mahipal33

Dear Asif
its amazing that your ar fighting this war for your brother with so much passion and devotion. i really pray some doctor should help you out of this situation. as i have gone through the case i would want you to discuss this case first with tumour board of any hospital and then decide upon. as your case is at cross roads and we dont know the direction on which the surgeons or oncologist decide. any way all the best and good luck

Dr Mahipal

Dear asif
i have send you an email giving my opinion about your brother. No one can tell you as how long any body survives. there are many factors attributed to life and death. CC In india and pakistan is rare . its the very old psyche and old teachings in 80s and 90s. there are lots of changes in the management and early detection of the case which cures or prlonges the life un heard in india and pakistan by yesterdoctors. Iam the living example with CC detected in 2007 july resected in march 2008 and living with perfect health and work. i had trekked 15000 ft nathullpass last oct08 and even till this day doing marathon walks of 25k every month and mind you never rested but for the 4weeks during surgery . its the attitute that is every thing . be positive . Dr Mahipal reddy

Dear stan. iam sorry for what tortous pains taking after math you have undergone with this cc. journey and the out come is not upto the pains you have taken. no doubt that cc has metastised into liver through biliary radicles and he has bilesepsis due to blockage . but there may be gleam of hope that liver itself can fight for your dad in detoxifieng the bile getting alternate passage from the existing blockage. as said by Lainyy no body can tell or predict as who and one date one can die. miralces do happen thogh the prognsis is poor. hope for the best and accept the out come . be courageous and confident to face the realities . Dr Mahipal reddy

Dear Asif
as per your letter the way it looks your brothere might have diffuse metastasis in the liver and lymphnodes which might have been the reason for aborted attempt of surgery at chennai. if you can send me the reportsof ct /mri /mrcp/ any biopsy with HPE reports then i can comment on the case . any way my good wishes r with your brother in this dark arena of the disease . i hope for a good light of hope at the end of the tunnel of cc
Dr.Mahipal reddy

carolyn i had the same horrifying agony what you had under gone
in jan 2007 i had the first attack of jaundice which lasted for a week and disappered , at that point of time all the LFT And liver makrers were normal.usscanwas normal viral markers were negative. we thought some type of toxic jaundice or drug induced .again in august i had 2nd attack of jaundice with negative viral and tumour markers . this time mrcp had atrophied rt lobe of liver and mrcp angio shown some scarring like thing over the rt bile duct and rt portal with rt intrahepatic biliary dilation , that suspected us to cc ., i had under gone rt hepatecotomy with complete resection rt bile duct and common bile duct along with gallbladder and periportal lymphnodes and they did hepatic jejenostomy and jejeno-jejenostomy to connect my left lobe to jejenum for bile flow .this was done in the month of march 08., and ever since my usscans and LFT And ct scans and mri scans are normal. i had consulted eminent GE; And oncologist all aorund the globe and they negated for chemo or radio therapy. as my HPE Report came as well differnetiated cholangio carinoma with negarive margins of the resection. i often think about chemo and radio. but when i have seen many a cases its of no use for long time progonsis. CC is in lower spectum is slowly progerssing and slowly metastising disease . as it takes years to give symptomps and years to metastize . i truly agree with your drs in not giving chemo and radio. mind you i was only out of work for 4 weeks during the surgery in the month of march 08 and ever since back to work in full swing. summited the mountain peaks of 15000ft . and participiated in marathon walks in couple of times in my place. even my growth was of 2cms in size. let us be positive and dream good of our rest of our lives. iam a practcing gastroenterologist in india and diagnose about 50 to 60 gastro and colonic cancers per month and trea them too.
its horrible to face such and odd situation as clubbing your feelings and mixing them with my patients who has the same truama . any way i wish you a long and longer life with out any problem
Dr Mahipal india

Lew iam sorry for your tragic curves of life and love which is heading to.but accept the certainities inlife and give much time to your life partner and keep her occupied as much as you can. take the life as it comes . time will heal all types of wounds . god blees you both

dr mahipal

jamie thats what how the life is ., Sail in the waters smoothly no matter how the tides are . no matter how the deep waters are .we all are with or with out cc are sailing in most uncertainitis. take a postive decision. fill your soul with matrix of courage and spread happyness even in your deep sorrows amids yourself and around you . life and death are 2 cerainitis face it . me too is the victim of cc iam a doctor in gastroenterology had liver resection 14monts back not advised any chemo or radio . iam so busy involved in the practice i have no time to think myself . no body knows my disease except my wife . i dont want any sympathies . thats the way i live. funny is i myself diagnose about 3 malignancies in gastric and colonic area every day . the feelings u see in your patients and club ur own feelings . its horrible . but i will fight it out that way . dr mahipal at mahipal33@gmail.com