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looker_labs

Ok, I may have said in other threads that I once worked in an oncology center. I did clinical pathways (SIBEM II) and regardless of what type and where it started the issue is to reduce the total tumor mass. There are so many good surgeons who can remove cancers from upper GI and the aforemensioned treatments. Once I had a case where a guy had 17 tumors and they got them all in a couple or a few surgeries. Of course our patients would sometime have recurrence in a 5 or 10 year period, but even then, being especially watchfull recurrence was not as severe as the initial cancer. I would list the procedure as mri or ct by CPT code and enter a diagnosis code of 22.x to a higher 22.9 ICD code and the computer would find other cases where 22.9 had a treatments with the greatest effectiveness. But I can sort of tell already that it would come up with the name of a couple of surgeons and some drugs both for the attending physician.

looker_labs

My old boss had severe pain and I had to drive him to the hospital. It must have been gallstones but I heard it removed for cancer too. Ipilimumab (Yervoy) Nivolumab (Opdivo) Pembrolizumab (Keytruda) Atezolizumab (Tecentriq) Avelumab (Bavencio) Durvalumab (Imfinzi) Are all immunotherapy drugs but none of those I beleve are used for gallbladder. In fact it seems only clinical trials provide that. "Chemotherapy has been used extensively in advanced GBC and we have gained some experience with gemcitabine-based combination (with cisplatin and oxaliplatin or with capecitabine) regimens. The recent phase III study showing longer survival with gemcitabine and cisplatin than with gemcitabine alone has set a new standard for this disease." - a cancer journal from 2010 All these drugs are relatively old i think except oxaiplaton but I know if they could shrink it down then maybe they could even operate or use radiation. So what I would do is treat with the cisplatin-capecitabine (std regimin) and thn wiht oxaliplatin (std regimin) and then mit radioactivity ?Mev Search: Google>>Gallbladder cancer treatment re 2009 2010 2011 journalEnc befor attempting surg soln

looker_labs

I have heard there is something called fibromyalgia. Oddly your GP may actually refer you to a psychiatrist for that as it is often accompanied with depression (more common in women.) 100% of everybody needs a general practitioner. 100% of women need OBG mammogram ... Sometimes 'the pill' works better for menstruation problems. 80% of all people need a psychiatrist at some time in their life. And don't let them tell you all you need is just talk therapy. I have not taken my anti-depressant for a while. It helped with my tiredness. I use abilify along with blood pressure, cholesterol, and high blood sugar pills. I take my pills twice a day. I should take one now as my feet are tingling. Without my abilify I would be seeing rainbows and hearing the Grateful Dead play all day in my head. (bipolar disorder) There are drugs like neurontin that a psychiatrist or neurologist are more likely to prescribe for carpel tunnel syndrome, tingling. Oh and I need to eat bananas to keep my calcium up. I've had dizzyness and can now never walk 10 steps heel to toe. Sometimes I can't always touch my nose with arms extended and eyes shut. Dizziness is The Most Common Symptom older folks have. In short a blood test (white blood cells would be off) for sure if you had cancer or infections. You will find something that works for you.

looker_labs

don't worry too - I don't know much about his specific case. All lobes? what were the PSA #'s by the way take a look at the scans - they are high contrast i'm sure and should be easier to detect visually than a broken bone. this looks large but can still be ok They can transplant livers you know. The biggest concern is vascular involvement. sometimes 'bunny ears' can indicate metastases also something that looks like that sometimes cirrhosis looks like multiple tumors usually there will be some pain in poking the cirrhosis or tumor on the right front or back with two fingers or even by the sternum. Lack of pain indicates an early diagnosis. Do get a look at the scan. dialysis might be indicated as a stopgap between surgery and transplantation if I recall, positive outcomes in hepatology is around 86%

looker_labs

If you can't just get a lumpectomy, you need a mastectomy. If it involves both breasts some chemo would be advised. Even if it is just one wouldn't you rather be safe? Or else, and not to worry, your surgeon may see-feel a tumor close to the ribs or breastbone. He/she is looking for an outcome that will have your indicators positive and done after the operation instead of waiting for a bad outcome after the surgery. There are also cosmetic concerns. Believe me, surgeons are VERY aware of their statistics and being par or above par for non-followups is paramount

looker_labs

Here you go my friend and feel free to check out my other posts. as any other project, the more work you put into a project the more likely the level of success. the good news is stage 3 is not stage 4 my ex had non-hodgekins lymphoma with nodules in the liver - stage 4 she is still around after being cancer free for over half her life. walk hard she had one 'zipper' for the liver and radiation and chemo are you involved with an oncology center? I think that these tumors are 'leftovers' from a late in interval PAP. Sounds like some escaped the capsule. Tumor size is important, but much like a scraping needs to be done those leftovers either need to turnover to a cirrhosis (scab) like with radiation or your T-cell B-cell WBC need to do the scrubbing. Endometriosis is very survivable. At worse I'd say, with a good surgeon 2'nd try's the charm. Expect to feel better before the end of the year.

looker_labs

You probably don't have cancer. I don't know why you are not on antibiotics like cipro.

looker_labs

My dad's had his regular GP examining his prostratitus and for 8 years had his semiannual biopsies rated as gleason 6 - one core. NOW 4 cores clear and 2 cores at 6 and one at 4+3 and one at 8. his PSA is 9.9 and radiometry shows metastasis in 3 ribs one of which is broken due to osteoblastosis. Bone mets is incurable a/o '19 he went from stage I to stage IV in less than 3 years. Sorry for posting this here. I saw Start Here. My PSA is .9 not the perfect .5 but I digress. What burns my britches is that the medical community sets standards for PSA of greater than 4 to be only "warning of possible slow growing cancer" the level of intestinal polyps! Also now, because of the three operations it took to install 4 stents for "severe angina" his surgeon is refusing to perform the radical prostectomy. I mean how about PSA7 as a recommendation for prostate removal. He got to urinate every hour or two this whole time anyway. Not like he was expecting to have children. In his case I believe it could have not affected his lifespan. Do these doctors expect people to just die young? His uncle passed due to PC in lymph nodes at 94. Now he can't play golf, or bowl either. at 78 he just had to stop jogging his daily 2-3 miles due to general tiredness and can only ride a stationary bike. Nautilus is out. I'm afraid to ask him if he can still fish. My dad is the smartest guy I know. He was a nuclear physicist for nearly 40 years (chemical and atomic worker's union) and a financial genius. Ages 85,12,78 Isn't the key to success with cancer early detection after all. Who could know to question the advice and suggestions of competent physicians?

looker_labs

Sometimes because of the nature of stresses involved with serious illnesses, antidepressants or tranquilizers are listed in the patient's file. My interest here is particularly family therapy. you could go yourself and ask your fam to attend later. Most all psychiatric offices have therapists available in a few weeks.

looker_labs

Why not just have the GB removed? My boss had his done and said he never felt better.

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