Doctor insights on:
Hospice For Terminal Small Cell Lung Cancer
My mom has small cell lung cancer and she is in severe pain. It's in both lungs and hospice has been called in. Do you think its in other organs?
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
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?
Hospice: Most hospices only take patients with 6 months to live or less. I would need more information to tell you more. ...Read more
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 more
My 91 y/o mom has lung cancer is on Hospice. She has developed pneumonia. Does this mean she only has days or weeks left? Morphine prn for now, 2 mg
Probably: You're never certain. I hope the end will be peaceful ...Read more
My grandfather has lung cancer and has it in his heart. He hasn't 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 more
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?
Aunt- stage 4 lung cancer, no treatment weak heart, swollen neck lymph, coughing up blood, oxygen, hospice, life expectancy?
Preterminal: Unfortunately the patient appears to be preterminal with life expectancy predicted to be in days or weeks. Hospice care will ensure that pain and suffering will be avoided and will not prolong death. I assume that the patient and family understands and agrees with this plan of care. ...Read more
Nearly 2 stone weight loss within 4 months of someone with non small cell lung cancer that hasn't responded to treatment is this terminal cachexia?
It does: Not sound good but nbody kniws better than your oncologist ...Read more
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 more
Lung cancer: Small ("oat") cell lung cancer is distinguished by the fact that is has almost always spread beyond the lung when discovered and is therefore not surgically curable, but responds very well to initial chemotherapy. Now that the other common types are coming to be more treatable as well, "non-small cell" is giving way to more elaborate diagnostic schemes. Good luck ; keep up hope. ...Read more
Small cell Lung ca: Smoking tobacco significantly increases the risk of small cell carcinoma. Some hypothesize the impact of carcinogenic smoke on the central airways may be the primary mechanism of injury. The earlier in life a person starts smoking, the more often a person smokes, and the more years a person smokes, the greater the risk of lung cancer. ...Read more
Small cell lung ca: In limited disease, tx would be combination chemo and radiation. In a very limited case, surgery can be done if size is very small, absolutely no spreading to any area/adjacent lymp glands etc. Prophylactic radiation to brain is recommended. In extensive disease, chemo will be the tx. Palliative radiation as needed. For chemo responder, prophylactic radiation to brain can increase survival. D/w md. ...Read more
Ecog ps (performance status) refers to the functional status of patients with cancer (any type, not just small cell). Ps 2 describes pts that " are ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours"
ps scores are used to decide how intense of treatment cancer patients should undergo. ...Read more
Adjunct only: Small cell carcinoma is rapidly lethal if untreated by often stays away for a long time with even mild chemotherapy. There are even talks of cures. The ayurvedic medicines or the relationship with the practitioner may be the magic that makes you more comfortable, but it won't touch the cancer itself. ...Read more
Yes: Carboplatin is a very commonly used medication in this malignancy. Tolerence today is quite good, with the most important side effects being temporarily low blood counts, fatigue, numbness and nausea. A unique point about this agent is that it is dosed based on the patients kidney function, rather than the patients size like most anticancer medications. ...Read more
Can go anywhere: Sclc is particularly notorious for spreading quickly and widely. The brain is one common place for sclc to spread, but it can spread almost anywhere in the body. The liver, bone, adrenal glands, and brain are the most common sites. ...Read more
Yes: If you have Eaton Lambert as a complication, it might be well to use caution ...Read more
Curative tx for nsclc is surgical.
Stage 1-surgical resection 70%5yr survival
stage 2- surgical resection 30-35% 5 yr survival
stage3 chemo/rtx/surgical combo approx.1- 3-% 5 yr surv.
Stage 4 chemo/radiotx 0-.5%5yr surv. ...Read more
12 months or less: Small cell lung cancer is an aggressive disease. It is highly sensitive to chemotherapy and/or radiation therapy but it tends to recur. If the disease is limited, cure can be achieved with proper treatment. If the disease is extensive, cure is not feasable but treament can improve or delay symptoms and can help patients live longer. Without treatment, survival is 6 to 12 months. ...Read more
Complex: Looks like she has small and non small cell cancer (one on each lung). I would assume they want to radiate the sc first and operate the nsc later. Aggressive but if the patient is in good health and neither cancer has spread, can't see why not. I wonder if the oncologist has considered adding chemo to the radiation for the sc. I would guess he/she did and may have a good reason not to use it. ...Read more
Zero: Deadly without therapy.Get a more detailed 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
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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