Doctor insights on:
Hospice For Terminal Small Cell Lung Cancer
My mom has small cell lung cancer and she is in severe pain. Its in both lungs and hospice has been called in. Do you think its in other organs?
It is very likely.: Small cell cancer of the lung is very problematic in that it has the ability to spread, metastasize , very quickly to other organs. On a more likely than not basis, per your information, it has spread. Hospice should be of great help and comfort and is appropriate. ...Read moreSee 1 more doctor answer
Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more
My mom has small cell lung cancer and hospice care has been called in its spread to both lungs already. She is in severe pain. How long does she have?
When she is ready: Hospice is an individual choice; people with serious illness that is life threatening, with less than 6 months left to live are eligible. If she does not want treatment and/or is ready to be made comfortable, she is ready to talk about hospice. ...Read moreSee 1 more doctor answer
My grandfather has lung cancer and has it in his heart. He hasnt been making a lot of sense and has been falling alot. The hospice nurse took him off diuretic meds.About how long does he have? I live in a different state and would like to be there?
Not sure.: Doctors not good at predicting end of life except within last 72 hours. If on hospice someone has certified that they thought he had less than 6 months to live, but we sometimes have patients who graduate from hospice! if diuretics were keeping him from being in heart failure, he may not have long. When patients stop eating/ drinking they usually don't last a week. Ask the nurse. ...Read moreSee 1 more doctor answer
Friend diagnosis last march stage 4 lung cancer, mets to adrenals, lymphs, neck, now liver.Hospice began today.No food 5 days.Sleeping all day.How long? Ideas?
What do you suggest if my father has late 4th stage emphizima and late 3rd early 4th stage adenocarcinoma (small cell lung cancer)?
Deepest condolences: It sounds like your father's time is short. Make it as good a quality time as possible. Talk to each other. Tell him that you love him. If he was a good father, tell him. Ask him to provide a life history for you - video tape it if possible. Consider Hospice care. Be sure you discuss and know his wishes for mechanical ventilation. Be sure he has a will. ...Read more
My mom has stage 4 small cell lung cancer in both lungs, in severe pain no biopsy no trtreatment what happens now ? Life expectancy?
Functional status: First, I am so sorry for you and your family. Lung cancer can spread very quickly. You mentioned hospice had been called. In general, that is an option when an individual has a life expectancy of less than 6months. But remember, that is just a prognosis (guess/estimate) not a hard set fact. The most important factors are her function, such as her ability to stand, walk, eat, etc. ...Read moreSee 1 more doctor answer
Rarely is cured.: It depends on the stage and if the cancer has spread. Small cell lung carcinoma is usually treated with chemotherapy and radiation. It is one of the most aggressive subtypes of lung cancer. Definitely consult with an oncologist, but patients with small cell should weigh the benefits of participating in treatment offered in clinical trials at university centers. ...Read moreSee 2 more doctor answers
Diagnostic test: First of all, a biopsy needs to be done to establish a diagnosis. Once is confirmed, then staging work-up needs to be done that include- ct scan; a bone scan and imaging for the head- MRI brain will be preferable than ct scan- if possible. Discuss further with your oncologist. ...Read moreSee 2 more doctor answers
All hospices deliver a similar set of services. They include nursing, assistance with caregivers on a limited basis, chaplaincy, bereavement counseling, social worker and physician care (medical director in many cases). You are covered for many services and this includes medications related to your terminal diagnosis. The hospice team is there to help you transition in the ...Read more
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