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Thread: Dad been told he has Adenocarcinoma ?

  1. #1
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    Dad been told he has Adenocarcinoma ?

    About a month ago my stepfather went to the doctor who suspected he has an Abdominal Aortic Aneurysm. He was sent for scans, was told he had a 5.9 cm AAA that would need treating, but before that they were trying to find out why he had lost such a lot of weight. About a third of his body weight, which left him in the normal height/weight range. Just decided on an endovascular procedure and went to see a specialist physician who picked up swollen supraclavicular lymph nodes. He was sent to have it aspirated for Ctyology and it came back as the following,

    The smears shows numerous sheets and groups of malignant cells in a bloodstained background. The features are most in keeping with a metastatic carcinoma? adenocarcinoma

    and subsequent CT Scan

    CT EXAMINATION OF THE CHEST -

    There are a number of large rounded lymph nodes in the right low posterior cervical and supraclavicular regions, the largest measuring 2cm in diameter. There is extensive paratracheal and mid-mediastinal adenopathy, with large nodes measuring >4cm in diameter in the subcarinal region and 3,5-4cm in dimension in the right paratracheal region. There are also bilateral bronchopulmonary lymph nodes. However, no focal pulmonary mass lesion is identified. There is no pulmonary infiltration. There is no pleural effusion. Below the diaphragm, arterial phase extension scanning shows a homogeneously enhancing normal sized liver, spleen and kidneys. No adrenal or retroperitoneal mass lesion or adenopathy is identified and the pancreas appears normal. No bony metastatic lesion evident in the spine, sternum or ribs.

    COMMENT:

    Extensive mediastinal and cervical adenopathy with no visible pulmonary primary focus.

    Went to Oncologist on Tuesday 24th, went for biopsy on 25th and presently waiting for the results. Oncologist said he thinks primary is lung, but no mass.

    Except for the weight loss my father is well. He is 69yrs old but used to play soccer and is still very fit. After the oncologist we walked to the car (he walks fast) and I could not keep up with him. I have asthma and am 55yrs old. I was breathless and huffing and puffing.

    He has no pain, has never had a headache in his life and had surgery once for piles 50 years ago. He never gets ill. He is terrified of doctors and even starts screaming before the nurse comes near him with a flu injection.

    When the doctor called us in and told us he has cancer, I asked all sorts of questions and the only thing he asked was.....turning to me......he said....how long....The doctor told him that he does not even know where the primary is so would first have to see an oncologist. Up till this one could not even talk of death or sickness in front of him. I felt so terrible this day and for days after. I don;t know how he is going to cope. I have been with him to each docs appointment, biopsy surgery and will continue to accompany him. I asked my doctor about this and my doctor said that my father should have the option to refuse treatment and enjoy quality of life if he wants and needs to be told his exact status. I don't know how to behave if my father is given bad news. Its affecting me mentally. I feel so terribly sorry for him and sit and imagine how he must be feeling and want to cry.

    Not sure what is going to happen from here on. If they do not find the primary what will happen? How will they know if he goes into remission after chemotherapy?

    Any advice would be appreciated.

    Thanks

    MIB

  2. #2
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    Hi Brigitte, Welcome to the Forum but so very sorry that you need to be here. What a horrible shock to you all. I have gone through this same thing with my father. Our entire family was just reeling from the news and never expected this to hit my Dad. I don't expect that anyone expects to hear that news. Until all the tests are completed, biopsy's assessed and a treatment plan in place, everything will be like a roller coaster of emotions. I know you are worried about how your Dad will deal with anymore bad news but somehow we all do deal with it. I believe it's important for people to know what they are up against so they can make the best decision for themselves. Some will opt not to have treatment if they feel they will lose quality of life and are only buying a little extra time. As hard as that is for loved one to accept...it's still their decision in my opinion. It sounds to me that your Dad really wants to know what his chances of beating this are or he would not have asked "how long". My Dad was 82 and although devasted by the news was a little more accepting about what he called the Circle of Life. Even though he was more accepting, he did go for radiation to both his lung and his brain where the lung cancer had spread to. He did suffer from some anxiety, mostly at night when he couldn't sleep. They have medication to help control that anxiety. As far as knowing how to behave if and when your Dad gets bad news...follow his lead, if he wants to talk about it he will and you might be surprised at some of the depth and love that comes from those conversations. Are they easy? No! Are they important? Yes! You might find that he does not want to talk about it...Just follow his lead. I can't tell you how much this forum helped me help my Dad after he was diagnosed. I found alot of support and helpful advice at a time when I felt like my world was falling apart. I hope you will find that same support here as well. Have the doctor's actually put a stage to this lung cancer yet? Please keep us posted and let us know how you both are doing. 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.

  3. #3
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    HI, I am by no means an expert in the medical field. But, I believe they will be able to tell you the primary source after they get the biopsy results back. I'm not sure on that though. I understand what you are feeling because I just went through what you are just beginning to go through. I never cried in front of my father, I had a lot of tears but tried my best to remain strong for my dad. I'm not saying that crying in front of your dad is a bad thing. For me, I just don't like to cry in front of others. Everyone else around me cried though and my father handled that like a trooper. He wound up consoling those that cried. My dad choose to go with a better quality of life rather than go through chemo. He did get 15 radiation sessions but for palliative reasons only. His fear was having a stroke and being incapable of taking care of him self. I can't tell you what will happen from this point forward, but I can tell you this; write down all your questions for the doctor and what helped me was to write down what the doctor said to me during my fathers visits. I kept a log on on iPhone of my questions and their answers and also tracked all his vitals. In the end of my dad's journey looking at those vitals helped me to gauge where he was in this disease. For me, it just gave me something to do and to look back at. You are doing the right things now and I can only tell you that things may get tougher. If they do, if you have someone that can help you I would ask for that help. You will need it. I was lucky to have my brother to help with my dad and eventually home care nurses and finally hospice. I hope that your get the answers that you need. You and your father will be in my thoughts and prayers.
    71 year old Father diagnosed 2/2/2012 with Stage IV Lung Cancer NSCS with METS to the Brain, spine, bones, Adrenal Glands, Lymph Nodes, Liver, Pancreas, omentum.


    Heart Attack 2/19/2012
    Whole Brain Radiation and Radiation to the Spine 2/27/2012 completed 15 sessions on 3/16/2012
    Heart Attack 3/10/2012

    Passed away 3/26/2012[/B] I love you dad, you will be missed.

    http://www.cancerforums.net/threads/...IV-Lung-Cancer

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    Irish and lalle09 thank you so much for your replies. I know that initial cytology came back as postivie for cancer, but I cannot believe that someone so healthy has it but has had chest scans and abdominal scans and was told that everthing appears normal and that no actual mass was found. He said to me and my Mom that he has had a long good life and that if he lives another 5 years to 75 then its not so bad. He is going to turn 70 in June, but does not look 70 and up till now has not been sick as is so fit. Will the doctors tell him how long he has. I don't know if he will ask again. Also he said he will sort out his finances etc once he has had the operation for the aneurysm, but we do not know when that will happen. How can we tell him he should do it asap. It may sound as though we are just worried about his finances after he is gone.

    Also the doctor said it seems primary is lung but that they mght never find the source. If that is the case after rounds of chemo, when and how do they know if cancer is getting better if there is no mass which is getting smaller. How else can they tell?

    I am also worried about his aneurysm. We do not have much family. Its just my Mom my children and myself and him. His family is in Germany and my Mom is also not well so basically its just me who can do the most for him.

    Am anxious about everything, but then again how will we know how bad it is as I do not want to ask the doctor anything while he is there as I do not want to make him feel worse.

    Anyway thank you for trying to help. I will post again after I have received results of the biopsy. Tuesday is a public holiday so not sure if I will get any results before Wednesday. I hate this waiting.

    Irish and lalle09 I am so sorry for the loss of both of your Dads.

    The only other person I have lost is my Grandfather who was like a father to me. He died about 19 years ago and to this day it makes me sad and I haven't got over it completely as I did not expect him to die although he was old. It was like he would be around forever, so I did not do as much as I should have for him and have so many regrets. Never want to have those regrets again.

  5. #5
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    Hi Bridgitte, I know you are feeling overwhelmed with everything right now...we've all been there. Although they believe that the primary is lung...they may never really know for sure. In order to assess if the chemo is effective, they will keep track of the size of his tumors before and after the chemo. If they are shrinking or staying the same, they will call the treatment effective. Shrinking is the best case senario but having them not grow any bigger is also slowing down the cancer and keeping it at bay for however long they can. Surgery for an aneursym is still a serious surgery... he will need to sign consent forms before surgery, perhaps a conversation before that surgery telling him that you need to know what his wishes are before the surgery so that if there are any complications you will be able to follow through with his wishes. It's never going to be an easy conversation to have. My Dad's first task was to put his affairs in order, he wanted to take care of that while he was still in good health. That way he could cross that off his list and concentrate on fighting this disease with no distractions. Although my Dad was 82, he was very active...in fact 2 months before he was diagnosed he and a friend did a 2 day 600 kilometer snowmobile trip through the bush. He loved being out in the wilderness and enjoyed our Canadian winters to the fullest. We were dumbfounded when he was diagnosed. His only symptom was a little weight loss over the winter until a chest pain sent him to the hospital for a suspected heart problem. An Xray revealed a tumor the size of a large orange in his lung and further tests revealed a very small tumor in his brain. I have many times here on the forum advised that the only way to get through this nightmare is to take it one day at a time...don't dwell too much on what's to come, it will drive you crazy. Enjoy each day you can with him and tackle each problem as it arises... there will be many but you can never be sure what they will be as each journey is as different as the people travelling this road. The fact that your Dad is in such good shape going into this may help him in battling this beast. We're here whenever you need some support or have any questions. Take care and 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.

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    I called the office of the vascular surgeon who removed the lymph node for the biopsy. I asked him after the surgery if I could get his secretary to email me the path report when he receives it and he said it would be fine. She did not have it yet, but said she would call the lab. Apparently it was still not ready. That was at 10 am. This evening at about 5.30 pm the oncologist called me and told me he had received a call from the secretary asking about the report as I wanted it. He said that he did have a preliminary report, but was still waiting for the other tests and once the full report was received (most probably by Wednesday) that he could decide on appropriate chemo. He did say though that it still seemed to be lung cancer, but that he could give us more information on Wednesday.

    I asked him whether he could tell me what stage the cancer was at seeing as they could not find a primary. He said stage IV. This was quite a shock. Can they really accurately stage it? The posts I have read on here all seem to be of people who have something in liver or elsewhere in the body. All my Dad has is the lymph nodes in his neck. No shortness of breath. They said his lungs were good and so were the other organs. I just cannot understand.

    Also if he is Stage IV would he have at least 2+ years like your Dad Irish or could it be even worse? He said if he has 5 more years then its not that bad.......but will he have that amount of time. Will he suffer ...... cannot bear the thought of someone who is terrified of needles and hospitals and who has never had a headache in his life suffer.

    When I spoke to my GP shortly after initial diagnoses, he had received reports already and he said that he actually messed up my Dads life by discovering the aneurysm and by the other docs finding the cancer. He said doctors pat themselves on the back and think they have done good by finding something, but in some cases when its terminal it might have been better for my Dad to not know....carry on with his life and one day just have the aneurysm burst and go quickly.

    He said my father should know his options and if he prefers quality of life, should be given the option to not have treatment for the cancer or aneurysm.

    He mentioned something about Stage IV cancer and I thought he was talking in general, but now maybe think that it was already mentioned in the report to him. I did think it weird that he mentioned no treatment as a possibility.

    Also my Dad had said to me after his diagnosis that he was so sorry that he got rid of his gun........I think he meant he would shoot himself and when I told my Doc this he said, its HIS choice.....and what are you going to do next? Take away his car and then what.....change all the knives to plastic knives.

    After thinking about what he said I suppose I understand. My Dad has the right to live out his life or to take whatever steps he wants, but its so hard thinking and thinking of the devastation he must be feeling.

    This is mentally getting to me.

    I don't really need any answers to what I have written, I suppose this is more to just let out these feelings.

  7. #7
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    Brigitte, when my dad found out his diagnosis his plan was to drive himself to a hotel when the time was right and end his life by taking all the meds his doctor had prescribed to him. This conversation was had many many times and I fully supported my dad in what ever decisions he made. keep in mind that I knew full well that my father would never know when the "right time" was. He always said when he felt himself declining he would do it. Well, by the time he actually felt himself declining it was too late. He was no longer able to drive himself and although I supported my dad in his decision, there was no way I was going to drive him to a hotel to carry out his plan. My husband put his foot down at that because he was concerned with the Law and what ever part I would have had in him carrying out his plan. My father did tell me he wanted to end his life but promised me he would never do it in my own home because I had my children there. Unfortunately his decline was extremely rapid, in a span of 3 days he went from walking, talking and watching TV with me to being totally unresponsive. I am sad my didn't didn't get to go on his terms, but am glad I did not have to endure his "plan".

    When you get the pathology report you will hopefully be able to read exactly where the cancer has spread to. Keep writing out your feelings, even though I am done caring for my dad, I find my responding to people's posts and questions helps me through my journey I am on now. I hope you don't mind my responses, but I do understand where you are at right now. The stress both mentally and physically can be tough and remember to take care of your self first and foremost.

    Laura
    71 year old Father diagnosed 2/2/2012 with Stage IV Lung Cancer NSCS with METS to the Brain, spine, bones, Adrenal Glands, Lymph Nodes, Liver, Pancreas, omentum.


    Heart Attack 2/19/2012
    Whole Brain Radiation and Radiation to the Spine 2/27/2012 completed 15 sessions on 3/16/2012
    Heart Attack 3/10/2012

    Passed away 3/26/2012[/B] I love you dad, you will be missed.

    http://www.cancerforums.net/threads/...IV-Lung-Cancer

  8. #8
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    Hi Brigitte, I know that many people at this stage have considered many options. My Dad said many years ago if he was faced with something terminal or debilitating he would know when the time was right to go for a really long swim. He also said, when he was unable to take care of himself he would not live with his kids but would sign himself into a nursing home and just start shutting himself down. When he was diagnosed, he asked for an expected life expectancy and they told him 6 months...Even after that prognosis he still hoped for at least a year and maybe 2 if he was lucky. I guess that's why most doctors are reluctant to guesstimate timeframes. Dad only had 10 weeks from diagnosis until he passed. Funny thing about those 10 weeks, he fought as hard as he could for his health. He never went swimming and had not signed into hospice...only talked about it. The will to live is fundamental in most people, stronger than most suspect. I believe that unless someone is in a lot of pain they will continue to want to survive. In most cases, pain can be managed pretty successfully today. This is still pretty new for your Dad, you may find that he moves from this stage to one of acceptance in time. This topic is something that comes up by many facing a terminal disease and I'm sure there are strong feelings by many on different sides of the fence on this issue but until we are walking in their shoes I don't believe we have the right to pass judgement. I did however take special care in keeping my Dad's liquid morphine put away....it's not that I wanted to stop him if that's what he chose to do but I was worried that it may not do what he intended it to do and he might actuallly do more damage to himself but live through it. In hindsight, I don't think he would have considered that because he was never in any real pain...just frustrated that he was so weak and tired all the time. Stage 4 does not mean that he only has weeks or months left. Many people actually respond well to treatment at stage 4. Many many people live much longer with good quality of life. Many at least try various treatments with the hopes that they will have minimal side effects and prolong their lives substantially. This journey has many hills, valleys and turns in the road. Best to live in today and just deal with each issue as it comes up. I'm sorry that your Dad is suffering through these anxieties but I suspect they are more common than we think, generally they pass to an acceptance stage as the will to live out our time with as much comfort as possible surpasses the fear. Prayers of strength and comfort to you both. 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.

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    Laura and Irish thank you both for your replies. I am all over the place right now mentally. Went from being a little calmer after seeing the oncologist and not having palpitations and anxiety to once again having same symptoms with the stage IV diagnosis. I think not knowing exactly what the situation really is, is making the situation more unbearable. If at least we knew he would have only x amount of time left it might make it easier for my Dad to decide to do whatever he wants (ie: refuse chemo etc) and have a better quality of time left. I want him to fight and try and get more time, but I know he will find it hard to endure being really unwell, so feel so helpless.

    I guess you are right. He did go from being terrified of hospitals to sort of saying when he saw the room where ppl were having chemo to saying....I guess I am one of them now. So I suppose he will fight, but having to be there if and when he is told that time is shorter than expected is so difficult for me. Not sure how to handle it if he is told. In a way I don't want him to know that at least he doesn't have that stress as well, but also want him to know that he can make decisions and he has the right to know as its his life to live as he please for whatever time he still has left.

    Thank you both for replying......its means a lot to me to login and see a response. Makes me feel that at least I can come on here and speak with people who are going through or have had the same experience as I and know how I feel.

    I wish treatment could already begin so that I can feel at least that we are trying to delay the cancer spreading even more.

    Laura your pain must still be so fresh. I really appreciate you taking the time to reply.

    Hugs to both of you,

  10. #10
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    Have an update at last. The wait has been agonising. Doctor just called and confirmed that my Dad has Andenocarcinoma and the type is non small cell carcinoma. They think that one of the things that look like lymph nodes in the middle of the chest is actually the primary site. He said that he will now contact the medical aid for authorisation and hope to get my Dads chemo started in about a weeks time. When I asked if he could tell me how long he might have even though I know he might not like saying, he said its difficult to say, but that some people with this type of cancer where it has spread maybe past lymph nodes to an organ sometimes last a year. However he also said that some people respond well and after chemo they can see if the lymph nodes have shrunk and as we go along can give more updated stats.

    He said in my Dad favour, he is physically very well. I feel somewhat better now and once chemo starts, hopefully we have some more good news.

    Thanks for the support so far and I will definitely keep coming back for more advice from you guys.

    xx

  11. #11
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    Hi Brigitte, So glad to hear that your waiting time is over...now's the time to take a little breather and let them put together his treatment plan. If he responds well you might have more time with him than you think...check out some of our stage 4 members who are surpassing all the odds and still enjoying life. Dano's story is my inspiration here and his battle and successes are truly heroic. Never give up hope. At least now you can move forward and give this beast a run for it's money. Good luck to you both and God Bless. Please keep us posted on how things are going.
    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.

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    Thanks Irish.

    Update: Was called in today. Saw the oncologist and he explained what drugs we would be given and also side effects etc. Then Dad was sent for a B12 injection and had to collect some folic acid pills to take daily and also been given Betanoid tablets to take on the 15th May morning and evening.. He would have to be at the hospital by 3 pm. Once again see the doctor and then be admitted for drips to be put up for hydration and urine output to be measured. On the morning of the 16th he will be taken down to chemo and then be discharged.

    He will be on Pemetrexed (Alimta) and Cisplatin once every 3 weeks.
    Last edited by Brigitte; 05-11-2012 at 09:43 AM.

  13. #13
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    Hi Brigitte, Thanks for the update....remind him to stay very well hydrated before, during and after the chemo treatment. It will really help mimimize the effects. Keep us posted and 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.

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    Hi Irish, Well before with the drips they most probably have that covered, but will make sure that he is aware that he should drink lots of fluids afterwards as well as he does not drink much water etc....only coffee.

    Thanks for the tip.

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    Hi Brigitte, Any liquid will do, just get some extra fluids in him, before, during and after. By the way, our Dano here on the forum had tremendous success with Alimta. I hope your Dad has the same success. 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.

  16. #16
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    Thanks Irish will definitely make sure he gets enough fluids. I do hope he also has success with his treatment, but most of all I hope that his side effects are minimal.

    Will keep you guys posted.

  17. #17
    The fluids are also important to help flush out the chemo quicker. For my husband, I buy bottled sparkling water (lemon, lime, or orange flavored), and mix that with various flavors of fruit juice. It helps to have a variety of flavors to drink, and by mixing 3/4 water + 1/4 juice, it keeps him from having so much sugar (so he can drink more, as sugary drinks decrease his appetite). He always has a bottle of regular water on hand. And, I often put a straw in his drink (using a straw help you to drink faster ..... every bartender knows that trick).

    Besides the water, keeping on top of anti-nausea meds is important .... "prevention" of nausea is easier than knocking it back, so have him be proactive and take the meds before he feels bad.

    Best of luck to your Dad, and for you, I hope you can find many many peaceful unstressed breaks.

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    Thanks for the tips on bottled water and juice. Will definitely get some to keep on hand. Will also make sure I get anti-nausea meds from the oncologist for him and get him to take it regularly.

    Received a call from another hospital on Friday about Clinical Trials. Called my Mom to explain to my Dad that we should go hear what they have to say as he would have to sign in order for them to test for the EGFR mutation. He was having a wobbly again. Unfortunately there have been some letters "To the Editor" in our newspaper about the following professor:

    Sean Davison, the University of the Western Cape (UWC) professor who helped his terminally ill mother die in New Zealand, is looking forward to his return home this week. His five months of home detention in New Zealand came to an end last week.

    Some silly person wrote that they do not want to legalise euthanasia as the medical profession is raking in funds from cancer patients.....something to that effect, so of course my Dad again feels he would be undergoing unnecessary treatment which would make him feel really ill just in order for others to benefit financially.

    These stupid people do not realise that there are people who have cancer who read something like this and who believe this to be the truth. My Dad is clueless about hospitals etc so really believes what he reads. What if he decides to not undergo treatment because of someones stupid comment. It could mean the difference between a slightly longer better quality of life for him. These people are so totally ignorant and clueless and then the newspapers still print such drivel.

    Now not even sure if my Mom discussed us going to find out about the clinical trial on Monday because of his mood.

    Apparently if he has the mutation, treatment would only begin after his initial chemotherapy.

    Not really sure if this is possible as he really wants to have the aneursym repaired as soon as possible so there are so many unknowns.......will he be well enough after the chemo to have the endovascular procedure........if he has the aneurysm repaired first, will he still be eligible for the clinical trial? etc

    If he does not go I will go on Monday and get all the information I can and will just have to take it from there.

    When my son is awake during the day I am busy but now its 1.30 am in South Africa. Am totally exhausted, but find myself roaming the sites looking for more info.

    So unsure how to handle my Dad, what to say and do. We have always had problems because he is quite a difficult person, so we have had many ups and downs, but now want to really support him, but how to best do it I have no idea as he is so unpredictable. When he rants about it, I find myself going silent as I have no idea what to say. I cannot say it will be ok as I do not know this. I cannot say the treatment is worth it, as I do not know if this really will be what he feels if he really gets ill from the treatment. I stated before that he has never been ill or even had a headache so not sure if he will really be able to deal with feeling unwell.

    I really want to say the right things, but at the best of times its difficult......with this I am in unknown territory and don't know how to help except be there for him and accompany him to all doctors and hospitals visits, help him and my Mom out with shopping if he feels too unwell. My Mom has lots of health issues so seldom leaves the house and he does all the shopping etc.

    Wish I knew how to console him.

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    Help.

    I am more confused than ever. Dad is supposed to be going in hospital tomorrow to prepare for chemo on Wednesday. I went to speak to another doctor about a clinical trial (on his behalf.) This doctor said that in her opinion, the aneurysm is of primary importance and should be treated first (endovascularly) and then once he has recovered chemo could be started. This is because my Dad is very worried about the aneurysm.

    She mentioned the potential side effect the chemo could have taking into account the aneursym. Our oncologist knows my dads worried about the aneurysm and said he would discuss it with the vascular surgeon. I called the vascular surgeon today and he has not been contacted by the oncologist.

    The vascular surgeon said he could do the surgery first if we wanted, but that he would contact the oncologist as well....discussing whether the cancer could be cured with chemo (no according to the oncologist to me) and prognosis.

    Now my Dad has decided he would like the aneurysm treated first and then he will do chemo and whatever else if necessary.

    We are going to the hospital tomorrow ....will talk to the oncologist about this, but will go prepared to stay in if necessary for chemo the following day.

    1 doctor says cancer treatment first....another says in her opinion aneurysm first.

    With the cancer only in mediastinum and right supraclavicular lymph nodes and right neck and Dad has no other symptoms and if fairly healthy, would it make sense to do the aneurysm first.

    If he has chemo and this takes 3 months and if he is not well after chemo and has to wait longer, the aneurysm might not be able to be repaired if he does not respond well and needs ongoing treatment.

    The risk of rupture is there .

    What to do.....more confused than ever.

  20. #20
    Super Moderator Top User
    Join Date
    Sep 2010
    Location
    Canada
    Posts
    2,444
    Hi Brigitte, I think I would be looking for a third opinion. But my gut instinct would be to go for the aneurysm repair first. That can be done pretty quickly followed up with the chemo which would take longer. I would only do that if the surgery to be scheduled quickly. I'm not a doctor so my opinion is just based on gut instint. I think you need to talk to another doctor that is not pushing their agenda. Please keep us posted. 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.

 
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