12) Chemo-embolization (June - present (October 2003)
Professor Vogl is known for its non-invasive for the patient and according to research highly effective treatment of primary tumors and metastases. He has successfully treated hundreds of patients and taking too many published ( www.klinik.uni-frankfurt.de/zrad/Diagnostik ). Gorter put the contact and within days he let us know Vogl like based on a scan to assess whether he wished Peter could handle. Radboud refused to cooperate in the making of such a scan (even at their own expense), because the oncologist felt that an unprofessional way she was doing her job if she did not know where such a scan would be used and that they therefore lack Peter would do. Freedom of choice of the patient voice .. For the scan so we had to another hospital. Prof. Vogl immediately called when he had received the scan in the morning to seven hours on to say that he actually saw treatment opportunities.
On Friday, June 6 Peter could already go for an MRI and CT scan and a consultation where the results were discussed and a treatment plan was proposed. The results of the highly accurate MRI scanner were available one hour later and are shown and discussed with Peter. We were very pleasantly surprised by the speed, accuracy, professionalism and patient-friendliness of this consultation.
Prof. Vogl came under the scanner to the following conclusions:
· The pattern of metastases according to Professor Vogl seems clearly to indicate the location of primary tumor just behind the larynx, the larynx;
· The primary tumor on the scan as a barely perceptible tiny "residual" point-according to Professor Vogl definitely not active;
· Metastasis on the right side of the neck is completely gone;
· Well located on the right side of the neck inflammation, which probably results from the radiation and probably responsible for the swallowing problems that occasionally occur;
· Metastasis to the left of the neck is currently threatening the health problem;
· This metastasis may outpatient treatment (day treatment);
· Due to its location just below the skin metastasis will first be reduced by way of local chemo-embolization in combination with local hyperthermia, then effective treatment can presumably occur with laser method LITT;
· Prof. Vogl sees good opportunities for effective life-enhancing quality acting and does not complete healing.
On June 13, the first chemo-embolization site. At seven o'clock in the morning departed, 350 km away, arriving about eleven hours, so right on time for your appointment at noon. First you become a doctor (radiologist) orally informed about the structure and approach to treatment and possible risks. This information had also previously provided Vogl, so we were prepared.
The principle of treatment is that through the vascular system, which is visible through a sort röntgenbapparaat (this is called angiography) - a tube is placed into the tumor. This is done by professional Vogl himself. In the groin, he places a catheter into a blood vessel type. Then he put the tube in, always via the X-ray determined that the patient must mean its breath. The insertion itself takes less than five minutes. Then the patient on his bed to a room driven, where the tube is inserted through the chemo. It takes about one hour. Then the tube removed, while the technique is a kind gelpropje behind so the chemo can not leak away (hence the term "embolization"). Then a very strong push link to the groin. Afterwards, the patient must lie still for a few hours. Around six the patient picked up a CT scan and an MRI scan to make. The aim is to determine whether the surgery is to have no complications occurred, and to a measuring point for the evaluation of the effect. The assessment of the scans done by Vogl himself. Around eight o'clock at night he comes every patient's personal appearance or characteristics are. A short visit, but respect. You'll be sure painkillers (Peter has never been used), a note with phone numbers in case something goes wrong (including private numbers of Vogl and his assistants) and a brief written description of what happened. After some days you will receive your home address results of the CT scan and MRI scan.
The first time that day we drove home again. It was very tiring. The second time we booked a hotel near the clinic. The way back was easy to combine with a stop in Cologne for a local hyperthermia by Gorter. Highly recommended by Vogl who argued that the effectiveness of chemotherapy was strongly increased by.
The initial results were encouraging. No nasty side effects. And successful because in one months time the tumor was reduced by 20%. The second-treatment on 14 July went well. The day before the third reading would take place suddenly, he developed severe swallowing difficulties. This we immediately reported to the reception. Within half hour we could find for Vogl swallowing a video and a photo. Such very flexible, we have adequate attitude Dutch hospitals missed! Vogl noted that the swallowing problem is caused by a new tumor in the right neck. Immediately, he decided now that new tumor with local chemo-embolization treatment. Within three days with results that Peter could again swallow. Vogl be advised to contact the ENT doctor at the hospital in the Netherlands. There was a scheduled audit appointment in Frankfurt on October 8.
