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HIPEC for para aortic nodes: Surgery consult: what questions to ask??????

Posted: Sat Aug 25, 2018 7:35 am
by CLD
My husband has a surgery consultation with dr. David Bartlett on Thursday. I don't even know where to begin with what questions we should ask him. If anybody has had the hipec procedure done or has had a consult if you could please tell me what questions do you suggest I ask I would greatly appreciate it! thank you!

Re: HIPEC for para aortic nodes: Surgery consult: what questions to ask??????

Posted: Sat Aug 25, 2018 11:53 am
by bitchslapped
CLD, You can read my BFF's CRS/HIPEC experience here:
http://coloncancersupport.colonclub.com ... ec#p473261

Reading up on HIPEC may help you formulate some qx's. I did provide some links on that post.

Basically @ first appt you are trying to find out if DH is a candidate for HIPEC which w/b determined by PCI (Peritoneal Cancer Index) most likely via laparscopic surgery if he hasn't already had it.

Some example qx's might be:

1. Tx options: 1 line, 2nd line.
2. Targeted immunologic therapies, newly approved or upcoming
3. Where best to find recent studies/breaking news for future
4. Prognosis, Recurrence rate, QOL w/recommended tX
5. If approved for HIPEC, then overall vs progression-free survival specific to DH's dx
6. Timing of tx
7. Tumor profiling


Certainly, you are going to one of the most experienced HIPEC docs in the nation w/Bartlett. I would encourage you to really focus on listening more than anything. These docs are so proficient @ this, they know what patients want to know. JMO

http://hillman.upmc.com/cancer-care/sur ... metastases

Let us know how your appt goes.

Best Wishes
BS

Re: HIPEC for para aortic nodes: Surgery consult: what questions to ask??????

Posted: Sat Aug 25, 2018 2:30 pm
by CLD
You have provided me with more help than I could have hoped for!!! THANK you! I will let you all know how it goes!

Re: HIPEC for para aortic nodes: Surgery consult: what questions to ask??????

Posted: Sat Aug 25, 2018 5:02 pm
by bitchslapped
Glad to help. Good Luck.

Re: HIPEC for para aortic nodes: Surgery consult: what questions to ask??????

Posted: Sun Aug 26, 2018 6:25 am
by jp81
Hi CLD, have you already checked if they are resectable? My mom had recurrence in the para-aortic nodes and resection is what we went with.

Re: HIPEC for para aortic nodes: Surgery consult: what questions to ask??????

Posted: Sun Aug 26, 2018 8:03 am
by CLD
Jp81, Thanks for response. My husband's oncologist seems to think so, but we will get final answer from Dr Bartlett.