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RE: *DIANE!!*

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-----Original Message----- Brad's

been accepted for the transplant program in MN.

Oh Diane, how absolutely wonderful!! I’m so happy for you & Brad. Are you excited, nervous, thrilled, all

of the above? Sounds

like Dr Gores has a few new members of his fan club. I’m assuming they gave Brad extra

points, what MELD score did they list him at? Any idea of when things will really start

moving along? Was the CC diagnosis

wrong or ????

Doesn’t matter, I’m just very happy that the

two of you have a chance at a new life, new liver and new birthday!

Barb in Texas - Together in the Fight, Whatever it Takes!

Son Ken (32) UC 91 - PSC 99 Listed 7/21 @ Baylor Dallas

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Barbara -- ya know, I don't know what I'd have done without you!!

Truly. You were my first introduction to this new world of livers.

You've given me and the rest of us here so much valuable information

and support.

Brad was accepted into the transplant program because of the

confirmed cholangiocarcinoma diagnosis. Medicare won't cover it

because it's considered " experimental " for CC.

Yesterday when he got the call from Dr. Gores, I was ecstatic. Then

so sorrowful. It breaks my heart that someone has to die for Brad

to live. I'm not sure how to balance these feelings!! I guess I

just feel guilty for being so happy.

I think we'll be on the way to MN next week. Brad will first

undergo 3 weeks of radiation and chemo. We come home for a couple

of weeks, then go back to Mayo where they'll check him out, do some

exploratory surgery, and then come home again. More chemo, then

the " wait. "

Barbara, I pray for you, Ken and your family always, as I do

everyone here looking for hope and answers.

Love, Diane

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Liz, thank you for writing. With your CC, what type of surgery did

you have? How long since your surgery? We too think Dr. Gores is

the greatest.

We're okay with the insurance issue. It was just startling that

Medicare considers transplant for CC as " experimental. " Apparently

Mayo has been trying to convince them it should be treated like

other transplants. Other insurance companies consider it so, but it

is taking time persuading Medicare.

Thank you again,

Diane

>

> Diane,

> I am sorry about missing your postings, seems like

> alot of Cholagiocarcinoma posts lately and I think I'm

> getting everybody confused. Glad to hear Brad got

> accepted into the transplant program...I am also a

> patient of Dr. Gores' and I had CC. I didn't have a

> transplant but the surgery I had there was close to

> costing the same. I was in the hospital 18 days

> there. I had Aetna HMO, and they did end up paying a

> good portion of it. We had to pay a substantial

> amount but a small price to pay to be alive. My case

> was similar to Brads, I had numerous ERCP's here in

> Virginia, and they never found the tumor in my bile

> duct and they did biopsy after biopsy and still

> nothing.

> I finally had a doctor at MCV in Richmond, VA do an

> ERCP and say he thought it was Cholangiocarcinoma but

> couldn't prove it and then they hooked me up with Dr.

> Gores..... I live in Virginia and every year I go back

> to Dr. Gores for my checkup....I see another doctor at

> UVA in Charlottesville, Dr. Berg for alternating 6

> month checkups. It is a shame that you have to worry

> about the insurance part along with all the other

> things that you are dealing with but it will all work

> out. Somehow it always does. I wish Brad the best

> and I know he is in the best hands being at the Mayo.

> If you haven't guessed I am one of Dr. Gores biggest

> fans and I just love him, and so does my family. He

> is the greatest ever......

>

> Liz in Fredericksburg VA

>

> __________________________________________________

>

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Liz, thank you for writing. With your CC, what type of surgery did

you have? How long since your surgery? We too think Dr. Gores is

the greatest.

We're okay with the insurance issue. It was just startling that

Medicare considers transplant for CC as " experimental. " Apparently

Mayo has been trying to convince them it should be treated like

other transplants. Other insurance companies consider it so, but it

is taking time persuading Medicare.

Thank you again,

Diane

>

> Diane,

> I am sorry about missing your postings, seems like

> alot of Cholagiocarcinoma posts lately and I think I'm

> getting everybody confused. Glad to hear Brad got

> accepted into the transplant program...I am also a

> patient of Dr. Gores' and I had CC. I didn't have a

> transplant but the surgery I had there was close to

> costing the same. I was in the hospital 18 days

> there. I had Aetna HMO, and they did end up paying a

> good portion of it. We had to pay a substantial

> amount but a small price to pay to be alive. My case

> was similar to Brads, I had numerous ERCP's here in

> Virginia, and they never found the tumor in my bile

> duct and they did biopsy after biopsy and still

> nothing.

> I finally had a doctor at MCV in Richmond, VA do an

> ERCP and say he thought it was Cholangiocarcinoma but

> couldn't prove it and then they hooked me up with Dr.

> Gores..... I live in Virginia and every year I go back

> to Dr. Gores for my checkup....I see another doctor at

> UVA in Charlottesville, Dr. Berg for alternating 6

> month checkups. It is a shame that you have to worry

> about the insurance part along with all the other

> things that you are dealing with but it will all work

> out. Somehow it always does. I wish Brad the best

> and I know he is in the best hands being at the Mayo.

> If you haven't guessed I am one of Dr. Gores biggest

> fans and I just love him, and so does my family. He

> is the greatest ever......

>

> Liz in Fredericksburg VA

>

> __________________________________________________

>

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Diane,

The surgery Dr. Nagorney did was almost a whipple,

meaning that he didn't have to take alot of my

pancreas. My CC was in the mid bile duct, it was an

invasive grade 3 (of 4) mucinous adenocarcinoma, the

tumor had invaded through the muscular wall and into

the pancreas. So they shaved off the pancreas until

they got clear margins. The liver biopsy showed psc

stage IV with no malignancy noted in the liver. If I

am to need a transplant in the future, it will be done

at the Mayo because of the CC and of course I wouldn't

go anywhere else anyways.....I presented with itching

and jaundice in 02, I went to the Mayo Aug 03 for

surgery for CC, it's been 3 years...I had chemo and

radiation after the surgery, 6 weeks of radiation in

hopes that this crap won't rear its ugly head

again...Keep up with the posts I am looking forward

hearing about Brad's treatment and transplant.

Do you have a living donor or are you on the list?

Take care,

Liz in Fredericksburg VA

__________________________________________________

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Liz, thank you for sharing. I'm going to " search " your past posts

so you don't have to re-answer everything I'd like to ask you.

Brad doesn't have a living donor, although Dr. Gores did mention

that as a possibility.

Thank you so much !

Diane

>

> Diane,

> The surgery Dr. Nagorney did was almost a whipple,

> meaning that he didn't have to take alot of my

> pancreas. My CC was in the mid bile duct, it was an

> invasive grade 3 (of 4) mucinous adenocarcinoma, the

> tumor had invaded through the muscular wall and into

> the pancreas. So they shaved off the pancreas until

> they got clear margins. The liver biopsy showed psc

> stage IV with no malignancy noted in the liver. If I

> am to need a transplant in the future, it will be done

> at the Mayo because of the CC and of course I wouldn't

> go anywhere else anyways.....I presented with itching

> and jaundice in 02, I went to the Mayo Aug 03 for

> surgery for CC, it's been 3 years...I had chemo and

> radiation after the surgery, 6 weeks of radiation in

> hopes that this crap won't rear its ugly head

> again...Keep up with the posts I am looking forward

> hearing about Brad's treatment and transplant.

> Do you have a living donor or are you on the list?

>

> Take care,

>

> Liz in Fredericksburg VA

>

>

>

>

> __________________________________________________

>

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Liz, thank you for sharing. I'm going to " search " your past posts

so you don't have to re-answer everything I'd like to ask you.

Brad doesn't have a living donor, although Dr. Gores did mention

that as a possibility.

Thank you so much !

Diane

>

> Diane,

> The surgery Dr. Nagorney did was almost a whipple,

> meaning that he didn't have to take alot of my

> pancreas. My CC was in the mid bile duct, it was an

> invasive grade 3 (of 4) mucinous adenocarcinoma, the

> tumor had invaded through the muscular wall and into

> the pancreas. So they shaved off the pancreas until

> they got clear margins. The liver biopsy showed psc

> stage IV with no malignancy noted in the liver. If I

> am to need a transplant in the future, it will be done

> at the Mayo because of the CC and of course I wouldn't

> go anywhere else anyways.....I presented with itching

> and jaundice in 02, I went to the Mayo Aug 03 for

> surgery for CC, it's been 3 years...I had chemo and

> radiation after the surgery, 6 weeks of radiation in

> hopes that this crap won't rear its ugly head

> again...Keep up with the posts I am looking forward

> hearing about Brad's treatment and transplant.

> Do you have a living donor or are you on the list?

>

> Take care,

>

> Liz in Fredericksburg VA

>

>

>

>

> __________________________________________________

>

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Liz, thank you for sharing. I'm going to " search " your past posts

so you don't have to re-answer everything I'd like to ask you.

Brad doesn't have a living donor, although Dr. Gores did mention

that as a possibility.

Thank you so much !

Diane

>

> Diane,

> The surgery Dr. Nagorney did was almost a whipple,

> meaning that he didn't have to take alot of my

> pancreas. My CC was in the mid bile duct, it was an

> invasive grade 3 (of 4) mucinous adenocarcinoma, the

> tumor had invaded through the muscular wall and into

> the pancreas. So they shaved off the pancreas until

> they got clear margins. The liver biopsy showed psc

> stage IV with no malignancy noted in the liver. If I

> am to need a transplant in the future, it will be done

> at the Mayo because of the CC and of course I wouldn't

> go anywhere else anyways.....I presented with itching

> and jaundice in 02, I went to the Mayo Aug 03 for

> surgery for CC, it's been 3 years...I had chemo and

> radiation after the surgery, 6 weeks of radiation in

> hopes that this crap won't rear its ugly head

> again...Keep up with the posts I am looking forward

> hearing about Brad's treatment and transplant.

> Do you have a living donor or are you on the list?

>

> Take care,

>

> Liz in Fredericksburg VA

>

>

>

>

> __________________________________________________

>

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