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Oct 25, 2017
11,971
Hillary didn't win because she was a bad candidate. It's not the voters fault if candidates don't win - it's the candidates themselves who failed to win the vote.

Blaming the voters will only lead to more defeats.
You as a voter should take a little personal responsibility and realize what your life is gonna be like if the other side did win.
 
Dec 31, 2017
7,087
Is there any value in her having beaten off pancreatic cancer before? Also WTH is a bile duct stent.

Again, it's really hard for me to surmise this without knowing the details of the cancer. There are various types that affect the pancreas. If her initial cancer (2009) was a ductal adenocarcinoma it's quite frankly a miracle she is alive. If it was a benign tumor then it's expected.

The common bile duct runs from the liver to the small intestine, where it meets up with the pancreatic duct; together they release their contents into the intestine. In the case of a tumor, the bile duct can get compressed or blocked off distally, in which case you can insert a hollow tube (stent) to prop it open.
 

thewienke

Member
Oct 25, 2017
15,936
Hopefully if she makes it to 2021 and Trump loses, Breyer sees the lesson here and also steps down as he's 81. I don't want to sit around and have ulcers again with Breyer 5-10 years from now.
 

painey

Member
Oct 27, 2017
3,604
In any sane society this poor woman gets to retire and spend her remaining time relaxing. The American political system is such a mess.
 

Maxim726x

Avenger
Oct 27, 2017
13,053
Hm I'm glad that she has tolerated treatment.

However I'm in the medical field, and a "malignant pancreatic tumor with bile duct stent placement," is a dire scenario for anyone, let alone someone that old.

If the wording used is accurate of course. None of us know the details of her diagnosis other than her physicians, and there are various different types of tumors that affect that region. I hope she hangs in there, but there is a very real scenario she can get seriously sick in the near future.

I'm not saying this to scare anyone, but it's my semi-professional hunch. It is all up to her however, and none of us should expect anything from her in her circumstances.

As someone who also works in the medical field... Yeah, this is usually a bad sign.

However, perhaps it's not a primary tumor. Maybe this was a metastases of the lung cancer she had treated last year.

If this is a primary pancreatic tumor, though? Yeah, that's a real problem.
 
Dec 31, 2017
7,087
As someone who also works in the medical field... Yeah, this is usually a bad sign.

However, perhaps it's not a primary tumor. Maybe this was a metastases of the lung cancer she had treated last year.

If this is a primary pancreatic tumor, though? Yeah, that's a real problem.

Yeah it's possible. But the fact that a lung met would be considered the better of two options should give us pause.
 

Euphoria

Member
Oct 25, 2017
9,514
Earth
Only a year or so away from election. God forbid something terrible happens and the seat opens up we should leave the opening for whoever is president come 2021.

Right?
 
Dec 31, 2017
7,087
Either scenario is bad.

However, one is considerably worse.

Yeah at the superficial glance that we have I agree.

I was taken aback by "malignant" tumor in the pancreas. Was expecting a Whipple procedure may have been done as it was in close proximity to the duct. However again this is just conjecture. Hoping that it's all good and she can speedily recover. She's definitely a fighter.
 

samoyed

Banned
Oct 26, 2017
15,191
In any sane society this poor woman gets to retire and spend her remaining time relaxing. The American political system is such a mess.
I want RGB to stay alive as much as any other Dem but she chose this back in 2014.


The calls for Ginsburg to step down began in 2011 when Randall Kennedy, a Harvard law professor and former clerk to the late Thurgood Marshall, wrote a piece in The New Republic gently urging Ginsburg, then 78, to retire while Obama was in office. (He had suggested the same of Justice Stephen Breyer, now 80.) Kennedy was publicly airing private concerns among Democrats that it could be Ginsburg's last chance to be replaced by a Democrat. "Justices Ginsburg and Breyer have enriched the nation with long, productive, admirable careers," he wrote. "Those, like me, who admire their service might find it hard to hope that they will soon leave the Court—but service comes in many forms, including making way for others."

Kennedy held up his old boss as a cautionary tale. Marshall's health problems forced him to retire during the administration of George H.W. Bush, who replaced the legendary civil rights lawyer with Clarence Thomas, a conservative ideologue who has spent his 27 years on the bench working to unravel virtually everything Marshall fought for. "If Justice Ginsburg departs the Supreme Court with a Republican in the White House," Kennedy wrote, "it is probable that the female Thurgood Marshall will be replaced by a female Clarence Thomas."
 
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zoltek

Member
Oct 25, 2017
1,917
Pancreas AND cancer is quite often a very very bad sign. If the mass in her lungs is from her pancreatic cancer, more likely than not we are talking terminal disease. As in months left. I wish her nothing but strength and as much joy as possible in the coming future.
 

Maxim726x

Avenger
Oct 27, 2017
13,053
Only a year or so away from election. God forbid something terrible happens and the seat opens up we should leave the opening for whoever is president come 2021.

Right?

Moscow Mitch salivating at another opportunity to fuck over the Democrats as we speak. It's what he lives for at this point. He doesn't care about legislating.
 

Euphoria

Member
Oct 25, 2017
9,514
Earth
Moscow Mitch salivating at another opportunity to fuck over the Democrats as we speak. It's what he lives for at this point. He doesn't care about legislating.

I said what I did only because that was the exact excuse used by Mitch when he refused to even have a vote for Garland.

Edit- I expect the answer from Mitch to be "That was only because at that time there was no incumbent."
 

Maxim726x

Avenger
Oct 27, 2017
13,053
Yeah at the superficial glance that we have I agree.

I was taken aback by "malignant" tumor in the pancreas. Was expecting a Whipple procedure may have been done as it was in close proximity to the duct. However again this is just conjecture. Hoping that it's all good and she can speedily recover. She's definitely a fighter.

Right. If a Whipple wasn't performed... One would have to assume it's not a primary tumor of the pancreas, no?
 

Nothing Loud

Literally Cinderella
Member
Oct 25, 2017
9,975
Pancreatic cancer... we are fucked.

She beat it 10 years ago and this news report confirms she beat it just now. She's an amazing combination of vigilant, active and optimistic. She rarely misses work, treats her cancer in her off time, and continues her schedule as normal, continually beating cancer every time they find it newly wrought on her body.

At this stage she's not dying from cancer. She's just so old that the likelihood of developing cancer is high, so they just attack it every time it shows up
 

VectorPrime

Banned
Apr 4, 2018
11,781
She beat it 10 years ago and this news report confirms she beat it just now. She's an amazing combination of vigilant, active and optimistic. She rarely misses work, treats her cancer in her off time, and continues her schedule as normal, continually beating cancer every time they find it newly wrought on her body.

At this stage she's not dying from cancer. She's just so old that the likelihood of developing cancer is high, so they just attack it every time it shows up

From your lips
 

Miles X

Banned
Oct 27, 2017
710
How did the GOP stop Obama before making a decision? Can the dems not do that now with control of the house?
 

samoyed

Banned
Oct 26, 2017
15,191
How did the GOP stop Obama before making a decision? Can the dems not do that now with control of the house?
They need the Senate to do it.

[The President] shall have Power, by and with the Advice and Consent of the Senate, to make Treaties, provided two thirds of the Senators present concur; and he shall nominate, and by and with the Advice and Consent of the Senate, shall appoint Ambassadors, other public Ministers and Consuls, Judges of the Supreme Court, and all other Officers of the United States
 

Fantastical

Member
Oct 27, 2017
5,365
As is everyone claiming what she should or shouldn't have done with her own life.

Staying or going is her choice.
I mean yes it is literally her choice but it shouldn't be shielded from criticism when her choice has a huge affect on the rest of the population.

Saying it is "her choice" is meaningless. Her choice has consequences and right now it's most of America having a panic attack when she sneezes. I sincerely hope that's the only consequence.
 
Dec 31, 2017
7,087
Right. If a Whipple wasn't performed... One would have to assume it's not a primary tumor of the pancreas, no?

I think that's too difficult to say from our vantage point. Could be a non-PDA that was simply in proximity to the duct but resectable without a whipple being necessary. The anatomy there can be highly variable.

Or worst case it's unresectable PDA and the stent is for comfort.
 

samoyed

Banned
Oct 26, 2017
15,191
You know how people occasionally say "actions have consequences" in the context of Trump, implying that "you should know better than to not vote D"?

Well it's like that with RGB. Yes, it's her choice, but it had consequences. She gambled on her legacy and the public will probably pay the price.
 

Nivash

Member
Oct 25, 2017
1,463
Yeah at the superficial glance that we have I agree.

I was taken aback by "malignant" tumor in the pancreas. Was expecting a Whipple procedure may have been done as it was in close proximity to the duct. However again this is just conjecture. Hoping that it's all good and she can speedily recover. She's definitely a fighter.

Yeah, the fact that they didn't do a Whipple is giving me pause. The only reason not to do one if it's a primary pancreatic cancer is pretty much that you've already decided that it's futile and opted for palliative treatment instead. Even more concerningly, placing a biliary duct stent is a common palliative treatment for pancreatic cancer...

I mean sure, it's all conjecture and all, but I really, really don't like what I'm reading in that article.
 
Dec 31, 2017
7,087
Yeah, the fact that they didn't do a Whipple is giving me pause. The only reason not to do one if it's a primary pancreatic cancer is pretty much that you've already decided that it's futile and opted for palliative treatment instead. Even more concerningly, placing a biliary duct stent is a common palliative treatment for pancreatic cancer...

I mean sure, it's all conjecture and all, but I really, really don't like what I'm reading in that article.

Yeah I agree, which is why I have a bad hunch. I've seen this type of story with similar circumstances a few times before. Would love to be wrong.
 

Euphoria

Member
Oct 25, 2017
9,514
Earth
I get people are worried but what does it mean when they say it was treated definitively? Even if she had a stent put in the verbiage makes it sound like the cancer was removed from the pancreas for now.
 

hockeypuck

Member
Oct 29, 2017
738
Right. If a Whipple wasn't performed... One would have to assume it's not a primary tumor of the pancreas, no?
She didn't get a Whipple. She most certainly got a distal panc/splenectomy a decade ago. How do I know this? Because there is no real "common bile duct" remaining after a Whipple. Plus it's hard as shit to do an ERCP after Whipple. IR can place a stent transhepatically, but the ducts would have to really dilated to do that. And that would be a really bad sign.

The other reason why I know she didn't get a Whipple is because the original pancreatic tumor was serendipitously found in the body, not the head. That's a distal panc. She certainly can have a recurrence affecting the head. Whether that's adenoCA, PNET, whatever, I would consider radiation treatment palliative or experimental.
 

Maxim726x

Avenger
Oct 27, 2017
13,053
Yeah, the fact that they didn't do a Whipple is giving me pause. The only reason not to do one if it's a primary pancreatic cancer is pretty much that you've already decided that it's futile and opted for palliative treatment instead. Even more concerningly, placing a biliary duct stent is a common palliative treatment for pancreatic cancer...

I mean sure, it's all conjecture and all, but I really, really don't like what I'm reading in that article.

Wouldn't you have to assume that it's not primary, then? I feel that she would a Whipple even if the odds for success were low, if this is indeed a primary tumor.

She didn't get a Whipple. She most certainly got a distal panc/splenectomy a decade ago. How do I know this? Because there is no real "common bile duct" remaining after a Whipple. Plus it's hard as shit to do an ERCP after Whipple. IR can place a stent transhepatically, but the ducts would have to really dilated to do that. And that would be a really bad sign.

The other reason why I know she didn't get a Whipple is because the original pancreatic tumor was serendipitously found in the body, not the head. That's a distal panc. She certainly can have a recurrence affecting the head. Whether that's adenoCA, PNET, whatever, I would consider radiation treatment palliative or experimental.

Wait, I'm confused- She was also treated for pancreatic CA in the past? I thought she was only treated for lung CA?
 

Relix

Member
Oct 25, 2017
6,219
For gods sake hold until January 2021 or we are forever doomed. It was such a mistake for Obama not to push through after Scalia died. Also, Moscow Mitch is an asshole, let's not forget that.
 

Nivash

Member
Oct 25, 2017
1,463
Yeah I agree, which is why I have a bad hunch. I've seen this type of story with similar circumstances a few times before. Would love to be wrong.

I'm thinking of the fourth patient I met when I started as a primary care doctor. Previously healthy 58 year old, referred her to a specialist on suspected pancreatic cancer the next day when I got the bloodwork back, radiology confirmed it within days after that. Too late anyway. Inoperable. Eventually got a biliary duct stent and palliative chemo. Dead within a year from me meeting her, almost to the day.

Fuck pancreatic cancer. Goddamn nightmare. She didn't even smoke or drink. Fucking thing just swooped in out of nowhere. I'm really. really, really hoping RBG has something else. ANYTHING else.

Wouldn't you have to assume that it's not primary, then? I feel that she would a Whipple even if the odds for success were low, if this is indeed a primary tumor.

No, Whipple is an absolutely mutilating procedure with poor odds of success. You only do it under optimal circumstances and even then if only you're almost completely certain it hasn't spread. If it has, all you risk accomplishing with it is making the patient's final months way more painful.
 
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Dec 31, 2017
7,087
She didn't get a Whipple. She most certainly got a distal panc/splenectomy a decade ago. How do I know this? Because there is no real "common bile duct" remaining after a Whipple. Plus it's hard as shit to do an ERCP after Whipple. IR can place a stent transhepatically, but the ducts would have to really dilated to do that. And that would be a really bad sign.

The other reason why I know she didn't get a Whipple is because the original pancreatic tumor was serendipitously found in the body, not the head. That's a distal panc. She certainly can have a recurrence affecting the head. Whether that's adenoCA, PNET, whatever, I would consider radiation treatment palliative or experimental.

Yeah agree, she definitely did not receive a whipple in her first resection, otherwise it is unlikely to have a stent placed now. It's the placement of the stent now that is alarming. Like you said a recurrence in the head would be bad, double so if it's PDA.