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    <title>CancerCompass Message Board: What Now?</title>
    <description>CancerCompass message board discussion started by Eppie on 11/2/2005</description>
    <link>http://www.cancercompass.com/message-board/message/all,3320,0.htm</link>
    <pubDate>Fri, 21 Nov 2008 00:00:00 GMT</pubDate>
    <lastBuildDate>Fri, 21 Nov 2008 00:00:00 GMT</lastBuildDate>
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      <title>What Now?</title>
      <description>My dad has completed 2 rounds of Carbo/Taxol/Pamidronate. 10 rounds of WBR. He recently contracted a blood clot in his right arm pit last wednesday. He has been on heparin for 3 days and had two injections to belly ( he doesn't know what but I suspect some other low molecular weight anticoagulants) The right arm was where his PICCt was and now surgeons are advising against installing another in that arm. The left arm is another no-go (not sure why) so the last option is the port. He is receiving conflicting info about whether he can have the port I guess fear of another clot. Also another bummer...he was to have gamma knife procedure last week and now all docs are advising against that becasue of the anticoagulants in his system. 

so I have two questions: Can taxol/carbo be administered after a round of Topotecan or Etoposide or Tarceva? I am pushing the onc to give my dad some sort of oral chemo agent. My rational is that Dad's chemo has stalled now for two weeks. he has had an incomplete treatment to the brain mets. I feel urgency is needed to halt the growth of this cancer. He tolerated the Taxol/Carbo very well but if he is not able to get a port or a picc...then oral agents are needed. This is only until this clot problem is resolved and he can have either a port or picc placed. I really want to see his treatment----cancer destroying treatment resumed.... 

Second question: How long after anticoagulants are administered can surgery be performed? I don't want to put off this gamma-knife procedure too long. Is this a common problem whenre patients develop hemologic effects due to chemo treatments and what is a common protocol when this occurs? 

Thanks, 
EPpie</description>
      <author>Eppie</author>
      <pubDate>Wed, 02 Nov 2005 00:00:00 GMT</pubDate>
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