A member asked:

Do you consider the following a true or false statement? "someone who isn't in a reasonable state of health will be more likely to be killed by chemo?

8 doctors weighed in across 7 answers
Dr. Natalie Sieb answered

Specializes in Family Medicine

May have more probs: I don't know if I'd say "killed by chemo," but someone who is not in a good state of health when starting chemotherapy may end up having more complications from the treatment than someone who was in better overall health when starting.

Answered 4/5/2020

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Dr. Leila Hashemi answered

Specializes in Internal Medicine

Chemo: people with comorbidities might show more severe side effects like Nausea/vomiting, bone marrow suppression, liver and kidney failure and infection. The oncologist weigh the risk over the benefit before using the chemo and discuss those risks with the patients.

Answered 7/18/2014

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Dr. John Michel answered

Specializes in Family Medicine

Probably true: Anyone who needs chemo is already ill. AS long as some one has a fair to good level of general health , then chemo should not kill them unless they have major side effects. If chemo is given to someone who is doing very poorly then would not give it to them as they have a higher rate of complication.

Answered 7/22/2014

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Dr. David Krulak answered

Specializes in Family Medicine

Rephrase: What is the definition of 'reasonable state of health'? Obviously, the sicker you are, the less resilience you have to the impact of chemo. However, what happens to any individual is not predictable based on an illness severity score.

Answered 7/18/2014

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Dr. Silviu Pasniciuc answered

Specializes in Internal Medicine

True: With the following limitation: if the unreasonable state of health is due to an acute, recoverable condition. The other limitation, providing the person is in a good physical condition is the chance for a meaningful recovery. Please have a detailed conversation with the treating oncologist and further consider palliative care if appropriate.

Answered 7/18/2014

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Sort of true: Chemo is toxic and causes a variety of symptoms and illness in the body. But it is given for the presence of illness - usually cancer. If you are sick in other ways, chemo might have enhanced toxicity and the oncologist in some cases will delay a dose to improve the health of the person so they can survive the chemo. Death is quite uncommon from chemo - it is usually the underlying disease.

Answered 7/18/2014

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Dr. Liesa Harte answered

Specializes in Family Medicine

Yes, makes sense: That is pretty logical. I consider that a true statement.

Answered 7/18/2014

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