Saturday, February 10, 2018

ENCORE #81!: Take Tamoxifen for TEN Years Instead of Five!


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 March of 2015.

One of my favorite movies is GALAXY QUEST.

In it, characters from a defunct STAR TREK-act-alike TV show are thrown into a real world alien conflict and expected to be the parts they acted…

At one point, Sigourney Weaver (who plays Gwen DeMarco who plays Lt. Tawny Madison) and Tim Allen (who plays Jason Nesmith who plays Captain Peter Quincy Taggart) have to cross through metal chompy crusher things and then run over a one-foot wide bridge that passes over an endlessly deep hole that is windy…all while aliens are trying to kill them with phasers.

Sigourney Weaver stops and utters an expletive that is VOCALIZED as “Screw this! The sucker who wrote this scene should die!” If you watch her lips, she utters quite a different expletive…

After hearing my wife’s reaction to the recommendation by the American Association of Cancer Research, I might have heard one expletive – but I’m pretty sure the one she was thinking was akin to the one in GALAXY QUEST.

Why?

First: What does tamoxifen do? Some breast cancer cells require estrogen to grow. Estrogen locks on to a cancer cell in certain places and helps it grow. When a person takes Tamoxifen, it’s broken up into parts that lock into the same places that estrogen does – but they STOP the cancer cell from growing. “…tamoxifen acts like a key broken off in the lock that prevents any other key from being inserted, preventing estrogen from binding to its receptor.”

There is also a second  methodology for treating breast cancer that is NOT being changed at this time and that is the use of aromatase inhibitors that work by stopping the production of estrogen. [This is the drug regimen my wife is following at present]: Anastrazole is called an aromatase inhibitor whose primary problem is that it weakens bone structure; though it CAN cause: “Constipation, diarrhea, nausea, vomiting, upset stomach, loss of appetite, body aches and pains, breast swelling/tenderness/pain, headache, dry mouth, scratchy throat, increased cough, dizziness, trouble sleeping, tiredness/weakness, hot flashes/hot flushes, vaginal bleeding, hair thinning, and weight change can occur…mental/mood changes, numbness/tingling/swelling of the hands or feet, persistent cough, unusual vaginal discharge/burning/itching/odor, unusually stiff muscles, pain/redness/swelling of the arms or legs, vision changes, bone pain, bone fracture, signs of infection…”; Letrozole can cause “hot flashes, hair loss, joint/bone/muscle pain, tiredness, unusual sweating, nausea, diarrhea, dizziness, sleeping trouble, (unlikely) bone fractures, mental/mood changes, swelling of arms/legs, blurred vision…(rarely) blood clots.”

Any time a drug is taken, its purpose is to change the body in some way – INTENTIONALLY for the better, but there are almost always side effects. With tamoxifen, the main ones are: hypercalcemia (A higher-than-normal level of calcium in the blood [causing] loss of appetite, nausea, thirst, fatigue, muscle weakness, restlessness, and confusion…constipation, form a heart block, lead to calcium stones in the urinary tract, impair kidney function, and interfere with the absorption of iron)…as well as causing “hot flashes, nausea, leg cramps, muscle aches, hair thinning, or headache…(unlikely) vision changes (e.g., blurred vision), eye pain, easy bruising/bleeding, mental/mood changes, swelling of ankles/feet, unusual tiredness.”

While it is TRUE that taking tamoxifen DOES lower the risk of breast cancer recurrence, it seems to me that researchers should CONTINUE to find new ways of dealing with this devastating disease!


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