A 68-year old white male was a self-referral to the Center in December 1993. Two months previously, he was seen at another medical facility for painless jaundice (bilirubin was 14 mg/dL), "black urine," pain in the stomach and a rapid weight loss of 21 pounds. A CT scan and abdominal angiogram suggested a blocked bile duct and a pancreatic mass. An operation was performed and because of it's location, all of the tumor could not be removed. An area of the tumor (4 cm x 2 cm x 4 cm) was removed. The gallbladder, head of the pancreas, distal stomach, and duodenum were also removed and a complete "Whipple" procedure performed. The pathology report showed a grade I adenocarcinoma of the pancreas with metastasis to 1 of 7 regional lymph nodes (T3, Nl, Mo). A month after the operation the patient developed hyperglycemia. He was placed on the ADA diet with blood glucose monitoring twice a day. After a short period, the blood glucose returned to, and remained, normal. Three months prior to the Whipple procedure, he had a transurethral resection for an enlarged prostate which proved to be benign.

After discussing treatment options with an Oncologist, the patient decided not to take conventional chemotherapy and radiation. At the Center, a complete physical, psychological and biochemical examination was done on the patient. He was an alert. pleasant, 68-year old male who weighed 140 pounds and was 70 inches tall.