1

(38 replies, posted in General Discussion)

Pam,
May God bless Lauren, you, and your family.  Sending many prayers your way.
Dianne

2

(12 replies, posted in Chemotherapy)

I am SO excited for you Tiffany!!  I'm really glad they've expanded the criteria so that more people have a chance of beating this disease.  BTW, whatever happened to the option of a living donor transplant?
                                    Dianne

3

(12 replies, posted in Chemotherapy)

This discussion is fascinating to me and I have a question.  I understand why a liver transplant is not an option when the CC has metastisized outside the liver, but why not do one for cancer that appears to be completely contained in the liver as in ICC with mets to liver?

I watched this movie with great interest, as we just went through the process with my husband.  I can tell you that if it were available in PA (we moved from Columbia last October), he would have chosen to end his life earlier than it did naturally.  Liver failure is a tough process, but I will say, that in the last stage (last week or so), pain control was not an issue.  It was the encephalopathy that was most disturbing.  I really hope that he was as oblivious to what was happening to him as he seemed to be.
The sweet lady in the movie that had liver cancer chose to end her life at about the point that Chris was about 6 weeks before his death.  She seemed to be very short of breath, probably due to the ascites.  She should have had a drain so that she could have been more comfortable.  Chris had one for about 2.5 months and it made a world of difference.  Anyway, although his last 6 weeks were pretty hard, I can't say I'm sorry to have had him here for that time.  Taking care of him was very rewarding to me although heartbreaking at the same time.
Having said all that, I hope that the option is available to me when my time approaches.  I would find it very comforting to know I had some control over my life.

5

(15 replies, posted in Blogs)

Dorien,
Your story is fascinating to me, your feelings sound oh so familiar.  It's exactly what I was feeling a year ago when my husband was diagnosed.  I'm not nearly as articulate as you are though.  Regarding SS disability, you should reapply.  We were approved right away and I think it's that diagnosis that does it.  Also, the question regarding if your illness is expected to result in death moves you to the head of the line, so to speak.  Unfortunately, it does take 6 months for the benefits to start, but it's best to get the ball rolling.
My husband found out on April 5th last year and that was the last day he worked.  He was exhausted all the time and his job was very intense and he simply couldn't do it anymore.  I'm glad your husband feels well enough to continue to work though, I'm sure it's good for him psychologically as well as financially for your family.  God bless you! This is a hard time for you,  I know.
                Dianne

6

(122 replies, posted in General Discussion)

Pam,
I'm so happy that things are going well for Lauren. The only thing I can think of besides the things you're already doing for the fluid retention is limit salt intake and perhaps the doctor has another diuretic he could prescribe if Lasix not doing the trick?  Fluid retention is a common problem after major surgery. Hope it improves soon, I know it's very uncomfortable for her.
        Dianne

AlanC,
I understand your concerns perfectly,and would have the same ones. I am a medical professional (CRNA) and will tell you that the most important thing is to have a very experienced surgeon which it sounds like you have.  This is very big surgery but you're lucky it's an option for you.  I pray all goes well with you and you have a quick and uneventful recovery.  God bless.
          Dianne

8

(15 replies, posted in In Remembrance)

Thanks so much to all of you for your responses and your condolences. I really appreciate you and this website. It's been such a comfort over this past year to have a support group that knows what you're going through. It's been difficult to say the least, but I know that this is part of life and hard as it is, we all have to go through it at one time or another.
I am having one strange response I didn't anticipate, survivor guilt.  I keep wondering why him and not me?  A question with no answer and I usually don't waste my time with things like that, but it's really causing me some pain. I know it has a lot to do with the fact that I am now living his dream. He always wanted to return to this area to be with his family and retire here, fish, plant a big garden, orchard, etc. and he never got the chance. I know I'll get past this cause there's really no other choice, but I was wondering if anyone else has experienced this?

9

(15 replies, posted in In Remembrance)

Thank you Lainey. I appreciate your kind words.
I also just realized that I goofed. It was in April 4th. I'm sleep-deprived I guess. This has been a very hard week.

10

(15 replies, posted in In Remembrance)

On March 30, my husband Chris passed away. He was so ill the preceding week, I was actually relieved for him. I miss him terribly, but constantly remind myself that he is finally at peace. That helps me cope with my grief. I will donate all the money I received to this foundation with the hope that it will help in the search for more effective treatments for this awful disease.
For anyone interested in reading his obituary, it can be found at altoonamirror.com.  It was in the April 5th edition.

Pam,
Praying for Lauren and your family tomorrow.  I'm confiident she will do great and get the best result, then this all can be a distant memory and she can get on with her happily ever after.
       Dianne

12

(11 replies, posted in In Remembrance)

Orly,
I'm so sorry you are having such a hard time with your family at a time you need them most.  I thought European countries had systems in place that prevented families from being saddled with huge medical bills unlike here in the US.  Is it possible they're not being honest about this? I'd look into that. Anyway, hope you get some peace soon, maybe another grief support group that suits your schedule better?  Glad you're getting support here in the meantime, but I believe that as much as you may not want to, it's important to get out among other people especially those who can relate to your sorrow. God bless.
                     Dianne

Darla,
I used FMLA  immediately after my husband's diagnosis for about 4 weeks for Dr. appointments, chemo, crying etc.  then I had 8 weeks left for intermittent leave for the same as above.  I think your signature indicates only that you understand what your employers obligation is under federal law. They can let you go after 12 weeks but they don't have to.  It's nice they haven't counted your time off so far in the 12 weeks, but now you'll be off for an extended period (hopefully just 8weeks or so) and I guess they have to start counting it. They're just complying with the law I guess.  Don't stress about it.  You're one of the lucky ones!
                   Dianne

Darla,
Congratulations on your fantastic news!  As far as disability goes, apply for it online on the Social Security website.  You'll get approved and pretty quickly too. The payments start 6 months after diagnosis.  Not sure if you actually had to stop working at that point or not.  Also, how about LTD at work?  That too starts at 6 months.  God bless you and may He guide Dr. Kato's hands to heal you.
                            Dianne

15

(11 replies, posted in General Discussion)

Hi Annie,
My husband has this awful cancer too. He's on Oxaliplatin/5FU combo every 2 weeks. His labs are always fine and chemo proceeds. He seems to be tolerating it well. Your brother may need a change in chemo.  Also, he's had ascites since September and is now having paracentesis every week for 5-6 liters each time. So I would say that ascites does not indicate that the end is near.
Hope all goes well on Weds.  Stay strong.
                 Dianne

Pam,
That's such fantastic news!  You guys are going to have so much fun planning the wedding. Will we see you guys on Say Yes to the Dress?!  Congratulations! Such a happy event to look forward to.
                    Dianne

Hi Dinawest,
     I'm so sorry to hear of your Mom's pain.  My husband seems to be in the same boat with the exception of the constipation, which he does not have a problem with.  He has been having 5-6 liters of fluid aspirated from his abdomen (paracentesis) every week for about 6 weeks now and it does help.  The doctors don't recommend a drain placement due to infection concerns.  Eating is always a challenge, but he's not lost too much weight at this point.  I hope the doctors can give your Mom some relief soon and get her back to her home.
                                              Dianne

What a great early Christmas present for your family! I'm very happy for you. Hopefully 2013 will bring the perfect combo of chemo and it will be on the shrinkage course to oblivion. Congratulations!
                                          Dianne

19

(14 replies, posted in General Discussion)

Well, it seems that the nausea and vomiting has eased off.  He'll be seeing the Dr. next week before chemo so we can talk to him then about switching out compazine for the reglan.  Thanks for all your suggestions.
                                                   Dianne

20

(14 replies, posted in General Discussion)

Thanks Ashley.  I think we will start cutting back on the Reglan and see what happens.  Maybe too many drugs in the mix, they will interact with each other and not usually in a good way.
                         Dianne

21

(14 replies, posted in General Discussion)

Thank you for that suggestion.  Will ask oncologist about adding that med.  I have no idea how I would go about getting marijuana here which I'm sure you know is illegal in this state (PA).  It's all just so ridiculous.  I'll bet that within 10 years, it will no longer be an issue in ANY state. Nor should it be.  Alcohol's more dangerous.
                                                             Dianne

22

(14 replies, posted in General Discussion)

Thanks for your responses.  I think we're getting a bit of a handle on it.  The oncologist told him to increase dose of Zofran.  He had a dose of Oxali/5FU this week and ironically, he's vomiting less than usual. Could be those IV anti-emetics they give prior to chemo.  I figure it must be the disease that's causing it.  It sure is a bad actor sad

23

(14 replies, posted in General Discussion)

Eating has started to be an anxiety producing ordeal for both of us.  Chris is hungry almost all of the time, but he's nauseated too.  He's keeping very little food down and we're getting scared.  He's lost 15 lbs. so far.  He takes Zofran and Reglan every day, as well as Ativan.  Seems like additional Ativan daily has started to help a little, but with a Fentanyl patch on and additional oxycodone for breakthrough pain, he's frequently out of it.  I was hoping he would get used to the sedating effects and get back to his normal "alert" self, but not so far.  Any helpful hints would be most appreciated.  BTW,  we're not even sure why this is happening so frequently, as his bilirubin is down to 3.  When he was in the 8-12 range, he wasn't like this.  The oxaliplatin/5FU combo brought it down nicely.  He's been on it for a couple months so I don't think the chemo is the culprit.  He's having weekly paracenteses for approx. 4-5 liters each time and he feels much better afterwards, but still vomits, so the fullness isn't the problem.  So what is it???

24

(6 replies, posted in Hospitals)

Thanks so much for your replies.  Moving has been very good for us. Has done wonders for his attitude. I don't know about pursuing any surgical option. Neither of us is very sold on that. Maybe if the next scan shows big improvement it might make us rethink it.  Will have to see what UPMC oncologist has to say on Friday.
               Dianne

25

(6 replies, posted in Hospitals)

My husband has been treated with chemotherapy for the past 6 months here in Columbia but we have sold our house and on Monday are moving to Pennsylvania.
Back to hometown where family (fantastic support system) is.  It is 2 hrs. from Pittsburgh.  This past week, I called UPMC liver cancer center to find a new doc.  After giving info. regarding Chris's diagnosis and treatment so far, the director told me that I had called a surgical oncology office and that she would give me the name of a medical oncologist.  I did some research and called a different one because going by the bio of that doc I couldn't see that he had any special interest in biliary cancers, the other one does.  We have an appt. with him on Friday.  My question is this--is the route to a surgical oncologist always through a medical oncologist?  Or is there a way around that?  Should we even want to?  I've read about some seriously aggressive surgery for cancer in Pgh. meaning resection, debulking of metastasis, and hyperthermic chemotherapy (intraperitoneal) during surgery.  I am finding it difficult to discover what kind of results they are achieving.
I find I am very conflicted about going "there".  Both my husband and I are nurses with ICU experience and have seen too much probably.  When there are complications, not only do you end up with a shorter life, but a hellish death to go with it.  He says the prospect of that terrifies him (terrifies me too)  Says he wants to spend his days fishing and enjoying things to the extent he can.
But I'm probably putting the cart before the horse, we've seen no doctor as yet that has said there was any surgical option at all. 
Another thing that gives me pause is that I have only seen one person post on this website that their family member was scheduled for this type of surgery for stage IV CC, but they never posted after that how it went and the outcome. I don't know, it's hard to know what to do sometimes.  It's like a minefield.