Should you always choose chemo

Hi my husband died nearly 2 years ago aged 54 from neuroendocrine stage 4 small cell lung cancer. He died of multi organ failure on day 10 of his second chemo cycle. When I spoke to his Macmillan nurse she told me that the chemo had probably killed him and that my hubbie was warned about that. The cancer was symptom less until diagnosis following a sore shoulder. It had spread to, among other sites including his liver, the bones in his neck and he was petrified that it would spread to his brain so wanted chemo. I had read and indeed knew of two people with the same cancer. The girl who refused chemo lived for over a year but my uncle only 6 weeks with chemo, my hubbie surviving 7 weeks from diagnosis, 3 weeks after chemo. He had a great quality of life until the 2nd cycle of chemo where he lost 4 stone,3 inches in height, mouth ulcers, swollen hands and feet with his skin bleeding and peeling off. He was in a terrible state. What I'd like to achieve is to ask others opinions on this cancer and whether , in hindsight, no chemo would've led to a longer life with better quality. Whilst getting dressed to go out, I saw the dreaded purple/dusky skin that I knew could mean signs of end of life. Hubbie said " I feel a bit funny", slipped into a coma and died 4 hours later. His family and friends never got to say goodbye as the end was so sudden. I appreciate tho' that maybe this was a blessing in disguise as no one truly wants to say goodbye. Also I think patients should be informed about quality of life versus quantity ( we never were) and merely told that this kind of cancer responds well to aggressive chemo....I've since heard my aunt be told that this isn't true and life expectancy following diagnosis may be weeks.  I urge anyone newly diagnosed to ask those difficult questions as options need to be weighed up and preparations need to be made. Thanks for reading and any input welcomed 

Teenytrish

  • Hi i think all of those things you said theres 200 types of cancer drink and smoking seem to be the ones .its funny i worked as an engineer in the 70s for 5 years at a company that agricultural and industrial spraying insectisides pestiside and herbisides i used to get coverd in the stuff i shouldnt be here now as its all cancer forming stuff and banned now .but given the a choise i can say with my hand on my heart i would still have done what you did .so in my case again cancer you just cant cant figure it out i think its going to take a long time yet. Paul

  • Spot on Paul....by today's thinking you should have succumbed to cancer so methinks their is a genetic component too. My John was an ex smoker but he only ever smoked menthol cigarettes and research has now shown that these are not as safe as originally thought and seem to he linked to small cell cancer. However John's Dad died 56 from the same and he  ever smoked or drank so guess there may be a predisposition as his Dad before 60 from an unknown cancer too but he drank like a fish and smoked like a lum.....so who knows. We have never had cancer in our family then two years ago my 54 year old brother develops Myeloma and died within a year. Now my Life Insurance is affected as have a history of familial cancer! Scary stuff as my brother, like me, rarely drinks and has never smoked. Don't think research is getting any answers as cancer is on the rise.

    Tricia x

  • Yes your right they say even if the geans there its only a small chance . Have a read on termeric oxadative  stress free radicals and antioxidants see what you think i take every day now if you have a read you will understand why 

  • Hi Trish,

    So sorry to read about your husband's death, my guess is that however badly the odds were stacked against him he wanted to give it a shot. 54 is tragically young. 

    In October 2013 at age 55 I was told that without chemo I might be dead by Christmas and that statistically with chemo I might survive up to 18 months, maybe two years. With less than a 5% chance of being alive in 5 years - a 1 in 20 chance at best.

    Chemo for me was far worse than the cancer as I'd had almost no cancer symptoms - hence my diagnosis at stage 4. 

    Six years later, against the odds, I'm still here ... alive and well. If I'd not taken a punt and opted for chemo I'm pretty sure that wouldn't be the case. I often feel guilty about those who weren't so lucky.

    Whatever anyone may say, cancer treatment still isn't an exact science as there are so many variables involved.The choices we face are so very hard - especially when we know that the treatment might kill us more quickly than the cancer. Please don't feel guilty, being a nurse or a doctor changes nothing when someone you love has cancer- as patients we make our own choices. My son is a doctor and unaccountably felt guilty for not realising I had cancer - hindsight can be a burden.

    I'm not saying that I'd always opt for chemo. After three recurrences over several years my Mum decided she'd have no more chemo or anything else. A heartbreaking decision, but one all our family respected by then she was in her 70s and becoming increasinly frail. 

    I completely agree that anyone newly diagnosed should ask awkward questions until they are in a position to make an informed choice, but it is all too easy to give up hope prematurely.

    That's my input, for what it's worth - thanks for starting off this discussion :-)

     

    Best wishes

    Dave

     

  • Firstly Dave....congratulations for keeping so well and still being here! Long may that be the case. Yip the chemo is awful but then, with success stories such as yours, well worth all the suffering you endure. I suppose without the hindsight of a crystal ball, we just don't know. However John's liver was so full of metastasis it could never have coped with the aggressive chemo and think liver failure would've been inevitable a few months down the line. But I truly take your point, John's outcome was bad but had it not been, of course he would've put himself through chemo again  as he would have seem a refusal as giving up! Sadly these awful diagnosed at stage 4 cancers, never seem to be symptomatic but I can side with your son as you think as a health care professional you should have an inkling....but how can you when cancer can be asymptomatic? I think we just feel guilty and give ourselves a hard time of it. I just feel annoyed that John only had 6 weeks post diagnosis and that the last 10 days of his life were so miserable for him.....ah for that Crystal ball eh! Stay well and a Happy Christmas to you and yours xx