Visit with Dr. Edward Lin (ADAPT therapy).

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janderson
Posts: 679
Joined: Tue Mar 27, 2012 11:46 am

Visit with Dr. Edward Lin (ADAPT therapy).

Postby janderson » Wed Jul 16, 2014 12:59 pm

I saw Dr Lin yesterday. He is as kind and passionate about treating colon cancer and the patients themselves as I have read about him. First I would like to say that the Seattle Cancer Center was by far the nicest hospital I have ever been in. When I called to set up the appointment a couple months ago they told me they would need ALL of my medical records, biology slides and scans for the past nine years as many large cancer centers do. I have encountered this in the past with little luck in obtaining ALL of my records. I explained this to Lindsay at the cancer center. She said not to worry, they have a company they use that specializes in obtaining medical records for new patients that they use and I didn't have to do a thing. Boy was she right.

Dr. Lin came in with a binder that was about 3" thick that was ALL of my medical records which had already studied, he seemed to already know everything about me. He also had ALL of my scans dating back to 2005 on his computer which he went through each scan with me. He is very scientific in his explanations but is careful to be sure I understood hi. We talked for an hour.

He wants me to stay on ADAPT but increase the Celebrex to 200mg twice a day. He also wants to work with my oncologist on doing some more FOLFIRI (Ugh) since I just did y90 to help enhance the effectiveness of it. Then hopefully surgery depending and or Cyberknife depending on how I respond. After that ADAPT maintenance. He wanted to do some blood test while I was there. He sent me to the lab and they took me right in. I didn't have to wait for more than 5 minutes even though it was a last minute order.

He is going to do genetic testing for at least 30 different mutations on my tumor samples.

Bottom line it was well worth the cross country trip and I would do it again.

Thanks to Maia, if it wasn't for her efforts to educate us I wouldn't have known about Dr. Lin.
DX 10-05 stage IV
liver resection 12-05 Folfox1-05 to 7-06
Liver resection 8-07 Folfiri 9-07 to 3-08
Liver resection 12-11
Recurrence 2/7/2014, liver, chestwall mets, 16 rounds chemo
7/3/14, y90 radioembolization, steady shrinkage
12/8/14, cryoablation to liver and chest wall
6/1 to 6/26 SBRT radio surgery
7/2 more cryo ablation to right lung
7/16 lung infection drain tube installed
9/4 chest wall resection to remove 2 ribs

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby KWT » Wed Jul 16, 2014 1:03 pm

Sounds good jeff, do you just do the xeloda as a normal dose for your body mass? How do you do with the folfori ?


Jeff,Maia is da bomb :lol:

janderson
Posts: 679
Joined: Tue Mar 27, 2012 11:46 am

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby janderson » Wed Jul 16, 2014 1:20 pm

He didnt seem concerned about calculating body mass for the Xeloday. I told him I am doing 4000mg per day which is a very high dose. 7 days on and 7 days of and have had no HFS. so he said leave it as is. He didn't say how he wanted to do the FOLFIRI. I think wants me to do a PET scan first and then discuss it with my oncologist.
DX 10-05 stage IV
liver resection 12-05 Folfox1-05 to 7-06
Liver resection 8-07 Folfiri 9-07 to 3-08
Liver resection 12-11
Recurrence 2/7/2014, liver, chestwall mets, 16 rounds chemo
7/3/14, y90 radioembolization, steady shrinkage
12/8/14, cryoablation to liver and chest wall
6/1 to 6/26 SBRT radio surgery
7/2 more cryo ablation to right lung
7/16 lung infection drain tube installed
9/4 chest wall resection to remove 2 ribs

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby KWT » Wed Jul 16, 2014 1:28 pm

How much are you weighing Jeff? I'm 150 now and at 4000 mg at the end of two week cycles I was pretty wrung out.

janderson
Posts: 679
Joined: Tue Mar 27, 2012 11:46 am

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby janderson » Wed Jul 16, 2014 1:56 pm

185. I do get pretty fatigued at the endof the cycle but no nausea of HFS.
DX 10-05 stage IV
liver resection 12-05 Folfox1-05 to 7-06
Liver resection 8-07 Folfiri 9-07 to 3-08
Liver resection 12-11
Recurrence 2/7/2014, liver, chestwall mets, 16 rounds chemo
7/3/14, y90 radioembolization, steady shrinkage
12/8/14, cryoablation to liver and chest wall
6/1 to 6/26 SBRT radio surgery
7/2 more cryo ablation to right lung
7/16 lung infection drain tube installed
9/4 chest wall resection to remove 2 ribs

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singingholly
Posts: 1133
Joined: Thu Feb 27, 2014 3:37 am
Location: Northern Italy

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby singingholly » Wed Jul 16, 2014 3:05 pm

Thank you for sharing . And thank Maia!
H.
Dec2011 sigm IIIst res T3N1(2/18)M0 Xelox
Oct2012 5liv.mets Dec 2012 liv.res
Jan2013 1liv.met Folfiri+avastin
Jul2013 liv.res Folfiri+/av
Feb2014 10+2lu.mets & 1abd node Folfoxiri+SBRT
Sep2014 Res rx l. BUT spot on diaph:SBRT
Dec2014 3+6lu.mets.Immuno

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby KWT » Wed Jul 16, 2014 3:52 pm

janderson wrote:He didnt seem concerned about calculating body mass for the Xeloday.


I believe they should change the name of xeloda officially to this almost makes ya want to try it :shock: :wink:

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby KWT » Wed Jul 16, 2014 7:55 pm

Hey jeff just got back from my doc and he said xeloda 4000 per day 1 week on 1 week off and got the prescript for celebrex. Seeing lin on the fifteenth

janderson
Posts: 679
Joined: Tue Mar 27, 2012 11:46 am

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby janderson » Thu Jul 17, 2014 10:50 am

Awesome, way to advocate for yourself. We are now on similar paths.
DX 10-05 stage IV
liver resection 12-05 Folfox1-05 to 7-06
Liver resection 8-07 Folfiri 9-07 to 3-08
Liver resection 12-11
Recurrence 2/7/2014, liver, chestwall mets, 16 rounds chemo
7/3/14, y90 radioembolization, steady shrinkage
12/8/14, cryoablation to liver and chest wall
6/1 to 6/26 SBRT radio surgery
7/2 more cryo ablation to right lung
7/16 lung infection drain tube installed
9/4 chest wall resection to remove 2 ribs

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby KWT » Thu Jul 17, 2014 10:57 am

Jeff, do you take the celebrex on your off weeks? The one problem I see is that my ins. Co. Doesn't like to pay for celebrex

andy21
Posts: 376
Joined: Tue Jun 26, 2012 4:07 pm
Location: N California

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby andy21 » Thu Jul 17, 2014 3:13 pm

Following page has good reference info on why Celebrex(and some supplements) may work.
http://www.lef.org/protocols/cancer/chemotherapy_03.htm
(Please read: Inhibiting the COX-2 Enzyme section )
Caregiver: To 67 Yr father
diag. Stage IV, 5/12, liver mets
6 cycles Xelox/Avastin, Start 06/12
Stage 1 of Two Stage Resection Surgery in Dec, 12. 2nd line fails.
T Cell Trial May-Jul, 2013
Becomes a Heavenly Angel in August, 2013

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby KWT » Thu Jul 17, 2014 3:25 pm

Thanks Andy, I think the "progressive oncologist" is key my oncologist literally rolled his eyes when I brought up adapt for the third time. Although he did give me a script for celebrex.

rp1954
Posts: 1855
Joined: Mon Jun 13, 2011 1:13 am

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby rp1954 » Thu Jul 17, 2014 6:51 pm

Celecoxib now has an approved generic source in the US. Overseas it is already 15-25 cents per pill in some places. The insurers' captive mail order pharmacies should be all over that.
watchful, active researcher and caregiver for stage IVb/c CC. surgeries 4/10 sigmoid etc & 5/11 para-aortic LN cluster; 8 yrs immuno-Chemo for mCRC; now no chemo
most of 2010 Life Extension recommendations and possibilities + more, some (much) higher, peaking ~2011-12, taper chemo to almost nothing mid 2018, IV C-->2021. Now supplements

User avatar
chrissyrice
Posts: 1171
Joined: Thu Sep 23, 2010 8:44 am
Location: Atlanta, Georgia

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby chrissyrice » Fri Jul 18, 2014 8:40 am

Thanks for the great link and information.

I am going to keep taking the CoQ10 faithfully.
DX 10-31-09 Surgery 12-1-09 Sigmoid Colon
Stage IIIb T3,N2,MX; Chemo Feb 2010-Aug 2010; 4 rounds Folfox; 8 rounds 5FU +LV
12/2010 PET/CT Scan, Cancer Free
7/2012 CT Scan NED 2 years
10/2013 NED 3 years
8/2014 NED 4 years
Recurrence 6/2015: iliac lymph node(s)
8/2015 Surgery: 3 cm tumor removed+iliac artery graft
3/2016 CT Scan Stable
6/2016 Stable
9/2016 Stable
12/2016 Stable
3/2017 Stable
Recurrence 6/2017
12/2017 Surgery removed all cancer w/ clean margins
07-27-2018 Cancer-free for 7 months

KWT
Posts: 3214
Joined: Thu Jul 11, 2013 7:22 pm

Re: Visit with Dr. Edward Lin (ADAPT therapy).

Postby KWT » Wed Jul 23, 2014 6:42 pm

My appt. just got bumped up to July 29 see what dr. Lin has to say for me.


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