Just a question,my father is s/p Whipple in April and just finished his 12 week chemo regimen with gemcitabine for his cc dx in february2013. He had his first post tx scan last week and that is clear/ NED.  He has been on Coumadin for a DVT in his left leg for 4 weeks but recently has developed a severe pain in his left foot that wakes him from sound sleep. My first thought was peripheral neuropathy from the Gem. But  with its acuteness I was wondering about gout??? He has never had gout before. He does have a Drs visit this week  but does anyone have any info regarding either condition and its correlation with cc and or gemcitibine treatments? I would appreciate any and all info, Thanks, Peg

Just a question,my father is s/p Whipple in April and just finished his 12 week chemo regimen with gemcitabine for his cc dx in february2013. He had his first post tx scan last week and that is clear/ NED.  He has been on Coumadin for a DVT in his left leg for 4 weeks but recently has developed a severe pain in his left foot that wakes him from sound sleep. My first thought was peripheral neuropathy from the Gem. But  with its acuteness I was wondering about gout??? He has never had gout before. He does have a Drs visit this week  but does anyone have any info regarding either condition and its correlation with cc and or gemcitibine treatments? I would appreciate any and all info, Thanks, Peg

Hi,
    My Dad is currently status post whipple in April for distal bile duct tumor. He is in week 3 of  chemo protocol- gemcitibine 3 weeks on/ 1 off. He has tolerated it well so far. His only real complaint is constipation. He  drinks prune juice daily but is a little afraid of mirilax etc, .  Is this common? Does  anyone have any ideas for him? I would really appreciate any and all advice!
    Thanks,
Peg

The Dr. Stated that my Dads chance of reoccurrence is 50/50 at this point , but with chemo and radiation it decreases the risk by only 10-15%. This scares my Dad, thinking that 4 months of chemo and 28 days of radiation and such minimal decrease in risk...is it worth it???  I  personally think it is because I want my Dad to be with us for as long as possible!!  But it has to be his choice, no regrets!  I'm looking for any feelings of pro or con treatment to help me understand my Dads  dilemma......please....thank you
.....also if anyone out there has a first line protocol with better stats please let me know

Thank you Eli for your response and advice,  my Dad just turned 70 this past May and is in overall good health with the exception of a pacemaker for  heart rhythm  abnormality.  The only margin report I am aware of is the"clean margins with the first cut", post whipple. Something I might have to learn more about!

My Dad, Alan C, from Rhode Island went for his initial meeting with oncologist post whipple today.  He is very discouraged. Thought this might be a little easier than it sounds, but.....
   The Dr., Dr. Howard Safran, from Miriam Hospital has a protocol with 12 weeks of gemcitibine 3 weeks on 1 week off with 28 radiation treatments following the chemo.
     His tumor was 1 inch at the distal end of the common bile duct, was focal, with 1/18  lymph nodes positive.  No mets, the surgeon staged it 2B.
    My question to all of you is does this sound appropriate???  Any and all advice is welcomed and appreciated! Thank you in advance!