Oxaliplatin Dosage - Call Off

[Gloriamazz]

Hi Green Tea,

I already made an appt with the main Campus of Cleveland Clinic next week. All the others are too far away. My daughter drives and is ill now and if have to I can drive my self

You were right about the chemo drugs and the reason not given to me,,

Oncologist going to run more tissue test And I am looking for a study

I don’t feel sick and don’t have issues with lungs. I don’t look sick that is why I had issues with Regorafenib, but she has nothing else except the long? That you mentioned,

I have been filling in the gaps in my cancer care history,

It is 3:30 am I don’t sleep well since my husband passed. I have Sun Downers

[Green Tea]

...I already made an appt with the main Campus of Cleveland Clinic next week. All the others are too far away...

Hi Gloria,
it's good that you have an appointment set up for next week. Is this an appointment with a specific person, and if so, do you know their name? If it's with an Oncologist on the Main Campus of Cleveland Clinic, then you might be able to find their name and other details about them (ratings, certifications, etc.) by using the link below. Click on the link and wait a few seconds for the search to be completed. (193 oncologists of one type or another there).

Oncologists, Main Campus, Cleveland Clinic

If you want to check out the Board Certification for the oncologist you will be seeing, or even your current oncologist, you can use the link below. On the form displayed in the link, enter the last name of the doctor, select Ohio as the state, and select Medical Oncology as the specialty.
Certification Matters

For your appointment next week, I think there are several issues that need to be addressed:
1. What was the MSI status of your primary tumor?
2. What was the KRAS mutation status of your primary tumor?
3. What was the BRAF mutation status of your primary tumor?

This information is needed in order to determine which treatment regimens are still available to you as well as which clinical trials you may be qualified for.

[Gloriamazz]

Hi Green Tea,

The Drs name is Dr. B.Laderian. She is an Oncologist and there is not a rating for her.

There are others than don’t have a rating.
She does have her name on an article “Distribution of Cancer Genes”

No results for Board Certified

My daughter made the appt with Oncologist that were available. I will recheck

The ulcer I had on my toe was caused from Oxaliplatin I asked her about it and she won’t offer it to me again because of skin break down.

[Green Tea]

Hi Green Tea,

The Drs name is Dr. B.Laderian. She is an Oncologist and there is not a rating for her.

There are others than don’t have a rating.
She does have her name on an article “Distribution of Cancer Genes”

No results for Board Certified....

Hi Gloria,
Actually, she is indeed Board Certified -- in two specialties -- but she got her certifications earlier when she was in N.Y., so her certifications don't show up in the Ohio list.

Here is a more complete list of her training, awards, fellowships, qualifications, licenses, publications, etc.:

https://www.doximity.com/pub/bahar-laderian-md

[Gloriamazz]

Hi Green Tea

This is good I will stick with her.

Thank you

[Green Tea]

Hi Green Tea

This is good I will stick with her.

Thank you

Hi Gloria -

Good luck with your meeting this week. I hope the new oncologist can propose a better chemo routine for you -- something better than Regorafenib. Maybe something like FOLFIRI+Avastin. For reference, here are the main chemo drugs and chemo drug-combinations in use right now :

Drugs used in Rectal Cancer
1962 5-FU (Fluorouracil Injection) - no restrictions
1998 Xeloda (Capecitabine) - no restrictions
2000 Camptosar (Irinotecan Hydrochloride) - no restrictions
2004 Avastin (Bevacizumab) - mCRC 1st line+
2004 Eloxatin (Oxaliplatin) - no restrictions
2004 Erbitux (Cetuximab) - mCRC 1st line+, KRAS wild type only
2006 Vectibix (Panitumumab) - mCRC 1st line+, KRAS wild type only
2012 Keytruda (Pembrolizumab) - mCRC 1st line, MSI-H only
2012 Zaltrap (Ziv-Aflibercept) - mCRC 2nd line,
2012 Stivarga (Regorafenib) - no restrictions
2014 Cyramza (Ramucirumab) - mCRC 2nd line
2015 Lonsurf (Trifluridine and Tipiracil Hydrochloride) - no restrictions
2017 Opdivo (Nivolumab) - mCRC 1st line+, MSI-H only
2018 Yervoy (Ipilimumab) - mCRC 1st line+, MSI-H only
2019 Zirabev (Bevacizumab.alt) - mCRC 1st line+
2020 Braftovi (Encorafenib) - mCRC, BRAF V600E only

Drug Combinations Used in Rectal Cancer
FOLFOX
FOLFIRI
FOLFIRINOX
XELOX (CAPOX)
XELIRI (CAPIRI)
FOLFIRI+AVASTIN(BEVACIZUMAB)
FOLFIRI+ERBITUX(CETUXIMAB)
5FU+LV

[Gloriamazz]

Hi Green Tea

I made an appt with a Colorectal Doctor. His name is
Bassam Estfan specialty is listed on his BIO with the Clinic.

The other Dr Landerian I was not comfortable with her not being Colorectal Specialist and apt is next Tuesday.

[Gloriamazz]

Hi Green Tea

I made an appt with a Colorectal Doctor. His name is
Bassam Estfan specialty is listed on his BIO with the Clinic.

The other Dr Landerian I was not comfortable with her not being Colorectal Specialist and apt is next Tuesday.

Have a great day!!!

[Green Tea]

Hi Gloria -
It looks like you made a good choice. Dr. E has years of experience, many positive ratings on his profile, and he also specializes in second opinions in the colorectal area, so that's an extra plus. I hope you will be able to talk with him soon.

[Gloriamazz]

Hi Green Tea,

He seems to be an excellent choice for Oncologist.

My appointment is 1/19. My Oncologist, Marissa Schwartzman does not have colon cancer listed on her specialties.

She wanted me off Chemo for only a month this will be a little over a month saw her last middle of December.
I pray he can help me more than Dr. Schwartzman, even if it is a second opinion.

Thanks to you I am learning how to get info from the cancer world and understand what I am doing.