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	<title>Comments on: Deciding on a treatment plan</title>
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		<title>By: Baseball Regulation</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2008/06/02/deciding-on-a-treatment-plan/#comment-6974</link>
		<dc:creator>Baseball Regulation</dc:creator>
		<pubDate>Wed, 04 Feb 2009 08:10:06 +0000</pubDate>
		<guid isPermaLink="false">http://cnnpagingdrgupta.wordpress.com/?p=48#comment-6974</guid>
		<description>You fell? You&#039;d better be careful next time. =) My friend had an injured knee due to a fall while playing baseball. Now we lost a player :(</description>
		<content:encoded><![CDATA[<p>You fell? You&#039;d better be careful next time. =) My friend had an injured knee due to a fall while playing baseball. Now we lost a player <img src='http://s.wordpress.com/wp-includes/images/smilies/icon_sad.gif' alt=':(' class='wp-smiley' /> </p>
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		<title>By: Petreccia Samuels</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2008/06/02/deciding-on-a-treatment-plan/#comment-3205</link>
		<dc:creator>Petreccia Samuels</dc:creator>
		<pubDate>Wed, 10 Sep 2008 18:11:55 +0000</pubDate>
		<guid isPermaLink="false">http://cnnpagingdrgupta.wordpress.com/?p=48#comment-3205</guid>
		<description>Dr. Gupta my daughter was diognosed with asteoartrhitis last year. She is 13 yrs old. Two years ago she fell on her hip and we just did not think of it as anything untill she started walking lean and feeling pain at the same time. I took her to the a physician here in Jamaica, his name is Dr. Adolpho Mena not a native of Jamica. Of course he did the necessary exams and xrays and we were told that she had this disease and after getting other opinions we were told that she would never walk  normal again and that there was nothing that could be done. That was very painful to hear, but we of course believe strongly in the almighty father above and believe that she will be healed oneday. So here i am asking your oppinion on this matter and to find out if there is anything that can be done. Please help me it is really stressful for a teen to be going through this situation.</description>
		<content:encoded><![CDATA[<p>Dr. Gupta my daughter was diognosed with asteoartrhitis last year. She is 13 yrs old. Two years ago she fell on her hip and we just did not think of it as anything untill she started walking lean and feeling pain at the same time. I took her to the a physician here in Jamaica, his name is Dr. Adolpho Mena not a native of Jamica. Of course he did the necessary exams and xrays and we were told that she had this disease and after getting other opinions we were told that she would never walk  normal again and that there was nothing that could be done. That was very painful to hear, but we of course believe strongly in the almighty father above and believe that she will be healed oneday. So here i am asking your oppinion on this matter and to find out if there is anything that can be done. Please help me it is really stressful for a teen to be going through this situation.</p>
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		<title>By: Cynthia</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2008/06/02/deciding-on-a-treatment-plan/#comment-2942</link>
		<dc:creator>Cynthia</dc:creator>
		<pubDate>Sat, 16 Aug 2008 08:01:50 +0000</pubDate>
		<guid isPermaLink="false">http://cnnpagingdrgupta.wordpress.com/?p=48#comment-2942</guid>
		<description>I have been following Ted Kennedy&#039;s tumor situation very closely, as it hits very close to home for me. My mother (age 65) was diagnosed with a GBM in Nov. &#039;06. After a resection (surgery), her recovery was slow, and she was not strong enough to start chemo and radiation until 7 weeks after surgery - and by then her tumor had grown back. After the treatments had weakened her sufficiently, the cancer won the battle 4 months later - in April &#039;07.

(I agree with Ed, who mentioned earlier, that the news about TK&#039;s prognosis seems overly positive. It is very rare for someone with a GBM or stage IV malignant glioma - I think this is what he has - to live much beyond a year. And with his advanced age, his prognosis worsens. I wish the media would report the probability of what may come and maybe this would help publicize the need to put more money into researching a cure and/or prevention of brain cancer - and other cancers - altogether.)

The decision about where to go and what to do with the information that you or a loved one has been diagnosed with a serious brain tumor is a difficult one. I did lots of research online, and reviewed top 10 lists on best cancer centers and best neurology and neurosurgery centers in the US. Considering the seriousness and time sensitivity of my mother&#039;s illness, we knew there was no time to be going all over the country. Luckily, one of the best treatment centers for brain tumors was less than a 2 hour drive away from her  home - UCLA. As far as getting in to see the best surgeons, we are not a famous or an exceptionally rich family, but we are persistent. I just called and called and called. I spoke to everyone I knew that might know someone that could get her in quicker. After diagnosis, we met with 4 neurosurgeons within 2 weeks and her surgery happened right after that. Very quick. Because we could see how fast the tumor was growing by my mothers increasing symptoms.

My mother&#039;s insurance did not cover her surgery or any treatments done at UCLA, but luckily my parents could afford to cover the surgery out of pocket. One thing we found out was that if you have no insurance, or are going to an out of network provider, ASK FOR A DISCOUNT! My father got sometimes up to 40% off the regular price of the various services because he was not going through insurance. The chemo and radiation was done at a place in network, so all of that was covered.

My biggest advice for anyone having to make these, literally, life or death decisions is do as much research as you can on doctors, treatments, meds, etc. (by internet, books, National Brain Tumor Institute, American Brain Tumor Society, anyone in the medical community you know), and don&#039;t be afraid to ask lots of questions and be a pest (a nice pest) by calling and leaving multiple messages, if necessary, to get your questions answered or get that appointment you need.

Good luck. Hope this helps.</description>
		<content:encoded><![CDATA[<p>I have been following Ted Kennedy&#039;s tumor situation very closely, as it hits very close to home for me. My mother (age 65) was diagnosed with a GBM in Nov. &#039;06. After a resection (surgery), her recovery was slow, and she was not strong enough to start chemo and radiation until 7 weeks after surgery &#8211; and by then her tumor had grown back. After the treatments had weakened her sufficiently, the cancer won the battle 4 months later &#8211; in April &#039;07.</p>
<p>(I agree with Ed, who mentioned earlier, that the news about TK&#039;s prognosis seems overly positive. It is very rare for someone with a GBM or stage IV malignant glioma &#8211; I think this is what he has &#8211; to live much beyond a year. And with his advanced age, his prognosis worsens. I wish the media would report the probability of what may come and maybe this would help publicize the need to put more money into researching a cure and/or prevention of brain cancer &#8211; and other cancers &#8211; altogether.)</p>
<p>The decision about where to go and what to do with the information that you or a loved one has been diagnosed with a serious brain tumor is a difficult one. I did lots of research online, and reviewed top 10 lists on best cancer centers and best neurology and neurosurgery centers in the US. Considering the seriousness and time sensitivity of my mother&#039;s illness, we knew there was no time to be going all over the country. Luckily, one of the best treatment centers for brain tumors was less than a 2 hour drive away from her  home &#8211; UCLA. As far as getting in to see the best surgeons, we are not a famous or an exceptionally rich family, but we are persistent. I just called and called and called. I spoke to everyone I knew that might know someone that could get her in quicker. After diagnosis, we met with 4 neurosurgeons within 2 weeks and her surgery happened right after that. Very quick. Because we could see how fast the tumor was growing by my mothers increasing symptoms.</p>
<p>My mother&#039;s insurance did not cover her surgery or any treatments done at UCLA, but luckily my parents could afford to cover the surgery out of pocket. One thing we found out was that if you have no insurance, or are going to an out of network provider, ASK FOR A DISCOUNT! My father got sometimes up to 40% off the regular price of the various services because he was not going through insurance. The chemo and radiation was done at a place in network, so all of that was covered.</p>
<p>My biggest advice for anyone having to make these, literally, life or death decisions is do as much research as you can on doctors, treatments, meds, etc. (by internet, books, National Brain Tumor Institute, American Brain Tumor Society, anyone in the medical community you know), and don&#039;t be afraid to ask lots of questions and be a pest (a nice pest) by calling and leaving multiple messages, if necessary, to get your questions answered or get that appointment you need.</p>
<p>Good luck. Hope this helps.</p>
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		<title>By: Ed</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2008/06/02/deciding-on-a-treatment-plan/#comment-1670</link>
		<dc:creator>Ed</dc:creator>
		<pubDate>Mon, 09 Jun 2008 12:26:19 +0000</pubDate>
		<guid isPermaLink="false">http://cnnpagingdrgupta.wordpress.com/?p=48#comment-1670</guid>
		<description>10 years from now, brain tumors will be raking in a lot of money for
hospitals and doctors in this field. With the heavy use of cell phone these days, brain tumors will sky rocket in the future. 
Sad, but true.</description>
		<content:encoded><![CDATA[<p>10 years from now, brain tumors will be raking in a lot of money for<br />
hospitals and doctors in this field. With the heavy use of cell phone these days, brain tumors will sky rocket in the future.<br />
Sad, but true.</p>
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		<title>By: Jacqueline Skubal</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2008/06/02/deciding-on-a-treatment-plan/#comment-1638</link>
		<dc:creator>Jacqueline Skubal</dc:creator>
		<pubDate>Thu, 05 Jun 2008 01:29:42 +0000</pubDate>
		<guid isPermaLink="false">http://cnnpagingdrgupta.wordpress.com/?p=48#comment-1638</guid>
		<description>Since May 23, 1992 we have been on a journey for answers as to how to help our daughter recover from her Floppy Baby Syndrome diagnosis. The reasons we found for this diagnosis were not the ones we expected.  This treatment plan seems to work on what the next issue we needed to address was.

After our daughter’s birth we had concerns regarding the causes for her Floppy Baby Syndrome. Floppy Baby Syndrome means she had low tone in her muscles and she felt like a rag doll when held. We went to two specialists who were unable to explain her rapid growth and low muscle tone.

We found allergy and asthma issues and developed a plan for dealing with them. Through her love of music and reading music we explore a language problem that focuses on navigation terms like prepositions in music therapy.

This March, our daughter saw a physical therapist to figure out her right side problem. Her muscles should work in pairs but they don’t when her calf muscles contracts, the shin muscles should relax. Her right side stays contracted so it needs to exercise to get these muscles relax more.  The only way we can retrain the muscles is through walking and daily exercises at home prescribed by the physical therapist that we presently do and trips to the exercise club.   So what our daughter is trying to do is strengthen up her right side and get the muscles to work together contracting and relaxing the way they should. Her left side is overly strong so the focus will be to get the right side stronger and get both sides of her body to work better together.


Our daughter’s learning style is best worked with on one to one bases. Her diet restrictions are less then when we first started this journey. We have found at least one genetic disorder that maybe one of the causes. This is how a treatment plan works for our daughter’s health issues.</description>
		<content:encoded><![CDATA[<p>Since May 23, 1992 we have been on a journey for answers as to how to help our daughter recover from her Floppy Baby Syndrome diagnosis. The reasons we found for this diagnosis were not the ones we expected.  This treatment plan seems to work on what the next issue we needed to address was.</p>
<p>After our daughter’s birth we had concerns regarding the causes for her Floppy Baby Syndrome. Floppy Baby Syndrome means she had low tone in her muscles and she felt like a rag doll when held. We went to two specialists who were unable to explain her rapid growth and low muscle tone.</p>
<p>We found allergy and asthma issues and developed a plan for dealing with them. Through her love of music and reading music we explore a language problem that focuses on navigation terms like prepositions in music therapy.</p>
<p>This March, our daughter saw a physical therapist to figure out her right side problem. Her muscles should work in pairs but they don’t when her calf muscles contracts, the shin muscles should relax. Her right side stays contracted so it needs to exercise to get these muscles relax more.  The only way we can retrain the muscles is through walking and daily exercises at home prescribed by the physical therapist that we presently do and trips to the exercise club.   So what our daughter is trying to do is strengthen up her right side and get the muscles to work together contracting and relaxing the way they should. Her left side is overly strong so the focus will be to get the right side stronger and get both sides of her body to work better together.</p>
<p>Our daughter’s learning style is best worked with on one to one bases. Her diet restrictions are less then when we first started this journey. We have found at least one genetic disorder that maybe one of the causes. This is how a treatment plan works for our daughter’s health issues.</p>
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		<title>By: Phil</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2008/06/02/deciding-on-a-treatment-plan/#comment-1625</link>
		<dc:creator>Phil</dc:creator>
		<pubDate>Wed, 04 Jun 2008 19:40:57 +0000</pubDate>
		<guid isPermaLink="false">http://cnnpagingdrgupta.wordpress.com/?p=48#comment-1625</guid>
		<description>In our family&#039;s experience the decision was based on the need for a surgery right away, so traveling far away to find the best in the country was not an option. if your family member is diagnosed at an early stage you have more options. my father survived surgery and regained speech to a limited extent, and was able to meet his 2nd grandson, before the tumor returned, inoperable.</description>
		<content:encoded><![CDATA[<p>In our family&#039;s experience the decision was based on the need for a surgery right away, so traveling far away to find the best in the country was not an option. if your family member is diagnosed at an early stage you have more options. my father survived surgery and regained speech to a limited extent, and was able to meet his 2nd grandson, before the tumor returned, inoperable.</p>
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		<title>By: Gary</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2008/06/02/deciding-on-a-treatment-plan/#comment-1620</link>
		<dc:creator>Gary</dc:creator>
		<pubDate>Wed, 04 Jun 2008 16:23:48 +0000</pubDate>
		<guid isPermaLink="false">http://cnnpagingdrgupta.wordpress.com/?p=48#comment-1620</guid>
		<description>It is often difficult to identify the &quot;best&quot; doctor. Often physicians who have published extensively may be very good academically and researchers but lacking in technical skills or  personal  skills. Likewise,  many physicians in  community hospitals while they may not be  well published yet they are very skillful,  knowledgeable and know how to interact with patients and their families. In short, looking at a list is no substitute for  actually meeting with a physician, talking to them and talking to other patients who had  both good and bad experiences. Same goes for the hospital and staff.</description>
		<content:encoded><![CDATA[<p>It is often difficult to identify the &#034;best&#034; doctor. Often physicians who have published extensively may be very good academically and researchers but lacking in technical skills or  personal  skills. Likewise,  many physicians in  community hospitals while they may not be  well published yet they are very skillful,  knowledgeable and know how to interact with patients and their families. In short, looking at a list is no substitute for  actually meeting with a physician, talking to them and talking to other patients who had  both good and bad experiences. Same goes for the hospital and staff.</p>
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		<title>By: Robert</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2008/06/02/deciding-on-a-treatment-plan/#comment-1618</link>
		<dc:creator>Robert</dc:creator>
		<pubDate>Wed, 04 Jun 2008 16:10:31 +0000</pubDate>
		<guid isPermaLink="false">http://cnnpagingdrgupta.wordpress.com/?p=48#comment-1618</guid>
		<description>It is wonderful that Teddy will get the best care in the world, but what else do you expect from a member of congress who enjoys the best health care plan in the world, and also a member of a very wealthy family. 

A lot of us have health care plans that are stingey with what should be slam dunk treatments for things like high blood pressure or scratched corena. I&#039;ve had the insurance company refuse to cover my treatment for an eye injury to remove a chuck of metal from the cornea.  Give you three guesses what they would do with a brain tumor like Mr. Kennedy.

The sad fact would be that my course of treatment would be to make my peace with God and try to get my affairs in order before the cancer killed me.  Surgury, chemo and radiation are kinda out of my budget range when I struggle to pay the bills.  I can&#039;t work, I can&#039;t afford to stretch my life.  The only real choice would be a choice to try and live a few more months or just end it before things got nasty.</description>
		<content:encoded><![CDATA[<p>It is wonderful that Teddy will get the best care in the world, but what else do you expect from a member of congress who enjoys the best health care plan in the world, and also a member of a very wealthy family. </p>
<p>A lot of us have health care plans that are stingey with what should be slam dunk treatments for things like high blood pressure or scratched corena. I&#039;ve had the insurance company refuse to cover my treatment for an eye injury to remove a chuck of metal from the cornea.  Give you three guesses what they would do with a brain tumor like Mr. Kennedy.</p>
<p>The sad fact would be that my course of treatment would be to make my peace with God and try to get my affairs in order before the cancer killed me.  Surgury, chemo and radiation are kinda out of my budget range when I struggle to pay the bills.  I can&#039;t work, I can&#039;t afford to stretch my life.  The only real choice would be a choice to try and live a few more months or just end it before things got nasty.</p>
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		<title>By: Dr.Alokesh Bagchi,MS,FAIS,FICS.</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2008/06/02/deciding-on-a-treatment-plan/#comment-1616</link>
		<dc:creator>Dr.Alokesh Bagchi,MS,FAIS,FICS.</dc:creator>
		<pubDate>Wed, 04 Jun 2008 15:16:26 +0000</pubDate>
		<guid isPermaLink="false">http://cnnpagingdrgupta.wordpress.com/?p=48#comment-1616</guid>
		<description>Respected Dr Gupta, Came to know about you, from Indian Newspaper Times Of India, Delhi dt.04/06/08. I was a Active Laproscopic Surgeon , in active practice from 1986. last April 20 tha i was diagnosed to have Left Auditory tumour, with CP angle Compression. I was further investigated a nd Surgery( Left Craniectomy with Subtotal Tumour Decompression wasdone at Apollo Hospitals Delhi. Post operative period was uneventful. Now i am on Radiotherapy 5 days a week X 5 weeks. My active life is shattered. I was a heavy Cellphone User from the Last 10 years(1998). Should we raise our voice to make people aware of this dangerous gadget, that too when Rev Kennedy too seems to have it.
Please advice.
Regards</description>
		<content:encoded><![CDATA[<p>Respected Dr Gupta, Came to know about you, from Indian Newspaper Times Of India, Delhi dt.04/06/08. I was a Active Laproscopic Surgeon , in active practice from 1986. last April 20 tha i was diagnosed to have Left Auditory tumour, with CP angle Compression. I was further investigated a nd Surgery( Left Craniectomy with Subtotal Tumour Decompression wasdone at Apollo Hospitals Delhi. Post operative period was uneventful. Now i am on Radiotherapy 5 days a week X 5 weeks. My active life is shattered. I was a heavy Cellphone User from the Last 10 years(1998). Should we raise our voice to make people aware of this dangerous gadget, that too when Rev Kennedy too seems to have it.<br />
Please advice.<br />
Regards</p>
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		<title>By: Pat</title>
		<link>http://pagingdrgupta.blogs.cnn.com/2008/06/02/deciding-on-a-treatment-plan/#comment-1615</link>
		<dc:creator>Pat</dc:creator>
		<pubDate>Wed, 04 Jun 2008 14:37:55 +0000</pubDate>
		<guid isPermaLink="false">http://cnnpagingdrgupta.wordpress.com/?p=48#comment-1615</guid>
		<description>My mother  (age 73) was diagnosed with a GBM in February.  She had a craniotomy to remove most of the tumor from the right side of her head.  It has been difficult to get any real information from the doctors as they seem to be reluctant to give patients bad news.  She started radiation and suffered a Cerebrial Spinal Fluid leak after just twelve treatments.  This has required two additional surgeries to seal the leak.  Currently she has lost most of her motor and emotional functions and her prognosis appears to be grim. 
 
For patients who are not wealthy or famous, it is much more difficult to obtain comprehensive care.  I&#039; m not sure that universal health care is the answer as it is likely that those individuals who have a poor expected outcome would not be treated as the available care could be rationed.</description>
		<content:encoded><![CDATA[<p>My mother  (age 73) was diagnosed with a GBM in February.  She had a craniotomy to remove most of the tumor from the right side of her head.  It has been difficult to get any real information from the doctors as they seem to be reluctant to give patients bad news.  She started radiation and suffered a Cerebrial Spinal Fluid leak after just twelve treatments.  This has required two additional surgeries to seal the leak.  Currently she has lost most of her motor and emotional functions and her prognosis appears to be grim. </p>
<p>For patients who are not wealthy or famous, it is much more difficult to obtain comprehensive care.  I&#039; m not sure that universal health care is the answer as it is likely that those individuals who have a poor expected outcome would not be treated as the available care could be rationed.</p>
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