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Dr. Andrew Rynne

Family Physician

Exp 50 years

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A year ago I had left lung cancer and surgeon

A year ago I had left lung cancer and surgeon removed half my left lung I have had pneumonia twice before cancer I'm 59 lhe last month caughinh really sever titeness only on left side chest I also have several stents have had heart attach 3 times on SSDI lost ins only have part b at this time

Wed, 31 Oct 2018
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doctor1 MD

my husband has stage 4 adenocarcinoma non small cell. He had his left lung removed 3 years ago. Came back in bone left hip a year ago. Next, 2 tumors to the head. Used tomography and are currently not active. Then a few spots to the right lung. Then new treatment of chemo pill daily and a infusion every 21 days. Great for six months. Currently, coughing and right back side in lung area hurting terribly in right lung area. If this is back and active, how long does his life expectancy seem to be. Please be straight with me. I know the what ifs, miracles, etc.

doctor1 MD

Hello My mom has lung cancer and she is 46 years old. Here s her medical history: Left breast cancer (03.11.09); T1c(1-2cm) N0 (0/4nodes) Grade II IDC ER+/PR=HER2 (2+on IHC). She completed 6 cycles of adjuvant FAC chemotherapy followed by 60Gy/30fr adjuvant RT completed 05.0810. She was also started on Tamoxifen. She developed rectal bleeding in February 2010. Colonoscopy in July 2010 showed a stenosing tumour extending from 10-18cm from the anal verge. Biopsy revealed a moderately differentiated adenocarcinoma and pelvic MRI suggested this to be a T3N2 lesion. She was started on Oxaliplatin, capecitabine , bevacizumab. She was admitted in the hospital due to complains of weakness, hypotension and bloody diarrhoea. After it was treated she underwent surgery and palliative colostomy without resection of the colonic primary because it was very adherent to the intra abdominal structures and the surgeon did not want to risk major exploration and dissection in the presence of peritonitis secondary to a colonic perforation. After post operative recovery she had been suffering from peripheral neuropathy and still is. However, she has found relief with TENS. PET/CT scan showed bilateral pleural based metastatic lesions and a possible left lower lung parenchymal deposit also. the primary lesion did not show increased FDG uptake, possibly secondary to having its blood supply cut off by the surgeon. She was also diagnosed with multiple filling defects in the right lung on CTPA and received therapeutic low molecular weight heparin. She has a clot in her lung vessel for which she gets clexane injections everyday. She had pleural effusions aspirated three times since the start of May 2011, from the right and left side. She got a Groshong central venous catheter and started her chemotherapy (Ondansetron, dexamethasone, atropine, irinotecan). She completed 1 cycle of her chemotherapy. The chemotherapy was discontinued because of a severe infection due to the Groshong line. She was started on antibiotics but the catheter was ultimately removed. After the infection settled and she recovered a little of her strength, she was misdiagnosed with passive pneumonia and was given Tazocin. It was just recently diagnosed as loculated pleural effusion. She also has a collapsed lower right lobe. She had the effusions aspirated 3 times, one time every day.The lobe has shown improvement. She is now complaining of chest pain, pressure on the chest and extreme shortness of breath. She has been on oxygen for about a week now and finds it difficult and tiring to breath without the oxygen mask. The lung saturation however is within acceptable parameters so i dont understand why she finds it difficult to breath without the oxygen. It has gotten so bad that she s unable to talk properly and can hardly complete a sentence without taking breaks. Yesterday night her chest pain got so bad they had to give her morphine which took quite a lot of time to wear off and she felt extremely lethargic. She is complaining of palpitations and says her heart skips beats(for which she was given Metoprolol Tartrate) but no significant improvement is noted. But the doctor says her heart is doing fine, so im really confused. She also feels a tingling sensation around her lips, head and limbs quite frequently and keeps getting these tiny jolts every now and then. What do you suggest we do about that? Overall, she feels extremely weak and is drowsy and lethargic most of the times and im getting really worried because she is showing no signs of improvement. Should she start getting her chemotherapy even though she s really weak? and can you please tell me what to do about her breathing and lethargy?

doctor1 MD

my boyfriend was diagnosed with stage one lung cancer, he is 26 years old and has Hip from medicaid but there is only 1 surgeon to do his surgery to take out the few growths in his lungs but hes been holding it off for over a month or two now and im getting so worried that things are getting worse, he will not go to his surgeon because he had an emergency appendix removal by her (which is when he found out he had the cancer) and the surgeon left a questionable scar on the opposite side of his stomach no where near where the appendix was. So hes horrified to get surgery on his lungs. I dont know but what im trying to say is does anyone know a way to still get treated without going through medicaid ? Like is there anyway around the medical field where he could go that atleast excepts hip from medicaid, hes lost all hope and gave up on it and i dont want to see him in pain anymore to get help to get this surgery because without it i dont know what to do. please help

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