brightotter67 said:Hey everyone!
Unfortunately (but also luckily), I’ve been following and reading this thread for the last year.
Last May, my mom was diagnosed with colon cancer that had already spread to her liver and lungs. She went in for surgery at the end of June 2018 and now has a colostomy bag.
Yesterday, she ended up in the ER because of intense pain in her shoulder blade and lower back that she’s been feeling for a while. Given everything else, they suspect bone metastases.
The recommendation is to get a bone scan done on an outpatient basis, check in with the pain management clinic, and ideally see her oncologist.
Regarding medication, the ER prescribed her a Zaldiar tablet and Transtec 35mg patches. Right now, she’s taking Ketonal forte, but that only seems to help for a tiny bit.
She isn't currently undergoing chemo; her last round (the 4th cycle of 5-FU/LV) was administered on March 11th, after which her CT scans showed things were stable. Her last visit to the oncologist/tumor board was a month ago, where they decided to hold off on further chemotherapy because she’s only 47 kg and is nutritionally depleted. They told us to reach out once she gains some strength and feels better. We plan to contact the oncologist as soon as we get the bone scan done.
I’m looking for your experiences with those patches, and does anyone know where the best or fastest place is to schedule a bone scan? We are based in Washington, D.C.
As for the prescribed Zaldiar—which is a mix of acetaminophen and tramadol—we’re stuck. Her oncologist strictly forbade her from taking acetaminophen because of her liver. In this situation, what’s the lesser of two evils to help manage her pain?
It isn't actually within an oncologist's scope to decide if and how much acetaminophen will damage the liver; that’s a call for the anesthesiologist working in the pain management clinic. They will titrate the exact dosage and the specific cocktail of pain meds, then guide you on how to scale the dose up or down depending on the situation.
Regarding the bone scan, I'm not sure how fast the scheduling moves, but I think a standard X-ray might already show the status of the area in question. If it turns out to be a metastasis, radiation therapy can be very successful as a palliative measure, which would automatically take care of the pain too.
If she hasn't started already, Mom should begin consuming nutritional supplements like Ensure / Prosure. I assume the oncologist noted this in the findings, and if so, you should be eligible for vouchers or assistance to get them.
As for continuing chemo after that last line, it sounds like that chapter is closed for now since there was a progression, assuming it is indeed a metastasis. Keep asking questions, though—maybe seek a second opinion regarding a different new line of therapy.
Hang in there, there is still plenty of room to fight!