The Death of Cancer by Vincent T. Devita Jr. MD 癌症之死 由Vincent Devita Jr. MD撰写

Vincent T. Devita Jr. MD nd Elizabeth Devita-Raeburn (2015) The Death of Cancer, published by fsgbooks.com ISBN 978-0-374-13560-7 (Hardback cover)

From this book, you can learn the following:

How do oncologists including surgeons, radiotherapists, and chemo-therapists treat their patients?

1) Radiation and chemotherapy dosages are important for the odds of survival for a cancer patient. Dr. Devita found that higher doses are needed to “cure” a cancer. It is often that cancer centers do not use the optimal doses for a couple of reasons. First, they do not know the best optimal doses are. Every doctor may have his own definition of optimal dose. Second, even if they know what the optimal dose is, they would not use the optimal dose because optimal doses tend to be high dosages which would bring about too much side effects that patients would suffer. So doctors tend to use low doses which would more likely induce mutations that eventually lead to the development of second cancer. Secondary cancer or recurrent cancers tend to be more aggressive and resistant to drugs that were used to treat primary cancer. As a result, there is no longer any drug available to the patient to effectively treat him and the patient dies from the secondary cancer. Oncologists often use a universal dose for all cancer patients regardless of patients’ body weight or skin surface area.

2) Oncologists compete for cancer patients. Whoever first gets a cancer patient will treat the patient first. They do not consider the best outcome of the patient.

3) Not all cancer centers are equally equipped to treat all types of cancer. Not all oncologists are equally competent in providing the treatment of a particular type of cancer. Oncologists can make mistakes, and put their patients in grave danger because they can misdiagnose the disease or do not use treatments properly. Most cancer doctors may not be as competent.

4) The majority of oncologists may not care for their cancer patients. Only a very small number of oncologists would do whatever it takes to try to save them.

5) Surgery, radiation therapy and chemotherapy all can promote metastasis or spreading of cancer to distant organs or tissues. No surgery can remove all cancer cells. No radiation or chemotherapy medications may eliminate all cancerous cells.

6) Conventional treatments are not intended to cure any cancer. Oncologists do not use the word “cure” because they do not believe there is any cure for any cancer. The common terms is chemical remission, complete remission, long term survival. No doctors could guarantee that the treatment they use on a patient would result in any desired prognosis.

7) Cancer centers are not interested in developing any cure for any cancer. Oncologists may use substandard treatments that do not render any efficacy against a cancer. Universities have conducted tremendous amounts of basic research. But neither clinicians nor university professors have the motive to convert the basic findings into any treatments that can help cancer patients.

8) No treatment can kill 100% cancer cells. All treatments may lead to secondary cancer.

9) A treatment may get a cancer patient into remission, but the treatment itself such as radiation therapy and chemotherapy medication may generate secondary cancer, which will sooner or later come to kill the patient.

10) Treatments can be driven by monetary interest. Surgeons may do radical mastectomy even though lumpectomy provides the same outcome because radical mastectomy earns more money for doctors.

11) Oncologists may be more interested in defending themselves against law suits or maximizing their earnings than healing patients.

从本书中，您可以学到以下内容：

包括外科医生，放射治疗师和化学治疗师在内的肿瘤学家如何治疗患者？

1）放射线和化疗剂量对于癌症患者的生存几率很重要。德维塔博士发现，需要更大剂量来“治愈”癌症。癌症中心通常出于几个原因而没有使用最佳剂量。首先，他们不知道最佳的最佳剂量。每个医生可能都有自己的最佳剂量定义。其次，即使他们知道最佳剂量是什么，他们也不会使用最佳剂量，因为最佳剂量往往是高剂量，这将带来患者将遭受的太多副作用。因此，医生倾向于使用低剂量，这很可能导致突变，最终导致第二种癌症的发展。继发性癌症或复发性癌症往往更具侵略性，并且对用于治疗原发性癌症的药物具有抵抗力。结果，患者不再有任何药物可以有效治疗他，并且患者死于继发性癌症。肿瘤学家通常对所有癌症患者使用通用剂量，而不管患者的体重或皮肤表面积如何。

2）肿瘤学家争夺癌症患者。谁首先得了癌症患者，谁就会首先治疗该患者。他们没有考虑患者的最佳结局。

3）并非所有癌症中心都具备治疗所有类型癌症的平等装备。并非所有的肿瘤科医生都具有同样能力胜任特定类型癌症的治疗。肿瘤科医生可能会犯错，并使患者处于严重危险之中，因为他们可能会误诊疾病或未正确使用治疗方法。大多数癌症医生可能没有能力。

4）大多数肿瘤科医生可能不会照顾他们的癌症患者。只有极少数的肿瘤科医生会尽一切努力来挽救他们。

5）外科手术，放射疗法和化学疗法均可促进癌症向远处器官或组织的转移或扩散。没有手术可以清除所有癌细胞。没有放射线或化学疗法药物可以消除所有癌细胞。

6）传统疗法并非旨在治愈任何癌症。肿瘤科医生不使用“治愈”一词，因为他们认为任何癌症都无法治愈。常用术语是化学缓解，完全缓解，长期生存。没有医生可以保证他们对患者进行的治疗会导致任何期望的预后。

7）癌症中心对开发治疗任何癌症的方法不感兴趣。肿瘤科医生可能会使用对癌症没有任何功效的不合标准的治疗方法。大学进行了大量的基础研究。但是，临床医生和大学教授都没有动机将基本发现转化为任何可以帮助癌症患者的治疗方法。

8）没有治疗方法可以杀死100％的癌细胞。所有治疗均可能导致继发性癌症。

9）一种治疗可能会使癌症患者缓解，但是诸如放射疗法和化学疗法之类的治疗本身可能会产生继发性癌症，迟早会杀死该患者。

10）治疗可以由金钱利益驱动。即使乳房切除术提供相同的结果，外科医生也可以进行根治性乳房切除术，因为根治性乳房切除术为医生赚取了更多的钱。

11）肿瘤学家可能比康复患者更感兴趣于为自己辩护以抗诉讼或使他们的收入最大化。