restlessseal92 said:Dear fellow forum members...
The reason I am joining this forum is due to a devastating illness that invaded our family about two years ago. Back in May 2007, my mother was diagnosed with ovarian cancer. It was clearly at an advanced stage; her tumor markers were soaring above 15,000, there was significant fluid buildup in her body, and the sheer volume of the tumor was quite visible... Following the diagnosis and a fluid aspiration, she underwent four rounds of chemotherapy following the standard protocol, which yielded positive results almost immediately. This was followed by surgery and another four rounds of chemo. My mother handled the treatment relatively well; while nausea and low white blood cell counts were constant companions, we always managed to get her back on her feet using various supplements—some from the garden, some from the pharmacy, and others sourced from abroad... After her final round of chemotherapy, we entered a period of regular checkups where her marker levels remained nearly perfect for months. Then, everything fell apart in January 2009. She began complaining of abdominal pain and intense crises, with rib pain that became increasingly unbearable with each passing day. The tests she underwent at the hospital made it painfully clear that the disease had returned in full force. With a marker level of 460, a 10cm tumor, and 5 liters of fluid in her abdomen, we had every reason to be terrified. We found ourselves back in the same cycle: fluid aspiration followed by carboplatin chemotherapy (without any additives). However, after just two treatments, she has become so debilitated that further therapy isn't even being considered due to severe anemia; she has lost her appetite and suffers from periodic vomiting. Worst of all, the doctors at the Mayo Clinic told us that the treatment simply isn't working, because after only two doses, her marker jumped from 600 to 3,000. Furthermore, they refused to admit her because her hemoglobin dropped below 70 and her red blood cell count fell below two; the medical staff felt that giving her a transfusion might actually do more harm than good... At this point, we are starting to seriously question the clinical decisions being made. Her most recent blood work from Thursday, May 21, 2009, showed a hemoglobin level of 54, indicating a transfusion was absolutely necessary, yet twenty-four hours later, my mother was discharged from the hospital. She was left in such a frail, hollow state, with no prospect of undergoing further treatment. They suggested that if anything were needed, we could go to a facility in a nearby suburb... I am asking for an objective assessment of these medical decisions. Is it truly possible, or even remotely normal, for doctors to look at a single diagnostic result—a marker that is undeniably an indicator of disease progression—and essentially wash their hands of a patient? To just say "that's it" without offering further testing or alternative suggestions... To reiterate, she was on her second line of treatment with carboplatin, which failed to show any efficacy, causing her marker to spike from 600 to 3,000 after only two sessions. Is it conceivable that there is no alternative therapy, or perhaps no way to stabilize her enough just to walk like a human being again, so that we might then attempt something else?... Incidentally, she was finally given a prescription for Prosera a week ago, after we had been buying it for her out-of-pocket for weeks, but she cannot tolerate it at all. I would be endlessly grateful for any advice, as we are all in a state of total shock over this decision. Who should we turn to...
My thanks to you all for the time and effort spent wading through this endless, rambling post...
Hello, restlessseal92...
It is honestly quite difficult to even stomach reading this kind of thing, especially when the reality hits so close to home... knowing that my own mother struggled through these exact same issues with this very same illness during those same periods...
Based on those specific markers, it wouldn't make sense to just throw in the towel... I suspect any decision made by the doctors is rooted in her overall physical condition, and honestly, your mother really needs to undergo immunotherapy...
Please, don't hesitate for a second... as Amanda Miller69 mentioned earlier, you should really seek out a second opinion at a clinic on Petrov or wherever else you feel comfortable going to get another perspective...
What strikes me as truly baffling is the sheer speed at which such a significant recurrence developed within her body; a ten-centimeter mass is certainly nothing to dismiss lightly... It suggests there may have been a lapse somewhere along the line, though that shouldn't imply any reason to surrender now, as there are still avenues available for your mother to continue her fight. Her markers are likely climbing because there is still an underlying imbalance present in her system, presumably originating from a site distinct from where the initial removal took place.
In any event—do not lose heart, and make every possible effort to restore her appetite. Prepare goat broth or hearty vegetable soups, and perhaps craft fresh fruit and vegetable juices (specifically blends of beet, carrot, apple, and lemon)... offer her purees to help build her strength, bananas, hard cheeses, or grapes... you might even start by keeping a tally of how many nourishing soups or small glasses of juice she consumes; we adopted a similar approach, and once my own mother realized she had managed two nutritious soups in just two days, she became much more diligent about her intake...
It is genuinely difficult for me to provide more specific guidance since I am not an expert in this field, but I sincerely hope things begin to take a turn for the better for your family... Please, do not forget to hold onto positivity and faith, and keep fighting...