Like the dark side of the moon, certain places are hidden
from view.
• If you are confronted with a progressive health problem
(cancer) that without intervention leads to misery and death, and if
• For possible solution, the problem necessitates a
choice of a single treatment pathway from a universe of many mutually exclusive alternative pathways, and when
• There’s no end in sight - no psychopictographs
- mental images - of the journey or its destination to help envisage what might be seen along a pathway option
or what might be seen at its termination, then...
• Is not the function of an inquiring and discerning
mind in its pursuit of good judgement
best served by obtaining a clear mental picture of a pathway and its termination,
images as focussed, specific, and substantive as possible
rather than:
Being induced to pick a pathway arbitrarily and
in ignorance just to get by the stress of deciding, thus
subordinating prudent judgement to seduction by authority
or submission to caprice,
A decision based on a fuzzy minded conjecture and “expert
opinion” being qualitatively different from a judgement
based on personal study and personal understanding of
the relevant issues?
Questions for the Inquiring Mind
Has the clinical availability of EGFR blockers (Tarceva
and Erbitux) materially altered the
radiosensitivity of well differentiated squamous cell carcinomas
of the vulva and anus? This case
history suggests that the answer is yes.
If a non-surgical approach may cure, should initial treatment
be changed, surgery being reserved for
EGFR / radiotherapy failure? In many cases, we suspect the
answer is also yes.
Cancer of the Anus - Decision Forks
Cancer of the Anus - Pathology Slides
Cancer of the Anus - "The Scenic Route" See Treatment In Action
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