Topic: Puzzled about a few things
Maybe you guys can help me understand a few things, our doctor is a very nice guy but challenging to keep around to answer questions and honestly, most of these questions occur to me later. I've read on this board that some doctors don't do chemo when a patient's bilirubin is elevated. Last week my husband started Oxiliplatin/5FU when he was obviously jaundiced and his bili was 8.4. Halfway through the treatment the nurse reported his labwork to us and told us that the doctor was cutting the dose of 5FU by half (he was still receiving the OX at the time). Thank God he wasn't denied chemo that day, I think he would have gone mad! He was miserable. 1 week later, his bili is down to 6.1 and he feels much better. What would have been the point to withhold tx.? I know a lot of people think that stents are the answer in this situation, but we've been told by every doctor we've talked to that they are not an option for him due to the location of the blockages.
Second question is that we asked the doctor that if significant shrinkage occurs, could surgery be an option? He said no, that if that were possible, we would have gone there first. That's not what I've been seeing here. Some people do seem to become candidates for surgery after other treatments. Do you think that this is just a difference in philosophy? I told Chris that I'll bet that if we went to Pgh. (we're near there a lot visiting family) we could find a surgeon willing to do surgery. He says he's sure I'm right, as this is what surgeons do, but to what end?