Saturday, June 27, 2015

ENCORE #15! – Adriamycin!!! What’s It DO???




http://voluume.fr/wp-content/uploads/2012/05/Encore-Sessions.jpg

From the first moment my wife discovered she had breast cancer, there was a deafening silence from the men I know. Even ones whose wives, mothers or girlfriends had breast cancer seemed to have received a gag order from some Central Cancer Command and did little more than mumble about the experience. Not one to shut up for any known reason, I started this blog…That was four years ago – as time passed, people searching for answers stumbled across my blog and checked out what I had to say. The following entry appeared in October 2011…

Though I talked very briefly some time ago about what the various chemotherapy drugs that my wife was treated with were “for”, I never really went into any kind of detail.

Now that chemo is “over”, I wanted to explore what some of the long-term and lasting effects of the treatment are. Because she reached that time – what with the odd numbing of her upper lip, the incision pains, swollen ankles and dry skin, I’d like to know which of those things is chemo-derived and which ones are not.

So we’ll g0 here next:

Adriamycin is the “second” drug of the cocktail she was force fed through the tubes and into her port every three weeks for six months. At first we called it the “red devil” because it WAS red and delivered in two, brat-thick syringes attached to the port tube. The nurse always came dressed in surgical gown, goggles, gloves and a mask – because getting Adriamycin on your skin could cause BLISTERING. (“And you’re injecting that into my wife because…”

 This all came clear after research:

“In the 50s, an Italian research company was trying to find anticancer compounds from germs that live in the ground. They found one that was promising in an area surrounding the Castel del Monte, a 13th century castle. A germ that was related to the common “strep” bug and was bright red worked in trials against certain kinds of cancer tumors. Some French researchers discovered the same kind of compound that the strep germ made, so they combined the name of an ancient tribe that had lived near the castle and the French word for ruby red and came up with the name of the compound: Dauno-rubicin.

They tested it against leukemia (blood cancer) and lymphoma (lymph node cancer) and it worked – but they found that it also damage the heart.

They tried mutating it and they got another, related drug that worked as well, but wasn’t so damaging to the heart. They named this new compound Adriamycin, after the Adriatic Sea. The name was later changed to “doxorubicin” to conform to the established naming habits of the drug and chemical industry.

Adriamycin acts by jamming itself in between pieces of DNA in cancer cells. Any cell needs to make new DNA to make new cells. Adriamycin messes up the work of an enzyme that uncoils DNA so it can copy itself – it forces the DNA to stay open so it can’t close up and start splitting the cell to make new ones. The original cells age, then die, never having made any new baby cancer cells to continue the destruction of a human being.

But Adriamycin is DANGEROUS. Aside from the usual nausea, vomiting, and irregular heartbeats, it can also kill white blood cells (that’s why my wife got a Neulasta shot the day after chemo), as well as causing complete hair loss. “A more mild side effect is discoloration of the urine, which can turn bright red for up to 48 hours after dosing.” (My daughter wrote about this one in her first or second blog post, “Toxic Pee”: http://twenty.o-my-soul.net/?p=24). From a Georgia Tech manual for handling toxic compounds, we find this:

“Doxorubicin (trade name Adriamycin)…is a mutagen, carcinogen, and teratogen, and is highly irritating to the eyes, skin, mucous membranes and upper respiratory tract.  Statistically significant…genetic damage have been reported in hospital pharmacists and nurses exposed to [it].  The toxic effects of doxorubicin may be experienced if swallowed, inhaled, ingested or exposed to the skin.”

Sheesh! No wonder the whole scenario creeped us out!

So besides slaughtering cancer cells, what’s the “rest of the story”? Grave indeed – “the risks of developing cardiac side effects…dramatically increase.” Doxorubicin makes the mitochondria (the place that makes the power to run a cell) in the heart muscles less able to make ATP – which is the energy used to run a cell: less energy, less strength for beating. Also, when Adriamycin reacts with the iron in blood, it can damage the heart cells, causing the fibers that tighten and loosen (making the heart beat) to disappear as well as eating holes in the cell’s jelly-like insides. Also, some patients may have weeping sores on the palms of the hand or soles of the feet, swelling, pain and a rash-like reddening of the skin – sometimes making the skin or hair a different color.

So there you go – a brief but chilling rundown of what THIS drug does to your beloved…

Saturday, June 20, 2015

BREAST CANCER RESEARCH RIGHT NOW! #34: Urine Test May Detect Early Signs of Breast Cancer!


http://www.bio.davidson.edu/genomics/2006/martens/microarray.jpg
From the first moment my wife discovered she had breast cancer, there was a deafening silence from the men I know. Even ones whose wives, mothers or girlfriends had breast cancer seemed to have received a gag order from some Central Cancer Command and did little more than mumble about the experience. Not one to shut up for any known reason, I started this blog…

Every month, I’ll be highlighting breast cancer research that is going on RIGHT NOW! Harvested from different websites, journals and podcasts, I’ll translate them into understandable English and share them with you. Today: http://www.biomedcentral.com/1471-2407/15/193

In Germany, a team of doctors at the Department of Obstetrics and Gynecology, University Medical Center (Freiburg) have applied for a patent for a method they discovered for simplifying the detection of breast cancer in a urine sample.

With half a million women dying from breast cancer world-wide, the effectiveness of early intervention and treatment, and “Up to now, doctors have made the diagnosis by mammography or ultrasound and confirmed it with tissue samples...methods [that] have been subject to recurring criticism due to radiation exposure, erroneous results, and the fact that they involve an invasive intervention,” the possibility of reaching more women, faster, and cheaper is very much a “golden ring” in breast cancer research.

While the test was small (24 women without breast cancer, and 24 women with stage 1, 2, or 3 breast cancer), the test was able to correctly determine whether or not breast cancer was present 91% of the time. Further testing is being planned even as I write this.

How does it find evidence of breast cancer?

By highlighting certain parts of a cell called “microRNA”. What’s that? In this case, “micro” refers to how small the piece of RNA is – 20 bits (or nucleotides) long. Not visible under a regular  microscope, for sure. But visible to tests designed to highlight them, absolutely. What’s RNA?

Most people know that DNA is the stuff in a cell that makes us who we are. My DNA coded for me being a Guy, blonde hair, blue eyes, and about six feet tall – as well as all sorts of other stuff.

When my cells split, especially while I was growing, a piece of RNA was made from the DNA of my cells. Then the RNA kicked in, helping in the process of making a protein. Proteins then transfer messages to cells – in the case of cancer, it directs the cell to grow without stopping. (If you’re REALLY interested in this, start with this article, then go to the Science Daily one, and then to the BioMedCentral Journal article.)

This microRNA then is floating around in the blood. It turns out that four of those kinds of microRNA are specific to breast cancer. It’s these bits that this new test has been able to identify.

Please note, this has only been successful in ONE trial. The methodology has to be developed into a real tool that ANYONE can use – in particular, the possibility of it being used in developing countries and that it does not require invading the body more than necessary is particularly hopeful!

But we HAVE TO WAIT!

With great hope.


Saturday, June 13, 2015

ENCORE #14! – Taxotere!!!! What’s it DO?


http://voluume.fr/wp-content/uploads/2012/05/Encore-Sessions.jpg
From the first moment my wife discovered she had breast cancer, there was a deafening silence from the men I know. Even ones whose wives, mothers or girlfriends had breast cancer seemed to have received a gag order from some Central Cancer Command and did little more than mumble about the experience. Not one to shut up for any known reason, I started this blog…That was four years ago – as time passed, people searching for answers stumbled across my blog and checked out what I had to say. The following entry appeared in October of 2011.

Though I talked very briefly some time ago about what the various chemotherapy drugs that my wife was treated with were “for”, I never really went into any kind of detail.

Now that chemo is “over”, I wanted to explore what some of the long-term and lasting effects of the treatment are. Because she reached that time – what with the odd numbing of her upper lip, the incision pains, swollen ankles and dry skin, I’d like to know which of those things is chemo-derived and which ones are not.

So we’ll start here:

Taxotere:  (This is the “brand name” drug, its generic name is docetaxel) anti-mitotic chemotherapy medication (that is, it interferes with cell division). This is the “simple” answer I gave on May 7 (http://breastcancerreaper.blogspot.com/2011/05/bust-drug.html). But what exactly does it do and does it have long-term side-effects and any OTHER impact on the Human body?


“You may have a higher risk of developing certain serious side effects such as low levels of certain types of blood cells, severe mouth sores, severe skin reactions, and death. Docetaxel injection may cause low levels of white blood cells in the blood…fever, chills, sore throat, or other signs of infection…serious or life-threatening fluid retention. Fluid retention does not usually start immediately, and most commonly occurs around the fifth dosing cycle. If you experience any of the following symptoms, call your doctor immediately: swelling of the hands, feet, ankles, or lower legs; weight gain; shortness of breath; chest pain;cough; hiccups; rapid breathing; fainting; lightheadedness; swelling of the stomach area; pale, grayish skin; or pounding heartbeat…nausea, vomiting, diarrhea, constipation, changes in taste, extreme tiredness, muscle, joint, or bone pain, hair loss, nail changes, increased eye tearing, sores in the mouth and throat, redness, dryness, or swelling at the site where the medication was injected, blistering skin, numbness, tingling, or burning sensation in the hands or feet, weakness in the hands and feet, unusual bleeding or bruising, nosebleeds.”

OK – yes to some of those, no to lots of them.

From Wikipedia Taxotere:

“Docetaxel is partly-synthetic copy of Taxol, an extract from the bark of the rare Pacific yew tree. Due to scarcity of the tree, Taxotere was extracted from the common European yew tree.”

“Docetaxel is a white powder and is the active ingredient in Taxotere. The solution is a clear brown-yellow…a single dose contains ethanol, saline, sodium chloride or glucose for administration plus polysorbate 80…vials may be stored for 24 months below 25°C away from light.”
“The cell-killing activity of docetaxel promotes and stabilizes microtubule assembly (microtubules make up the cell structure called a “spindle” – it’s that happens when cells divide. It also prevents microtubule disassembly in the absence of GTP. This leads to a significant decrease in free tubulin, needed for microtubule formation and results in inhibition of mitotic cell division between metaphase and anaphase, preventing further cancer cells from forming. Because microtubules do not disassemble in the presence of docetaxel, they accumulate inside the cell and cause initiation of cell suicide (apoptosis).”

“Docetaxel is a chemotherapy drug and is a cell killing compound and so is effectively a biologically damaging drug...docetaxel is toxic to all dividing cells in the body. This includes tumour cells as well as hair follicles, bone marrow and other germ cells.”

Saturday, June 6, 2015

GUY’S GOTTA TALK ABOUT #15...FOUR Years Ago...


From the first moment my wife discovered she had breast cancer, there was a deafening silence from the men I know. Even ones whose wives, mothers or girlfriends had breast cancer seemed to have received a gag order from some Central Cancer Command and did little more than mumble about the experience. Not one to shut up for any known reason, I started this blog…

Four years ago, I wrote this:

“I was getting ready to talk about how exercise can help in breast cancer recovery when I realized that this is my 52nd blog entry.

“I realized that there are 52 weeks in a year.

“I realized that I’ve been doing this for a YEAR…

“How did that happen?

“Hang on, let me focus here, because it doesn’t seem possible that a year has passed since my wife’s breast cancer diagnosis.

“How did we get here?

“Baby steps. Tiny steps. Setbacks. Leaps ahead. Nightmarishly hard work. Not by me. I was benched. Unable to do a single thing but cheer the team on. Hold my wife’s hand. Talk to doctors.

“Be as useless as a third wheel on a unicycle.

“This has been a year of standing aside. That sense of being sidelined is what started me writing this blog. I wasn’t necessary for any of the procedures, the administration of meds, the planning – and it certainly wasn’t necessary for me to “endure” or “be strong”. All of those things were required of my wife, the doctors, nurses, the hospital staff, oncology researchers, drug manufacturers, health clinics, insurance companies, companies that pay the health insurance premiums, God the Father, Son and Holy Spirit, prayer warriors. These were all essential things in my wife’s struggle against breast cancer.

“I was not.

“In all my life, this was perhaps the hardest thing I have ever experienced.

“I know, you WEEP for me, right? The sarcastic and entirely justified reply – is ‘Oh, poor you!’

“I feel like a little four-year-old standing in a corner, stomping his foot in frustration and crying out, ‘What about ME?’

“Lest you see me in any worse of a third-wheel light, let me say that this blog, talking with others and living a humble, invisible life has grown me into a new person. A better person.

“Someone I would  never had become had it not been for the past 52 weeks.

“I’m going to leave it at that right now, but as I begin to come out of my closet and look at the ‘new me’, I’ll be writing a few entries about it. So stay tuned. The next 52 weeks should prove to be interesting, too.”

TODAY: They were interesting. The following 104 after that were, too. What I have discovered though, is that the “doctors, nurses, the hospital staff, oncology researchers, drug manufacturers, health clinics, insurance companies, companies that pay the health insurance premiums, God the Father, Son and Holy Spirit, prayer warriors. These were all essential things in my wife’s struggle against breast cancer” WERE absolutely essential.

But they’re all gone now. The furor died as the hospital visits tapered off, and now all of the above are gone – and I’m the only one left.

So for those of you who are at the beginning of the game and feel side-lined, that’s only for a season. Maybe even two. But your commitment isn’t one as a “superstar” or MVP; yours is in the role of a Chris Donley: “A Vikings season-ticket holder for 35 years, Chris Donley grew up in Minneapolis…Donley initially was diagnosed with renal kidney failure on Sept. 12, 2012 [and died September 9, 2013].” A lifelong fan. Unpaid. Unsung. “Just there.” For as long as you can be.

Yeah. I’d use that cheesy emoticon grin, but if you’re reading this, you most likely know what I mean...