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Hi Celia,

I'm glad you had a nice trip to Florida. It's not

snowing here in Albuquerque but the weather sure

turned cold with a raw wind so this has been a crazy

spring here.

You asked about Alpha Lipoic Acid. You do not get

this by prescription. It is normally found in the

drug or health food store. You can purchase it at

http://www.puritanspride.com right now at a very good

price.

Alice

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  • 1 month later...
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Celia

Welcome home. I can't wait to hear about the trip.

laurie

>

> Reply-To:

> Date: Wed, 04 Jun 2003 20:38:59 -0000

> To:

> Subject: I'm Back

>

> Hi Groupies, Just wanted to let you know I am back from my 3 week

> sojourn in Yukon/Alaska. Had a great time but it's great to be home

> now. I hope everyone is keeping (resonably ) well. I have so much to

> catch up with now, house, mail, email etc. etc. but I hope to be back

> posting soon. Celia

>

>

>

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What can I say but Thank you, thank you, thank you to everyone who was so kind and responded to me with help,support and prayers. I'm not feeling well still, but much better than I was over the weekend. We finally spoke with a nurse at my immunologist office and they have changed my orders for next months IVIG. I will be premedicated with Solumedrol and Motrin. They have also slowed the rate so that I will receive it over 5-6 hours this next time instead of 3 1/2. The doc seems to think this will alleviate the aseptic meningitis I experienced afterwards. If I do get the headache again then my local doc is suppose to write a script for me to get Imitrex or Zomig (migraine meds) and a Medrol dose pack. I'm praying that I don't get it again.

Also I think I forget to mention awhile back that Dr Cohen has ordered for me to have my carnitine plasma levels checked again on the 19th. I will have levels drawn on the 19th, then no Carnitor for 24 hrs and then again on the 20th. This will check to see if the Carnitine is getting into the mitochondria or not.

Thank you once again. You have helped me more than you will ever know.

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  • 10 months later...
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Lynn: Why do you stay with that oncologist? Is it the area you are

in?Insurance?

Surely there is a major center near you or some cancer support group to help

you both. Nick is on the xeloda,we are waiting until Monday for the latest

results,today we started the third round of treatment. The sensation is

neuropathy and a side effect,sometimes it comes long after the chemo is

discontinued. I

don't know where

you live,but check into some kind of support group that could help you so all

the

burden is not on you and your family. Hugs and prayers Nick & Jane

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Lynn: Why do you stay with that oncologist? Is it the area you are

in?Insurance?

Surely there is a major center near you or some cancer support group to help

you both. Nick is on the xeloda,we are waiting until Monday for the latest

results,today we started the third round of treatment. The sensation is

neuropathy and a side effect,sometimes it comes long after the chemo is

discontinued. I

don't know where

you live,but check into some kind of support group that could help you so all

the

burden is not on you and your family. Hugs and prayers Nick & Jane

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Hi Lynn ............. sorry to hear your Dad is having these mixed

results. You mentioned your Dad having trouble with his hand and leg

on the right side and some memory/confusion problems. I would

certainly ask the Doc about at least running a brain scan just to be

on the safe side. If he did have a tumor in the brain, you'd find

it on the opposite side of where he's having the numbness.

Hopefully it's not a brain tumor ....... but if it were, you darned

sure want to know that ASAP so you can get on it!! PLEASE let us

know what you find out. Also, you asked the following question:

" My limited understanding of this is....

Cancer cells are genetically unstable and very fast mutating..they

are constantly changing and this is one of the things that makes them

different from normal cells. It is also the primary mechanism by

which the cells are eventually able to overcome the effects of

chemotherapy, even when it initally seems to work well. Its

that " Darwinian thing " going on, you know, survival of the fittest

and such. Chemo kills off vast numbers of cancer cells, but there

are always a small number which are not affected, and of course they

are the ones left over after " most " cancer cells are killed. But

that's all it takes - they split and make more " super resistant "

cells, which split again and...you get the idea. So you end up with

tumors composed entirely of " super cancer " which is completely immune

to chemo. At this point the cancer is deemed " chemo-resistant " .

Now its actually even stranger than that, because I have read that

SOME chemoresistant patients, if they are off chemo for a bit and

then start taking it later, will have the chemo START working again

(!!!) And the reason is because during the time they were off

therapy, their cancer continued to mutate and " forgot " to keep the

property of " chemoresistance " needed for survival...

Anyway, not only do different people have different " cancers " (e.g.

some people can have metastatic disease with NORMAL CEA!!!), the

cancer is not even the " same " from met to met! There are

different " cell populations " from met to met...in a single person,

some mets might produce CEA while others do not. Also, a patient

could be on chemotherapy, the chemo shrinks SOME mets while others

continue to grow....

You have to remember that chemo only shrinks mets in less than 50% of

patients who have never been exposed to it before...there obviously

must be many " versions of cancer " immune to chemo! Should it be

surprising that the same person could have some mets immune to chemo

and some mets which will be killed by chemo?

There is NO RELATIONSHIP between CEA and tumor size. Some tumors

could be composed of cells which are HIGH CEA producers, and a small

tumor produces a HIGH CEA. Other tumors could be composed of cells

which are LOW CEA producers, and the tumor could be huge before CEA

rose significantly.

Cancer may change as time goes on. At the time of my first liver

resection, I had " CEA less than .5 " , but tumors visible on scan. At

the time of my second liver resection, CEA was 30. Obviously, the

FIRST liver mets were LOW CEA producers, and the second set were HIGH

CEA producers.

You gotta remember, with cancer ANYTHING can happen...no rules....no

guidelines....

Isn't this a mess LOL!

(Usual Disclaimer...I'm no doctor...the above was what oncologists

have told me in lengthy conversations!)

Best Wishes,

"

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Hi Lynn ............. sorry to hear your Dad is having these mixed

results. You mentioned your Dad having trouble with his hand and leg

on the right side and some memory/confusion problems. I would

certainly ask the Doc about at least running a brain scan just to be

on the safe side. If he did have a tumor in the brain, you'd find

it on the opposite side of where he's having the numbness.

Hopefully it's not a brain tumor ....... but if it were, you darned

sure want to know that ASAP so you can get on it!! PLEASE let us

know what you find out. Also, you asked the following question:

" My limited understanding of this is....

Cancer cells are genetically unstable and very fast mutating..they

are constantly changing and this is one of the things that makes them

different from normal cells. It is also the primary mechanism by

which the cells are eventually able to overcome the effects of

chemotherapy, even when it initally seems to work well. Its

that " Darwinian thing " going on, you know, survival of the fittest

and such. Chemo kills off vast numbers of cancer cells, but there

are always a small number which are not affected, and of course they

are the ones left over after " most " cancer cells are killed. But

that's all it takes - they split and make more " super resistant "

cells, which split again and...you get the idea. So you end up with

tumors composed entirely of " super cancer " which is completely immune

to chemo. At this point the cancer is deemed " chemo-resistant " .

Now its actually even stranger than that, because I have read that

SOME chemoresistant patients, if they are off chemo for a bit and

then start taking it later, will have the chemo START working again

(!!!) And the reason is because during the time they were off

therapy, their cancer continued to mutate and " forgot " to keep the

property of " chemoresistance " needed for survival...

Anyway, not only do different people have different " cancers " (e.g.

some people can have metastatic disease with NORMAL CEA!!!), the

cancer is not even the " same " from met to met! There are

different " cell populations " from met to met...in a single person,

some mets might produce CEA while others do not. Also, a patient

could be on chemotherapy, the chemo shrinks SOME mets while others

continue to grow....

You have to remember that chemo only shrinks mets in less than 50% of

patients who have never been exposed to it before...there obviously

must be many " versions of cancer " immune to chemo! Should it be

surprising that the same person could have some mets immune to chemo

and some mets which will be killed by chemo?

There is NO RELATIONSHIP between CEA and tumor size. Some tumors

could be composed of cells which are HIGH CEA producers, and a small

tumor produces a HIGH CEA. Other tumors could be composed of cells

which are LOW CEA producers, and the tumor could be huge before CEA

rose significantly.

Cancer may change as time goes on. At the time of my first liver

resection, I had " CEA less than .5 " , but tumors visible on scan. At

the time of my second liver resection, CEA was 30. Obviously, the

FIRST liver mets were LOW CEA producers, and the second set were HIGH

CEA producers.

You gotta remember, with cancer ANYTHING can happen...no rules....no

guidelines....

Isn't this a mess LOL!

(Usual Disclaimer...I'm no doctor...the above was what oncologists

have told me in lengthy conversations!)

Best Wishes,

"

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Guest guest

Hi Lynn ............. sorry to hear your Dad is having these mixed

results. You mentioned your Dad having trouble with his hand and leg

on the right side and some memory/confusion problems. I would

certainly ask the Doc about at least running a brain scan just to be

on the safe side. If he did have a tumor in the brain, you'd find

it on the opposite side of where he's having the numbness.

Hopefully it's not a brain tumor ....... but if it were, you darned

sure want to know that ASAP so you can get on it!! PLEASE let us

know what you find out. Also, you asked the following question:

" My limited understanding of this is....

Cancer cells are genetically unstable and very fast mutating..they

are constantly changing and this is one of the things that makes them

different from normal cells. It is also the primary mechanism by

which the cells are eventually able to overcome the effects of

chemotherapy, even when it initally seems to work well. Its

that " Darwinian thing " going on, you know, survival of the fittest

and such. Chemo kills off vast numbers of cancer cells, but there

are always a small number which are not affected, and of course they

are the ones left over after " most " cancer cells are killed. But

that's all it takes - they split and make more " super resistant "

cells, which split again and...you get the idea. So you end up with

tumors composed entirely of " super cancer " which is completely immune

to chemo. At this point the cancer is deemed " chemo-resistant " .

Now its actually even stranger than that, because I have read that

SOME chemoresistant patients, if they are off chemo for a bit and

then start taking it later, will have the chemo START working again

(!!!) And the reason is because during the time they were off

therapy, their cancer continued to mutate and " forgot " to keep the

property of " chemoresistance " needed for survival...

Anyway, not only do different people have different " cancers " (e.g.

some people can have metastatic disease with NORMAL CEA!!!), the

cancer is not even the " same " from met to met! There are

different " cell populations " from met to met...in a single person,

some mets might produce CEA while others do not. Also, a patient

could be on chemotherapy, the chemo shrinks SOME mets while others

continue to grow....

You have to remember that chemo only shrinks mets in less than 50% of

patients who have never been exposed to it before...there obviously

must be many " versions of cancer " immune to chemo! Should it be

surprising that the same person could have some mets immune to chemo

and some mets which will be killed by chemo?

There is NO RELATIONSHIP between CEA and tumor size. Some tumors

could be composed of cells which are HIGH CEA producers, and a small

tumor produces a HIGH CEA. Other tumors could be composed of cells

which are LOW CEA producers, and the tumor could be huge before CEA

rose significantly.

Cancer may change as time goes on. At the time of my first liver

resection, I had " CEA less than .5 " , but tumors visible on scan. At

the time of my second liver resection, CEA was 30. Obviously, the

FIRST liver mets were LOW CEA producers, and the second set were HIGH

CEA producers.

You gotta remember, with cancer ANYTHING can happen...no rules....no

guidelines....

Isn't this a mess LOL!

(Usual Disclaimer...I'm no doctor...the above was what oncologists

have told me in lengthy conversations!)

Best Wishes,

"

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Guest guest

Nick and Jane, My dad is a stubborn man. The local onc. is highly

recommended in our town, so my dad doesn't see the need to travel.

From what I have seen over the past six months, I have been

unimpressed with the onc. He told me once not to ask him questions

unless I knew what I was talking about, and that he would tell us

what we need to know when we need to know it. My dad refuses to get

a second opinion, and I have come to terms with that. I asked about

local support groups, and he said if my dad wanted know about

support groups he would ask himself. There are many other instances

where this doctor shows no compassion. What I have heard is that if

you follow what he tells you without questions, all is well. I

could go on all day about my opinion of this man. I am lucky to

have this sight to turn to for answers. Thanks to all of you. Lynn

--

- In colon_cancer_support , Abuelopop@a... wrote:

> Lynn: Why do you stay with that oncologist? Is it the area you

are

> in?Insurance?

> Surely there is a major center near you or some cancer support

group to help

> you both. Nick is on the xeloda,we are waiting until Monday for

the latest

> results,today we started the third round of treatment. The

sensation is

> neuropathy and a side effect,sometimes it comes long after the

chemo is discontinued. I

> don't know where

> you live,but check into some kind of support group that could help

you so all

> the

> burden is not on you and your family. Hugs and prayers Nick &

Jane

>

>

>

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Guest guest

Donna thanks for your reply. I have two young children at home so

it is hard for me to find to time to search for answers in all the

previous posts. I told my mom to mention memory problem to the onc.

at the last visit, and she didn't. I think she is scared to think

it might have spread further. He has an appt. in two weeks, she

promised me she will say something then. What a great explanation

from about the spread of cancer cells and CEA. My dad's CEA

levels have been normal up until his last visit, the raise in CEA

prompted a CT scan, which showed the spread to the lung. I will

print this info off and share it with my parents as they are

confused. I will be forever thankful to for all he has done

for those on this board. He is greatly missed. Lynn

---

In colon_cancer_support , " Donna Sisco "

<cncrsps2002@y...> wrote:

> Hi Lynn ............. sorry to hear your Dad is having these mixed

> results. You mentioned your Dad having trouble with his hand and

leg

> on the right side and some memory/confusion problems. I would

> certainly ask the Doc about at least running a brain scan just to

be

> on the safe side. If he did have a tumor in the brain, you'd find

> it on the opposite side of where he's having the numbness.

> Hopefully it's not a brain tumor ....... but if it were, you

darned

> sure want to know that ASAP so you can get on it!! PLEASE let us

> know what you find out. Also, you asked the following question:

>

>

>

> " My limited understanding of this is....

>

> Cancer cells are genetically unstable and very fast mutating..they

> are constantly changing and this is one of the things that makes

them

> different from normal cells. It is also the primary mechanism by

> which the cells are eventually able to overcome the effects of

> chemotherapy, even when it initally seems to work well. Its

> that " Darwinian thing " going on, you know, survival of the fittest

> and such. Chemo kills off vast numbers of cancer cells, but there

> are always a small number which are not affected, and of course

they

> are the ones left over after " most " cancer cells are killed. But

> that's all it takes - they split and make more " super resistant "

> cells, which split again and...you get the idea. So you end up with

> tumors composed entirely of " super cancer " which is completely

immune

> to chemo. At this point the cancer is deemed " chemo-resistant " .

>

> Now its actually even stranger than that, because I have read that

> SOME chemoresistant patients, if they are off chemo for a bit and

> then start taking it later, will have the chemo START working again

> (!!!) And the reason is because during the time they were off

> therapy, their cancer continued to mutate and " forgot " to keep the

> property of " chemoresistance " needed for survival...

>

> Anyway, not only do different people have different " cancers " (e.g.

> some people can have metastatic disease with NORMAL CEA!!!), the

> cancer is not even the " same " from met to met! There are

> different " cell populations " from met to met...in a single person,

> some mets might produce CEA while others do not. Also, a patient

> could be on chemotherapy, the chemo shrinks SOME mets while others

> continue to grow....

>

> You have to remember that chemo only shrinks mets in less than 50%

of

> patients who have never been exposed to it before...there obviously

> must be many " versions of cancer " immune to chemo! Should it be

> surprising that the same person could have some mets immune to

chemo

> and some mets which will be killed by chemo?

>

> There is NO RELATIONSHIP between CEA and tumor size. Some tumors

> could be composed of cells which are HIGH CEA producers, and a

small

> tumor produces a HIGH CEA. Other tumors could be composed of cells

> which are LOW CEA producers, and the tumor could be huge before CEA

> rose significantly.

>

> Cancer may change as time goes on. At the time of my first liver

> resection, I had " CEA less than .5 " , but tumors visible on scan. At

> the time of my second liver resection, CEA was 30. Obviously, the

> FIRST liver mets were LOW CEA producers, and the second set were

HIGH

> CEA producers.

>

> You gotta remember, with cancer ANYTHING can happen...no

rules....no

> guidelines....

>

> Isn't this a mess LOL!

>

> (Usual Disclaimer...I'm no doctor...the above was what oncologists

> have told me in lengthy conversations!)

>

> Best Wishes,

>

> "

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