My precious brother

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  • #48275
    lainy
    Spectator

    Dear Loving sister, welcome to our wonderful family but sorry you had to join us. You wrote: “By the way, during all of this he has had several CT scans which show no new growth.” To me that is key here. Concentrate on the no new growth and then the doctors will see what the counts do after they put the stints in. One step at a time. This CC requires a whole lot of patience. Please let us know how the stint exchange goes and as always we are hoping for the best.

    #48274
    mlepp0416
    Spectator

    Loving Sister:

    Welcome to the site that no one really wants to join, myself included! Now that you are here, you will find lots of support and will make friends and will soon consider everyone on here as part of your family.

    My husband Tom also has CC. He was diagnosed in Mar ’08, ONLY because his liver enzymes were 10x elevated. He had NO symptoms whatsoever. After an ERCP, they found a narrowing in one of the bile ducts in the left part of the liver. They brushed the site, put a stent in and sent the brushings off to pathology. The result, CC. Prior to that, neither one of us had even heard the word, let alone how to spell or say it.

    After Tom’s left resection, numerous ERCP’s, CTScans, 21 day stay in the hospital, no Chemo/radiation (Doc’s felt it was not necessary as they had clear margins), he left with 2 external drains. One with a JP drain the other with a bag for a ‘pool’ of bile behind the liver, the JP directly into his liver. He had those for 7 1/2 months until the liver healed.

    We had 18 months and were able to do a lot of firsts (things we did after cancer) but in Nov ’09 I noticed that he’d started turning yellow. They discovered a new tumor in the right lobe of his liver. This one was inoperable because it involved the hepatic artery. His ‘then’ onc told him to go home and get his affairs in order. He said chemo/radiation would not help and gave him 6 months.

    We did not listen to that! We got 2nd, 3rd and 4th opinoins. Thank heavens we did! He underwent 28 rounds of radiation, then about 5 rounds of oral chemo, Xleoda. Went a radiologist ‘read’ one of his CTscans and ‘saw’ a mass, they installed a port and he underwent about 3 rounds of Gem/Cis via IV. Upon a new scan, the ‘mass’ was gone. (??) No one can explain that one!

    SO, here we are just approaching Mar. 1, 2011 we will be starting the 16th month of life. (He has outlived that onc’s dire prediction by 12 months). Just goes to show that NO ONE HAS AN EXPIRATION date stamped on their butt!

    So we have again experienced a lot of ‘new’ firsts (after being given 6 months). We have had a lot of ups and downs, twists and turns in the journey. He still has an external drain tube as they were unable to get an external stent into the liver. They feel that the tumor and radiation destroyed that section of the bile duct. We even went to Mayo Clinic in the hopes that they would be able to get a stent in but even they were unsuccessful. But at least we tried! Tom will have that external drain for the rest of his life, and you would be amazed at how well you come to accept something like that. It keeps his bilirubin level low so that he does not look like a yellow man. He was very lucky that even when his bilirubin level was 24,900 he did not experience any itching or brain confusion.

    He has been hospitalized about three times with infections in his liver, and they have always been able to get it under control. At times it requires IV antibotics for a few days, then oral antibotics. The last one required three weeks of IV antibotics. These infections are a ‘way of life’ for anyone with an external drain tube. We now have Tom on a four week ‘Tube Exchange’ in the hopes that will curtail an infection from starting with the tube. So far it has been successful.

    Tom just turned 64. Your brother has his age on his side. Tell him to stay positive (attitude is key), ask questions, do research on this cancer. If he is told ‘no’, he should ask what else they can try. He wants to be certain that his doc’s have knowledge of CC or a physician base that they can tap into. Tom’s doc’s here in Green Bay, Wisconsin also work hand in hand with doc’s from Aurora St. Luke’s in Milwaukee, Wisconsin. Seek 2nd (or more) opinoins if necessary. He needs an advocate to be with him for all doc visits. Someone to take notes, better yet take a digitial tape recorder and listen to it after he gets back home. That recorder is invaluable because as you ‘re-listen’ to it, you WILL come up with other questions. Write down your questions and present your list of questions to the doc and any doc worth their fees should be able to give you answers, and if they don’t know, ask them to research it and get back to you.

    Go with God and KEEP KICKIN’ THAT cancer.

    Margaret

    #48273
    slittle1127
    Member

    Dear Loving Sister – How wonderful that you have had this great fishing partner and your brother to boot. I am also a Christian and this disease can test your faith, but as you already know, draw close to the Giver of Life. My husband had CC and as a family, we came to view the months of illness as a blessing to allow us time to take a family vacation, have the best Christmas of our lives, say all the things we wanted to say about our love and appreciation for my husband, and then we released him into the arms of God. We grieve for the man we loved so much, but we have such a sense of gratitude for all God allowed us to experience. My prayer is that the doctors find treatment for your brother that allow him more time, more health, more fishing trips. My prayer for you and his family is that you find the faith and the comfort that will carry you through this experience. Blessings, Susan

    #48272
    ritchie
    Member

    Hi! At a time like this, words probably don’t help much. Roslyn seems to have hit upon the only solution, enjoying the time you have together. We’ll be praying for you.

    Ritchie

    #48271
    marions
    Moderator

    Hello loving sister…..I would like to follow Roslyn and welcome you to our site. This board is full of stories about recurring drainage problems and I assume for others to come around real soon and share their thoughts with you. My fingers are crossed for the latest stents to finally do the trick by allowing for adequate bile drainage. Hang in there. We call it the great roller coaster ride of bile duct cancer.
    Please stay in touch.
    All my best wishes,
    Marion

    #48270
    duchess
    Member

    Hi Loving sister,
    your brother has been blessed to have such a great sister,as you ,& to have known true love in his life. It sounds as if he is in a supportive, loving environment . One day at a time, seems to be how it goes with CC, doesn’t it? My husband has CC also & has been offered only oral chemo & pain killers . He is inopperable, we are told. Each day has special meaning to us now, as it undoubtedly does for your brother & his family. I have decided to enjoy him whilst he is here & mourn only after he is gone. It is important to enjoy each day that God gives us together. CC patients don’t have an expiry date stamped on the soul of their feet, so who knows how long each will live. Who knows how long we, without cc, will live, though? Enjoy the time that God gives you & try to stay positive. Life is a gift, enjoy it as much as you can.
    My thoughts & prayers are with you & you precious brother, as they are for all CC sufferers & their families.
    Regards
    Roslyn

    #4812
    lovingsister
    Spectator

    Hi there all. My 46 year old brother was diagnosed with cc in March of 2010. The tumor is on his liver, covering his bile ducts, and inoperable. He has two drain tubes working as his bile ducts.
    His first round of treatment was a clinical trial (Scott and White, Temple Texas) which after 8 weeks showed some minor growth of the tumor.
    Next, we took him to Baylor Medical in Dallas and had CyberKnife treatment done, which is pinpoint radiation. The objective there was to “kill” the tumor but doctors did warn they would expect it to come back at some point either in the current location or somewhere else.
    This procedure was done in early October.
    The plan was to let him recoup from that procedure and start on a new trial which they had to test him for….his tumor had to carry a certain gene and be within the 20% percentile in order to qualify and he did! We thought that was great news!?
    Middle of November comes and he develops a nasty infection from complications with his tubes that lands him in the hospital for almost 2 weeks.
    Finally around the end of January, we go in with hopes of starting the trial and we are told that his liver counts are too high to get into the study. The Dr says it could be from his tubes not draining properly or from active cancer that cannot be seen.
    By the way, during all of this he has had several CT scans which show no new growth or spreading but b/c liver counts are high his oncologist just sets him up for standard chemo treatments.
    After 2 rounds of chemo, he becomes jaundice and itching again so is hospitalized on Feb. 11 with liver count at 14! Another CT scan shows nothing new and no growth of tumor.
    They adjust tubes again, his counts begin to decline, he is released on a Wednesday(Feb 16th) and his count is 9.
    He went for follow up blood work that Friday (Feb 18th).
    We went for appt this morning (Monday Feb. 21st) and his count is back up to 12 and once again he is admitted into the hospital.
    Although Dr says it could still be due to complications from tubes (which they have decided to put stints in now) he also fears it is the cancer creeping into the liver and cannot be seen.
    We were told today that there is another study for patients with high numbers but at this time they are full.
    The doctor warns that if it is the cancer down in the liver causing blockage, they wont be able to drain that which could/would eventually cause liver failure, coma, etc…
    My brother is one of the most precious people i know. Married his high school sweetheart at 18, they have 3 sons and 5 grandchildren. Not to mention, he is the best fishing partner ever!
    I am just feeling a little desperate and “broken” today and found myself on here reading these posts so just thought i would share also.
    I am a christian and work daily on unshakable faith but i must say that this is taking it to a whole new level.
    Would love to hear any advice, comments, etc.
    Thanks and God Bless You All!
    A Loving Sister

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