Sunday, May 12, 2013

THE SECRET OF LIFE IS LOCKED IN THE NOTCH PATHWAY

1. DO YOU KNOW WHY YOU DIE AFTER A LARGE STROKE? IT IS BECAUSE OF THE NOTCH PATHWAY.  (The notch commend the electrical impulse that can tell the brain to quit all together, it can send the message that this is too much ABORT!)

2. DO YOU KNOW WHY YOU DIE AFTER A HEART ATTACK? IT IS BECAUSE OF THE NOTCH PATHWAY   (send message ABORT to cardiac electricity)
3. DO YOU KNOW WHY YOU HAVE A GOOD MEMORY? IT IS BECAUSE OF THE NOTCH PATHWAY.   (Notch allow memory to form on thing it is able to transmit to other cell)
4. DO YOU KNOW WHY YOU GET DEMENTIA (ALZHEIMER OR NOT) ? BECAUSE OF THE NOTCH PATHWAY (memory of old things already made "accepted" (consensus) are the last to disappear )
5. DO YOU SEE SOMEONE (EVEN  A PRESIDENT) PASS OUT AND WONDER WHY?  BECAUSE OF THE NOTCH PATHWAY (Notch "abort" message was triggered may be through vaso-vagal nerve!)
6. DO YOU KNOW WHY AN INFECTION CAN KILL YOU, AND WHY? BECAUSE OF THE NOTCH (proximity of the notch with TNF which in excess kills you even in the best hospitals in the world, there no defense against massive liberation of TNF)
7. SOMEONE WALKING AND SMILING DROPS DEAD, THE NOTCH DID IT!  ALL OTHER ORGANS CAN BE GOOD, IN FACT WE TAKE THEM FOR TRANSPLANT, BUT THE NOTCH DID IT  (ABORT! message was sent)
8. CAR ACCIDENT DEATH, THE NOTCH....JUST FINISH THE PHRASE FOR ME (Abort!)
9. MACROPHAGE DESTROY OTHER CELLS BY EATING THEM, THE NOTCH TELL THEM TO DO SO    (Notch is involved with endophage, and vacuole formation)
10. WHY IMMUNIZATION WORKS, THE NOTCH DID IT (memory of the biologic agent-aggressor is kept because of ....)
WHY WE AGREE ON BASIC THINGS , THE NOTCH DID THAT (we remember what make sense to all)
WHY WE STAND AND BELIEVE IN FUNDAMENTAL HUMAN RIGHTS, SOMEWHERE IN US WE REMEMBER WHAT IS RIGHT, WELL THE NOTCH DID THAT!

WHY AN ORGAN STOP AND ANOTHER START, THE NOTCH PLAYS HERE  (Notch is at the transition of proliferation and differentiation  this is where Numb comes in!)

WHY CERTAIN TYPES OF CANCER ARE REFRACTORY TO CANCER KILLING DRUGS NO MATTER WHAT, THE NOTCH DOES THAT TOO.  IT'S AS IF THEY "REMEMBER" TO BE REFRACTORY

WHY CERTAIN TISSUES HAVE A FUNCTION AND NOT ANOTHER, THE NOTCH DID IT

WHY HORMONES ARE SECRETED BY SOME ORGAN NO MATTER WHERE THEY ARE, THE NOTCH (keep remember what they are about!)

WHY AVASTIN STOPS WORKING AND ALL THE CANCERS KNOW HOW TO RESIST (BY VEGFR2)

LADIES AND GENTLEMEN, THIS IS NOTCH PATHWAY IS THE SECRET OF LIFE!

PLAY WITH THE NOTCH, YOU WILL STOP BREATHING, AND YOUR HEART WILL STOP, YOUR EYES WILL STOP SEEING, AND YOU CAN'T READ ME......

VEGETATIVE LIFE IS DUE TO THE NOTCH!
why basket ball player drops dead, drug overdose- it's all in the notch!

Resuscitation and resurrection, the NOTCH again!

BY DETERMINING CELLULAR FATE, IT IS THE CONDUCTOR OF THE ORCHESTRA .

FDA Warns Against Products From The Compounding Shop

Megan Brooks
DisclosuresMay 08, 2013
 
Healthcare providers should not administer any products produced by The Compounding Shop of St. Petersburg, Florida, the US Food and Drug Administration (FDA) advised today.
During a recent inspection of the facility, FDA inspectors observed "poor sterile production practices that raise concerns about a lack of sterility assurance of The Compounding Shop's sterile drug products. Therefore, these products should not be administered to patients," according to the agency.
"If an injectable drug product that is intended to be sterile is contaminated, it could result in a life-threatening infection in patients," Janet Woodcock, MD, director of the FDA's Center for Drug Evaluation and Research, said in a statement.
"We do not have reports of patient infections. However, due to concerns about a lack of sterility assurance at the facility and out of an abundance of caution, we have advised the firm to remove its sterile products from the market to protect patients," she added.
The Compounding Shop has informed the FDA that it is recalling sterile products and is in the process of notifying customers, the agency said.
The FDA advises healthcare providers and hospital staff to immediately check their medical supplies, quarantine any sterile products from The Compounding Shop, not administer them to patients, and await further instructions from the company regarding the recalled products.
Patients who have received any product produced by The Compounding Shop and have concerns are being advised to contact their healthcare provider.
The problems and product recall involving The Compounding Shop in St. Petersburg, Florida, comes on the heels of recalls last month at other compounding pharmacies because of similar problems and concerns about sterility of products after FDA inspections.
As reported by Medscape Medical News, those companies include ApothéCure Inc and NuVision, Green Valley Drugs, and Balanced Solutions Compounding Pharmacy.
Healthcare professionals and patients are encouraged to report adverse events potentially related to the use of these or other products to MedWatch, the FDA's safety information and adverse event reporting program, by telephone at 1-800-FDA-1088; by fax at 1-800-FDA-0178; online at https://www.accessdata.fda.gov/scripts/medwatch/medwatch-online.htm; with postage-paid FDA form 3500, available at http://www.fda.gov/MedWatch/getforms.htm; or by mail to MedWatch, 5600 Fishers Lane, Rockville, Maryland 20852-9787.

Saturday, May 11, 2013

MTOR Inhibitor ....

THE NOTION THAT MTOR INHIBITOR SHOULD FOLLOW VEGF INHIBITOR FAILURE HAS BEEN ADOPTED BY THE MSKCC PHASE 3 STUDY OF Anti-PD1 ANTIBODY (BMS) vs EVEROLIMUS "FOLLOWING VEGF-TARGETED THERAPY FOR RENAL CANCER.

In this study, patients with Renal cell cancer who have progressed after 1 or 2 anti-VEGF systemic treatments are randomized to Anti-PD1 Antibody or Everolimus.

The primary endpoint is survival whereas secondary endpoints include progression free survival, safety of drugs and quality of life!

Please access the trial through clinicaltrials.gov

----------------------------------------------------------------------------------------------
TREATMENT RECOMMENDATION FOR CLEAR CELL RENAL CELL CANCER

SETTING                          PATIENT                    LEVEL 1                            HIGHER LEVEL
---------------------------------------------------------------------------------------------------
                                       Good or                        Sunitinib
                                   Intermediate risk           Bevaczumab +INF-alpha         high dose IL2
1st line                                                              Pazopanib                               Sorafenib
                                   ---------------------------------------------------------------------------

                                    Poor risk                      Temsirolimus                    
                                                                         (Sunitinib)
==================================================================
                                                                        Sorafenib                                  Sunitinib
                                   Prior Cytokine               Pazopanib                               Bevacizumab
2nd and 3rd line          ----------------------------------------------------------------------------

                                   Prior VEGF-TKI           Everolimus or Axitinib              Sorafenib
                                   Prior MTOR Inhib.        Axitinib

=================================================================

from Molina et al....

Nul n'est prophete chez soi!

No one is prophet at Home! (The French know best!)
In these United States, politics will block us from obtaining a grant, we understood that! Our cause, however, is just, and we will pursue it by all means found anywhere in the world!  Cancer is a common cause for the fight, let those who are distracted by local conditions they live in go by the wayside while we stick to the mission to cure cancer!
We cannot thank MDHonors enough for providing much needed funding for our research!

Friday, May 10, 2013

ONCE AGAIN FAILURE OF RECEPTORS PROVE TO BE THE REASON CANCER DEVELOPS.
WHILE IN TRIPLE NEGATIVE HEPARAN SULFATE ALTERATION OR LACK OF, SEEMS TO BE THE CULPRIT THAT WILL LEAD TO SECONDARY OVER-EXPRESSION OF TUMOR GROWTH FACTORS FOR BREAST CANCER, IN OVARIAN CANCER IT IS THE BETAGLYCAN WHICH APPEARS TO BE DEFICIENT AND TRIGGER A SECONDARY INCREASE OF ACTIVIN.  THE PROOF IS IN THE PUDDING,
IF YOU FIGHT ACTIVIN, YOU GO NOWHERE BUT IF YOU FIGHT BETAGLYCAN BY RESTORING ITS FUNCTION, THE RECEPTOR WORKS RELATIVELY AND YOU KIND OF STOP THE METASTASIS AND SPREAD OF THE DISEASE
NOBODY HAS SHOWN THIS YET BUT YOU WILL FIND A DROP OF ACTIVIN (HOW DIFFERENT IT IS FROM SURVIVIN? HELL DON'T LET ME CONFUSE YOU BY JUMPING FROM CAMELS TO RABBITS!)

THE GLYCAN ARE MORE IMPORTANT THAN YOU THINK
IT IS AN INTERESTING SPECULATION THAT HISTONE DEACETYLASE INHIBITOR WORK BECAUSE IN RESTORING THE GLYCAN OR IS IT CAUSATIVE OF THE ABNORMALITY.
ONE THING THAT IS WORRISOME IS THAT A SINGLE FRAME SHIFT AT THE m-ARNA COULD TRIGGER THESE EPIGENETIC EVENTS.

ALL IN ALL THIS AT THE RECEPTOR IS READ AS A CRISIS OR STRESS THE AKT IS OVEREXPRESSED AND CAUSE PTEN DEPRESSION, OR GSK DEPRESSION, AND AFFECT THE Wnt THROUGH CROSS TALK AND OVARIAN CANCER IS WELL ON ITS WAY EXACERBATED AT THIS POINT BY SECONDARY INCREASE OF TGF CALLED ACTIVIN!
yes CRBCMO25 WAS THE APPROVAL NUMBER OF THE STUDY ON LUNG CANCER EARLY DETECTION !  APPROVAL DATE WAS MARCH 1, 2013.
PLEASE TAKE NOTE OF IT!
GENETIC DISTURBANCES IN OVARIAN CANCERS! ANOTHER CASE OF RECEPTOR FAILURE

In many triple negative Breast Cancers, we have submitted that a failure of the receptor for either HER-2 or ER are the origin. Defective Heparan surface may be one example leading to Receptor ineffective performance.  There is a secondary over production of Tumor Growth factor which impact other Receptors which are naturally susceptible leading to hyperplasia and eventually to a neoplastic process.

In ovarian cancer, the findings that the DAB2 gene is suppressed appears to be central to the pathophysiology of this cancer.
==================================================================

DAB2

From Wikipedia, the free encyclopedia
Jump to: navigation, search
Dab, mitogen-responsive phosphoprotein, homolog 2 (Drosophila)

PDB rendering based on 1m7e.
Available structures
PDB Ortholog search: PDBe, RCSB
Identifiers
Symbols DAB2; DOC-2; DOC2
External IDs OMIM601236 MGI109175 HomoloGene1026 GeneCards: DAB2 Gene
RNA expression pattern
PBB GE DAB2 201278 at tn.png
PBB GE DAB2 201279 s at tn.png
PBB GE DAB2 201280 s at tn.png
More reference expression data
Orthologs
Species Human Mouse
Entrez 1601 13132
Ensembl ENSG00000153071 ENSMUSG00000022150
UniProt P98082 P98078
RefSeq (mRNA) NM_001244871 NM_001008702
RefSeq (protein) NP_001231800 NP_001008702
Location (UCSC) Chr 5:
39.37 – 39.46 Mb
Chr 15:
6.3 – 6.44 Mb

PubMed search [1] [2]
Disabled homolog 2 is a protein that in humans is encoded by the DAB2 gene.[1][2]
DAB2 mRNA is expressed in normal ovarian epithelial cells but is down-regulated or absent from ovarian carcinoma cell lines. The 770-amino acid predicted protein has an overall 83% identity with the mouse p96 protein, a putative mitogen-responsive phosphoprotein;=============================================================

IF YOU FOLLOW THE MONEY FOR A WHILE YOU WILL COME TO THE NATURAL CONCLUSION.  OVARIAN CANCERS HAPPEN IN MOTHERS! AND GUESS WHO DAB2 GENE WILL PICK ON, OF COURSE A GENE CALLED "MOTHER".

Mothers against decapentaplegic homolog 3

From Wikipedia, the free encyclopedia
.
Mothers against decapentaplegic homolog 3 also known as SMAD family member 3 or SMAD3 is a protein that in humans is encoded by the SMAD3 gene.[1][2] SMAD3 is a member of the SMAD family of proteins.
The human SMAD3 gene is located on chromosome 15. It is one of several human homologues of a gene that was originally discovered in the fruit fly Drosophila melanogaster.


Activin and inhibin are two closely related protein complexes that have almost directly opposite biological effects. Activin enhances FSH biosynthesis and secretion, and participates in the regulation of the menstrual cycle. Many other functions have been found to be exerted by activin, including roles in cell proliferation, differentiation, apoptosis,[1] metabolism, homeostasis, immune response, wound repair,[2] and endocrine function. Conversely inhibin downregulates FSH synthesis and inhibits FSH secretion.[3]
Activin is a dimer composed of two identical or very similar beta subunits. Inhibin is also a dimer wherein the first component is a beta subunit similar or identical to the beta subunit in activin. However, in contrast to activin, the second component of the inhibin dimer is a more distantly-related alpha subunit.[4][5] Activin, inhibin and a number of other structurally related proteins such as anti-Müllerian hormone, bone morphogenetic protein, and growth differentiation factor belong to the TGF-β protein superfamily.[6]

 ==============================================================================
SO CLEARLY DEPRESSION AT DAB2 WILL INDUCE DE-SENSITIZATION AT THE TGF-BETA RECEPTOR LEADING TO CHANGES OR MODULATION THAT FAVOR ACTIVIN'S ACTIVITY AND PROLIFERATION

BUT DEPRESSION OF DAB2 DOES NOT STOP THERE, THROUGH ITS GIPC1 CONNECTION IT WILL AFFECT VERY BAD ACTORS INCLUDING MYO6 (WHICH DISTURBS ORGANELLE MOVEMENT AND VACUOLE CONTROL TRAFFIC IN THE CELL) AND LPR1,2 A DISFIGURING GENE ASSOCIATED WITH A BAD SYNDROME AND THE "DEVIL" DVL3.  AND REMEMBER A GENE THAT INDUCES MORPHOLOGIC DISTURBANCE SUCH AS THE LRP2 IS DANGEROUS TO DANCE WITH!   ALWAYS REMEMBER THALIDOMIDE WITH ITS SHORT LIMB SYNDROME!
==================================================================================
 Mutations in the LRP2 gene are associated with Donnai-Barrow syndrome.[6]


This disorder is characterized by unusual facial features, including prominent, wide-set eyes with outer corners that point downward; a short bulbous nose with a flat nasal bridge; ears that are rotated backward; and a widow's peak hairline.
Individuals with Donnai-Barrow syndrome have severe hearing loss caused by abnormalities of the inner ear (sensorineural hearing loss). In addition, they often experience vision problems, including extreme nearsightedness (high myopia), detachment or deterioration of the light-sensitive tissue in the back of the eye (the retina), and progressive vision loss. Some have a gap or split in the colored part of the eye (iris coloboma).[2][3]
In almost all people with Donnai-Barrow syndrome, the tissue connecting the left and right halves of the brain (corpus callosum) is underdeveloped or absent. Affected individuals may also have other structural abnormalities of the brain. They generally have mild to moderate intellectual disability and developmental delay.
People with Donnai-Barrow syndrome may also have a hole in the muscle that separates the abdomen from the chest cavity (the diaphragm), which is called a diaphragmatic hernia. This potentially serious birth defect allows the stomach and intestines to move into the chest and possibly crowd the developing heart and lungs. An opening in the wall of the abdomen (an omphalocele) that allows the abdominal organs to protrude through the navel may also occur in affected individuals. Occasionally people with Donnai-Barrow syndrome have abnormalities of the intestine, heart, or other organs and scoliosis.[2][3]

MYO6

From Wikipedia, the free encyclopedia
.
Myosin VI, also known as MYO6, is a protein. It has been found in humans, mice, fruit flies (Drosophila melanogaster), and nematodes (Caenorhabditis elegans).
Myosin VI is a molecular motor involved in intracellular vesicle and organelle transport. It is one of the so-called unconventional myosins.[supplied by OMIM][1]

Interactions

MYO6 has been shown to interact with GIPC1[2][3] and DAB2.[4][5]
=============================================================================

CAN THIS ENTIRE MACHINERY BE SHUT DOWN BY AN ANTI-CD81
I BET YOU! 

THE CENTRAL GENE TO GO AFTER IS GIPC1 FROM MY VOTE, THERE IS THE CROSS-ROAD!  BUT IT INVOLVES THE ADRENAL RECEPTORS AND BETA RECEPTOR OF THE HEART SO CARDIAC MONITOR WOULD BE ADVISED DURING PHASE 1 STUDIES!

If LPR2 is amplified, will that predict activity of Avastin and other immunomodulation?  we know that when morphology is involved, these agents are active!
A WILD WILD TARGET!

While investigating why Gaucher disease would be linked to Lymphoproliferative disorders (Multiple Myeloma,CLL,AML LYMPHOMA INCLUDING THE HODGKIN , AND RARELY ALL.) and following downstream of CD 19, one stumble upon Grb2. just by the extent of its interactions, you know you cannot come-up empty targeting this wild gene.  The crux of the endeavor will be how to electively hit the cancer cell exclusively.

"
Grb2 is best known for its ability to link the epidermal growth factor receptor tyrosine kinase to the activation of Ras and its downstream kinases, ERK1,2. Grb2 is composed of an SH2 domain flanked on each side by an SH3 domain. Grb2 has two closely related proteins with similar domain organizations, Gads and Grap. Gads and Grap are expressed specifically in hematopoietic cells and function in the coordination of tyrosine kinase mediated signal transduction."wikipedia

Interactions

Grb2 has been shown to interact with Arachidonate 5-lipoxygenase,[5][6] Lymphocyte cytosolic protein 2,[7][8][9][10][11] GAB2,[12][13][14] B-cell linker,[15][16][17][18] Abl gene,[19][20] CD28,[21][22] FRS2,[23][24][25][26] Mitogen-activated protein kinase 9,[27][28] CD22,[29][30] NEU3,[31] ETV6,[12] MAP2,[32][33] Dock180,[34][35] PIK3R1,[36][37] SH2B1,[38][39] CRK,[40][41][42] GAB1,[7][43][44] MST1R,[45][46] DNM1,[47][48] Huntingtin,[49] Src,[50][51] Beta-2 adrenergic receptor,[52] VAV2,[53][54] ADAM15,[55] RAPGEF1,[56][57] VAV1,[58][59][60][61] HER2/neu,[54][62][63] Epidermal growth factor receptor,[2][43][53][62][64][65][66][67][68][69] PDGFRB,[69][70][71] PTK2,[72][73][74][75][76] Erythropoietin receptor,[77][78] Linker of activated T cells,[79][80][81] Dystroglycan,[82] SH3KBP1,[83][84] Granulocyte colony-stimulating factor receptor,[85] DCTN1,[86] CDKN1B,[87] Colony stimulating factor 1 receptor,[88] EPH receptor A2,[89] KHDRBS1,[43][90][91] RET proto-oncogene,[92][93] PLCG1,[94][95][96] TrkA,[97][98] PRKAR1A,[66] Janus kinase 2,[99][100] MUC1,[101] CD117,[78][102][103] Fas ligand,[104][105] Janus kinase 1,[100][106] VAV3,[53][107] BCAR1,[73][108] PTPN1,[109][110] INPP5D,[111] ITK,[112][113] SHC1,[51][53][114][115][116][117][118][119][120][121][122][123][124][125][126][127][128][129][130][131][132] PTPN12,[133] C-Met,[134][135] PTPN11,[71][85][127][136][137][138][139][140][141] Glycoprotein 130,[61] PTPN6,[51][136][142] Syk,[51][136] MAP4K1,[143][144][145][146] Wiskott-Aldrich syndrome protein,[147][148] NCKIPSD,[149][150] PTPRA,[151][152][153] BCR gene,[12][115][154][155][156][157] CBLB,[158][159][160] Cbl gene,[9][24][51][90][124][158][161][162][163][164][165][166][167] SOS1,[8][24][42][43][48][51][53][60][68][90][95][101][115][122][124][131][168][169][170][171][172] IRS1,[100][114][173] TNK2,[116][174] MED28,[175] MAP3K1[176] and HNRNPC.[177]


You just look at the variety of interaction and you know this is an important step to anything in the cellular sun!  WOW!
Gerb2 a lifetime project!
AQUA TECHNOLOGY-AUTOMATED QUANTITATIVE ANALYSIS
IT IS A QUANTITATIVE IMMUNOPHENOTYPING TECHNIQUE
DISCUSSED BY EXPERTS (ASCO/CAP GUIDELINES AND NCCN TASKFORCE) MOST APPROPRIATE FOR SAMPLE WITH 'LOW NUCLEAR STAINING".  it has proven itself for measurement of ER and PR positivity in breast cancers!
The Cutt-off is 5.2 for determining receptor status
AQUA combines immunofluorescence and automated image technology.

NCCN
- ER and PR negative tumor status should be retested if tumor histology is lobular,tubular or mucinous because these types of tumors are rarely negative
-Also retest if tumors are GRADE1 since these are rarely negative
-Retesting is indicated at Diagnosis and at Relapse
-The option of endocrine therapy for ER&PR negative tumors does not depend on level of hormone Receptor Expression.

With this technique,
the cut off point for positive HER-2 is 572
less than 572, no HER-2 expression
more than 572, positive HER-2 

(Material provided by Genoptix )

Thursday, May 9, 2013

News

Special Announcement About Tolvaptan

A major announcement was made by Otsuka Pharmaceutical Co. on Saturday, Nov. 3, 2012 at the American Society of Nephrology (ASN) meeting regarding the results of the Tolvaptan Efficacy and Safety in Management of Autosomal Dominant Polycystic Kidney Disease Outcomes (TEMPO) Trial.
This is the first time that a drug specifically targeted to alter ADPKD progression in humans has been shown to be of benefit. This is an exciting milestone for PKD patients and the Foundation. (It is important to know that though tolvaptan is already approved for treatment of other medical conditions, the doses of tolvaptan used in the TEMPO trial were significantly higher than used in previous studies of other diseases. In addition, ADPKD patients are a unique patient population. Because of this, until the data are reviewed in detail by Otsuka and the FDA, it could be dangerous to take tolvaptan for treatment of PKD.)
The concept of using vasopressin blockade as a way of slowing ADPKD progression was originally developed by Dr. Vincent Gattone, whose research has been in part supported by the PKD Foundation. The Foundation is proud to have been a part of this critical work, and our hope is that this is just the first step toward finding other treatments that will improve the quality of people's lives who suffer from PKD.
Click on the links below to read the full announcement and learn more about the study.

FROM THE PKD FOUNDATION!
1."NO INSURANCE STATUS" KILLING YOUNG PEOPLE WITH CANCER IN EL PASO.

Young people holding small jobs can barely afford life on their own and one of the sacrifice they make is health insurance.  In El Paso, a border town of the great State of Texas at least 30% of working young families do not have health insurance.  You can get by with a headache, Tylenol is available without prescription.  But when you have cancer, young people are waiting for death in silence.  Many have found their qualification for MEDICAID which these days means a government certificate of "no insurance".  Not only its payments are meaningless but it is very hard to come by!  Therefore most physicians do not take patients with it.  At Medicare and Medicaid, the government uses its time to imagine new ways (Red tape) to cut or escape payment all together.  The new latest method is to claim "we have a new computer system". "your claim was entered incorrectly or in the old system" we could not pay you because we could not find your claim in the new system".  Who is responsible for entering data in the system in the first place or why is it the physician responsibility when a government personnel did not do its work.  Rather than dealing with this mess physicians and some hospitals are turning away patients.  And the best way to turn patient away is NO FOLLOW-UP APPOINTMENT ONCE CANCER DIAGNOSIS IS MADE.  You can't show up at the ER for cancer,  cancer does not cause a pressing symptom while it is spreading.  So we have a walking dead situation where a normal looking individual is living of the knowledge of having cancer but with no treatment!
In this border town, Mexico is the answer for many!  There they get treated as far as their money can take them...they comeback to die in their home fully disconnected for the American Health system most of the time having missed to the latest treatment available in the US.

WHILE ALL THIS IS HAPPENING, POLITICIANS AND LOCAL JOURNALISTS TURN THEIR BACK!

2.SHE CAME TO DIE IN MY ARMS!

May 8th, 2013, I was waiting for a new patient when I ended up with such case.  A desperate mother seeing her daughter dying, brought her to my clinic hours before her death which she escaped after IV fluid was given in a reluctant ER where I was forced to take the patient urgently!

A 25 year old American woman, mother of 3 kids, was reportedly sick without health insurance, she sought treatment in Mexico, she was reported to have an aggressive form of Leukemia (ALL).  She received chemotherapy reportedly for a full year.   With her money exhausted she could no longer afford to go back and follow-up could not be accomplished.  The last bone marrow obtained just 6 weeks ago showed no leukemia but the marrow beaten by chemotherapy is failing to make cell blood cell as it should.  Over the last few weeks she has been home weakening by the time she was brought to the office in wheelchair, she had not walk for over a week, going in and out of consciousness, she dry and Anemic...the ER gave her fluid but no blood and discharged her with NO FOLLOW-UP APPOINTMENT.   Contacted by the family, I referred the patient for transfusion to the only hospital still helping the poor, for how long your guess is as good as mine? The woman should now be evaluated for transplant but now she is free of cancer but mostly dying for lack of follow-up!

IF YOU CAN HELP IN ANYWAY, CONTACT OUR OFFICE !
THIS NOT THE ONLY CASE