My doctors know nothing

Posted by Turkey, Volunteer Mentor @tomrennie, Jun 13, 2023

There seems to be a general distrust of all doctors. That is sad. No matter how much homework I do, no matter how much I read and study, no matter how many big words I can regurgitate, I am still not a doctor. I can find anything on the Internet to contradict everything my doctors have told me. I choose not to do that. I choose to work with them. We have cancer. Testing for it, treating it, and living with it is going to hurt. There is no avoiding it. But working with and trusting my doctors has significantly reduced my pancreatic NET tumors. My innumerable lesions on my liver have stabilized. 9 months of CAPTEM have made a huge difference. The first few months were hard. The CAPTEM made me so sick. But working with my doctors, we found some support meds that make the treatment tolerable. I am mid cycle, and I am going for a morning walk with my dog. Getting out of bed wasn't possible 9 months ago. I love my doctors.

Interested in more discussions like this? Go to the Neuroendocrine Tumors (NETs) Support Group.

Profile picture for zacharycat @zacharycat

Well I feel lightheaded or dizzy fairly often, food tastes different and my blood pressure is higher than it used to be. No nausea or vomiting so far.

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Fortunately, I don't have those issues currently. It is hard for me to tell what challenges I had initially from CAPTEM because I was very sick. I didn't like food for about 3 years, lost well over 100 pounds, had ascites and cachexia, and had endured diarrhea and vomiting for a long time. I started exercising after 4 cycles. After about 6 cycles, my doctor lowered my daily capecitabine intake to 2000mg from 2500mg. Most of my lingering issues, some of which were similar to yours, started to subside. How many milligrams are you taking daily? What does a normal cycle look like for you? How much time in between cycles do you take?

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Profile picture for razorsharp @razorsharp

Hi Tommy. Thank you for replying back to me with all that Info about CAPTEM. Now when I got back to the Hospital and see the Doctor I will ask him about the Pills your taking, because I have not heard of anyone that I know who has Cancer taking pills as a treatment so far, but I will talk to him about it that is for sure. my only concern is my age and all my other problems that I've got. Thing like my old hart that needs a Pacemaker to keep it ticking over. plus other things. The problem we face is they give you 1 thing to fix a problem but that pill then give you other problems. So what can one do is the Big question ????? . The day here right now is Tuesday 19/08/25 and the time is 6.15 Am in the morning . Take Care Tommy

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Unfortunately, it is a balancing act. It seems everything we take has a side effect or some other potential consequence. But, things did not look good when I got diagnosed 3 years ago. So, I am just happy to be alive. I shouldn't be. I will deal with the consequences of doing whatever I have to do to stay that way. Nearly dying gives me a completely different perspective than most. It was far worse than any chemo that I have taken so far. The side effects don't compare to the pain and sickness associated with dying. By the way, you are about 16 hours ahead of me. I am in Arizona. Happy Tuesday morning to you.

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Profile picture for Turkey, Volunteer Mentor @tomrennie

Fortunately, I don't have those issues currently. It is hard for me to tell what challenges I had initially from CAPTEM because I was very sick. I didn't like food for about 3 years, lost well over 100 pounds, had ascites and cachexia, and had endured diarrhea and vomiting for a long time. I started exercising after 4 cycles. After about 6 cycles, my doctor lowered my daily capecitabine intake to 2000mg from 2500mg. Most of my lingering issues, some of which were similar to yours, started to subside. How many milligrams are you taking daily? What does a normal cycle look like for you? How much time in between cycles do you take?

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The dose you're taking sounded very high to me. Then I realized the med I am on is actually cabozantinib, not capecitabine. I usually go by its brand name, Cabometyx so I confused the medication names.
With this med I take 40 mg once a day. Standard seems to be 60 mg, but many patients find that too hard to maintain. No cycles, just once a day continuously.
Glad that your exercise program is working. I know I like to get out and bike ride if the heat isn't too bad (my heat tolerance is way down this year). Sorry if I created any confusion.

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Profile picture for Turkey, Volunteer Mentor @tomrennie

Unfortunately, it is a balancing act. It seems everything we take has a side effect or some other potential consequence. But, things did not look good when I got diagnosed 3 years ago. So, I am just happy to be alive. I shouldn't be. I will deal with the consequences of doing whatever I have to do to stay that way. Nearly dying gives me a completely different perspective than most. It was far worse than any chemo that I have taken so far. The side effects don't compare to the pain and sickness associated with dying. By the way, you are about 16 hours ahead of me. I am in Arizona. Happy Tuesday morning to you.

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I'm most likely ahead of you in age to LOL & I think that is why I'm not really interested in fighting as hard as you did, But that only me, I've never been dead before so it should be some think to look forward to LOL As long as I don't sit there for weeks in lots and lots of pain. That I'm looking for. Beside Since I was told I had this Cancer I have not changed my ways of life, I still like my Cigssss and a few wines each day. But don't tell my Doctors that LOL

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Profile picture for zacharycat @zacharycat

The dose you're taking sounded very high to me. Then I realized the med I am on is actually cabozantinib, not capecitabine. I usually go by its brand name, Cabometyx so I confused the medication names.
With this med I take 40 mg once a day. Standard seems to be 60 mg, but many patients find that too hard to maintain. No cycles, just once a day continuously.
Glad that your exercise program is working. I know I like to get out and bike ride if the heat isn't too bad (my heat tolerance is way down this year). Sorry if I created any confusion.

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It is all good. My wife created a spreadsheet with all of the meds that take. It is nice to see how short the list is now. But I do keep the original list handy. There is no way to remember all of the names let alone pronounce them all. Have you found anything to help with your side effects? What have you tried?

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Profile picture for razorsharp @razorsharp

I'm most likely ahead of you in age to LOL & I think that is why I'm not really interested in fighting as hard as you did, But that only me, I've never been dead before so it should be some think to look forward to LOL As long as I don't sit there for weeks in lots and lots of pain. That I'm looking for. Beside Since I was told I had this Cancer I have not changed my ways of life, I still like my Cigssss and a few wines each day. But don't tell my Doctors that LOL

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You have 20 years on me, so I understand. I still have a lot that I want to do in my life. So I will fight as hard as I can as long as I can. I was kind of raised that way. My dad was a boxer.

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I'm like Turkey. I want to stretch it out as long as I can. My surgeon told me two things. He said that I would be on Lanreotide the rest of my life and he said that I would live to be an old man. That was just over 2 years ago. I've still got stuff to do! I have a son to get through college. He is a mechanical engineering student at UAB. I want to be there with my wife when he graduates. I try to stay positive, active, and I try to do the best I can every day. That's what I wish for each of you! 🙂

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Profile picture for Turkey, Volunteer Mentor @tomrennie

You have 20 years on me, so I understand. I still have a lot that I want to do in my life. So I will fight as hard as I can as long as I can. I was kind of raised that way. My dad was a boxer.

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Tomorrow is a real big day for me > I'm off to the hospital to have my PET Scan done, this will be scan No 4 & that will answer my question for me, because the last one I had was 3 months ago and the report was not what I was hoping for, so tomorrow is really big on what I do after it.
As I said you have a lot more to want to fight on for, I haven't & I will never ever be young like I was before. Only 2 Yrs ago I was still out on the golf course playing golf with my so called mate, but as soon as they found out I had Cancer it was like Oh sorry then I never heard for any of them again, which pee me off a little bit ( but that life ) By the way I'm in Sydney Australia Anyway Buddy Take Care & Cheers from Downunder

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Profile picture for jlsgt @jlsgt

I'm like Turkey. I want to stretch it out as long as I can. My surgeon told me two things. He said that I would be on Lanreotide the rest of my life and he said that I would live to be an old man. That was just over 2 years ago. I've still got stuff to do! I have a son to get through college. He is a mechanical engineering student at UAB. I want to be there with my wife when he graduates. I try to stay positive, active, and I try to do the best I can every day. That's what I wish for each of you! 🙂

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Thank you for you Kind words buddy, but as I said to Tommy you have something to fight for . I don't & I'm to old to want to fight, Cheers & take care

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razorsharp, I've got a joke for you.

A dog can't read an MRI
but a catscan 🙂

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