knic
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Posts:35
Hi
I apologise for my increase in recent posts.
Dads recent ct scan showed no visable progression. I am however still concerned as to why my dad is often feeling sick, nauseous and tired. As we as chronic coughing.
Dad is on statins, aspirin and beta blockers for angina.
Why would the onc not request a brain scan when lung cancer commonly spreads to the brain?
Feb 2012 Dad dx with nsclc stage 3b t4 n2 mo
Intense radio chemo
Apr 2013 Progression
Oct 2013 Chemo
Jan 2014 Collapsed lung and fluid
Tumour slight growth- watch and wait chosen
June 2014 Dx with angina
Sep 2014 ct scan stable
Jan 2015 no visable progression
Forums
Reply # - January 12, 2015, 03:05 PM
The best way to know what
The best way to know what your dad's onc is thinking is to ask the onc personally. He may want to wait and see if the cough meds help.
A call to the office is very appropriate especially if your dad has verbally requested or signed a waiver stating you should be in the know with his care.
All best,
Janine
Reply # - January 12, 2015, 08:47 PM
I agree. Rather than try to
I agree. Rather than try to guess what someone I've never met is thinking about a case I don't have details on, it would be most appropriate to ask directly about when a brain MRI would be appropriate, and if not, why not.
I do find that leptomeningeal carcinomatosis (LMC) is a complication I need to consciously think about when someone is declining when the scans show no progression. However, if it's still possible that post-treatment issues are the cause, I think it's extremely reasonable to wait to see whether additional observation makes things better or worse before pursuing an additional workup -- especially since we have a very difficult time treating LMC even if we identify it.
-Dr. West