It totally depends on your phlebotomist – it runs from painful to a breeze. Some are true artists.
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The pulmonary rehab classes I go to has a number of lung cancer patients and survivors. I feel they are happy to be able to discuss their disease with people who understand and care. You might talk to your pulmonologist about getting into a class (if you can). I have COPD and have met a number of great people there.
I rinse my nose piece and upper tube every day and hang it to dry. I also only fill the tank part way and dump what's left in the morning. Once a week I wash everything using baby shampoo and hot water. I keep the end of the heated tube out of the water and make sure that any water that's gotten off of it is dried. Then I hang them to dry. I do mine one day, and my husband's the next. Easy stuff.
I have stage 3 COPD and am on oxygen 24/7. After hearing that rehab helps people like me, I asked my pulmonologist to refer me to rehab. I went to our local hospital and went through their stage one program, it's helped immensely. This week I start stage two, where I pay a nominal fee to continue. I plan on continuing as long as I can – my breath and stamina have improved.