Looking for some answers

Hello all! I'm new to this forum, thought I would give a rundown of my situation and see if anyone out there had any insight on what my next step could be. Here goes...

In 2009, my wife was having some severe abdominal pain. After going rounds and rounds with the doctors, they did a hidascan, found that her gall bladder was only functioning at 15%, and removed it in October. She felt great, almost normal, for about 2 months. Then the pain came back, this time much worse. After numerous trips to the ER, gastro docs, PA's, you name it, after being treated like a "med chaser" and a psychologically impaired pain in the butt, after having every scan, every "oscopy" out there, after having almost all blood tests come back "normal", we finally had a GI doctor diagnose Sphincter of Oddi Dysfunction, with a referral to Virginia Mason for an ERCP. A successful sphincterotomy, followed by pancreatitis, and a month down the road worse than before. That brings us to 2011, in January with a referral to a new doc down in Denver by a new GI doctor. Another ERCP scheduled, and my wife had to beg him to check for chronic pancreatitis, which he grudgingly did. Sure enough, a new diagnosis of "mild to moderate chronic pancreatitis". He wasn't convinced that her SOD had anything to do with causing the CP, that is why they are checking for cystic fibrosis. We are at a loss now as to what the next step might be. She is in the process of shutting down her home child care business, which is devastating to her since she's worked her whole life to get to where she was. She cries every day with a fear that she won't get to see our kids grow up, and she feels that she gets a little worse every day. As far as meds she's on, the list goes on and on. She's on a fentanyl patch, has oxycodone for breakthrough pain, Creon, Dicyclomene, Protonix, nitroglycerine (only for the really bad stuff, the headache is normally not worth the 15 minutes of no pain), anti-anxiety and anti-depression meds (I think Clonipin & Cymbalta) and a couple more that I can't think of right now. Silence from the doctors, and only our online research keeping us hopefull that there are options out there. I know there are various surgeries/procedures available, but how do we go about knowing which one is right, where to go? Just at a loss. I don't want to lose my wife. I can't stand to see her in so much pain. I want to take care of our grandchildren together (many years down the road)... Sorry for the huge post, needed to vent I guess. This is a hard thing to go through, but the strength and kindness I see on here is reassuring to say the least. Any thoughts are most welcome, God Bless, and thanks!

Hi, my name is Debbie and I am new to this forum…first post. I am excited about finding all of you! I have been hurting for two years now and feel I am finally getting to the bottom of things. I understand how hard it is to get a doc to treat you…finally took my gallbladder out…it had shriveled up. No gallstones found, pain got worse, so the medical community (of which I am a part of) decided I was an alcoholic! The strongest thing I drink is diet green tea. My PCP had closed his office, so I had to find another one. It took me two months to get an appointment with him. I was beginning to have worse pain,so I called my surgeon who had told me when he took my gallbladder out that he couldn’t get dye to go through any of my ducts, and if my pancreatic enzymes continued to elevate I would need an ERCP. So, he sent me to a gastroenterologist, who flunked bedside manner totally, for an ERCP. The gastro doc was hateful and rude and told me there was nothing wrong with my pancreas! He told me to take Metamucil and eat bran cereal…which gave me a lot of gas to go along with the chronic diarrhea! The pain finally got so bad, I made 3 trips to ER’s in different towns, hoping someone would have a little mercy and try to find out what is wrong with me. I finally went to my new PCP’s office and he did blood work…my lipase and amylase were through the roof. He gave me a prescription for Hydro/Apap and tried to put me in the hospital…he gave me the option of hospital or no eating and I chose the no eating one. He was going to send me back to that same gastroenterologist…I thought, “No way, no how!” So, I called another clinic and got an appointment with another gastro. He actually listened to me, and started running tests. He found a small lesion on the head of my pancreas, located on top of the pancreatic duct. So he sent me to a big teaching hospital where they did a EUS, and biopsied the lesion. My ducts were also dilated. Now, I’m just waiting the results of the biopsy. Waiting impatiently…stomach bloated and sore…the nagging pain still there…and my PCP wouldn’t give me any more pain meds! So, the only other way to relieve the pain is to not eat. I work as an LPN, and it is very hard to do with no energy, but I couldn’t take pain meds while I’m working anyway. I am also diabetic now, and I also have polycystic kidney and liver disease. My abdomen looks like I’m about 14 months pregnant and ever inch of it hurts! I feel like a belly with a body following close behind…a very sore belly. But, I have to keep working to afford my health insurance. So, I just keep plugging along. I am a fighter and I am stubborn. All this stuff may take me down someday, but not without a fight! The good Lord keeps me going…He promised to not give us more than we can stand. So glad I found this forum…now my family and friends can take a rest from all my whining. lol

Hi there, and thank you all for the information. I’ll give you a quick update on what’s going on. Well, a little background first. My wife is one of those rare people who know her body better than anyone I’ve ever seen does. After the birth of our daughter, she was having lower back pain, told the doctors she had kidney stones, sure enough she was right. A few months down the road, abdominal pain, she would point right to the spot where her ovary was, sure enough, a cyst on her ovary had burst. Another few months down the road, back pain and abdominal pain, she would point right to where her gall bladder was, boom, take it out and it’s nice and red and inflamed. Same with her pancreas and SOD, she would point right to it, doctors would check all kinds of other things but what she asked them to, only to find out she was right and was diagnosed with Chronic Pancreatitis. This is where things get a little scary for me, because now she is saying that her liver is going out, and she’s been right on everything else so far, but I pray she’s wrong on this one. She just spoke with a lady today that was having similar problems, and after about 10 years of misdiagnosis, finally found that she had carcinoid cancer that has spread, and things unfortunately aren’t looking good. Whatever my wife has, it truly does seem to be something progressive, slowly going after one organ after another, and we’re afraid if we don’t find something out soon, it might be too late. She’s taking somewhat of a holistic route for a little while, with the advice of a naturopath, and seeking the assistance of a fairly well respected (nationally) accupuncturist. She now calls most of her doc the “whitecoats”, most of which just seem to want to prescribe her one pill or the other instead of trying to get to the root of the problem. We still don’t know why her pancreas is getting damaged, or what to do next. The last doctor she went to is sending her to a rheumatiod arthritis doctor since all of her joints are starting to give her trouble now. Sigh. This is tough, not going to lie to you guys. We have to battle and battle for every inch of headway, and it takes but a moment to get the wind knocked out of our sails. I am in Montana, so we are a long ways away from any large medical center. Her doctor in Denver was Raj Shah, and she said he was amazing, but really all he’s done is verify what she already knew, (CP), and he’s the one saying he’s not convinced her SOD had anything to do with the damage to her pancreas. Ok, time to take a breath, thanks for your responses once again!

Everyone has had some very good advice so far. I can only add a couple of things. First, be careful with the fentanyl patches. I was on those in the begining and kept trying to tell the docs and pharmacist that it felt like I was getting too much too fast causing them to wear off too quickly. I’d be ok for the first 24-30 hrs but then it was absolute agony. Now come to find out, some people have had overdose due to the patches letting too much medicine through too quickly.
I absolutely agree with a multi prong approach. Western medicine doesn’t have enough to offer. If you can afford it holistic things can help greatly. Accupuncture is great and if you can find a Bowen therapist I encourage you to give it a try if you can. I got wonderful results. I felt more centered and focused, just better able to handle what was going on, stronger even. Unfortunately, I can no longer afford it.

Hang in there. You have as much support as you need from the folks here.

Shaner,

So sorry to hear that your wife is going through so much. I'm sure it must be worrisome for you. I will be saying a prayer for both of you. Let us know how things are going.

Vonnie

First of all so sorry about you and your wife's struggles unfortunately it isn't uncommon for me to hear similiar struggles prior to someone getting this diagnosis. Second, pancreatitis is not a death sentence...it IS NOT fun to live with but, not a death sentence...just wanted to say that up front.

I am 29 years old and have Hereditary Pancreatitis, I was diagnosed at Mayo Clinic when I was 2 years old. Same pain, same symptoms, same struggles and classified as chronic pancreatitis just that I recieved this wonderful (sarcasm) disease from my mother. So I have been dealing with pain, attacks, etc for 27 years now... I am on very similiar medications Oxycondone daily, Morphine and Percocet as needed for breakthrough, (have been on Creon) but am currently taking Viokase as my digestive enzyme, anxiety meds, and depression meds.

I have been called a "drug seeker" by I don't know how many Drs over the years and have found that remaining calm, being consistent, making sure your behavior doesn't give them any reason to believe this is true (ie. use same pharmacy, take meds as perscribed, get refills responsibly, etc). In the ER you are ALWAYS going to run into this but the key outside of the ER is to find Drs that are supportive and that are on the same page as you regarding pain control...there are out there but, can be hard to find.

A few suggestions for your wife...eat a low fat diet, when the pancreas is diseased as in our cases it has a difficult time digesting so a low fat diet will alleviate some of the pressue on the pancreas therefore hopefully decrease some of the pain. Try alternatives, I have found acupunture and massage to be particularly helpful for my chronic pain. I also use the basic things like yoga, hot baths, heating pads, imagery, and even biofeedback. There are things like surgery in the form of removal (you can live without your pancreas) or transplant. However, in my experience I have yet to find a surgeon who believes I am at that point yet, apparently you have to be worse off than in terrible pain everyday...not sure what that looks like... The other thing to know about pancreatitis is that eventually the pancreas attacks will kill off all the insulin making cells, this happened in me about 3 years ago...so it took awhile but I have heard of it happening faster and slower. Once this happens she will be a insulin dependant diabetic, same would be true if a pancreas is removed while you can live without it you become a diabetic. Also rates of pancreatic cancer are higher once you have this diagnosis...no smoking and be aware of this because pancreatic cancer is one of the most challenging cancers. There have been a few studies suggesting a correlation between pancreatitis and cystic fibrosis (I don't have any specific journals or anything off the top of my head but sure google could help you out). I for instance have 30 of the identified 32 cystic fibrosis genes, doesn't mean anything for my health but this among my other challenges ended my and my husband's dreams of becoming parents...naturally anyways...

I would HIGHLY suggest becoming a member of the National Pancreas Foundation, from what I have seen they by far have the best resources and the best upcoming research on this disease. I also continue to participate in research for Mayo Clinic. Unfortunately the population of people that have this disease is same and so it lacks proper funding for research and such but I continue to search, search, and search every few months on the internet for other resources, research, help and ideas.

Stay positive...I know it is hard and I definately have my challenges with this some days but, it is really important when living with a chronic illness. I have found it is helpful to engage in forums like this and read books written by other pain suffers and such. I have found it gives me strength and helps me cope with bad days and such. Wish you and your wife the best...please don't hestiate to contact me with any questions, concerns, and clarification requests.

Lindsey

Dear ShanerMT,


Your wife is lucky to have you!!! I had misdiagnosed GI problems for years, I had an appendectomy that was not necessary, years of misdiagnosed gall bladder disease and once that was removed… the joy of pancreatitis since the early 1990’s. Reading your wife’s diagnosis was like reading my medical history. You really need to hold on and be ready for a bumpy ride which lets you enjoy life more on the good days. I have not let it hold me back.
In May of 2003, I had a drain put in my pancreas with a wonderful blue nasogastric tube coming from my nose draining to a bag on my leg. I never stopped to think about it and look at pictures at my son’s High School graduation with me standing next to him, blue tube and all. You just have to keep taking every day as it comes. There were hospitalizations for acute attacks where I disconnected my IV’s, got dressed, left a note on my pillow for the nurses that I would be back in an hour and had my daughter meet at the front door to drive me to my sons’ baseball game. Those were the bad days, you can either let the pain own you, or you can own the pain!!!
That was 2003 and I met two amazing physicians at Brigham and Womens Hospital in Boston. My GI is Dr Peter A. Banks, Director of Pancreatic Research at Harvard medical School and Dr. Michael Zinner, Chair of Surgery, also at Harvard Medical School. Together with their teams, they recommended that I have a Whipple Procedure performed.
While not a complete cure, the pain is greatly reduced, I only have a pancreatitis attack occasionally and my enjoyment of life was greatly enhanced.

You learn that everyone is different, what I can eat, your wife will not be able to and vice versa. I take about 24 to 30 Creon 24 pills a day whenever I eat. I eat small meals and eat only when hungry. A benefit of the Whipple was the surgical damage to the nerves in my abdomen, I do not have much feeling on the skin and perhaps the pancreatitis pain is less or I am used to it. Actually, today I am having a mild pancreatitis attack… you know it and you just ride it out, drink liquids for a few days and it goes away.

You will not lose your wife and she can and will live to see her childrens children if you have a positive attitude and good physicians. I credit mine with my quality of life and being alive today. I live outside of NYC, but chose Dr’s in Boston which is not as convenient. There are great Dr’s in most major cities with large teaching hospitals, I just felt immediately comfortable with Dr. Banks and Dr. Zinner. I have their cell phone and home phone numbers. I have only called them 2 or 3 times in 10 years after hours, but they know I only call when it is important. There are not many Doctors anywhere that will do that. I have continuing health problems and people do not understand and it is hard to know what they think. I usually downplay how bad I feel and consequently people have no idea that I have pain everyday and that I cannot eat everything or some-days I just cannot do everything everyone expects of me. I have had 4 or 5 incisional hernia repairs, an obstructed bowel last June and a host of lesser problems. Sometimes you feel very alone, your wife is lucky. My wife has gotten used to my pain and illness and it not that she does not care, she just does not realize what I go through because I stopped letting anyone know how I feel. I usually travel to Boston by myself because everyone… family and friends included think that I can take care of myself. Do not stop being by your wife’s side, she needs comfort even though she might not admit it.
You are beginning a trip and everyone is different.She will learn what to eat, when to eat, what takes care of pain, what does not. What medication works for one person does not work for another. I start the day with a 5mg Percocet and usually do not take another because the pain is not noticeable when you are busy. I take my Creon and my Nexium. I sometimes need a Xanax or two at bedtime to let me sleep. I found that Crestor for my cholesterol caused peripheral neuropathy and I started to lose feeling in my feet. I also take Uloric because I have had gout for several years and taking colchicine does a job on my GI tract.
Bottom line… find a good Doctor, do not be afraid of surgery and do not let disorder stop you from enjoying life. It will take time and practice, but you will learn how to adapt and make very day a good one.
Parenthetically, my wife was diagnosed with a mass between her ovary and bladder about 3 weeks ago and I found a great oncology surgeon at Memorial Sloan Kettering in NYC who removed it 11 days ago. The final pathology report came today revealing a benign spindle cell tumor. These are usually not benign, she was extremely lucky and so was I. On the other hand, I have been caring for her for the last few weeks and I think she may for the first time have a little more compassion over what I have been handling for 20 plus years. I do not plan on dying soon and I hope my Doctors live a long healthy life as well. Once you find doctors like Peter Banks and Michael Zinner and Jean Landry, their Nurse Practitioner, you realize how fortunate you are to be in the hands of caring knowledgeable people.
Reach out whenever you need reassurance, there is always someone to let you know that neither you or your wife are alone.
Good Luck and do not ever give up hope…

We have a lot of wisdom in this group. I was first diagnosed with acute recurrent pancreatitis about 10 years ago and now my Mayo doc is calling it chronic. Find a hospital that is big enough to have doctors who have experience treating pancreatitis. Many docs seem to know something about it but perhaps haven’t had a lot of experience. I feel fortunate that I have a local doc who has been willing to learn and who acknowledges that I probably know more about some aspects of the disease. My local doc is willing to work with the Mayo doc who is my expert. I am very satisfied with the Mayo Clinic. No alcohol. Eat low fat. Keep hydrated. Try anything when it comes to dealing with pain and/or nausea…I have had accupuncture, yoga, I meditate and during a pain episode listen to a cd by Belleruth Naperstack that helps me deal with the pain. It is very important to address depression. Try to do as many normal things as you can when you are feeling good. You are not the disease. I have had the Whipple and it has resulted in a decrease in my episodes of pain. And I have not had to be hospitalized with pancreatitis since having that surgery. But it was very tough surgery. I keep my pancreatitis history summarized on file cards that I keep in my wallet so that if I need to get to an e.r. I can show them my history. That has helped a lot. I also have my diagnosis written on a prescription form and signed by my doctor with instructions to check my lipase and amylase in case of pain. I keep this paper in my wallet. Know that you are not alone. This site helps a lot with the sense of community. Let us know how things progress for you.

Hello To All,

In response to ShanerMT, I agree with all of the previous posts. And, I can say that in fact there are many difficult times when it is very hard to see the future. But eventually, there are sort times when pain is controlled and a modicium of relief is present. You all have had some rough journeys along the way and I feel for you. There is NO reason why anyone with either acute or chronic pancreatitis should be in pain. Now, there may be some trial and time in finding out what works best but there are numerous combinations available. I live in a small rural community and had to travel to get the best care and to be able to obtain the medications I needed. It has been well worth it. I know you have received a lot of encouragement from other Careplace members, just remember that sometimes when we are going through challenging times, difficult times, times where you or a loved one is suffering that we cannot imagine it ever ending in an acceptable manner. Many of us have been through similar situations and we have survived - our life is forever changed and things are never the same...but that is life. Best wishes to all,

ShanerMT,

I agree with everything that has been said here. The one thing that hasn't been said is NO ALCOHOL. That is a big one. I even go to the extreme of using alcohol free vanilla flavoring.

You said you even went to Denver to a doctor there. Can I ask who you saw? I go to a Dr. Raj Shah at University Hospital. (I live in Colorado) I haven't seen him for well over a year but have to go on April 26th for a surgery consult.

This is not a death sentence. You and your wife need to be aware of what she is going through. You will recognize when you need to go to the hospital. I have traveled all over the world with this disease. I am getting ready to go to Taiwan on April 7th. I have six grandchildren and enjoy them tremendously. However I cannot babysit them for any length of time. Too much work. I do get tired easily if I over extend myself.

I see MT after your name and am going to assume that you live in Montana. My folks live there.

Unfortunately depression is part of a chronic ailment for many people. The other thing to realize is that pancreatitis is rare and there aren't very many doctors that have experience with it. Finding one that is willing to learn or that is up to date on treatments, studies, etc is hard. I called the University of Cincinnati hospital and asked for a reference in my area. That is how I found Dr. Shah. You might consider doing that.

Vonnie

Dear 'Hello All'....

Welcome, from me..I, too am new to the forum, for a few weeks.. I am the 'sufffer'..

All of the above messages have said it, as professionally as you're going to get, from real people, challenging the meds and testing them and sharing their personal results; finding the right foods (NEVER buy anything but fresh) for

your
system'; staying 'clean' inside (don't incur constipation'), EXERCISING...do not lose your mustle tone, it holds everthing together (even your spirit...!); acupuncture; biofeedback; meditation; reach out for a hand to hold when the hurt is as horrible as it can be---but, stand back up and walk forward...

We're here, we need to use our time as best we can..

Be brave..we all shall survive... (other deseases don't..we shall survive..)

Hugs to all

Cate

ShanerMT,

How is your wife doing? How are you doing?

Vonnie