Unanswered questions: autoimmune therapy for lung cancer

Posted by frandy @frandy, Nov 21 10:23am

I'm on the end of my Chemo & Radiation treatment for small cell lung cancer. My cancer doctor mentioned a one year autoimmune therapy but refused to answer any questions about it until the time comes. To the point that he yelled at me for asking the questions. I am so confused and frustrated. This entire cancer experience is new to me and even though I requested all my risks, systems, procedures, everything explained to me in the very beginning, I learned quickly, my requests were ignored. I'm seeing the top cancer doctors in my area. But, I'm looking at making a decision on to live or die. Please, any information will be greatly appreciated.

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@frandy

I do want to know which one would be used along with side effects. My concern is the doctor got irate before I could even ask that question. He didn’t want me asking anything. I don’t trust him and will not tolerate his behavior.

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I see you're reporting this and switching. Good for you. We did that with my mom.

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@pml

Hi Frandy,
I'm sorry that you are going through all of this. That must be hard for you! My husband had lung cancer. They gave him an autoimmune therapy drug called Keytruda. He reacted badly to it and almost died. He got Pancreatitis which is a known side effect of Keytruda. It was because of our very good primary doctor and prayers, that he got to the right specialist and after a long battle, my husband was fine. However, he said that he would never have another Keytruda treatment. The doctors didn't like that decision but it was my husband's body and money! (Keytruda cost $25,000 per infusion!) He received two infusions per month. My husband died in July but we had 14 wonderful years together since his cancer diagnosis. I don't think we would have had that time if he had continued on Keytruda.
I would suggest doing as much research on autoimmune therapy drugs as you can before you make a decision.
The Mayo Clinic is one of the best places to do research. Google will also give you a variety of websites to investigate. Don't just take what happened to my husband as the only result. Everyone is different when it comes to medication. Once you have a lot of information, then you can decide what is best for you.

That's not right for the doctor to yell at you! Doesn't he realize that you are the sick patient? You don't yell at sick people! You may want to look for a new doctor. Remember, it's your money and your body. Your doctor works for you. Also take some time to let your body recuperate from the chemotherapy and radiation sessions. And, for yourself. You probably need a break.

Pray about it and God will direct you. You may feel that you are making a life or death decision but it's only God who makes that decision. Just talk to God like he's your best friend and he is. Put everything in his hands and you just relax and enjoy life!
I'll remember you in my prayers.
PML

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PML, thank you for your advice and kind words. Just seeing the warning side affects on TV about Keytruda, I would not take it. The other I would have to research. In the thousands per infusion….. wow. I don’t know if my insurance will pay for it. Maybe that is why the doctor got so irate when I asked him questions about it. Well, will definitely have to do my homework and make some decisions. Thank you for the information.

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@flusshund

@frandy, I'm so sorry you must go through this experience. As if a lung cancer diagnosis isn't hard enough as it is! Please know that there are better oncologists out there, including those who understand they are treating people, not just the disease.

I'm a 6-year survivor of the EGFR mutation, the last 4 years at stage 4. I moved across the country before my second round of cancer, and I'll tell you what my first oncologist told me when I was looking for one in a new town, "Your primary doctor and your oncologist need to be your friends. You need to trust them. On the other hand, you only need to care if your specialist is good at what they do because you will probably never see them again." If that's not your relationship with your oncologist, change doctors. While I agree this can be a pain in the you-know-where, people are surviving lung cancer longer than ever before, which means this could be a long-term relationship for you.

It sounds like you are asking the right questions and asking for the correct information. Those are reasonable requests for someone in your position. There's no need to get upset with a doctor who is solely focused on his own agenda. Just move on. I sincerely wish you all the best. New treatments for small cell LC have been approved just this year, so you have every reason to hope for the best!

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Just an update: I was assigned to another doctor but he’s on the same team. He could still the doctor I need. I don’t see him until my next round of chemo. I am worried about missing that one round of the bone marrow treatment. But taking one day at a time! God bless and Happy Thanksgiving

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