Pre-Enrolment Discussion

Creating a plan

Our initial consultation is free and results in an agreed plan, either standard or non-standard. Patients are best served a standard plan when our technical abilities are more than sufficient. These cases are where the cancer can be easily reached such as breast cancer, mesothelioma, nasopharynx carcinoma, lung cancer and abdominal cancers. Cancers such as brain or in the pelvis beyond the hip bone cannot be well served. These are locations where we would have to invest in increased light power.

In the case of cancer in the liver we believe we have sufficient technical ability. We know we can treat small cancers of up to two centimetres. Depending on the location the treatment may need to be delivered in several cycles, each treating parts of the liver. The reason to use many cycles is to limit the ascites that seems unavoidable today. When the cancer in the liver is larger we know the treatment disturbs the salt level in the blood. To serve these cases we would have to arrange hospital admission to correct the salt level.

Cancers located in or around a body opening are also within the reach of our light source. The prostate can be reached via a fine optical fibre through the penis. We don’t yet have the required optical adaptor, although it is cheap and readily available. The same is true for oesophagus cancer that would also require a special optical adaptor. With abdominal cancer, a feeding tube may temporarily become necessary.

Patients often start by telling their story. To help the conversation, most provide some documentation describing their personal situation. The first question of a patient is often how to add light therapy into their existing treatment plan. Our light therapy can be done in parallel with other major treatments or stand-alone.

Table 1: Planning Treatment .

Considering where to be treated

Although our light therapy is a breakthrough, it is not yet widely accepted. Authorities have difficulties in dealing with our fast track experimental medicine. For this reason, the treatment is delivered either in the home environment or in an alternative clinic. Planning requires patients and their family to participate as listed in Table 1 under ‘Patient Inputs’.

Interactions with regular doctors may be awkward because they can feel threatened when providing support. Patients and their family may find it hard to obtain scans and laboratory tests for the pre-consultation. If necessary, we can arrange scans and tests elsewhere.