Doctor insights on:
Encounter For Antineoplastic Chemotherapy
Is it possible to have chemotherapy while traveling out of state? My mom is currently undergoing chemotherapy for stage III colon cancer. She lives in ny, by herself, and my siblings and I do not live close. I live in phoenix, and want her to visit for
Chemotherapy: Chemotherapy for colon cancer is usually given every three weeks or so. Therefore, patients sometimes take a two-week trip between chemotherapy "cycles" as long as they are feeling up to traveling and their blood counts are ok. It is usually not worth the effort of transferring care to another oncologist for just one dose of chemotherapy to allow someone to make their trip a bit longer. There can also be difficulties with insurance if there are no in-network providers for her plan in arizona. This is usually less of a problem with patients on medicare. If your mother wants to move to arizona to actually complete all her treatments, it should be very possible to do so. I am a radiation oncologist in arizona (so I don't give chemotherapy) and I used to live in manhattan. I am very impressed by the quality of medical oncology in the phoenix area. She could get top-notch care here if she chooses, but would need a referral to a local oncologist, see him/her in consultation, and then restart the chemo.See 1 more doctor answer
One to next: Chemo medicine cause lot of damage normal and malignant tissues. During development of the drug its duration effect on the tissue is studied and a fixed time is determine after which the medicine to be repeated....Risk and benefit issues. The.
Some: Transiently many patients will have some trouble focusing; somewhat like when ones eyes are tired. Steroids which are commonly used with chemotherapy drugs can increase cataract formation, which used to be a leading cause of poor vision, but now can almost always be fixed quite easily.See 1 more doctor answer
Yes: Chemotherapy has many potential risks. The potential adverse events and dose limiting toxicities should be discussed the your cancer physician and team. The important concept is understanding the "risk/benefit ratio". That is, what potential benefit is worth the risks? Also, what alternatives are available?See 1 more doctor answer
Yes: This is a great question! chemotherapy can damage your eggs or sperm, so it's vital that you talk about your desire to have children before starting chemotherapy! Men can bank sperm before chemotherapy and women can bank eggs/embryos. Many types of chemotherapy can make you infertile depending on your age, but you can safely have children later if you've planned ahead and stored your "stuff"!See 1 more doctor answer
There are a few: Chemotherapy has side effects but they can be controlled with counter drugs. Side effects may come in the form of nausea, vomiting, hair loss, low blood counts which can lead to infections. So a close monitoring is required and antidotes to prevent these side effects are used as needed.
Topical chemotherapy: Chemotherapy refers to the treatment of conditions with drugs, and often is applied to the use of anti-cancer agents (but may also be applied to others). Topical means that it is applied directly to the lesion in question and is not taken systemically (by mouth or injection) and meant to get the lesion through the blood stream. Hope this is clear. Good luck.See 2 more doctor answers
Depends: It will depend on the type of cancer & the biology of cancer. Different cancer requires different approach and treatment. However I think the answer is a targeted therapy specifically targeted to the mutated receptors in cancer cells. The best story of effective therapy of cancer in modern chemotherapy era is the story of Gleevec (imatinib) for cml.See 1 more doctor answer
Chemotherapy 1980: In my opinion. The most important development was the discovery and the use of antiemetics. The medications that prevent nausea and vomiting. This discovery made chemo. Bearable and many patients were able to tolerate it. ADD to this the discovery and use of growth hormones like neupogen, neulasta (pegfilgrastim) and procrit that helped shortening of the periods on neutropenia and we are able to give r the dosesSee 1 more doctor answer
Kept in positon: Most chemotherapeutic agents are delivered intravenously while a few can be given orally. With IV therapy which is given over several hrs the patient is kept in a lounge chair. Because of toxicity to the veins when given iv, a port is usually placed in the subclavian vein and placed under the skin where the IV line can easily be introduced.
Depends: Some protocols give chemo daily x 5 days, others x2 or x3. Yet others administer it as a continuous drip with a portable pump for weeks at a time. It depends on the drug and the program.
Maybe: Chemo can definitely reduce fertility. I discuss fertility with all patients of childbearing age, and offer sperm banking to men, and referral to a fertility expert for egg harvest for women. Menstruation after chemo is generally a marker for fertility. Chemo can induce damage to the genes in sperm and eggs, and patients shouldn't conceive during chemo due to risk of birth defects.
Possible: Chemotherapy is a broad term for a large number of drugs used alone or in combination. Also the doses vary depending upon the disease. The are also variations in individual's susceptibility. There are also a large number of drugs used to combat side effects. I can only say that it can be anything from very toxic to mild depending on the situation.
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