Pancreatic Cancer Group: Introduce yourself and connect with others

Welcome to the Pancreatic Cancer group on Mayo Clinic Connect.
This is a welcoming, safe place where you can meet people living with pancreatic cancer or caring for someone with pancreatic cancer. Let’s learn from each other and share stories about living well with cancer, coping with the challenges and offering tips.

I’m Colleen, and I’m the moderator of this group, and Community Director of Connect. Chances are you’ll to be greeted by fellow members and volunteer patient Mentors, when you post to this group. Learn more about Moderators and Volunteer Mentors on Connect.

We look forward to welcoming you and introducing you to other members. Feel free to browse the topics or start a new one.

Pull up a chair. Let's start with introductions.

When were you diagnosed with pancreatic cancer? What treatments have you had? How are you doing?

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

@hopeful33250

Hello @vlny2018

I just noticed your post directed to Colleen. I agree, with you that quicker appointments would be better, but unfortunately the medical system seems to be overwhelmed and waiting weeks between appointments is more the norm, now.

How is your husband feeling? What are his most bothersome symptoms right now?

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Right now he is on Creon, so he is able to digest food and get nutients. We are very active and so the lack of energy and strength to do what he used to is frustrating and depressing him. He also has some pain from his kidney being blocked and getting irritated.
For me it is working through the situation with him. One minute I'm the greatest thing in his life, the next he's angry because what ever is bothering him at the moment and I become the target.

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@markymarkfl

"the intake person said we needed a diagnosis before they could set up an appointment."

That was a big frustration trying to get my dad into the Mayo, and an area where I think they could improve.

Two local doctors knew my dad's case was cancer, but argued endlessly over what type it was. Local labs botched tests. We tried getting him into Mayo ASAP so a more competent lung specialist could sort it out, but they wouldn't see him until the locals settled their debate. All or nothing.

You'd think Mayo could set up an "oncology gatekeeper" program -- somewhat of a generalist, but with expedited access to the detailed experts and the ability to direct you to the right one(s).

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A gatekeep would be awesome. Just someone to coordinate everyone would be great. Sometimes I know communication between the Doctors is getting messed up. Like the "telephone game."

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Newbie here, hello all.

I have not been diagnosed with PC, but am monitoring for increasing dilation (main duct and bile duct). Most recent MRI showed the appearance of "tiny" cysts in the pancreas, largest 4mm, apparently not on previous imaging. Doctor says the cysts are of less concern than the dilations and is not yet recommending repeat EUS (last one December 2023). CA19-9 at 17. Other data, hyperkinetic gallbladder: 96%EF on HIDA.

Best thing so far for my symptoms was moving to low-fat diet last fall. Now I wonder what else I can do to 1) support my organs and/or 2) help identify source of dysfunction: Sphincter of Oddi? Ampulla of Vater? For example, after reading that caffeine can affect the SO, I am cutting back on coffee/tea.

Much appreciate any input on other diagnostics to pursue, ways I can be proactive, or things you have learned about working with doctors and the system overall.

Thanks and best wishes to everyone. Very glad to have found this group.

pf

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@vlny2018

Right now he is on Creon, so he is able to digest food and get nutients. We are very active and so the lack of energy and strength to do what he used to is frustrating and depressing him. He also has some pain from his kidney being blocked and getting irritated.
For me it is working through the situation with him. One minute I'm the greatest thing in his life, the next he's angry because what ever is bothering him at the moment and I become the target.

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I'm sure you are trying to help your husband, but it is difficult to deal with his changing moods, @vlny2018. You say that you are very active. Are you still attempting to keep up an active lifestyle? If so, more rest breaks might be helpful.

I would encourage you to look at Connect's support group for Caregivers. Here is a link to those discussion groups, https://connect.mayoclinic.org/group/caregivers/. In this group, you will find many other spouses who are dealing with physical and cognitive changes as they seek to provide the best care. Caregiving to a person who is experiencing so many physical problems can certainly be difficult.

Have you mentioned these mood changes to any of his doctors?

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@pfrances

Newbie here, hello all.

I have not been diagnosed with PC, but am monitoring for increasing dilation (main duct and bile duct). Most recent MRI showed the appearance of "tiny" cysts in the pancreas, largest 4mm, apparently not on previous imaging. Doctor says the cysts are of less concern than the dilations and is not yet recommending repeat EUS (last one December 2023). CA19-9 at 17. Other data, hyperkinetic gallbladder: 96%EF on HIDA.

Best thing so far for my symptoms was moving to low-fat diet last fall. Now I wonder what else I can do to 1) support my organs and/or 2) help identify source of dysfunction: Sphincter of Oddi? Ampulla of Vater? For example, after reading that caffeine can affect the SO, I am cutting back on coffee/tea.

Much appreciate any input on other diagnostics to pursue, ways I can be proactive, or things you have learned about working with doctors and the system overall.

Thanks and best wishes to everyone. Very glad to have found this group.

pf

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Welcome, @pfrances. to help you on your pursuit to monitor the pancreatic dilation, here are a few discussions that may be helpful.
- Dilated pancreatic duct: What to do?
https://connect.mayoclinic.org/discussion/4mm-dilated-duct-pancreas/

- Sphincter of Oddi Dysfunction: What helps you?
https://connect.mayoclinic.org/discussion/i-have-sphincter-of-oddi-dysfuncfion-it-causes-severe-upper-abdominal-pain/

See more discussions using the group search: https://connect.mayoclinic.org/group/pancreatic-cancer/?search=dialation&index=discussions

How often are you being monitored?

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@dksissy10

Diagnosed 1/16/24

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Welcome, @dksissy10. I see you were diagnosed only a few short monght ago. I look forward to learning more about you. What stage of pancreatic cancer do you have? What treatment options are available to you? How are you doing?

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@colleenyoung

Welcome, @pfrances. to help you on your pursuit to monitor the pancreatic dilation, here are a few discussions that may be helpful.
- Dilated pancreatic duct: What to do?
https://connect.mayoclinic.org/discussion/4mm-dilated-duct-pancreas/

- Sphincter of Oddi Dysfunction: What helps you?
https://connect.mayoclinic.org/discussion/i-have-sphincter-of-oddi-dysfuncfion-it-causes-severe-upper-abdominal-pain/

See more discussions using the group search: https://connect.mayoclinic.org/group/pancreatic-cancer/?search=dialation&index=discussions

How often are you being monitored?

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Thank you so much Colleen! I will check out those resources.

Next MRI is 3 months.

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Hi joining on behalf of relative dx pancreatic cancer 12/2019. completed radiation and chemotherapy. had gb stent placed at the time, and replaced recently. now admitted to hosp after vomiting large amt old blood. followed by two episodes BRB vomiting requiring 2 units. Ca 19 has been normal thruout (?). has had multiple CT’s and a pet scan showing no new mass.
Now planning a minimally invasive duodenal bypass surgery. no peritoneal lesions noted after laparoscopic exam (large amount of scat tissue) and washings submitted for pathology
(negative). currently on tpn and npo.
The main concern right now is to avoid a repeat gi bleed .
platelets 130 and stable. Hgb 8.6
any experience with this type of gi surgery? They are hoping to avoid open laparotomy.
Thank you for any help.

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@burksgrl

Hi joining on behalf of relative dx pancreatic cancer 12/2019. completed radiation and chemotherapy. had gb stent placed at the time, and replaced recently. now admitted to hosp after vomiting large amt old blood. followed by two episodes BRB vomiting requiring 2 units. Ca 19 has been normal thruout (?). has had multiple CT’s and a pet scan showing no new mass.
Now planning a minimally invasive duodenal bypass surgery. no peritoneal lesions noted after laparoscopic exam (large amount of scat tissue) and washings submitted for pathology
(negative). currently on tpn and npo.
The main concern right now is to avoid a repeat gi bleed .
platelets 130 and stable. Hgb 8.6
any experience with this type of gi surgery? They are hoping to avoid open laparotomy.
Thank you for any help.

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Welcome, @burksgrl. I'm tagging a few members like @mamarina @faithann64 @lfitz @k13 and @hopeful33250 who are familiar with GI issues after pancreatic cancer treatment and may have experience to share about bypass surgery for a blocked duodenum.

You may also be interested in this related discussion:
- Anyone have experience with total parenteral nutrition with PC?
https://connect.mayoclinic.org/discussion/anyone-have-experience-with-total-parenteral-nutrition-with-pc/

How soon is the surgery planned for?

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