Month: January 2014

Navigating the Cancer Maze with Dr Francis Seow Choen| Exploring InterStim TM Therapy Singapore

If you heard the the interview with Dr Francis Seow Choen on Navigating the Cancer Maze last week – you may remember him mentioning some of the special surgical & technological techniques practiced at the Fortis Surgical Hospital Singapore. One of those therapies is InterStimTM Therapy also know as sacro neuro-modulation. This is the technique I successfully underwent in Holland in 2002-03 which was a world first for my condition.

Part 2 Interview with Dr Francis Seow Choen: Exploring InterStim TM Therapy
Resource: Colorectal solutions – not only for cancer patients!

One of Modern Technological Miracle treatments – yet no one is quite sure exactly why/how  it works. But without InterStimTM Therapy – I would not be here writing this blog ! More patients need to know about this technique as it can be a solution for urinary and faecal incontinence as well as chronic constipation. Many of these issues can be caused by disturbance or damage to the pelvic nerve pathways.

If you heard the the interview with Dr Francis Seow Choen on Navigating the Cancer Maze last week – you may remember him mentioning some of the special surgical & technological techniques practiced at the Fortis Surgical Hospital Singapore. One of those therapies is InterStimTM Therapy also know as sacro neuro-modulation. This is the technique I successfully underwent in Holland in 2002-03 which was a world first for my condition.

After successful interstim replacement Singapore 2009
After successful interstim replacement Singapore 2009 Grace, Pip and Dr Seow Choen

 There are all kinds of reasons why the nerve supply to the anus and rectum can be disturbed. In my case it was a sudden and unexpected post surgical complication after a hysterectomy for a simple prolapse repair. When this nerve disturbance occurs, one can’t perform the natural daily function of defecation  – it changes life substantially!!  Having had 5 feet of damaged colon removed and 5 feet of small intestine removed – caused by impaction, As Dr Seow Choen discussed on the show, the solution for most patients is to have a surgery that makes an anus on the abdomen ( called a stoma) – where a bag is attached to collect faeces. ( This can either be an ileostomy or colostomy). For some patients this can be a solution – but for many others like myself – it can mean a deterioration of life quality, painful burns on the abdomen, herniation of the stoma area and in the case of ileostomies – the socially embarrassing issues of leaking or exploding bags! Being the first patient for InterStimTM Therapy – the surgery was extensive and invasive…but no complaints –  it gave me my life back! Now 11 years later the procedure is simplified and the devices are smaller. I have had 2 devices so far and will have a replacement sometime in the next 6 months. (Because for me the battery expires as the devices needs to run on a relatively high voltage constantly) Not the case for everyone. More information – contact http://www.fortissurgicalhospital.com/our-services/interstim-therapy

What is InterStimTM therapy?

InterStimTM Therapy is an innovative treatment option for urinary and fecal incontinence. It is also used to treat constipation. InterStimTM therapy uses mild electrical impulses to stimulate sacral nerves and thereby restore the function of the bladder, bowel and external urinal and anal sphincter pathways.

This is known as sacral neuromodulation (SNM) or sacral nerve stimulation (SNS) and is a long lasting, reversible treatment that can be used effectively to treat selected patients with bladder and/or bowel dysfunction.

How does InterStimTM work?
Interstim fortiscolo rectal hospital Prof Seow Choen
InterstimTM

Low-intensity electrical impulses are generated by an implantable neurostimulator INS, and delivered via a conducting electrode to one of the sacral nerves.

Treatment with InterStimTM Therapy

Patients likely to respond to treatment are selected through test stimulation. Following successful testing, (>50% improvement in symptoms) patients are recommended for permanent implant.

The test stimulation takes place over several days. A thin flexible wire is inserted, under local anaesthetic, close the sacral nerves. This is taped to the skin and connected to a small external stimulator worn on the waistband.

Following a successful trial a permanent implant can be fitted, also under local anaesthetic, in the upper buttock. Once in place the neurostimulator is activated, sending mild electrical pulses to the sacral nerve. This can be adjusted for each patient, initially by the doctor, but also by the patient using a programmer (similar to a remote control).

Why was InterStimTM Therapy developed?

Treatment options in both urinary and faecal incontinence are recognized as limited, with many patients unable to achieve good symptom control with pharmacological interventions alone.

Patients’ lives are severely affected, with frequent reporting of depression, low self-esteem and restricted daily activities.

What are the patient benefits?

Sacral neuromodulation (SNM) is a long-term treatment for patients with either urinary or faecal incontinence, and for those with double incontinence.

  • After more than five years of follow-up nearly 75% of patients with fecal incontinence maintained at least a 50% improvement.1
  • Its benefit is not limited to improvement in symptoms; quality of life (QoL) also increases significantly.
  • Its efficacy has been demonstrated in both single and multicentre prospective studies.1

Experts recognize its wide range of applications, its potential as a minimally invasive technique with a very low risk of complications,2 and as a cost-effective treatment option.3-5

INTEGRATED AND COMPREHENSIVE THERAPY

At Fortis Surgical Hospital, we offer an integrated programme with the complete spectrum of treatments required for our patients.

WHO IS SUITABLE FOR INTERSTIM TM THERAPY?

This therapy is an option for patients who have not had success with, or could not tolerate more conservative treatments such as oral medication, physical therapy and diet modification. All patients will have to undergo the trial assessment to confirm their suitability.

SOURCE: http://www.fortissurgicalhospital.com/our-services/interstim-therapy
Reference:  incontinence. Br J Surg. 2006 Nov;93(11):1411-7

Listen to Dr Francis Seow Choen on Navigating the Cancer Maze – Voice America.

http://www.voiceamerica.com/episode/75467/navigating-the-cancer-maze-with-professor-francis-seow-choen-the-journey-from-cancer-patient-to

Navigating the Cancer Maze with Professor Francis Seow Choen|The Journey from Cancer Patient to Famous Colorectal Surgeon

Dr Francis Seow Choen is a medical miracle – he recovered from major surgery for a cancer in his small intestine; and as a 7 year old and faced a horrendous 6 months of radiation treatment and chemotherapy way back in 1964 when treatments were very harsh. A survivor and now world famous colorectal surgeon he breaks a lot of myths that surround colorectal cancer. In his life and Practice he is a seeker of truth for the public well-being when it comes to cancer and cancer prevention and cure claims.


Navigating the Cancer Maze with Professor Francis Seow Choen / The Journey from Cancer Patient to Famous Colorectal Surgeon…Part 1.

PROFESSOR FRANCIS SEOW CHOEN“Surgery is not just science. Surgery is an art. One can learn about science from courses, conferences and books. In art, one has to have talent first and then seek out a master who can bring that skill to perfection.”    Prof Seow-Choen

Dr Francis Seow Choen is a medical miracle – he recovered from major surgery for a cancer in his small intestine; and as a 7 year old and faced a horrendous 6 months of radiation treatment and chemotherapy way back in 1964 when treatments were very harsh. A survivor and now world famous colorectal surgeon he breaks a lot of myths that surround colorectal cancer. In his life and Practice he is a seeker of truth for the public well-being when it comes to cancer and cancer prevention and cure claims.

Although he is well published in Singapore as a social commentator on colorectal cancer prevention and treatments – it must be said that he has not used his cancer survival as a way of attracting followers – but rather, he has taken the scientific method path of research and a rigorous approach to best techniques for each individual patient.  VISIT:   http://www.fortissurgicalhospital.com

His views on lifestyle, in particular diet as a cancer prevention may surprise you – however after 40 years experience and as someone involved in lifestyle medicine in the early days of its promotion; I agree. Many of the patients I see as vegetarians, vegans, raw foodists and what I would call ‘healthy eaters’ who don’t smoke  and who are “tea-totallers” seem to get cancer at the same rate as everyone else. These patients often feel betrayed by lifestyle medicine that promised them a healthy disease-free life. This is complex – but Dr Seow Choen gives his views from a very experienced background. He believes that the key to working against  cancer is found in genetics and molecular studies. Dr Seow Choen is an avid educator in the field of colorectal diseases. He says right and truthful information, early diagnosis, right treatment, good support and the right doctor are keys to survival.

Below see eCard information from Navigating the Cancer Maze: To Listen to this inspiring and informative interview – select the link below

http://www.voiceamerica.com/episode/75467/navigating-the-cancer-maze-with-professor-francis-seow-choen-the-journey-from-cancer-patient-to

Today my special guest on Navigating the Cancer Maze is Dr Francis Seow-Choen from Singapore. As a little boy he became medically famous when diagnosed with Burkitt’s lymphoma; the first recorded case in Singapore. After diagnosis & an arduous 6 months that included surgery, chemotherapy and radiation treatment; he survived! He was just 7 years old.

Today, Dr Francis Seow-Choen is Medical Director and Senior Consultant at Fortis Colorectal Hospital in Singapore. He is an internationally recognised colorectal surgeon and had previously held posts as the Head and Senior Consultant – Department of Colorectal Surgery, Singapore General Hospital, Director of the Endoscopy Centre and Director of Surgical Oncology at the National Cancer Centre (see Guest profile). The professor is an ardent entomologist, husband, father and above all he is a surgeon & survivor who beat the odds and inspires others through his life and vocation.

Links and resources:

PHYSICIANS & GP’S:    The e-book for physicians and GP’s is titled Handbook on Colorectal Diseases, composed by the hospital’s Senior Consultants and invited writers, focuses on three key areas, namely:

  • The diagnosis and management of colorectal diseases in an outpatient context
  • Pathology and surgical procedures to enable appropriate counseling of patients
  • Relevant information to help Family Physicians make decisions on when to refer patients for further treatment

The e-book is now available for download on both iBooks and iTunes, in 51 territories including United States, Canada, United Kingdom, and Australia. Follow the link below to get a copy of the e-book today:
https://itunes.apple.com/us/book/handbook-on-colorectal-diseases/id677667082?mt=11

CONTACT: Fortis Colorectal  hospital Singapore website :     http://www.fortissurgicalhospital.com
Difficult cases and international patients accepted.

Learn and read more about Dr Francis Seow Choen:

http://www.colorectalcentre.com/eng/index.html

Article on eating and fibre intake: Dr Francis Seow Choen:

http://www.colorectalcentre.com/eng/fibre.html

http://www.sgh.com.sg/about-us/newsroom/News-Articles-Reports/Pages/HowbadisyourconstipationCheckyourstool.aspx

http://www.voiceamerica.com/episode/75467/navigating-the-cancer-maze-with-professor-francis-seow-choen-the-journey-from-cancer-patient-to

Background – Guest Page: Voice America Heath & Wellness Channel

http://www.voiceamerica.com/guest/19613/dr-francis-seow-choen

Navigating the Cancer Maze is presented each week as a free service to the global cancer community by the Grace Gawler Institute and anyone interested in the Truth in Medicine and Health. www.gracegawlerinstitute.com

Raw Versus Cooked for Cancer Patients with Gastrointestinal Cancer| Grace Gawler

It is not only what you eat; but what you can absorb. Is raw food better than cooked food? Is vegan better for cancer patients than fish and meat? What about raw vegan? Extreme diets often pair with extreme supplementation to make up for what’s missing…so how safe is that approach? What about juices and their value? What is the truth about diet and Cancer?

Navigating the Cancer Diet Maze Special needs for Colon and Liver Cancer

Listen on Voice America Health & Wellness Channel – free to download or available on streaming

It is not only what you eat; but what you can absorb. Is raw food better than cooked food? Is vegan better for cancer patients than fish and vegraw veganvegetarian? What about raw vegan? Extreme diets often pair with extreme supplementation to make up for what’s missing…so how safe is that approach? What about juices and their value?

Having gained a distinction in nutrition plus assisting cancer patients for 40 years has given me great insights….there is not much I haven’t seen cancer patients try with regards to dietary regimens and alternative medicine during those decades. Most often, the outcomes have been far from ideal. Maybe short term dietary experiments are OK if you are not ‘relying’ on the diet for curing cancer – but the main issue goes way beyond symptoms, such as rapid weight loss, because the most important thing is that cancer is time sensitive – you don’t have time to wait and see if the diet works in 3 or 6 months. The wait and see mentality is heavily criticized in conventional medical systems – but clearly it exists on both sides of the healing divide.

  • We live in an age where fashion fads and dietary fads change like the wind. With lifestyle medicine a cultural trend; a lot of long term dietary experimentation is going on at the cost of lives. Cancer patients often get swept up in the winds of dietary fads and before they know it, they are inside a culinary tornado that offers more stress; less peace of mind, confusion, social isolation, unnecessary weight loss and nutritional deficiencies…all from a so called nutrient dense diet that many cannot absorb.
    This I know from experience; in fact from 3 different roles in my life.:
    as carer of a cancer patient
    a qualified health professional
    and then as a patient
    Many others have experienced this – this website is a fascinating read!
    Resource # 1:  http://www.beyondveg.com/

So where does the truth lie for people just want to eat well? I think it lies in the middle of the road approach!

Cancer patients need to be careful that they are not buying in to an someone else’s ideological dietary regimens.

There is no cure cancer diet that I know of….and there is no one size fits all in the world of diet! But if you are a cancer patient and particularly if you have  colorectal or a gastrointestinal cancer – you need to be even more cautious.
What is the best way of eating for this specialised group?
The only way is to access a health practitioner who can help you with a personalised diet  based on results of functional pathology stool tests. Yes – your own stools hold the secret answer as to what you should eat and what you can absorb! Makes sense doesn’t it!

The best type of tests are those that require a stool sample collected over a 3 day period…
Why a 3 day period? As well as examining all the digestive functions and our end products…the 3 day test is far more accurate for detecting any parasite eggs from unwelcome intestinal hosts…this problem is more common that most people believe.

Some cancers such as cancer of the bile duct  (called cholangiocarcinoma)  is one example of a cancer known to be caused by a parasite – in this case – Chinese Liver fluke.
Resource # 2: Chart and references:  Parasites and Pathogens associated with cancer

Resource # 3: In Australia – to source a test ask your health practitioner to organize a Healthscope functional pathology test for digestion including a 3-day parasitology test. They have an excellent series of different tests – your practitioner can advise which one is best for you..

For stool testing in the USA & internationally – CONTACT
http://www.metametrix.com/test-menu/profiles/gastrointestinal-function/dna-stool-analysis-gi-effects

It is almost a given that patients with colorectal cancer will have had surgery to remove a segment or segments of colon affected by cancer. Depending on the length of the segment removed  –  type of diet and quantity of food should be adjusted accordingly.

Excess fibre and raw seeds and nuts and even raw foods  can become indigestible irritants causing inflammation and bloating to the patient who has had colorectal surgery….it can especially be a problem for the patient who loses a  significant portion of small intestine. Yours truly in one of those people!

Prior to my own surgery losing 5 ft of large colon and the same amount of small intestine; I was a prolific salad & raw food consumer – but I also ate a great deal of cooked vegetables and seafood – I think you would call me a Pescetarian…I had a diet that contained a good deal of dietary fibre- a good balance of cooked and raw foods. However after my surgeries– my gastro – intestinal tract was clearly traumatised and it took years to recover to a satisfactory degree.

Remember the saying………… it is not only what you eat – but what you can absorb…..this statement becomes a simple rule to live by and is especially important for those dealing with or those who have had colorectal cancer.

Now back to diet….. cooked vs raw…

Now I am interested in the work of primatologist Richard Wrangham…. his research claims that learning to cook food was the hinge Catching_Fire_-_How_Cooking_Made_Us_Human_(Profile_books)on which human evolution turned. Eating cooked food, he argues, enabled us to evolve our large brains, and cooking itself became a primary focus of human social activity — in short, cooking made us the social, intelligent, and sexual species we are today.

His book –  Catching Fire: How Cooking Made Us Human is available on Amazon..

From the book’s promo:
Contrary to the dogmas of raw-foods enthusiasts, cooked cuisine was central to the biological and social evolution of humanity, argues this fascinating study. Harvard biological anthropologist Wrangham dates the breakthrough in human evolution to a moment 1.8 million years ago, when, he conjectures, our forebears tamed fire and began cooking.

Starting with Homo erectus—who should perhaps be renamed Homo gastronomicus—these innovations drove anatomical and physiological changes that make us adapted to eating cooked food the way cows are adapted to eating grass. By making food more digestible and easier to extract energy from, Wrangham reasons, cooking enabled hominids’ jaws, teeth and guts to shrink, freeing up calories to fuel their expanding brains. It also gave rise to pair bonding and table manners, and liberated mankind from the drudgery of excessive chewing (while chaining womankind to the stove). Wrangham’s lucid, accessible treatise ranges across nutritional science, palaeontology and studies of ape behaviour and hunter-gatherer societies; the result is a tour de force of natural history and a profound analysis of cooking’s role in daily life. More than that, Wrangham offers a provocative take on evolution—suggesting that, rather than humans creating civilized technology, civilized technology created us.
http://www.amazon.com/Catching-Fire-Cooking-Made-Human/dp/1469298708

Listen on Voice America Health & Wellness Channel – free to download or available on streaming
http://www.voiceamerica.com/episode/75179/navigating-the-cancer-diet-maze-special-needs-for-colon-and-liver-cancer

Thanks for visiting…..More on this thought provoking topic in next blog-soon: Enjoy!  Grace