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Why Have Chemotherapy For Prostate?

I have a reputation for being "anti chemo". I'm not. Chemotherapy is an effective treatment for treatments for which it is effective.

If I had a high grade non-hodgkins lymphoma or a germ cell tumour, I would be first in the queue. But most chemotherapy is given for the prostate cancers, and often there is no good rationale for it. Second, third and fourth line chemo is generally counterproductive.

As with all other treatments, including surgery, radiotherapy and noni-juice, I suggest patients ask the following simple questions of however is suggesting the treatment:
1) Can it cure me?

if not
2) Can it make me live longer?

if not
3) Can it make my quality of life better?

and
4) Whatever the rationale, are the side-effects acceptable to me?


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-When deciding about chemotherapy each individual has to get the best advice he can from the oncologist about how the cancer will respond and what the statistics are and how bad the side effects might be. Then he has to make up his mind about whether the results are likely to be worth the treatment. We each have our own reasons for wanting to live a little longer. For instance a young person with children may see the slimmest chance as worth the effort while a widow(er) of 60 or 70 would very likely have a whole different perspective on things and not want treatment if the odds were relatively good. Don't forget that for many the side effects are quite tolerable. As a palliative care nurse I see people at the end stage of their disease when they really should be leaving chemotherapy behind. I have to keep reminding myself when posting to this group that patients who catch the cancer in it's earlier stages do often have a realistic chance of lengthy remission and even cure.

-As much as I hate to disagree with you, I do. What I posted was not advice, but a statement of conditions as they exist today.

Chemotherapy for some cancers offer complete cure (lifetime remission) while other cancers don't respond well at all.

My own cancer (prostate) is a slow growing cancer, and since almost all chemotherapy agents target fast growing cells, chemo for prostate cancer is at best a holding action, and almost never does it offer even a short remission, but simply a short lived control.

My other point about each of us being different, and while some of us experience tremendous side effects due to chemo agents, some of us have very few side effects.

About the only advice I give on this website is don't let the non-conventional purveyors of medical treatments perform a walletectomy.

What would your advice be? Take a Caribbean Cruse?

Don't regard this message as a "slam" on you, but I did have to take exception when what I offered was not really advice, and certainly not dangerous. I still believe that you are one of the bright shining stars of this website.

 


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