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Support resources for families dealing with cancer and other serious illnesses

Started by James Cox6 · · 👁 42 views · 3.9K replies

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Participants James Cox6Lisa White54shadowmason6Angela Wrightbrightgardener8Melissa Moore39James Martinez3Grace Stewart6Megan Fowler78Zachary Howard2Ashley Rodriguez41Douglas Lee13rowdyheron17placidheron24slyseal28jadesailor14Michael Newman3jadetinker42Benjamin Grant6wanderingharbor61cosmicviper76Dana Baker37Jason Torres5Peter Chavez6 …
urbandrifter4 urbandrifter4 Newcomer
3 messages
joined Jan 2012
#3561 ·
Thanks to everyone who took the time to weigh in on my question, though honestly, things turned out to be way more devastating than any of us could have possibly imagined—my father-in-law passed away this past Saturday night. It’s just... it’s a lot. Last week, he started his first five-day round of chemo, and remarkably, he didn't have any nausea or anything else obvious; he seemed to be handling it fine. Saturday felt like just any other day at first, but he had lost his appetite over the last few days—he was barely eating anything at all—so we decided to take him to the ER on Saturday evening, thinking maybe they could give him an IV or something just to get some strength back into him. Even though he actually seemed to be holding up okay, we just had this nagging feeling, you know? That gut instinct that something wasn't quite right. Well, while we were sitting there in the ER waiting for our turn, he just suddenly collapsed, lost consciousness, and passed away right then and there. They tried everything to resuscitate him, but it didn't work. I suppose, looking back, it was clearly meant to be that way.
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#3562 ·
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.
graniteorca42 graniteorca42 Member
18 messages
joined Sep 2012
#3563 ·
urbandrifter4 said:I want to thank everyone who took the time to respond to my question, but the situation turned out to be far worse than we could have ever imagined. My father-in-law passed away on Saturday evening. Last week, he started his first five days of chemotherapy, and honestly, there were no side effects or nausea to speak of. Saturday felt like any other day, though he had lost his appetite over the last few days and barely ate anything. We actually took him to the ER on Saturday night thinking he might need an IV or something to bolster his strength—even though he seemed to be holding up quite well—but we just couldn't shake this uneasy feeling. While we were waiting for our turn at the ER, he simply collapsed and passed away. They tried everything to resuscitate him, but it was no use. It was clearly meant to be this way.

Please accept my deepest condolences; I am so incredibly sorry. I cannot fathom why the doctors insisted on chemo, but at least you can rest assured that you did everything humanly possible. Given such a severe diagnosis, this was perhaps the most peaceful way for him to depart. I find myself praying for my own mother as well; even though I would give my life for her and would do anything to extend hers, I pray that when her time comes, she can pass peacefully without suffering. I apologize if I was too blunt in my previous response to your post, but that is simply how I am—I prefer to look at things realistically. May God grant him peace where he is now.
Sam Johnson7 Sam Johnson7 Newcomer
7 messages
joined Oct 2012
#3564 ·
urbandrifter4 said:Thanks to everyone who replied to my question, but things turned out way worse than we ever imagined. My father-in-law passed away on Saturday night. Last week he started his first five days of chemo, and he didn't have any nausea or anything noticeable at all. Saturday seemed like just another day, though he lost his appetite over the last few days and barely ate. We actually took him to the ER on Saturday night thinking maybe they could give him an IV or something to strengthen him up—he was actually holding up pretty well, but we were just uneasy. While we were waiting in line at the ER, he just suddenly collapsed and died. They tried to resuscitate him, but it didn't help. I guess it was just meant to be like that.

Dear Lea, please accept my sincere condolences.😢
I get it, because there's no saving my mom either; I suppose the only question is how long this agony will last😕... I kind of hoped that vividsailor7 would give me some sort of prognosis, but he’s probably just too busy.
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#3565 ·
Sam Johnson7 said:Lea, please accept my deepest, most sincere condolences.😢
It’s painfully clear that even my mom isn't going to be saved from this. At this point, the only real question left is how much longer this agonizing stretch is actually going to last.😕I was honestly hoping vividsailor7 might give me some kind of prognosis, but let’s be real—he’s probably way too busy to deal with this.

Regarding your specific situation, I’ll dig into it once I can actually catch a breath. Just to be clear, when it comes to non-digestive tumors—things like lung, brain, ovarian, or hematological cancers—I won't be giving you an exhaustive breakdown. That simply isn't my specialty; I'm not a gastroenterologist. That’s why my insights regarding HCC are much more thorough, whereas my take on what that other doctor said? Let's just say it was pretty damn thin.
I don't want to step on anyone's toes too much, but I’m planning to dive deep into this over the weekend and really dig into the details.
Sam Johnson7 Sam Johnson7 Newcomer
7 messages
joined Oct 2012
#3566 ·
vividsailor7 said:Regarding your situation, I'll take a look whenever I can find a moment. Otherwise, I don't go into detail regarding non-digestive tumors—like lung, brain, ovarian, or hematological ones—since gastroenterology just isn't my specialty. That's why my info on HCC is thorough, while the stuff about tathin is, well, let's just say it's a bit thin.
I don't want to overstep, but I'll try to look into this over the weekend..

I completely understand, and thanks in advance!
Sophia Davis4 Sophia Davis4 Newcomer
7 messages
joined Jun 2013
#3567 ·
Hey everyone!
I wanted to send my sincere condolences to Lea and her family.

I’m actually reaching out because I really need some help here. After getting the discharge papers from my mom—she was at Mercury Hospital for surgery to remove her gallbladder and part of her liver—I realized I have absolutely no clue what I'm reading. Could anyone 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 goes on to say:
1. A section of the bile duct, about 0.2 cm in length, showed no tumor tissue in either the intraoperative biopsy or the subsequent permanent sections; all structures remained intact.
2. An irregular piece of tissue, 0.7 cm in diameter, which histologically corresponds to two lymph nodes (up to 0.4 cm in size), one of which shows metastatic tumor infiltration that looks like the primary tumor in material 4.
3. Fatty tissue measuring 5 cm in length, containing nine lymph nodes ranging from 0.3 to 1.6 cm, two of which are infiltrated by metastatic tumor.
4. The gallbladder, measuring 6x4 cm, with an attached liver resection measuring 12x9x8 cm... there is visible perivascular and perineural invasion, along with pronounced desmoplasia and areas of necrosis. In the area of the gallbladder neck, there is a 0.6 cm lymph node infiltrated by metastatic tumor. The tumor invades the surrounding fatty tissue and liver tissue; at the caudal edge of the liver parenchyma, fatty tissue is drawn in, and the tumor invades the capsule, though the fatty tissue itself remains intact. The remaining parenchyma maintains its architecture, with portal spaces showing sparse to moderate chronic inflammatory infiltrate alongside cholangiolar proliferation; about 20% of hepatocytes in the liver lobules show micro- and macrovesicular steatotic changes in the cytoplasm. The resection margins at the gallbladder neck and the liver parenchyma are clear.

Does anyone actually understand any of this?! Based on these notes, what kind of prognosis should we be looking at?
Thanks in advance
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#3568 ·
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.
graniteorca42 graniteorca42 Member
18 messages
joined Sep 2012
#3569 ·
Sophia Davis4 said:Hello everyone!
My sincere condolences to Lea and her family.

I am asking for help! After receiving the discharge papers from my mother, who is currently at Mayo Clinic following surgery to remove her gallbladder and part of her liver, I realized I don't understand any of this. Please, I need help interpreting this:
dg: Carcinoma vesicae felleae, infiltration of liver segments IVb and V
th. atypical resection of segments IVb and V including the gallbladder, lymphadenectomy of the hepatic ligament, and resection of the greater omentum

It further states:
1. A section of the bile duct measuring 0.2 cm was histologically examined during the intraoperative biopsy and subsequent permanent sections; all structures were preserved and no tumor tissue was found.
2. An irregular piece of tissue measuring 0.7 cm corresponds histologically to two lymph nodes measuring up to 0.4 cm, one of which is infiltrated by metastatic tumor, appearing as the 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 underlying liver resection measuring 12x9x8 cm... visible perivascular and perineural invasion. Pronounced 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 the surrounding fatty tissue and liver tissue; at the caudal edge of the liver parenchyma, there is attached fatty tissue, and the tumor infiltrates the capsule, though the fatty tissue remains intact. The remaining parenchyma maintains its architecture, with portal spaces showing sparse to moderate chronic inflammatory infiltrate along with cholangiolar proliferation, and approximately 20% of hepatocytes show micro and macrovesicular steatotic changes in the cytoplasm. The resection margins of the gallbladder neck and liver parenchyma are clear.

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


Greetings again. Yes, the stage is crucial, but I have already provided my mother's case as an example. Gallbladder tumors are inherently highly aggressive; once they metastasize, the prognosis becomes significantly worse. According to certain studies, only about 5% of patients survive five years (those being likely the ones where metastasis hasn't occurred yet), while for others, survival ranges up to 18 months. The poorest prognoses fall within the 6-12 month range, and everything depends on the response to chemotherapy. My mother is entering her 15th month; she had a good response to chemo, but everything returned after just three months, and now she is on a second line of treatment. Incidentally, my mother's findings were almost identical to this, with the only difference being that her case involved a poorly differentiated neuroendocrine carcinoma. Please state the grade of the tumor.
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#3570 ·
Sam Johnson7 said:I totally get where you're coming from, and thanks in advance!

I haven't forgotten about you guys—I'll get to it when I can.

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

I am begging for some help here! After getting the discharge papers for my mom—she’s at Mercy Hospital and just had surgery to remove her gallbladder and part of her liver—I realized I have absolutely no clue what any of this means. Please, I need help deciphering this:
dg: Carcinoma vesicae felleae, infiltration of hepatic segments IVb and V
th. atypical resection of segments IVb and V including vesicae felleae, lymphadenectomy of HD ligament, and resection of greater omentum

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

Does anyone make sense of this?! Based on this, what kind of prognosis are we looking at?
Thanks in advance

We definitely need more data, like lab results, imaging—ultrasound, CT scans, etc.,
Therapy details, age, additional comorbidities, official diagnosis, and so on.
graniteorca42 graniteorca42 Member
18 messages
joined Sep 2012
#3571 ·
Sophia Davis4 said:Hello everyone.
My sincere condolences to Lea and her family.

I am asking for help. After receiving the discharge papers for my mother—who just underwent surgery at Mayo Clinic to remove her gallbladder and a portion of her liver—I realized I don't understand any of this. Please, I need help interpreting this:
dg: Carcinoma vesicae felleae, infiltration of hepatic segments IVb and V
th. atypical resection of segments IVb and V including vesicae felleae, lymphadenectomy of the HD ligament, and resection of the greater omentum

It also states:
1. A section of the bile duct measuring 0.2 cm; histological analysis from both the intraoperative biopsy and subsequent permanent sections shows all structures are preserved and no tumor tissue is 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 the 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 underlying liver resection measuring 12x9x8 cm... visible perivascular and perineural invasion. Marked desmoplasia and areas of necrosis. In the area of the gallbladder neck, a 0.6 cm lymph node is infiltrated by metastatic tumor. The tumor infiltrates the surrounding fatty tissue and liver tissue; at the caudal edge of the liver parenchyma, there is attached fatty tissue; the tumor infiltrates the capsule, though the fatty tissue remains intact. The remaining parenchyma maintains its architecture, with portal spaces showing sparse to moderate chronic inflammatory infiltrate along with cholangiolar proliferation, and approximately 20% of hepatocytes in the liver lobes show micro- and macrovesicular steatotic changes 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 be?
Thank you in advance.


And one more thing—if I may offer some well-intentioned advice based on painful experience—start chemotherapy as soon as possible. Start it immediately. My own mother appeared completely clear after her surgery, yet a CT scan performed a month later revealed three metastases in the exact same area where the operation had been conducted. Do not waste a single moment. She will need immense persistence and willpower, as will you, but you can fight for as much survival time as possible. Just hang in there.
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#3572 ·
Sam Johnson7 said:Hi everyone. I’ve finally decided to join this forum because, frankly, I am desperate and need some help. My mom is 68, and she was just diagnosed with lung carcinoma. It all started back in April. She began complaining about pain under her right shoulder blade, followed by constant coughing, shallow breathing, and this terrifying feeling of suffocation. At first, the doctors just treated her with Ketorolac injections, then one physician heard something suspicious in her lungs and put her on an antibiotic called Efox. But as the shortness of breath and the coughing intensified, things took a turn for the worse. She was eventually sent for an X-ray which showed pleural effusion, leading to a puncture. The cytology results came back as carcinoma—possibly adenocarcinoma. While she was staying at the hospital in Tampa, they performed a CT scan of her lungs, which revealed a tumor measuring 7x4 cm, and a bone scan. The scans showed pathological activity concentrated in the middle third area.
Right clavicle, the area around the 5th rib on the front left, the 3rd rib on the back left, and the 5th rib on the left side.
The pathology report just came back, and honestly, I’m fuming. It's the 7th rib on the left side, specifically the posterior area. The cytological results from the bronchoscopy are what really get me: they found several small clusters of malignant cells, and they look enlarged. It's exactly what we were dreading, and frankly, it's infuriating.
The report describes hyperchromatic nuclei, inconspicuous nucleoli, and a sparse to moderate amount of cytoplasm.
The pathology report is pretty clear on this one—you can only actually see the cells under section I). It’s showing bronchial epithelium, squamous cells, some mucus, and cellular debris.
Red blood cells. Let's talk about them.
Diagnosis.
Is this Carcinoma? Or maybe adenocarcinoma? I need some clarity here.
She’s currently undergoing chemotherapy—she's getting her treatments over at Mayo Clinic—and just finished up the second half of her fifth cycle on Gemcitabine and Cisplatin back on October 16th. After she wrapped up that fourth cycle, they ran a CT scan at the hospital to see where things stood. That abdominal CT was completed on September 28th...
So, I just got the diagnosis. Bronchial carcinoma, right side.
The CT scans of my chest show a massive, ill-defined mass on the right side. It’s spreading, and it isn't clearly contained.
There is an expansive, infiltrative process measuring approximately 7 cm on the transverse sections, which is actively infiltrating the surrounding area.
The end portion of the main bronchus, along with the entire bronchial tree surrounding the hilum, is spreading into the surrounding area.
The bifurcation angle is sitting in direct contact with the main bronchus. In the surrounding lung parenchyma, you can see these irregular zones showing increased absorption coefficients and partial consolidation, which could potentially...
The imaging shows spreading of the primary process, along with some ventilation issues. It’s visible in both lungs.
The report shows an increased number of small, malignant lesions. This primarily points toward hematogenous dissemination of the carcinoma.
The diagnostic results are coming in, and frankly, they’re a mess. They found a moderately large pleural effusion on the right side of the chest—basically fluid buildup where it absolutely shouldn't be. Meanwhile, the left side is showing no signs of effusion at all. It’s an uneven, frustrating picture.
The results are in. There's no sign of enlarged lymph nodes in the mediastinum, and there's no pericardial effusion either.
The liver looks to be a perfectly normal size. Based on the native slices, the parenchyma is completely homogeneous, showing absolutely no signs of anything unusual.
The imaging shows some pretty significant changes. We’re looking at mixed-composition stones showing up in the gallbladder, along with some biliary dilation.
The bile ducts are clear. As for the liver, the parenchyma looks solid—everything appears to be within normal dimensions and the structure looks perfectly fine.
The spleen looks perfectly normal. As for the adrenal glands, they’re both the right shape and size. Everything seems to be exactly where it should be.
The ultrasound shows a cyst measuring about 7.3 cm located dorsally, right near the middle section of my right kidney. Aside from that, the kidneys themselves look fine.
The scan shows everything looks organized. The parenchyma on the native slices displays a normal structure. No signs of hydronephrosis were detected.
The results are in. Just one thing, though—the bladder was empty, so they couldn't actually get a clear look for the analysis. As for the uterus and the adnexa area? Everything there looks perfectly normal.
It looks like nothing. There aren't any morphological changes in the intestines that this specific method is actually capable of detecting.
No signs of enlarged lymph nodes within the abdomen. No ascites present either.
It’s showing up as a soft tissue mass about 0.8 inches in size, with these hardened, sclerotic borders that are actively eating away at the body of the second lumbar vertebra.
The pathology findings primarily point toward secondary issues. In some instances, you can actually see several distinct markers left on the bone structure itself.
Small sclerotic zones of unknown etiology.
Bone Scintigraphy: findings in progress.
Tumor marker eyfra 21: 3.0 ng/ml.
CBC: WBC 8.3. RBC 3.85. Hgb 99. Plt 840, Seg 72.
Biochemistry: bilirubin ok. 8.6, urea 4.6. creatinine 55. Glucose 6.4. potassium 4.6, sodium 131, chloride 93, calcium
2.35, iron 2.9, UIBC 46.3. TIBC 49.3. Fe saturation 5.9, ALP 63, GGT 22, AST 16, ALT 7, LDH
188.
Can any doctors on this forum give me any kind of prognosis? What’s the likelihood of esophageal compression occurring, or if it will hit the esophagus first? For instance, yesterday she wasn't just complaining about nausea (post-chemo), but also pain—she showed me with her whole palm that it hurts everywhere from her throat all the way down, basically the entire digestive tract and chest. The professor at Mayo Clinic is satisfied with the CT and scintigraphy results (nothing has spread further compared to previous scans), so he wants to do one more cycle of chemo (total of 6) before taking a break. He isn't mentioning radiation for now.

Sam Johnson7 said:I completely understand where you're coming from, and thank you in advance!

Based on clinical indications, what really needs to happen is a GI workup—an EGD endoscopy—plus a PPI and more detailed testing of the esophagus.
The prognosis for all lung Ca is poor, and in this case, we're also dealing with bone metastases.
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#3573 ·
ivona, I can’t help but soften the blow of vividsailor7’s typical, blunt doctor-speak 🙂. He doesn't mean to be harsh, but his directness often feels more like he's just throwing facts at you rather than offering the sliver of hope people are actually desperate to hear from a physician.

Look, lung carcinoma is a heavy diagnosis. If you look strictly at the statistics, the outlook is incredibly grim—especially once metastases enter the picture... BUT...

it isn't a fixed destiny, and it doesn't have to play out that way, even with metastasis.

When we talk about statistics for something as common as lung carcinoma, we're looking at massive data sets involving thousands of patients. That statistical curve isn't just one single point; it has a middle, an average, and two very distinct ends. On the left side, you have those who succumb early, and on the right side, you have those who are still fighting and living their lives. That group on the right might look small compared to the average, but don't mistake "small" for "non-existent." No doctor can tell you with absolute certainty that you won't end up on that right side of the curve. That possibility is exactly why we treat metastatic disease in the first place. You have to push forward, keep fighting, and aim for that right side of the graph!
Casey Phillips18 Casey Phillips18 Member
13 messages
joined Sep 2008
#3574 ·
Where are those statistics hiding? I’m genuinely interested in finding out how many people actually survive lung carcinoma once it has spread to the bones. And just to be clear, I am not referring to that typical one-year survival window doctors usually toss around when they're discussing chemotherapy outcomes.
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#3575 ·
Casey Phillips18 said:Where are those statistics coming from? I’m genuinely curious about the survival rates for people dealing with lung carcinoma that has already spread to the bones. And I’m not talking about that vague one-year prognosis doctors usually throw out when they suggest starting chemo.

You might find some info here: http://lungcancer.about.com/od/whati...vivalrates.htm

To back up my point, let me give you a real-world example from my own family. This past summer, my uncle living in the US was diagnosed with advanced acute myeloid leukemia, and it was riddled with metastases. The medical team pushed aggressive chemotherapy, estimating he only had about three months left to live. He took the leap, went through the treatment, and the response was nothing short of incredible. The metastases retreated, and the disease is currently under control. Now, he’s lined up for a stem cell transplant, which should hopefully push him into full remission.
Joshua Garcia5 Joshua Garcia5 Member
17 messages
joined Jul 2012
#3576 ·
Sending strength to everyone navigating these kinds of difficult situations.

My mom underwent surgery for breast carcinoma on July 31st—they had to perform a total mastectomy. She’s been receiving chemo since August 29th. I don't have her latest medical reports on hand to type out everything right now, but I will once I do.

On October 31st, she finished her fourth cycle, and it has been by far the hardest one yet, especially tonight. She was doing more or less fine all day, then suddenly stood up, and she just couldn't stop vomiting for two straight hours.

She was in tears from the pain, crying out about how much her stomach hurt while simultaneously clutching her chest. My mother usually has an incredibly high pain tolerance, so seeing her like this today was truly devastating.

I'm wondering how I can best support her when this happens again? When things take a turn like this, she can't eat or even drink anything; she loses all her strength, breaks down in tears, and the vomiting just won't let up. Is there any way to make this easier for her?
Has anyone here gone through something similar who might suggest specific medications or teas to help prevent this?
Sam Johnson7 Sam Johnson7 Newcomer
7 messages
joined Oct 2012
#3577 ·
vividsailor7 said:Based on clinical indications, they should probably perform a GI workup—specifically an EGD endoscopy—along with a PPI assessment and more detailed esophageal testing.
The prognosis for any lung carcinoma is poor, and in this case, there are also bone metastases present.

Mom finishes her sixth cycle of therapy tomorrow. Her oncologist said she’ll have a break until Christmas, then they'll run a CT scan of the lungs, a scintigraphy, and bloodwork—probably markers. I guess what worries me is that four days after this last treatment, she was in terrible pain. She took everything prescribed—Reglan, Zypantol, Tramadol, even Lexaurin, plus ginger tea, linden, and aloe—but the pain just wouldn't stop all day. Maybe it's a reaction to the chemo? I don't know, since the pain isn't always this intense every single day; some days it's barely there at all.
Sam Johnson7 Sam Johnson7 Newcomer
7 messages
joined Oct 2012
#3578 ·
Lisa Sullivan96 said:Hey everyone, hanging in there during this tough time.

My mom had surgery for breast Carcinoma on July 31st—they removed the whole thing. She’s been doing chemo since August 29th. I don't have all the medical records handy to paste here, but I will later.

On October 31st, she finished her 4th cycle, and it was by far the hardest one, especially tonight. She was mostly okay all day, then suddenly she just stood up and couldn't stop vomiting for two hours straight.

She was crying from the pain, screaming about her stomach, while clutching her chest at the same time. Usually, my mom has such a high pain tolerance, so I honestly couldn't believe what I saw today.

I guess I'm wondering how to help her when this happens again? She can't eat or drink anything, loses all her strength, cries, and the vomiting just won't quit. Is there any way to make this easier for her?
Has anyone gone through something similar who could suggest some pills or tea to prevent this?

Lisa, maybe try calling her primary care doctor if you can't get a hold of the oncologist. I did that when my mom was in terrible pain after one of her treatments. They prescribed Zypantol and Tramadol, which helps sometimes, though last Saturday they didn't work at all. I suppose she just has to push through it, especially after several rounds when the body is already saturated with all those chemicals. Anyway, ginger and orange tea (you can find it at CVS) might ease the reaction a bit, along with Linden tea and maybe Lexaurin. Just stay strong for her; I know from experience it isn't easy. My mom actually said on Saturday that she wasn't going to go on Tuesday, even though it's her last one for now, but my dad and I managed to talk her into it since it's the end of this stretch...
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#3579 ·
Based on what I’ve seen from people undergoing cancer treatment, the most effective ways to tackle nausea are usually:
crushed flaxseeds soaked in warm water for about thirty minutes (just drink the strained liquid), air-popped popcorn made in an inexpensive air popper, or even Coca-Cola.
The absolute priority is hydration; you have to take it slow, just a teaspoon of water at a time. If the reaction gets this violent, don't hesitate to call 911. At that point, they need an IV and potentially something to help them relax. normabel works quite well—even the lower dose—because it helps ease muscle spasms, which naturally settles the stomach too.
The pain they're feeling is actually to be expected; the stomach is completely unsettled, and the physical strain of vomiting takes a massive toll on the entire body.
It would also be wise to take Pepto-Bismol preventively for stomach protection. You can pick it up over the counter, but regardless, you absolutely must clear it with the oncologist first to ensure there aren't any drug interactions.
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#3580 ·
Sam Johnson7 said:Mom is finishing up her final session of the sixth cycle tomorrow. According to her oncologist, she’ll get a break until Christmas, at which point they’ll run a lung CT, a scintigraphy, and some blood work—likely checking her tumor markers. What’s really keeping me up at night is what happened four days after her last treatment. She was in absolute agony. And I don't mean "uncomfortable"—I mean excruciating, relentless pain. She did everything by the book; she took her Reglan, her PPI, her Tramadol, even her Lexaurin. She even tried ginger tea, linden tea, aloe... nothing worked. The pain just wouldn't let up all day long. I'm spiraling a bit here. Is this just a delayed reaction to the chemo? It's hard to tell because the pain isn't this intense every single day—some days, she doesn't feel it nearly as much. But when it hits like that, it's terrifying.

If it’s even an option, I’d swap out Lexaurin for normabel in a heartbeat.
Since she’s receiving cisplatin—and honestly, I think the treatment guidelines have shifted recently—she should absolutely be eligible for those newer serotonin antagonists, like Setronon. If Reglan isn't doing the trick for her, there are better options out there.
Before they even think about touching the Tramadol, they seriously need to take some Reglan.

Angela Wright said:Look, based on everything I’ve been tracking and all the firsthand accounts I’ve gathered from people going through oncology treatments, there is a very specific pattern when it comes to managing nausea. When you combine standard anti-nausea meds with the right additions, you actually see results. From what I've observed, the most effective approach usually involves:
Ground flaxseed soaked in lukewarm water for half an hour—then you drink only the strained liquid. Air-popped popcorn (you can grab one of those cheap air poppers at Target or Walmart easily enough). And Coca-Cola.
Hydration is absolutely critical here—I’m talking about sipping water one tiny teaspoon at a time. If someone is having a reaction this violent, you shouldn't be sitting around playing doctor; just call 911 immediately. They need an IV drip to get fluids back in them, and they likely need something to calm their nervous system down. In my experience, normabel works quite well for this. Even the lower dose can be effective because it helps ease muscle spasms, which naturally helps settle the stomach too.
Look, let’s be real here: those pains people are feeling? They are completely expected. When your stomach is that unsettled, things are going to hurt. Plus, when you're vomiting, your entire body undergoes this massive physical strain. It's an intense, full-body effort, and the discomfort is just part of the process.
It would honestly be a smart move to take something like Pepto-Bismol as a preventative measure for stomach issues. You can just grab it over the counter at any CVS or Walgreens without a prescription, but—and this is a huge "but"—you absolutely have to clear it with your oncologist first. You don't want to risk any nasty interactions with your current treatment plan. Always check with the doctor before adding anything new to the mix!

They’re taking a PPI like Pantoprazole along with an antiemetic like Reglan. Honestly, there's no point even mentioning Pepcid or Ranitidine around here—they wouldn't stand a chance anyway. In my experience, PPIs are far more effective. Period.

Lisa Sullivan96 said:Sending my best to everyone out there navigating these incredibly tough times.

My mom underwent surgery for breast carcinoma on July 31st—they had to perform a full mastectomy. She’s been on chemo since August 29th. I don't have all her medical reports handy to paste here right now, but I'll post them as soon as I get my hands on them.

October 31st—she just finished her fourth cycle, and honestly? It was a total disaster. This one hit harder than all the others combined, especially tonight. She was doing alright for most of the day, just pushing through, but then she stood up and it was like a switch flipped. Out of nowhere, she started vomiting and couldn't stop for two straight hours. Absolutely brutal.

She was weeping from the pain. I’m talking full-on, gut-wrenching sobbing. She kept screaming about how her stomach was killing her, all while clutching her chest at the exact same time. My mom has an incredibly high pain tolerance—she’s usually the toughest person I know—so seeing her like that? It was honestly terrifying. I couldn't believe my own eyes.

I need some advice on how to help her when this starts happening again. She gets to a point where she can't even eat or drink anything—she just loses all her strength, breaks down in tears, and the vomiting won't stop. Is there any way I can actually make this easier on her?
Has anyone here dealt with something similar who could suggest specific pills or maybe a tea to help prevent these episodes?

What kind of treatment is she currently on?
At first glance, she might be able to get prescribed Reglan from her primary care physician or a local clinic.

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