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  • Adam Lauer DO

Dr Lauer Medical Update June 21, 2024




Hello followers, patients, family and friends!


The past few weeks has been very busy seeking opinions for surgery. My wife Ellen and I visited with hepatopancreatobiliary surgeons and surgical oncologists at Johns Hopkins in Baltimore and Memorial Sloan Kettering in New York City last week. This week we were in Houston at MD Anderson Cancer Center.


I was declined for surgery at Sloan Kettering and MD Anderson. As you may recall, I was also declined for surgery at Mayo Clinic in Minnesota and Dana Farber in Boston. However, a very aggressive and competent pancreas surgeon at Johns Hopkins, Dr. Richard Burkhardt MD, has agreed to take on my challenging case !!!


Pre-operative visit is scheduled July 9th, for surgery on July 12th.


The operation is called the Whipple procedure. In this very complex surgery, the pancreas is removed, 1/3rd of stomach removed, all of the first portion of the small intestine (duodenum) is removed, gall bladder and gall bladder duct are removed. In my case, the portal vein is also removed and reconstructed. The superior mesenteric artery is removed/reconstructed. These vessels control blood to and from the small intestines, so they are very important to reconfigure. Vascular involvement is what makes my surgery so complex. Finally, the stomach and small intestine are reconstructed and reconnected. The liver duct is tied into the small intestine.


This is a blessing! I am extremely excited and looking forward to my surgery. This gives us the best chance for a long term remission or cure.


Could it fail? Yes it could. Could the tumor be too complex to be fully removed? Yes this is possible. Could I die from surgery or complications of surgery? Yes there is a significant risk of this happening, higher than the typical Whipple surgery due to the vascular complexities. Additionally I had very high dose radiation therapy at the Mayo Clinic which will cause scar tissue around the pancreas, possibly preventing completion of the surgery.


However with my positive attitude, my surgeon and his team's innovative capabilities, and our faith in God: Team Lauer believes I will do well and come through the other side of this procedure on July 12th. I will be in the Intensive Care Unit for 24-48 hours, and they will keep me in the hospital for at least 6-7 days if everything goes well. I will be out of work for 1-2 months to recover.


What are my future options if surgery is not successful? The benefit of now being connected with MD Anderson and Sloan Kettering is they have very exciting studies ongoing in the medication treatments of pancreas cancer. There are new immunotherapy drugs in the pipeline as well. They will keep me posted as new drug developments occur. Johns Hopkins is leading the way with surgical interventions, so I have very high confidence that Dr. Burkhardt and his team can help us.


I look forward to seeing you all in the office again sometime very soon. Thank you all for your patience, your prayers, and your support.


sincerely,

Adam

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15 comentários


dbrh_christensen
4 hours ago

Want you to know you are in our prayers and thoughts. Although we have never met, we have followed your progress through our son, and his family. God bless you and guide your surgeons for the best possible outcome. Peace and comfort for you all.

Tom and Deb Christensen

Curtir

tlc.cozycat
3 days ago

Just an extra prayer and thinking of you and your family 🙏 I believe you are in great hands and are loved and cared for by so many supporters ❤️ I have Faith that you and your doctors are going to bring you through this with great care and knowledge. You got this with your amazing strength and wonderful support system that will bring you through your recovery, to become a survivor! I look forward to hearing the good news that you are on your long journey to recovery🙏🙏❤️🙏🙏

Sincerely Tracy Cote

Curtir

Mark Martin
Mark Martin
3 days ago

Best of luck to you tomorrow Adam! We are praying for all to go well and for your successful recovery.


Mark and Lisa

Curtir

Tracy King
Tracy King
5 days ago

We all love you and your family, Adam. We are praying for God’s best, no matter what the outcome. We miss you and we can’t wait to celebrate your miracle healing here, there or in the air. Some things that are too big for us are NEVER too big for God. He loves you and your precious family infinitely more than we can comprehend. Smooth sailing-let the healing begin soon!!

Doug and Tracy King, Nate Colby Family, too.

Curtir

kryan965
6 days ago

Bob and I are keeping you and your family close in our thoughts and prayers.

With Dr Burkhardt’s abilities and your positive attitude you’ve got this!! Will be anxious to hear that it’s behind you. You’ve got this!!!

Curtir
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