Hoping for thoughts on my decision to forego the surgery for cancer
Gastro biopsy shows 3 cm squamous tumor mid chest. Surgeon says CT shows nothing to suggest surgery is not an option, but we need PET still.
However I am seventy-five years old. The surgery is hard on a body and from this forum I understand that life after surgery can be difficult to say the least.
Here is the mail I sent to my surgeon. Please add your opinions
I'm deciding against surgery. Working through the stats it doesn't make sense for someone my age. Recovery from the surgery can take years and that recovery is severely compromised by the treatment.
I'm seventy-five; I don't want my remaining years to be a misery. We're looking at a year or so of pain and disgusting discomfort with an uncertain outcome. That doesn't make sense. I understand that chemo/radiation in some cases eradicates the cancer and in others reduces it. Given that Dr < > tells me that only half the patients with esophagectomy survive -- and I know that of that half many are miserable -- I don't see surgery making a good break for me. The odds with chemo/radiation may not be much better but the consequences of failure are less devastating.
We don't heal quickly and well at my age, and quality of life is my primary concern. With the surgery, it's likely I'll be nearly eighty before I 'recover' and that recovery does not look like an easy life for an eighty-year old man.
So how do we proceed? Please advise.
Interested in more discussions like this? Go to the Esophageal Cancer Support Group.
I wish I could be more helpful but I'm totally at sea with the Canadian system. My son lived there and was in love with it. OTOH, an old friend whose daughter lived there blamed her death from cancer on the system, because of the long delay in treatment. As I've posted before, I forewent surgery, but that more based on age than anything else. I'll be 86 later this year and the tumor was contained in the esophagus, so I decided to roll the dice. I hope you can find some answers and I'll be thinking and praying about you...
Spot on! I made the same decision, based on exactly the same factors, except I'm 85. I've been through Mayo for a different condition, but I chose MD Anderson for my EC. For one thing, all MDA does is treat cancers. My initial meeting was with my MD team - a surgeon, a medical oncologist and a radiation oncologist, as a group. I had already made my mind up at that point and explained my attitude to the surgeon. He was very gracious and said that he understood my reasoning and that my decision was, for me, an informed and best decision. (My ex-wife, still a friend, also had EC and had surgery at Johns-Hopkins, so I'd had the opportunity to observe her aftermath. She was 77 at the time.) That was the last I saw of him. I know you've made a difficult decision, having been there, and I wish us both the best of luck...
The 'Canadian' system is really a motley collection of provincial systems that are federally funded. The governments of some provinces want to replace the public system with a more US-type private system. These pro-private projects are, of course, very well funded by private interests.
Sorry for the rant, this may not be the best place for it, but I feel bound to add the necessary nuance to discussions of the 'Canadian' health care system.
Thanks for your response.
Please say more about your ex-wife's 'aftermath'
Only YOU, your family, and care team can decide how to fight on. At 75 it's a hard call for sure. I went through an open Ivor Lewis, "esophagectomy" at the age of 57, I'm now 67 and living a good but changed life. Eating is still my nemesis, but 60+ endoscopies to eliminate the 16 months of wall socket feedings was worth it to KeepSuckin'Air at 57.
What ever your very personal decisions on how to fight on, I wish YOU and your family peace and strength.
10yearDave.
Well, even though she's now deceased, I feel some compunction in providing too much detail, in the interest of her right of privacy. However, her cancer was adeno, right at the GE junction, so the surgery had to be the most radical of these types. She continued to have regurgitation issues and never really came to terms with the multiple small meals per day...
Some herbs can interfere negatively with things like chemotherapy; that’s why the doctors recommend foregoing them during treatment. You don’t want to be doing something that is helping the cancer because it’s negating the treatment. My hubby had four cycles of chemo, the mass shrunk by about half, and he has surgery this Thursday. It’s hard to know what to do and not do sometimes but doctors should be willing to talk with you and explain things. I’ve found that they often don’t like when we question them but it’s important to know what your options are and have doctors who listen when you tell them what you’re feeling.
So far I'm finding that mentioning any herbs or questioning there standard treatment is taboo. Not very promising when you should be able to speak openly with your doctor. The oncologist has made it very clear that if I have any thought that don't align with his thoughts that he is wasting his time and does.want me as a.patient
Hopefully your hubby's surgery has a good outcome. I understand that if they start treatment that they would want me to stop herbs as don't know the effect the herbs would have on treatment. But considering they want me to gain 30 to 40 lbs before they could do any treatment baffles me that he wants me to stop using them immediately. After the scope my throat was Raw for a few weeks some of my herbal teas soothed it. And my aloe gel was a great relief.
Once pet scan is done Monday and get results Friday I will at least know what stage and what there actual plan is not hypothetically depending on finding. I'm fi ding that the waiting if I think too much about it sends me in a head spin as don't have the necessary knowledge to even except let alone deal with the psychological aspects of it. Once I know the extent of it be it bad or better then thought and the acceptance of the reality of my situation sets in I think I can get a better equalization of my feelings. But oncologist made it sound like because it's 10cm (4inches) that the scan will show late stages. I hope you are doing well with your situation