Husband has CC (we are in Victoria, Australia>

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  • #85089
    moose
    Spectator

    Hi Mandy,
    I am so sorry , sad, and in shock,read about your husband. How very scary for you all. I am so,sorry that he was not able to have surgery and is suffering so much.
    I am also in Victoria, Australia and just had my surgery on 9january at frankston hospital by dr Charles pilgrim….he usually works out of Alfred but removed my tumour at frankston which is closer to where we live. I am going for my first oncology visit on 20 February to find out,what kind of chemo I will be having.

    I just wanted to say hi to you and I hope you can get some help for your husband.
    Like him I am otherwise perfectly healthy…..such a horrible shock.

    Big hugs to a fellow Aussie,
    Mary

    #85088
    blodynbach
    Spectator

    Thank you so much Genevieve.
    Best wishes
    Mandy

    #85087
    genevieve
    Spectator

    Hi Mandy,

    Sounds like your husband is in good hands. I hope the radiation hasn’t been too difficult to take and works really well for him.

    Here are the contact details for Caris in Australia:
    Email: cariscare@carisaustralia.com.au
    Phone: 1300 308 213 or 02 8014 6637
    Web: http://www.cancerprofiling.com.au

    I’d also sent an email enquiry to Foundation One and they sent a lengthy reply, but the nurse from Caris phoned me directly, had a long conversation, and it seemed much easier to have the local office to help plus the testing panel seemed extensive.

    All the best,

    Genevieve

    #85086
    blodynbach
    Spectator

    Hi Genevieve, thank you so much! I’m so glad that your husband was able to have the re sections and really hope that all continues to go well. My husband had his last radiation today but is still on a week of 5fU chemo via pump, apparently this aids the radiation effectiveness. We won’t know for at least a month whether the tumour will shrink as radio continues to take effect after the last treatment. My husband’s liver surgeon is the best in Melbourne but because the cancer had metastised into abdominal cavity he wouldn’t go ahead. He initially thought of removing 3/4 of the liver but because of the lengthy recovery the metastised cancer would have a chance to run rampant, so they had to get on to chemo immediately. I think my husband’s case is quite a difficult one unfortunately. I really appreciate your information Genevieve, we will see what the radio does and I will certainly keep Dr Grimison in mind for a second opinion. Yes, I’m curious about the molecular testing.
    Best wishes to you and your husband!!!!
    Regards
    Mandy

    #85085
    genevieve
    Spectator

    Hello Mandy,

    I’ve just seen your post and am sorry to hear about your husband, it sounds like you have been through a lot. Mine is the same age as yours and has also had CC. He has been fortunate though to have had three liver resections, most recently in July this year. I’m sure you have good cancer care in Melbourne but if you are after a second opinion, we saw a medical oncologist, Dr Peter Grimison, in Sydney, after the second surgery (done in Sydney because his local surgeon was away). Dr Grimison is at RPA or has private rooms. At the time he mentioned that they had a CC trial going. One of the doctors in Sydney also said that there are very good radiation people associated with RPA.

    The other thing we did after the recent surgery was had molecular testing done through Caris Life Sciences. They have an office in Sydney and a very helpful oncology nurse who phoned us and organised everything, followed up, answered questions, very good service in my opinion. The report comes with a clinical trials connector so you can see online what trials in Oz or elsewhere might suit. I can give you contact details if you want them.

    I hadn’t heard of the GI Cancer institute (so thanks for that) but saw that they are in Camperdown so presumably associated with USyd and/or RPA.

    Best wishes,

    Genevieve

    #85084
    marions
    Moderator

    Mary….agree wholeheartedly. Continue to search for treatment options.
    Hugs,
    Marion

    #85083
    blodynbach
    Spectator

    Thank you so much Gavin. Having had a look at the Trial documents it unfortunately it states that a patient must have received no prior chemo, my husband has, and prior radio must be completed at least 4 weeks prior to enrolment. He has two more days to go and it can take up to six weeks after cessation of radio for tumour to shrink. It’s not going to stop me investigating this option though. I appreciate everyone’s support and encouragement. Thank you too Marion.
    Regards Mandy

    #85082
    marions
    Moderator

    The trial is listed on the UC clinicaltrials.gov website as well:
    http://clinicaltrials.gov/show/NCT02170090
    It is conducted in Germany only.
    Hugs,
    Marion

    #85081
    gavin
    Moderator

    Hi Mandy,

    Welcome to the site. Sorry that you had to find us all here and I’m sorry to hear about your husband. But glad that you have joined in with us all as you are so in the best place for support and help and I know that you will get loads of each from everyone here.

    Thanks for sharing what has been going on with your husband, you sure have been through so much with everything already. And major GRRRRRR to that onc with that attitude!!! You are so doing the right thing in looking for help for your husband and please do not be put off from doing so with that terrible attitude from that onc. Have you sought second or third opinions as to treatment options?

    Keep coming back here Mandy as you are around people who so know what you are going through right now and how you feel. We are here for you and will do our best to help and support you.

    My best to you and your husband,

    Gavin

    #85080
    blodynbach
    Spectator

    Thank you Jason.
    For anyone interested info on the trial I mentioned can be seen at http://www.gicancer.org.au which also mentions a worldwide trial called “ACTICCA-1, on the role of chemotherapy after surgery to remove bile duct cancer”, a worldwide trial coordinated by the University Cancer Centre in Hamburg.
    Regards
    Mandy

    #85079
    jscott
    Member

    One thing to keep in mind is that there are very few trials specific to cholangiocarcinoma, but there are some that still accept cholangio patients. For example, some trials target a general category of “solid tumors”

    Here are two trials that are recruiting in Victoria that only require solid tumors:

    http://clinicaltrials.gov/ct2/show/NCT01292655

    http://clinicaltrials.gov/ct2/show/NCT01986218

    I am very sorry and frustrated that you can’t get better help finding and better access to clinical trials. Without cholangio patients participating in trials, making progress fighting this disease will be very slow.

    Jason

    #85078
    blodynbach
    Spectator

    Thank you Marions and Lainy for your help, encouragement and support. Yes, we have been hit by the train and bat many times. I’ll check the study again, I’m sure it said “recruiting” and I’m writing to them today! My husband is only 57 and was in perfectly good health. I’m so glad I came across this site and looking forward to learning and sharing. X

    #85077
    lainy
    Spectator

    blodynbach, welcome to the best place to be for CC support. I am so sorry for what you both are going through as I know when you first got the diagnosis you felt hit by a train and now you are being hit again with a bat. What you want is an understanding but aggressive ONC. I would definitely get another opinion. There are also other chemo options out there. We have a member who is a Nurse, I think in Australia and she peeks in here now and then and hoping she will come aboard with some info for you. Her name is Janet.
    In the meantime I know it may seem strange but listen to your gut feelings as they will not steer you wrong. We are all family here so please come on to ask and vent and know that we truly care.

    #85076
    marions
    Moderator

    Welcome to our site. So glad you have found us. We have several members from Australia and I hope that all will chime in.
    You may also use the “Search” function by entering the word “Australia” and/or “New Zealand” many postings will appear. However; the threads will contain discussions as well. It may be difficult to sort through. Remember that we are here to help and don’t hesitate from posting any question you may have.

    Genevieve had posted the following:

    Canberra:

    Dr Charles Mosse
    Hepatopancreatobiliary, Upper GI and Advanced Laparoscopic Surgeon
    Calvary Clinic Specialist Medical Centre / Suite 20
    40 Mary Potter Circuit
    Bruce ACT 2617
    Tel: (02) 6253 4122

    Sydney:
    Dr Charbel Sandroussi
    Upper Gastrointestinal, Hepatobiliary and Transplant Surgeon
    100 Carillon Ave, Suite 306 RPAH Medical Centre
    Newtown NSW 2042
    Tel: (02) 9565 1375
    Operates at RPA and the Mater Hospitals.

    So sorry to hear of the uncooperative physician forcing you to explore the possibility of entering a clinical trial. Don’t let this hold you back from advocating for your husband.
    I don’t know which clinical trial you are referring to but it should list date of study and completion of study date. It may also mention: “recruiting” or “closed”.
    Hugs,
    Marion

    #10641
    blodynbach
    Spectator

    Hello
    My husband was diagnosed with CC on 17 April 2014. The tumour was 2cm and he was scheduled for a liver resection but when the laparoscopy was performed before surgery it showed nodules in the peritoneum (lining of abdominal cavity), so they didn’t go ahead with surgery. Next step was chemo, gemcetabine and cisplatin. Also he had stents inserted to relieve jaundice. One round of chemo he got an infection, next chemo was delayed. Got better and after three rounds, a CT scan showed tumour had doubled in size, so no response to chemo. More infection, stents were blocked, they were cleared, 11 days in hospital on antibiotics. Nasty bugs in liver so is on permanent antibiotics. Next plan of attack Folfox chemo, no good, tumour markers climbing. Into 8th day of radiotherapy now to try and shrink tumour, along with 5FU chemo to help it along. Radio has caused incredible swelling, bloating and discomfort he last 2 days. Received a newsletter from GI Cancer institute and there was mention of a trial started by an oncologist at Sydney university. When we initially asked if any trials, onc said nothing worth trying. When we showed the Onc the newsletter, was very dismissive and not interested, I felt very upset, frustrated and angry. There is no other option for my husband so I’m going to write to the Trial contact person this weekend to see if it’s not too late to join the trial, the trial commenced in 2012, so not sure if possible.Feeling desperate now. So glad I came across this site. Very interested in hearing from fellow Australians as to their medical experience here also New Zealanders. Best wishes to all.

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