Eli

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Viewing 15 posts - 76 through 90 (of 497 total)
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  • in reply to: Caffeine during chemo #66924
    Eli
    Spectator

    Bruce, I just recalled that my wife drank 2-3 cups of ginger tea when she was on chemo. Especially in the later cycles.

    Ginger tea helps with nausea. It also has a soothing effect on the digestive system. Indigestion is often an issue during chemo.

    We bought organic ginger tea in bags:
    http://www.traditionalmedicinals.com/product/ginger

    To prepare, steep one bag in a covered cup for 15 minutes. We added slices of lemon for taste.

    in reply to: Any experience with xeloda? #66737
    Eli
    Spectator

    CC has a high relapse rate (or recurrence rate) after surgery. In plain English, it comes back in many resected patients.

    This fact suggests that many resected patients have remaining cancer cells in the system. The goal of the adjuvant chemo is to try and kill these remaining cancer cells.

    in reply to: Caffeine during chemo #66921
    Eli
    Spectator

    Re: caffeine is a diuretic

    I recall hearing on the news that it’s an old myth and that it’s not true.

    Mayo Clinic nutritionist says the same thing here:
    http://www.mayoclinic.com/health/caffeinated-drinks/AN01661

    The article below says that caffeine during chemo is fine. In fact, it mentions some research papers that found caffeine *beneficial* during chemo.

    Is It Okay to Drink Caffeine With Chemotherapy?
    http://www.livestrong.com/article/497165-is-it-okay-to-drink-caffeine-with-chemotherapy/

    Does your wife put sugar in coffee? I would be more concerned about sugar than caffeine. That’s just my personal opinion and I’m not a doctor.

    in reply to: Alkaline diet #56454
    Eli
    Spectator

    Rena,

    I hope your father is not spending $$$ to buy alkaline water. There is no evidence whatsoever that it provides any benefit. Our digestive system is extremely acidic. There is nothing we can eat or drink to neutralize that acidity.

    Mayo Clinic nutritionist on alkaline water
    http://www.mayoclinic.com/health/alkaline-water/AN01800

    Alkaline Diet: What to Know Before Trying It
    http://www.webmd.com/diet/features/alkaline-diets-what-to-know

    If he feels strongly about alkaline water, he can make his own virtually for free. Just add some baking soda to regular water. Or he can take TUMS pills with water.

    Best wishes,
    Eli

    in reply to: Gene therapy (gendicine) #66806
    Eli
    Spectator

    Marion, you are welcome (and sorry about the bittersweet part).

    I’m going to put a few more links here, so they are easy to find in one place.

    American Society of Gene and Cell Therapy – Educational Resources
    http://www.asgct.org/general-public/educational-resources

    Gene Therapy Patient Information
    http://www.genetherapynet.com/patient-information.html

    Gene Therapy Developments in China
    http://www.genetherapynet.com/gene-therapy-in-china.html

    Medical Tourism for Gene Therapy Treatments
    http://www.genetherapynet.com/medical-tourism.html

    in reply to: Gene therapy (gendicine) #66804
    Eli
    Spectator

    Previous discussions about Gendicine:

    http://www.cholangiocarcinoma.org/punbb/viewtopic.php?id=360
    http://www.cholangiocarcinoma.org/punbb/viewtopic.php?id=304
    http://www.cholangiocarcinoma.org/punbb/viewtopic.php?id=303
    http://www.cholangiocarcinoma.org/punbb/viewtopic.php?id=302

    I searched Gendicine therapy on PubMed. I found a few dozen studies published by Chinese doctors. They used Gendicine to treat many different types of cancer, including hepatocellular carcinoma (liver cancer). I found no published studies about cholangiocarcinoma.

    in reply to: Gene therapy (gendicine) #66803
    Eli
    Spectator

    I took a quick look. My first impressions:

    1. Cancer Therapy China is a medical tourism company. They offer a number of cancer treatments that are not available outside of China. They say it right here:

    http://www.cancertherapychina.com/index.php?option=com_content&view=article&id=287&Itemid=120

    Quote:
    Many of our treatments are not fully available in other developed countries, offering China a unique leading advantage. We work with hospitals that provide a systematic combination of the following treatments to combat cancer:

    In other words, you have to travel to China as a tourist in order to receive some of these treatments.

    2. Gendicine is a viral gene therapy developed by Chinese company Sibiono:

    http://en.sibiono.com/

    The company got approval to use this therapy in China in 2003, but only for one type of cancer: head and neck squamous cell carcinoma.

    An article in the Nature magazine (year 2004):

    China approves first gene therapy
    http://www.nature.com/nbt/journal/v22/n1/full/nbt0104-3.html

    An article in the Business Week magazine (year 2006):

    A Cancer Treatment You Can’t Get Here
    http://www.businessweek.com/stories/2006-03-05/a-cancer-treatment-you-cant-get-here

    Sibiono looks like a serious company doing serious research. The question I have, is Gendicine approved anywhere in the world outside of China? I could not find any information. I will do more research later. My guess as of right now, Gendicine is only approved in China. Meaning that, you have to travel to China to receive this treatment.

    More later…

    in reply to: CT and PET scan results!!!!! #66777
    Eli
    Spectator

    That is a great report, Kris. Congratulations!

    in reply to: Tell me your story about your diagnosis #66751
    Eli
    Spectator

    Hi lostandscared,

    I’m in Ottawa.

    My wife got diagnosed with extrahepatic cholangiocarcinoma in April 2011 at the age of 44. She had Whipple surgery in July 2011, followed by 2 months of 5FU chemo-radiation and 4 months of Gemcitabine/Cisplatin chemo. She is currently in remission. She received all her treatments at The Ottawa Hospital.

    Here’s how she got diagnosed:

    She went to ER with unbearable abdominal pain in the upper right quadrant. She wasn’t visibly jaundiced. Ultrasound showed dilatation of the common bile duct. ERCP found a tight stricture in the intra-pancreatic portion of the CBD. The brushing biopsy came back as suspicious for adenocarcinoma. CT and MRI ruled out pancreatic cancer. EUS was the final test that led to surgery; EUS was highly suggestive of cholangiocarcinoma. The final pathology report done after Whipple confirmed the dx. Extrahepatic CC, stage IIB (T3/N1/M0), 2 positive nodes out of 15, microscopically positive margins.

    Medical history prior to cancer:

    My wife had recurrent, intermittent digestive issues for as long as I remember (20 years). She had trouble digesting fatty foods, raw fruits and veggies. I know she mentioned her digestive issues to our family doctor on a few occasions. The GP never ordered any tests or investigations. To be fair, I don’t think my wife was persistent enough in her complaints (she is not the type who complains about minor irritants). Our surgeon told us that digestive issues are very common in the general population; the fact my wife had them doesn’t mean they caused her cancer.

    Lostandscared, I’m very sorry you had to find us. The best tip I can give you is to live one day at a time and not look too far ahead.

    My best wishes to you and your boyfriend.

    in reply to: Patients’ Questionnaire (Summary) #66541
    Eli
    Spectator

    Sharon,

    To your second question:

    Unfortunately, there are no screening tests for cholangiocarcinoma. No blood tests; no urine tests; no nothing.

    Some tumors get caught early because the patient is having an MRI or CT scan for some other unrelated condition.

    We have seen reports that medical researchers are working on the early detection tests for CC. I don’t know how close they are to having a clinical test available.

    in reply to: Patients’ Questionnaire (Summary) #66540
    Eli
    Spectator

    Hi Sharon,

    You asked:

    Quote:
    Do you know how studies are done for cholangiocarinoma?

    I know four types of studies.

    1. Clinical trials, or prospective studies.

    Doctors design the trial, recruit the patients, treat the patients, then publish the results.

    2. Retrospective studies.

    These are usually based on the medical records in a single hospital. The patients receive conventional therapy without entering any formal trials. Doctors publish the study based on the medical records collected over a certain period of time (can be as long as 5 or 10 years).

    3. Registry studies.

    National Cancer Institute collects cancer statistics in the Surveillance, Epidemiology and End Results (SEER) Program:

    http://seer.cancer.gov/

    The data in the SEER database is quite detailed. I’ve seen some CC studies based on SEER data.

    UK has a similar program:

    http://www.ncin.org.uk/collecting_and_using_data/national_cancer_data_repository/default.aspx

    4. Meta-studies.

    Meta-studies are studies of studies. Doctors extract the statistics from the multiple previous studies, put it together to assemble a larger sample, then publish the results.

    Here’s an example of a huge CC meta-study:

    http://www.medscape.com/viewarticle/762919

    They analyzed 20 previous studies published from 1960 through 2010, involving 6,712 patients.

    Hope this helps,
    Eli

    in reply to: need some advice on chemo treatments #66650
    Eli
    Spectator

    Hi Mandy,

    The drawing below shows the anatomy after resection of hilar cholangiocarcinoma. I don’t know if your resection was exactly like this or not. It doesn’t really matter; I need this drawing to explain the margins.

    Transection margin is the margin between the remaining part of the liver and the part of the liver that was removed (beige color). Your transection margin was clear of cancer cells.

    Radial margin is the margin where they cut the bile ducts (green color). R1 radial margin means that your radial margin was microscopically positive. When they examined the removed tissue under a microscope, they found cancer cells very close to the cut or right at the cut.

    Please note that I’m not a doctor. Take everything I said with a big grain of salt.

    Best wishes,
    Eli

    hpb0012-0147-f4.jpg

    in reply to: First liver cancer ‘chemo-bath’ in the UK #66573
    Eli
    Spectator

    The article doesn’t mention the name of technology, but it sounds very similar to the chemosaturation technology developed by Delcath Systems:

    http://delcath.com/technology/chemosaturation/

    I did a quick search but could not confirm if it’s the same technology or not.

    in reply to: Really,Artificial Liver? #66626
    Eli
    Spectator

    You can read more about the technology on the company web site:

    http://www.vitaltherapies.com/technology.html

    Note how they call them “immortal” cells rather than cancerous cells.

    Quote:
    The key to the ELAD system is the proprietary C3A human hepatocyte cell line, licensed from the Wistar Institute in Philadelphia and further developed by Baylor College of Medicine. This is an immortal cell line that is grown in ELAD cartridges, then stored and shipped worldwide from VTI’s San Diego production facility. The cartridges are then incorporated into an extracorporeal blood pumping system at the patient’s bedside. The cells have been shown to perform most of the metabolic functions of normal liver cells in laboratory experiments.
    in reply to: Inflammation-based prognostic score #66487
    Eli
    Spectator

    Lisa, I searched PubMed for intrahepatic CC and Glasgow Prognostic Score. There are no studies.

    I found studies on these cancers: extrahepatic CC, hepatocellular carcinoma, gastric, colorectal, bladder, pancreatic, renal, prostate, esophageal, cervical, ovarian, breast, lung.

    In all cases, Glasgow Prognostic Score was correlated with survival. Low score, better survival. High score, worse survival.

    Note that correlation does not mean causation.

    These studies don’t prove that inflammation causes poorer survival. It is possible that cancer progression causes inflammatory response in the body, not the other way around.

Viewing 15 posts - 76 through 90 (of 497 total)