of us have relatives or friends who have died of cancer, and many of us have traumatic memories of a painful deterioration. What is scandalous is that in almost every case their suffering was largely preventable and unnecessary, inflicted not by the disease but by shocking medical ignorance, arrogance, complacency and pride.

Pain is one of the most common problems faced by cancer patients. It is directly or indirectly caused the cancer.
Basic Theory


Pain is the result of a physiological series of electrical and chemical events that occur in the body. When pain receptors are triggered by mechanical, chemical, or thermal stimuli, the pain signal is transmitted through the nerves to the spinal cord and then to the brain.
Initially, pain may produce physiological signs such as grimacing, rapid heart rate, sweating, and rapid breathing. Patients with chronic pain (lasting more than 3 months) often do not display physiological signs and as a result, chronic pain often is under treated.
A complex array of psychological and emotional variables play a role in the suffering that a patient with cancer pain experiences. The level of emotional distress that a cancer pain patient feels varies individually, depending on many factors such as personality and family support. It is estimated that 25% of all cancer patients show signs of clinical depression, with the percentage increasing to greater than 70% for patients with advanced stages of the disease. Untreated pain leads to many cancer suicides.

When possible, cancer pain is treated by removing or reducing the tumor that is causing it. When the tumor cannot be removed, the pain can be treated in various ways.
What You Need to Know About Pain


Studies have shown that:
·         90% of patients with advanced cancer experience severe pain
·         30% of all cancer patients suffer pain, regardless of the stage of the disease.
·         As many as 50% of patients may be under-treated for cancer pain.
·         Not all cancer patients feel pain, and pain is rarely a sign of early cancer.

·         Pain usually increases as cancer progresses.

Why There is Pain


1.      Pain in the bones due to metastases.
2.      Pain from the pressure of the cancer growth or tumour pushing against internal organs.
3.      Pain from infection, swelling and inflammation associated with the tumour.
4.      Pain from blockage: examples, blockage of the stomach, blockage of a blood vessel.
5.      Pain that occurs when a tumour compresses a nerve, which can also cause numbness or paralysis.
6.      Pain due to psychological or emotional problems.

7.      Pain as the result of the side effects from cancer treatments (e.g., chemotherapy, radiation).

Symptoms of Cancer Pain


The most common pains are back pain, headache and limb pain.
Examples:
1.      People with brain metastases may have generalised headache (all over their head) that often occurs during sleep and gradually becomes more severe, as well as poor mental status and leg weakness.
2.      Back pain can occur with bone metastases, which can often occur in people with cancer of the prostate, kidney, breast, lung cancer, muscle (myeloma) or skin. Bone pain has been described as dull and aching, except when it is associated with muscle spasms, in which case the pain may be sharp and excruciating.Compression of the spinal cord occurs in some bone metastasis patients and is often excruciatingly painful.Cancer cells may spread into the fluid in the spine, causing neck and back pain, and stiffness amongst other symptoms.2
3.      Cancer treatments may cause pain, for example stomach pain if they affect the stomach. Radiotherapy may cause burning pain on the skin, and chemotherapy may cause painful sores in the mouth.

Pain can be persistent pain, i.e. continuous and may last all day; or breakthrough pain, i.e., a brief flare-up of severe pain that occurs even while the patient is regularly taking pain medication. It usually comes on quickly and may last from a few minutes to an hour. Many patients experience a number of episodes of breakthrough pain each day.

Types of Pain

There are three types of pain: somatic, visceral and neuropathic.
Somatic pain: is caused by the activation of pain receptors in either the body surface) or deep / musculoskeletal tissues). Common causes of somatic cancer pain include metastasis in the bone and post-surgical pain from a surgical. Deep somatic pain is usually described as dull or aching but localized. Surface somatic pain is usually sharper and may have a burning or pricking quality.
Visceral pain: is caused by activation of pain receptors resulting from infiltration, compression, extension, or stretching of the thoracic (chest), abdominal, or pelvic viscera. Common causes of visceral pain include pancreatic cancer and metastases in the abdomen. Visceral pain is not well localized and is usually described as pressure-like, deep squeezing.

Neuropathic pain is caused by injury to the nervous system either as a result of a tumor compressing nerves or the spinal cord, or cancer actually infiltrating the nerves or spinal cord. It also results from cancer treatment (chemotherapy, radiation, surgery). This type of pain is severe and usually described as burning or tingling.