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

TMD25

I'm sorry to hear of what you're going though. My mom had stage 4 stomach cancer, went into it at the age of 81, and she had a tube, too. Couldn't eat, etc. Had a port put in of course. Anyway, she did the chemo and it worked really well and she was able to eat whatever she wanted for a few months, the tube was gone, it was really a miracle. The main hurdles were scheduling, knowing which phone number to call, etc. We had to be proactive for her, keep notes, etc. The more organized the better! Anyway, push for the appointments and call backs, don't wait for them, especially if you're going into a holiday weekend or actual holidays. My mom went in initially just before Christmas and ended up in the hospital about 10 days before much was done since so many doctors were off. God Bless and be strong!