How weak is too weak for treatment?

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my husband has very recently been diagnosed with primary lung cancer, secondary liver, kidneys and bone.  It has been a whirlwind or information and a literal overnight diagnosis.  After rapidly losing over 3 stone in weight, no appetite and stomach pain for about 6 weeks the GP suspected gallstones and he had an ultrasound on 28/12/2023.  No gall stones were found but polyps in his gallbladder.  It was a late afternoon appointment and by the time we got home from the hospital the GP was on the phone saying that he had to attend the surgery at 9am the following day (29/12/2023).  At this appt we were told that there were a few concerning lumps in his liver and that she wanted him to be medically expedited to the hospital straight away.  Within 15 minutes she had phoned the hospital, arranged everything and told us to go straight there and the drs would be waiting in the acute medical assessment unit.  He had blood tests (which were normal except slightly elevated liver enzyme levels - which we already knew as they had been raised during his last blood test mid December), ecg was normal.  Chest X-ray showed a mass in his upper right lung which is being considered as the starting point due to its size compared to the rest.  CT scan showed further lesions in his kidneys and bones.  He was allowed home over the weekend and had a phone call yesterday from the liver clinic at the hospital arranging an appointment with them for Friday (5/1/2024) followed by an endoscopy and biopsy of the lung the same afternoon.

he is so weak at the moment and is in pain with his right side and arm and needs help dressing, washing, getting up from laying down etc I’m terrified that they may decide that he is too weak for treatment when the time comes.  As of yesterday He has been prescribed codine for the pain, cyclizine to help with nausea and sickness, lansoprazole for acid reflux, laxatives and fortijuce to try and give him some nourishment as he is struggling to eat anything and swallow due to dry mouth.  

when would he be classed as too weak? And is there anything else that we could possibly try to build his strength up?  He is trying his best to eat as much as he can as he is determined to try and give himself the best fighting chance.  Any advice would be greatly appreciated. 

  • Hi PLL1804

    Thanks for getting in touch with Macmillan cancer support. My name is Sarah one of the cancer information nurses on the Macmillan support line.

    I am sorry to hear of your husband’s diagnosis of lung cancer with kidney, liver and bone metastasis.  This sounds like a difficult and anxious time for you.

    It is important for your husband’s team to determine an accurate diagnosis from the biopsy and scan results. Once they have these results they will meet as an MDT Multidisciplinary team to determine the best treatment for your husband.

    Although you are not aware of what treatment your husband will be offered, preparing for treatment is important. It is good to hear he is getting support for his symptoms and that he has been given fortijuice to give him some nourishment. You may find it helpful to read through our information on eating problems and building-up diet.

    You have mentioned your husband has a dry mouth. You can speak with his team, GP or pharmacist about this as it maybe helpful to try some oral gels or sprays.

    It is difficult to determine how strong someone needs to be for treatment as each case is taken individually. Sometimes someone may appear quite weak but knowing treatment may have an impact on the cancer can mean treatment is an option.

    You may find it helpful to write down any questions to ask your husband’s treatment team.

    I hope this information helps. Please feel free to get back in touch if you want more information or support.

    Best wishes,

    Sarah

    Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email

    Ref/ PW/SS

    Sarah S-Macmillan Cancer Information Nurse Specialist