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Tom K

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  1. If there is no metastatic disease outside of your left chest, your physicians may recommend surgery to remove the lower lobe of your left lung. As you probably already know, evidence indicates it will offer you the best chance for survival. It is a difficult surgery and it may take you several weeks to recover if they do a standard thoracotomey. If surgery is an option , you should ask your physicians if you are a candidate for a Video Assisted Thoracotomey (VAT). I have read that this is a less invasive procedure that reduces the recovery time and the pain associated with surgery. If your cancer is 1B, you may or may not be offered adjuvant chemo therapy. There is some controversy as to whether the risks of chemo are worth the small survival advantage seen in patients with 1B disease. You may want to do some in depth research before making decision about wheather or not to request adjuvant chemo. Whatever you do, please get a second opinion. You will be making decisions about the quality and quantity of your life. Most of your second opinion physicians will likely agree with your primary (all of mine did), but you will feel a lot more secure knowing you sought all the possible options. It’s like flying an airplane; you can do it with 1 engine, but it feels a lot safer with 2. Lung cancer is a very scary disease and you are already feeling the anxiety. Donna and Cindy are right to suggest you have somebody to confide in like a spouse a close friend or even a therapist. Good luck to you and please do not hesitate to ask questions of this group. They understand what you are feeling and the choice you have to make. They have first hand experiences with some of the therapies you will be offered. I know they helped me get started on this journey and they helped me keep my sanity when I thought I would go crazy with anxiety and worry.

  2. I am not a doctor, I have not played one on TV and I have never stayed at a Holiday Inn Express. Most everything I know about medicine I learned from the internet or watching medical shows on TV. So consider the source when you read this. But, I think the radiologist who wrote that report is indicating that there is something in your lung but it is probably not metastatic cancer. It could be an infection or inflamed tissue of some type. A 2.9 cm mass is a little on the large size. As I understand it, If it was cancer, it would probably have a much higher SUV than the 2.5 that was reported. My tumor was 3.4 cm and the SUV was 12.5. When it metastasized to the lymph nodes in the center of my chest, it was only 1.2 cm in each node, but the SUVs were at 4 and 5. Now having said all that, you should definitely talk to a real doctor and get a real medical opinion. Randy is correct, Dr West would be the best source to get a quick interpertation. I hope you can relax and enjoy the holiday weekend.

  3. Thank you for sharing. You are right, I think only people who have been through something like this can fully understand the depth of the fear and the joy of each milestone in this battle. Give you Mom lots of hugs.

  4. Welcome. I know how you feel; the initial diagnosis is pretty scary. The great thing about this group is that there are so many survivors here. Like, you, finding this group gave me hope. Please do not hesitate to ask questions. The other great thing about this group is that somebody here has probably already gone through whatever treatment you are on and they can tell you about their experiences and what to expect. It makes it a whole lot less scary hearing what to expect from somebody who has actually gone through it. Sending you prayers for peace of mind and a successful treatment.

  5. Your situation is curious and your questions are valid. If your current medical team is not giving you answers or explanations; you should definitely get a second opinion. You should get the report of the surgical procedure that was performed as well as records from your surgeon, oncologist and/or pulmonologist. You should also get copies of all the imaging reports from any PET/CT scans or xrays. Good luck and god bless.

  6. Linzy,

    I just caught up with this thread and I was wondering if you have the option of talking with another doctor about other treatment options. I had cancer in my middle lymph nodes and it was eradicated with concurrent chemo-radiation. In fact there are a lot of people here who had similar diagnosis as yours and are cancer free after receiving this same type of treatment first then having surgery afterwards. I did it in reverse order because my lymph nodes were not discovered until after the surgery.

    I am glad you decided to receive treatment. But if possible, you should consult with another physician because there are additional treatment options that may extend your life well beyond the 12 months your current physician is prognosticating. There are a lot of people on this board who had stage III cancer and are still here many years later. Good luck to you and I will be praying for you.

  7. I was taking statins for 6 years before I was diagnosed. Of course since I had smoked for 35 years and my real father (I never met him) died of LC at age 45, it may be that my risk was already to high.

  8. Sharon,

    Welcome. Thank you for joining and sharing your story. When I found this board, what I liked most was that it was real people who had really survived. Since I am less than 2 years post surgery, hearing stories like yours gives me even more hope that this thing can be beaten for the long term. I am sure a lot of others will be inspired as well.

  9. My wife Rina insists on going with me to most of my check-ups. She is a fully involved partner in this fight. At times she has played the role of head coach and other times she has been the cheerleader. We have pretty much discussed everything including my fear of unresolved pain. I don’t know who this quote is from, but it sums up my thoughts about dying. It goes; “I don’t mind dying; I just don’t want to be there when it happens”. Rina knows that if I am in a great deal of pain I would rather be sedated into oblivion than suffering in agony. My kids never wanted to discuss the details, in fact my daughter once told me that I was “superman” in her eyes and she did not want all this cancer talk to destroy that illusion for her. So we never discussed much with them other than telling them the latest test results when the news was good. That is the way they wanted to deal with it, so we respected that and banned cancer from the dinner table.

    However, my parents are still totally unaware I had cancer. They live in northern PA and can not travel because of their own health problems. My sister passed away 1 year before I was diagnosed and I saw no reason to have my folks worry about me when there was nothing they could do about it. I am in trouble with them for not having been up for a visit in more than 2 years, so we were planning a visit next month for my dads 81st birthday.

  10. I had a PET and a CT on Friday and I saw the Oncologist today. There is no evidence of cancer anywhere in my body. The bulge in my left rib cage is “a bulge on your left rib”. Don’t know what it is, but most likely it is a result of shifting that occurs as we age and/or the cavity created by surgery. Since it does not hurt, is not causiong any problems, is not obvious to the eye, is not cancer and is not growing, we decided to just leave it alone. Up until recently, my Onc has been scheduling scans or x-rays every 2 months. Today, he told me we could go to a 3 month schedule. Thank you all for the prayers and support.

  11. These are very personal choices that each of us have to make and there is much to consider. Stage IV cancer is not an immediate death sentence and treatment does not have to dramatically alter your quality of life. There is a school of thought that states one goal of treatment is to prolong life until a cure is found or at least until we can treat cancer as a chronic disease similar to diabetes or even HIV. Good luck to you whichever road you choose.

  12. Thank you all for your kind thoughts, words and prayers to help my family heal from the tragedy of my daughters passing. You probably never met her, but Tracy was a very beautiful little girl (4”10”) with a heart the size of a mountain. She still lived at home and she still called us mommy and daddy. I am told that with time, we will learn to live with this grief. It does help knowing there are friends who care enough to pray for us. Thank you all.

    tomksdaughter.jpg

  13. I did not go for the scans that were scheduled for last Friday. Last Thursday evening, I was awakened at 1:30AM to every parent’s nightmare. My daughter Tracy had apparently had a heat stroke and been taken to the hospital. When she arrived at the hospital, her fever was 107. While the medical staff was attempting to cool her down, she had a seizure from which she did not recover. My wife and I buried our little girl today. Even with all that my wonderful wife has endured this week, she is still concerned about me. So, I will be going in for scans this Friday and I expect to have results by Monday. Thank you for your concern and I would appreciate your prayers.

    http://www.legacy.com/TimesUnion/DeathN ... D=92505904

  14. Welcome Leela,

    Please do not hesitate to ask questions. A lot of folks here have gone through similar regimes and could share their experiences with you. For me, it was a big help knowing others had already been down this road and told me what to watch out for. I will pray that the doctors are able to help your mom with her SOB.

  15. About a week ago, I noticed a slight bulge along my left rib cage (opposite side of where my cancer was). There is no pain to the bulge. I saw my oncologist today and he could not rule out mets to the rib. But he said, in his experience, mets to the ribs are symptomatic with noticeable pain that interferes with breathing. He may have been trying to reassure me, but he said it is not uncommon for our rib cages to shift a little as we age and this bulge could be a result of that process. He ordered a PET and a CT for Friday. So by Monday I will know what it is or at least what it isn’t. Has anybody experienced a shifting of the rib cage? Is there anybody in the group who has had experience with mets to the ribs and was there always pain associated with it?

  16. A few months after I finished treatment, I was standing in the lobby of the building I work in and a lady who worked in another building and whom I have worked with occasionally over the years, walked up to me and said, “I heard you died”. I responded by saying, “some people wait their whole life for a straight line like that”. She picked up on my meaning and said she was “glad the rumor was greatly exaggerated”.

  17. I went through a similar treatment regime and it was 4 to 5 months before my RBC returned completely to the normal range. I asked my doctor why it took so long and he said it was not at all unusual to be anemic for several months after treatment completes. He said I should not underestimate the toll treatment had taken on my body and to just let the healing process happen.

    It does sound like you are doing pretty good. It was about 2 months after treatment completed before my esophagus had even healed enough to eat regular food again.

  18. Robin,

    It is very possible that this is a false alarm. I had a CT, MRI and a PET that all indicated mets to the liver. One surgeon and two radiologists were convinced it was cancer. My oncologist insisted on a biopsy, which required surgery because of the location. The biopsy identified the growths as inflamed fatty tissue. It is a year later and those growths are still on my liver but are no longer inflamed. The scans do not always give the full story. Even if the PET indicates higher metabolic activity, ask your oncologist about the possibility of a biopsy.

  19. Yes, it has happened at my pulmonologist’s office. Now, I call a few days before and ask his staff if they have the latest image reports from the imaging center. I also get my own copies of all imaging reports so if needed, I could also bring the reports with me to the doctors office.

  20. If your husband couldn’t remember the “in sickness and in health” part of the oath, he probably would have forgotten a lot of other promises. Your cancer may have saved you from a lot of heartache down the road. Welcome to the community.

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