Medical Report
Patient M.K. (54 years old)

Date of Entry: May 23, 2003.
Diagnosis: Ovaries' cancer
The patient's state after an operation performed in 2001 was as follows: laparotomy, total hysterectomy, right-sided hemicolonectomy, two-sided salpingoovarectomy, metastases into the liver, spleen, inguinal nodes, rectum, mesentery, and vagina wall. Ascites. Intoxication. Anemia. Cachexy. Chemotherapy performed in 2001.

On May 23, 2003 it was made examination. It showed that the patient was in a severe state. She had a cutaneous paleness, jaundice-like hue of the skin, sunken eyes, keen exhaustion, epigastrial tension, sharply enlarged stomach, heavy breathing, bloody genital egesta, involuntary body position, poor appetite, and living discomfort.

Objective Examination: It showed cutaneous paleness with a jaundice-like hue and cutaneous dryness. The patient's tongue was coated heavily with a whitish fur, of a dark brown hue. The tongue was crimson along its edges. The patient had sunken eyes, nasolabial fold cyanosis, eyelid cyanosis (a full-of-suffering look), sharply enlarged stomach, dilated vessels, and a postoperative scar along the medial line of the stomach.

Palpation: Abdominal wall was tensed because of stomach enlargement. Palpation revealed moderate pain on the right-hand side, pain in the left-side subcostal and iliac regions, a solid formation with the dimensions of 15ґ10 cm in the bosom, as well as a tumor-like formation with the dimensions of 12ґ8 cm in the umbilical region. The formation was dense, painful, and united with surrounding tissues. An irregular shape formation was palpated in the left-side subcostal region.

Percussion: Flat regions contained a fluid. The liver was enlarged and protruded from under the rib edge by 4 cm. It was uneven along its edges. The subhepatic space could not be palpated.

Auscultation: It revealed retarded intestinal peristalsis with nonpassage phenomena.

Rectal palpation showed a tumor-like formation of a dense consistence and of an uneven shape. The rectal distal pole was not felt by fingertips during palpation. A vaginal examination showed bloody egesta and necrotic lesions on the wall adjacent to the tumor and rectum. It also exhibited bloody discharges from the necrotic lesions. Lower limbs revealed a moderate edema of the shank. Lymphatic nodes were not enlarged. The patient had vesicular breathing in the lungs. Her heart had subdued sounds. Her cardiac rhythm was correct.
Heart rate: 82 bpm.
Arterial pressure: 110/70.
Stool: difficult. Urination: normal, saturated in color.
The patient was prescribed to have the following examinations made:

1. Clinical blood analysis and general urine analysis
2. Biochemical analysis, immunological analysis
3. Ultrasonography of the abdominal cavity and mammary glands
4. Electrocardiography
5. R-gram of the lungs
6. Living blood drop scanning
7. Oncologist's examination
8. Gynecologist's examination

May 26, 2003. Postexamination Consultation Conclusion: The patient had abdominal adenocarcinoma. She had a relapse in the rectum and vaginal wall, liver, spleen, epiploon, mesentery, and para-aortic nodes. The patient also had ascites, cachexy, respiratory insufficiency, intoxication, anemia, and depressive syndrome. The patient had an obvious clinical picture. She refused to undergo chemotherapy. Because of this, it was recommended that she should undergo photodynamic therapy (PDT) in accordance with the medical establishment procedure. The patient agreed to undergo it and signed a contract (the contract is enclosed).
On May 26, 2003 - the patient was performed the PDT of the abdominal wall, lumbar region, intravaginal area, and intrarectal region (in accordance with the medical establishment procedure).

On May 27, 2003, the patient was performed the scanning of a living blood drop. The scanning revealed a pronounced erythrocyte aggregation, anisocytosis, considerable decrease in the leukocyte count, decrease in the leukocyte size, serious damage of the cell membrane (echinocytosis), and poikilocytosis. The scanning exhibited no purity of the plasma, which was evidence of an exhausted liver. The patient was prescribed antioxidants, colostrum, amino acids, selenium, zinc, Pau D'Arco, photosensitizer, "Photosteam" and "Polisorb".
On May 27, 2003, she was hospitalized to the CMPD Hospital for laparocentesis and rehabilitation.

On May 29, 2003the patient was performed ultrasonography of the abdominal cavity. It revealed the echographic signs of canceromatosis of peritoneum and lymphatic node conglomerations of the abdominal cavity and retroperitoneal space. The abdominal cavity contained some free fluid with suspended elements.

On May 29, 2003 the patient was made electrocardiography. It showed that the patient had a sinus rhythm, the normal location of the electric axis of the heart, and moderate changes in the myocardium. The patient had the 0(1) blood group. Her Rhesus factor was positive. A blood test for HIV, hepatitis, and syphilis, which was made on May 29, 2003, was negative.

On May 29, 2003 , the o.protein was 57.4 g l^-1, urea was 3.6, o.bilirubin was 9.5, Act was 40.1, Alt was 28.8, glucose was 5.9 mmol l^-1, leukocyte count was 11.3, erythrocyte count was 4.05, and Glb was 106 g l-1. A coagulogram showed that the fibrinogen content exceeded the normal values by a factor of 2. An ascitic fluid analysis is under way. A general urine analysis showed no pathological changes.

Laparocentesis was performed in the right part of the stomach. As a result, 6 liters of ascitic fluid exuded. The fluid contained canceromatosis tissue flakes. Ascitic fluid laser irradiation was carried out jointly with the "Photosteam" intake. To this end, 500 ml of ascitic fluid were subjected to laser irradiation. The exposed fluid was thereafter introduced back into the abdominal cavity. After that, a cytological examination of the ascitic fluid was made.

In hospital, the patient was subjected to a disintoxication therapy, restorative therapy, vitamin therapy, immune therapy, enterosorption, and lymphatic drainage. The patient showed an abrupt improvement. The quality of the patient's life also improved. Discomfort lessened, cutaneous dryness decreased, and nasolabial fold cyanosis diminished. Breathlessness disappeared, appetite improved, and locomotor activity increased. The patient's stool became normal. Fetid egesta appeared from genitals.

On June 03, 2003, the patient was discharged from hospital. A further corrective therapy was carried out in an outpatient medical center. The patient was treated with increased doses of antioxidants and amino acids. In addition, the patient was treated using the lymphatic drainage, bioresonance magnetolaser therapy device, Pankov's spectacles ("Detoxication" program), and oxygen cocktail.

On June 06, 2003, the patient was performed the PDT of the abdominal wall. The therapy was carried out jointly with the "Photosteam" intake.

On June 10, 2003 a living blood drop was scanned. No echinocytes were observed. The number and the size of leukocytes considerably increased.

May 29, 2003 Cytological Conclusion Result
A metastatic extravasation contained adenocarcinoma elements. On June 10, 2003, the patient was made ultrasonography. The ascitic fluid bulk exhibited some decrease. The size of hepatic capsule formations insignificantly decreased. Some lymphatic nodes and conglomerate nodes exhibited structural changes of a necrotic type: a picture with some positive dynamics. Laboratory investigations revealed positive dynamics. The immunologic state was normal. June 06, 2003.Consultation. Recommendations:

1. Domiciliary oncologist's monitoring.
2. Blood examination after 1 month.
3. Ultrasonography of the abdominal cavity after 1 month.
4. R-gram of the lungs and vertebral column (or computerized tomography in dynamics).
5. Nourishment should not contain white bread, fancy cakes, sugar, chocolate, pies, coffee, meat (such as pork and beef), as well as whole milk. It should include fish: baked, not fried.
6. Active way of life, motion+oxygen, and ozone therapy.
7. Colonotherapy after 2 weeks (once a week).
8. In the case of an ascitis exacerbation, laporocentesis under ultrasonography monitoring.
9. Lymphatic drainage.
10. "Photosteam" intake within 2 months.
11. "Polisorb."
12. Antioxidants: Microhydrin, Sango coral, selenium, zinc, amino acids, and formic tree bark.
13. Immune response modifiers.
14. Vitamin therapy.
15. Antineoplastic suppository (rectally and vaginally).
16. Use of Pankov's spectacles (the Detox series).
17. Palliative PDT (using a photodynamic lamp): the abdominal wall and the lumbar region should be exposed for 20 min each.
18. Limit physical labor.
19. Avoid exposure to direct sunrays.

The patient should come to the Medical Center for a second treatment at the end of July.

Head Physician, Prof. R.Sh.Vachtangishvili
Doctor in Charge of the Case, Prof. O.P.Pankov


Medical Report

Patient M.K. (54 years old), had been treated as an out-patient in the Medical Center from August, 6 till August,13.
Diagnosis : cancer of ovaries.
Post-operation state laporatomy, total historectomy, right-side hemicolonectomy. Double-sided salpingoovaroectomy, mts in liver, spleen, inguinal lymph-knots, rectum, vagina sides. Aestitis. Intoxication. Anaemia. Chohectia.

The patient was received for recurring treatment with photodynamic therapy. Two months after first treatment with photodynamic therapy. During those two months the patient suffered through exacerbation of ulcer disease and general intoxication. She was submitted to treatment at place of permanent residence. Currently condition is of medium gravity, no weight change, the patient is active.

Cutaneous integuments are moderately pale with yellowish shade. Abdomen is not bigger than it was during first treatment. The tonque is red, slightly coated. The bottom part of abdomen is soft. In right and left subcostal area a tumer-shaped formation with diameter from ten to fifteen centimeters is palped. The palpature of liver is increased. Intestine peristalsis is satisfactory. By rectal observation tumer-like formation of soft consistence is palped. Distal pole cannot be palped with fingertip. Vaginal analysis detect watery secretions. Tumer-like formation adjoining rectum area is palped. Vesicular breathing in lungs. Heart tones are muffled, rythmical, correct. Pulse is 80 per minute. Arterial pressure is 120/80 mercury, urination is normal. Stool is laboured. Lymph-drainage, ultrasound of abdomen, live blood and faeces scanning are prescribed for the patient.

07.08.2003 a seance of photodynamic therapy was conducted by "Crystal-2000" device with photosensitizer "Radachlorin" with total irradiation time of 2 hours 36 minutes, power from 1,5 to 2 watts.

07.08.2003 scanning of live blood drop was conducted. Antioxidant and desintoxication therapy was prescribed to the patient. Condition of the patient after photo-dynamic treatment is of medium gravity.

Ultrasound of August, 11 : Liver's contours are rough. In gates area lymph-knots up to 15mm. In 4,6,7,8 liver sections seat of different echogeny with diameter from 2,5 to 3 centimeters is detected.

Spleen is increased 13,3 x 11,0 centimeters. Its structure has hotbeds of mixed echogeny with diameter from 1,1 to 1,2 centimeters. In upper zone formation with diameter of 7,3-8,6 mm. Bottom zone is poorely differentiated. In abdominal cavity moderate quantity of liquid is detected. Echo-indicators of metastatical character of change in liver and spleen. Diffusive changes in pancreas. Aestitis.

12.08.2003 Live blood drop scanning.

13.08.2003 The patient was discharged from the center in satisfactory state for further observation and treatment at place of permanent residence.

Recommendations :

1. Check-up with oncologist.
2. Monthly blood and urine analysis.
3. Monthly control ultra-sound of abdominal cavity.
4. Follow-up with balanced nutrition.
5. Active life-style, movement.
6. Lymph-drainage.
7. Follow-up with taking "Photosteam" medicine.
8. Anti-oxidant desintoxication therapy.
9. "Pankov's Glasses" use.
10. Palliative photodynamic therapy (by photodynamic lamp) three times a week 20 minutes each with application to problem zones.
11. Limited physical labour.
12. Control check-up at the Medical Center after three months.

Head Physician, Prof. R.Sh.Vachtangishvili
Doctor in Charge of the Case, Prof. O.P.Pankov