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Last chemo treatment put me in hospital

Esophageal Cancer | Last Active: Oct 22 6:25am | Replies (32)

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@davidwrenn

I glad to hear that your pneumonia is resolving.
Aspiration pneumonia is a often a complication of EC. It would appear that the broad spectrum antibiotic treatments have largely cleared your pneumonia. It may take a bit longer to fully resolve but your report of improved breathing and oxygen saturation suggest marked clinical improvement. X-rays will likely show resolution as well along with some residual areas of bronchiectasis and minor atelectasis. These should improve/resolve with time and continued therapy. I assume that your care team has suggested that you should consider a PPI to reduce acid reflux and sleeping in an elevated position to minimize risk of aspiration.

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Replies to "I glad to hear that your pneumonia is resolving. Aspiration pneumonia is a often a complication..."

David. Not long after returning home from getting the chest xray my oncologist ordered, he phoned me directly and said he was prescribing a diuretic rx because there was a high volume of water within the thoracic region. He asked about my hospital stay and I told him they pushed a great amount of fluids in me presumably because of the hypotension. He told me to reduce fluids and take the diuretic. He also wants me to get an echocardiogram right away out of concern for the Keytruda heart muscle warnings. After the call, I called him back to remind him that I’ve been aspirating mostly tube fed formula because of intractable hiccups. In fact I told him a recent aspiration event may possibly have been the source of the post chemo pneumonia infection. So now he also wants me to see my gastroenterologist ASAP about the spastic diaphragm and aspirating problem which must be corrected. I’ve also been quarreling with my wife with her insisting on heavy enteric feeding at night and me telling her it’s causing aspiration which she thought I was doing on purpose. Anyway I hope to see it all work out quickly. Taking a weekend trip with my wife to western Pennsylvania to meet my first grandchild ( grandson) who was born on the 4th of July, and to spend the weekend at a hotel half way from our homes.