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To Esther

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To Esther, who posted on Nov. 3: I'm sending this both to the board and to you

individually. Maybe I've missed something, but I don't believe you were ever

answered about your problem:

" My husband has suffered from pancreatitis for over 20 years now. At this time

his pancreas is

totally shot, he is a brittle diabetic and is down to 123 lb. He is 5'8 " tall

and is on a totally fat free diet. As far as I'm concerned the doctors in this

smaller town (25,000- Oregon) are killing him.

He's 47 years old and I don't think he is going to make it 3 months. "

Well, I do think someone mentioned a place to go or something in Oregon.

Anyway, I just wanted to empathize with you. I felt that my husband wasn't

going to make it either. Last April he had such a massive infection related to

his pseudocysts that his white blood count was 40,000. He was rushed to his

doctor at Duke by ambulance (120 miles). He went for months on a J-tube attached

past the pancreas for nutrition so as to rest the pancreas. That did the trick

finally. After a stint replacement (the first one lasted several months before

it got blocked), he can now eat pretty much anything reasonable (we keep fat

grams around 30 a day), takes enzymes with meals, and has gained from 104 to 135

(he's 5'-9 " and 55 years old). December 5 he is having surgery to replace the

stent with " something permanent. " Maybe someone else on the Board can enlighten

me (I wasn't at the last appointment when this was decided definitely) as to

what this surgery is called.

I hope you can find a doctor who can help your husband, but you may have to

travel quite a distance. The doctors in our small town in NC (18,000) were not

knowledgeable enough about pancreatitis but at least they knew enough to send us

to Duke!

Feel free to e-mail me directly at banjolovers@... if you want to chat

about this disease or anything else.

Ginny White, Statesville, NC

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Ginny,

do you know how long the surgery is supposed to last? Is it endscopic

surgery or are they going through the abdominal wall? If they are going

through the abdominal wall, he may be having a sphincteroplasty, where

they manually widen the ducts instead of using a stent. What they do

with a sphincteroplasty is they slice the ducts diagonally and then

resew them together horizonatlly to make the duct wider. I had that done

and it gave me about 4 to 5 years of no pancreas problems.

Unfortunately, for me, my pancreas was so damaged that it eventually

started up again. My problem is that my ducts are too small and too

close together, so that if one gets blocked for any reason, the other

gets cut off too. Widening them couldn't help the fact that the ducts

are too close together (I have pancreas divisum so I have two parallel

ducts instead of a y-shaped duct). That's about the best guess I can

make as to what they might be doing to make the duct wider permanently.

Kimber

--

Kimber

Vallejo, CA

hominid2@...

Note: All advice given is personal opinion, not equal to that of a licensed

physician or health care professional.

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