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Category Archives: Medical Services

Developments in Cancer Therapy

Written by Dr Armid Azadeh. MBChB (University of Cape Town), MPH (Johns Hopkins University).
Group Medical Director.  HEALTHEON Asia Pte Ltd 

If you have researched the Burzynski Clinic and Research Institute on the internet then I have no doubt that you have encountered very polarized opinions ranging from the avid supporter to the vehement sceptic. I would like to give you an overview of the treatment they offer and my personal perspective as to why we are collaborating with them.

The media and internet comments generally portray The Burzynski Clinic as an alternative cancer treatment facility. This is where the majority of the scepticism comes from I believe, as they have been lumped together with treatment modalities that truly have no scientific evidence. Burzynski has also been labelled as pseudo-science, in attempting to gain credibility in scientific eyes by publishing loads of poorly designed data. This is what formed the basis of my initial scepticism.

The buzz word in cancer therapy now is gene-targeted therapy. The largest oncology centres around the world are increasingly using gene targeted medication which is seen as the future of oncology, of which there are over 40 registered now I believe, in treating the various kinds of cancer that patients present with. Each medication has a particular indication for which it has gained FDA and other medicines control councils’ registration (so for example x drug is indicated for colon cancer with x gene marker). This is exactly what the Burzynski clinic has been doing, but to a greater degree, and with more individualized therapy.

Through my visit to the clinic and laboratory facilities, in meeting their team, and witnessing their approach to patient consultations and treatment regimens, I gained confidence in what they are offering. The vast majority of patients who walk in their doors have already undergone surgical resection, chemotherapy and radiotherapy and have either had poor responses or have had relapses. The team of oncologists consult together regarding each individual case and decide upon an investigation and then treatment plan.

The investigations include prior biopsy results analysis, further imaging, and further genetic marker testing on new biopsies if necessary. If the particular cancer displays a certain gene marker known to current science, then the most appropriate medication is prescribed. The majority of cases I witnessed in the clinic were prescribed gene targeted medication from the largest pharmaceutical companies in the world that are routinely used in MD Anderson for instance (the 40 odd that I mentioned previously). It must be noted however, that the team assembled at Burzynski is very much on the cutting edge of gene targeted research and as such do take it upon themselves to prescribe these drugs off-label if it be in the interest of the patient. So for instance a drug that has been registered for colon cancers displaying a particular gene marker, would be used off label for a liver cancer that has also displayed that gene. Patient responses are then actively monitored through gene marker testing in ascertaining whether there is a response to the medication, and thus decrease in the pathologic gene marker.

This entire aspect of the treatment regime of the Burzynski clinic which can be seen as mainstream but cutting edge cancer treatment is not questioned, as it is what the largest oncology centres around the world are employing and at times trying to replicate. What has brought all the scrutiny and negative professional opinion is the use of Antineoplastons, which is the “broad-spectrum” gene targeting medication discovered by Dr Burzynski. It is this medication that continues to be used under clinical trials.

This medication is reserved for patients with inoperable brainstem cancers for which FDA trials were conducted previously and are ongoing, since no other treatment modality exists. For patients who have come in after exhausting “conventional” treatments, and those that do not display any gene markers covered by the specific gene-targeting medication that exist, special FDA compassionate permission is applied for in utilizing Antineoplastons as a “final resort”, as there exists no other options. In these cases, permission is usually obtained and treatment is commenced. It is believed that these Antineoplastons can target over 100 of the cancer genes and is considered a broad-spectrum (shot-gun) approach when there are few other options. Burzynski believes in this drug and the research institute is continually trying to improve it, test it, and ultimately have it gain full registration. The documentaries have largely covered this struggle.

There was no instance in patient interactions where false hope was given. Each patient was treated with a respect and dignity that I generally fail to see in normal medical institutions. It is true that patients are usually desperate and often this is their last chance, but the impression that Antineoplastons are some miracle drug is not given and as such I am happy for us to continue working with the Burzynski clinic, moreso because of their overall approach to cancer treatment, and the results which they seem to be getting. I don’t know whether Antineoplastons truly work or not but I feel that it is irrelevant in the sense that it is considered an experimental drug and is treated as such by the Burzynski clinic, which employs cutting-edge individualized gene targeted therapy essentially.

I am happy to further discuss any aspects of the above that might be unclear.

Dr. Armid Azadeh

 
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Posted by on November 29, 2011 in Healthcare, Medical Services

 

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WedaBay Nickel

 

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Lanut Gold

 

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Gosowong Gold 2010

 

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Gold & Silver Mine, North Sumatra

A fresh site for me in North Sumatra. This time its a gold/silver mine situated an hours flight + 2 hours by car from Medan in a place called Martabe. The mine has had multiple owners over the last 6 years and its finally on track to start production.

The flight to and from from Medan was on Susi Air, a small passenger and cargo airline that has an interesting history. Started by Susie Pudjiastuti and her partner, it was originally formed to service her family’s seafood business. Since then it has grown and has a small fleet of new planes and they employ expatriate pilots. They have become known for being the training ground for Indonesian pilots before they are poached or are lured by the bigger airlines like Garuda and AirAsia.

The camp site itself reminded me of a mountain retreat. Clean, green and scenic. Most of the structures are temporary and use 20 and 40 foot containers. The accommodation facility reminded me of a Japanese capsule hotel.

Surprisingly, the food was excellent and was better than most of the sites I have already visited. The workforce agree and they seem to quite happy with where they are.

No helicopter ride this time, but a very scenic and unique flight experience back to Medan flying over Lake Toba. My colleague and I took the back seats and enjoyed the best leg room we’ve ever had. When we landed we saw an abandoned plane which we were glad wasn’t our interconnecting flight.

After visiting a local private hospital in Medan, I stayed the night at the Aryaduta hotel which is a luxury hotel but priced at a very affordable (corporate) rate. Highly recommended and the food, particularly Chinese, is excellent.

 

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Kalimantan (First site visit for 2010)

Here we go! My first site visit for 2010. This time its to Kalimantan (the island of Borneo) to see a mining construction contractor in Sangatta  and a number of other clients based in Balikpapan. Sangatta is on the east of the island and is the base for a large coal mining operation.

We get there by a Twin Otter plane from Balikpapan’s airport. The flight takes approx an hour and on this flight there happened to be a few too many ‘large’ passengers. This forced the airline to send our luggage on a separate flight as the plane was overweight.

Accommodation

The Clinic

Mine Pit Operations


The Moon Surface

 

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An Introduction

Whenever you find yourself on the side of the majority, it is time to reform. – Mark Twain”

Joe

Indonesia is full of adventure. From the abundant sights to see across the thousands of cities, towns and villages; to navigating entrepreneurial opportunities that require creativity, grit and perseverance. Indonesia has become my new home.

If you are interested in non-conformity, emerging markets, entrepreneurship, health, travel, scuba diving and adventure, I hope you’ll find this blog of interest. Do drop me a line, I do my best to respond to every message.

 

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Coal Mine Visits (Kalimantan June 2009)

Another trip to a client’s coal mining operations in Kalimantan for an audit of their medical facilities and an assessment of their new site that relies on sub contractors for medical services. As usual, I attend with either a doctor or a specialised auditor and meet with the client’s on site management team.

The first site is Sebuku which is in South Kalimantan (capital is Banjarmasin). The main natural resources in South Kalimantan are forest and coal. Coal deposits are found over almost the whole province, and in some places they are exploited commercially. Other minor resources are oil, gold, gem stones, quartz sand, phosphate and granite.

Airstrip near Sebuku

Charter Plane on Air Strip

The second site is Jembayan which is in East Kalimantan is the second largest Indonesian province, located on the Kalimantan region on the east of Borneo island. The resource-rich province has two major cities, Samarinda (the capital and a center for timber product) and Balikpapan (a petroleum center with oil refinery). Ever since Indonesia opened its mineral and natural resources for foreign investment in 1970s, East Kalimantan province has experienced major boost of timber, petroleum and other exotic forest products. The state-owned petroleum company Pertamina has been operating in the area since it took control oil refinery from the Royal Dutch Shell company in 1965.

Coal mine

 

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Gold Mine Visit (Halmahera Feb 2009)

My first remote site visit was to a gold mine on Halmahera Island, North Maluku.

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chopperview

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Nickel Mine Visit (Halmahera)

Wedabay is on Halmahera the largest island in the Maluku Islands. Halmahera is the site of several mining projects where my employer operates medical facilities.

It is part of the North Maluku province of Indonesia.  Halmahera’s fortunes have long been closely tied to those of the smaller islands of Ternate and Tidore, both off its west coast. These islands were both the sites of major kingdoms in the era before Dutch East India Company colonized the entire archipelago. During World War II, Halmahera was the site of a Japanese military base at Kao Bay.

Aerial view from incoming helicopter to site

wedabay

Dr Fanie & I checking out the beach

DrFannie and Joe

Dr. Willemese, Dr. Fanie & Government Doctor, nurse & Myself

DrYuni

Coaching our Medic Team

Running Drills

 

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