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	<title>Comments on: Differences</title>
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	<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/</link>
	<description>Same old blog, brand new place</description>
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		<title>By: Stephanie Booth</title>
		<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/comment-page-1/#comment-62448</link>
		<dc:creator>Stephanie Booth</dc:creator>
		<pubDate>Sat, 21 Jun 2008 13:09:27 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.law.harvard.edu/doc/2008/06/19/differences/#comment-62448</guid>
		<description>I have hunger pains too, always had as long as I can remember. I know my osteopath does &quot;stuff&quot; to me (I say &quot;stuff&quot; because a lot of how this works is pretty mysterious to me) that relieves it for some time. I also know that the &quot;one spoonful of olive oil upon waking&quot; helps a lot.

I&#039;ve also been tested for acid reflux (some horrible nightmarish medical memories there) and came back negative. So... not linked to hunger pains. Still no real clue what they&#039;re caused by, and why what my osteopath does helps.</description>
		<content:encoded><![CDATA[<p>I have hunger pains too, always had as long as I can remember. I know my osteopath does &#8220;stuff&#8221; to me (I say &#8220;stuff&#8221; because a lot of how this works is pretty mysterious to me) that relieves it for some time. I also know that the &#8220;one spoonful of olive oil upon waking&#8221; helps a lot.</p>
<p>I&#8217;ve also been tested for acid reflux (some horrible nightmarish medical memories there) and came back negative. So&#8230; not linked to hunger pains. Still no real clue what they&#8217;re caused by, and why what my osteopath does helps.</p>
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		<title>By: jeneane</title>
		<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/comment-page-1/#comment-62115</link>
		<dc:creator>jeneane</dc:creator>
		<pubDate>Fri, 20 Jun 2008 16:32:05 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.law.harvard.edu/doc/2008/06/19/differences/#comment-62115</guid>
		<description>Doc, I&#039;m so glad to hear you are getting second/third/fourth opinions. There are pancreatic experts in your area - good ones. I know you&#039;ll get to them and that Joyce will get them on the case.

In the mean time, I&#039;m not sure when or where you&#039;ll eat, but I hope it goes smoothly. Seriously, like Suzi says, double-triple check what the dinner lady brings when it&#039;s time. I can&#039;t tell you how many times I&#039;ve been restricted from x/y/z and they wheel it on in at feeding time.

When I had my pseudomembraneous colitis deal after surgery, I didn&#039;t eat in the hospital for 8 days. I still remember the first cup of beef bullion broth. mmmmm ;-)

I&#039;m sorry you&#039;re in the midst of what looks to be a long process, but I am heartened to hear you have support and detectives looking for the best care.

You&#039;re in my prayers - believe that. :-)

jeneane</description>
		<content:encoded><![CDATA[<p>Doc, I&#8217;m so glad to hear you are getting second/third/fourth opinions. There are pancreatic experts in your area &#8211; good ones. I know you&#8217;ll get to them and that Joyce will get them on the case.</p>
<p>In the mean time, I&#8217;m not sure when or where you&#8217;ll eat, but I hope it goes smoothly. Seriously, like Suzi says, double-triple check what the dinner lady brings when it&#8217;s time. I can&#8217;t tell you how many times I&#8217;ve been restricted from x/y/z and they wheel it on in at feeding time.</p>
<p>When I had my pseudomembraneous colitis deal after surgery, I didn&#8217;t eat in the hospital for 8 days. I still remember the first cup of beef bullion broth. mmmmm <img src='http://blogs.law.harvard.edu/doc/wp-includes/images/smilies/icon_wink.gif' alt=';-)' class='wp-smiley' /> </p>
<p>I&#8217;m sorry you&#8217;re in the midst of what looks to be a long process, but I am heartened to hear you have support and detectives looking for the best care.</p>
<p>You&#8217;re in my prayers &#8211; believe that. <img src='http://blogs.law.harvard.edu/doc/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
<p>jeneane</p>
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		<title>By: lurkerfan</title>
		<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/comment-page-1/#comment-62064</link>
		<dc:creator>lurkerfan</dc:creator>
		<pubDate>Fri, 20 Jun 2008 14:03:53 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.law.harvard.edu/doc/2008/06/19/differences/#comment-62064</guid>
		<description>&quot;and there is a very real possibility that one of these cysts will turn into (or already is) pancreatic cancer. Nobody likes to say that, but there it is.&quot;

Doc, you are awesome.  Thanks for acknowledging the elephant in the room.  My mother died at age 80 of pancreatic cancer in 1984, diagnosed way too late for any hope of a cure.  So of course, it was the first thing I thought of in your case.  I&#039;m hoping medical research has figured out this body part by now.  

Although you don&#039;t know me, checking your blog daily is a much valued part of our day for both myself and my hubby.  We are pulling for you to get well.</description>
		<content:encoded><![CDATA[<p>&#8220;and there is a very real possibility that one of these cysts will turn into (or already is) pancreatic cancer. Nobody likes to say that, but there it is.&#8221;</p>
<p>Doc, you are awesome.  Thanks for acknowledging the elephant in the room.  My mother died at age 80 of pancreatic cancer in 1984, diagnosed way too late for any hope of a cure.  So of course, it was the first thing I thought of in your case.  I&#8217;m hoping medical research has figured out this body part by now.  </p>
<p>Although you don&#8217;t know me, checking your blog daily is a much valued part of our day for both myself and my hubby.  We are pulling for you to get well.</p>
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		<title>By: Ruby Sinreich</title>
		<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/comment-page-1/#comment-62058</link>
		<dc:creator>Ruby Sinreich</dc:creator>
		<pubDate>Fri, 20 Jun 2008 13:53:01 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.law.harvard.edu/doc/2008/06/19/differences/#comment-62058</guid>
		<description>Hey, I don&#039;t mind the details as long you make them so entertaining!  Glad to hear you are on the mend. Regards to your awesome support team.

We&#039;re thinking of you and your pancreas down here in NC...</description>
		<content:encoded><![CDATA[<p>Hey, I don&#8217;t mind the details as long you make them so entertaining!  Glad to hear you are on the mend. Regards to your awesome support team.</p>
<p>We&#8217;re thinking of you and your pancreas down here in NC&#8230;</p>
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		<title>By: Doc Searls</title>
		<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/comment-page-1/#comment-62037</link>
		<dc:creator>Doc Searls</dc:creator>
		<pubDate>Fri, 20 Jun 2008 12:48:28 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.law.harvard.edu/doc/2008/06/19/differences/#comment-62037</guid>
		<description>Sorry, Jeneane. I&#039;ll switch that appreciation over to you now. Blame the drugs. :-)

My wife has been my advocate, and our son has been off with friends at the beach, making that easier. She has lots of contacts with excellent medical folks on the outside, getting second, third, fourth and fifth opinions. These have been very helpful.

Remember that I was put in this condition by a diagnostic procedure that sought to find the nature of three cysts on my pancreas. It was inconclusive. So there is still much work to be done, and there is a very real possibility that one of these cysts will turn into (or already is) pancreatic cancer. Nobody likes to say that, but there it is. I hope we find that they&#039;re just old-person body junk (which I believe is the better chance), but we need to know.

And we will learn from this experience. There is no doubt that my path after this will go through the same health care system, but with a better hospital and some different doctors.

My sister and daughter both stand by to come in should my wife and kid head out to our home on the West Coast. This is good to know too. So we do have a team of sorts in place.</description>
		<content:encoded><![CDATA[<p>Sorry, Jeneane. I&#8217;ll switch that appreciation over to you now. Blame the drugs. <img src='http://blogs.law.harvard.edu/doc/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
<p>My wife has been my advocate, and our son has been off with friends at the beach, making that easier. She has lots of contacts with excellent medical folks on the outside, getting second, third, fourth and fifth opinions. These have been very helpful.</p>
<p>Remember that I was put in this condition by a diagnostic procedure that sought to find the nature of three cysts on my pancreas. It was inconclusive. So there is still much work to be done, and there is a very real possibility that one of these cysts will turn into (or already is) pancreatic cancer. Nobody likes to say that, but there it is. I hope we find that they&#8217;re just old-person body junk (which I believe is the better chance), but we need to know.</p>
<p>And we will learn from this experience. There is no doubt that my path after this will go through the same health care system, but with a better hospital and some different doctors.</p>
<p>My sister and daughter both stand by to come in should my wife and kid head out to our home on the West Coast. This is good to know too. So we do have a team of sorts in place.</p>
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		<title>By: Russell Nelson</title>
		<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/comment-page-1/#comment-61945</link>
		<dc:creator>Russell Nelson</dc:creator>
		<pubDate>Fri, 20 Jun 2008 06:27:42 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.law.harvard.edu/doc/2008/06/19/differences/#comment-61945</guid>
		<description>Doc, I had $X, and I did $Y, and it got all better, so I&#039;m sure you can do the same thing.

Insert appropriate metasyntactic variables FTW.

Looking forward to seeing you at OSCON, but there&#039;s no pressure.  Worst comes to worse I&#039;ll come visit you in Boston.</description>
		<content:encoded><![CDATA[<p>Doc, I had $X, and I did $Y, and it got all better, so I&#8217;m sure you can do the same thing.</p>
<p>Insert appropriate metasyntactic variables FTW.</p>
<p>Looking forward to seeing you at OSCON, but there&#8217;s no pressure.  Worst comes to worse I&#8217;ll come visit you in Boston.</p>
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		<title>By: jeneane</title>
		<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/comment-page-1/#comment-61901</link>
		<dc:creator>jeneane</dc:creator>
		<pubDate>Fri, 20 Jun 2008 03:23:14 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.law.harvard.edu/doc/2008/06/19/differences/#comment-61901</guid>
		<description>the advocate-suggestion person - that was me. 

I&#039;m watching and waiting and cheering and hoping that are doing better each day, Doc.

Do you have someone at the hospital nearly all the time with you? Because that&#039;s the way it has to be. For all the reasons Suzi mentions above. It&#039;s hard for the spouse to serve the advocate role solo -- especially if there is a child or children to care for at home. It takes an advocate to organize the outside-the-hospital help and the inside-the-hospital doctor/nurse/quality-of-care watch. 

It also takes that person to be in contact with an expert OUTSIDE of the facility you&#039;re in, because then and almost ONLY then -- when your doctors are faxing and phoning the outside doc you have consulting on the case because they have to -- do you have a sufficient level of accountability. Or &quot;transparency&quot; as the web would like to call it.

I am SO glad to see you posting and asking questions, Doc. The Sessums have been sending all our extra juice your way. You&#039;re headed in the right direction.

Now I&#039;m going to ask right here, right now: Besides visitors and well wishers, do you guys have anyone there coordinating, watching, and getting outside opinions 18 hours a day? If not, I say Jan should head your way.

Pretty pushy of me to say so. But I care. A lot. 

Please keep us posted.</description>
		<content:encoded><![CDATA[<p>the advocate-suggestion person &#8211; that was me. </p>
<p>I&#8217;m watching and waiting and cheering and hoping that are doing better each day, Doc.</p>
<p>Do you have someone at the hospital nearly all the time with you? Because that&#8217;s the way it has to be. For all the reasons Suzi mentions above. It&#8217;s hard for the spouse to serve the advocate role solo &#8212; especially if there is a child or children to care for at home. It takes an advocate to organize the outside-the-hospital help and the inside-the-hospital doctor/nurse/quality-of-care watch. </p>
<p>It also takes that person to be in contact with an expert OUTSIDE of the facility you&#8217;re in, because then and almost ONLY then &#8212; when your doctors are faxing and phoning the outside doc you have consulting on the case because they have to &#8212; do you have a sufficient level of accountability. Or &#8220;transparency&#8221; as the web would like to call it.</p>
<p>I am SO glad to see you posting and asking questions, Doc. The Sessums have been sending all our extra juice your way. You&#8217;re headed in the right direction.</p>
<p>Now I&#8217;m going to ask right here, right now: Besides visitors and well wishers, do you guys have anyone there coordinating, watching, and getting outside opinions 18 hours a day? If not, I say Jan should head your way.</p>
<p>Pretty pushy of me to say so. But I care. A lot. </p>
<p>Please keep us posted.</p>
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		<title>By: Suzi</title>
		<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/comment-page-1/#comment-61828</link>
		<dc:creator>Suzi</dc:creator>
		<pubDate>Thu, 19 Jun 2008 23:03:03 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.law.harvard.edu/doc/2008/06/19/differences/#comment-61828</guid>
		<description>Hi Doc-
I&#039;m so sorry that you are going thru this.  I, too, have my very worst acute pancreatitis attacks when I am hungry.  The theory is the digestive juices start up in the pancreas to help signal that you are hungry...and that is where that goes wrong for me...as my main pancreatic duct has been damaged.  So, it is playing Roulette on whether the hunger is going to nearly kill me...or if I can eat before it nearly kills me...or sometimes the food itself can trigger the attack.  I saw a post back a few days ago about having an advocate with you...whoever it was, they are right on!  When I have to go to the hospital, I am already so bad off I can hardly move.  Chris, my DH, stays with me and advocates for me.  The nurses have been known to tell me to brush my teeth (don&#039;t do that) they bring in broth and ask me to try (don&#039;t listen to them until you are feeling sure within yourself...and only you will know) I have been given too much pain meds and coded, I have had malfunctioning IV&#039;s, blow IV&#039;s even before meds get on board, and I do not notice a lot of this stuff..either I am in so much pain, or they gave me some pain meds...and I am out there in space somewhere thanking God for pain killers, and they try to make me drink contrast to get a CAT Scan (which I agrued and told them I wouldn&#039;t be able to keep it down...my hubby had to take a phone call and was gone 20 minutes tops...and that is when they came in and told me to drink it...I near saw him quite so angry before)  So, please, have someone or even several someones advocate for you...just to watch and observe things.  Pain meds can make the most determined people turn loopey.  If you would like to e-mail me, I would be happy to talk with you more about this.  I just want you to know that you are not alone...some differences, yes, but in all honesty, the medical community does NOT have a lot of answers when it comes to the pancreas.  Keep asking questions, keep probing them...maybe it will light a fire under one of those research doctors and they will finally figure out a few things.  Sending you healing vibes!
Hugs,
Suzi</description>
		<content:encoded><![CDATA[<p>Hi Doc-<br />
I&#8217;m so sorry that you are going thru this.  I, too, have my very worst acute pancreatitis attacks when I am hungry.  The theory is the digestive juices start up in the pancreas to help signal that you are hungry&#8230;and that is where that goes wrong for me&#8230;as my main pancreatic duct has been damaged.  So, it is playing Roulette on whether the hunger is going to nearly kill me&#8230;or if I can eat before it nearly kills me&#8230;or sometimes the food itself can trigger the attack.  I saw a post back a few days ago about having an advocate with you&#8230;whoever it was, they are right on!  When I have to go to the hospital, I am already so bad off I can hardly move.  Chris, my DH, stays with me and advocates for me.  The nurses have been known to tell me to brush my teeth (don&#8217;t do that) they bring in broth and ask me to try (don&#8217;t listen to them until you are feeling sure within yourself&#8230;and only you will know) I have been given too much pain meds and coded, I have had malfunctioning IV&#8217;s, blow IV&#8217;s even before meds get on board, and I do not notice a lot of this stuff..either I am in so much pain, or they gave me some pain meds&#8230;and I am out there in space somewhere thanking God for pain killers, and they try to make me drink contrast to get a CAT Scan (which I agrued and told them I wouldn&#8217;t be able to keep it down&#8230;my hubby had to take a phone call and was gone 20 minutes tops&#8230;and that is when they came in and told me to drink it&#8230;I near saw him quite so angry before)  So, please, have someone or even several someones advocate for you&#8230;just to watch and observe things.  Pain meds can make the most determined people turn loopey.  If you would like to e-mail me, I would be happy to talk with you more about this.  I just want you to know that you are not alone&#8230;some differences, yes, but in all honesty, the medical community does NOT have a lot of answers when it comes to the pancreas.  Keep asking questions, keep probing them&#8230;maybe it will light a fire under one of those research doctors and they will finally figure out a few things.  Sending you healing vibes!<br />
Hugs,<br />
Suzi</p>
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		<title>By: Geoff</title>
		<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/comment-page-1/#comment-61824</link>
		<dc:creator>Geoff</dc:creator>
		<pubDate>Thu, 19 Jun 2008 22:50:08 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.law.harvard.edu/doc/2008/06/19/differences/#comment-61824</guid>
		<description>Pleased you seemed to be on the mend. I went to a lecture on &#039;personalized medicine&#039; here in Cambridge UK, but as the guy said, would you be the first to take the pill that will cure all your ailments! Since it would be impossible to trial such a drug!</description>
		<content:encoded><![CDATA[<p>Pleased you seemed to be on the mend. I went to a lecture on &#8216;personalized medicine&#8217; here in Cambridge UK, but as the guy said, would you be the first to take the pill that will cure all your ailments! Since it would be impossible to trial such a drug!</p>
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		<title>By: lurkerfan</title>
		<link>http://blogs.law.harvard.edu/doc/2008/06/19/differences/comment-page-1/#comment-61806</link>
		<dc:creator>lurkerfan</dc:creator>
		<pubDate>Thu, 19 Jun 2008 21:12:44 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.law.harvard.edu/doc/2008/06/19/differences/#comment-61806</guid>
		<description>&quot;I’m winking at the Flyng Spaghtti Mnstr for ya Doc&quot;

And so am I.  We always knew you were different, Doc.  That&#039;s what makes you irreplaceable.

So get well, already.</description>
		<content:encoded><![CDATA[<p>&#8220;I’m winking at the Flyng Spaghtti Mnstr for ya Doc&#8221;</p>
<p>And so am I.  We always knew you were different, Doc.  That&#8217;s what makes you irreplaceable.</p>
<p>So get well, already.</p>
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