>>BRUCE HAMILTON: TRIBUTES ARE POURING IN FOR A LONG TIME JEOPARDY HOST ALEX TREBEK’S HE
DIED AFTER A BATTLE WITH
PANCREATIC CANCER. KEN JENNINGS
CONSIDERED THE GREATEST PLAYER
OF ALL TIME SAID THIS ABOUT HER
BACK ON TWITTER
ALEX WASN’T JUST THE BEST EVER
AND WHAT HE DID HE WAS ALSO A
LOVELY AND DEEPLY DECENT MAN
AND I’M GRATEFUL FOR EVERY
MINUTE I GOT TO SPEND WITH HIM
THINKING ABOUT HIS FAMILY AND
HIS DEPUTY FAMILY WHICH IN A
WAY INCLUDED MILLIONS OF US.
JAMES HOLZHAUER ANOTHER FAMOUS
CONTESTED WROTE. IT WAS ONE OF
THE GREAT PRIVILEGES OF MY LIFE
TO SPEND TIME WITH THIS
COURAGEOUS MAN. WELL HE FOUGHT
THE BATTLE OF
HIS LIFE AND WITH A FORTUNE
HOST PAT SAJAK SAID THIS ABOUT
HIM ALEX TREBEK’S COURAGE GRACE
AND STRENGTH INSPIRED MILLIONS
IN ALL THOSE OF US WHO KNEW
HIM.
TRACKS FINAL SHOW AIRS
CHRISTMAS DAY IT IS UNCLEAR IF
OR WHEN THE SHOW WILL RETURN
AFTER THAT HE LIKE TO SAY BETTY
WHITE SHOULD REPLACE HIM AND HE
ALSO SAID HE’D LIKE TO SEE LA
KINGS ANNOUNCER ALEX FOSTER,
CNN LEGAL ANALYST LAURA COATS
HOST THE SHOW. HE CONTINUED
FILMING THROUGHOUT HIS CANCER
BATTLE AND HIS LAST DAY OF WORK
WAS LESS THAN
2 WEEKS AGO. PANCREATIC CANCER
HAS FEW SYMPTOMS AND OFTEN
DOESN’T REVEAL ITSELF UNTIL
IT’S IN ITS
ADVANCED STAGES. JOINING ME ON
THE MORNING SHOW DOCTOR HUSSEIN
ABBAS A SURGE IN AN EXPERT IN
GASTROINTESTINAL DISEASES, GOOD
MORNING.
GOOD MORNING. GOOD TO BE A
VIEWER’S PANCREATIC CANCER IS A
VERY AGGRESSIVE CANCER AND I
GUESS THE BEST WAY TO DESCRIBE
THE WAY IT ACTS IS IT TRIES TO
DIVIDE AND CONQUER. THAT’S
ACTUALLY VERY
>> AND THANKFULLY, IT’S NOT A
VERY COMMON WE LOOK AT THE
CANCER CITING NUMBERS.
IT’S ABOUT ONE 65 AMERICANS,
YOU KNOW WOULD BE DIAGNOSED
WITH PANCREATIC CANCER DURING
THEIR LIFE COURSE.
SO FOR EXAMPLE THIS YEAR WE’RE
GOING TO HAVE ABOUT 60,000
PANCREATIC NEWLY DIAGNOSE
PANCREATIC CANCER, BUT
UNFORTUNATELY AS YOU SAID IN
YOUR INTRO THAT 50,000 OF WILL
DIE FROM PANCREATIC CANCER.
SO I’M SORRY GO AHEAD, YES, GO
AHEAD. ANY IDEA WHAT CAUSES IT.
WE ACTUALLY DON’T KNOW EXACTLY WHAT CAUSES THAT THERE ARE A MYRIAD OF CAUSES
FOR PANCREATIC SOME OF
MORE GENETIC. SO WE DO KNOW IN
THE PARTICULAR POPULATION WHO
MORE PRONE TO I’M GETTING
GENETIC DISORDERS ANY OF THESE
PEOPLE WE CAN ACTUALLY SCREEN
EARLY BUT THE VAST MAJORITY
PEOPLE GET IT WE CALL SPORADIC
SO THERE REALLY IS NO ONE
SPECIFIC COURSE, BUT THERE ARE
ALSO ENVIRONMENTAL FACTORS SUCH
AS SMOKING. SO
SHE’S ALCOHOLISM. ALL OF THESE
CAN ACTUALLY CAUSE OR INCREASE
THE RISK OF ACTUALLY DEVELOPING
PANCREATIC CANCER. >>BRUCE HAMILTON: I MENTIONED THE SYMPTOMS USUALLY APPEAR
LATE WHEN THEY DO WHAT
ARE THEY.
>> SURE THAT IS CORRECT AND
THAT IS THE PROBLEM WITH
PANCREATIC CANCER IS ARE
REVEALED VERY LATE
IT AND THEY’RE VERY NONSPECIFIC
SO FULLNESS.
WEIGHT LOSS. AND YOU DON’T
IF ACTUALLY IT OCCURS IN A
PARTICULAR PART OF THE
PANCREAS. WE CAN ACTUALLY
NOTICE JOHN THIS IS WHAT’S YOU
KNOW, BASICALLY WHAT PATIENTS
WILL NOTICE A DAY THEY’RE GOING
TO YELLOW THEY NOTICE THAT
THEIR I D WHITENESS OF THE EYE
STARTS BECOMING
ON YELLOW, AND THAT IS BECAUSE
THE TUMOR HAS ACTUALLY BLOCK
THE OUTFLOW
FROM DELIVER THE THE BOTTLE IS
BACKING UP IN THE SYSTEM.
SO THAT’S ONE OF THE EARLY
SIGNS THAT WE CAN ACTUALLY SEE
BUT IT DOESN’T NECESSARILY HAVE
TO BE THERE BECAUSE THE
PANCREAS IT’S FAIRLY TOWARDS
THE BACK OF THE ABDOMEN.
SO IT DOESN’T CAUSE ANY
SYMPTOMS UNTIL FAIRLY LATE AS
YOU DESCRIBED HOW ABOUT
TREATMENTS AND WHAT’S THE
SUCCESS RATE IN FIGHTING
PANCREATIC CANCER, SUE IT THIS
IS REALLY DEPENDS ON WHEN AND
AT WHAT STAGE IT’S ACTUALLY THE
PROBLEM WITH PANCREATIC CANCER
IS IF WE CANNOT FIND
IT EARLY. AND IT DOES NOT MAKE
ANY COST EFFECTIVE SENSE TO
ACTUALLY SCREEN EVERYBODY
BECAUSE USUALLY SCREENING
INVOLVES IMAGING SO
THINGS OUR EYES OF THE
AFTERNOON OR CAT SCANS OF THE
AFTERNOON OR SOMETHING CALL IN
THIS
TOPIC ULTRASOUNDS.
UNFORTUNATELY BECAUSE IF THERE
IS WE DID THE FEAR OF RISK OF
RADIATION DOES NOT MAKE SENSE
TO ACTUALLY RADIATE A LARGE
NUMBER OF PATIENTS TO SCREEN
FOR
THE TUMOR. ONCE WE FIND THE
DISEASE, IT DEPENDS WHAT STAGE
OF IS THE BEST OPTION OR THE
BEST SUCCESS RATE WOULD USUALLY
BE ACTUALLY REACH SECTION.
SO FOR EXAMPLE IN THE CASE JUST
GINSBURG. SHE WAS ACTUALLY
BEING SCREENED FOR OTHER
CONDITION BECAUSE AS SHE WAS
RECOVERING FROM HER. LONG
BREAST CANCERS.
BUT WHAT HAPPENED IS THEY FOUND
A TUMOR FAIRLY EARLY ON AND SO
WHEN THEY RESPECTED SHE
ACTUALLY SURVIVE FOR A DECADE
AFTER THAT.
AND NEW PROTOCOLS ANYTHING THAT
OFFERS PROMISE ON THE HORIZON
ACTUALLY SO THERE YOU KNOW
BECAUSE IT’S A DIFFICULT
DISEASE TO TO FIND THEIR
MULTIPLE IMPROVEMENTS ACTUALLY
STARTING FROM THE SURGICAL
WHERE WE PERFORM MINIMALLY
INVASIVE SURGERY, SPECIFICALLY
ROBOTIC SURGERY TO TRY AND
IMPROVE RECOVERY. BUT ON THE
OTHER HAND WE ALSO HAVE
TARGETED THERAPIES SUCH AS
IMMUNOTHERAPIES THERE OF COURSE
SPECIFIC CANCER CHEMOTHERAPIES
THAT WE HAVE
AND ALSO RADIATION WAS
EXPERIMENTING WITH RADIATION.
AS YOU SAID THIS IS GOING TO BE
A MULTI
ATTACK AND GENERALLY ANYBODY
WHO IS ACTUALLY DIAGNOSED WITH
THIS DISEASE IS USUALLY MANAGED
BY MULTIPLE SPECIALISTS AT THE