Good morning dr. krueger I’m living in costa rica, 43, female, stage4 non-small cell lung cancer, non smoker. I received only 4 of 6 rounds of chemotherapy due to a severe lung infection 7 month ago. After 4 round of chemotherapy (sisplatin combo), cancer was shrinking and currently only in one lung present and growing now since left with no treatment. Tecnically I should be death several month ago, but I’m in excellent health conditions and fighting with government hospital for additional treatment. They are offering now chemotherapy and radiotherapy combined. Since I cannot trust the oncologists working for public hospitals trying to save money, here is my question. What kind of treatments, combinations, duration, do you recommend now and what shall I do after, if I survive this treatments and panorama is looking good? Available in costa rica is 3d, cobalt, and chemotherapy is bought in the USA. I also intend to travel to cuba for cimavax efg vaccin and I’m actually taking a daily dose of scorpion venom from cuba. Do you recommend equinacea for preventing future infection? Many thanks in advance for all the help I can get.
My daughter had an mri scan 6 weeks ago and it has finally come back. Before the scan was completed it shows the start of a shadow but then the scan finished. They now say she has to have a scan of the middle back ?near the lungs, shes worried it could be lung cancer. What could it be.
My mom has a sed rate of 113, they thought she had polymyaga reumatica but not sure now, she has been diagnosed with copd and is taking advair, reumatoligist wants her to see a pulmonary dr. because of the high sed rate I am worried it could be lung cancer what are your thoughts?
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?
Hi, my father is 86, has gone thru pros. cancer, heart works 35% and lung cancer. Now his psa has increased to 17. He has just started HONVAN 120 , and has increased skin rashes on his legs which are itching and getting worse. Is it medicinal side effect or beginning of skin cancer.
my Aunt was just told she has 3 spots on her lung, moved into liver, under her arm and throat...she is a breast cancer survior 7 years. they told her maybe 9 months but put her in a lottery for a new drug not yet fda aproved...would
Tomo therapy or any other treatment work...?
not to knock health care or hospitals but where she went is a learning hospital, not going to stop the fight for her, please help..thank you
I am a 54 white female who was diagnosed with Merkel Cell Carcinoma in 2006. I was considered a stage III and the prognosis did not look good. My tumors where located under the skin, unassuming, no pain, no discloration etc....I have submitted my story above but have no idea if you have received it. Please kindly let me know. Audrey Schwartz
I have diverticulitis and usually take Bactrim but now I am on Keytruda for lung cancer . I have a prescribed bottle of Metronidazole and don't want any drug interaction with Keytruda and need to know if I can take the Metronidazole for the...
My wife is 77 years old. In 2016, she had 1/2 of right lung removed due to lung cancer . She then had a-fib and later chemo for cancer. In march 2017, she had seizures in brain due to cancer metastasizing to brain. She then had radiation treatment...
Hello I am 65 yr old medical history of osteo arthritis brain tumor removal non cancerous acoustic neuroma which left me deaf in my right ear; during the surgery several nerves were damaged during the surgery resulting a stroke: I have 4 nodules...