Zhanna friske what a cancer. Became known the real cause of cancer in Zhanna Friske

Fans of the wonderful singer and actress Zhanna Friske were shocked by the terrible news in January 2014. The doctors discovered she had brain cancer. In June 2015, the artist died -.

It all started with the usual headache, which began to overcome the show business star from mid-2013, shortly after she gave birth to her son Plato.

Jeanne did not pay attention to this "trifle" for a long time. I thought it might be some kind of postpartum syndrome. The pain was relieved with pills. But my head began to hurt more and more. And her mother began to notice that something was wrong: her daughter increasingly tightly curtained the windows and slept for days on end. Such a long and sound sleep could no longer be explained by fatigue alone. Then Zhanna's legs began to literally give way. And once she lost consciousness right in broad daylight when she went shopping.

Jeanne was taken to the hospital. They took tests and diagnosed: . Moreover, it is inoperable. The doctors admitted that they did not want to tell the truth to their relatives, because, according to their forecasts, Jeanne was supposed to die in the first month.

The singer herself, having heard a terrible diagnosis, took it with her inherent fortitude. Friske tried to the last not to upset her parents with the unpleasant news of her illness.

Zhanna is generally a strong person, ”said her father Vladimir Borisovich. That's why she didn't tell anyone. Didn't want to upset. She is very strong and will never say that she is sick. She is such a person.

And soon the following appeared on the artist’s website: “What for many months remained exclusively a matter of our family, unfortunately, became public property a few days ago. At the same time, we want to stop any speculation and believe that fans and people who are not indifferent to Jeanne have the right to know the truth "Our family has had a severe test. Zhanna is sick with cancer. We continue to fight for her and never stop believing. We appeal to everyone with the only request to support us with a kind word and prayer."

On the same day, all people who are not indifferent to the fate of the actress gathered in the program of the First Channel "Let them talk." Jeanne's friend, singer Olga Orlova assured viewers:

Zhanna is a fighter, very strong. All forces are now aimed at ensuring that Zhanna defeats the disease. It is difficult to say where Zhanna got this disease from ... This is some kind of plague of our time. It is necessary to check the health, of course, in order to notice this disease in time.

Supported by a colleague and another friend of Jeanne, stylist and TV presenter Vlad Lisovets, who has known her for more than 17 years:

It is difficult to say where this disease came from. Jeanne has always been very careful about her health - she did yoga, followed detox diets on vacation. I don’t know, maybe the Lord sends such trials to his beloved children. And I am sure that Zhanna will cope with this test, because she is very strong.

The family of Zhanna Friske officially announced the illness of the singer.

DOUBTS AND FEARS OF DOCTORS

Doctors tried to understand the causes of the serious illness of the star.

Zhanna Friske was diagnosed with glioblastoma, explained Candidate of Medical Sciences, neurosurgeon Igor Borshchenko. - This is the most common primary brain tumor. Signs depend on which areas are affected. If the formation arose closer to the cerebral cortex and affects the centers responsible for speech or movement, then the symptoms appear almost immediately. It can be fainting, sudden speech or motor coordination disorders. In such situations, people, as a rule, quickly seek help from doctors, and the disease can be detected at an early stage - MRI of the brain shows its presence. And then it is possible to prescribe treatment in time. But if the tumor is located in the deep structures of the brain, it can grow without acute symptoms. Olfactory hallucinations can often be a sign of a tumor, for example, it seems to a person that it smells like garbage everywhere, familiar foods change taste and smell.

Chronic headaches, which are almost not relieved by analgesics, nausea and vomiting in the morning, should always alert.
It is impossible to say what exactly could provoke the development of brain cancer. It is discussed on the Internet that this could be due to Jeanne's pregnancy, taking some hormonal drugs. I can say that there are no reliable data on the relationship of glioblastoma with hormones, it is not a hormone-dependent tumor. According to statistics, both men and women are equally affected by this type of cancer.

Another thing can be said - primary glioblastoma practically does not give metastases. This may give hope. And amenable to surgical and radiation treatment. There are cases when such a tumor recovered completely. The main thing is not to let the disease take its course, not to despair and obey the doctors, and not the "well-wishers".

Another opinion was expressed by the oncologist of branch No. 1 of the City Polyclinic No. 68 of the Department of Health of the City of Moscow, Candidate of Medical Sciences, Head of the Oncology Department Ekaterina Prikhodko:

Grade 4 glioblastoma is one of the most dangerous fast-growing tumors in the body, with active invasion into the surrounding brain tissues. According to the US Central Brain Tumor Registry, the 1-2-year survival rate in patients older than 60 years is 13 to 2 percent. It is more common at the age of 50–70 years and more often in men. To date, the cause of this disease has not been established. There are no convincing data on the harmful effects of magnetic fields - phones, smartphones, household appliances. A possible cause may be a genetic predisposition.

Modern diagnostic methods allow the detection of the disease in the presence of appropriate symptoms, even at its initial stages. With the help of computed tomography of the brain, MRI of the brain with contrast, SPEKT and PET examination. But, unfortunately, the absence of early symptoms of tumor development does not allow timely diagnosis of glioblastoma.
And the effectiveness of treatment depends on various factors: the location of the tumor in the brain; high resistance to conventional therapy; anatomical and physiological features of the brain (reduced regeneration of brain tissue); penetration of the tumor into the surrounding tissues; decrease in the blood circulation of the tumor, which prevents the delivery of chemotherapeutic drugs to the tumor focus; a large number of side effects from the therapy.

At different stages of glioblastoma, all stages of treatment used in oncology are carried out: neurosurgical - removal of the tumor by surgery; combined - radiation therapy with the use of chemotherapeutic drugs; maintenance chemotherapy.

Since this is one of the most dangerous and unpredictable tumors in oncology, doctors set the average life expectancy of such patients to be about a year. However, each clinical case has its own individual treatment program, the result of which depends on the state of the patient's body, the response of the tumor to treatment, and the experience of the doctor. Every patient reacts differently to the same treatment.

But why a tumor could arise is a mystery. But it is known for sure that pregnancy cannot be considered as a risk factor for the occurrence of glioblastoma.

Treatment of a patient diagnosed with glioblastoma in Russia is free of charge according to state programs. Neurosurgical School of Russia represented by the Research Institute of Neurosurgery named after N.N. N.N. Burdenko is one of the most recognized and respected in the whole world. All patients in Russia undergo a phased, adequate treatment that meets all international standards. The work of Russian doctors is no different from the work of American doctors. The fact is that at present oncology has gone beyond the borders of any countries, states, continents. Today it is the world community of doctors, which thinks the same way, has the same approaches to the diagnosis and treatment of such patients. In the professional case, there is no difference - America or Russia. This is the patient's choice.

Another doctor shared his concern - obstetrician-gynecologist Semyon Zinker, who took birth with a star patient:

The last time Zhanna came to me for a routine postpartum check-up was about six months ago (the book was published in 2014 - ed. note). At that time, I did not see anything in her appearance that could tell about the disease. She was happy. The boy was born large, everything was fine. To me, the doctor who delivered her childbirth, the artist did not say anything about the existing tumor. Of course, it cannot be denied that the disease developed in a short time.

“I WERE SUPPORTED WITH WORDS, PRAYERS, MONEY”

Since January 2014, Friske has been treated at the New York Memorial Sloan-Kettering Cancer Center. And already there, Zhanna's terrible attacks became more frequent. According to relatives, the unfortunate woman seemed to be twisted, broken out, her body bent from pain so that her spine could break. And after the attack came hours of unconsciousness. In March, it became known that the singer had practically lost her sight from a brain tumor. “They told us that the glasses won’t help now, because the tumor is pressing on the brain,” the singer’s father told reporters. “Once the tumor is reduced after drug treatment, vision will be restored.”
And the son of the singer Plato, for some time after his mother left for America, lived in Moscow with his grandmother and Zhanna's sister Natasha.

We tried to always show Plato Zhannochka: all the photographs are on TV, Natasha recalled. - So he did not feel that his mother was not around. Zhannochka called herself. We talked to her almost every day.

Channel One raised funds for the treatment of the singer. There were so many sympathizers for Jeanne that in a short time, literally in two weeks, about 70 million rubles were collected. Therefore, all the clinic's bills were paid, funds were reserved for the continuation of treatment, and the rest of the collected funds went to the treatment of children with cancer who were on the waiting list. The singer was supported by all her colleagues, and even the famous Sharon Osbourne, the wife of Ozzy Osbourne, who also suffered the horrors of cancer, but recovered (also about her in this book. - Ed.). At the end of January, the singer's producer Andrey Shlykov said that doctors give positive forecasts for recovery.

And soon Zhanna Friske herself turned to her fans with words of gratitude on the Rusfond website: “Thank you! It was impossible to imagine that at such a difficult moment for me and my family, hundreds of thousands of people would respond and support me with words, prayers and money. I thank you all for your attention and care. It gives strength. Thank you for your humanity. For the fact that there are so many sympathetic, merciful, caring people in Russia. Health. Tranquility. Hope. God bless you".

In April, Plato, along with his dad Dmitry Shepelev, was already with his mother. “The grandson missed Zhanna very much, in Moscow he looked at her photographs and stroked them,” said Zhanna’s father Vladimir Borisovich. - Plato is growing by leaps and bounds. Such a strong man has become! He already has four teeth, he bites.”

And in May, when Zhanna began to feel better, Dmitry Shepelev told how his family survived this difficult year in the fight against cancer. “Definitely Zhannochka feels better than six months ago. And for us it is, of course, a great joy. We live one day and do not think about what we will do in two years, where we will go on vacation next summer. We realized that it is important to enjoy what is here and now. Because tomorrow may not be. And this applies to any person. The fact that Zhanna is better means that for the first time this year our family can be together. You don’t need to fly somewhere, move and take some drastic actions in order to save a person. This gives us the opportunity, finally, to devote all our free time to each other. I can hug both Jeanne and my son at the same time. It's the most important".

Jeanne and Plato literally learned to walk together, - recalled sister Natasha. - And in the end she got to her feet, began to walk much more, her voice became much better. And then we used to call her, she had a barely audible, sleepy voice. And then she began to ask me so cheerfully: sis, hello, what do you want to bring? I say - bring yourself healthy, I don’t need to bring anything.

The results of the analyzes have already testified to improvements in the state of the celebrity. In the early summer of 2014, after a long course of chemotherapy, the doctors decided to complete the singer's treatment. And Jeanne went with her family for rehabilitation in the Baltic States. At the time of writing (September 9, 2014), Zhanna was recovering her health at the Riga seaside in Jurmala (Latvia), where she celebrated her 40th birthday.

As the attending physicians testify, the artist could cope with household chores and raising her one and a half year old son. Every day, the singer performed rehabilitation exercises and followed a strict diet.

However, as Zhanna's friend Olga Orlova said, despite significant improvements in her state of health, Zhanna was forced to sit within four walls almost without getting out. The fact is that the Russian pop star did not want to get into the frame of another curious paparazzi at all, and even more so was not ready to give any comments or interviews. And journalists were on duty at her house for days, wanting to get a picture of the recovered star.

Dmitry Shepelev, after what he experienced over the past year, thought about writing a book. After all, he really has something to tell and what to advise people who are faced with a similar situation: “On how not to lose faith in yourself and in those who are close to you. And about what you need to love every day - it doesn’t matter if it’s black or already light.

INSTEAD OF ADVICE TO THOSE WHO ARE NOW FIGHTING THE DISEASE

Back in January 2014, when Zhanna's future was unknown, Anna Semenovich dedicated touching words to her friend that can help other people trying to cope with an insidious illness:

Remember once and for all: That life is One! She's yours! You don't have to listen to anyone... They don't know anything: your emotions and suffering, your grievances, love, goodbyes. They don’t know what’s in their souls, in their hearts, they don’t know how to warm you up. Who is needed, dear, who is loved. Who you need to madness. They don't know your words, they don't see the pain. And never be in your role! And you alone have the right to decide, to take, to see, to speak, to call, to scream, to suffer and wait, and to hate and miss, and to hold tightly by the hand. Look into the eyes and hug, laugh, cry and dream! And do not be afraid and love, Only then you will understand what it means to live!

OPINION

Zhanna Friske is gone...

Column by columnist Boris Voitsekhovsky

That's all. End of conversation. Now all these arguments seem incredibly stupid and pathetic. Do you remember? You probably remember how it was heard from everywhere: they say, lies, deceit, swindle. And so Zhanna Friske died. Houses. In Moscow. At the age of 41. Honestly.

An amazing thing: about two years ago, an ordinary pop singer suddenly became an indicator of the humanity of the whole country. All you had to do was get seriously ill. News feeds are full of: cancer. The gossip columns groaned: but you just gave birth, what is it! Channel One immediately launched a campaign to raise funds for treatment and collected a fantastic amount in a matter of days. This is where it started. Where did all these questions come from? Is it really sick? Why should she collect money - and so, I suppose, rich? Or maybe it's not for her at all?

And it was disgusting, if we call everything by its proper name. And nasty. And it’s terribly sorry for Zhanna’s husband, TV presenter Dmitry Shepelev, who confirms, thanks, as if justifying himself in his blog ... ()

The editors of the newspaper "Vechernyaya Moskva" expresses condolences to the family and friends of Zhanna Friske.

The Russian oncologist-innovator told whether it is possible to see cancer in time, who and how can do it, does it make sense to collect millions of rubles for treatment, is there a chance to survive

Oncologists have revealed a cruel addiction: doctors save weak children, but nature kills them.Photo - pixabay.com

"Cancer of the poor" and "cancer of the rich", "disease of offended people" and a family curse. All these are not myths or fairy tales, but a cruel reality that every third Russian will face. After this interview, your life will not be the same: someone will think about their lifestyle, someone will begin to frantically undergo oncotests, and someone - it is possible - will give up and begin to enjoy every day they live. About why the death of Zhanna Friske was a foregone conclusion, because of which Russia will never get rid of the "Apanasenko syndrome" and why everyone needs to do three things right tomorrow - an oncologist, candidate of medical sciences told URA.Ru in an interviewPavel Popov.

- Pavel Borisovich, the first question is the simplest and most difficult at the same time: why does cancer occur?

“I am of the opinion that cancer is a self-destruct mechanism. Nature has created many such mechanisms, including atherosclerosis, diabetes and many other diseases. The evolutionary expediency of such a mechanism lies in the fact that it allows for the change of generations and to reduce intraspecific competition. Nature is interested in subjects of active reproductive age, and as soon as this age ends (for a person it is 30-40 years old), a timer is turned on, which begins to implement the genetic mechanism of self-destruction. Therefore, the percentage of malignant tumors begins to increase like an avalanche after 40 years. In the language of science, this is called "phenoptosis" - the hypothesis of programmed death.

- Has science come to a consensus about the causes of cancer? Or is it just one of the hypotheses?

- In science, by definition, there can be no consensus, otherwise it is not science, but religion. But the facts that are now known allow us to substantiate the opinion that I expressed - this is phenoptosis. You can disagree with him, you can criticize him, but there is no such criticism that could completely refute him. This is indicated at least by the fact that

oncogenes - DNA fragments that encode products necessary for the formation of a malignant tumor - are also involved in other biological processes. Without them, the human body would not have developed from the very beginning.

This means that the whole mechanism of carcinogenesis was specially created by evolution. At least the previously existing opinion that a malignant tumor is the result of an accidental genetic failure does not stand up to scrutiny. In order for a cell to become malignant, six mutations must occur in succession, which is impossible from the point of view of probability theory.

- If we agree that nature regulates the number of individuals who have left the reproductive age, then why is cancer so common in young people, in children? Plenty of examples...

- Here you need to understand that only certain types of cancer have “rejuvenated”. For example, cervical cancer has become younger because it is directly related to the human papillomavirus (HPV). Since people enter into sexual life much earlier than, say, 30-50 years ago, and maintain many chaotic relationships, many women become infected already at the age of 15-17. In ten years, the virus is guaranteed to launch the genetic code of cancer, and if you add this period to the average age of onset of sexual activity, then we have the incidence of cervical cancer among women under thirty years old. For cancer of the stomach, breast, the average age of its manifestation (manifestation) remains approximately the same as twenty years ago.

And one more thing: the development of medicine has led to the fact that We have virtually eradicated infant mortality. As a result, natural selection at the stage of birth and rearing no longer operates. Even in the last ten or twenty years, medicine has made a big leap forward, and now even the most unviable babies are being nursed, which has significantly changed the structure of the population.

It turns out a paradox: the higher the level of development of medicine, the lower the health of the nation. By eliminating the factors of natural selection, we create bionegative selection. because these children live to adulthood and leave offspring.

It sounds harsh, but high infant mortality in the early 20th century meant adults were generally healthier.

In addition, the structure of mortality has changed. In the first half of the 20th century, the main causes of death were infections, hunger and war injuries, respectively, the proportion of cancer was many times less. At present, lethal factors such as infections, hunger and war injuries are minimized in developed countries, and their place has been taken by cardiovascular disease and cancer. In countries with low living standards, people still die mainly from infections, famine and wars.

- It begs the conclusion that common forms of cancer are provoked by the development of medicine. Let's fix this. The question is different. People are very afraid of cancer, so they come up with all sorts of myths that somehow explain its appearance. For example, “cancer is a disease of offended people.” Can thoughts, actions, moods provoke cancer of thought?

“Unfortunately or fortunately, we do not have such power over our body that we can prevent or cause cancer by the power of thought or something else. Only the genetic constitution and a number of different factors work here. In fact, oncology is an illustration of folk wisdom about "it's written for generations." Cancer can be predicted: for example, if previous generations suffered from oncology, then, most likely, phenoptosis will work in descendants in a similar way. But at the same time, there are no guarantees that atherosclerosis will not work earlier. But a person does not have the power to choose his final. Unless he is an alcoholic or a drug addict, that is, he wants to destroy himself long before his cancerous phenoptosis works.

As for the “offended people”, let's see who is usually offended in our country. These are people after forty years of age with midlife crisis syndrome - it is they who fall into the age category when phenoptosis begins to work. And if our pessimistic acquaintance dies of cancer in his forties, then a person who is far from medicine and science can connect these two factors.

- Does the psychological attitude somehow affect the outcome of treatment? It’s also a popular myth: believe in the best - and you will be cured. And if he didn’t recover and died, then he gave up.

- My experience of chemotherapy has shown that if a person is at the stage when the generalization of the process has begun, then neither nutrition, nor lifestyle, nor psychological attitude can change the inevitable ending. Alas. Moreover, the treatment that is sometimes applied in the hope of a miracle tends to bring the end closer rather than delay it. When Zhanna Friske went to America, I already knew the end of this trip and even predicted when everything would be over. No magic: there are statistics on how long a patient lives after a diagnosis of glioblastoma. A year or two, depending on how he was treated.

- By the way, about Jeanne Friske. After her death, there was another surge of myth-making: even the federal press began to use the terminology "cancer of the rich" and "cancer of the poor" - they say, expensive anti-aging procedures are to blame.

- "Cancer of the rich" and "cancer of the poor", of course, there is. Only it is expressed solely in how the patient will feel during the illness. A rich person can afford expensive treatment, decent care, some last joys in life. But the poor don't. But the ending will be the same for both, believe me. If this cancer is treated at all, such as basalioma (one of the varieties of skin cancer - ed.), then the poor will be treated under the policy "cheap and cheerful" - short-focus X-ray, and the rich will pay for photodynamic therapy from their own funds. But if the problem has no solution within the boundaries of today's scientific knowledge, as is the case with pancreatic cancer, then the rich will not be able to "pay off."

Remember at least the founder of Apple, Steve Jobs, all his fortune did not help him overcome the disease.

What about food and bad habits? Lists of "carcinogenic" products are published on the Internet every now and then - it's scary to read.

- Nitrites, which are a mandatory additive in sausages, increase the risk of stomach and colon cancer by two to three times. So every day eating smoked meats and sausage is unsafe. Approximately the same harm is caused by products of intensive frying in fats. If we talk about vegetarianism, then those who do not eat meat are much more likely to develop stomach cancer on the background of gastritis. Yes, vegetarians often have gastritis while eating plant foods that do not contain buffer proteins that neutralize the effects of acids on the mucous membrane. But there is a caveat: those who do not eat vegetables at all are more likely to get colon cancer.

With a low content of dietary fiber, there are problems with stools, chronic colitis, which is also a background for the formation of malignant tumors in the intestines. However, it must be understood that this probability is not too high. Honestly, I’ll tell you: you shouldn’t bother so much about food, its harmfulness and usefulness. There are no products that can insure you against cancer. And there are no those from which cancer is guaranteed to occur if you observe moderation in nutrition and make yourself a balanced diet. AND, of course, lung cancer is statistically more common in smokers. Make a choice.

Excess weight is also called one of the risk factors for cancer. This is true?

They call it, yes. However, there is no significant relationship. Within their age group, thin people get sick just as often as obese people.

- Oncologists voice the same idea: cancer is curable, but in the early stages. But to identify it at these stages is quite difficult. What is the difficulty? Lack of diagnosis or frivolous attitude of people to their health?

- Oncologists are absolutely right, cancer is really curable at an early stage, only they slyly keep silent about what this stage is and what is meant by a cure. If we talk about a complete cure, then cancer is 100% curable only at the zero stage (non-invasive cancer) when the tumor is a thin film within the upper layer of the skin or mucous membrane. The thickness of such a film is less than a millimeter. And already at the first stage of cancer, when the tumor grows only a few millimeters deep, the process of dissemination begins - circulating tumor cells appear in the blood. Some of them land from the bloodstream into the tissue of the lymph nodes, liver, lungs, bones, brain and create new colonies there - micrometastases that are so small that they cannot be detected during a routine examination, for example, with ultrasound or computed tomography. According to my data, melanoma is the leader (due to the high lethality, skin melanoma is called the “queen” of malignant tumors), even with a thickness of 1.6 mm, micrometastases are present in every fifth patient.

So, when they say that cancer is curable at the first and second stages, it does not mean a cure, but a remission - a clear period from 1 to 5 years (as someone is lucky), after which in 80% of patients the disease resumes in the form of growing metastases, and the ending is known to all. And at the “zero” stage, cancer does not bother the patient and he does not seek help.

The statistics I have collected show that more than half of the patients seek medical help in advanced stages. Although it is not difficult to make a visual diagnosis, outpatient doctors, who are the first to see patients, rarely recognize this tumor even at stages 1-2, not to mention “zero”.

I have seen cases where the local therapist mistook melanoma the size of a palm for a birthmark. This is due to the low level of professionalism.

If this is the case with the early detection of cancer of external localization, then why be surprised that cancer of the esophagus, stomach or other internal organs is detected obviously late: such a tumor at an early stage does not cause any inconvenience to the patient and can only be detected by chance, during an endoscopic examination. . But how many of us just go to endoscopy once a year? Yes, no one.

What about tumor markers? Will they help detect cancer?

- Firstly, tumor markers are not early means of detecting a tumor. I think that this type of diagnosis works when we are talking about the dissemination (spread - ed.) of the tumor. According to the data I received, in 80% of cases, an elevated melanoma tumor marker indicates precisely tumor dissemination. However, there is a benefit from this tool, as it allows you to evaluate the treatment process in dynamics, to see whether the tumor is progressing or the treatment is going into remission. But, for example, in prostate cancer, the PSA oncomarker makes it possible to detect prostate cancer earlier than ultrasound does.

— Only in Russia with our diagnostic system is it difficult to detect a tumor in the early stages? Or in other countries too? Do you have statistics?

- In general, Russian oncological statistics are the most dishonest due to a number of circumstances, and we, oncologists, are well aware of this. The percentage may be lowered at the request of the administration of the region or city in order to demonstrate the success of officials in the fight against cancer.

I am aware of a completely anecdotal case in which a high-ranking official ordered the death of cancer patients to be registered with affiliated funeral homes in a neighboring region in order to demonstrate a decrease in mortality in his supposedly as a result of good public health management. Everything was fine until a scandal erupted in the neighboring region: there the death rate doubled!

Foreign statistics in this sense is much more honest. In America, with all its diagnostics and treatment, 95% of patients die from esophageal cancer. The reason is the same as ours - late detection. This is an international problem. And this is due not so much to the development of technology, but to the mentality of people.

The average Russian goes to the doctor when something hurts him, few people are engaged in the prevention of their health.

In Germany, due to voluntary medical examinations, there are statistically more cancers detected at an early stage, and the highest percentage of remissions for stomach cancer in Japan is where a family buys a gastroscope. Do you know people who would go to the doctor, regularly do gastroscopy, colonoscopy, bronchoscopy?

In Russia, prevention is as follows: brochures are distributed in clinics, which describe the symptoms of cancer - weight loss, poor appetite, constant pain. A person with oncology is in pain and losing weight, which means that the disease has gone too far. And it is no longer necessary to turn to a doctor, but to a priest.

- There is an opinion that is actively lobbied by Israeli clinics, noting that Russia has outdated treatment protocols, and diagnostics are a total disaster. What do you say about it?

- I have never seen more outdated treatment protocols than in Israel. Here's a good example: In 2004, a patient came to me for a consultation about colonorectal cancer. We recommended removing the affected area of ​​the intestine and performing chemotherapy according to the most modern scheme at that time. The patient, believing that good advice would not be given in Russia, flew to Israel. There he was operated on and prescribed chemotherapy according to the old scheme. When the patient showed the Israeli oncologists my recommendation, they told him that they are treating according to their standard, and the recommended Russian scheme in Israel is still undergoing clinical testing.

The situation is similar with the treatment of melanoma in Israel. Even in melanoma with a Breslow tumor thickness of more than four millimeters, they offer a wide excision. For you to understand, the peculiarity of melanoma is that when its thickness reaches four millimeters, the probability of micrometastases in the body is more than 80%. And as soon as we excise the tumor, their rapid growth begins and the patient dies in two or three years, or even within a year after the operation. This explosive metastasis can be prevented with the help of photodynamic therapy developed in Russia, which is still not in the standards of Israeli medicine.

In general, if we compare Russian and Israeli medicine, then our diagnostics and treatment are in no way inferior to foreign analogues.

Another thing is that the budget of the chemotherapy departments does not allow treating all patients with drugs for 200-300 thousand per course. But if a person has money for treatment in Germany or Israel, he can buy medicines at his own expense and inject them into a vein in Russian clinics, which will ultimately cost less, since living in a foreign clinic costs a lot of money, and the prices for instrumental diagnostics , for example, computed tomography, are simply fabulous.

- But after all, those people who were refused by domestic medicine often go to Israel and Germany for treatment ...

- I refused because nothing can be done. How many people do you know who were cured in such a situation and lived happily ever after? Let's at least remember the celebrities who, having big money and connections, left for treatment in foreign clinics. Alexander Abdulov, Mikhail Kozakov, Raisa Gorbacheva, Zhanna Friske - there is not a single miraculously cured. They are not among those patients with advanced cancer who collect money on the Internet for their treatment.

Just because it is useless, unfortunately - in the last stages, cancer cannot be cured. It is impossible not only to change the ending, but often even delay it.

Here is an example from my practice: I was approached for consultation by relatives of a patient with stomach cancer, in whom metastases soldered the entire intestine into a tight cocoon, the so-called peritoneal carcinomatosis. My verdict: symptomatic therapy and adequate pain relief are all that can help him. In search of a last hope, the patient's wife turned to an Israeli clinic, where, having examined the discharge documents, she was cheerfully told: "Bring it, we will treat it." Examination, tests, etc. cost fifteen thousand euros, one course of chemistry - the same amount. The patient became worse, and then the resilient Israeli doctors advised his relatives to take him home to die while he could still move around, since it would cost more to transport the “cargo 200”.

Another example. A patient with melanoma of the lower third of the trachea, which German doctors refused, went home after applying photodynamic therapy in Russia. The problem, a dead end for German oncologists in the hospital, was solved in our clinic on an outpatient basis, at minimal cost!

- Recently I read about one project that seemed interesting to me: you take a test that, taking into account all factors - age, bad habits, heredity - determines what is the probability that you will get cancer. Then you install the application on your phone and, according to the test results, you receive reminders. Does it have an effect?

- The probability of dying from cancer is 30% - this is the general statistical probability. In people with increased risk factors, this probability is higher, but even with the worst heredity, it cannot be said that the probability will be, for example, 50%. It just increases the chance that it's not atherosclerosis that will cause your end. And this means that no online tests can even approximately determine what your personal probability of getting cancer is. And even more so, no application will diagnose you - only a highly qualified specialist. The latter is of key importance because the outpatient clinician may miss early cancer.

Of course, there are a lot of speculations on the topic of early cancer diagnosis - all kinds of programs, applications, diagnoses from photographs. But all this is in a certain sense a profanity, because a well-trained oncologist can make an accurate diagnosis with 98% verification in a minute. And the most sophisticated computer with a digital camera makes a diagnosis from a photo with 50-70% verification and spends an order of magnitude more time on it.

- Well, if things are going well with diagnostics and treatment in Russia, then with palliative care it’s a real disaster. Until now, there are no federal programs to support hopeless patients, and there are very few hospices. Something will change in this direction, what do you think?

- Honestly? Nothing will change. Firstly, none of the budgets provides for the article "help for the dying" - it's too expensive. Secondly, the topic of death is still absolutely taboo for our society. People just don't want to know that 4 out of 5 cancer center patients will die within a few years.

Until recently, as you remember, the patient was not even voiced his diagnosis. Even now, when asked by a patient how long he has left to live, some oncologists bashfully turn away. In order for the issue of supporting hopeless cancer patients to be resolved at the federal level, so that comfortable conditions are created for them, the appropriate atmosphere that should be in a hospice, it is necessary to start discussing death issues directly and without ambiguity.

What do you usually advise relatives whose loved ones will soon pass away?

- It often happens that you look at tomography, tests and understand that the patient has less than a year left. No treatment will help, no matter where it is given. I could say to the patient's relatives: "Take him to rest in Antalya or the Maldives, while the person is active and can enjoy the world around him, because then there is a well-known ending." But I know that my words will not be heeded. They will be dragged to other doctors, magicians, wizards, they will be taken to Israel. In due time, a person will die anyway and they will not even be able to prolong his life.

But aggressive methods of treatment can add torment to a person exhausted by the disease. In the terminal stage, a person does not need anything other than painkillers. But before going to bed, an incurable patient has six months or a year in reserve, when he is still somatically active and the symptoms of the disease do not overcome him too much. Therefore, I recommend that the patient put things in order, communicate with loved ones whom the patient rarely saw.

But people rarely listen to my advice and spend the rest of their lives in clinics for useless and painful treatment.

- By the way, about anesthesia. The term "Apanasenko's syndrome" has already appeared, when a person commits suicide due to the fact that he could not get pain relief. After a series of such terrible cases, officials announced that they would try to solve the problem, but literally in August there was a wild story in Chelyabinsk when children's oncology patients could not be provided with morphine. Is anything being done to solve this problem?

- Nothing. Neither after Apanasenko's suicide, nor after other cases, did the procedure for issuing painkillers change. This is due to a far-fetched system supposedly to prevent these funds from entering the black market. But all over the world, doctors who have a diploma and practice have the right to prescribe such drugs. There are violations, but they are not numerous: after all, doctors for the most part are responsible and decent people. If it were possible to return such a system (and it once was), there would be no such cases as with Apanasenko. But I do not believe that the Federal Drug Control Service will allow this, because it is easier to twist the hands of doctors than to block the billion dollar drug traffic.

- That is, stories about how relatives of cancer patients buy heroin from gypsies still exist?

- Anything can happen. But basically, a person groans in pain, and his relatives go crazy.

- What a nightmare. Tell us better what to do to avoid such a fate.

First, don't panic. Cancerophobia is also an extreme, there is little benefit and joy from this. Remember that the highest percentage of cancer incidence is observed after 60 years. This means that if you are young, you should not constantly exhaust yourself with examinations without special indications. If there are indications (poor heredity, background diseases of the gastrointestinal tract or respiratory tract), it is advisable to undergo gastroscopy or bronchoscopy once a year. And a colonoscopy if there is a family history of colitis and colon cancer. Everything else can be less.

Women should visit the gynecologist every six months and require an extended cervical colposcopy - it's like the Lord's Prayer. If there are any neoplasms on the skin or mucous membranes, it is necessary to consult a doctor, and only a highly qualified one. Women over 35 should visit a mammologist once a year and have a mammogram. Cancer prevention brochures often recommend self-diagnosis - that is, to palpate the breast yourself. However, a retrospective analysis shows that there is no sense in such a diagnosis. For men over forty, I would recommend taking a PSA tumor marker.

Contrary to popular belief, the time interval between the stage of cancer that can be cured and hopeless is not half a year or a year at all. It's five or even ten years. This means that there is enough time to detect most neoplasms at an early stage, when the outcome of treatment can be optimistic. And remember that science does not stand still. For example, photodynamic therapy, which was introduced into the treatment standards four years ago, makes it possible to defeat cancer in the early stages without losing an organ. Be attentive to your health.

And the sex symbol of the 90s struck the Russian show business and Jeanne's fans, who until the last minute believed in a successful outcome. The artist was diagnosed with grade 4 brain cancer shortly after the birth of her son Plato in 2013, and charitable organizations, together with Channel One, raised more than 68 million rubles for treatment in order to send the singer to one of the best cancer centers in the United States. Vladimir, the father of the performer, said in an interview with Komsomolskaya Pravda that Zhanna went through all the special clinics in Russia, but not one received a guarantee that she would not die during surgery. Therefore, for a course of chemotherapy, it was necessary to go to a New York clinic.

The initial diagnosis of glioblastoma gave doctors hope. This disease is a primary brain tumor and symptoms appear almost immediately: fainting, speech and coordination disorders. Timely prescribed treatment sometimes makes it possible to completely get rid of cancer, but it is still unknown what causes glioblastoma. There were rumors on the Internet that Friske was provoked by late pregnancy and a change in hormonal levels, but doctors refute this version - the tumor is not hormone-dependent.

Zhanna Friske was treated at the Memorial Sloan-Kettering Cancer Center, where the real luminaries of science conduct the reception, and the institution itself was founded 130 years ago and since then the forces of doctors have been focused on studying the terrible disease.

The clinic has a research institute, whose developments are applied in practice. The center has become the prototype of Doctor House, where there are constantly more than 10 teams of diversified specialists. More attention is paid to maintaining strict confidentiality and complex therapy, including maintaining the morale of patients with massage, hypnosis and acupuncture. After Zhanna completed the course, Rusfond (the curator of cash receipts from charitable events) received a bill for $ 135 thousand, paid it and, with the consent of the singer, began transferring the remaining 30 million rubles for the treatment of seriously ill children on the waiting list.

The actress felt so much better after chemotherapy and the introduction of a nano-vaccine that she was able to travel to China, where she studied oriental health practices and qigong in the company of her constant companion and former member of the Brilliant group, Olga Orlova, where the TV star began her career. The singer lost weight and began to dress smartly.

Unfortunately, the improvement was short-lived and the disease relapsed again. Returning to Russia, Jeanne turned to the capital's oncology center. The doctors, seeing the condition of the artist (by that time she was almost completely blind and was very exhausted), began to doubt whether it was worth continuing to administer the American vaccine to her. A strong drug could adversely affect the condition of the worn-out brain, but the relatives insisted on continuing the treatment. One of the most beautiful women in Russian cinema spent the last three weeks of her life in a coma and died on the night of June 16th. Until the last conscious minutes, the star kept in touch with Olga Orlova and Dmitry Nagiyev.

During her lifetime, Zhanna transferred 120,000 euros for the girl Natasha Dolmatova from Perm, suffering from a malignant brain tumor (medulloblastoma), so that she could undergo treatment in Germany. From time to time, Friske called the Dolmatovs home to ask how the treatment was going. The girl underwent 11 operations and her condition improved significantly. As her mother told a Life News correspondent, she considered the singer to be an amazingly kind and sympathetic person with great willpower.

“The last time we talked to her was in December by phone. She was cheerful, hoping for the best. - The woman said. “Her son was an incentive for her, she wanted to live for him.” Son Platon was born to Friske in 2013 from TV presenter Dmitry Shepelev, with whom the showwoman did not have time to get married at the registry office. The father will raise the boy with the participation of Jeanne's relatives.

Which of the celebrities faced a terrible disease

Which of the celebrities faced a terrible disease

Today, Zhanna FRISKE's family confirmed the terrible news, which has haunted all the singer's fans for several days. On the official website of the star, her civil husband Dmitry SHEPELEV made a statement: Jeanne has cancer (). Surrounded by the singer, they say that she has an inoperable brain tumor. As medical statistics show, brain tumors are relatively rare - about 1.5% of all types of tumors. However, among celebrities there are many who are faced with a terrible diagnosis.

Although a brain tumor is far from always malignant (that is, growing and usually fatal), nevertheless, even a benign one is a rather serious pathology, in most cases leading to disturbances in the normal functioning of the brain. There are not many ways to get rid of a brain tumor. The main one is surgery. But it can only be used if the tumor is operable and if its removal does not affect the main parts of the brain. Radiation therapy is used to stop its growth. And with the help of chemotherapy, you can remove tumor cells left after surgery or radiation therapy.

Valery Zolotukhin

At the famous actor and artistic director of the Taganka Theater Valeria Zolotukhina Doctors in 2012 discovered it was glioblastoma. On March 5, 2013, the actor was hospitalized in the intensive care unit of the Russian Research Center for Radiology. On March 14, it became known that doctors put him into an artificial (medicated) coma. On the morning of March 30, 2013, the artist died from complications caused by a tumor.

Valery didn’t know he had cancer, the actor’s first wife told EG after Zolotukhin’s death Nina Shatskaya. We couldn't tell him about it.

Valentina Tolkunova

March 2010 Valentin Tolkunov was urgently hospitalized in the therapeutic department of the Botkin hospital after she became ill at a concert in Mogilev. The artist had cancer of the fourth degree, tumors in the chest and brain with metastases to the liver and lungs. In recent weeks, doctors have had hope - the singer said that she feels much better and even refused chemotherapy. The doctors did everything possible to alleviate the suffering of their star patient, however, feeling worse, Valentina Tolkunova asked to bring a priest to her for unction.

Wife of Konstantin Khabensky Anastasia

In December 2008, after a long illness in an American clinic, the wife of a famous actor died. Konstantin Khabensky 35-year-old Anastasia. Anastasia was diagnosed with a brain tumor during her pregnancy. But the woman refused to undergo treatment, fearing to harm the baby. The first operation was performed immediately after childbirth at the Burdenko Research Institute. After that, the patient was prescribed chemotherapy. But the tumor continued to grow, and the neurosurgeons insisted on a second operation. But this did not stop the disease.

Konstantin Khabensky turned to the specialists of the best private clinic in Los Angeles, Sinai Cedars, for help. For several months of treatment, doctors used different methods. Radiation therapy was also used, and even the so-called backup method “Cell Killer”. The treatment was very expensive: one day of stay in the clinic cost Khabensky $ 1,500 dollars. The total amount of services provided by American doctors has exceeded one and a half million dollars.

In early November, it became known that the patient had a sharp deterioration. She was again placed in the Cedars of Sinai. There, in the arms of her mother, the unfortunate woman died. Nastya has a son, Vanya.

Nikolai Valuev

Former heavyweight boxer, world champion title holder, and now a deputy of the State Duma Nikolai Valuev at one time he went through a difficult operation, because of which he had to end his career as a professional athlete. Valuev was diagnosed with a brain tumor.

Ivan Shapovalov

10 years ago, the recording of the second album “t.A.T.u.” was to take place in the studio of the Beijing Hotel with the mystical name “Celestial Empire”. But due to controversy Lena Katina and Yulia Volkova with the producer Ivan Shapovalov the group fell apart, and the second album was not released ... And in 2012, fundraising began for an operation on a producer who fell ill with brain cancer. In the face of a fatal illness, Ivan did not give up.

- Ivan, what helps you fight a terrible disease? we asked Shapovalov.

This is my chance to start from scratch, - he shared, - I rarely visit Moscow, only if I need to record songs. He moved to the Tver region, to Konakovo, where he became interested in horse riding, stood at the origins of the equestrian club. I learned to ride on a par with children and now I feel confident on a horse. Horses are not just a hobby, like music, it is life. They helped me become kinder, less scandalous. I used to be able to yell at someone and refuse a contract for several million. Animals distract from the hustle and bustle and even illness.

He lost a lot of weight. It just looked like nothing. Moreover, he did not want to be treated.

The doctors said I had to go to Germany or Israel - they could help me there. Vanya refused. Now he is doing well.

- Is there any hope that Ivan will cope with the disease?

The doctors say there is no metastasis yet. We all pray... Lena Kiper told me that Vanya is feeling better, after the "chemo" the tumor disappears before our very eyes. Doctors reassured us - there is a chance. Give something God.

Sheryl Crow

Brain tumor in an American singer Sheryl Crow, a nine-time Grammy Award winner, was discovered in November 2011. Since then, the artist has been living with a terrible diagnosis. The 51-year-old singer told her fans about her serious illness during one of the concerts, and then gave several detailed interviews on this topic to the largest American media. According to Crowe, she began to suffer partial memory loss.

I began to have serious memory problems and went to the doctor to do my best before the disease began to progress. I didn't think it was that serious until I heard the diagnosis. They told me that I have a brain tumor, - the singer said, adding that she once forgot the words to her song Soak Up the Sun right during the concert.

The singer said that the tumor is benign, and while she does not even think about the operation. The star is going to undergo regular examinations to monitor the development of the disease. Representatives of the performer said that Crowe suffers from meningioma - a tumor growing from the cells of the tissue surrounding the brain. According to them, "there is nothing wrong with that." A few years ago, Sheryl Crow managed to successfully cope with breast cancer.

Julie Chen

American TV star Julie Chen learning to see again after doctors remove her brain tumor. The host of the popular KTTV channel from Los Angeles was considered one of the most glamorous stars of the television company, but now this woman is not at all up to glamour. In September 2013, doctors discovered she had a brain tumor using a CT scan. The terrible discovery was made by accident, as Julie came to the hospital after falling while surfing. Chen hit her face hard on the board. She then lost sight in one eye. Doctors performed detailed scans and found that the cause of the problems was not so much a stroke as a growing brain tumor. Fortunately, she was operable.

Day 5 after brain surgery,” Chen tweeted on November 25th. - Still very weak in body, but strong in spirit. I'm overwhelmed by all the support you give me.

One of the main problems on the way to recovery was deteriorating vision, - said the host of Good Day LA Maria Sanson, Julie's colleague. - But every day it improves. Of course, it cannot be said that Julie sees as well as she did before the operation. But trust me, I don't lead her by the hand. She herself is already perfectly oriented in space. And she can't wait to get back to work.