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Posts by Angela Wright

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Sophia Davis4 said:Hi everyone!
My heart goes out to Lea and her family.

I’m reaching out because I need some help. After getting my mom's discharge papers from the hospital—she just had surgery at Mayo Clinic to remove her gallbladder and part of her liver—I realized I have absolutely no clue what any of this means. Could someone please help me make sense of this:
dg: adenocarcinoma vesicae felleae, infiltratio hepatis seg IVb et V
th. resectio atypica seg. IVb et V cum vesicae felleae, lymphadenectomia lig. HD Resectio omenti mayoris

It also says:
1. A portion of the bile duct measuring 0.2 cm; histological analysis during intraoperative biopsy and subsequent permanent sections shows all structures preserved and no tumor tissue found.
2. An irregular piece of tissue measuring 0.7 cm which histologically corresponds to two lymph nodes measuring up to 0.4 cm, one of which is infiltrated by metastatic tumor appearing as primary tumor in material 4.
3. Fatty tissue measuring 5 cm in length containing nine lymph nodes measuring 0.3-1.6 cm, two of which are infiltrated by metastatic tumor.
4. Gallbladder measuring 6x4 cm with an attached section of liver measuring 12x9x8 cm... visible perivascular and perineural invasion. Marked desmoplasia and areas of necrosis. In the area of the gallbladder neck, a lymph node measuring 0.6 cm is infiltrated by metastatic tumor. The tumor infiltrates surrounding fatty tissue and liver tissue; at the caudal margin of the liver parenchyma, there is attracted fatty tissue, the tumor infiltrates the capsule but the fatty tissue remains preserved. The remaining parenchyma maintains its architecture; portal spaces are permeated with sparse to moderate chronic inflammatory infiltrate along with cholangiolar proliferation, and about 20% of hepatocytes in the liver lobules show micro- and macrovesicular steatosis in the cytoplasm. The resection margins of the gallbladder neck and the liver parenchyma are clear.

Does anyone understand this?! Based on this, what should the prognosis look like?
Thanks in advance.

To put it simply,
we're looking at gallbladder adenocarcinoma that has metastasized to the liver and lymph nodes. From what I can gather, everything was surgically removed.
I can't say for certain exactly what the malignancy grade or disease stage is, but it's a certainty that your mom will need radiation and chemotherapy, given that the cancer has spread to the lymph nodes and the liver.
The silver lining here is that the mass was seemingly completely removed, which provides a massive head start toward a positive outcome. The grim reality is that since the disease has metastasized, the treatment plan becomes much more complicated.
So, this is just my take based on experience—it isn't necessarily the final word. I'm sure vividsailor7 or El Gato will chime in with much smarter, more concrete insights.
Besides the discharge summary, did you get the PhD report? That's where the specific malignancy grade and stage should be clearly stated.
Liver tumor diagnosis/discussion in Health ·
silverskipper27 said:Hello there.

I’m struggling to make sense of my grandfather's medical records, so I figured I’d post them here—maybe someone can translate all this jargon into plain English for me.

So, here is what it says:

Patient was evaluated due to suspicion of an expansive process in the right lobe of the liver. He also complained of pain in his arm and right leg, along with polyarthralgia (I assume they missed a letter there).
His appetite has dropped, and he's lost weight, though I'm not sure how much. He experiences occasional incontinence regarding bowel and bladder movements. About 30 years ago, the patient had surgery for a meningioma in Chicago. He has a long history of arterial hypertension. He takes Valium 2.5 mg and Xanax 5 mg, along with Ranix and Ibuprofen. He was examined in the emergency department at the Neurology Department at Bjelovar Hospital.

Post-op status: meningioma of the right lateral parietal region. Tumor ablation/Simpson II/ bilateral parietal osteoplastic recraniotomy performed on 7/3/2012 by the Neurosurgery Department at Mayo Clinic.

Uncontrolled arterial hypertension.
History of large lipoma on the right shoulder and chronic syndrome involving a lesion of the right peroneal nerve.

The patient was seen in the emergency surgical clinic at Bjelovar Hospital due to abdominal colic.
For about ten days, the patient reported pain in the upper right quadrant of the abdomen.
An abdominal ultrasound was performed, showing a swollen, round, heterogeneous lesion measuring 79mm, which appears mostly hypoechoic.

Peripoortal and near the celiac trunk, enlarged lymph nodes are visible, the largest being 39mm near the aorta in the retroperitoneal area.

From the clinical status:
He is immobile and uses a wheelchair, wearing an orthopedic brace on his right leg for the peroneal lesion.
He appears pale but is breathing normally; tongue color is normal.
Cardiopulmonary assessment shows BP 140/90 and a pulse of 90.
Abdomen is soft, with tenderness felt upon palpation in the epigastrium and most severely under the right rib cage. The liver is enlarged by 2cm. Spleen is not palpable. No edema present.

Dr. Infiltration of the right hepatic lobe.
Due to his immobility, the patient has been scheduled for admission to the Internal Medicine Department at Bjelovar Hospital on 10/24/2012 at 8:00 AM, with a referral for inpatient treatment to conduct a clinical workup for suspected malignancy.

-I’ve transcribed everything exactly as it is, typos and all, but I suspect it makes a lot more sense to you than it does to me.

Thanks to anyone who takes a moment to read through this.

Basically, everything they wrote is just what they could see from a distance—a surface-level observation that unfortunately points toward a likely malignancy.😢
That's exactly why he's being admitted for hospital treatment. It isn't until they actually bring him in and run a mountain of specific tests that they'll know for sure what they're dealing with and how to handle it.
Living with Lymphoma in Health ·
Kenneth Walker27 said:Look, I wasn't even bracing for the absolute worst-case scenario, but this whole thing is just dragging on way longer than it should. I was discharged from the hospital two months ago, feeling like I was finally in the clear. Then, about two weeks back, these lumps started showing up, and they aren't budging. But hey, we'll just have to wait and see 😁

It takes time to get back to baseline. For some people, certain nodes can stay permanently enlarged after a major bout of inflammation.
You should ask for an ASO titer test to check your strep levels (assuming strep throat was what triggered the tonsillitis in the first place). It’s entirely possible you've still got a lingering infection acting up under the surface without showing any other major symptoms.
Living with Lymphoma in Health ·
Kenneth Walker27 said:Look, no offense intended, but when you see a 22-year-old living under your roof pass away from Lymphoma, you don't just shrug it off. You start feeling every lump and bump on your own body. I don't get why people react so defensively to that. At the end of the day, I was just looking for some perspective. I actually just felt another one near my collarbone. I was hospitalized a couple of months ago dealing with tonsillitis, so I'll be heading to the doctor tomorrow. Is there any way to spot degenerative changes in the lymph nodes through a blood test? Never mind. I’ll update everyone once I have the results. 😁

I have no idea why you think my reaction was over the top. 🤷
Listen, I get it—it’s gut-wrenching to watch a 22-year-old die from Lymphoma. But at the same time, I know firsthand, from dealing with my own cancer battles, how incredibly unhealthy it is to spiral into pure panic over every single diagnosis you could possibly find—especially the ones that aren't even malignant.
Blood tests can show your lymphocyte count, and if that number is spiking for no apparent reason, your doctor is definitely going to send you in for more testing.
If I had to bet, I'd say you're fine; you probably just have some inflammation going on related to that tonsillitis. Those bacteria basically tore through your system, and now your immune system is running full tilt, working overtime to fight back. That's why those nodes are acting up.
Focus on boosting your immunity, seriously!
Living with Lymphoma in Health ·
Kenneth Walker27 said:Hello, everyone.
I’ve been scouring this Forum looking for information on this topic, but I haven't found much depth anywhere. It’s strange, really, considering they rank this as the second most common cancer in people.
I know there are plenty of people out there battling this, and I’m hoping to read more about your experiences. I want to hear advice from those currently fighting Lymphoma—or what some people still call swollen lymph nodes—as well as those who have come out the other side.
The reality is that this disease is incredibly aggressive. Unfortunately, it often doesn't get caught until it's already reached an advanced stage. 🙂


(A 17-year-old)
One more thing. Could someone tell me if it's normal to feel lymph nodes on the back of the neck? About 6 or 7 inches above the shoulder blade, I've felt some lumps.
I also have swollen lymph nodes under my jawline, and sometimes both sides of my neck swell up too.
I'm hesitant to see a doctor because, frankly, I'm terrified of what they might tell me. That's why I'm looking for your stories regarding the diagnosis process.
I keep telling myself everything will be fine, but the truth is, they've been swollen for about two weeks now. :/
Should I just pull myself together and go see a doctor? 😕 😢

For heaven's sake, kid, don't go thinking every swollen lymph node is a sign of Lymphoma. 😳
It’s most likely just an infection, and your lymph nodes are reacting to that. You need to get to a doctor, get some bloodwork done, and figure out exactly what's going on. In the meantime, start focusing on boosting your immune system—get on some vitamins, probiotics, or whatever else helps.
Cut the drama; you don't have a single reason to be acting like this.
By the way, saying this is the second most common type of cancer is completely wrong. I have no idea where you got that from. In reality, its incidence rate is much lower than carcinoma.

Here’s the link to the thread. (The title is slightly off, but I’m sure the mods will fix that in a bit.)
When can I have sex after surgery? in Health ·
Chris Wright48 said:Hey everyone!!

So, I had my appendix removed about 9 days ago, and I just finally got the stitches pulled out today!

Now I’m wondering... am I actually cleared to have sex with my partner yet????

If anyone knows, please help a guy out???

THANKS!!!!

Just hang tight for another week, then don't go doing anything wild—keep it gentle and slow. 😉
urbandrifter4 said:Thanks to everyone who chimed in with advice, but honestly, things turned out much worse than any of us dared to imagine. My father-in-law passed away Saturday night. Last week, he started his first five days of chemo, and he actually handled it surprisingly well—no nausea, no obvious side effects. Saturday felt like any other day, though he lost his appetite toward the end and barely ate anything. We ended up taking him to the ER on Saturday night just hoping they could give him an IV or something to boost his strength; he seemed okay, but we just had this nagging feeling that something wasn't right. While we were sitting there waiting for our turn, he just suddenly collapsed and died. They tried everything to revive him, but it was no use. It’s clear it was just his time.

I am so sorry, urbandrifter4. Please accept my deepest condolences.😢

To be honest, it was always expected that things would reach this point so soon. He was just too sick, and there really wasn't much hope for a recovery at this stage. I can't say if the doctors' decision to go with chemo was technically the smartest move, but you did what you could, and they did what they could. You all did everything possible to help him, and he passed away knowing people were fighting for him. Believe me, this could have been so much more traumatic if he had spent his final moments in intense agony. In a way, he went peacefully in Bog's grace.
Hang in there. I'm wishing you and your husband peace of mind.
Ryan Bishop12 said:@vividsailor7/">@@vividsailor7, first off, hello there. I was wondering if alternative medicine can actually help with treatment, or at least serve as a solid supplement? I've been reading quite a bit about cordyceps (cordyceps sinensis eng.), so I wanted to know if all the hype surrounding it is actually true. Thanks.

Look, anything falling under the umbrella of "alternative medicine" lacks the rigorous, relevant studies required to prove its efficacy. Period. No doctor can—or should, from a moral and ethical standpoint—give you a thumbs up on it. Medicine is a science; its entire foundation rests on practices proven effective through clinical studies. You have to draw a hard line here between "alternative" treatments (which haven't been vetted) and "complementary" supplements (which have been verified as dietary additions).
Cordyceps falls squarely into the category of complementary products. That means we aren't talking about it as a cure for a specific ailment, but rather as a nutritional supplement that possesses certain beneficial properties.
There are indeed studies published on PubMed regarding this culture: http://www.ncbi.nlm.nih.gov/pubmed?t...eps%20sinensis
Kate Brooks2 said:Now the bad news has finally started hitting us. 😢 My brother-in-law has been dealing with this persistent pain just above his knee for ages, and since he’s always had issues with his knees, everyone just brushed it off. It wasn't until a couple of days ago that a doctor actually bothered to suggest an imaging test. The scan shows a tumor, and now they're suspecting it might have originated there and spread to his lungs. They don't want to radiate his lungs; they want to target the leg instead. They think one round of radiation could get things under control, and then they'll pivot back to chemotherapy. This feels like a massive step backward for us, but we have to keep fighting. He says the leg pain isn't too bad, but still.
I also heard about a plant called Grviola that supposedly helps in these situations, so I was wondering if anyone here has any experience with it?
Thanks in advance

Look, if we are talking about a primary tumor in the bone or muscle, it is extremely likely that it's a sarcoma rather than a carcinoma , and that distinction changes the entire treatment strategy! With sarcomas, the gold standard is surgical removal of the mass, followed by chemotherapy depending on the specific type.
You absolutely must demand a biopsy!!!!
Nausea after working out in Health ·
restlesscobra9 said:I deal with something similar. It isn't nausea for me, though—it's more like lightheadedness. This sudden rush of heat in my head, almost like when my blood pressure spikes.🤷
What's actually going on here?

We’ve already covered all the bases: glucose levels, electrolytes, blood pressure... symptoms don't hit everyone the same way.
My advice? If you're hitting the gym, stop trying to wing it. Get some professional guidance to design an individualized workout routine.
graniteridge5 said:Did I mess up by trying to boost my mom's immunity with just herbal teas and supplements? I won't be able to live with myself if I actually made things worse.
Also, can someone please tell me what actually works for a cough... sometimes my mom feels like she's choking because of it... I've been making her bay leaf tea with honey, but it doesn't seem to be doing much.

It’s unlikely they completely wiped out any effect, though they might have slightly interfered with how things work—but honestly, there's no way to prove that. Every remedy acts differently anyway, so don't beat yourself up over it. From a theoretical standpoint, that's what doctors usually suggest.

Get your mom some Apyrup. I had great luck using that syrup with my son.
Nancy Lee said:As I’ve mentioned here before, my dad is battling small cell lung cancer. He’s already gone through two rounds of chemo and is now starting radiation. They’re looking at a total of 35 sessions. Is it actually standard procedure to go through that many radiation treatments in one stretch? Right now, he’s heading in for treatment every single day, and once that’s wrapped up, they’ll decide if he needs another round of chemo based on how he's holding up.
That amount of radiation seems pretty intense to me, so I’m wondering if that's actually standard procedure. What usually comes next after a heavy round of radiation—are we talking chemo, or something else entirely? I realize the whole roadmap depends heavily on the specific diagnosis, but I'm curious if anyone here has navigated a similar situation.
Is it actually possible that they're going to hit me with another round of radiation just like this one?

It’s not about the radiation number itself; it’s about the actual dose someone absorbs over that period. Because of that, there's a real possibility they might need multiple rounds of radiation if the situation calls for it. If I recall correctly from one of my lectures, the absolute maximum cumulative dose a person can handle is around 70 Gy.
Nancy Lee said:And one more thing. I know that taking immune boosters isn't exactly recommended while you're undergoing chemo, but what about their effect on radiation therapy?

Radiation works through an entirely different mechanism than chemo, so I don't see any reason why you couldn't use both.
fadedsurfer58 said:Hey there, everyone hanging out in this thread!

It’s the same old story, isn't it? You go through life thinking the train wrecks only happen to other people, until reality decides to step up and slap you right in the face.
My husband's mother was rushed to the Mayo Clinic last week because she started dealing with these massive headaches, sudden disorientation, and total short-term memory loss. After they ran some tests and a CT scan, they diagnosed her with a brain tumor. To make matters even more frustrating, there was some medical conference going on at the same time, plus it was a holiday weekend, so everything slowed down. We ended up stuck waiting five whole days just to get the MRI results back.

The neurologist on duty, Professor Basich Kes, was actually really kind to us. While we were still waiting on the MRI results, she sat down with us and walked through the CT scans. She tried to keep us optimistic, pointing out that there’s no sign of edema around the tumor, and it doesn't look like it's deep-seated—it seems to be positioned more toward the frontal lobe. She mentioned she’s seen much worse cases, though obviously, we won't know the full story until the MRI comes back.

We were all basically patting each other on the back, clinging to this desperate sense of hope, trying to keep each other's spirits up—until that MRI came back. It was a total gut punch. We just sat there in complete shock. Even the neurosurgeon looked at us like we were crazy, wondering how on earth we hadn't noticed anything sooner.
My husband's mother is honestly such a light—she’s this incredibly vibrant, bubbly, and spirited woman. She’s a total firecracker, too. She works as a scientist in a high-pressure field, yet she almost never complained about headaches; if she did, they were nothing more than minor, trivial things. Her vision was perfect, her mood stayed steady, and she never dealt with memory lapses... there was absolutely nothing to suggest that anything was actually going wrong inside her body.

The tumor is massive, spreading across both hemispheres of the brain, and positioned way too centrally. We’re looking at a suspected glioblastoma right now, but we won't have any real certainty until Tuesday after the biopsy results come back.

It’s the same old story: when someone you care about is stuck in a crisis like this, suddenly you feel like you have to go to war for them. You find yourself ready to shake the entire world just to get some answers. You start calling every contact you have, hunting down friends, or pulling every string possible to get a foot in the door at a hospital. It’s driven by that crushing sense of helplessness—that feeling that if you aren't fighting, you aren't doing enough.
It feels like we’re stuck between a rock and a hard place here, completely hamstrung.

I’m turning to all of you because I could really use some advice.
I’d love to get some more input here—does anyone have a solid recommendation for a neurosurgeon? I was at the Mayo Clinic, and they told me that Dr. Paladino isn't even practicing anymore. Apparently, he's completely stopped taking patients, and getting an appointment with him is basically impossible now. (Wait, what? That's news to me. Even though I'm not exactly a medical pro, you still pick up names and follow certain specialists, so this caught me totally off guard.)
I’m heading in to see my neurologist, Dr. Demarin, this Monday to get her take on things and see if she has any neurosurgeons she’d recommend. Honestly, though, it feels like everyone is singing from the same songbook when it comes to the prognosis.

I’m also thinking about heading over to the Cleveland Clinic to go over my results. I honestly don't know what I'm trying to achieve here, but sitting around and just surrendering to the situation feels impossible. I’ve been reading up on those experimental procedures involving radioactive iodine targeting the core of a tumor, but I have no clue where to turn or who to talk to if I want to actually get some real information on it.

I honestly don't know what to do anymore; we’re completely lost. My wife has been at the Mayo Clinic for a week now, and she’s actually cheerful and in great spirits. She has absolutely no clue about her condition or how long she’s even been hospitalized. It sounds twisted to say, but in a way, it’s a blessing. Even though her short-term memory is gone—she’ll forget we were just out for a walk thirty minutes ago—she’s still herself. That same bubbly, energetic spirit is still right there.
They’ve got her on Mannitol and Versed—one to pull the fluid out of her cells and the other just to keep her asleep. She isn't even complaining about headaches...

Sorry if this is getting a bit long-winded, but I think you guys get where I'm coming from. It’s gut-wrenching to sit here knowing there isn't a single thing we can actually do. It honestly hurts to think about what would be more humane for that woman—to just bring her home, look after her, and then spend the rest of the time helplessly waiting for the inevitable.
Should you just bite the bullet and go with the radiation option, knowing it’s going to be a grueling two or three months of pure misery? 😢

I’m not about to just roll over and take this lying down, and I sure as hell refuse to sit around twiddling my thumbs waiting for some miracle to happen on its own. I want to fight back. If that means trying experimental drugs or going after every single option on the table—whatever it takes—then that's exactly what I'm going to do. You know how it is. 😢

Thanks. If anyone has any advice, I’m all ears. Good luck to everyone out there fighting their own battles. 🙂

This is the first I’ve heard about Dr. Paladino being out of the picture. He was still seeing patients just this past summer. Regardless, Dr. Heinrich and Mrak are more than capable replacements. Based on my own experience, I wouldn't hesitate for a single second about where to go if heaven forbid something like that happened to me or someone I know again—it's the Mayo Clinic.
My advice? Get yourself over to the Mayo Clinic first. Don't start making any grand plans until you've actually sat down with them and seen exactly what kind of mess you're dealing with.
I know how heavy this feels, but honestly, everything that’s unfolding right now was bound to happen. Don't you dare give up on her treatment. Even if—God forbid—this turns out to be the worst-case scenario like a glioblastoma, the actual regimen isn't even the hardest part; dealing with radiation and Temodar is often much more manageable than some of the brutal chemo protocols used for other diagnoses. It’s about buying her more quality time. Besides, you can never truly rule anything out—who knows, there might be a breakthrough drug or a more effective treatment hitting the market just when it's needed most.
Just take it one day at a time. Deal with things as they come and don't let her get bogged down by the diagnosis. If she can perceive what's happening through her own senses, that's enough. Your description of her really hit home for me—it reminded me so much of my mother, who was just as spunky and full of life, completely oblivious to her own condition. Maybe it’s actually better that way, regardless of everything else.
Hang in there.
Ordering medication from overseas in Health ·
Emergency imports only happen if a doctor submits a formal proposal to a hospital board. If they actually approve it, the medication is paid for out of the hospital's own budget. Honestly, getting that approved is going to be an uphill battle since this is just an allergy med and there are already other similar drugs registered here in the States—even if none of them work nearly as well, bureaucracy doesn't care about quality, only paperwork. Plus, the whole process drags on forever and ends up costing more than the actual medicine. That’s exactly why I suggested just picking it up yourselves.
Amanda Lopez7 said:Thanks, Lisa Myers! Honestly, I think I’ll just let it slide and not report him. If they end up tracking him down, I’ll just play dumb! The real issue is that I’m from the Midwest, so customs agents might find it pretty suspicious why I was trekking all the way over to Canada, you know?

What would be weird about that? People cross the border from America to Austria every single day just to grab a coffee, believe it or not. You went to check out some shops, couldn't find what you needed, and now you're heading home... nobody is going to grill you. Just go confirm the Mevorshayer if you need a new dose, just so you don't run into any trouble.
urbandrifter4 said:Discharge diagnosis: C22.0 Hepatocellular carcinoma
diagnosis: C22.0 Inoperable hepatocellular carcinoma
C77.2 Bilateral lymph node metastasis
C79.7 Bilateral adrenal gland metastasis
C78.0 Lung metastasis
C79.8 Spleen metastasis
B18.1 Hepatitis B
K74.6 Cirrhosis
I10 Hypertension
L08.9 Cellulitis of the right lower leg
Medical recommendations: liver-protective diet, Augmentin, Lasix, Aldactone, Tarka, chemotherapy.
Blood work from two days ago, taken for chemo prep:
RBC 6.5, hemoglobin 147, hematocrit 0.499, MCV 77.8, MCH 22.9, MCHC 295, platelets 132, RDW 24.3, lymphocytes 14, creatinine 230, potassium 4.6, CRP 18.0
The handwriting was a bit sloppy—my apologies—but if anyone can make sense of this, I would be so grateful.

Dear urbandrifter4, I’m no doctor, but looking at this through the lens of someone with a fair amount of experience, it seems blindingly obvious that what you’ve shared here, combined with your previous posts, points toward your dad being in the terminal stage of this illness. On top of a malignancy that has spread aggressively, he’s battling two other major liver issues plus high blood pressure. From my perspective, pushing chemotherapy at this point feels like a fundamentally flawed approach. It’s going to completely tank his quality of life, and you’ll end up losing those precious, meaningful moments left with him. What he needs right now is palliative care.
I am in complete agreement with graniteorca42
I'm so sorry. 😢
wiredcanyon39 said:It's actually been three months tomorrow, so how long is this break?

At least one full month, definitely, just to give the liver some breathing room.
Diana, I suspect Grandma wasn't feeling any pain because those high bilirubin levels from the liver failure likely just numbed her system. Most people end up suffocating because of the massive amount of ☕free fluid buildup in the lungs and chest cavity.
urbandrifter4 said:Sending my best to everyone, though I truly hate that we even have to gather on a thread like this.
It’s devastating, but my husband's father has been diagnosed with liver cancer. I’m reaching out here hoping someone with a bit of patience might be willing to help clear things up for us; we are completely lost right now and struggling to get any straight answers.
He’s being treated in the nephrology department at a hospital outside of New York City, where he first received diagnoses of cirrhosis, then Hepatitis C, and now the liver tumor. This facility doesn't actually have its own oncologist on staff—he travels in from New York City—so none of our family was present during the consultations between the patient and the specialist. We haven't even been able to get a hold of the oncologist to hear what was said or to understand how he explained everything to the patient. To make matters worse, when we tried to talk to the staff, they brushed us off, claiming the patient is in a semi-conscious state and barely remembers his discussions with the doctor. The attending physician gave us nothing but vague, minimal information, essentially distancing himself by saying he isn't an oncologist and therefore can't provide specifics. They told us the tumor has progressed to a stage where surgery isn't an option, and it has already metastasized to the spleen and other organs (we aren't sure which ones yet). He's scheduled to start his first round of chemotherapy this Monday.
We still haven't received his discharge papers; apparently, they aren't finished yet.
A massive issue we're facing is fluid retention. He's on some pills that, in our opinion, just aren't doing anything. His primary care doctor suggested monitoring his reactions—sometimes giving him the full dose, sometimes half—but in the few days he's been home, there hasn't been any improvement whatsoever. His skin is cracking, and he seems more bloated with water every single day. Is it normal for these meds to show zero effect, or should we be looking into different medications?
His immune system is failing him day by day; he looks visibly weaker. I realize these are the natural consequences of everything he's going through, but we asked for advice on how to boost his immunity. The doctor's response? Just take Silymarin supplements to support liver function, eat fruits and vegetables, and that’s it! Nothing else needed! I see people mentioning all sorts of supplements here to strengthen the immune system, so do we really have to hunt for this information ourselves online because doctors won't even offer suggestions?
In the discharge instructions he received, a "liver-protective diet" was recommended (or something to that effect, you probably know the drill). If anyone could elaborate on what that actually entails, I'd appreciate it. According to our doctor, it basically means he can eat anything as long as it isn't heavily greasy or contains alcohol.
The last thing the doctor told us was that if we had further questions, we should ask the specific doctor administering the chemo. Until then, I am pleading with anyone who has knowledge about this disease or knows who else we should contact. Do we have the right to seek a second opinion in New York City? Are there any other treatment avenues left? I would be incredibly grateful for any help. Feel free to PM me.

The situation is grim. The fluid is building up because the liver is failing. 😢
When you see fluid accumulation this aggressive that can no longer be managed with oral medication—I assume he's on Lasix—it usually calls for emergency hospitalization.
If you aren't satisfied with how the doctors are handling things at your current hospital, do everything in your power to get him transferred to a major center in New York City, like Mount Sinai or Mayo Clinic, which are fully equipped to handle oncology patients.
wiredcanyon39 said:My kid is taking Noni, and honestly, I can't tell if they'll take a spoonful of green honey for five days straight or just stick to those Supportan or Ensure shakes. It’s a struggle. We usually do a one-day break before and after the Noni treatment, plus more breaks with the green honey. There was a decent amount of time between the chemo and starting the Noni. 🤷Is it okay to use Supportan during therapy? They're currently doing three spoonfuls of Noni a day.

That should be fine, but you really have to watch out with Noni; you need to build in breaks every three months because it puts a lot of strain on the liver.
graniteridge5 said:She was taking them every single day, just like any other day, part of the routine.
Chemo lasts one day, so when you say "days," what exactly are we talking about? Are you referring to a couple of days before treatment, a couple after, or what?

You take a little break on the actual day of chemo and maybe a day or two afterward.
Generally speaking, you shouldn't be loading up on more than three different supplements at once—and I'm not even counting things like your menstrual cycle or actual food here. It puts unnecessary strain on the liver, which is already working overtime trying to process the chemotherapy. Once you settle on a regimen, it’s best to stick to it religiously from the first day to the last. Don't start playing musical chairs with your pills by constantly switching things up or stopping and starting.