Recently diagnosed with stomach cancer FLOT treatment plan

CZL

I’m 49 recently diagnosed in Feb 2025 called adnocarcionma. It was regionally advanced to lymph nodes. Borderline at stage 3 or iv. After 4 times FLOT chemo now on PET there is a highly suspected metastasis to bone although tumor has seen internal shrinkage. I have my intral opening blocked to small intestines, I can’t drink or eat because nothing can go done and will vomit. I have been on J tube for feeding with formula. This week my dile duct has been blocked to had a procedure to drain. I have no opportunity for surgery yet. If I am at stage iv surgery is not recommended unless to improve life quality but the downside is more spread risk. I have switched to city of hope. My oncologist wanted me to do another chemo and radiation for local area. However given my recent vomited blood due to tumor, my 5th has been postponed again. I worried if it will affect the treatment effeacy. Anyway in similar situation can share experience, information, alternative treatments etc.? Thank you