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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Lung Cancer Spreading To Bone Brain Lymph Nodes Plural Cavity. Have Low BP, Irregular Heartbeat, On Oxygen

stage 4 lung cancer: spread to bone brain lymph nodes plural cavity. lost 50 pounds in 9 months very weak no appetite constant dehydration extremely low BP,irregular heartbeat, fatigue, dizzy and on oxygen. also has vocal cord partial paralysis and was told that left lung tumor was the whole left lung. Will collaspe due to restricted movement and junky lower lobe. Now skin somewhat yellow. Hospice begins tomorrow. What can we expect and how much longer? He has good attitude and positive feelings.
Mon, 2 Sep 2013
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General & Family Physician 's  Response
Hi, as you describe he is at the other end of the life, and need a peacefull life, never explain his heath condition to him. Let him live happily, hearing music, if he can reading books of his interest. With oxygen we cant estimate the expectancy. Thank you.
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Oncologist Dr. Monish De's  Response
U are suffering from stage IV B lung cancer.
As his general condition is very poor if u are suffering from subtype of lung cancer called adenocarcinoma then oral chemotherapy called tyrosine kinase inhibitors erlotinib and gefitinib may help if u are having EGFR mutation positive.
Since tumour spread to bone and liver palliative RadioTherapy to brain and bone may help.
Main side effects of these drug is diarrhea and skin rash which can be managed with loperamide and lactocalamine lotion.
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Have Lung Cancer Spreading To Bone Brain Lymph Nodes Plural Cavity. Have Low BP, Irregular Heartbeat, On Oxygen

Hi, as you describe he is at the other end of the life, and need a peacefull life, never explain his heath condition to him. Let him live happily, hearing music, if he can reading books of his interest. With oxygen we cant estimate the expectancy. Thank you.