Here it is. I am just going to copy and paste this, if only to remind everyone what we were actually discussing...
Jamie Chase said:She underwent surgery today. The doctor claims she tolerated the procedure well, though he noted that her overall condition remains far from ideal. Is anyone actually surprised?
The tumor had partially encroached upon the large intestine, an area they chose not to touch just yet. Their plan was to complete six rounds of chemotherapy before determining if a follow-up procedure was even feasible. They managed to excise most of the mass from the thorax—it appeared somewhat plate-like in structure. Additionally, one ovary was removed, though they couldn't reach the second one; apparently, it’s small enough that it doesn't pose an immediate threat. Before the surgery, they noted that her intestines appeared fused, and today, they confirmed that this condition is simply a consequence of the tumor.
I asked if getting a CT scan after surgery is actually worth it. He told me no, claiming they get the best possible view during the procedure itself. But is that even realistic? Is it truly possible to see everything clearly during a standard operation? I mean, it isn't like they’re just "lifting" everything up to inspect all the way down to the spine or the lungs, is it?
Angela Wright said:You probably won't be able to catch the afternoon broadcast of Dr. Oz, but you should definitely tune in for the evening rerun. He's discussing ovarian cancer—specifically why it’s such a nightmare to diagnose and the early symptoms that doctors often overlook. It's quite compelling.
I watched the episode, though unfortunately, I was far too late to catch it...
Angela Wright said:Perhaps it would be prudent to schedule a chest CT and, more importantly, a bone scan. It honestly baffles me that the doctor didn't suggest those immediately, though I suppose an oncologist will eventually get around to it. If there happens to be any metastasis in the bones, radiation should be administered without delay. Otherwise, the chemo protocol remains the same for everything else. Now follows a recovery period of perhaps two to three weeks before the actual treatment begins. It is truly a shame to be facing such a situation.😢
Jamie Chase said:It has been five days of recovery. There isn’t any acute pain to report, but the lack of bowel movements over these last five days is clearly causing her distress. Furthermore, she is struggling with a significant lack of strength. Since I am aware that fatigue can be a symptom of a tumor, I have to wonder: could this weakness actually be a byproduct of her gallbladder surgery just before Christmas? She was strictly following a bile-restricted diet leading up to that procedure. Additionally, she was diagnosed with diverticula in her intestines prior to the holidays, necessitating yet another specific diet. When she commits to a dietary regimen, she does so with absolute discipline; she actually lost 10 pounds between her intestinal imaging and this latest surgery. This persistent weakness and lack of stamina have been present since the gallbladder operation and haven't subsided. Her grip strength remains quite robust, yet even simple movements, such as lifting her arms or legs above her head, prove difficult.
Can anyone suggest what we should give her to boost her immune system now that she's out of the hospital?
When I asked the doctor if a CT scan was necessary, he claimed there was no point since he could see everything clearly during surgery, and that's the best way to assess it. But I am concerned about the rest of her body—her back, lungs, and so on. How can he possibly know the state of those organs without a CT or other imaging equipment?
Angela Wright said:It makes sense that she lacks strength; after all, she just had surgery. If she is losing weight rapidly, the doctor might prescribe nutritional shakes like Ensure. To bolster her immunity during this phase, she could even take a Multivitamin, which might help. For other things like Immune support supplement or Propolis, you should ask at a pharmacy, especially since her digestion isn't quite back to normal yet.
It has been three weeks since the surgery. There is no pain, but there is absolutely no strength either. She walks occasionally and eats somewhat—weakly, but she isn't refusing food entirely. We are still waiting on the pathology report (it’s been 22 days), and the delay is worrying. We called, and they just told us we aren't the only ones waiting and that it might arrive this week.
During our last talk with the doctor, I asked why the uterus and the second ovary weren't removed. He argued it wouldn't achieve anything more if the chemo works; he said the chemo will kill the cancer everywhere regardless. But thinking logically, wouldn't it be better to "remove" everything and then clean up the rest? He stated there are metastases throughout her abdomen—in the liver, intestines, etc. They are small, but they are there. I also asked him how it's possible that while checking her gallbladder during surgery, he noted a "pale liver," yet didn't see any metastases? His response was simply, "That's a two-month difference."
That answer doesn't hold much water for me, but that's where we stand.
My father's cousin went through a similar situation—markers at 11,000, abdominal metastases, and doctors telling her that only God could save her. Yet, they operated on her in Miami, removing part of her intestine, both ovaries, the uterus, and part of her liver, I believe... then chemo, and she is still alive six years later.
We are currently in a dilemma because everything was done in Mostar, and the surgeon is reputed to be good. A surgeon who worked in a major metropolitan hospital for a long time was also present during the operation; he is an expert on intestines. He stated they shouldn't touch the intestines because they would have to remove about two feet of them, and since the colonoscopy showed the interior looks good, it's better to leave them alone.
To me, it all feels like these surgeries depend entirely on which doctor you get. We worry whether a doctor in a major city like Chicago would have removed more of the affected organs. Now, if we take her to Chicago (which isn't impossible), we fear wasting precious time. With her current lack of strength, they won't even allow her to start chemo. She is taking various natural supplements to strengthen up, and she's been taking Beta-glucan for three weeks, but she's still weak. We are also worried that they didn't perform a CT scan after the surgery.
She felt particularly poorly a few times when fluid built up in her lungs, requiring them to drain it three times. Now she takes diuretics, and after that, she's doing okay. I should note, fluid in the lungs itself isn't carcinogenic.
The fact that they didn't remove the uterus and the second ovary also haunts us. Thinking rationally, if the amount of cancer is greater, isn't there a higher risk of faster or wider metastasis?
What should we do... wait for her to regain strength, or take her to a major medical center for a PET-CT or something else?