Lung Cancer: Part 1 – An Outstanding Survivor

Language: Hokkien 

Sunday night, 18 November 2012 was a special night for us at CA Care Penang. Sujo, his wife and daughter came for a visit! We never thought we would see this patient again. The last time we saw him was in February 2011. Almost 2 years! We praise God for his blessings.
Briefly, Sujo was 58 years old when he came to see us. He is from Indonesia. Sometime in August 2010, he experienced breathlessness when climbing stairs. A CT scan in October 2010 indicated gross left pleural effusion associated with lung collapse. There was a lesion at T4 vertebral body associated with erosion. This means the cancer had spread to his bones.
The doctor taped out 2 litres of fluid from his lung. He was asked to go for chemotherapy, but he finally decided not to go ahead with the treatment. Instead, he came to CA Care.


Part 2 – Experience with Iressa & Tarceva While on CA Care Therapy

After encountering disaster after disaster, Sujo had no choice but to turn to the “cancer doctor” in his home town for help. Initially he was prescribed Iressa, which he took for 10 days and gave up due to the side effects. He then moved on to Tarceva.


Part 3 – Side Effects of Medical Treatment

In this video, you hear about (1) the side effects of surgery and (2) the side effects of Tarceva experienced by Sujo.


Part 4 – Can e-Therapy Help Him?

In general, when patients come and see us, they face two problems. One, they suffer the side effects of medical treatments (Part 3). We are expected to solve these problems for them. Two, we also have to take care of their cancer – by right our main concern. While the management of cancer takes place at home, we actively “work” with patients on their pain and physical issues.


Kidney Cancer: Two Oncologsit Two Opinions

Language: English / Hokkien

LC underwent an operation to remove his right kidney. His histopathology report on 19 August, 2011 indicated: papillary renal cell carcinoma, Stage 3, paracortical lymph node with tumour metastasis. LC and his family came to CA Care again on 11 September. Listen to our conversation.

Chemotherapy: Alimta & Avastin Nearly Killed Me

Language: English

Avastin belongs to the group of chemo-agents called the “Smart Bomb” or targeted drug. It is expensive and come with scary side effects. It is used with conventional chemo-drug for metastatic colorectal, non-small cell lung cancer, metastatic kidney cancer and glioblastoma (brain cancer).

Alimta is used in combination with conventional chemo-drug for the treatment of non-squamous non-small cell lung cancer and malignant pleural mesothelioma. It is not indicated for squamous cell lung cancer. Alimta comes with many side-effects.

Kidney Cancer: Metastasis to Lungs

Language : English

53 years old patient with Grade 2, Renal cell carcinoma. He underwent surgery but had no other follow up treatment. 7 years down the road, cancer metastasized to his lungs.



After 7 years, his cancer metastasized to his lungs. His oncologist prescribed Sutent which cost him RM18,000 per month. However he suffered intolerable side effects. His skin yellowed. He had diarrhea. His face was swollen. He had mouth and throat sores and lost his taste. He suffered hypertenstion and hand-foot syndrome. His skin started to peel. When the dose of Sutent was reduced, he suffered similar effects. There was so much pain that he was unable to stand up and walk. He told the oncologist: I am stopping Sutent. I might die because of the drug and not because of the cancer.


Evirolimus (Afinitor)

At first Sutent shrunk tumour but the side effects on patient was intolerable. Oncologist switched to Everolimus (Afinitor) that cost RM30,000 per month, i.e. RM1,000 / tablet / day. However, patient suffered side effects: ulceration of mouth with itchiness.