Burzynski Clinic Doctors Category

Wednesday, September 9th, 2009

No Surprise

Yesterday, I spoke with Dr. Khan regarding my reaction to restarting the PB.  He was not surprised, which makes me feel “better” cuz I was kinda worried about how intense the reaction was.  He told me that I should not have just started back up with the optimum dosage, I should have built back up as initially.  Good to know.

I do feel Much better this morning.  The headache is pretty much gone and none of the severe muscle and joint pain and total fatigue that I’ve been having since restarting last weekend, just the “normal” muscle and joint aching and basic fatigue as before… normal… ha…

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Tuesday, July 28th, 2009

Changes in Meds – Xeloda

As part of my “Case Management” at the Burzynski Clinic, I get a weekly “touch-base” phone call from Dr. Khan, a nice young fellow.  We discuss what is going on with me – my drug reactions, how I’m feeling and the status of any upcoming tests.

Then he goes and coordinates with Dr. Deleon, and lets me know if any changes need to be made.  So far no changes.  Until yesterday.

Because of the trouble I’m having with my toenails separating from the nailbeds, Dr. Deleon has changed my Xeloda regime from 2 weeks on/1 week off to 1 week on/1 week off.

They also want me to increase my blood testing schedule, since some of my reactions may be due to electrolyte imbalances.  But I’m waiting for billing from the North Cypress Medical Center Laboratory Services for the last blood work I had done, so I can pay… Guess I should call and see what the deal is cuz I don’t want to be denied treatment.

It’s difficult to keep everything straight, and at the end of each day I’m So Dang Tired, I just want to crawl into bed…  Stress, depression and reactions to my treatment contribute to this chronic fatigue.

Notes, I need to keep better notes.

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Sunday, June 14th, 2009

Financial Assistance Stresses

The stresses of trying to acquire Financial Assistance are taking their tolls on me.  I’m not sleeping well – laying awake as images of withheld prescriptions run though my mind.  If I get 2 hours of sleep a night, I’m lucky.  I’m running on empty and am afraid I’m not going to be able to keep it up much longer.

If the cancer doesn’t kill me, all this stress just might…

If you can’t pay, you don’t get the meds, don’t get the Hope.  Hope for a new path, a more humane path… It’s a harsh reality.

Chemo might suck, but at least it’s “affordable”, financially anyway.  Though the toll it takes on the body is priceless – and not in a “priceless - you win” way.  More of a “priceless - killing you slowly and not knowing what future side effects you may experience while not promising that the cancer will not reoccur after you’ve gone through this hell” kinda way.

Getting the Gene Therapy meds directly from the manufacturer eliminates a great deal of cost and stress from my life. And, truthfully – 2 out of 4 is not bad.  But Honestly, I was Hoping to get assistance for all 4.  It would be different if I had insurance, if I Had the money to afford to stay alive – I’m simply doing the best I can to stay alive.  I Want to stay alive.

There is no financial assistance, though, for the PB prescription – that’s a flat $4500/month and is manufactured by the Burzynski-associated pharmacy, and is a proprietary formula.  So, even if I was able to get assistance for a generic brand PB, it would not be the formulation that offered the Burzynski “magic potion”.

And I Want The Magic Potion.  At least Dr. Deleon says it’s in the PB that I’m getting… Those antineoplastons.

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Monday, May 18th, 2009

Zometa

Today I took my first monthly infusion of Zometa, I will have 4mg/5ml each month.

ZOMETA is (also) used to treat patients with other cancers—including breast‚ lung and prostate cancer—that have spread to the bones‚ a process called bone metastasis. When cancer has spread to the bone‚ treatment with ZOMETA helps to protect bones and may reduce or delay such complications as:
* Bone fracture
* Need for radiation and/or surgery to bone
* Spinal cord compression

“ZOMETA is generally well tolerated. The most common side effects you may experience with ZOMETA therapy are fatigue, nausea, vomiting, bone pain, headache, fever, shortness of breath, anemia, constipation, or lack of appetite. These side effects with ZOMETA were usually mild and transient. Your doctor may recommend a mild pain reliever to make you more comfortable.

In postmarketing experience, severe and occasionally incapacitating bone, joint, and/or muscle pain has been reported infrequently in patients taking bisphosphonates.”

Yet another very expensive drug at $1087/month. I can, and intend to, petition the manufacturer for financial assistance.

Caesar was the tech who did my infusion, he was very nice.


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Friday, May 15th, 2009

Xeloda

Today I started on Xeloda, the first FDA-approved oral chemotherapy for both metastatic breast and colorectal cancer.  A “convenient” and low-toxicity oral chemotherapy!  I will take 1000mg – (2) 500mg pills – each morning and evening.  Two weeks on, one week off; repeat continuously.

The most common side effects with XELODA are:

* Diarrhea, nausea, vomiting, stomatitis (mouth and throat sores), abdominal (stomach area) pain, upset stomach, constipation, loss of appetite, and dehydration (excessive loss of water from the body). These side effects are more common in patients who are 80 or more years of age
* Hand-and-Foot syndrome (pain, swelling or redness of your hands or feet that prevents normal activity), dry, itchy or discolored skin, rash, nail problems, and hair loss
* Tiredness, weakness, dizziness, headache, fever, pain (such as chest, back, joint, and muscle), difficulty sleeping, and taste problems

Even more Joys of Breast Cancer.

Another very expensive drug at $2897/month. I can, and intend to, petition the manufacturer for financial assistance.

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Thursday, May 14th, 2009

Zolinza

Today I started on Zolinza, an oral HDAC inhibitor which prevents DNA transcription and gene expression in some tumor cells – typically Cutaneous T-cell lymphomas.  I’ll take one 100mg pill per day.

The most common side effects associated with Zolinza include:
• Stomach and intestinal problems, including diarrhea, nausea, vomiting, loss of appetite, constipation and weight loss
• Tiredness
• Dizziness
• Headache
• Changes in the way things taste and dry mouth
• Muscle aches
• Hair loss
• Chills
• Fever
• Upper respiratory infection
• Cough
• Increase in blood creatinine
• Swelling in the foot, ankle and leg
• Itching

More Joys of Cancer

Another very expensive drug at $2217/month.  I can, and intend to,  petition the manufacturer for financial assistance.

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Wednesday, May 13th, 2009

Tarceva

Today I started on Tarceva, which is typically used to treat Advanced Non-Small Cell Lung Cancer and Advanced Pancreatic Cancer.  I’ll take one 150mg pill per day.

Tarceva is a targeted cancer treatment. Tarceva is designed to block cell tumor cell growth by targeting the protein in your body called the Human Epidermal Growth Factor Receptor 1 (HER1/ EGFR)

The Human Epidermal Growth Factor Receptor 1 (HER1/ EGFR) is closely associated with my particular type of breast cancer.

The most common side effects associated with Tarceva  are fatigue, rash, nausea, loss of appetite, and diarrhea.

Another very expensive drug at $4200/month.  I can, and intend to,  petition the manufacturer for financial assistance.

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Tuesday, May 12th, 2009

Sodium Phenylbutrate (aka PB)

Today I started on the Sodium Phenylbutyrate (SOE-deem-um fen-il-BYOO-ti-rate) aka “PB”.  It is typically used to help treat a deficiency of enzymes that help remove ammonia from your body. It has also shown to increase the expression of genes, block how the motor nerve cells in ALS die, and may prove to be an effective therapy for ALS. Sodium phenylbutyrate is considered medically necessary for the treatment of acute promyelocytic leukemia and malignant glioma.

The following is according to the National Cancer Institute:
oral sodium phenylbutyrate 
An orally active derivative of the short-chain fatty acid butyrate with potential antineoplastic activity. 4-Phenylbutyrate inhibits histone deacetylase, resulting in cell cycle gene expression modulation, reduced cell proliferation, increased cell differentiation, and apoptosis. This agent also initiates fragmentation of genomic DNA, resulting in decreased DNA synthesis and the inhibition of tumor cell migration and invasion. “

“However, there is no adequate evidence in the peer-reviewed published medical literature demonstrating that the use of sodium phenylbutyrate improves the clinical outcomes of patients with cancers of the prostate, breast, or cancers other than acute promyelocytic leukemia and malignant glioma.  Current evidence is limited to in vitro and in vivo studies and Phase I studies.  Prospective Phase III clinical outcome studies are necessary to determine the clinical effectiveness of sodium phenylbutyrate for cancer.”
Aetna
Clinical Policy Bulletin:
Antineoplaston Therapy and Sodium Phenylbutyrate

At The Clinic, PB is given to cover 96 of the minor genes that can’t be checked / addressed with conventional treatment.

I start with 1 tablet 4 times a day.  Each day I add an additional tablet until I am up to 6 tablets 4 times a times (for a daily total of 24 tablets).  This is done to make sure I can tolerate the drug and the increases in dosage.

It’s an expensive drug – $4500/month from The Clinic.  This includes “case management” – which means I get to communicate with my Dr whenever I need to.  Kinda what I thought a Dr was for, but guess it’s now called “case management”.  There is no petition for financial assistance.

They sure don’t make it financially easy to stay alive…  Maybe if it was more feasible, more people could afford it, and the cost would come down… maybe…??  I guess the bullet had to be bitten somewhere, and I guess it’s been determined that it is the patients who need to do the biting.  Seems we get it coming and going…

Side effects I might expect are:

More common

Change in frequency of breathing; lack of or irregular menstruation; mood or mental changes; muscle pain or twitching; nausea or vomiting; nervousness or restlessness; lower back, side, or stomach pain; swelling of feet or lower legs; unpleasant taste; unusual tiredness or weakness

Less common

Chills; fever; joint pain; sore throat; unusual bleeding or bruising

Rare

Convulsions (seizures); dizziness; dryness of mouth; fast, slow, or irregular heartbeat; increased blood pressure; increased thirst; irritability; muscle cramps; rectal bleeding; swelling of face; unusual weight gain; weak pulse

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:

Less common

Changes in taste; decreased appetite; strong body odor

Rare

Abdominal or stomach pain; constipation; fainting; headache; mental depression; skin rash

Oh Joy.

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Wednesday, April 15th, 2009

Burzynski Clinic – Appointment

April 15.  Tax Day.  Day of Reckoning…

Mom and I went for the appointment at Burzynski Clinic.  What an experience.

First and Foremost – the feeling of Hope there is overwhelming.  There is no smell of chemo, no sense of doom.

We met with Dr. Lordes Deleon, who would be my primary physician; Dr. Fu, an oncologist who came to The Clinic from MD Anderson; and Dr. Burzynski, himself.

It was a long time, took most of the day.  And turned out to be very emotional.  Eye-opening.

We had to go through financial planning, to be sure that I could afford the treatments.  I don’t know how I will, but if I decide that this is the path for me to follow, I will have to find a way.

The final meeting with the Drs was the most relevant.

As we’re sitting there talking, Dr Burzynski keeps mentioning “the spread of the disease”.

what…?

“the spread of the disease within your body…”

what…?

So I am sitting there looking like a fool as the Drs inform me that there is a high possibility that the cancer has spread to my bones – specifically my spine – and to my chest cavity.

what…?

Dr Burzynski looks at me and says “surely you knew, surely your Dr told you of this?”

what…?

So, as Mom and I are sitting there, we all go over the results of the initial PET scan, the one that Dr Keller had read to us.

* At least 6 lymph nodes affected, with a stew of 7-10.

* Multiple left axillary adenopathy with difuse scattered activity within multiple nodes.

* Abnormal tracer accumulation in the mediastinum predominate pretracheal and subcarinal regions suggestive of subtle metatastic adenopathy disease in this region.

* Minimal scattered activity within what appears to be either the EG junciton or the thoracic psine as previously noted consideration to bone scan may be of further benefit to evaluate for an subtle osseous metastasis.

* Minimal scattered activity in the region of the EG junction which is difficult to evaluate if this is esophagus versus osseous abnormality and correlation with bone scan is suggested.

The Burzynski Clinic Drs are amazed that we don’t know this information, that Dr Keller didn’t go over all this with us.

Bottom line:
* The lymph node activity is much more than “2″ that Keller had told us.
* There is suggestion that the cancer may have spread to my bones and perhaps to my chest cavity.
* Several times in the report, the Radiologist suggest a bone scan – nothing was said by Keller.

Further tests are Definitely needed.

Keller simply neglected to mention this information to us…

Lovely.

Needless to say, I’m in a Total State of Shock…

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