Doctor insights on:
Final Days Of Cancer Patients
Does ascites for advance liver cancer patient mean that it is the final stage? What is life expectancy for such a 70 yrs old patient?
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Yes, it can be: Some patients have great restlessness and agitation at the end of life. Thorazine (chlorpromazine) is among the medicines that can be helpful in such palliative care situations. Http://tinyurl. Com/lo7p272 it can also be used for persistent hiccups that are extremely troublesome for people whose cancers are irritating their diaphragms. Http://tinyurl. Com/mrn4zga. ...Read more
Dr. Kindly let me know what does 13 bilrubin indicate. How many days patient can be alive with a bilrubin of 13 suffering from liver cancer and incre?
Near death: Probably will have severe mental change.Get a more detailed answer ›
Find out cause: My first advice would be to find out the cause. Hiccups can be related to any type of irritation of the diaphgram, including tumor growth or metastasis. You can also get hiccups from a pleural effusion. If you can't find the cause, then I have used low-dose Chlorpromazine at a dose of 25 mg by mouth 3-4 times per day to be effective. This medication can have other serious side effects. ...Read more
Is it a standard procedure to stop oral meds for patients with severe vomiting? My mom died 4 days after being taken off her heart meds while being treated for pancreatic cancer caused vomiting.
So sorry: I am so sorry to hear about your loss. The mortality of pancreatic ca is very high and if the patient cannot tolerate oral medications then there is no other option but to stop the medications. ...Read more
Liver cancer patient has jaundice, lack of appetite, nausea but still gained about 2 kg in 10 days. What could be the reason?
Just wondering: why are transplants not allowed for cancer patients in the u.S.? It seems a bit unjustified.
Incorrect: As an example, liver transplants are done in some patients with primary liver cancers. ...Read more
No!: We can't always cure cancer, but we can always treat pain. Cancer patients should never suffer from pain. We can block nerves that carry pain signals, use medications, and even implant spinal cord stimulators to control pain. Cancer patients die for many reasons, but not from pain. If you are suffering from cancer pain, ask your doctor for relief. And don't stop asking until you are comfortable! ...Read more
Valodex/nolvadex are other names for the generic drug tamoxifen. It is an antiestrogen and blocks the effects of estrogen in the body. It can be used in breast cancer, dcis (ductal carcinoma in situ, pre-invasive breast cancer) and non-cancerous conditions rarely.
Some cancers need estrogen to grow and this can block that growth. ...Read more
Many well: Intentioned care providers withhold information, offer more treament, and don't come clean about the fact that: losing weight, not eating; having no appetite; spending increasing to all one's time in bed or chair signal approaching end. Inability to control bowels and blader and losing consciousness can occur before breathing ceases. Invite palliative care in early. ..Before the end is near. ...Read more
Cancer: Love, compassion, tolerance, and most important empathic listening, being able to understand the unique experience of the person suffering without trying to fix or judge. Also helping the person live life despite cancer. Helping the person to participate in life as much as possible. ...Read more
Context is key: I'll let you find the "sick" / counterphobic jokes on your own. The greatness of the human spirit is shown, among other ways, in our ability to find a smile (not ridicule) even in the most difficult situations. Sandra miniere's "lighter side of cancer" is a model for staying brave, upbeat, and cherishing life. ...Read more
Cancer is internal: Many times with the cancers, there are no external stigmata. Also, many of the treatments are much better tolerated than previously. The chemotherapeutic agents are more specific and more targeted, thus many of the bad side effects are decreased. Thus, the old image of sickly, infirm, bedridden patients may be less prevalent. Obviously, this is on a case by case basis. ...Read more
Dr. House??: Dude. That is a fantasy program with very little grasp of reality (funny as it may be). Wrong website. Try imdb (internet movie database). They have a tv section and list each episode individually. ...Read more
If cancer was diagnosed 14 months prior actual diagnosis, would that help to extend a patient life?
Often yes: Finding cancers early often means that they can be completely removed by surgery & gives cancer less time to spread. This is rationale for doing colonoscopies to find precancerous or early cancerous lesions the colon. Has significantly reduced death rate from colon cancer. Similar with routine mamograms for early breast and routine psa blood test & biopsies for early prostate cancer detection. ...Read more
Cancer: Is is really important for a fully independent patient to know the stage of cancer one is in?
Yes, so you plan yr L: Stage determines your prognosis, so if you want to plan your future better, then you would want to know what your odds of survival from your Cancer will be like. This may give you more hope and lessen your anxiety. yet it is up to you to ask for more info or less info from your oncologist. ...Read more
In most cases of cancers, do patients present with almost all the symptoms associated with the cancer?
Is it a usual thing that the cancer comes back after curing to the patients after a while or in the future?
Here are some...: The odd to have recurrence of a treated cancer always exists, but the longer no recurrence after its definitive Rx, the less its recurrence; the 5-year survival rate is designed to serve the purpose of comparison & study. Besides, the extent and tissue features of cancer play their important role affecting long-term survival. So, ask the treating doctor for more specifics on this subject. ...Read more
Will a patient who is suffering from an extremely painful cancer and will certainly die be allowed to die in pain?
Pain not tolerated: In my practice, excessive pain is not tolerated. This is especially true for somebody who has a limited survival. Talk with your doctor about what options are available. ...Read more
When are the most trying times for a person newly diagnosed with serious cancer? What is your experience with cancer patients?
Stages..: I am not clear in what the question is but if you are asking about the person's reaction after diagnosis, people usually go through 4 stages: denial (they deny the condition or act like it does not exist), anger (they get very angry at life, others or God), negotiation (the person tries to negotiate a solution with God or life), acceptance (person finally accepts condition and treatment/options. ...Read more
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