jim-wilde

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  • in reply to: CC-Cholangio #49336
    jim-wilde
    Member

    Mary I too had a resection 4/09 and have been clean so far. I can relate to looking over your shoulder to see if the monster’s there again, but we can’t obsess over it. Try to live each day like it’s the last and don’t worry too much about stuff we have no control over. BTW, I found this place only recently and wish I had known about it several years ago.

    I just sent my onc the link to the site and gave her a quick overview of it. I would like to suggest that others here do likewise, since the professionals that help us are a very busy lot.

    Mary, glad you eventually found us! Good scans forever!

    in reply to: Father and CC #49267
    jim-wilde
    Member

    I would contact Dr. Kato today if your dad were my father. Complete contact info including his secretary are at the end of the ‘hospitals’ link below my name. His secretary, Delia, will be very helpful and make sure she knows you will be traveling from a distant place, so she will know the impact a re-schedule might have on you. I can’t answer your medical questions, but Dr. Kato surely can. You will find him a kind, humble and very caring man, but he’s also a giant in his field. BTW, Dr. Kato has written tons of research papers and is likely the only US surgeon doing what is known as ex-vivo procedures, where the affected organs, cancer masses are removed from the body, and the re-useable parts transplanted back to the patient. Presbyterian is associated with Columbia Uinversity Medical School and surgeons (and many others) are on the teaching faculty besides their surgical duties. In fact, until several years ago, the hospital was known as Columbia Presbyterian for many years. Loads of research is done there in many fields.

    I know the feeling of being overwhelmed, but don’t let it keep you from action once you have decided on a course. Good luck and bless you for being the caring son and advocate for your dad.

    Let us know how you make out.

    in reply to: Newly diagnosed – Please HELP #49067
    jim-wilde
    Member

    Donna, I looked at the Cooper Univ website and it may be fine as a smaller regional hospital, but CC is a very difficult cancer. You might ask the onc how many cases of CC he treats a year. I put convenience way at the bottom of the list of priorities for me.

    I can only speak to my own experience with NY Presbyterian and it was great. My surgery was complicated by my age and cardiac condition, and as it turns out Dr. Kato was the only one who would take me on. I had several VT (heart attacks) events during surgery, but no harm done. The anesthesiologist, Dr. H. T. Lee was a cardiac guy prior to working on digestive diseases, and handled each event with aplomb. A 12 hour surgery and I’ve been fine since.

    As mentioned above, don’t accept a single diagnosis, especially if you’re not totally comfortable with it, and be prepared to fight like a cornered rat.

    Again, good luck in your quest.

    in reply to: Newly diagnosed – Please HELP #49061
    jim-wilde
    Member

    Donna, welcome and sorry you have to join us. Time may be critical to the available options in treating cc. I live on the Eastern Shore in MD and ended up being treated at NY Presbyterian in NYC, and from my perspective with the awful disease, it was the right place, in spite of inconvenience. Long story short, I had a successful resection almost two years ago, and am still cancer free, but looking over my shoulder as each CT scan comes up. Dr. Kato was my surgeon, and it would be hard to find a more caring and skilled surgeon anywhere. CC is a tough disease, but not without hope. Dr. Kato’s forte is taking challenging cases other surgeons won’t take, but he won’t operate if there’s no chance of success, in his opinion. There is a summary under the hospitals link under my name of my experience with NY Presbyterian.

    You will find another poster here, Kim Cirucci, who had a much more challenging surgery with Dr. Kato. She lives in South Jersey and her story is here under “My Inspirational Story”.

    You will find, because cc is so rare, the very best care is limited to big city/major cancer centers, as there are only around 2000 cases diagnosed in the US per year.

    Whatever you decide, try to get a game plan in place quickly, as time is your enemy. And be prepared to ask lots of questions. You must be a blessing to you brother, since most patients are in a state of shock and not capable of informed research. Every patient needs a good advocate, and you sound like a good one.

    Best of luck and come back here with questions/concerns when ever you want. Bless you on a tough mission.

    in reply to: Father and CC #49260
    jim-wilde
    Member

    Tim, if it were me, I would contact Dr. Kato at NY Presbyterian. There’s no one his equal in Phil from what I know. Complete contact info is under the ‘hospitals’ link under my signature.

    I’ve gotta run … a cardio appointment with my NY Presbyterian ‘pathfinder’, Dr. Sun Hi Lee, another precious one.

    Every dad needs an advocate like you. This may be a tough ride, so hang on. God bless you.

    in reply to: Father and CC #49261
    jim-wilde
    Member

    Sorry you had to find us, but I think you will find a supportive group here. Tim, where are you located?

    This disease is rare (fewer than 2000 cases diagnosed per yr in the US) and because of that, the best treatment is found in big city/major cancer centers. See the links below my name for more info there.

    My circumstances were similar to you dad’s, except I have some significant cardiac issues. In any case, I was successfully operated on almost two years ago by Dr. Tomoaki Kato, a miracle worker at NY Presbyterian in NYC, nowhere near where I live (about a 7 hour car ride). That was clearly the right place for me to be.

    Hopefully, your father will be a candidate for surgery, as that presents the best chance for a ‘cure’ from this nasty disease.

    Each of the hospitals has it’s own routines for medical info, and most want to do their own scans, etc. That was my case. I had a CT scan done in MD, but the doctor wanted more scans done at NY Presbyterian. The good news was they maintain all the diagnostic data on-line and any doctor at that hospital can see the scans, reports, etc. in a heart beat.

    I would suggest getting a game plan in place quickly, as time is your enemy here ,,, some instances of cc progress slowly and some very quickly. Keep the questions coming … there are lots of really helpful and smart people here.

    Good luck in your quest and I hope and pray for a good outcome with your dad.

    in reply to: Clean so far (sort of …) #47902
    jim-wilde
    Member

    Life is too short to not have some fun along the way …

    in reply to: Liver regeneration #26925
    jim-wilde
    Member

    Been doing that for years as a post cardiac person. If it tastes good, spit it out (all the best foods, of course).

    There is some feeble hope, though. I’ve found non-alcoholic beers aren’t too bad, and Coors is actually good. I do miss the wine with a meal. But, can’t have it all.

    in reply to: Liver regeneration #26922
    jim-wilde
    Member

    Yah, but no beer or wine in my future!

    in reply to: Liver regeneration #26918
    jim-wilde
    Member

    Just so some don’t get panicky, regeneration doesn’t always happen. Mine did not, probably due primarily that I had chemo within two months of a resection. Not surprisingly, almost no cell growth occurs during chemo, and this includes wound healing as well. Almost two years later, no regeneration. Regeneration is also a function of patient age, and that didn’t help me at all and older patients experience slower regeneration. The good news: Ive got a 50% liver that’s working perfectly.

    in reply to: New term for me, EUS #49038
    jim-wilde
    Member

    I had the severe itching all over prior to an ERCP, where the doctor doing the procedure placed three stents. Within a week, the itching was gone, along with the yellow man appearance. In my case, both symptoms were associated with bile duct blockage, which the stents relieved., but I don’t presume to know your case. I had a left hepatic lobe resection, and never saw those symptoms again. In my case, the ERCP made clear the CC diagnosis, and a CT scan confirmed the general extent of the CC. A liver function test, CA 19-9 blood tests and perhaps some others need to be ordered pronto, if not already done. BTW, nothing relieved the itching in my case until the stents were placed.

    It sounds like you don’t yet have a complete diagnosis/treatment plan. I would head for a big city major cancer center where the bulk of cc cases are handled and where you would have the best chance for successful treatment. I had surgery almost two years ago and doing fine, with a decent quality of life, so this can be treated if gotten to soon enough and the correct things are done.

    Best to you and hope all turns out well for you.

    in reply to: New here and warmed by your stories #49045
    jim-wilde
    Member

    Linda, sorry you had to join us here. Try to get a game plan in place quickly and understand because CC is rare you may need to go somewhere inconvenient for treatment because the success chances are much better at the major big city cancer centers. You want to find people whom have dealt with many cc cases. Time is your enemy here until you have a plan in place. The links under my name point to US doctors/hospitals which you may find useful. I’m assuming you are in the US, which may be a rash assumption.

    Good luck in you quest for care for your Dad.

    in reply to: starting treatment #49022
    jim-wilde
    Member

    Monica, I too am a survivor. I had a resection almost two years ago and so far, I’m clean. My resection wasn’t quite as challenging, but I did have two VT events during surgery, one during the liver separation, which caused the surgeon no end of excitement I’m sure. The anesthesiologist was formerly a cardiac anesthesiologist, so it was all handled with no damage to me.

    Have you gotten the final path results yet? That was my big moment of truth following surgery and it came up clean, but the aggressive nature of removed tissue caused 6 months of Gemzar to happen following the surgery. I assume you’re home now, which is a good thing.

    Good luck and good scans from here out!

    in reply to: Surgery post chemo and mets Dr. Schwartz #49004
    jim-wilde
    Member

    No, I was very fortunate, it had not metastasized and I’ve been clean so far. I was left with 50% of my liver, which was the minimum Dr. Kato wanted to see. I had chemo following surgery (six months of Gemzar), but not before. I think you would be impressed with NYP’s Digestive Diseases group. They do a ton of liver transplants and complex surgeries. This link provides are very brief summary of Dr. Kato’s experience:
    http://nyp.org/FPHTML/physician/tkato/

    BTW, his secretary is Delia Garcia. Dr. Kato was a real prince to deal with.

    in reply to: Surgery post chemo and mets Dr. Schwartz #49002
    jim-wilde
    Member

    Peony, I had a successful surgery (left hepatic lobe resection) almost two years ago with Dr. Tomoaki Kato at NY Presbyterian. Complete contact info is here:

    http://www.cholangiocarcinoma.org/punbb/viewtopic.php?id=3126&p=4

    It was only after my surgery that I realized Dr. Kato’s world wide reputation. He’s a straight shooter and won’t mislead you about risks, etc. He won’t have a problem with being an additional opinion.

Viewing 15 posts - 286 through 300 (of 353 total)