Welcome to PMP Awareness Blog
Why are we here, doing what we are doing?
Hello, I am Bob Peterson and along with my friend Kevin Kersey will be hosting / moderating / writing pieces that we hope will motivate you to respond and participate in this blog. As time goes along both of us will share our experiences, but at this point as way of introduction just know that we are both PMP patients / survivors. Kevin is more of a survivor than me at this point, but hopefully that will change and I will catch up with him.
Today I want to share a story from a posting that was received on our sister PMPBellyButton Yahoo message board. The excerpt has been changed to hide the names of individuals and to protect the guilty. But in the story you will hear at least one reason why a number of us have felt the need for aggressive information sharing site such as PMP Awareness, and also one of the rewards that we receive when we are able to help someone. On to the story:
To all of you on pmpbellybuttons:
My sister is now recovering from her surgery at St. Agnes in Baltimore. Dr. Esquivel has done a tremendous job. We were faced with our home hospital telling her to go home, that there were no more options. She found your website and went to Baltimore. Dr. Esquivel could not promise us what he could do until the surgery, but felt he could at least giver her comfort and a little more time. We got more than that. Thanks to you people, St. Agnes and Dr. Esquivel.She wanted me to let all of you know how wonderful she is doing. We all keep asking ourselves how this miracle happened. We want to give hope to people who could not find hope anywhere else. If we had listened to the Dr. at home hospital my sister was looking at only a month or two of life.
G-d Bless all of you at the website that helped us make this choice.
Those short 3 paragraphs point out several things that motivate us in producing this website:
1. Mainstream medicine (home hospital is a well respected major metropolitan teaching hospital) just doesn’t know enough about the PMP umbrella of diseases to help, and unfortunately may actually mistreat the patient.
2. Mainstream medicine if they admit they just can’t do anything, don’t know or won’t refer you to one of the renown specialists in the United States or Internationally who are saving lives everyday.
3. We as a group, advocate seeing one of the specialists as soon as the diagnosis comes down, and want to provide a site where you can find where they are and questions to ask them.
4. Finally, we want to give hope to people who could not find hope anywhere else.
While we can’t and won’t give medical advice, we will share our experiences and assist anyone in finding and communicating with the true PMP Specialists. Please don’t hesitate to ask, as the only reward we get are wonderful emails such as the one above.
December 19th, 2005 at 7:52 am
Bob,
Excellent first blog entry. You really “hit the nail on the head” We really have an opportunity here to bring hope and save lives by sharing our knowledge and experiences. I sure wish this site was here when I started my journey.
“If you light a lamp for somebody, it will also brighten your path.”
Buddhist saying
December 20th, 2005 at 8:16 pm
Bob, I read your blog last night. Didn’t realize we could/should comment. Smile. Like your usual self, you have said enough to capture other PMP patients. Thank you for sharing from the heart. Keep the Blogs coming–they are so needed.
Later, your friends Kat and husband
January 5th, 2006 at 10:43 am
Hello, I am Amy and I came upon the pmpawareness site today as I look for resources regarding pmp. I am not currently a pmp patient, but have questions about the diagnosis of pmp and hope to find some answers here. During emergency surgury where my appendix was removed, it was discovered that I had many mucus filled cysts compatible with impending pmp. While the cycts were removed, close clinical follow-up is advised due to the possibilitity of continual mucinous change and possible pmp in the future. I recently moved (Indiana) and will find new general care doctors soon. I am wondering what kind of monitoring can be done to diagnose/detect pmp at hopefully an early stage (other than surgery, which I understand is often how it is discovered). Any suggestions are appreciated - I want to be proactive when meeting with new doctors.
Thank you for your help - and for this wonderful website!
January 5th, 2006 at 11:48 am
Welcome Amy, thanks for coming into the site.
Regarding monitoring, I think most of us would first recommend getting into touch with 1 or 2 off the acknowledged specialists (see specialist listing on our Frequently asked questions page) to see what they recommend. Depending on where you are at in Indiana, Dr. Bartlett at Univ of Pittsburg and Dr. Lowy at Univ of Cincinnati are withing reasonable driving distance.
I would expect that they would ask for tissue samples (the lab in the hospital where you had your surgery has fixed samples of tissue from your surgery) to be sent to them. You will need to sign releases, but the hospital is obligated to shave off part of the sample and share them with whoever you designate.
Additionally they will recommend an abdominal/pelvic Cat Scan (CT). They will want the copies of the actual CT films not just the radiologist report. One of the challenges we face in the PMP world is missed diagnosis by non-pmp specialists in the medical world (most radiologists and physicians will not recognize PMP on CT scans). Again the hospital is obligated to give you copies, but may charge you after the first copy.
Finally there maybe recommendations for some tumor marker results (CEA, CA19-9 and maybe CA125). That will also be dependant on your initial conversations with the specialists.
You are fortunate that the potential of PMP has been recognized and been brought to your attention. You have time to look for the right specialist for you and figure out an appropriate treatment plan.
Both Drs Bartlett and Lowy are well regarded, so don’t necessarily get hung up in thinking you have to get to the more well known Loggie and Sugarbaker at this time. If you find that you don’t “click” with either one, then start working on consults with additional specialists.
Finally, from a personal perspective as you are establishing a new medical relationship in a new location I would make it clear from the start that you will be working with a known PMP specialist until the potential for PMP is absolutely ruled out. The experience the vast majority of us have had is mis-treatment, mis-diagnosis and in some cases inappropriate treatment when we have counted on local mainstream medical resources. Establishing a relationship with a specialist is critical.
Best wishes as you move forward. Please use us for whatever advice we can give, and for a more interactive sharing experience use our PMPBellyButtons Yahoo group site (I think I just approved your membership on that site). There is a link on the home page of this site.
Bob
January 5th, 2006 at 1:59 pm
Bob, thank you so much for your quick and very informative reply. I printed it and am going to follow every recommendation! It has been 3.5 years since the surgery whereby I first learned of pmp - when I first saw the path report I asked a lot of questions and looked for information on-line, but did not come upon as much information then as now. After two moves and in light of needing to find new docs (due to move), I am revisiting this now. You are right that I am fortunate to have the information I do. Whether this will at some point be a serious problem is an unknown, but I want to do all I can to be pro-active and educated. Thank you again. -Amy
January 5th, 2006 at 2:11 pm
Amy, you are welcome, this is precisely what this site and our Yahoo group are for. We want people to get on the right track as quickly as possible
Bob
January 9th, 2006 at 6:16 am
Amy,
Where in Indiana will you be? I live in Indianapolis. I see Dr. Lowy in Cincinnati and love him. Email me if you want info on doctors in the Indy area. mlainie@aol.com
Lynn
February 27th, 2006 at 9:53 am
Hi,
My Mom was recently diagnosed with Appendiceal cancer and Peritoneal mucionous carcinomatosis. She underwent through cytoreductive surgery at John Hopkins, and we are waiting for her to be scheduled for the appropriate chemo.
I read about St Agnes Hospital and Dr. Sugarbaker at DC hospital.
How hard is it to get insurance approved referals for these specialists?
Emi
June 11th, 2006 at 12:18 pm
My husband is in Lutheran Hospital in Fort Wayne, In and has just been diagnosed with pmp tumor that has attached to all internal organs in the abdominal area. Meets with an oncologist tomorrow to begin process of where to go, etc. any suggestions for our area would be so welcomed. Shirley
June 11th, 2006 at 7:10 pm
Dear Shirley,
I’m sorry to hear of your husband’s diagnosis.
Please join our group at http://health.groups.yahoo.com/group/pmpbellybuttons/
You will find many people with experience who can answer your questions and help you through this.
Hugs,
brenda
July 22nd, 2006 at 11:26 am
Dear Bob & Kevin, Karol, my wife of 37 years now, was diagnosed with PMP in 1996. In April of 1998, she had a major radical surgery performed at UCLA here in California with Dr Eilber, a surgeon with extensive PMP experience. He explained at that time that he could not “get it all”. Since that time, we have monitored the progression of the disease with CT scans & blood tests once every six months. It had been a slow process, but last year it seemed to suddenly accelerate. Since then, she has now lost significant fat & muscle tissue, and her abdomen has become extremely distended. She is also very fatigued most of the time. We have been doing large bore paracentesis drainages of the mucin (twice now), and this does provide her some temporary relief, but only ends up as a short term fix. Is the only avenue we have left…another surgery? I don’t think she can take that. As expected, the doctors here have run out of things to help us with, & are only trying to make her more comfortable. We need a PMP specialist. Any suggestions will be sincerely appreciated. We are located in Solvang, CA, near Santa Barbara (Phone # 805-688-0921) All the Best, Husband & Caregiver, Rich Junghandel
February 26th, 2007 at 6:58 am
I have enjoyed this blog site very much. I have been diagnosed with pmp and would like to find someone who has seen os currently seeing Dr. Edward Levine at Wake Forest Baptist Hospital.I’m new to the commputer, and have just been on your blog—finally someone to talk to.
March 29th, 2007 at 7:06 pm
Hello,
I was diagnosed with PMP in December of 2006. I have been in contact with Dr. Sugarbaker, Dr. Barone and Dr. Esquivel. Anyone, have any thoughts about these choices. I am in the Northern California and there does not seem to be any specialists around here. If anyone knows of one please let me know. Any advise would be greatly appreciated. Thanks.
Bryan
May 18th, 2007 at 11:16 am
Bryan,
Dr. Andrew Lowy is moving his practice to UC San Diego form Cincinnati in June. He took care of a close friend and was absolutely wonderful. If you haven’t got a doc yet, you should look into seeing Dr. Lowy.
Best of luck,
Joe
June 6th, 2007 at 5:58 pm
Harriet,
June 13, 2007 will be 2years since I had my surgery. Dr. Levine and all the staff at WFUH are great. I recommend them highly.
July 20th, 2007 at 5:11 am
My son, Gregory, has had 3 surgeries including cyto reduction by Dr. Bartlett in Pittsburgh. Dr. Bartlett said his tumors had turned to “cement” deeming the surgery unsuccessful. We are doing immuotherpy of poly mva and vitamin c. Are there any other treatments? Sincerely, Sharon
508-748-3185
September 21st, 2007 at 7:54 am
Wondering what the risks were in a pmp cancer patient who has had a double heart bypass surgery, and what to expect.
December 1st, 2007 at 12:53 am
I am scheduled for surgery with Sugsrbaker on Dec. 27th. If you can get in to see him, he has the best track record for survival. I’m a big proponant of cytoreductive surgery plus the intreperitonal chemo, as the disease seems to come back without these two processes. A lot of the docs don’t do it all… Dr. Sticca in North Dakota does, but he’s only done 30 to 40 cases. I understand Dr. Sardi has done 500 cases. Just ask the right questions:
do they do cytoreduction plus the chemo?
how many of these cases have they done and what are the outcomes? how long do people live after their surgeries. The more you have done, the grater your chances the cancer can lurk in scar tissue. What do they project your survival rate to be, given their chosen choice of next action.
Forget about bedside manner, if they are nice but say they don’t beleive that can’t get it all, Run to a speciaist and fight out how to get on their schedule.
Then try Laurie Todd’s book, it can be instrutional… and the PMP Bellybuttons website.
all the best,
Jane
December 16th, 2007 at 7:23 pm
Elise please advise about your surgery with Dr. Levine at Wake Forest Medical Center - I am currently seeing Dr. Levine (next appointment Jan.2008) would like to know how you’ve recouped and how long, etc. email me at herndonju@aol.com if you don’t mind sharing your experiences with me.
December 16th, 2007 at 7:26 pm
harriet, please email me and let me know what’s in your diagnosis as I have been told I have pmp was diagnosed in April,2007 = have been to Dr. Levine and really liked him, he was informative.
herndonju@aol.com (judy herndon)