Killing Cancer By Retraining the Patient's Immune System
An anonymous reader writes "There's an interesting story on CNN about the University of Pennsylvania's human trial results on curing intractable cancer by retraining the patient's own immune system. Quoting: 'Nick Wilkins was diagnosed with leukemia when he was 4 years old, and when the cancer kept bouncing back, impervious to all the different treatments the doctors tried, his father sat him down for a talk. John Wilkins explained to Nick, who was by then 14, that doctors had tried chemotherapy, radiation, even a bone marrow transplant from his sister. ... A few months later, Nick traveled from his home in Virginia to Philadelphia to become a part of the experiment. This new therapy was decidedly different from the treatments he'd received before: Instead of attacking his cancer with poisons like chemotherapy and radiation, the Philadelphia doctors taught Nick's own immune cells to become more adept at killing the cancer. Two months later, he emerged cancer-free. It's been six months since Nick, now 15, received the personalized cell therapy, and doctors still can find no trace of leukemia in his system. ... Twenty-one other young people received the same treatment at The Children's Hospital of Philadelphia, and 18 of them, like Nick, went into complete remission -- one of them has been disease-free for 20 months.'"
AIDS
You're correct about the fact that the term "cancer-free" essentially means "we can't detect very small numbers of cells" in common-sense English, but the fact remains that this therapy (which isn't exactly news, BTW) leaves a large persistent population or cancer-killing modified leukocytes in a patient's body even after a period of over a year, and reappearance of large numbers of cancer cells simply doesn't seem likely under these circumstances.
Ezekiel 23:20
Why do I even bother responding to this nonsense.
Cancer gets cured about once a decade, sometimes by real doctors, sometimes by "quacks." I could show stats from real doctors with similar results to this one, which never saw the light of day once it was discovered (or rediscovered).
Please, do show us the stats. I get tired of the false meme that "oh, we would have cured disease X already if the results weren't being suppressed in a big conspiracy"! Medical research is hard work, and frustrating. Not only do you have to cure the disease in the test tube, but then you have to cure the disease in a living patient, and make sure it doesn't do something equally or more horrible to the patient in the process.
On top of that, the public has been oblivious to the fact that real progress in cancer treatment, and yes, even cures, are being made. Many leukemias and lymphomas are now curable through chemotherapy and radiation. This boy in the article is in the small minority that standard treatment did not work. Solid tumor cancers are getting better early detection and treatment. Mortality from many cancers has been dropping over the last 2 decades. What was once usually a consistent death sentence doesn't have to be.
People don't actually like creativity, even in medicine:
http://www.slate.com/articles/health_and_science/science/2013/12/creativity_is_rejected_teachers_and_bosses_don_t_value_out_of_the_box_thinking.html
In medicine, innovative things happen all the time. When *you* go to the doctor, you get the same ol' thing that has been done since 1952.
Most of us physicians try to live up to our creed: "First, do no harm." This includes not jumping to try every crazy-ass, untested treatment that some would-be genius cooked up and put in a syringe on the patients under our charge, if there are other treatment options that are still available. And here's a crazy thought: some diseases are better off untreated. I have an 85 year-old with dementia that was recently diagnosed with a lung tumor, likely malignant cancer but slow growing. Am I going to recommend putting her under general anesthesia, the knife, follow-up chemotherapy and possible radiation? Hell no.
If you truly think the standard of care in medicine is the same as 1952, I invite you, when you get sick, to turn down any or all recommendations for an MRI or a CAT scan. No heart catheterizations. No minimally invasive or laparoscopic surgery. No joint replacements. Very few blood pressure, cardiac, or autoimmune treatments. None of the advances for asthma and other lung diseases. If you're infected and allergic to penicillins and sulfa medications, good luck! I certainly wouldn't want the alternatives: veritable bleach in the veins or antibiotics toxic to the kidneys and ears.
tl,dr: You're full of it.
Light a fire for a man and he'll be warm for a day. Light a man on fire and he'll be warm for the rest of his life.
In medicine, innovative things happen all the time. When *you* go to the doctor, you get the same ol' thing that has been done since 1952.
That is just wrong. If you look at breast cancer 10-year survival rates (Figure 3.4): http://www.cancerresearchuk.org/cancer-info/cancerstats/types/breast/survival/
They have come up from 41% in 1970 to 77% in 2007. While cancer is not cured, survival rates are a lot better.
When talking to the doctor three years ago, when my girlfriend had a breast-cancer operation, they had the latest studies and decided for a treatment based on them. The doctor only worked 4 days a week and took 1 day "off" to keep up with current research.
The chemicals used for chemo-therapie are updated all the time and also genetical fingerprinting of the tumor cells is used to decide which treatment makes sense. So there are lots of differences even compared to the treatment 10 years ago.
Hate to break it up to you, but not all countries use a for-profit system for health coverage.
In many countries, like mine for example, health-care costs come out of the pockets of governments.
In other words, if those cures work, it might not be in the interests of the american, for-profit system to use them, but it would be in the interests of the countries where health-care is run in a sensible manne to use them.
Which is the best illustration of why health insurance should never be run for profit, and should be run as a public service the same way fire department and the police are.
If your comment about Obamacare is any indicator of your political affiliation and opinion on private health insurance, your comment shoots your opinion in the foot.
That would be false.
First of all, the industry has cured many diseases. It just happens to be the case that no significant additions have been made to the list of fully curable diseases for several decades.
At most, this might suggest to the layman that current trends seem to indicate that the current health industry may no longer be interested in curing diseases, but in practice, to actually adopt the premise as genuinely true requires conspiracy theories which are not logically sustainable in a rational debate, and most notably fails to consider the possibility that actually curing diseases could be a really hard thing to do and may not be something that can be reasonably expected to happen regularly in the absence of any breakthroughs happening, which are not something that can generally be anticipated beforehand anyways.
File under 'M' for 'Manic ranting'
Oh, your insurance company will cover it if it's a genuine cure. A lifetime of leukemia treatments sets them back a cool million bucks. Half of that to make you healthy so they never have to pay another cent except for checkups? They'll jump right on top of it.
Don't forget that insurance companies and pharmaceutical companies are at odds with each other. Pharma makes their money charging people as much as they can for stuff. Insurance companies make their money paying out as little of that as they can, so they'll negotiate with the pharm company to pay less than retail (often much less.)
What insurance companies won't pay for is "experimental" treatments - stuff that is still in Phase I-IV human trials - because they're not proven to work and are as liable to permanently injure you as they are to cure you. Or have no effect at all in the long run.
Occasionally living proof of the Ballmer peak.
In medicine, innovative things happen all the time. When *you* go to the doctor, you get the same ol' thing that has been done since 1952.
I don't know why I'm even bothering to respond to someone who writes down such utter bollocks, but I'll bite.
The very first cancer patient was treated with cobalt-60 irradiation in late 1951, in London, Ontario--so I suppose that slips into your 1952 window (though the instruments used in those preliminary 1951 tests bear very little resemblance to those used today). The first use of a clinical linear accelerator for high-energy radiotherapy wasn't until 1956, at Stanford.
The first clinical x-ray CT scanner was used in 1971; it took five minutes to collect a slice of data, and more than two hours to process that data into a rather low-resolution image. PET scanning using FDG started around 1976. The first commercial MR imagers appeared around 1980, after a decade or so of futzing about with technical challenges.
The drug cisplatin wasn't approved by the FDA until 1978; it was the first discovered of a line of platinum-containing antineoplastic drugs. The drug taxol received FDA approval in late 1992. It was the first clinically-used taxane, a family of compounds which inhibit microtubule formation and thereby disrupt cell division. Rituximab was approved in 1997. It was the first anti-cancer monoclonal antibody therapy; there are now more than a dozen. Imatinib was the first small-molecule kinase inhibitor for cancer therapy, approved in 2001.
All of the above techniques and therapies are available to *you* and in routine use today - when they haven't been superseded by even newer developments. I hate to break it to you, but this ain't your grandma's oncology.
~Idarubicin