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Access
to Reliable Tests of
Treatment Progress
It is imperative that you have access to diagnostic testing
to evaluate the success of the treatment. If you go the alternative
treatment route, be sure you have chosen, or have access to, an
open-minded doctor who is willing to work with you and order tests.
This can save you work and suffering later. If conventional treatment
fails and you want to try an alternative approach, some doctors
will just outright drop you (unconscionable, but true). More doctors
are becoming honest about the limits of what they can do and good
doctors are willing to help you fight for your life in whatever
way they can. Testing can be as simple as ultrasound for some
tumors, and cancer markers for others. Conventional science excels
at this. Beware of tests used by the provider of an alternative
treatment. Ideally, you want independent testing. You want to
have established a baseline that determines the status of your
cancer before treatment. You then can have the test redone after
a course of treatment to see if the alternative is working.
Testing
A variety of tests are used to establish a baseline of the extent
of your cancer that can be used to monitor the response of your
cancer to treatment. Testing includes imaging technologies like
x-ray, ultra sound, magnetic resonance imaging (MRI), computed
tomography (CT), computerized axial tomography (CAT) and nuclear
scanning. X-ray technology has progressed to the point where there
is relatively little radiation exposure to the patient, as opposed
to some of the other imaging methods. Many proponents of complementary
medicine discourage the repeated use of x-ray and other imaging
methods that require radiation to detect the presence or progress
of cancer. There is debate over what if any negative effects this
exposure has. Possibly of more importance to those using alternatives
is the need to determine if the therapy or therapies they are
using are working. If there are no other tests, my personal belief
is that it is more important to know if the treatment is working
than to avoid exposure from x-rays. Some of the other forms, like
CT require greater radiation exposure and questions regarding
it's effects on DNA make this choice more difficult. MRI uses
radiowaves and magnetic field to produce highly detailed pictures
with no known risk to the patient. Ultrasound uses high frequency
sound waves which are also not toxic but the quality of the images
and their usefulness depend greatly on the skill of the persons
administering and interpreting the tests. Imaging methods require
the tumor be of a size that can be "seen" by the technology.
There are blood tests for some cancers that can detect the presence
of cancer in the body even if it is not detectable as a tumor
mass. Tests that are used in detecting presence of cancer with
varying degrees of reliability include:
-the CA125 test for ovarian,
-the PSA test for prostate cancer,
-CEA for colon rectal, testicular and breast cancer, and
-CA 15-3 for breast cancer.
Often which tests doctors order are determined by what is available
at their hospital. Asking your doctor, and your second opinion
physician, what are the best tests for repeated evaluations of
the sources of your treatment, regardless of where they are available
from. Also remember to be sure and ask your doctors if they would
please be willing to continue to monitor your progress with testing
if you decide to go the alternative or complementary route. If
both your primary and second opinion physician say no, I strongly
recommend finding a physician who will.
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