Hi @deluga is it chemo that you are declining or considering declining?

I had breast cancer 10 years ago and although I try not to think about it, I do wonder what I would do and how far I would go if and when it spreads to stage 4. Like you I react to many meds (and foods, scents etc.)

On my way to tell my oncologist my decision on chemo the first go round I reacted to flavored seltzer I bought in the cafeteria!

That said with 3 kids in their 30's I have suffered quite a lot of side effects with cancer and bone medicines to sustain my health. I am fortunate to have had hormone positive cancer.

All of this is to say that these decisions are so individual and our overall health is too.

I wonder if you could see another doctor, a breast or lung oncologist (I know it is still breast cancer) to get whatever information it is possible to access. I also wonder if palliative care or a local hospice doctor would be of more help, since oncologists do tend to focus on treatment.

I di volunteer training for hospice and learned that services are available long before death is imminent. My mother was off and on hospice services for 3 years! They are very experienced in the course of terminal cancer and what your body will go through.

Another possibility is an integrative medicine doctor (or functional medicine, or naturopath). I was having IV glutathione treatments at my integrative medicine doctor's office alongside a women with stage 4 who was having some cocktail of nutrients or detoxing, nt sure.

I am 74. Not sure who I will feel in 10 years. I think our decisions should be respected and we should be as informed as possible on risks and benefits of each path. I hope you are comfortable and send you best wishes.