General questions as we start this journey

FormerMember
FormerMember
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My dad was recently diagnosed, we have been told it is outside his lung in the lining. His symptoms started at the end of 2019 and has had a fluid drain a few weeks ago. We are now waiting to find out about treatment, still not sure how the Covid outbreak will affect this. He hasn't lost any weight but has fatigue, discomfort and a persitant cough with the sensation that his chest cavity outside the lung is filling up again.

My sibling and I feel a bit overwhelmed by all the information. It's great that there is information but we don't know where to start so we can help him as much as possible. We communicate via email with macmillam nurses who are fantastic but still don't have access to some of his information on their database. Also the nurse handling the case is off and they were supposed to call end of this week to advise us on treatment but we understand things are very strained right now so will get in contact this week. 

Any questions that anyone can answer or give advice on we would be so grateful. Thank you in advance!

Who do we need to speak to about clinical trials, is that something we can get him onto before or as treatment starts? Am I right in assuming that it depends where you live as to what trials you can join? Who signs him up for it- the cancer specialist? We don't even know what trials exist or how they work. 

Would he typically be starting Chemo first?

Has anyone else had their chemo or treatment postponed due to Covid?

We have been told that they can do another drain, get a permanent drain fitted and also apply a talc. Maybe it depends on the person but generally how long does the talc last and how effective is it? How long would it take for the chest cavity to fill up again afterwards? 

My dad is very open to complementary therapy and we have already looked into supplements turmeric and such, thinking about acupuncture and other things but know that shouldn't be mixed with chemo if he starts that. Is there any supplements/herbs that you can advise or treatments along these lines? 

How do things go from here? Now he has the cough and lung issues is that here to stay or do people with mesothelioma ever have their symptoms disappear after treatment then return at a later date? Ive already noticed he seems to have good and bad days but generally is it a steady decline in health or could it be drastically up and down? 

Are there any drugs that we can ask for that they wont suggest unless we do first? Ive seen someone mentioned low doses of I think it was a drug to reduce cancerous growths? 

Feeling quite overwhelmed and I know it is a learning curve but as time is often of the essence we are worried about missed opportunities. Greatly appreciate any guidance. Thank you for your time. 

Corin

  • I’ve sent you a private message.

    good luck

  • FormerMember
    FormerMember

    Hi corin,

    I too was recently diagnosed ( start of January 2020 ) and immediately had access to nurses, specialists and explanations of the options and in particular the Mars 2 trial. I made a fairly quick decision to go directly for EPD surgery - this is pretty heavy duty stuff, but since I was otherwise pretty healthy (no heart, lung, overweight,, diabetes problems ) felt this the best option.

    The surgery took place on Feb 6th at Glenfield ( Leicester ) under Mr Nakas and his team. Now 2 months later I am at home recovering having had no other treatment. The future will consist of me having a CT scan every 3 months to see if the Cancer has restarted, and needs further treatment, and when it does return ( as I expect it to do --- hopefully not yet!) we discuss "what next".

    I am not sure where you live, but from the little I have discovered, options for treatment are a bit dependant upon area and of course associated experience and expertise. I am fortunate in that my initial diagnosos was at Kings Mill in Mansfield, but they have strong links with Derby, Nottingham and Leicester Hospitals for a variety of Cancers. In particular, the Mesothelioma group seem to be based in leicester.

    I guess I was also fortunate in that my treatment started before Coronavirus disrupted the NHS / country / world -- it is difficult to say how things may be different now.

    I am learning about the stages of the post-op recovery, and want to learn more - if anyone can help ? I am trying to exercise, eat well ( and lots including chocolate !), regain weight, but still have breathlessnes and fatigue...and now pain where the internals of my body are healing and trying to knit back together. Apparently this is to be expected.

    I would suggest chasing as many people as possible and asking as many questions as you can. As far as I can gather, there are Specialist Macmillan Nurses who will specialise in this particular type of cancer - these seem to be very approachable.

    Good luck.

    Blajan

  • FormerMember
    FormerMember in reply to FormerMember

    Hi Blajan,

    Thank you so much for your fantastic advice and for sharing your story. I am glad you were able to get quick treatment and wish you a speedy post op recovery!

    I have been advised by someone that we can potentially ask for referrals and travel so your information regarding the services in east midlands from which we are not very far may prove valuable information. I will chase this down. 

    Thanks again, hoping your all knitted up back together as soon as possible as you put it. Think healing thoughts and eat healthy (with the occasional chocolate of course!) =)

    Corin 

  • FormerMember
    FormerMember in reply to FormerMember

    HI, My father has mesothelioma on his Plura. One large and 7 tiny tumours. The operation will be discussed and he has been told it's major and the whole pleura and diaphragm would be taken away and replaced with the mesh. He's very concerned by this a read so many scary articles. The question is he has a fast growing tumour. Whats the recovery tine for this surgery in reality and is it a quality ion life afterwards worth having? Or are you left partially disabled with the pain and lacking a normal life? Thisnis his fear. Also does this operation gain much more time or will he recover in pain and that be his extra time? Now everyone is different so we are interested in your experience. He's also scared of the danger of dying under surgery as it his major.

  • FormerMember
    FormerMember

    Hi there im now in the same situation. Dads lund need draining every few weeks is this normal ?

  • FormerMember
    FormerMember in reply to FormerMember

    It does happen, with my dad they put a talc after the initial draining and he hasn't needed another drain since although he occasionally complains that he can feel it started to fill up again. But he was always told that they can drain again if need be. I imagine it will be necessary for us again at some point. But the talc seems to be the main treatment for that symptom as it seals that section off. After that is exhausted If I remember correctly I think a permanent draining tube can be fitted, like a tap essentially which they can access when need be. Best of luck.

  • FormerMember
    FormerMember in reply to FormerMember

    I think me and you are going through the same we are based in surrey. Dads had lungs drained twice now and went to royal marsden today they are going to fit a tap. And then he will have chemo. Not sure why chemo. So hard covid to get info as dad also suffers with memory loss as well. 

  • FormerMember
    FormerMember in reply to FormerMember

    Tell me about it! Absolute nightmare due to Covid very bad communication, I understand the situation but we are all too often left in the dark about next steps and appointment dates which would take 2 minutes to update us via email or call, this has an impact on the mental health of everyone involved. You really have to harrass them sometimes and be quite stern so you get the answers. I hope your dad feels some relief once they can drain it easier. My dad has just finished his chemo. The chemo that they are going to give your dad is specifically suited to treat mesothelioma and even if it doesn't work there are other types they can try. They will check his progress after a few sessions with a scan to check if it has grown. In my dad's case it stayed the same which is good because it hasn't grown and chemo has held it back for now. Expect him to possibly feel like a truck hit him for a few days after and in some people the first couple sessions can be the worst. Really depends but aslong as you know what to possibly expect. Get him to drink lots of water because the anti nausea meds on top of the chemo can result in intense constipation. The important thing is to tell them when something happens and ask them what they are going to do about it, otherwise they just dismiss it saying that's very common, but if it causes suffering you have to speak out as there are other meds he can take. 

    All the best

  • FormerMember
    FormerMember in reply to FormerMember

    Thank you advice. He was meant or is still meant to have operation on friday for permenet drain. However today he cant move in bed pain is nearly in tears not eating at all. He has morphine just dont know what to do 

  • FormerMember
    FormerMember in reply to FormerMember

    I'm sorry to read that, make sure you check his temperature for chest infections, all too common and painful might need antibiotics. Call the doctors for advice if youre really worried, no one should have to suffer unbearable pain. Also if pain is a major concern moving forwards he should be offered radio therapy which is given to mesothelioma patients as the spread of the disease can affect nerve endings. Wishing you both the best.