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Doctor insights on: Lung Cancer Pneumonia Blood Transfusion Bone Cancer Heart Transplant

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Dr. Barry Rosen
4,298 doctors shared insights

Cancer (Definition)

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


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78 yrd uncle has lung cancer bone mets now weakness in legs, blood transfusions 3 x pwk & referred to palliative team. How long left approx.?

78 yrd uncle has lung cancer bone mets now weakness in legs, blood transfusions 3 x pwk & referred to palliative team.  How long left approx.?

Difficult to say: I'm sorry to hear about your uncle. We try to refrain from "predicting" when an individual may succumb to an illness because truly there are too many factors coming into play. That being said, usually palliative care referrals imply that the patient is not expected to survive more than 6-12 weeks more. We don't have crystal balls and frequently patients surprise us. ...Read more

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My dad is 84. He has stage 4 lung cancer. Hie also has lung disease. His heart functions at 50%. He is on oxygen and is skin on bones. He still drives?

My dad is 84. He has stage 4 lung cancer. Hie also has lung disease. His heart functions at 50%. He is on oxygen and is skin on bones. He still drives?

NOT "COOL": Your dad's doctor should be consulted ASAP. It is his/her DUTY if a safety issue is involved to counsel your dad to give up his license or report the situation to the local State Authority (in MA. for example it would be the Registry of Motor Vehicles. BE AWARE SENIORS DO NOT WISH TO GIVE UP THEIR LICENSES IT IS A MATTER OF PRIDE AND DESIRE TO BE "INDEPENDENT" !! HANDLE WITH CARE! Hope this helps! ...Read more

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Have symptoms of lung cancer, heart issues , PE and after xray, blood work and echcogradiogram, Drs say anxiety. Can anxiety cause all of these?

Have symptoms of lung cancer, heart issues , PE and after xray, blood work and echcogradiogram, Drs say anxiety. Can anxiety cause all of these?

It sounds: like you have had an extensive medical workup. If all of these tests are normal, rest assured and see your doctor for follow up. Anxiety and panic can absolutely cause you to have symptoms compatible with other disease processes. ...Read more

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Male, 21.Er for chest pain.Had ekg, blood test and chest xrays. Everything came out normal.Doubt its my heart.Are xrays enough to rule out lung cancer?

Male, 21.Er for chest pain.Had ekg, blood test and chest xrays. Everything came out normal.Doubt its my heart.Are xrays enough  to rule out lung cancer?

For you - yes: The incidence of lung cancer for someone 21 years of age is essentially zero. I remember reading some where that the risk of a 30 y/o person dying from lung cancer over the next 10 years is 0. Chest xrays are an excellent screening tool. They will miss some small percentage of lesions because of size and/or location. The most important thing you can do is stop or never smoke. ...Read more

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A 77 yr old man lung , brain and hip bone cancer, responded to chemo&radiation...Now has lymph node cancer next to heart..Survivable?

A 77 yr old man lung , brain and hip bone cancer, responded to chemo&radiation...Now has lymph node cancer next to heart..Survivable?

Treatable: Lymph nodes next to the heart may be treatable with more/different chemotherapy and/or radiation. Unfortunately, when cancer has spread from the lung to bones and brain as it seems you have described it cannot be cured. Chemotherapy, radiation, and sometimes special pills that directly target the cancer can put it into a remission and extend time and quality of life. ...Read more

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Aunt- stage 4 lung cancer, no treatment weak heart, swollen neck lymph, coughing up blood, oxygen, hospice, life expectancy?

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

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Today my friend was told she will not go into remission.Dr.Will not do more chemo.Pain meds increased.Blood transfusion.Stage 4 lung cancer, mets.Hope?

Today my friend was told she will not go into remission.Dr.Will not do more chemo.Pain meds increased.Blood transfusion.Stage 4 lung cancer, mets.Hope?

Yes and No: Stage 4 lung cancer is an incurable type of cancer. Only about half of the patients respond to chemotherapy and that benefit lasts for no more than 6 to 12 months. That is about all one can do in the present state of cancer treatemnt. Once cancer has progressed despite chemotherapy it is good to seek palliative care/hospice care to help her to go through rest of her life with least bit of sufferin. ...Read more

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Is heart transplant possible if a has cardiomegaly and lungs filled with water? (a had 2 heart attacks before 2 years)

Is heart transplant possible if a has cardiomegaly and lungs filled with water? (a had 2 heart attacks before 2 years)

Maybe: Transplant is a potential treatment for one who has severe heart failure, or arrhythmias, that haven't responded to other medical therapy. There are a number of situations that rule out transplant including other ills, old age, so whether a given person with bad heart disease is a candidate needs to be discussed with the patients heart doctors. There are many factors to consider. ...Read more

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Is it true that when you have a lung transplant for cystic fibrosis you have to have a heart transplant as well?

Is it true that when you have a lung transplant for cystic fibrosis you have to have a heart transplant as well?

No: Patients with cystic fibrosis often will have a double lung transplant. Heart transplant is only required if pulmonary hypertension is so severe in cystic fibrosis that it has affected the function of the heart. Thus, CF patients do not require heart transplant when they have lung transplant (the great majority of the time). ...Read more

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My mom(56) had 2 attacks in 2 yrs.Then she died due to cardiomegaly&lungs with fluid&shortness breath. Was heart transplant possible? We r dipressed.

My mom(56) had 2 attacks in 2 yrs.Then she died due to cardiomegaly&lungs with fluid&shortness breath. Was  heart transplant possible? We r dipressed.

Possibly: The evaluation for a heart transplant requires multiple factors to be reviewed and for the potential candidate to be capable of of both the transplantation and the long- term follow-up. Unfortunately, not all people are candidates for a variety of reasons. ...Read more

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I wonder if my mom would qualify for a heart transplant. She has copd, chf, a diabetic and fluid on the lungs. Just thinking of ways to save her life.?

I wonder if my mom would qualify for a heart transplant. She has copd, chf, a diabetic and fluid on the lungs. Just thinking of ways to save her life.?

Unlikely: As you have described your mother it is unlikely she could tolerate the rigors of a heart transplant. Each institution has guidelines for appropriate candidates for transplantation to maximize the success of such a scarce resource. You could check this through their websites. ...Read more

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Do you have to have a heart transplant along with a lung transplant?

Do you have to have a heart transplant along with a lung transplant?

No: The great majority of lung transplants are done without heart transplant. Most patients with COPD or pulmonary fibrosis will get a single lung transplant and patients with pulmonary hypertension (high pressure in the lungs) or cystic fibrosis (a genetic disorder in young people) will end up with a double lung transplant. Heart - lung transplant is done in the US but not commonly. ...Read more

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During heart transplant surgery. How is blood flow kept to the brain since the heart has to be taken out?

During heart transplant surgery. How is blood flow kept to the brain since the heart has to be taken out?

Heart lung machine: During heart transplant and in fact many types of heart surgery the patient is connected to cardiopulmonary bypass machine. . The blood is drained out from the large veins (vena cava) into the machine. Oxygen is put into the blood and it is returned into the artery system usually the aorta. So even with the heart stopped, the body and brain continue to receive blood and oxygen. ...Read more

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What are the ways that docs determing who recieves bone marrow during a heart transplant?

What are the ways that docs determing who recieves bone marrow during a heart transplant?

Different: There are bone marrow transplants for some malignant diseases- leukemias etc. Heart transplant would be unusual to have bone marrow transplant concomitantly i think. We do cut the sternum and its marrow while opening the chest. ...Read more

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How long can someone with lung cancer survive? If it's spread from bone cancer?

How long can someone with lung cancer survive? If it's spread from bone cancer?

Lung cancer: Usually ther is no five year survivors. The actual time depends on the type of cancer and health status of the patient. ...Read more

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What is the prognosis of lung cancer? My father has a 3.5 inch mass on passage way of lung by aorta of heart but cancer hasn't spread yet.

What is the prognosis of lung cancer? My father has a 3.5 inch mass on passage way of lung by aorta of heart but cancer hasn't spread yet.

Extremely serious: Even in your brief description, you mention 2 worrisome features: size and proximity to the aorta. It's beyond the scope of this forum to speculate on his prognosis, but i think you're aware that your father is in trouble. Talk with his oncologist. There are several types of lung cancer and some are more sensitive to chemotherapy or radiation. Best of luck. ...Read more

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Dr. Gregory Moneta
3 doctors shared insights

Transplant (Definition)

In medicine: a transfer from one body or body part to another of an organ (liver, heart, lung, kidney, pancreas bowel) or tissue (hand, face, hair). The immune system fights foreign invaders (like infections) so it will reject transplants from other people (allotransplants) because they look like infections. So transplants usually require drugs to ...Read more


Lung (Definition)

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