What is it like after Whipple surgery plus 1 1/2 years?

Posted by dakotarunner @dakotarunner, Aug 16, 2020

Hello to everyone! I have not posted on this site for some time, but realize there are continually those folks who are facing pancreatic cancer, and wonder what post Whipple surgery is like. I know each of us gets over it in a different way, but will run what my last 1 1/2 years have been. I had surgery at Mayo in Rochester on 2/8/19. Made the mistake of eating too much when I went back on solid food ( I had not had any food by mouth since 1/3/19). Big mistake, but I survived. I started chemo about 9 weeks afterward (Folfirinox). After I got to the sixth treatment I was ready to quit, but my wife (God bless her) talked me into sticking it out. It was not fun.It beat the snot out of me physically, emotionally and mentally , but I finished the 12 sessions. It took me about 6 -7 weeks to get over the effects. I was told that this recover times varies greatly among people in treatment. Went to Vegas in December for the NFR and some concerts and felt great.

The main downside of the Whipple was, and still is in my bowel habits. Sometimes things go well, other times I only get ab out a 5 -10 second warning after the first urge until the movement. There have been some messy pants, and some tears were shed the first few times it happened, but with time, things have gotten better. I have started taking Gas-Ex, and it seems to be making a big difference for me. I also take Creon with my meals. No foods seem to upset me, and I eat like a horse. I had lost around 50 pounds during the illness and post surgery, but have been able to gain about 22 pounds back. Still working on another 10 pounds. I am semi-retired, working 3 days a week, and on my off days, keep as active as I ever did with the homeowner activities of owning an acreage and a number of horses. Only changes are I am not as strong as I was before cancer, and I have been know to take a nap now and then.

What I would like to say to people facing pancreatic cancer is that it will not be easy. I was so sick for the month before surgery that mentally I was a wimp. If I had to go thru it again, I would be in a more ready and positive state of mind. As far as the chemo, if I have to do that again, I will, only this time in a better mindset, and realizing it would knock me on my ass for a while.

When people ask me how I feel, I tell them that I feel really, really good, which is the truth. I have been one of the lucky ones when it comes to pancreatic cancer. 2019 was not the best year I have ever had, but I truly feel it was a blessing. For those facing pancreatic I can only say be as positive as possible. I know this easy to say and hard to do, Readily accept the prayers for you, and also to accept help when offered. It will be a rough road, but stay positive. Like my Doctor at Mayo told me "I was one of the lucky 20%". I thought lucky hell! Then he added that I was one of the lucky ones who could have surgery. It sure changed my mind in a hurry.

Best to all who read this, and prayers to all.

 

Interested in more discussions like this? Go to the Pancreatic Cancer Support Group.

@pampolo481

Thank you so much for your story. I have a pancreatic neuroendocrine tumor. I had a endoscopy EUS ultrasound done recently. The biopsy came back positive for a stage 1 cancer. I am going for a PET scan on 11 Aug. I have been reading on line a lot. I am very scared that since the tumor is malignant that I might have to have a Whipple. Your story gave me hope. Thank you so much for sharing. I am so sorry to hear about the loss of your husband. I am praying for you.

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Be thankful you can have the Whipple. Many people cannot.
The data shows that those who will respond to either of the two chemotherapy regimes will fare best if treated both before and after surgery. The problem is that we don’t know who will respond to standard of care chemotherapy. By having a genetic test done at a top cancer center you will be better prepared if you don’t respond to either Folfirinox or Gem/ Abraxne. In the meantime, the surgery will buy you time. If you are fit going in, have an experienced surgeon, you should recover quickly.

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@lynette21460

Wow, I can't believe it has taken me this long to look online about pancreatic cancer and the Whipple. I had my Whipple 02/06/2014. Over 9 years post whipple, I am considered cured. Cured is not a word used by any of the doctors you will meet during this journey and mine even told me that I would NEVER be cured, the best we could hope for was remission. Well, who said you can't do anything if you set your mind to it and trust in God. OK, so my story is that my husband and I had just moved into a new home October 2013. I was expecting my first grandchildren, twins, on 1/9/2014. My focus was the holidays and the babies! I was not feeling well. I was itching all over my whole body, my eyes, inbetween my toes, you name it. Unbearable, but I pushed on. I emptied all the moving boxes, I got through Thanksgiving and then Christmas and then I just felt so horrible I started to feel like nothing would change. I met my new babies and immediately went to my Primary Care Physcian and he said, this doesnt sound right. He didnt just throw Benedryl at me and say deal with it...no he ordered blood tests and a CT Scan. He called me after the CT and told me that there was a mass on my pancreas and that it was blocking my bile duct. This is why I had such intense itching. Thank the Lord for the itching, which saved my life. Most have no symptoms. He scheduled a biopsy and a process to put a stent in to release the bile and stop the itching. I was literally ripping my skin off all day and night. It was horrible. I went in to have the procedure on 1/21/2014 and on 1/27/2014 I met with a man who to this day I have never spoken to again. He was I believe an oncologist type, but I will never forget what he said to me. My husband and I were sitting in front of him, like in the movies, and he said, "Well you know you have Cancer right? It is stage 3 and you have about 4 months to live. I recommend surgery immediately" I was in shock. What is happening, but mainly I got mad! We left and I called my doctor and he advised me to meet with a surgeon who turned out to be one of the most important people in my life. I was 54 years old and she said, Mrs. XXXXX, you will live a long life and see those babies grow. I didn't know any better than to believe her, because honestly, I didn't look online at ANYTHING. My husband did, but didn't share at my request. I didn't look online because she asked me not to. I was scheduled for 2/6/2014 for my Whipple. My process was very very fast. The weekend before surgery, I wrote letters to my 4 adult children and my husband. I put my affairs in order and I had surgery. As anyone knows after this surgery, you can't remember everything, but I was in the ICU for 12 days. On day 7, my surgeon came in and told me that the cancer had spread to my lymph nodes. She had removed 23 and 3 had shown cancer, so I would need 6 months of chemo. I had nothing by mouth for 9 days and I was told it would be months before I could return to work. I got through the surgery and when I went home, I had the tubes coming out of my stomach and pancreas. I was a size 00 when I left. I had nothing through the surgical implanted feeding tube while in the hospital. Many may not want to hear this, but my faith and my constant connection with Christ during this process was my saving grace. I was smiling and optimistic. I returned to work post whipple after 7 weeks. I started chemo 3 days later on 4/1/14. I am not trying to talk myself up at all, I just want to give strength and encouragement to those who are facing this horrible diagnosis. I now have 5 grandchildren. The twins are 9, I also have two 8 year old and one 5 year old grandson. My husband committed suicide 1/15/22, 1 day before out 40th wedding anniversary, so I guess I am here for a reason. Not sure exactly what that is yet. I have talked to many with cancer about being positive and not giving up, but when I lost my husband, I wasn't sure what to think anymore. Anyway, I am so thankful to be alive and pray for anyone going through this very intense life journey.

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Very inspiring thank you for sharing! What is your weight now? I had the whipple 10 months ago but still can’t gain weight. I am size 2.

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Thank you for sharing. My Whipple was 4/24/2023 (the day before my birthday). It was the best birthday present I could’ve asked for. The week in the hospital was hard. The second week at home was harder and the third week was the hardest of all because of the withdrawal symptoms from the opioids. Once I could start walking on a regular basis, things started to improve drastically. Unfortunately, I really struggle digesting animal fat. Everything else seems to be fine. I agree with you that the new digestive and elimination protocol is very different and it’s always good to travel with extra clothes in the car. I was treated at Johns Hopkins hospital and they gave me nine rounds of FOLFIRINOX prior to the Whipple surgery and I’m finishing my final Chemotherapy today. We had to take a break for a few weeks because my white blood cells were too low to treat. I agree with you that your mental state is extremely important. For me, when I was diagnosed, I decided that I would control what I could control, and I would prepare for the worst in the best possible way. I knew it would be hard for my family and in retrospect I believe it was harder for them than it was for me. I could not have done it without my care team, which mainly consisted of my wife and my scientist cousin who would call me four times a week to discuss all the minutia and details of the drugs, bloodwork and treatment protocols. It was a conversation. I looked forward to every day. Best to you all as we go down this often lonely road.

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@stephenkogler

Thank you for sharing. My Whipple was 4/24/2023 (the day before my birthday). It was the best birthday present I could’ve asked for. The week in the hospital was hard. The second week at home was harder and the third week was the hardest of all because of the withdrawal symptoms from the opioids. Once I could start walking on a regular basis, things started to improve drastically. Unfortunately, I really struggle digesting animal fat. Everything else seems to be fine. I agree with you that the new digestive and elimination protocol is very different and it’s always good to travel with extra clothes in the car. I was treated at Johns Hopkins hospital and they gave me nine rounds of FOLFIRINOX prior to the Whipple surgery and I’m finishing my final Chemotherapy today. We had to take a break for a few weeks because my white blood cells were too low to treat. I agree with you that your mental state is extremely important. For me, when I was diagnosed, I decided that I would control what I could control, and I would prepare for the worst in the best possible way. I knew it would be hard for my family and in retrospect I believe it was harder for them than it was for me. I could not have done it without my care team, which mainly consisted of my wife and my scientist cousin who would call me four times a week to discuss all the minutia and details of the drugs, bloodwork and treatment protocols. It was a conversation. I looked forward to every day. Best to you all as we go down this often lonely road.

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Wishing you all the best today. You should be so proud of yourself for making it through all the Chemo. May the future be easier than the past. God bless.

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@stephenkogler

Thank you for sharing. My Whipple was 4/24/2023 (the day before my birthday). It was the best birthday present I could’ve asked for. The week in the hospital was hard. The second week at home was harder and the third week was the hardest of all because of the withdrawal symptoms from the opioids. Once I could start walking on a regular basis, things started to improve drastically. Unfortunately, I really struggle digesting animal fat. Everything else seems to be fine. I agree with you that the new digestive and elimination protocol is very different and it’s always good to travel with extra clothes in the car. I was treated at Johns Hopkins hospital and they gave me nine rounds of FOLFIRINOX prior to the Whipple surgery and I’m finishing my final Chemotherapy today. We had to take a break for a few weeks because my white blood cells were too low to treat. I agree with you that your mental state is extremely important. For me, when I was diagnosed, I decided that I would control what I could control, and I would prepare for the worst in the best possible way. I knew it would be hard for my family and in retrospect I believe it was harder for them than it was for me. I could not have done it without my care team, which mainly consisted of my wife and my scientist cousin who would call me four times a week to discuss all the minutia and details of the drugs, bloodwork and treatment protocols. It was a conversation. I looked forward to every day. Best to you all as we go down this often lonely road.

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Thanks for sharing! How is your weight? I can digest meat which I never ate much of before all this but have a hard time with beans, broccoli sometimes lettuce and some tomato based sauces. I eat all the time but can’t gain any weight.

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Before cancer I weighed 205lbs on January 1, 2022. When diagnosed I was 175. The 3rd week after the Whipple I weighed 147lbs. Today, August 8, 2023 I weigh 157. Any high fiber foods are disruptive as well. I have found that MCT oil and EV olive oil are helpful to add calories and easy to digest. I have MS as well so I do not eat wheat or dairy so my diet consists of a good amount of chicken and rice. I also make bone broth and rice bread. I have a funny video I made when I was in the hospital on a liquid diet:

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Good Morning,
This is my first time responding on this site. I had the whipple surgery via a laparoscopy August 5, 2022. As you mentioned the chemo was horrific and something I probably would not do again. I was up and around 3 days after my surgery, released after 6 days and a few weeks later had another 8 chemo treatments. I am not sure how I survived it but somehow did with the assistance of my daughters.
I am now leading a normal life, working part time and traveling. I use creon at each meal but do have a problem putting weight back on as I have to watch carbs due to A1C being slightly elevated. I am seeing a nutritionist in hopes that she will have some ideas of what would foods would benefit me. I am following a book called Eat To Beat Disease by Dr. William Li who is not only an internist but a vascular scientist who has had over 40 foods approved by the fda that fight many diseases including cancer. I am finding this very beneficial and basically started a clean diet.
I have no problem with my bowels but was when I was taking 3 creon before eating. My dr. suggested taking one bite of food then the two creons(36,000) and then finishing my meal. Seems to be working well.
Wishing all on this site a complete recovery. It is not easy but keep positive. God Bless

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