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Thread: Stage 4a NSCLC

  1. #11
    Top User Spouse's Avatar
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    I've got my mind stuck on trying to learn what is the technical differences between 4a and 4b lung cancer. Anyone know a source? "Too technical" for the patient/family doesn't work well with me. ;L Thanks.

  2. #12
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    Quote Originally Posted by Spouse View Post
    I've got my mind stuck on trying to learn what is the technical differences between 4a and 4b lung cancer. Anyone know a source? "Too technical" for the patient/family doesn't work well with me. ;L Thanks.
    Agreed, Ill be asking more this thursday when we go for treatment. Funny I never thought it would bug me this much. lmao
    Mom diagnosed November 2011 with Stage 4a NSCLC
    Treatment Dec 2011 Gemcitabin, Carboplatin
    Radiation soon to start
    Tumors shrinking March 2012
    Blood Clots found in Right Leg and Lungs March 2012
    Loss of mobility, motor control, speech and movement February 24, 2012
    Leptomeningeal Mestatic Deposits found April 11, 2012
    Radiation Assessment April 18, 2012
    Confirmed cancer cells are shrinking April 9, 2012

  3. #13
    Top User Spouse's Avatar
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    I think my "need to know" is because without a full understanding of the situation, there is a fear that an opportunity for a treatment option might be passed up because I did not know enough to ask about it.

  4. #14
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    Hi all, I have looked ed it up in the past, and the oncologist I have that is a straight shooter, said that there is no treatment difference between 4a or 4b or even stage III. The biggest deal is has the cancer left the initial landing site such as the lungs where they feel they can control cancer better. But it is common for the doctors to go in remove lobes and say no more cancer and months later you have it again. I personally feel better knowing I'm in a long war being aided by doctors that know it and we fight it to the end.
    God Bless
    Dan
    57 year old male, Diagnosed Nov. 9,2007 with NSCLC IV with Mets to the lymph's and brain and now my pancreas (9/1/11)
    Had full brain radiation treatment in Jan 08 treatments now every 3 weeks with Alimta, stopped taking Lovenox for clots, working full time
    http://cancerforums.net/viewtopic.php?t=9993

  5. #15
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    I am in agreement with dano. Once you get to Stage 4, the differences are immaterial to the person who has cancer. Treatments can vary based on certain markers, but these are not included in the Staging.

    I am also a type A personality and understand your "need to know", but what you might consider is that you are better off taking care of the person and not the disease. I am relatively certain that all the expertise in the world comes nowhere near being as helpful as a hug or a shoulder. Your family member doesn't need yet another doctor. They need YOU. The fact that they have C A N C E R is more than sufficient reason to be scared, and the fact that they are still alive is enough to do what you need to do...love, support, comfort and listen.

    Believe me, I understand the initial frenzy to have all the answers, but you are wasting your time. Time that could be better spent on the here and now. You can NEVER have all the answers and the doctors won't either. They just have their best guesses. Let them deal with that. You have more important things to do.

    Hugs and hope,

    Lori

    PS - if I sound like I am being a bossy boots, please understand that I am speaking from experience. Let go of the "know" - you can't count on it anyway.

  6. #16
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    Bossy Boots?? I can see Loves and Kisses, But not Bossy!. . What a great friend you are Lori. I think the biggest thing that happened with whole 4A and 4B thing is the doctors that came up with the concept may have gotten a write up in the American Medical Journal and were quite impressed with themselves really.
    Dan
    57 year old male, Diagnosed Nov. 9,2007 with NSCLC IV with Mets to the lymph's and brain and now my pancreas (9/1/11)
    Had full brain radiation treatment in Jan 08 treatments now every 3 weeks with Alimta, stopped taking Lovenox for clots, working full time
    http://cancerforums.net/viewtopic.php?t=9993

  7. #17
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    Lori, you expressed this cancer journey with a loved one so well. Stage 4a or 4b....still stage 4 with all its ramifications. If you trust in your medical team...it frees you up to just love and support the person with cancer. I too spent alot of time researching and trying to find the answers. I used to do it all when my Dad was sleeping so I wouldn't be taking time away from him. In the end all I did was exhaust myself and all my research didn't change a thing. I found more helpful information right here on the forum than I did with any research...practical advice I could use to better take care of my Dad and keep him comfortable. Advice on how to take care of myself so I wouldn't burnout in the process and most of all I found hope and inspiration here on days that I felt I couldn't go on much longer. So thanks Lori for getting right to the heart of the matter and talking about what's really important on this journey. God Bless.
    Irish
    Irish,
    Caregiver to my Dad, who was diagnosed in June 2010 with Stage 1V NSCLC with single met to brain,
    He sadly lost his battle in August 2010 and we miss his smiling Irish blue eyes terribly.
    My Dad's story:
    http://www.cancerforums.net/threads/...th-how-he-died.

  8. #18
    Top User Spouse's Avatar
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    Quote Originally Posted by Lorieliz View Post
    I am also a type A personality and understand your "need to know", but what you might consider is that you are better off taking care of the person and not the disease.
    I am able to do both, really, entertain my "need to know" and take care of the person. We weren't even three months into this when I found that having exacting details was what got our foot in the door regarding a possible trial. Of course, all the while, I try to keep in mind:

    God, grant me the serenity to accept the things I cannot change,
    Courage to change the things I can,
    And wisdom to know the difference.


    Peace and Health to all.

  9. #19
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    Ahhhh....the Serenity Prayer, you'll never know how many times I used it to get through.
    Irish
    Irish,
    Caregiver to my Dad, who was diagnosed in June 2010 with Stage 1V NSCLC with single met to brain,
    He sadly lost his battle in August 2010 and we miss his smiling Irish blue eyes terribly.
    My Dad's story:
    http://www.cancerforums.net/threads/...th-how-he-died.

  10. #20
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    I find the more i know the more i can help my mom. I dont think its at all overwhelming at some points in my life but there are days when knowing all of this is harmful because i know i want to help but i cant. gahh. I love the serenity prayer.
    Mom diagnosed November 2011 with Stage 4a NSCLC
    Treatment Dec 2011 Gemcitabin, Carboplatin
    Radiation soon to start
    Tumors shrinking March 2012
    Blood Clots found in Right Leg and Lungs March 2012
    Loss of mobility, motor control, speech and movement February 24, 2012
    Leptomeningeal Mestatic Deposits found April 11, 2012
    Radiation Assessment April 18, 2012
    Confirmed cancer cells are shrinking April 9, 2012

 

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