m*****h
发帖数: 2638 | 1 第一个问题yes。 必须是chemo certified 的rn才可以做
后面的不知道。等两周我上完课了再来回你。
最后一个问题特殊问题不同的对待。unit这几天一直有reverse isolated的chemo病人。
有时还有一些别的precaution 的chemo 病人。 |
|
L**c
发帖数: 475 | 2 I'm not a RN. When I take care of Chemo patient,
-chemo是不是只有拿到certificate的护士才可以挂, 需要MD或PA在场吗？
Yes.I think there is no MD or PA.
-护理病人时（比如empty foley）需要带特别的手套么？
No. Regular glove.
-其他还有什么与其他病人不同需要特别注意的吗？
Need neutropenic Precaution. |
|
p****t
发帖数: 77 | 3 I wonder if any of your guys can help me to get some information on
receiving treatment for Chemo-resistant and recurrent osteosarcoma in USA.
Here is the patient's medical history:
患者(Young male)去年诊断有骨肉瘤，在北京解放军总医院动了两次手术，进行了十次
化疗，上月22号出院，现在又出现转移情况，想咨询美国这方面的专家医院，请对方发
邀请函去美国治疗，拜托!
现在我们比较想知道的是，1，该院对骨肉瘤的治疗效果如何。2，王xx属于大剂量化
疗，多次手术后再复发，该院是否接受过这种先例，有多大把握，之前的化疗和手术对
此是否有影响。3，治疗方案如何，治疗是一次手术还是多次，有无副作用，化疗用药
剂量如何，疗程多长。因照片现正在飞机上今晚发，谢谢!
The patient is still in China. Could you guys let me know how the patient
c... 阅读全帖 |
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s*****n
发帖数: 1998 | 4 Thousands of patients, including children, may have been affected in a
doctor’s alleged scheme that funded his extravagant lifestyle.
Dr. Jorge Zamora-Quezada, a rheumatologist based in South Texas, has been
charged in a $240 million health care fraud and money laundering scheme. In
a federal indictment unsealed Monday, the Justice Department accused Zamora-
Quezada of falsely diagnosing patients with degenerative diseases, then
giving those patients chemotherapy and other toxic medications they... 阅读全帖 |
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d******g
发帖数: 2 | 5 左乳全切，前哨淋巴只切了一个，有isolated tumor cell, 但医生说按现在的标准算
Negative，不需radiation。
biospy时左乳发现的两个tumor：
乳头处的tumor HER2是negative (IHC score 2+，FISH negative) ；
12点的tumor HER2是positive (IHC score 3+)。
手术病理显示有两块 specimen, 因为有re-excision。
但是只发现一个 tumor(乳头处)，1.5cm, HER2结果和biopsy时乳头处的tumor一样，
IHC score 2+, FISH negative，另一个(12点)不仅tumor没找到，biopsy时放到那的
clip也找不到。后来作过X-RAY， US， MRI，没有发现体内有什么残留。
本来医生说chemo会采用 TCH*6 with HERCEPTIN for 1 year based on the fact that
ONCOTYPE SCORE for the tumor at nipple is 20 (intermedi... 阅读全帖 |
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z****o
发帖数: 284 | 6 chemo是不是只有拿到certificate的护士才可以挂，需要MD或PA在场吗？护理病人时（
比如empty foley）需要带特别的手套么？其他还有什么与其他病人不同需要特别注意
的吗？
谢谢～ |
|
J******f
发帖数: 355 | 7 我觉得，没生过孩子或者还打算生孩子的妹妹们最好避开CHEMO。
反正我是坚决不干这个，给再高薪水也不干，觉得危险。我很惜命的。
人。 |
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d******g
发帖数: 2 | 8 左乳全切，前哨淋巴只切了一个，有isolated tumor cell, 但医生说按现在的标准算
Negative，不需radiation。
biospy时左乳发现的两个tumor：
乳头处的tumor HER2是negative (IHC score 2+，FISH negative) ；
12点的tumor HER2是positive (IHC score 3+)。
手术病理显示有两块 specimen, 因为有re-excision。
但是只发现一个 tumor(乳头处)，1.5cm, HER2结果和biopsy时乳头处的tumor一样，
IHC score 2+, FISH negative，另一个(12点)不仅tumor没找到，biopsy时放到那的
clip也找不到。后来作过X-RAY， US， MRI，没有发现体内有什么残留。
本来医生说chemo会采用 TCH*6 with HERCEPTIN for 1 year based on the fact that
ONCOTYPE SCORE for the tumor at nipple is 20 (intermedi... 阅读全帖 |
|
n*p
发帖数: 1253 | 9 ☆─────────────────────────────────────☆
qingxi (作为兔子一定要长得呆) 于 (Fri Jul 16 17:37:01 2010, 美东) 提到:
引言：
我曾经在mitbbs论坛发了有关妈妈的信息，http://www.mitbbs.com/article/ChineseMed/12563569_3.html 说西医正在谋杀我妈妈，受到很多人的指责，现在就让事实来说话。
我的妈妈胃癌晚期手术后化疗吃的东西全部呕掉，连水都喝不了，我们明智的放弃了痛苦的西医，转为中医治疗。在中医的治疗下，我妈妈再没有受任何罪，既不痛苦又恢复超快。一个月就能够逛街，做全家人的饭，两个多月诸症俱消，心情舒畅。最近看到买买提上很多绝望的人在发
兹瞬×饲笾急富ǖ羲谢睿以埠退且谎淖叩搅巳松淖畹凸取Ｋ煌氖牵笔蔽矣兄幸骄憷植康呐笥衙歉业闹С趾妥８＃易约阂布嵝胖幸侥芄话崖杪杈然乩础Ｎ艺夥菪⑿奶炜闪梦矣龅搅撕靡缴以说淖吖戳恕Ｎ腋庑┤朔⒐ㄒ樗强粗幸剑
有人搭理我，因为没有人相信。所以要把这个帖子发出来，让大家看一看我和妈妈共同经历的这个真实的故事。
我经妈妈同意，贴... 阅读全帖 |
|
y*********u
发帖数: 14561 | 10 ☆─────────────────────────────────────☆
iHeartGlass (我爱玻璃) 于 (Tue Jun 21 13:11:10 2011, 美东) 提到:
每天special diet干粮不限
special diet 罐头一丢丢，用来混一种supplement，每天两次
甲亢药，每次半小片，一天两次
ibd或者lymphoma未确诊，但是药物一样
一种大圆片的，一天两次
一种大长片的，一天一次
所有药都需要切成小小块，不然吞不下去
昨天医生把药给我的时候
告诉我
吃了这个药，如果发现不是ibd而是lymphoma的话，chemo就不管用了。
唯一确诊lymphoma的办法是开肚子做biopsy
唯一彻底治疗lymphoma的办法是chemo
你确定咱们吃这个药？
我决定当ibd治
大花拉稀很多年了
医生也说症状更像ibd，而且如果是lymphoma，大花不用三年就挂了
还有我觉得chemo跟biopsy对一个古稀老猫来说都有点太严重了
几星期前的那个药没有用
还是拉肚子
这次的药如果还没用
就可以确定不是ibd了。。。
很怕给大花做了错误... 阅读全帖 |
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M****0
发帖数: 877 | 11 Bless!
首先祝福全家，勇敢面对。The course is challenging but I believe your wife
definitely can go through, with the whole family's support. The management
of side effects of chemo makes it more tolerable now.
Wait for the pathological report first. Certain type breast cancer, such as
mucinous adenocarcinoma, has a better prognosis as it is less aggressive and
responding to chemo well.
Currently, we treat breast cancer with multimodality measures. Local therapy
with surgery and radiation therapy plus system... 阅读全帖 |
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t**x
发帖数: 20965 | 12 Ryan Durkin
2 reviews
2 months ago
My dad has been undergoing Chemo at Froedtert for several months now.
Overall I'd say it has been a relatively positive patient experience so far,
but recently they've made some seriously stingy decisions that really make
me question how much they care. When my dad started with Chemo, they used
to make snacks available such as a cookie or a small sandwich. A few months
ago, they stopped this as a cost cutting measure. The nurse explained that
they would hav... 阅读全帖 |
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h***e
发帖数: 782 | 13 父亲现在有smoldering multiple myonoma。浆细胞40%，属于 high risk。所以现在在
吃 oral chemo pills 治疗。
首先用的是 lenolidomide (25mg/day)。结果一个半月后身上开始出现 red rash on
his forearm and body trunk. 皮肤科医生认为是药物过敏，但是认为不是太严重，
可以一边涂一些类固醇的 cream 来控制，一边继续吃 oral chemo pill 治疗。但是血
液科的医生坚决要换药。
后来又开始用 thalidomide (200mg/day). 结果一个半月后身上又开始出现 red rash
on his forearm. 估计这次血液科的医生又会要停药。
但是现在已经没有其他的 oral chemo pill 药了。估计接下来要开始用 IV chemo。因
为这个 IV chemo 将会有很大的毒副作用,真的不到万不得已不想用。
不知道这了有没有懂这些的好心人能给些建议。假如在有过敏的情况下继续吃药，是不
是后果很严重？但是皮肤科的医生为什么和血液科的完全不同... 阅读全帖 |
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d******g
发帖数: 258 | 14 Difficult case to discuss and to seek suggestions, please help!
15yo female with recent dx AML-M1 s/p DAE chemo in 8/15, twice IAE chemo in
9/15, BM biopsy noted for CR. Patient had fever, abd pain, and black stool
during the immune suppression state from the first chemo, improved after
antibiotics. All symptoms recurred with the last chemo and not responding
well to antibiotic, transferred to tertiary hospital after 40days treatment.
Ruled out intracranial infection, found to have multiple live... 阅读全帖 |
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j******8
发帖数: 137 | 15 Trish是我到美国后的同事,也是无话不谈的好朋友...:-)
她六月份被查出得了Breast Cancer,7月份的时候做了surgery,9月初开始Chemo的治疗,
现在头发都掉的很厉害...做完Chemo后还要做几个月Radiation Therapy...
她还是那么的乐观,第一次去做Chemo之前还和她的Hubby开着Harley Davision去风驰电
掣的度了一周假;前天和她一起吃中饭,她化了很浓的妆,打扮也很pretty,说不想让别人
看出她身体有问题;昨天她去做了第二次Chemo,这是她昨天做Chemo之前的照片,带了一
个粉红的Wig...Nice :-)
她现在在家里休息不能来上班,知道她会很无聊,所以希望大家可以给她一些祝福，这样就可以打印好，翻译好，叫做＂来自中国的祝福＂整整齐齐的带给她...:-)
谢谢大家，周末快乐！ |
|
V******n
发帖数: 717 | 16 【 以下文字转载自 Chicago 讨论区 】
发信人: jane1218 (Jane), 信区: Chicago
标 题: Pretty in Pink 启福 :-)
发信站: BBS 未名空间站 (Fri Sep 26 10:57:04 2008)
Trish是我到美国后的同事,也是无话不谈的好朋友...:-)
她六月份被查出得了Mammo Cancer,7月份的时候做了surgery,9月初开始Chemo的治疗,
现在头发都掉的很厉害...做完Chemo后还要做几个月Radiation Therapy...
她还是那么的乐观,第一次去做Chemo之前还和她的Hubby开着Harley Davision去风驰电
掣的度了一周假;前天和她一起吃中饭,她化了很浓的妆,打扮也很pretty,说不想让别人
看出她身体有问题;昨天她去做了第二次Chemo,这是她昨天做Chemo之前的照片,带了一
个粉红的Wig...Nice :-)
她现在在家里休息不能来上班,知道她会很无聊,所以希望大家可以给她一些祝福，这样就可以打印好，翻译好，叫做＂来自中国的祝福＂整整齐齐的带给她...:-)
谢谢大 |
|
K***a
发帖数: 5176 | 17 3.16 晚上更新
改了题目才发现今天的更新是多么难写。
饼饼走了，现在没有任何言语可以形容我的心痛。我们太爱他了太舍不得他了。
昨天开始我们发现他几乎不太走动了，除非是去上厕所。其他时候就呆在一个地方，走
路看起来也是很不稳，摇摇晃晃的。今天早上喂饭的时候，我们突然发现他肚子大起来
了，软软的，跟之前不一样了，顿时有种不详的感觉。给他称了体重，长了不少，就觉
得十有八九是变成wet了。早上喂了饭以后我们在沙发上，酥糖也在，酥饼本来远远地
望着，后来脚步蹒跚的走过来，上了沙发，在我们旁边躺了好一会儿。这十步可能是这
两天他走的最远的一次。
大概昨天开始越来越差，今天是最糟糕的一天，他几乎不动，呼吸困难，我们哭了一下
午，就陪着他，后来他慢慢呼吸越来越不好，肚子越来越大（毫不夸张，几个小时后就
比之前大了好多。。），去了沙盆都是出来就直接趴在沙盆旁边，去喝水也是守着水碗
，把头搁在水碗沿上，胸前的毛全部湿了。他太累了没力气fight了。。
大概傍晚的时候，我们差不多已经做了决定要送他走，不能再让他suffer了，可是真的
舍不得，我眼泪都流干了，不停的亲他，说我们很爱他。他没力气干任何事... 阅读全帖 |
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I****a
发帖数: 407 | 18 Your mother is lucky. 2 to 5 % of advanced gastric cancer actually can be
cured with chemo. Of course, most of them die in 1 year. Fortunately your
mother's cancer is very sensitive to chemo and she is considered cured with
just a few cycles of chemo by reading your post. I would still recommend to
follow up with doctors in next couple years as cancer do come back. By the
way, a lot of toxicities of chemo are reversible, which means the toxicities
will disappear if chemo is stopped. Some toxicit |
|
I****a
发帖数: 407 | 19 Your mother is lucky. 2 to 5 % of advanced gastric cancer actually can be
cured with chemo. Of course, most of them die in 1 year. Fortunately your
mother's cancer is very sensitive to chemo and she is considered cured with
just a few cycles of chemo by reading your post. I would still recommend to
follow up with doctors in next couple years as cancer do come back. By the
way, a lot of toxicities of chemo are reversible, which means the toxicities
will disappear if chemo is stopped. Some toxicit... 阅读全帖 |
|
yf
发帖数: 272 | 20 chemoradiation means chemo+concurrent radiation.
do 1 cycle chemo and 2 cycles chemo before after chemoradiation.
m means meter square, it's the surfacec area of a person. there is a formula
to calculate it based on the weight and height of a person. I cannot type
the m2 correctly.
Who is the oncologist of this patient? Why don't you ask questions to the
oncologist? The oncologist has the final say of what kind of chemo to use or
what is the whole plan. Capecitabine is only one of the chemo reg... 阅读全帖 |
|
yf
发帖数: 272 | 21 chemoradiation means chemo+concurrent radiation.
do 1 cycle chemo and 2 cycles chemo before after chemoradiation.
m means meter square, it's the surfacec area of a person. there is a formula
to calculate it based on the weight and height of a person. I cannot type
the m2 correctly.
Who is the oncologist of this patient? Why don't you ask questions to the
oncologist? The oncologist has the final say of what kind of chemo to use or
what is the whole plan. Capecitabine is only one of the chemo reg... 阅读全帖 |
|
f******I
发帖数: 769 | 22
for ovarian cancer, conjunvant radiation therapy is actually kind of
ocntraversial, as no study has really approved that it would be better than
chemo alone,
chemo with platinum based agent is the first line therapy, for platinum
resisitent cancer, there are other agents to be tried, or maybe high dose
chemo with stem cell support or intra-peritoneal chemo, but the later two
are also kind of experimental and you have to go to selected centers to
enroll in the trials,
as of adeno-associated viru |
|
g*****j
发帖数: 1211 | 23 好像只要癌症就要经过化疗这种治疗方法似的
This is definitely not true. Not all cancer will benefit from chemo,
and not all patient will benefit from chemo even if chemo is indicated
for the cancer he has. It is cancer-dependent and patient dependent.
Also, chemotherapy is a general term for a large collection of
medications, including newly developed ones. It is not uncommon to see
clinical trials for different chemo agents or new combinations of old
agents.
For prostate cancer, chemotherapy is close to the las |
|
j****d
发帖数: 123 | 24 请给建议
12-29-2010 male 55, surgery to remove gallbladder and right-side liver with
5x6 primary tumor (location section VII). Adenocarcinoma, moderately
differentiated. Pathology confirms cholangiocarcinoma, intrahepatic origin.
No post-op chemotherapy
12-02-2011 multiple density-contrasted foci in liver, enlarged lymph node at
liver portal and veins, enlarged spleen. Multiple small cysts in liver,
with calcification. Small cysts on both kidneys. Small nodules in upper left
lung lobe. Expansion of ... 阅读全帖 |
|
s******s
发帖数: 55 | 25 http://www.reuters.com/article/2013/05/15/us-cancer-chemo-idUSB
(Reuters) - After decades of using one-size-fits-all therapies to combat
cancer, doctors are using new tools to help decide when their patients can
skip chemotherapy or other harsh treatments.
An approach to oncology that has been in place for decades is beginning to
yield to an arsenal of long-term clinical studies, genetic tests and novel
drugs that target cancer cells and their infrastructure.
"What is happening is a combination ... 阅读全帖 |
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h***y
发帖数: 834 | 26 ☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的目的就达到了。
希望所有ID， 包括考生， resident， fellow， attending，PA/NP, nurse 和中国来
的医生不再从事医疗工作的， 都能奉献你的pearl. 英文中文都行。
我先来：
CC: Left leg pain for 5 days.
35 y... 阅读全帖 |
|
h***y
发帖数: 834 | 27 ☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的目的就达到了。
希望所有ID， 包括考生， resident， fellow， attending，PA/NP, nurse 和中国来
的医生不再从事医疗工作的， 都能奉献你的pearl. 英文中文都行。
我先来：
CC: Left leg pain for 5 days.
35 y... 阅读全帖 |
|
s********o
发帖数: 3319 | 28 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: herby (小臭宝), 信区: MedicalCareer
标 题: [合集] 你有生以来做出的最佳临床诊断是什么？
发信站: BBS 未名空间站 (Thu Jun 2 00:01:26 2011, 美东)
☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的... 阅读全帖 |
|
s********o
发帖数: 3319 | 29 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: herby (小臭宝), 信区: MedicalCareer
标 题: [合集] 你有生以来做出的最佳临床诊断是什么？
发信站: BBS 未名空间站 (Thu Jun 2 00:01:26 2011, 美东)
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Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的... 阅读全帖 |
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f*****2
发帖数: 2 | 30 Very sorry to hear that. My uncle also had colon cancer but stage II, and
he is doing well. I also know patients of Stage III, and they survived as
well. So please don't panic. Especially your uncle himself needs to keep
positive. Take one day at a time.
I suppose that your uncle hasn't done chemo therapy. It is quite important
to do chemo after the operation. One of the chemo regimes is called folfox
http://www.cancerhelp.org.uk/help/default.asp?page=15970
Also I heard that most patients |
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l*****O
发帖数: 402 | 31 Sorry, i am not saying she definitely has metastasis. I assume 胃癌晚期 is
terminal stage IV. I guess I am wrong. Maybe according to the definition in
China, she's at stage III which is not metastatic yet. Obviously she
responded really well to chemo therapy but poorly did she tolerate it. Maybe
she should carry on the chemo but at the same time use chinese medicine to
control the side effects and decrease her discomfort from chemo. Just my 2
cents. The ultimate outcome of giving up conventional ca |
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f****o
发帖数: 2770 | 32 虚弱after chemotherapy is due to low white blood cell count. white blood
cell, which is responsible for fighting infection, is also killed by
chemotherapy. The medical term is neutropenia.
营养品 does NOT have clinical evidence to increase white blood cell count
even though there is tons of them claim "enhance immune function". Since you
do not know what exactly cancer you sister has, and what chemo drug was
used. I would not recommend you purchase anything over the counter. What if
there is a drug-d... 阅读全帖 |
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f****o
发帖数: 2770 | 33 IV chemo 将会有很大的毒副作用,真的不到万不得已不想用-----oral chemo一样副作用
IV chemo要用哪个啊 |
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R******d
发帖数: 5739 | 34 is she doing chemo right now? did the doctor suggest chemo? doing chemo
can reduce the chance of relapse. she should focus on getting well and do
whatever she can to avoid relapse |
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s*****c
发帖数: 753 | 35 My honest suggestion: spend more time with your parents in US. Do not
attempt to fly back to China and get treatment, even if the cost can be
reimbursed. I won't even suggest any treatment here. What you need is not
miracle. What you and your father need is to face this and enjoy the rest
of the time together.
I know it is hard to do. My father got esophagus cancer. I fully aware the
extent and know the best way for him is to give up the chemo. But I found
it hard to tell that to my dad. ... 阅读全帖 |
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s*****c
发帖数: 753 | 36 My honest suggestion: spend more time with your parents in US. Do not
attempt to fly back to China and get treatment, even if the cost can be
reimbursed. I won't even suggest any treatment here. What you need is not
miracle. What you and your father need is to face this and enjoy the rest
of the time together.
I know it is hard to do. My father got esophagus cancer. I fully aware the
extent and know the best way for him is to give up the chemo. But I found
it hard to tell that to my dad. ... 阅读全帖 |
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R******d
发帖数: 5739 | 37 医生跟她说国外在没有扩散的情况下不建议化疗
-----------------------------------------
chemo after surgery is a standard practice and is recommended to prevent
recurrence. but if the patient is very old, or too weak to received the
chemo, then it is avoided.
http://www.pbs.org/wgbh/nova/body/minimizing-chemo.html |
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i*********s
发帖数: 8706 | 38 每天special diet干粮不限
special diet 罐头一丢丢，用来混一种supplement，每天两次
甲亢药，每次半小片，一天两次
ibd或者lymphoma未确诊，但是药物一样
一种大圆片的，一天两次
一种大长片的，一天一次
所有药都需要切成小小块，不然吞不下去
昨天医生把药给我的时候
告诉我
吃了这个药，如果发现不是ibd而是lymphoma的话，chemo就不管用了。
唯一确诊lymphoma的办法是开肚子做biopsy
唯一彻底治疗lymphoma的办法是chemo
你确定咱们吃这个药？
我决定当ibd治
大花拉稀很多年了
医生也说症状更像ibd，而且如果是lymphoma，大花不用三年就挂了
还有我觉得chemo跟biopsy对一个古稀老猫来说都有点太严重了
几星期前的那个药没有用
还是拉肚子
这次的药如果还没用
就可以确定不是ibd了。。。
很怕给大花做了错误的决定。。。 |
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i*********s
发帖数: 8706 | 39 我们因为最早发现的是甲亢
也是拉肚子为症状（很臭很稀）
所以先focus on甲亢了
后来甲状腺检查正常，结果还是拉稀，才发现有其他问题
这已经是很久以后了
第一个医生治好甲亢以后，就不怎么管我了
说也许ibd也许lymphoma也许是甲亢后遗症，除了让我继续观察，没有告诉我该怎么办
换到第二个医生已经是更久以后了
他就特别confident得说不应该是lymphoma。。。
他觉得没有必要确诊的原因是
第一这不是生命垂危（已经拉了三年，应该有时间可以trial and error）
还有就是ibd跟lymphoma都可以用同样的（非chemo）药物控制
即使chemo也不能治愈lymphoma只是控制而已
chemo的好处是不用天天喂药
但是大花已经非常习惯天天吃药了。。。
听着好像也很make sense。。。 |
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p********f
发帖数: 5148 | 40 A good article about chemo for pets.
http://www.petmd.com/blogs/fullyvetted/2011/jan/price_of_pet_ch
Excerpts:
Unlike human medicine's approach, in which the most common goal of
chemotherapy is definitive treatment (AKA the almighty "cure"), the goal of
chemo in pets is palliation.
While we'd love to cure them (and in some cases we actually can), in
veterinary medicine we're largely unwilling to incur suffering in our bid
for a cure.
It's just not fair, we reason, to have pets undergo prolonged,... 阅读全帖 |
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p********f
发帖数: 5148 | 41 A good article about chemo for pets.
http://www.petmd.com/blogs/fullyvetted/2011/jan/price_of_pet_ch
Excerpts:
Unlike human medicine's approach, in which the most common goal of
chemotherapy is definitive treatment (AKA the almighty "cure"), the goal of
chemo in pets is palliation.
While we'd love to cure them (and in some cases we actually can), in
veterinary medicine we're largely unwilling to incur suffering in our bid
for a cure.
It's just not fair, we reason, to have pets undergo prolonged,... 阅读全帖 |
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p******d
发帖数: 3737 | 42 CSC这个概念看你怎么看。我觉得本身它是个毫无意义的概念，除非和临床结合。
临床上CSC的提出一部分原因是因为有一小部分的细胞对chemo有强烈的抵抗能力，在
chemo后导致
肿瘤的复发。这就和你说的sp细胞的概念扯上关系了，因为后来发现这些细胞表达的基
因例如
multiple drug resistant protein导致chemo drug被泵出了细胞外，导致了细胞对这
些药
物耐受，这也是sp细胞用来寻找各个组织干细胞的一个起源。
另外一个临床的原因是转移。很显然，转移的细胞导致新的肿瘤灶形成。这也是为啥
Weinberg实验
室会把CSC和EMT联系在一起了。
不论人类原发肿瘤本身或者建立的细胞系，在细胞表型上肿瘤常常是heterogeneous的
，病理上往
往要划定一定的百分比标准来判断是否某一标志物阳性，例如淋巴瘤的CD20或者乳腺癌
的ER受
体。还有关于你说的hela细胞，hela也是从人肿瘤里面分离出来的永生化细胞株。永生
化或者单克
隆筛选不等于获得的细胞株中每个细胞就在表型上完全一致。根据表面标志物来分，这
些细胞仍然
heterogeneous，尽管遗传... 阅读全帖 |
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l******u
发帖数: 936 | 43 depend on what are you doing.
what you talking about is the bio-marker test for some target therapy drug,
but actually, the precis therapy ( personalized therapy ) using chemo-drug
or cocktail drug (combining different chemo-drug or chemo/target drug) might
be based on genomic mutation profile using PDX animal model test and bio-
big data on big PDX/patient cohort. This is the real challenging topic for
precis therapy.
you can quantify the DNA amplification/deletion using ArrayCGH and you
can al... 阅读全帖 |
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a*********0
发帖数: 3 | 44 几年没跟过帖子。但是很为你的孝心感动。
你妈妈的chemo看来是用了几十年的 platinum based standard care，有一定的效果，
但是这种化疗副作用是很大的（没办法现在只有这种药便宜）。 This is why cancer
patients have poor quality of life using the traditional chemo therapy.
Current goal with cancer diseases is still to extend patient life and
improve patient's life quality. And this is the same reason why there are
so many pharmas are still heavily invested in oncology. There are a few
cases that cancer is cured, but completely curing cancer is still kinda
mission impo... 阅读全帖 |
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d******a
发帖数: 127 | 45 You'd have a whole picture if it is a cancer:
Staging
Pathology
Lumpectomy or Mastectomy or modified mastectomy
ER/PgR/Her2
Chemo or not
Radiation or not
TAX or not
The main difference between China and USA is: Most patients here go to core
biopsy/lumpectomy/adjuvant chemo and or Radiation. Most patients in China go
to modified mastectomy after rapid pathology/adjuvant chemo. |
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I****a
发帖数: 407 | 46 In general, post mastectomy radiation for stage IIB ER/PR + breast cancer probably adds 8% survival in 10 years when combined with chemo and or hormonal therapy. According to adjuvant online, adding Tam/AI adds 8% survival, chemo further adds about 2% in 10 years. Patient needs be be educated about those number and makes the decision. If you look at numbers, it seems that hormonal tx and radiation give the best bang for the long term survival although a lot of patients also choose chemo in addit... 阅读全帖 |
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a**********2
发帖数: 3726 | 47 我个人觉得应该放弃化疗了。for a young guy like him, it's reasonable to give
chemo a try, like one or two times and go from there. If patient can
tolerate it and no serious adverse effects observed, it might be worth
continuing chemotherapy, especially if tumor regresses. However, for an
elderly, my personal opinion is do not even try. Just enjoy the rest of life
with family.
So, for your case, he tried, basically chemo failed (not he failed) and he
has been suffering from chemo. It's time to call it a day. I... 阅读全帖 |
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f**********g
发帖数: 2252 | 48 来自主题: _pennystock版 - vicl SLOW COW.
Publication Highlights Allovectin-7(R) Phase 2 Safety and Efficacy Results
in Melanoma
6 hours 15 minutes ago - PMZ
GlobeNewswireVical Incorporated (Nasdaq:VICL) today announced a new
publication summarizing results from the company's completed trials of
Allovectin-7(R) including systemic responses and an excellent safety profile
in patients with metastatic melanoma. An article published in the January
issue of Immunotherapy1 noted that the U.S. incidence of melanoma is
increasing rapi... 阅读全帖 |
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f**********g
发帖数: 2252 | 49 来自主题: _pennystock版 - vicl SLOW COW.
Publication Highlights Allovectin-7(R) Phase 2 Safety and Efficacy Results
in Melanoma
6 hours 15 minutes ago - PMZ
GlobeNewswireVical Incorporated (Nasdaq:VICL) today announced a new
publication summarizing results from the company's completed trials of
Allovectin-7(R) including systemic responses and an excellent safety profile
in patients with metastatic melanoma. An article published in the January
issue of Immunotherapy1 noted that the U.S. incidence of melanoma is
increasing rapi... 阅读全帖 |
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m***y
发帖数: 14763 | 50 你说的这个光明现状，老汉没有看到。
老汉的亲友，中招的还是chemo。只不过因为发现早，身体底子还行，可以在复发-
chemo的死循环中多抗几次，看起来诊断后存活期长了一些。 |
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