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		<title><![CDATA[discussion boards — Tumor development question.......]]></title>
		<link>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?id=1693</link>
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		<description><![CDATA[The most recent posts in Tumor development question........]]></description>
		<lastBuildDate>Mon, 04 Aug 2008 20:28:50 +0000</lastBuildDate>
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			<title><![CDATA[Re: Tumor development question.......]]></title>
			<link>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9115#p9115</link>
			<description><![CDATA[<p>The worse sickness he&#039;s had has been from the chemoembolization.&nbsp; All the procedures are hard on his body.&nbsp; He has little to no energy.&nbsp; He&#039;s very sick after each IV chemo for about a week and then has a couple of good weeks before the next injection.&nbsp; He&#039;s on disability and hasn&#039;t been able to work since 5/07.&nbsp; But all in all, he doesn&#039;t regret anything he&#039;s tried and he has a good attitude, which has to be at least half the battle.&nbsp; Just a side note:&nbsp; We get Charlie&#039;s Ensure from our local Cancer Services free of charge.&nbsp; Those little 6 packs are expensive and really add up so this is a great service.&nbsp; They give us 3 cases each time - 1 vanilla, 1 strawberry and 1 chocolate.&nbsp; I think Charlie likes them all about the same.&nbsp; I&#039;m sure there are other good Ensure/Boost protein type drinks available.&nbsp; See if you can get your Mom to try some of them.&nbsp; I hope it helps her.</p><p>Carol</p>]]></description>
			<author><![CDATA[null@example.com (carol58)]]></author>
			<pubDate>Mon, 04 Aug 2008 20:28:50 +0000</pubDate>
			<guid>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9115#p9115</guid>
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			<title><![CDATA[Re: Tumor development question.......]]></title>
			<link>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9114#p9114</link>
			<description><![CDATA[<p>Wests, </p><p>Ensure would be great for you mother to try being that she has no appetite although it makes my fiance sick.&nbsp; I have been buying a protein powder with muscle mass builder and I make him smothies.&nbsp; He tolerates that pretty well.&nbsp; You can make it with fresh fruits like Banana&#039;s, strawberries, watermelon, milk, ice cream, mix it up a little bit so it&#039;s not so boring.&nbsp; Our oncologist said that with this type of cancer, he recommends high amounts of protein on a daily basis.&nbsp; As much as he can take in. </p><p>Wishing you the best, <br />Christina</p>]]></description>
			<author><![CDATA[null@example.com (Chrissy23)]]></author>
			<pubDate>Mon, 04 Aug 2008 20:05:08 +0000</pubDate>
			<guid>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9114#p9114</guid>
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			<title><![CDATA[Re: Tumor development question.......]]></title>
			<link>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9112#p9112</link>
			<description><![CDATA[<p>That&#039;s great news Carol.&nbsp; With those treatments..... how has he reacted to them (side effects)?</p><p>She&#039;s not tried Ensure, but I thought about asking her to try it sometime.&nbsp; Do they have different flavors (some taste better than others)?</p>]]></description>
			<author><![CDATA[null@example.com (Wests)]]></author>
			<pubDate>Mon, 04 Aug 2008 19:53:49 +0000</pubDate>
			<guid>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9112#p9112</guid>
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			<title><![CDATA[Re: Tumor development question.......]]></title>
			<link>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9111#p9111</link>
			<description><![CDATA[<p>Yep, Charlie&#039;s still kickin&#039;.&nbsp; He was diagnosed 5/07 Stage IV, age 51,&nbsp; given 3 to 6 months to live.&nbsp; 14 months later.&nbsp; He started with many weeks of Gemzar chemo only last summer.&nbsp; It did nothing for him, but wear him out.&nbsp; Went for 2nd opinion at UNC.&nbsp; They pretty much said the same thing except when presented to the tumor board, a surgeon there decided he wanted to do liver resection.&nbsp; Had chemoembolization to try to shrink tumors, it didn&#039;t.&nbsp; 11/07 over 1/2 of liver removed, clean margins.&nbsp; Recurrence of tumors 1/08 in the liver only.&nbsp; Had radiation and Xeloda, radio frequency ablation in April, zapped 1 tumor, but others too big.&nbsp; Now on oxaliplatin IV chemo and Xeloda oral chemo.&nbsp; So far, no growth.&nbsp; Has a scan coming up in a couple weeks that will tell us how effective this chemo is.&nbsp; If there&#039;s shrinkage, good, will probabaly continue it.&nbsp; If not, other chemos to try, does Charlie want to continue chemo, other procedures - theraspheres or cyberknife?&nbsp; Lots of questions.&nbsp; Charlie has never had jaundice.&nbsp; </p><p>I&#039;m so sorry for what you all are going through.&nbsp; It&#039;s so hard.&nbsp; Has your Mom tried any of the Ensure type drinks?&nbsp; Those help Charlie maintain his weight some or at least keep him from losing too much.&nbsp; Best wishes.</p><p>Carol</p>]]></description>
			<author><![CDATA[null@example.com (carol58)]]></author>
			<pubDate>Mon, 04 Aug 2008 19:45:28 +0000</pubDate>
			<guid>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9111#p9111</guid>
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			<title><![CDATA[Re: Tumor development question.......]]></title>
			<link>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9110#p9110</link>
			<description><![CDATA[<p>Carol,<br />Thanks, I guess it&#039;s just natural to wonder.&nbsp; As far as we know, my mother only has it on her bile duct and liver at this point.&nbsp; But the liver has several large tumers on it.&nbsp; I never heard back from Duke, but I did speak to a Dr. at UNC Linebarger Hosp.&nbsp; She only advised that they could try some different type of chemos that my mom doesn&#039;t want to try.&nbsp; She apologized and said that this being such a rare cancer, there&#039;s just not a lot of funding to do trials and research.&nbsp; She said that she knows that doesn&#039;t help my family and she wished that there was more they could do.&nbsp; I&#039;ve sent her records to Dr. Byers Shaw at the Univ. of Nebraska, haven&#039;t heard back yet.&nbsp; We&#039;ll see.&nbsp; Close to giving up here.&nbsp; I just wish she had an appetite.&nbsp; She ate about 4 bites of watermelon for the whole day yesterday.&nbsp; She does like soft drinks some.... and who am I to discourage that.&nbsp; Anyway, I&#039;m just left with some new thoughts that hit me from time to time.</p><p>Carol, I&#039;m kind of new to this board, so Charlie is still alive and it&#039;s only in his liver?&nbsp; Does he have jaundice?&nbsp; And if so, how long has he had it and how extreme is it?&nbsp; My mom is very very yellow.</p>]]></description>
			<author><![CDATA[null@example.com (Wests)]]></author>
			<pubDate>Mon, 04 Aug 2008 18:56:09 +0000</pubDate>
			<guid>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9110#p9110</guid>
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			<title><![CDATA[Re: Tumor development question.......]]></title>
			<link>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9109#p9109</link>
			<description><![CDATA[<p>Charlie was diagnosed in May 07 stage IV also.&nbsp; The vague answer we got was &quot;Who knows how long the tumors had been sitting there growing to the point to cause trouble?&quot;&nbsp; When you get a question for a question, they definitely don&#039;t know.&nbsp; From my own research, I think it could possibly be years coming on to the point it presents symptoms.&nbsp; Here&#039;s another puzzle:&nbsp; Why do some spread and other have no mets?&nbsp; Charlie&#039;s is still contained in his liver as far as we know.&nbsp; Lots of wondering going on.&nbsp; I hope your Mom is doing okay.&nbsp; Did you decide to look at Duke or Chapel Hill?&nbsp; Best wishes to all of you.</p><p>Carol</p>]]></description>
			<author><![CDATA[null@example.com (carol58)]]></author>
			<pubDate>Mon, 04 Aug 2008 14:37:28 +0000</pubDate>
			<guid>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9109#p9109</guid>
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			<title><![CDATA[Tumor development question.......]]></title>
			<link>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9107#p9107</link>
			<description><![CDATA[<p>Not that it really matters or anything now, I guess it&#039;s just natural to be curious as to this.&nbsp; But has any research been able to find out how long this cancer normally grows before it is diagnosed or symptoms arise?&nbsp; My mom is already in stage 4 as of 2+ weeks ago.&nbsp; So I&#039;m left wondering, how did this start and when did it start?&nbsp; Does it take months to grow and spread, or is it years, or does anyone even know?&nbsp; We just wonder how it started and how long she&#039;s had this cancer spreading in her.&nbsp; Anyone know about this certain type cancer?</p>]]></description>
			<author><![CDATA[null@example.com (Wests)]]></author>
			<pubDate>Mon, 04 Aug 2008 12:41:19 +0000</pubDate>
			<guid>http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=9107#p9107</guid>
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