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Medical Forum / General / General / March 2004Transplant
when patients have advancing liver cancer is a transplant ever an option? > when patients have advancing liver cancer is a transplant ever an option? Yes indeed, provided the cancer is in the early stages (and ideally before it's widely metastatic). >From: anon anon@anon.com >Yes indeed, provided the cancer is in the early stages (and ideally >before it's widely metastatic). So if our blood types match They'd take one full lobe or a portion of a lobe? Its Metastatic disease from the colon >> From: anon anon@anon.com > [quoted text clipped - 4 lines] > > Its Metastatic disease from the colon Generally, the right (larger) lobe of the liver is harvested in living donor transplants. There are probably variations depending on the individual or transplant center. > >> From: anon anon@anon.com > > [quoted text clipped - 8 lines] > donor transplants. There are probably variations depending on the > individual or transplant center. How reasonable an option is this? Chemo and antirejection medication at the same time? J >>>> From: anon anon@anon.com >>> [quoted text clipped - 12 lines] > Chemo and antirejection medication at the same time? > J If the cancer is metastatic from a primary colon malignancy, I'd say the prognosis is pretty dismal, and would be surprised if such a patient would qualify for (much less actually benefit from) a liver transplant. Liver transplantation has been used in cases of primary hepatocellular carcinoma, but I doubt very much that it would be applicable in this scenario. I'm not an oncologist or transplant surgeon, so that's about all I can add. >rom: anon anon@anon.com >Date: 2/24/2004 10:03 PM Eastern >I'm not an oncologist or transplant surgeon, so that's about >all I can add. appreciate the opinion. heavy sigh >>rom: anon anon@anon.com >>Date: 2/24/2004 10:03 PM Eastern [quoted text clipped - 5 lines] > >heavy sigh I'm intrigued by this. Here "kyrodoc" is looking into the possibility of donating part of his liver to a cancer patient. This is the same chiropractor who has contributed megabytes of MD-bashing, claiming repeatedly that MDs are deluded fools or just out for the money, that anything can be cured or prevented by addressing the root cause of all evil, the mystical subluxation. Now he's confronting the problem of a relative with metastatic colon cancer, and he's willing to go for some of the highest tech of high tech medicine, liver transplantation. While I don't want to denigrate kyrodoc's feelings of helplessness and desperation watching a relative die of an ugly disease, I wonder how soon he'll be back with his usual childish crowing and sniping. If and when he does, he'll show us just how much of a hypocrit he is. Or perhaps he'll explain that if his relative had had proper chiropractic care every week, he or she would have lived to 120 and died in perfect health. Yes, I'm being cynical, but perhaps this tragedy will serve as a wake-up call to kyrodoc that wishing (or asserting) doesn't make it true. It's a hopeful sign that he didn't use a different pseudonym for the purpose of this very different series of posts. > While I don't want to denigrate kyrodoc's feelings of helplessness and > desperation watching a relative die of an ugly disease, I wonder how [quoted text clipped - 3 lines] > care every week, he or she would have lived to 120 and died in perfect > health. Kyrodoc has not completely explained the circumstances behind his questions, but there's certainly enough there to know that someone he cares about is very ill and he's wishing he could help. It doesn't seem appropriate to use this concern to attack his beliefs. I don't usually read the chiropractic threads on sci.med, but unless he has attacked people who were dealing with personal issues of this magnitude, I'd suggest this is more than a little callous and is probably worthy of an apology.  SignatureDavid Rind drind@caregroup.harvard.edu >drind@caregroup.harvard.edu >Kyrodoc has not completely explained the circumstances behind his >questions, but there's certainly enough there to know that someone [quoted text clipped - 4 lines] >magnitude, I'd suggest this is more than a little callous and is >probably worthy of an apology. Dr. Rind, Many thanks for your comment. Beverly's trenchant comment didn't phase me. Bev's vemenous attacks from the obscurity of her cubicle have has much impact on me has her contribution to the suffering of her fellow man. My brother has metestatic liver disease. Primary was adenocarcinoma of the sigmoid colon. Treatment has consisted of complete sigmoidectomy(correct term?) and a chemo drip administered bi monthly for 42 hours. The etiology of the tumor was a long standing T 10 subluxation. (thats for Bev) He's doing pretty well thus far having actually gained some weight back. I'm preparing myself mentally should the afformentioned option arise.... Thanx >Many thanks for your comment. Beverly's trenchant comment didn't phase me. >Bev's vemenous attacks from the obscurity of her cubicle have has much impact >on me has her contribution to the suffering of her fellow man. Oh, please. >My brother has metestatic liver disease. I'm sorry to hear that, but don't you think it's about time for you to quit using his illness as an emotional weapon and take a look at your own posting history here? You're kissing up to the Devil himself. Dr. Rind, by virtue of his MD, is incompetent and dangerous. Or have you forgotten? >Kyrodoc has not completely explained the circumstances behind his >questions, but there's certainly enough there to know that someone [quoted text clipped - 4 lines] >magnitude, I'd suggest this is more than a little callous and is >probably worthy of an apology. Okay, I'll apologize for the tone and some of the content. The fact remains, however, that "kyrodoc", from behind his pseudonym, has continually asserted that all MDs are ignorant, incompetent, venal and self-serving, and that chiropractors are not only entirely capable of serving as primary care physicians, they are much preferable to MDs. People who take his advice, however, will not have access to routine screening tests for a number of serious illnesses that are best treated as early as possible, and may well find that they, too, are "dealing with personal issues of this magnitude" as a result. >Okay, I'll apologize for the tone and some of the content. > [quoted text clipped - 6 lines] >as early as possible, and may well find that they, too, are "dealing >with personal issues of this magnitude" as a result. I agree completely with Beverly's assessment and I don't think there was any need for her to apologize. Kyrodoc has never shown a whit of concern for the consequences his posts might have on others with problems of similar or greater magnitude. Now that it's his turn, reaping what he has sowed might be the one thing that will add some much needed balance to his views in the future. From: Carey Gregory >Kyrodoc has continually asserted that all MDs are ignorant, incompetent, venal >>and self-serving, and that chiropractors are not only entirely capable >>of serving as primary care physicians, they are much preferable to MDs. You are full of it. Dig into the archive and prove that statement >>People who take his advice, however, will not have access to routine >>screening tests for a number of serious illnesses that are best treated >>as early as possible, and may well find that they, too, are "dealing >>with personal issues of this magnitude" as a result. Bullcrap. Prove that statement too...BEGGED him to get a checkup for 18 months. >I agree completely with Beverly's assessment and I don't think there was any >need for her to apologize. That is consistent with your obdurate, dare I say feral personality Carey. Kyrodoc has never shown a whit of concern for >the consequences his posts might have on others with problems of similar or >greater magnitude. To the contrary...I stand by them(you can dig to prove that one too) >Now that it's his turn, reaping what he has sowed might be the one thing >that will add some much needed balance to his views in the future. Reaping what I sowed????? Its my brother you ruthless, cold-hearted ( insert favorite derogatory here) My posts have been primarily directed at that faction of the medical profession who blindly prescribe for every condition under the sun without regard that is NO regard to innate healing ability. Ive also rallied people to the idea that common sense health care can many many MANY times circumvent the need for dangerous drugs and unnecessary surgery. They are directed to the fact that if you ignore your health and attempt to use drugs to overcome poor lifestyle choices then you increase your chances of becoming a medical statistic... a medical ERROR statistic that is. 48,000 to 98,000 plus...... that is. I've also stood behind and up for the chiropractic educational process and have NEVER spoken against mamograms, pap smears prostate exams regular check ups etc. that can catch health problems when they are treatable and I challenge both of you to come up with a post written by me that speaks out against routine testing............. or one Ive wrtten affirming the subluxation theory as the sole cause of disease. Incidently I've never posted against the miracles of modern medicine such as joint replacement, transplants and the like. Have I? I was actually going to post this query under a dfferent pseudonym however I'm glad I didn't It has re-affirmed in my mind how cruel people (particularly the two of you) can be, especially when your philosophies differ AND when they get a little ammo. Put a DC, MD or DO behind one of YOUR two names and that spells trouble for patients BIG trouble. Soooo very gratifying knowing that niether of you are in a position of direct patient contact where your vexatious personalities can do real damage. Your attacks on me at his time have simply verified, what people like you will do and say when they get a little power, a little juice....much like the power tripping jackass oncologist who talks to my brother like he's a five year old. He's probably one of you two's father.(actually until him most of the physician's have been very kind) One of you holds the world distance record for spitting razor blades correct? My money's on you big boy ;o) >From: Carey Gregory Get your quotes right. You've quote two people and attributed all of it to me. >That is consistent with your obdurate, dare I say feral personality Carey. I didn't think it would take long for you to resort to ad hominem. >To the contrary...I stand by them(you can dig to prove that one too) Your posts are archived for anyone who cares to dig them up. I've already read them, so I'm certainly not going to bother. >Reaping what I sowed????? > Its my brother you ruthless, cold-hearted >( insert favorite derogatory here) I was referring to the responses you got here, not your brother's illness. >My posts have been primarily directed at that faction of the medical profession >who blindly prescribe for every condition under the sun without regard that is >NO regard to innate healing ability. Funny, you never mentioned a "fraction" in the past. They're virtually always blanket statements aimed at the whole profession. >Incidently I've never posted against the miracles of modern medicine such as >joint replacement, transplants and the like. >Have I? You've rarely been specific. You usually just make broad, sweeping generalities indicting the entire profession. >Your attacks on me at his time have simply verified, what people like you will "Attacks on me"... "People like you"... Yeah, whatever. Get over it, Kyro. >ae@cs.toronto.edu >ere "kyrodoc" is looking into the possibility >of donating part of his liver to a cancer patient. Yes Bev it is my brother. So shut yer pie hole. > >rom: anon anon@anon.com > >Date: 2/24/2004 10:03 PM Eastern [quoted text clipped - 5 lines] > > heavy sigh Well, is chemo not possible? http://www.cancer.gov/cancerinfo/pdq/treatment/colon/healthprofessional http://www.cancerbacup.org.uk/Cancertype/Bowelcolonrectum/Treatment/Chemotherapy J >From: J Providence@iexample.org >Date: 2/25/2004 6:58 PM Eastern He's doing chemo now. > >From: J Providence@iexample.org > >Date: 2/25/2004 6:58 PM Eastern > > He's doing chemo now. His oncologist will be aware of this. ": About ERBITUX (Cetuximab) ERBITUX is a first-of-its-kind antibody approved for use in combination with irinotecan in the treatment of patients with EGFR-expressing, metastatic colorectal cancer who are refractory to irinotecan-based chemotherapy and for use as a single agent in the treatment of patients with EGFR-expressing, metastatic colorectal cancer who are intolerant to irinotecan-based chemotherapy. ERBITUX binds specifically to epidermal growth factor receptor (EGFR, HER1, c-ErbB-1) on both normal and tumor cells, and competitively inhibits the binding of epidermal growth factor (EGF) and other ligands, such as transforming growth factor-alpha. The EGFR is constitutively expressed in many normal epithelial tissues, including the skin and hair follicle. Over-expression of EGFR is also detected in many human cancers including those of the colon and rectum." There's private email lists here http://www.acor.org http://listserv.acor.org/archives/colon.html However, each list has it's own rules apparently. Some don't allow discussions such as subluxations or alternative therapies. I don't know which allow what. If you "join" use a different "screen name" or they'll likely be suspicious of you. J >From: J CommonD >don't know >which allow what. If you "join" use a different "screen name" or they'll >likely be suspicious of you. Like some round here :o) Thanx > Well, is chemo not possible? > http://www.cancer.gov/cancerinfo/pdq/treatment/colon/healthprofessional > http://www.cancerbacup.org.uk/Cancertype/Bowelcolonrectum/Treatment/Chemotherapy Again...I'm Again...I'm not in the cancer field. However, my understanding is that chemotherapy is the mainstay of treatment for metastatic colon cancer. Cancer therapy is highly individualized, and there are many variations in regimens depending upon where the treatment is undertaken. Here's a good resource: http://www.cancer.gov/cancer_information/pdq/ |
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