Monday, June 02, 2008
Senator Kennedy's Surgery
The Washington Post has an informative article on Senator Kennedy's surgery. My thoughts:
First, I'm not surprised that the Senator went to Duke, and Dr. Allan Friedman, for his surgery. I predicted to a friend that he would either see Dr. Friedman, Keith Black at Cedars Sinai, or Mitchel Berger at UCSF (Jane's surgeon). These three are probably the top guns in deep brain tumor surgery in the US.
Second, I'm not surprised that the Senator was talking and feeling good after the surgery. Done well, brain surgery is surprisingly easy on a patient. There aren't any nerves in the brain -- just in the scalp -- so there's not a lot of pain associated. The biggest worry is swelling, and this will likely be approached with fluid restriction for a day or two and Dexamethasone (the hated Decadron).
Third, it's interesting to note that the Senator is planning to do both chemotherapy and radiation therapy. This is an aggressive path, and good for him. The latest treatment mode seems to be to take Temodar (an oral chemotherapy) concurrently with 3D Conformal radiation therapy. They'll likely radiate a 1-centimeter buffer area around the tumor resection cavity (the hole where the tumor was) to try to zap as many stray tumor cells as possible. That is, if it was a good resection. If there were parts of the tumor that couldn't be safely removed surgically, they may try to extend the radiation therapy into those areas.
Last, the Post article makes the point that the Senator's tumor type is not yet known. As I noted in the earlier post, "malignant glioma" is a generic term. I'm curious whether the specific tumor type will be released to the public.
One postscript: is disheartening to see the vitriol spilled in the comments section on the Post's article about Senator Kennedy's affliction. It's one thing to disagree with a person's political point of view; it's quite another to wish a person ill in such an awful, vicious way. I wonder how people who write such things can look themselves in the mirror. I hope they never get ill and have to face such hatred on top of their health challenges.
First, I'm not surprised that the Senator went to Duke, and Dr. Allan Friedman, for his surgery. I predicted to a friend that he would either see Dr. Friedman, Keith Black at Cedars Sinai, or Mitchel Berger at UCSF (Jane's surgeon). These three are probably the top guns in deep brain tumor surgery in the US.
Second, I'm not surprised that the Senator was talking and feeling good after the surgery. Done well, brain surgery is surprisingly easy on a patient. There aren't any nerves in the brain -- just in the scalp -- so there's not a lot of pain associated. The biggest worry is swelling, and this will likely be approached with fluid restriction for a day or two and Dexamethasone (the hated Decadron).
Third, it's interesting to note that the Senator is planning to do both chemotherapy and radiation therapy. This is an aggressive path, and good for him. The latest treatment mode seems to be to take Temodar (an oral chemotherapy) concurrently with 3D Conformal radiation therapy. They'll likely radiate a 1-centimeter buffer area around the tumor resection cavity (the hole where the tumor was) to try to zap as many stray tumor cells as possible. That is, if it was a good resection. If there were parts of the tumor that couldn't be safely removed surgically, they may try to extend the radiation therapy into those areas.
Last, the Post article makes the point that the Senator's tumor type is not yet known. As I noted in the earlier post, "malignant glioma" is a generic term. I'm curious whether the specific tumor type will be released to the public.
One postscript: is disheartening to see the vitriol spilled in the comments section on the Post's article about Senator Kennedy's affliction. It's one thing to disagree with a person's political point of view; it's quite another to wish a person ill in such an awful, vicious way. I wonder how people who write such things can look themselves in the mirror. I hope they never get ill and have to face such hatred on top of their health challenges.
Labels: brain tumor, health, Jane, media, medicine, politics, science
# posted by F.S. @ 2:37 PM 
