Already on oxygen - diagnosed with DIPNECH: What happens next?

Posted by jan355 @jan355, Jan 24 5:52pm

Most of what I am reading about DIPNECH deals with people who have not progressed as far as I have. I've been on supplementary oxygen at night for over 25 years, and on oxygen 24/7 for the past five years. I was only diagnosed yesterday, but my pulmonologist said I do not have cancer (yet).

In the vast majority of what I have read about general lung conditions - having been diagnosed with all of them at one point or another - the final scenario is having to be on supplementary oxygen. Is there anyone out there at this stage, and what the hell happens next?

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

@jan355

Money is a huge problem. I've been disabled for 20 years, which hit us hard economically. My husband and I exist on social security with a very small pension from me. We support our daughter, who has multiple health issues, and her two children who are here 4 days a week. That's 5 people living off our SS, with a small help from ACHSS.

It's hard enough to keep the lights on and food on the table.

Besides, now that I am on oxygen I am not sure what they could do. The worst has already happened.

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Sorry to hear of all your challenges. It's difficult when they are coming from all directions. Again, I would ask about trying octreotide injections to see if it helps your shortness of breath (SOB) at all. It helped my respiratory symptoms for DIPNECH/NETs so maybe it's time to treat that discovery. It stopped my decades of non-stop coughing and even improved some allergies. It improved gradually and took a few months to have the full effect, but a miracle I never thought I would never see! I could finally go to the movies, work meetings, church, you name it. I can even pet animals now, but I don't hold them and push my luck. Octreotide was life-changing for me (and my friends, family and colleagues). It improved my SOB that I had upon exertion, but mine was not as bad as yours. It significantly helped issues with mucus and throat clearing. You do need a specialist who knows about NETs/DIPNECH though.

Also, you mentioned earlier that you were initially put on oxygen because your oxygen dipped too low during a sleep apnea test. Are you being treated for sleep apnea? The low oxygen at night could simply be because you stop breathing off and on during the night and not from the other lung issues. Of course, SOB during the day would not be from sleep apnea.

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@californiazebra

Thanks for the update. I do not have those mutations so we may have different types of neuroendocrine tumors which may require different treatment plans. I have the least aggressive type (typical carcinoids in addition to DIPNECH) fortunately so they are very slow growing. I hope the inhalers are helpful for you. 🥰

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It seems my first lobectomy 6 years ago was dipnech related nets, my second lobectomy in Oct was adenocarcinoma EGFR/KRAS mutation, and my lower lobe has a spiculated plural based nodule which they are going to scan every 3 months now instead on 6 monthly. Thank God my left lung is OK. How are you faring??

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@gprior

It seems my first lobectomy 6 years ago was dipnech related nets, my second lobectomy in Oct was adenocarcinoma EGFR/KRAS mutation, and my lower lobe has a spiculated plural based nodule which they are going to scan every 3 months now instead on 6 monthly. Thank God my left lung is OK. How are you faring??

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Lots of variety for you. Interesting (and good) that all your nodules are in one lung. My nodules are scattered across both lungs. Doing well with octreotide. We will continue to monitor.

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