Here is a hopeful message about pancreatic cancer.
Dr. Freeman recounts a case that exemplifies the center’s team approach to pancreatic care. "Four years ago, a North Dakota woman presented with obstructed jaundice," he recalls. "Her physician tried to do an ERCP catheter and couldn’t, so he referred her to me. I saw her and sent her to Dr. Mallery for an endoscopic ultrasound. He found operable pancreatic cancer. I put a stent in her bile duct to relieve the jaundice, and then she had the Whipple operation at the university. Because the pancreatic cancer cure rate is low and operations are seldom curative, I advised her to move to Minnesota and get aggressive chemotherapy from Dr. Greeno. She had breast cancer as well, so she couldn’t get a formal protocol. Dr. Greeno treated her off protocol with very aggressive chemo-radiation. Today, this woman is alive and doing well with no recurrent disease. She really needed the staging, endoscopic ultrasound, expert surgery and chemotherapy that our team provides. She beat breast cancer and pancreatic cancer; and she only got to us because her physician wasn’t able to get a catheter in her duct.
"Stories like this are why we do what we do," Dr. Freeman continues. "We handle the really tough technical cases and difficult disease management, and we offer something unique: expeditious care with the best surgeon, the best GI oncologist, the best endoscopic diagnosis, the best palliation and access to cutting-edge techniques and treatments that aren’t available elsewhere."
....
"When the problem is benign chronic pancreatitis and all else fails, our pancreatectomy and transplant options are starting to catch on across the country," says Dr. Freeman. "It’s a very exciting area." Approximately 100 pancreatic resections, 1,200-1,300 EUS procedures and over 100 new cases of chronic pancreatitis are handled at the center every year.
Center physicians repeatedly emphasize the importance of their team approach to comprehensive coordinated patient care. "Our vested interest is in the center," says Dr. Freeman, "and in the best possible care for the patient. There’s no vested interest for me to perform one more ERCP procedure. Often, patients come to us when there’s nowhere else to go. Working together, we’ve developed ways to treat patients who’ve been told that there is no treatment."
"Each one of us here is really an academic physician," states Dr. Vickers. "That means that first and foremost, we take care of patients. Secondly, we ask questions. Why aren’t our patients doing better? How can we manage them better? How can we detect cancer earlier? Pancreatic cancer is multifactorial. To treat it well, you have to do more than take care of it. You have to ask questions. You see the strength of our conference. It not only gives accurate diagnosis and corrects inaccurate diagnosis, it also provides a unique opportunity for the patient to benefit from a working team of specialists."
"I became a doctor to take care of sick people," Dr. Greeno says quietly. "The greatest reward is to care for the sickest, most challenging patients. Pancreatic cancer is difficult and incredibly frustrating to treat. But these are the people who need our help the most."
You can read more here.
http://www.minnesotaplc.com/Resources/Images/379.pdf