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Support resources for families dealing with cancer and other serious illnesses

Started by James Cox6 · · 👁 311 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 …
Jonathan Sanchez3 Jonathan Sanchez3 Newcomer
3 messages
joined Sep 2011
#1621 ·
Hey everyone

So, my dad has bone metastases, and lately, the pain has just been getting really intense... Our doctor suggested we get him to the hospital, but honestly, we’re kind of stuck—we have no idea how to transport someone who can't even get out of bed using just our own car. The local emergency services mentioned they could send someone over to give him a pain injection, but that’s just not strong enough for what he’s going through right now... Does anyone know if there's such a thing as medical transport or something similar where you don't necessarily have to schedule everything two days in advance? We really need a way to move him while he's lying down, or at least get him into a stretcher so he can be moved safely... My mom mentioned she heard about some kind of nonprofit organization or community group that helps out in situations exactly like this, but she couldn't quite remember the name... Does anyone happen to know anything about that?

Thanks
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#1622 ·
Jonathan Sanchez3 said:Hey everyone.

So, my dad has bone metastases, and lately, the pain has been absolutely brutal. Our doctor is telling us we need to get him to the hospital, but here’s the catch: how on earth are we supposed to transport someone who can't even move from a lying position using just our own car? The local emergency services basically told us they could send someone over to administer an injection, but honestly, that's way too weak to touch the kind of pain he's in right now. Does anyone know if there's such a thing as medical transport or some kind of ambulance service where you don't have to schedule everything two days in advance? We need someone who can transport him while he's lying down, or at least put him in a stretcher so he can be moved safely. My mom mentioned hearing about some kind of non-profit organization or community group that helps out in situations exactly like this, but she can't quite remember the name. Does anyone have any leads?

Thanks.

I’m not entirely sure if the doctor can actually authorize medical transport without a specialist referral on file first. Usually, you have to get that paperwork sorted the day before you head to the hospital. Tomorrow morning, you’ll need to be on the phone by 6:00 AM sharp—you call the number the doctor provided, and they’ll give you the specific pickup location for the patient. If you’re trying to handle this today, just call emergency services again and tell them your dad needs something for the pain. They call them in until they’re practically unconscious every single time his pain flares up. If the system thinks it’s somehow cheaper to play these games rather than just admitting someone needs inpatient care and actually fixing the problem, then they are flushing money down the drain!😠 Make sure you dial 911 every single time. Those calls are recorded, and if they give you the runaround or refuse to help, you’ll have the actual evidence you need to file a lawsuit or hand over a smoking gun to the local news stations.
Go ask that incompetent general practitioner if they can actually manage to issue a referral to an anesthesiologist—specifically to the Pain Center. At the very least, they should be able to prescribe something to take the edge off the pain.
CThe Pain Center at the Mayo Clinic.
12 Kishpatić Street (Mayo Clinic), US Zip Code 10000
Pain Clinic / 1st Floor of the new Polyclinic, Room 226
Host: Ines Adanić-Mikloška, MD, Anesthesiology Specialist
Hours of operation: Tuesday through Friday, 8:00 AM to 4:00 PM.
Phone: 212-555-0198 212-555-0198

I don't have any info on whether there are actually any organizations out there that handle medical transport for patients who need to be moved in a lying position to the hospital.
If none of those options actually work, you need to get one of you in front of an anesthesiologist or an oncologist. Sit them down, lay out exactly what’s happening, and practically beg them to add a recommendation for Durogesic patches to your medical records. You can always scale the dosage up gradually as the pain intensity shifts.

P.S. My primary care doctor is completely incompetent and totally out of her mind. 😳She needs to actually step up and propose a solution. As an activist for cancer patient advocacy groups, I feel like she should have already anticipated this and brought it to the table herself. It is nothing short of inhumane to just leave someone in this position to fend for themselves.😠😠😠
restlesspanther42 restlesspanther42 Member
10 messages
joined Aug 2007
#1623 ·
There are private medical transport services you can pay for if things get urgent and you need immediate help.
But I’m with Angela Wright on this one—go to your primary care doctor and ask for an official referral. They are legally obligated to provide one if your dad is immobile or having trouble moving. It’s right there in the regulations.
Jonathan Sanchez3 Jonathan Sanchez3 Newcomer
3 messages
joined Sep 2011
#1624 ·
I called up a private medical transport service to get a quote, and they said the price for a trip from $87 Thorn to the local hospital would be around
...
It’s definitely not our doctor’s fault—she’s actually wonderful—it’s just been so hard. My dad hasn't been able to get out of bed since they found those bone metastases... lately, his dose has been at 125 mg, and he’s taking Ketoral on top of that too. He was also given Sevredol, but it made him feel awful—he couldn't breathe right, like his lungs were really struggling... Yesterday, our doctor suggested 600 mg of Brufen, but even after he took that, the pain wouldn't budge. So, we just put him in the car and rushed him to the ER at the main hospital, but they just left him sitting there in a wheelchair in some little side room, in total agony, for like a good hour. After that, they finally gave him two doses of Morphine and Tramal... and even then, he told us the pain wasn't letting up. When we finally got back home, I gave him some more Brufen and Ketoral, and that seemed to help a bit. Honestly, today he can even walk a little, whereas yesterday morning he couldn't even move an inch in bed... We went to see the oncologist today to try and get him admitted for inpatient care and palliative radiation... but his regular oncologist isn't in, and the doctor filling in was just... well, whatever. They told us he needs to check in with his regular doctor on Monday, but then they mentioned she isn't even back until June 1st... so now we're just stuck waiting for her to return.
The infusion from yesterday and the Morphine seem to be working for him today, but I know once that wears off tomorrow or the day after, we'll be right back in this exact same cycle... and I just honestly don't know how to help him through all of this.
brisksurfer brisksurfer Newcomer
6 messages
joined Jun 2009
#1625 ·
Gary Torres7 said:My dad was diagnosed with a tumor near his tongue three years ago. Since then, he's been through radiation and chemo. But every single year, that damn tumor just keeps coming back. His tongue is swollen up and he can't even eat. Has anyone dealt with this kind of thing? How did you handle it?

Look, my father had metastases on his tongue when they first found the throat cancer... During surgery, they had to remove the part of the tongue where the tumor had taken hold. He didn't have issues with leaking, but because swallowing became such a nightmare, he constantly had to rely on a nasogastric tube just to get enough nutrition. They would set the tube up for him at the hospital and then back at home whenever the medical technicians came by.
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#1626 ·
Jonathan Sanchez3 said:I called a private medical transport service to check prices, like from the Thorn area over to the Rib hospital......$87

Our doctor isn't incompetent at all—she’s actually excellent. My dad has been essentially living on painkillers ever since they found bone metastases. Right now, his dose is at 125 mg over the last few days, and he’s taking Ketorol too. He was given Sevredol, but it made him feel terrible; he couldn't breathe and his lungs felt heavy. Yesterday, the doctor even prescribed 600 mg of Ibuprofen, but even after taking that, the pain didn't budge. We ended up throwing him in the car and rushing him to the ER at the Rib, where they just left him sitting in a wheelchair in some little side room in agony for a good hour. Finally, they gave him two doses of morphine and Tramal. Even then, he said the pain wasn't letting up, so when we got home, I gave him more Ibuprofen and Ketorol. That seemed to help. In fact, today he can actually walk, whereas yesterday morning he couldn't even move in bed. We went to see the oncologist today to try to get him admitted for inpatient care and palliative radiation, but his regular oncologist isn't there, and the covering doctor was just dismissive. They told us to wait until Monday to see his primary doctor, but apparently, she doesn't return until June 1st, so we’re just stuck waiting until she gets back.
It feels like yesterday's infusion and the morphine are working for now, but once that wears off tomorrow or the day after, we'll be right back in this nightmare... I honestly don't know how to help him through all of this.

Try giving him Pharmacist when the pain hits next. A head nurse over at Jordan told me that it covers a specific "spectrum" of pain that these other analgesics and things like morphine just don't touch. She says people are always baffled when they take Pharmacist and the pain vanishes instantly, especially after they've tried everything else under the sun without any relief.
slyseal28 slyseal28 Member
11 messages
joined Mar 2007
#1627 ·
Jonathan Sanchez3 said:I called a private medical transport service to check prices, for example, from Thorn to Rib......$87

Our doctor isn't incompetent at all; she’s actually quite excellent... My dad has been on patches since they found bone metastases... Currently, his dose has been at 125 mg over the last few days... On top of that, he's taking Ketoral... He was also given Sevredol, but it made him feel terrible—he couldn't breathe properly, it felt heavy in his lungs... Yesterday, our doctor even gave him 600 mg of Brufen, but after taking it, the pain didn't subside at all... So we eventually put him in the car and drove him to the ER at Rib, where they just left him sitting in a wheelchair in some little room, in agony, for a good hour. After that, they finally gave him two doses of morphine and Tramal... Even then, he said the pain wasn't letting up, so once we got home, I gave him more Brufen and Ketoral... Only then did he start feeling better... Today he can actually walk, whereas yesterday morning he couldn't even move in bed... We went to see the oncologist today to try and get him admitted for hospital care and palliative radiation therapy... But his regular oncologist isn't there, and the doctor covering for her was just dismissive... They told us to have him contact his own doctor on Monday... but then they mentioned she doesn't return until June 1st... so we're stuck waiting until she gets back.
Today, the infusion from yesterday and the morphine seem to be working, but tomorrow or the day after, when that wears off, the whole cycle will just repeat itself... and I honestly don't know how to help him through any of this.

Try calling one of the pain management clinics. In my experience, a specialist anesthesiologist might be able to provide much better relief. You can find a list of clinics, including their addresses and contact information, at this link.
slyowl10 slyowl10 Member
14 messages
joined Apr 2010
#1628 ·
My dad’s dealing with pancreatic cancer and liver metastases, and honestly, things aren't looking great. For the last two weeks, he’s been in absolute agony with these brutal, aggressive pains in his lower abdomen. He went in for chemo yesterday, and his oncologist told him he needs to see a surgeon immediately. Right now, he’s stuck in the hospital getting run through every test imaginable. I’m probably going to lose my mind while we wait for the results and find out what's actually happening. The doctors are mentioning a possible gallstone?! How dangerous is that, given everything else he's fighting?
It doesn't help that I don't live in the same state as my parents. It just kills me that I can't be there to physically help him...
I fly back home every single weekend to try and lift his spirits, but watching him go through those pain spikes is just the worst part of it all..
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#1629 ·
slyowl10 said:My father is battling pancreatic cancer with liver metastases, and things aren't looking good. For the last two weeks, he’s been dealing with these brutal, aggressive pains in his lower abdomen. He went in for chemo yesterday, and his oncologist told him he needs to see a surgeon immediately. Right now, he's at the hospital getting run through every test imaginable. Honestly, I feel like I’m losing my mind waiting for these results to come back and hearing what the verdict is... Doctors are actually wondering if it's a gallstone?! How dangerous is that given everything else he's fighting?
By the way, I don't live in the same state as my parents, and it absolutely breaks my heart that I can't be there to help him directly...
I fly home every single weekend to try and lift his spirits, but watching him go through these pain episodes is the hardest part of all...

I find it hard to buy the gallstone theory; if it were just a stone, they likely would have caught it by now. It takes a significant amount of time for a stone to grow large enough to trigger an attack like that.
I can't say for certain how critical this is right this second, but in my opinion, if there really is a stone causing these spasms, leaving it untreated is far more dangerous than addressing it.
slyowl10 slyowl10 Member
14 messages
joined Apr 2010
#1630 ·
Is there any chance the metastases have spread to other organs, and maybe that's why the pain is hitting so hard?
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#1631 ·
slyowl10 said:Is there a chance the metastases have spread to other organs, causing all this pain?

Unfortunately, it's 😢
But you really need to hold off until the lab results come back and you get a professional opinion from the doctor.
slyowl10 slyowl10 Member
14 messages
joined Apr 2010
#1632 ·
The tumor actually shrank from 2.5 cm down to 1.7 cm, which is something, I guess, but there are metastases in the lymph nodes now, and that's why the pain is so intense. We're just sitting around waiting on the tumor marker results. Can anyone actually explain what having metastases in the lymph nodes really means?
slyowl10 slyowl10 Member
14 messages
joined Apr 2010
#1633 ·
He’s taking Zoldiar for the pain, which I guess seems okay on paper, but honestly, it just makes him feel totally wiped out. It's like he's constantly stuck in a fog.
What else could actually help take the edge off the pain?
Jonathan Sanchez3 Jonathan Sanchez3 Newcomer
3 messages
joined Sep 2011
#1634 ·
thanks for all the advice...
we finally managed to get his pain under control...it’s been a winning combo of patches + Advil + Tylenol + Tramadol...he started the Tramadol today and says it’s helping a ton—it actually makes him sleepy, which is a relief because he hasn't been sleeping much since Wednesday, so things are feeling a bit more stable for now...we'll just see how it goes from here...
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#1635 ·
slyowl10 said:The tumor shrunk from 2.5 cm down to 1.7 cm, but there are metastases in the lymph nodes, which is why the pain is so intense. We're currently waiting on the tumor marker results. Can anyone explain what it actually means when the disease hits the lymph nodes?

Think of the lymphatic system as a drainage network. It starts with interstitial fluid that gets filtered into the lymphatic vessels. Once that fluid—lymph—enters the vessels, it travels through at least one lymph node before finally dumping back into the left or right subclavian vein to mix with the bloodstream. In this case, the cancer has spread to those nodes, creating metastases. This isn't unusual; since both blood and lymph circulate throughout the body, malignant cells can hitch a ride and set up shop in different areas. That’s exactly why doctors don't just rely on radiation for the primary site; they use chemotherapy to hunt down those stray cells circulating in the blood.
You really need to find out if surgical removal of those affected lymph nodes is an option.
Nancy Rodriguez26 Nancy Rodriguez26 Newcomer
2 messages
joined May 2010
#1636 ·
blazenka.peko@yahoo.com
Elizabeth Gonzalez55 said:There was this one woman, I think her name was Vesna Vulovic, who actually survived a plane crash from 33,000 feet. Pretty sure she’s the first person you’d think of if you were stuck on a plane that started falling apart.

Look, just for the sake of anyone actually reading this, I’m not out here pushing my own opinions regarding chemo as an option for treating melanoma. I’m just passing along information I got straight from the horse's mouth: Dr. Djokovic (Mayo Clinic), Dr. Stanec (Cleveland Clinic), Dr. Juretic (Johns Hopkins), Prof. Dr. Schadendorf (German Cancer Research Center), and Prof. Dr. Morton (JWCI santa Monica, USA). They told me this face-to-face; there’s zero room for "misinterpreting" what they said.

Chemo is usually reserved for the terminal stage, used as a palliative measure where the response rate is maybe 10-20%. And even then, "response" basically just means you buy some time—maybe up to six months. We aren't talking about a cure here. I'm talking about classic chemotherapy using DTICem. Maybe the case you're thinking of is different, and they're giving that guy something else entirely, but I don't know enough to weigh in on that. And let's get one thing straight—I never said chemo doesn't help anyone. Sure, maybe there are outliers. Personally? I don't know a single person it worked for, though I do know about twenty people who aren't with us anymore.

I would be super grateful if you could show me this guy's medical records—but hey, no rush, maybe in three years. While you're at it, feel free to include a little summary of his quality of life while he was on that treatment. Because in the last three years, my husband has gotten married, had two kids (the second one should arrive, Bog willing, in about two weeks), graduated from Georgia Tech, and changed jobs twice. Every Saturday he’s out hiking, staying active, traveling... you name it. And there isn't really a "before" or "after" with alternative therapy; it’s just something we’ve done continuously since the diagnosis and will keep doing for the rest of his life.

I have never called him cured, and I never will. The cancer is in him, just waiting for its moment. It would be incredibly arrogant of me to talk about a "cure." That's why I always say he's doing well right now. I thank Bog every morning. I don't make long-term plans. Everything could go south tomorrow, and I'm painfully aware of that. But I hope, and I believe.

So yeah, that's that. I'm done arguing about this.
Nancy Rodriguez26 Nancy Rodriguez26 Newcomer
2 messages
joined May 2010
#1637 ·
Hey, if you can, please reach out to me at
blazenka.peko@yahoo.com

Thanks, best, Nancy Rodriguez26
loneridge80 loneridge80 Newcomer
9 messages
joined May 2010
#1638 ·
Hello to my brave community
I could really use some advice. My sister is battling malignant melanoma and is dealing with constant nausea—partly due to the disease itself, partly from radiation, and honestly, because we’re racing against the clock. She’s currently taking Reglan, but it just isn't doing the trick.

Since she starts chemotherapy this Monday (ugh), and we all know the vomiting that usually comes with it, I’m terrified this will leave her completely depleted. Does anyone have any suggestions?

I’ll definitely be discussing all of this with her doctor on Monday, but in the meantime...
briskbison27 briskbison27 Member
21 messages
joined Mar 2007
#1639 ·
I need some help here, please!

My mother had surgery for kidney cancer back in 2001.
For the last few months, she hasn't been feeling well, though she kept fighting us on seeing a doctor.
The current situation: there's a mass on her remaining kidney—they aren't sure yet if it's a new primary tumor or a metastasis—plus there are metastases in her lungs and likely in her brain, given the neurological issues she's having with one arm and leg.
Subjectively, she isn't in pain and seems to be doing relatively well.
The attending physician is young and seems completely disinterested; we’re planning to push for a consultation with a more senior doctor instead.
It looks like she'll be discharged from the hospital soon, pending further tests like a brain CT (though I honestly don't see the point?) and a biopsy of the kidney mass to determine if it's primary or secondary.

I have a few questions, if anyone can offer some guidance:

1. Should we agree to oncological treatment? (I'm a layman, but my understanding is that chemotherapy isn't very effective for kidney cancer.)

2. Should we insist on cytostatics, which are supposedly the only somewhat effective option?

3. Or should we refuse everything and switch her to an exclusively Macrobiotics diet while she still has the strength, perhaps supplemented with Noni juice?

Keep in mind she is 64 years old and has diabetes.
Psychologically, she has the temperament to actually stick to an alternative diet.
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#1640 ·
briskbison27 said:I need some help here!

My mom had kidney cancer surgery back in 2001.
For the last few months, she’s been feeling off, but she kept fighting going to see the doctor.
Now: there's a mass on her remaining kidney (they aren't sure if it's a new primary tumor or a metastasis), plus metastases in her lungs and likely in her brain (she's having neurological issues in one arm and leg).
Subjectively, she isn't in pain and feels relatively okay.
The attending physician is young and seems totally indifferent; we're planning to talk to a more senior doctor next week.
She’ll likely be discharged soon after some tests—possibly a brain CT (though I don't really see the point?), and a biopsy of the kidney mass to figure out if it's primary or secondary.

A few questions for anyone who can help:

1. Should we accept oncological treatment? (I'm a layman, but from what I understand, chemo isn't very effective for kidney cancer).

2. Should we insist on cytostatics (which are supposedly the only things somewhat effective)?

3. Should we refuse everything and switch her to an exclusively Macrobiotics diet while she's still relatively strong, perhaps adding some Noni juice?

Keep in mind she's 64 and diabetic.
Psychologically, she has the kind of temperament that would actually stick to an alternative diet.

With metastases present, mom is entitled to Sutent, which has shown excellent efficacy for metastatic kidney carcinoma and is covered by the Social Security Administration for this indication. Demand a straight answer from the doctors regarding Sutent! It's an expensive drug, and based on what we've seen at patient advocacy groups, people often get brushed off when they need to start high-cost treatments that are funded through hospital budgets.
Mom needs to see a neurosurgeon immediately with her MRI or CT results to determine if the brain tumor is operable. Regardless, she's going to need radiation for the brain.

Regarding Macrobiotics and Noni, speaking from my own mother's experience, it's nothing but suffering, a waste of money, and a way to spike liver enzymes (specifically with Noni).
She just needs to eat healthy. The recommendation is a Mediterranean diet, which means plenty of fruits, vegetables, poultry, and fish.

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