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  • #45099
    kimcirucci
    Spectator

    Please see my post under introductions – “My inspirational Story”. I am not sure of your mom’s entire case, but if you can not find a dr who can help, please contact Tomoaki Kato, M.D. He is affiliated with Colombia University in New York, NY. He is the most amazing surgeons you will ever find. Please research him & best of luck. My prayers are with you.

    #45098
    marions
    Moderator

    Mom….Good luck on the treatment. Although, only your Mom’s physician would know for sure, I wanted to point out that some patients with kidney issues have been given Tarceva, also.
    I agree with your Mom in that it is important to feel connected with the treating physician. I am glad that she has found someone she can trust and feel comfortable with.
    Best wishes,
    Marion

    #45097

    Thanks everyone for the info. Met with the surgeon today. Not an option right now, we figured as much. Starting chemo on Monday but being as Mom’s kidneys are weak we are just moving forward with Gemzar to start. Hopefully, we can get the kidney’s back on track soon so we can really start some good therapys. Probably going to look into Mayo, and Moffit, possible MD Anderson for some varied opions, but Mom really loves her Doc right now and I worry about switching more from a mental point of view than anything else.

    #45096
    floridamom
    Member

    I was initally treated for my 6.8cm cc tumor in Aug 2008 @ Mayo Jax. A resection was performed and considered a success with 1″ clear margins. DOcs said no chemo protocol existed so they didnt recommend one. A year later the PET showed mets to the remaining rt lobe and Mayo gave me 6 months to live. At that point I left there and looked to whre my research pointed-NYC. I now receive chemo every other week after a round of Therasphere and my original six tumors are down to 6 and Mt Sinai is getting ready to give me the go ahead (next week I pray) for a live donor liver transplant. As you will hear every case IS individual and age and stage play a big role in the choices of the patient but there are always other answers if you keep looking :)
    Staci
    Jax, FL

    #45095
    isellure
    Member

    Thank you Susan, I hope that we never progress beyond where we are today.

    #45094
    slittle1127
    Member

    Dear Isellure – How wonderful that you can give your mom such support in her decision re: treatment vs. no treatment, information vs. no information. What a great way to honor her. Let’s hope that she remains symptom free. Keep posting and letting us know how she is and how you are doing. Blessings, Susan

    #45093
    isellure
    Member

    My MIL was diagnosed in August, golf ball size tumor at the junction. She is being treated at Mayo in Jacksonville. Initially they felt she had cc but biospy came back no cancer, dr’s felt it was still cc…so she had a ercp and it did come back positive for cc. Dr Nguyen at Mayo Jacksonville is who is treating her. Surgery was possibly an option but with the info the dr’s gave her she didn’t have really any hope that it would help. Although Mayo and Dr’s have not given us any bilb #’s or markers. She doesnt want to know anything so therefore they aren’t going to insist she know. The dr’s were not negative and said they would have the best in the world avail for her surgery but she has opt’ed for no treatment at all. It’s hard to accept for all of us but she is very strong in her belief. She was went to the doctor initially because she just wasn’t feeling well and a little jaundiced. They immediately placed an external drain and was in the hospital for about a week. For the next 6 weeks or so, she went downhill very fast. She couldn’t even get up and down the hall way, but no pain thankfully. The drain was draining all of her necessary fluids and nutrients out. She finally got a plastic stent, WOW talk about a turnaround in a few hours and of course some fluids too. Stent lasted about 7 weeks and no another one and she’s feeling pretty much back to normal except for fatigue early in the afternoon. She still has absolutely no pain or discomfort at all, just fatigue in the afternoon. She’s loosing weight, but of course she’s not eating like she use to and the cc is growing too. Since we have the diagnosis, we can only not hope that she stays exactly where she is for a very long time. She’s at such a peace with her choices, we on the other hand are having a hard time accepting no treatment, but we respect her wishes.

    As far as the hospital, we have a male friend who was being treated there for pancreatic cancer, 6 mos was all he was given, 2 years later he is still with us – yes tired and fatigued alot. He tried chemo and some alternative treatments there with no success the first 6 months, but no treatment at all for he last 1 1/2 years. He loves the doctors and treatment he received there. I hope that you can find that miracle needed for the cc and that the surgery is an option for you all! May god bless you and your family with some good news. We were given 6 months, we are now 4 1/2 months down that road and other than knowing she has cc, she’s pretty much symptom free!

    #45092

    HI, I am from north Florida (Gator country) and my Mom was idagnosed at Shands UF in Gainesville, Florida. I am not familiar with your Dr or hospital. What city is it located in? Great physicians on the transplant floor and we wouldn’t have Mom if she had not gone there.

    Wishing you luck and good news with the visit to the surgeon.

    #45091
    marions
    Moderator

    Hello EA…..I would like to follow Gavin and welcome you to our site. Yes, we have numerous members from Florida and hopefully, they will address some of your questions soon. In the meantime you might want to use the google search function, top, right, and enter “Florida.” This will allow you to read up on previous threads. I am a strong believer in second, or even more opinions. This cancer is rare and you would want to make sure to gather information from those physicians “very familiar” with this cancer. Interestingly enough, many physicians I have spoken with appear to agree with me on this.
    I believe that some patients worry that they may offend their physicians however; I don’t believe that to be the case.
    Just make sure to have copies of all records including, blood tests, CT scans, and physicians reports, etc. on hand.
    From what I have learned brushings often come back as inconclusive, as can biopsies. The same goes for the CA 19-9 marker. Some people lack a specific protein therefore; this biomarker is not valid for all people.
    Good luck on the upcoming visit with the surgeon. I am crossing my fingers for good news coming your way.
    Due to the high volume of postings threads easily can be lost on this site. I find it helpful to repost unanswered questions. So, if you don’t receive any answers please, ask again.
    I am glad that you have found us and am looking forward to hearing much more from you.
    Best wishes,
    Marion

    #45090
    gavin
    Moderator

    Hi There,

    Welcome to the site. Sorry that you had to find us all and I am sorry to hear about your mum. But I am glad that you have joined us all as you will get a ton of support from us all. And please feel free to ask any questions that you have and we will all help if we can.

    I’m afraid though that I can’t help you with your questions as I am not from Florida, I am from Scotland. But we do have members here from Florida and I am sure that they will be along soon to offer their thoughts to you. This may be of use to you though. It is a list of major treatment centres in the USA.

    http://www.cholangiocarcinoma.org/majorcancercenters.htm

    Also, the search froum function that we have at the top of the page is excellent and this will help you find specific discussions and more information in general. But again, feel free to ask and we will help if we can.

    I hope that the meeting with the surgeon goes well and that your mum will indeed be a candidate for surgery. I will keep my fingers crossed for some good news for you here.

    My best wishes to you and your mum,

    Gavin

    #4421

    Hello Everyone,
    First let me start by thanking ALL of you for being so open with all of this information posted on here. It’s amazing to read all of the hopeful stories and hear the support when things don’t go as we plan. Ok, so my mom was diagnosed with CC 3 weeks ago. It’s an intrahepatic klatskin tumor. About 2.5cm right at the junction of the bile ducts. Her bilirubin has been around 2.4. While we had a temporary stint put in originally, that has now been replaced with 2 tubes but they are still draining internally, she is not hooked up to bags (thank god). Ok so now to my questions?

    – Anyone from Florida in the forum?
    – We have had two biopsies – one brushing, and one tissue, both have come back inconclusive. Additionally her CA 19-9 is 14.2. Has anyone else experience anything like this?

    We are meeting with the surgeon on Tuesday to see if he feels that she is a surgical candidate or not.

    Our Dr’s are

    Dr Amhed Zakari Ongologist
    Dr Dennis L. Rousseau, Jr, MD

    Both are affiliated with Fl Hospital Cancer Institute. Anyone familiar with them?
    Mom really likes Dr Zakari, and he seems to be on his A game.

    Thank you in advance for your help,
    EA

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