tag:blogger.com,1999:blog-2760353953251845523.post7933760550871061366..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Tough caseJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-2760353953251845523.post-37760859650303576442007-10-11T15:19:00.000-04:002007-10-11T15:19:00.000-04:00Final path came back today: All specimens with po...Final path came back today: All specimens with poorly diffrentiated pancreatic CA. The choledochal node was almost completely replaced.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-71846100600439350152007-10-11T09:17:00.000-04:002007-10-11T09:17:00.000-04:00Thanks for the info anon.Thanks for the info anon.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-42532420048271832752007-10-10T21:46:00.000-04:002007-10-10T21:46:00.000-04:00That is too bad. It is unfortunate at times that o...That is too bad. It is unfortunate at times that one cannot forsee the extent or nature of a disease without the exploratory laparotomy. He showed a lot of trust in you and you served him well. For what it's worth, I agree with bongi re chemo although I suppose that is ultimately the patients choice.<BR/><BR/>Unless you object, I agree with rlbates, I would like to include this post in SurgeXperiences 106make mine traumahttps://www.blogger.com/profile/18149160428613740527noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-91368539964969245342007-10-10T17:06:00.000-04:002007-10-10T17:06:00.000-04:00The patient might want to ask Dr. Alexander Rosemu...The patient might want to ask Dr. Alexander Rosemurgy at University of South Florida in Tampa if he qualifies for the GV1001 peptide vaccine clinical trial just recruiting for metastatic pancreatic cancer. The vaccine works on the telomerase principles and has essentially no side effects. Although the jury is still out this is a Phase III trial i believe and in Europe where GV1001 was created they had one patient with over 2 years without progression. the chemo regimens available don't work except to extend life a few months. If I had pancreatic cancer I would definitely take a shot at GV1001 if I could get it. The Tampa Clinical trial Coordinator is Jennifer Cooper and her telephone # is: (813) 844-4218. You can give her my name. If the wife wants to talk i'd be happy to talk to her. My wife was diagnosed with unresectable hilar intrahepatic cholangiocarcinoma last October and we have found great treatments that have held off the disease so far. The "unrestectable" tumor (according to Dr. DeMatteo at Memorial Sloane Kettering - Dr. Blumgart's heir apparant) was destroyed by Y-90 microsphere radioembolization performed at Wake Oncology by Dr. Andrew Kennedy in a two hour out[patient procedure that had no side effects. Very impressive although it sounds like it won't be applicable to your patient. They should also check out the University of Pittsburg where so cutting edge therapies for pancreatic cancer are being studied.<BR/><BR/>Wayne Parsons<BR/>wparsons@hawaii.rr.com<BR/>808-753-0290Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-59853000249025686582007-10-10T12:29:00.000-04:002007-10-10T12:29:00.000-04:00Nice post; good call on retreating-I suppose there...Nice post; good call on retreating-I suppose there are some out there that would have pushed on with the procedure, perhaps hastening the inevitable.<BR/>You gave this man the only good thing associated with his cancer; time to get his life in order and address any unfinished business with family and friends.<BR/><BR/>Well doneAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-64108205549569316302007-10-09T21:18:00.000-04:002007-10-09T21:18:00.000-04:00not that it would help people with unresectable di...not that it would help people with unresectable disease, but did you see the UIC announcement about robotic whipple's? I know that it's already becoming a specialised procedure, but if the robots (ie laparoscopic) make it a safer/better recovery procedure, patient factors may become less of an issue.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-10656803583281896742007-10-09T14:37:00.000-04:002007-10-09T14:37:00.000-04:00Please submit this post to SurgExperience 106 (htt...Please submit this post to SurgExperience 106 (http://intraoporate.blogspot.com/2007/10/casting-call-surgexperiences-106.html).rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-71940547639390763182007-10-09T13:45:00.000-04:002007-10-09T13:45:00.000-04:00Tough case indeed. So sorry for all involved.Tough case indeed. So sorry for all involved.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-72561603135050710922007-10-09T13:38:00.000-04:002007-10-09T13:38:00.000-04:00well left. call me skeptical (comes from watching ...well left. call me skeptical (comes from watching my aunt die of pancreas ca) but consider omitting the chemo.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.com