Is 75 too old for treatment?

Posted by rick42wood @rick42wood, May 12 2:14pm

I have prostate cancer and was diagnosed with heart failure about 12 months ago. My doctor considers me to be under palliative care and says that there is no treatment that would help me. He said a surgeon would not want to do an angiogram, stints, (I already have 4) bypass, etc. due to my other health issues. He said a surgeon wouldn't take the risk. I have never had a heart attack but have had several issues with pain in my chest, shaking and vomiting. It all goes away after a little while if I just sit or lay down until it goes away. Is there anyone my age that is actually being treated for chronic heart failure?

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@rick42wood

I should clarify: I am being treated for my cancer and it is working well. It is my heart failure that my doctor does not want to address, but, he is sending me to a cardiac team for their opinion. I'm in Canada so do not have access to any Mayo clinics.

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@rick42wood, a referral to a cardiac team and cardiologist is the best next step. Hopefully your cancer team will be informed of your heart issues by the cardiologist as it may influence your treatment options for prostate cancer.

Do you know about cardio-oncology?

Cardio-oncology offers expertise in addressing heart problems, potential or current issues during cancer treatments. At Mayo Clinic for example, the Cardio-Oncology Clinic (https://www.mayoclinic.org/departments-centers/cardio-oncology-clinic/overview/ovc-20442193) evaluates people prior to cancer treatment and patients who have experienced side effects due their treatment.

You might inquire if this is available where you get care. If your center doesn't have a specific cardio-oncology program, your medical records should be available to each team. What treatments are you having for prostate cancer?

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Heart failure is best treated by an expert, and then, if you appear to be stabilized with any forthcoming prescriptions, you are handed off to your primary care giver again. That person can then monitor, fill prescriptions, order diagnostics maybe once every 6 months to a year to see if there's any progression/undesired directionality evident, and refer you back if need be. Some of the specialists offer you a direct line, as mine did if I have problems in the future with my condition. I have to be referred, as a fellow Canadian, but I don't have to go back to a cardiologist first...the electrophysiologist said I can be referred directly back to him for more urgent intervention. Once you see such a specialist, there should no longer be an intermediary for at least a year, or until you are discharged by the specialist's office, but.....regions are different.

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@rick42wood

I should clarify: I am being treated for my cancer and it is working well. It is my heart failure that my doctor does not want to address, but, he is sending me to a cardiac team for their opinion. I'm in Canada so do not have access to any Mayo clinics.

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Rick
Try this
https://www.mayoclinic.org/canada

I'm in Canada as well and searching options since our health care is deplorable. I live in BC and there are far too many that don't have doctors...we have some strange policies in BC that is driving doctors and other health care professionals away.

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I live in Oliver, BC. Our medical system has gone from one of the best in the world to the worst in a civilized country. There are literally thousands of people in Oliver looking for a family doctor in my town. If you look at an ad for a doctor in Oliver the perks they offer are less than a tradesman at a pulp mill. I have a doctor that is 2 1/2 hours away and only have him because we had him in the town we lived in before. But this isn't the place to discuss this. He has referred me to the cardiology dept. in Kelowna so I am just waiting to hear from them.

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Since when is 75 over the hill? Think about it because there is still so much you can contribute as well as enjoy and then be enjoyed by others. Age is a sign of grace in the Bible.

Stay in the game and pray.

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75 old? Are you kidding? At the age of 80 I was diagnosed with multifocal lung cancer and had an immediate VAT surgery, four months later I did a cardiac stent and one year later I did another VAT surgery on the lung, then 3 months after did radiation therapy. Also did colonoscopy several months ago.
I went to Italy a year ago and am now planning another trip when I will be 83!
If I were a doctor, I would be happy to see my patient keep going! If not for the personal job satisfaction, at least doctor can hope to do the same!
I always tell my doctors that one does not fall off a cliff at age 80! One still does things!
I worked and saved so I could enjoy my efforts. Go to the right specialists to do a risk/benefit assessment for any treatment. It is about quality of life.

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So sorry I be 75
I have heart stuff
You have to decide what the best options .
How you want to feel
If you want a second choice do it
Make each count

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