https://threadreaderapp.com/thread/1198673505702727680.html?refreshed=yes

RBG status update 11/24/19

0/ I posted several tweets yesterday on the current hospitalization of SC justice RBG, which were not easy to view. Hence, reposting them below, followed by more of my analysis of the situation.

1/ To follow up my post from 10 days ago, it seems that the "stomach bug" is not going away. Of course they are hiding the underlying pancreatic CA that is now likely growing at the margins of the radiation ablation treatment.

Justice Ruth Bader Ginsburg hospitalized for treatment of chills and fever

Supreme Court Justice Ruth Bader Ginsburg was hospitalized after experiencing chills and fever, the court said Saturday.

http://www.startribune.com/ginsburg-hospitalized-for-treatment-of-chills-and-fever/565384112/

au ng

@athein1

I mentioned the following back in Aug. Now, she is apparently having a "stomach bug." That means GI symptoms and in her case, worrisome for the recurrence of pancreatic CA. Wish her the best and hope she retires soon to take care of her health. https://thehill.com/regulation/court-battles/470241-ginsburg-misses-supreme-court-arguments-due-to-illness … https://twitter.com/athein1/status/1166185367763992576 …

Ginsburg misses Supreme Court arguments due to illness

Supreme Court Justice Ruth Bader Ginsburg on Wednesday missed oral arguments due to a stomach bug.

thehill.com

au ng

@athein1

Replying to @athein1

6/ Given the typical course of pancreatic adenocarcinoma, it would take 3 to 6 months before the tumor recurs at the margin and usually with a vengeance. (Why don't I think she has a more slow growing islet cell tumors? -----

18

12:13 PM - Nov 13, 2019

Twitter Ads info and privacy

See au ng's other Tweets

2/ Their goal 3 months ago appeared to be not for the cure, but for stretching her functional lifespan to as close to 2020 summer as possible, by which time confirming her replacement would become more politically challenging (as getting too close to Nov.)

3/ Now, it's becoming harder to control their narrative as the cancer recurs with the vengeance at the margins. The fact that she's having fever and chills (signs of a systemic infection) suggests that the tumor has invaded into adjacent vital organs such as liver,biliary tree...

4/ or it could also mean her tumor is now reblocking her biliary tree (recall that she got a biliary stent placed in Aug). Blocked biliary ducts can cause sepsis leading to fever and chills. If she is having a reblockage despite an existing stent, her prognosis is not good.

5/ I mentioned 3 months ago that I'd be very happy for her if she is still out and about by X'mas. I'm sorry for her that my concerns weren't misplaced. I now have grave concerns for her that the chances of her recovery from this are slim to nil.

au ng

@athein1

I'd be very happy for her if she's still in this same condition come X'mas. https://twitter.com/thehill/status/1167846664423583744 …

The Hill

✔

@thehill

"This audience can see I am alive. And I am on my way to being very well."

Justice Ruth Bader Ginsburg speaks at 2019 Library of Congress National Book Festival.

Embedded video

3

7:22 PM - Aug 31, 2019

Twitter Ads info and privacy

See au ng's other Tweets

6/ If she were an ordinary person, we would be talking about hospice referral and management of end of life affairs. As before, I wish her all the best and hope she could enjoy her precious final moments with her loved ones.

7/ Another point: you don't ordinarily transfer a patient with routine infection to JHH 50 mi away, especially because Sibley is a perfectly capable hospital. This indicates that there is something serious going on.

au ng

@athein1

7/ Another point: you don't ordinarily transfer a patient with routine infection to JHH 50 mi away, especially because Sibley is a perfectly capable hospital. This indicates that there is something serious going on. pic.twitter.com/eYrJ6dRJMB https://twitter.com/athein1/status/1198420760554926080 …

View image on Twitter

au ng

@athein1

6/ If she were an ordinary person, we would be talking about hospice referral and management of end of life affairs. As before, I wish her all the best and hope she could enjoy her precious final moments with her loved ones. https://twitter.com/athein1/status/1198420508661862400 …

13

6:31 PM - Nov 23, 2019

Twitter Ads info and privacy

See au ng's other Tweets

8/ Upon further review, there are a few possible causes of her symptoms (GI symptoms followed by fever and chills). It could simply be that her stent was blocked or was failing. If that was the case, she would already have gotten a new stent by now at JHH. .....

9/ But how about her tumor? She got just the radiation treatment back in Aug. That most likely didn't have clean margins. She got no chemo. Over the past 3 months, the tumor was sure to regrow at these margins. ........

10/ These must be contributing to this most recent bout of biliary obstruction and sepsis. Now, the radiation treatment is no longer a good option. The growing tumor would likely continue to invade the adjacent vital structures and metastasize. .....

11/ She must be feeling very tired and painful from all these. There is no way she can function normally on the court in the very near future. I would predict she will have to leave the SC in the next 3 to 6 months. Best of luck to her.

(http://www.autoadmit.com/thread.php?thread_id=4388767&forum_id=2#39170871)

There are some similarities and some differences between Trebek's and RBG's cases. The similarities are that they both have pancreatic cancers (both probably have ductal adenocarcinomas, likely stage IV.) ...

The OG Hillbilly

@LauraLMonroe33

Not sure who this person is but this thread on RBG makes sense from a clinical perspective. Compare her pancreatic cancer to that of Alex Trebek. The media would have you believe she made a full recovery... https://twitter.com/athein1/status/1198673505702727680 …

au ng

@athein1

RBG status update 11/24/19

0/ I posted several tweets yesterday on the current hospitalization of SC justice RBG, which were not easy to view. Hence, reposting them below, followed by more of my analysis of the situation.

11

2:05 PM - Nov 24, 2019

Twitter Ads info and privacy

See The OG Hillbilly's other Tweets

2/ and both are public figures. The main differences are their age (Trebek's 79 vs RBG's 86, each passing age further limiting treatment options), prior history of cancers (this is the second primary for RBG;

3/ her first was in 2009 for which a part of her pancreas had been resected), and most notably, the kind of treatment they are receiving (Trebek is getting chemo with the aim of a definitive systemic eradication while RBG is foregoing that option and ......

4/ had more "palliative/quality of life maintenance" type treatment such as tumor debulking by streotactic radioablation and the biliary stent placement). Consequently, Trebek may appear sicker in the short term due to the side effects of the chemo whereas RBG has had no such...

5/ side effects, hence her relative good health since August til now. She actually probably felt a lot better after her hospitalization in August because she got that stent which solved her problems in the short term. Unfortunately for her, the treatments she got ...

6/ had been designed to prolong her functioning lifespan, sacrificing the possibility for the definitive cure. Their goal is to make her last till the summer of 2020 or so such that Trump getting her replacement confirmed would become politically challenging. ...

7/ However, given her diagnosis and the typical course of such disease, time is unlikely to be on her side and in the meantime, her pain and suffering would become greater and more frequent, unfortunately. May God be with her.

(http://www.autoadmit.com/thread.php?thread_id=4388767&forum_id=2#39170886)

Everyone Needs To Chill Out About RBG’s Hospital Trips

Justice Ginsburg is recovering at home after a fever took her to the hospital.

By JOE PATRICE

at 2:01 PM

Dave Weigel

✔

@daveweigel

My own theory about this stuff is that Ginsburg is being extraordinarily careful, heading to the hospital for stuff your bubbe might wave off with an aspirin. And of course that leads to a national liberal panic every few months. https://twitter.com/scotusreporter/status/1198649625755967496 …

Robert Barnes

✔

@scotusreporter

A Supreme Court spokewoman says Justice Ginsburg is out of the hospital and is "at home and doing well."

968

11:31 AM - Nov 24, 2019

Twitter Ads info and privacy

148 people are talking about this

(http://www.autoadmit.com/thread.php?thread_id=4388767&forum_id=2#39170923)