My father

Discussion Board Forums Introductions! My father

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  • #34777
    gavin
    Moderator

    Hi Lisa,

    I know what you mean about your head spinning with questions, I think we have all went through that stage! I can’t help you I’m afraid with most of your questions as my dad never had a resection.

    Dad did have his team of doctors and specialist nurses that took care of him. His specialist who diagnosed his CC and carried out his PDT. This was what i would call dads head doctor as it were and he was ultimately responsible for dads overall treatment. It was he that decided when dad should look into chemo so sent heim to the onc, who decided dad was not suitable. Then there was the local gp who dealt with the day to day symptoms etc. And there was the specialist nurse who would visit dad at home, she was a Macmillan cancer nurse and she was great for liasing with all the other docs etc and sorting stuff out for dad. Then when dad went to day care, he had the gp’s and nurses at the centre who again, would help with the day to day symptoms. And they would all be in contact with each other but ultimately, it was the specialist who decided on treatment and stuff.

    My best wishes to you and your dad.

    Gavin

    #34776
    lainy
    Spectator

    Hi Mshopeful: Wish I could help more but the only thing I can answer to is the “team” of doctors. Teddy is a 4 1/2 year survivor of a Whipple and I just had surgery October 1st for a GIST tumor, another “rare” cancer. We both have what we call our “teams”. Oncologist, GP, Gastro, and Radiologist. Luckily they all work together by keeping each other informed. I have found out recently that the Radiologist does not recommend treatment or do anything but what he does. They do not overstep one another so we feel the team approach is best. Good luck and hope dad is feeling lots better very soon.

    #34775
    mlepp0416
    Spectator

    Hi MsHopeful:
    My hubby Tom had a successful resection in June 2008 (with a tumor reoccurance in Nov 2009 that he is currently fighting with radiation).
    -Distended abdomen – Tom did not experience that
    -Solid foods – generally are reintroduced when they start hearing bowel sounds. When you are put to sleep for a surgery, everything goes to sleep including your stomach/intestines. They can’t give you solid foods until the ‘internal’ plumbing comes awake and they listen to your stomach and when they hear growling and you start passing gas, etc, then they will reintroduce solid foods.
    -No Gas or BM- Liquids are ok as long as the patient can tolerate it. Tom did not eat anything solid for about the first week after his resection – he had only a liquid diet. Water, ice chips, broth, jello.
    -Tom had a whole slew of doctors. The oncology team, the surgery team, the infectious disease team, the interventional radiology team. Talk about confusing! Each time a ‘team’ of doctors came in, things were changed – my thought was that there were too many chiefs and not enough indians. His surgeon was the main go to person. Since she did the surgery, she had the final say and she was my go to person when I really needed something or had questions that the other teams of doctors could not answer.
    -If there is a bowel obstruction then possible that they could operate again to clear that up. Are you just asking this as a precaution or have they said that he has a bowel obstruction?
    -Bilirubin level – Tom’s bilirubin level was always ‘normal’ pre surgery and post surgery. His bilirubin level never wavered until Nov 09 and that is how we knew that something was wrong. Turns out he had a re-occurance of a new liver tumor that is blocking the flow of the bile into the intestines.

    You need to ask all these questions of your fathers ‘team’ of doctors, ask them to every medical professional that you see come into his room. The more questions you ask the better informed you will be. Ask about the possibilty of stenting the liver bile duct if the bilirubin level continues to rise. It could be that with them going in there to attempt a resection that it ‘stirred’ thing up.

    Best of luck to you. Prayers for your day coming from Wisconsin.

    Go with God and Keep KICKIN’ that cancer.

    Margaret

    #34774
    mshopeful
    Spectator

    Marion and Gavin, thank you for your encouragement!

    I just got back from visiting my Dad in the hospital. This was the first time seeing him since Monday (attempted resection).

    My head is spinning with what feels like a million queswtions. Here are some of them and if anyone has any answers or imput, I would really appreciate it.
    – Is it normal to have a distended abdomen after an attempted liver resection?
    – When are solids reintroduced into the diet?
    – If no gas or BM, should that mean you can’t have any liquids?
    – Should there be a main “go to” Doctor that is responsible for the overall treatment of the patient? Or is it typical to just been seen by a various specialist?
    – What happens if there is a bowel obstruction?
    – Is it normal for the bilirubin level to up after surgery? It was 5.2 on Monday, 7 yesterday and 10 today.

    Thank you for your support!

    #34773
    gavin
    Moderator

    Hi Lisa,

    I can’t help you with your search for info for doctors in California, as I live in Scotland. But I am glad that you have joined us as you will get a ton of support and a lot of help from members here. Yes this is as you say a scary time in our lives. But i know how much it helped me to be able to come here and the help and support I got from members here was of great help to me and my family. I am sure that you will experience the same.

    My best wishes to you and your dad.

    Gavin

    #34772
    marions
    Moderator

    MsHopeful…. The members on this site are incredible caring and helpful people and I am glad that you have joined us. Everyone on this board has much knowledge to share something; so very important when this cancer touches our life. In fact, we have others from Southern California who may very well chime in and share the names of their physicians. Much support is coming your way.
    Please, stay in touch.
    Best wishes,
    Marion

    #34771
    mshopeful
    Spectator

    Hi Marion,
    Thank you very much for your information regarding Dr. Lenz. I will definitely look into it. I am really glad to have found this site as it is very informative and encouraging. It’s such a scary time in our lives and it helps to find support in people like you.

    Take Care,
    Lisa

    #34770
    marions
    Moderator

    mshopeful….Your Dad is an amazing man with a great attitude something you are supporting as well. Failed resections are not uncommen. Many of our members have reported similar stories.
    I would suggest you to contact Dr. Heinz Lenz at USC.

    1441 Eastlake Ave.
    NOR 3456
    Los Angeles, CA 90033

    Phone: (323) 865-3955
    Fax: (323) 865-0061
    E-mail: lenz@usc.edu

    To better inform yourself of Dr. Lenz you might want to google his name. Also, there have been many discussios on our site which you may access by using the search function on top of the page.
    Others may be able to forward more suggestions.
    Good luck and please, continue to stay in touch.
    Best wishes,
    Marion

    #3084
    mshopeful
    Spectator

    My father has been being treated for cc since September 2009. The doctors determined he was a candidate for a liver resection being that the klatskin tumor was small and no sign of metastasis. He had 2 external drains put in and while undergoing testing to make sure his body was fit for the resection the cardiologist discovered a problem with his heart. My Dad underwent a triple bypass which set things back a bit. He had his drains readjusted twice trying to get his bilirubin down, it was as high as 26. Finally, last week we got the news we were waiting since Sept for, the liver resection would be scheduled for the following week. Monday was the big day, my Dad went in for what was expected to be a 4-6 hour surgery, after about 2 hours we were told he was in recovery, the Doctor explained that he was not able to resect the tumor, and he discovered there was a lymph node involved and a tumor in the liver. He removed the lymph node, the tumor in the liver and the gallbaladder. Not the news we wanted to hear. The plan is to insert metal stents so the external bags can be removed and to start radiation and possibly chemotherapy. I am constantly amazed at my father’s positive attitude. I would like to send his record to get a second opinion. Could someone out there please reccomend a doctor here in Southern California? Sorry if my rambling is all over the place, but I am just hoping someone out there can help us. Thank you in advance!

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