dukenukem
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dukenukemMember
I’ve forwarded this to my onc. I remember her telling me to stop taking low dose aspirin because it is an NSAID and could damage my liver.
dukenukemMemberI’m really torn about alcohol. I like a pint of a good draft now and then or maybe two fingers of Crown Royal. But I try to limit it even more. I’m anxious about anything that increases the burden on my liver.
Gavin – I didn’t find much about moderate use of alcohol using Search. Do you remember something definitive you may have come across? Thanks.
May 2, 2014 at 5:51 am in reply to: Second-line FOLFOX chemotherapy in patients with metastatic gallbladde #78847dukenukemMemberWhen I try that link I get “Page not found.” Can you help me?
thanks
dukenukemMemberI think your onc and mine read the same book – at least about the six months with no chemo. But looking back, if I had asked the right questions about elevated alk-phos, I think I would have been diagnosed seven months earlier. Which means I should never have made it to the diagnosis. Even though I was an engineer, I now have a totally different opinion of statistics. As has been said numerous times in these Boards, the current stats are based on studies performed years ago which do not reflect the current treatments and results. I’m undergoing chemo and will as long as I can tolerate it and it produces positive results. A positive outlook by you and your husband is essential. That and communication between you.
I can’t imagine getting told over the phone by a nurse practitioner. It was hard enough being told by my onc face to face. Her body language said it all even before she started talking.
You will find help in some strange places and from people you might not expect. Others, who you think would help, are going to treat you like lepers. Your lives will change. Stay active. Stay positive. You and your husband are best friends and lovers. Grab that and hang on for all you are worth. At the end of the day, after your glass of wine, it’s just the two of you and God.
dukenukemMemberCT scan showed liver tumor still decreasing. Continuing with gemcitabine only. Neuropathy in toes definitely decreased. Platelets are still hovering 100,00 to 130,000 – just high enough to allow full dose of gem.
Onc’s Plan B will be to change to Folfox if/when gem is no longer effective.
Plan C will be to look for a Phase 1 trial.
dukenukemMemberHold the torch high so the rest of us can follow you. We can’t physically help you along but know that our thoughts and prayers go out to you. When you need strength, close your eyes and open your mind – we’re there for you, just like you’ve been there for us.
dukenukemMemberYou’ve probably seen it numerous times, but:
Footprints in the Sand
One night I dreamed I was walking along the beach with the Lord.
Many scenes from my life flashed across the sky.
In each scene I noticed footprints in the sand.
Sometimes there were two sets of footprints,
other times there were one set of footprints.This bothered me because I noticed
that during the low periods of my life,
when I was suffering from
anguish, sorrow or defeat,
I could see only one set of footprints.So I said to the Lord,
“You promised me Lord,
that if I followed you,
you would walk with me always.
But I have noticed that during
the most trying periods of my life
there have only been one
set of footprints in the sand.
Why, when I needed you most,
you have not been there for me?”The Lord replied,
“The times when you have
seen only one set of footprints,
is when I carried you.”God never gives us burdens greater than we are able to bear.
dukenukemMemberMy dosage of gemcitabine is nominally 200 mg (as long as my platelet count is >100,000). It’s lowered if the platelets are between 90,000-100,000.) I think it also depends on the patient’s weight.
As far as diet goes, you should be eating what non-CC healthy people eat. Low fats and sugars, lots of veggies. Exercise prudently. Could I do better? You bet! Will I? Probably not. To me, this is a little different aspect to “quality of life.” Right now I am eating Fritos and sour cream dip, washing it down with a Coke. Will it take a few minutes off my life? Yes. Does it taste good? Yes. Tomorrow it will be cucumber slices instead of Fritos and chamomile tea instead of Coke. It’s a choice – my choice.
Onc said we sticking with gemcitabine as long as it continues to control the tumors. Plan B will be Folfox with Plan C looking for a Phase 1 trial.
I’ve said it before. I beat the odds to get this cancer and I’m going to beat the odds again by outliving the statistics. If I stop believing that, it’s over.
dukenukemMemberI went from 173 pounds to 153 pounds in about three months. I attributed that to working night shifts, 8-12 hours a day, 5-7 days a week. (PCP had run routine tests about 7 months before which showed alk-phos about 700 but he didn’t press the issue. Thought I was probably taking too much Motrin.) Billi was ok but I was jaundiced with dark urine. Some abdominal pain and shoulder pain. Went back to PCP with weight loss and he sent me for colonoscopy (which was negative) and a CT scan. Confirmed with biopsy. The rest, as they say, is history.
My best advice for coping with this is that you must keep a positive attitude about life. This means that the people you keep around you must also be positive. It also means that you may be forced to put space between yourself and Eeyores who will drag you down if you let them. Kind of like the old saying: “Whether you think you can or you think you can’t, you are right.” – Henry Ford
dukenukemMemberRead about the “blood moons”. There was also a lunar eclipse to add spice.
The combination of full moon, blood moon, and eclipse brought out some strange ideas. Scary.
LisaS – just chemo. One round of cis/gem, eight rounds of carbo/gem, now two rounds of gem only. Started third today.
dukenukemMemberAs long as you carry a Seahawks flag, no one in Seattle will look at you twice.
Take a deep breath. And another. Don’t even think about relaxing, this is way too important. Take time and enjoy life with each other. Always look to the future, not the past.
Your great news is so important to us. Thank you for sharing.
dukenukemMemberOne thing I heard from my onc today is that I could be prone to blood clots, so I should not sit for more than two hours at a time (couch, car, airplane). Has anyone else been told that?
April 16, 2014 at 11:21 pm in reply to: Next Steps: Integration of Palliative Care Principles and Practices in #81068dukenukemMemberI’ve got to ask, Gavin. What is your background? I’m sure many know it, but as a newbie I don’t. How do you find the time to find these articles?
Is there a central listing of cross-references? They are scattered across boards and separated in time. Maybe just having a list within each board would help. “One-stop-shopping” so to speak.
dukenukemMemberI think the majority of participants here are caregivers rather than patients. A few are/have been both.
I read about “quality of life vs. quantity of life”. Selfishly, as a patient, I want both. But it’s not all about me. A few months is probably not significant, unless there is a major milestone coming up. My father hung on a few months so that he could hold my son, the first grandson with the family name. I have accidental video of him doubled over in pain on our last visit. The pain was the price he willingly paid. I hope it is as black and white for me later as it is now.
Now, to the point. Lainy said it all. There will come a time when he is ready to go. He needs to know that you will be ok. Assure him of that. And as she’s said elsewhere, work out signals from him to let you know he is ok.
Treasure and rejoice in the quality of time you have left together, that is what’s important, not the quantity.
April 16, 2014 at 10:35 pm in reply to: Guidelines for the diagnosis and management of intrahepatic cholangioc #81506dukenukemMemberIowagirl – you may be confused, but I am thoroughly depressed. I found nothing comforting at all in that article. What did I miss?
I found this link easier to read, and to download.
http://www.sciencedirect.com/science/article/pii/S0168827814000671
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