Hello my cancergrace friends.
I am in need of your unconditional support again. My 70 yo sweetie (neurological illness but celebrating NSCLC rt pneumonectomy, 2 years post robotic) passed away in January. My 86 yo dad in August (non cancer) and now my 91 yo stepdad who fell at home this weekend and broke his L2 vertebra has a mass in the upper right lung with lymph node involvement as determined by CT scan last night. He has a pacemaker, on Coumadin. He doesn't want invasive tests, treatments but he is also suffering with mild dementia that has escalated over the past few days. The family is trying to dtermine how far we should go with staging with contrast CT scans for the purposes of developing his end of life care plan.
We understand that he will not be going home anymore. We are meeting with oncology and palliative team soon. Our goal is quality of life. He is a WWII pilot and his personality is strong willed and thinks we are killing him.
Is there any value to his care of knowing if there are mets to brain, bone, liver, etc. given the no treatment desire?
Will knowing help with pain management since he is not always communicative about where he has pain?
Do ct scans with contrast provide sufficient info for staging?
Thank you so much for being here.