First post.

Martyr
Martyr Member Posts: 8
edited March 2014 in Colorectal Cancer #1
Malignant Ascites...the final curtain call?

Hello all. I am a 49yr old gentleman diagnosed with colon cancer in February of 2010. Numerous tumors were found in both liver and lungs. No surgery, aside for the placements of a "port", has been performed.

I started 6 months of Foxfox/ Avastin and was switched to Folfiri immediately when the first combination was shown ineffective. Went through 5 treatments and swelling in my abdomen prompted an ultrasound which found fluid, Ascites. The tests came back a Monday of last week that the fluid sample sent of to the lab contained cancer cells. Diagnosis is Malignant Ascites. 3 liters of fluid were drained day before thanksgiving and another two were drained last Thursday after my first treatment with Erbitux.

I was in the best physical condition of my life when diagnosed, or so I thought. Worked out 6 days a week. 6'2, 185lbs. That was last December. During the year I have lost 30 lbs, gained back 15 lbs fighting every step of the way to do so. Nothing has been "unbearable" as far as pain or treatments are concerned. I have not used the prescribed vicodin more than a few times.

I am a single father who has raised my children to the ages of 19 and 21. My son is heading to Japan after the holdiays as a member of our armed forces. My daughter is attending University back East ( I live in California.). I dread saying goodbye to them. I don't know if I can do it. They still need me.


Question. Do I make final preparations or look for alternative treatments? If alternative treatments are available...
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Comments

  • msccolon
    msccolon Member Posts: 1,917 Member
    welcome
    Sorry you had to find us. I hate it when doctors decide to play God and give us an expiration date; nobody knows how long we have and he is making a "best guess" based on statistics that are old. We WILL all die, someday, but who says it's the cancer that's going to get us, and who says it's going to be shortly? You will find that if you stay around and look around a bit, there are a lot of us here, some have been fighting a short time, some have been fighting a long time. We are all on various points of our journey. I was initially diagnosed in 2004 with stage IIIB of the colon. I had a recurrence in 2006 on my right ovary, and this tumor produced large amounts of fluid, which did show cancer cells as well. As you can see, it's now 4 plus years later, and I have had more recurrences, more chemo, but I'm still here to see my grand baby and piss other people off! :) I would get a second opinion from a doctor that is willing to give you hope not an expiration date. Your being in good health at diagnosis is in your favor. There are people on here who have gone the alternative route solely, others have used alternatives to complement western medicine. I am sure they will chime in here. I wanted to welcome you and tell you there is hope. Please stick around!
    mary
  • AnneCan
    AnneCan Member Posts: 3,673 Member
    Welcome Marty
    I am so sorry you need to be here, but you have come to the right place. I agree with Mary; getting a 2nd opinion is a very good idea. As Mary said, no one has an expiry date + each case is unique.
  • Lovekitties
    Lovekitties Member Posts: 3,364 Member
    Welcome
    I too am sorry you find it necessary to be here, but if there is one thing you will find here it is hope.

    I heartly agree with the other posters...get another opinion...and another after that until you find a doc who is willing to treat you as a living patient, not a dying one.

    There is no doubt about it that we will all die sometime, but there is no need for any doctor to rush you there. There are lots of treatments out there and trials. There is a great possibility there is one out there that will keep you at the very least stable.

    While with the diagnosis it becomes prudent to 'get our affairs in order', that doesn't mean our loved ones should count on an inhertance any time soon. Members Sundanceh and Lisa42 are two who come to mind who have been fighting with anything and everything and are still here. Try the search at the top right of the page on their names and you can bring up their posts...I am sure they will be on to offer more personal note soon.

    Another member here (Kerry S), who just had reconnect surgery, has a saying " Attitude, Attitude, Attitude". So hang around here, read some of the posts during the last month or so and let the others here give you an idea of what is out there that might help.

    Marie who loves kitties
  • chicoturner
    chicoturner Member Posts: 282
    Sorry to say it, but Welcome
    Sorry to say it, but Welcome aboard. First of all, don't give up. Get a dr. who's lst reponse is not to give up. There are clinical trials and they are especially looking for "healthy" subjects. You still have so much "fathering" to do! Happy you found this site, but keep fighting!! Jean
  • John23
    John23 Member Posts: 2,122 Member
    Marty...

    You're in a tough place right now. That 6 month prognosis is
    based on what the doctor feels your cancer(s) will look like at
    that projected time. It's not based on "statistics", it's based on
    reality, and I would take it the way it is.

    If you can find something that will stop, or at least slow, the cancer's
    progression, that 6 month prognosis changes to reflect the newer
    and slower growth rate.

    Although I advocate Traditional Chinese Medicine (TCM) as a
    viable alternative to western medicine, TCM works slowly, and
    you simply do not have the time for it. If/when the cancer slows
    to a crawl, it might be a good venture.... if you are rejecting the
    western medicine route.

    So what to do? As other mentioned, get other opinions from qualified
    gastrointestinal specialists and colorectal surgeons. Make certain they
    -are not- of the same organization, association, or area.

    Good doctors always welcome other opinions, but many doctors will
    try to avoid a disagreement with a physician they work with.

    It appears you are in a radical situation, and using a radical treatment
    may be in order. If you can't get a professional's opinion that provides
    some direction for survival, let me point you to this:

    Hydrazine Sulfate

    The Syracuse Cancer Research

    The compound (chemical) does the job of starving cancer cells of
    the glucose they need. It is an MAOI and requires a fairly strict diet,
    and the absence of most pharmaceuticals.

    Before you decide, please read very carefully all of Dr. Gold's
    comments and literature. Every ounce of it has been verified, and
    well referenced. It's a disgrace that this chemical is allowed to be
    prescribed in other countries, but not here.

    -DO NOT- attempt to eliminate sugar/glucose from your diet to
    starve cancer cells. The cancer cells steal glucose away from our
    system; eliminating glucose will cause good cells to suffer long
    before any cancer cell feels uncomfortable.

    Please don't waste time attempting to use diets, etc to stop the
    progression that happening right now. All the alternatives have a
    place in our world, but they simply do not work fast enough.
    or are powerful enough to stop what your present doctor is seeing.

    Do get other opinions ASAP, but don't become too dismayed
    if they're not to your liking.

    There are radical treatments out here, but take one step at a time,
    and make sure you really need the radical rather than the conventional.

    You have my best hopes and wishes....

    (I'd toss in a prayer, but I'm afraid the walls will cave in around me)

    (just kiddin')

    John
  • abrub
    abrub Member Posts: 2,174 Member
    Have you discussed HIPEC as
    Have you discussed HIPEC as an option with any of your drs? That is sometimes used when there are ascites.

    You're in a lousy situation, hopefully not as hopeless as you've been presented. According to one of my drs, I should have been dead almost 2 years now, and I'm doing great.

    A repeat of the others - get another opinion, but get yourself to a major cancer center, where there may be different options available.

    Make your preparations, but plan on not needing them for a long while.
  • Lori-S
    Lori-S Member Posts: 1,277 Member
    Hi and Welcome
    To answer your last question .... both .... make plans for both. Makes ure all your affairs are in order. I would tell you this at your age anyway even without your diagnosis.

    There are plenty of other things you could do. First and foremost, get a 2nd and even 3rd opinion. I undrestand your frustration as just before my symptoms became noticiable I was in the best shape of my life as well. Even to this day all my friends say but, you don't look sick, you look great. I too have gone back and forth on the weight proble. I can usually put in back on to a point but, I have trouble keeping it on once I manage to get some weight back.

    It might be possible for you to have something like HIPEC surgery (this is where they remove found tumors and then wash your abdominal cavity in heated chemotherapy for 90 minutes. But, it might not be an option for you. This is why you need to get more opinions and preferrably from a larger cancer center.

    There are all sorts of alternatives that have worked for others such as juicing, TCM (traditional chinese medicine). Some of these being used alone and sometimes in conjunction with western medicine or chemotherapy.

    I will wish the very best for you. Take care and don't lose hope just yet. Get another opinion!

    PS: please excuse all the typos. Since the peripheral neuropathy, I'v kind of given up on constantly cleaning up my typos. Beside, I figure it might make someone use their brain in trying to decode my message. HA!
  • pete43lost_at_sea
    pete43lost_at_sea Member Posts: 3,900 Member
    martyr I am sure your first post won't be your last post
    The people on this board have a vast experience and huge hearts. It keeps on drawing me back. I hope you get advice and hope here that really helps and a degree of comfort. You are certainly not alone.

    Your kids sound great like mine. You obviously love them and I am sure they love you too.
    I guess make some preparations but I hope they are on how to win out over cancer. Even though we all have it, do we have 6 or 60 or 600 months left ?
    I hope you have at least 600 months left if not more. Goodluck with your treatments. Ironically my life philosophy is based on living in and enjoying the present and not stressing to much about tomorrow, next week, next month, next year or next decade.

    I am incredilbly desparate and hopeful at the same time. I am trying TCM, vitamins, pretty strict diet, veg juices, walking the dogs, walking my friends, hypnosis etc. I have faith in all these alternatives, I have filled my life with helpful positive supports. Even if one actually helps in practice they all help because I believe they help. Its kind of my positive thinking. While having faith in my doctors I am trying to hedge my bets.

    I am sure the advice and support here will give you a lift today and some solace if you need it.

    My prayers for your recovery have been sent.
    Pete
  • herdizziness
    herdizziness Member Posts: 3,624 Member
    Sweetheart
    WE were both diagnosed in the same month, mine was February 6th of this year. They gave me six months, 9 months ago. Now I'm getting surgery. I would highly suggest finding another oncologist to get another opinion from.
    As was said before, yes get your affairs in order, for the just in case, I did.
    I also had my daughter out here for the weekend, just because I'm scared of surgery and wanted to see both my children together before my surgery. It gladdened my heart so much, that it makes me feel stronger for the surgery, but... on the just in case, I had gone through pictures of her from her first hour after her birth and all through her life to give her. I also, made sure when we had our picture taken at Alcatraz in San Francisco on Friday that I gave my most dorkiest face I've ever made in the picture. They didn't know it and all cracked up when they saw the final result, this for me insures that they will be able to look at one of the last (if it is) pic's of their Mom and laugh the heck out of themselves. Reminding them I loved laughter and they can keep their laughs even after I'm gone.
    But mostly in your case, get the "other" opinion, perhaps a new combo of chemo, etc., one never knows, unless one looks. Never take the dire news and let yourself say goodbye to life from just one onc's opinion.
    Winter Marie
  • tootsie1
    tootsie1 Member Posts: 5,044 Member
    Hi
    Welcome! I'm sorry for why you are, but you have definitely come to a good place.

    My first thought would be to investigate clinical trials and see what you might qualify for. Doctors are very good sometimes at guessing about how long a patient has, but they are not always right. We have people on here who were told they'd be dead 3 years ago, or some other such time table that they have long since passed, and they're still going.

    I know it's hard to think of leaving your kids. Try to see some hope and look for other treatments, and you might just be able to put off that goodbye for a long while.

    *hugs*
    Gail
  • pepebcn
    pepebcn Member Posts: 6,331 Member
    msccolon said:

    welcome
    Sorry you had to find us. I hate it when doctors decide to play God and give us an expiration date; nobody knows how long we have and he is making a "best guess" based on statistics that are old. We WILL all die, someday, but who says it's the cancer that's going to get us, and who says it's going to be shortly? You will find that if you stay around and look around a bit, there are a lot of us here, some have been fighting a short time, some have been fighting a long time. We are all on various points of our journey. I was initially diagnosed in 2004 with stage IIIB of the colon. I had a recurrence in 2006 on my right ovary, and this tumor produced large amounts of fluid, which did show cancer cells as well. As you can see, it's now 4 plus years later, and I have had more recurrences, more chemo, but I'm still here to see my grand baby and piss other people off! :) I would get a second opinion from a doctor that is willing to give you hope not an expiration date. Your being in good health at diagnosis is in your favor. There are people on here who have gone the alternative route solely, others have used alternatives to complement western medicine. I am sure they will chime in here. I wanted to welcome you and tell you there is hope. Please stick around!
    mary

    Feel so sorry for the issues ,
    I'm not an expert in alternative treatments or so, but there are some here who are.As Mary say what about another opinion?,what about a Trial?.
    Just stay with us , it will help in your down moments!
    Cheer up my friend. I pray you find a new plan!.
  • bruins1971
    bruins1971 Member Posts: 227
    tootsie1 said:

    Hi
    Welcome! I'm sorry for why you are, but you have definitely come to a good place.

    My first thought would be to investigate clinical trials and see what you might qualify for. Doctors are very good sometimes at guessing about how long a patient has, but they are not always right. We have people on here who were told they'd be dead 3 years ago, or some other such time table that they have long since passed, and they're still going.

    I know it's hard to think of leaving your kids. Try to see some hope and look for other treatments, and you might just be able to put off that goodbye for a long while.

    *hugs*
    Gail

    Welcome Marty
    Hey there Marty I am sad to hear that you are such in a bad way right now. But to be honest that is what we are here for on this wonderful site. I was diagnosed stage 4 in late Feb of this year and was told I had 6 months at best if I did nothing. Well with 3 kids and a pregnant wife there was no way I was giving up. Here I am 9 months later with a colon and liver surgery in the rear view mirror and now only 2 chemo's away from the end of my treatment plan. Marty only God above knows when it's time and the doctors here are only using stats from others before to give you a judgement call. As far as getting your things in order of course for you never know when your last day will be. Heck anyone of us could get hit by a bus today and we would hope to of had things in order for the loved ones left behind. But that is not going to be the case for you as you will keep up the fight for your two children. Get a 2nd, 3rd, 4th or even 5th opinion keep looking till you find someone willing to fight for your life as hard as your willing to fight. This site has MANY people on here with lots of good information so stay close and post often. I will say a pray for you right now in hopes you will find a little peace from this overwhelming burden placed upon you.

    Bobby in Dallas
  • Nana b
    Nana b Member Posts: 3,030 Member

    Welcome Marty
    Hey there Marty I am sad to hear that you are such in a bad way right now. But to be honest that is what we are here for on this wonderful site. I was diagnosed stage 4 in late Feb of this year and was told I had 6 months at best if I did nothing. Well with 3 kids and a pregnant wife there was no way I was giving up. Here I am 9 months later with a colon and liver surgery in the rear view mirror and now only 2 chemo's away from the end of my treatment plan. Marty only God above knows when it's time and the doctors here are only using stats from others before to give you a judgement call. As far as getting your things in order of course for you never know when your last day will be. Heck anyone of us could get hit by a bus today and we would hope to of had things in order for the loved ones left behind. But that is not going to be the case for you as you will keep up the fight for your two children. Get a 2nd, 3rd, 4th or even 5th opinion keep looking till you find someone willing to fight for your life as hard as your willing to fight. This site has MANY people on here with lots of good information so stay close and post often. I will say a pray for you right now in hopes you will find a little peace from this overwhelming burden placed upon you.

    Bobby in Dallas

    Welcome Marty
    Please ask away, someone here us likely to have an answer for you, but please always refer backbto your ONC. I am stage IV, dx November 2008. I have been NED (no evidence of disease) for over a year now. Attitude, attitude! Keep fighting!
  • bruins1971
    bruins1971 Member Posts: 227
    Nana b said:

    Welcome Marty
    Please ask away, someone here us likely to have an answer for you, but please always refer backbto your ONC. I am stage IV, dx November 2008. I have been NED (no evidence of disease) for over a year now. Attitude, attitude! Keep fighting!

    Nana B
    So happy to hear that you are NED I pray it continues for you and that this will be the best Christmas Season ever. Marty are you reading all these post of people who are stage 4 and yet they are all doing well and winning their battles. This is going to be you one day soon where you will be posting how they told you six months and boy how they were wrong....
  • Nana b
    Nana b Member Posts: 3,030 Member

    Nana B
    So happy to hear that you are NED I pray it continues for you and that this will be the best Christmas Season ever. Marty are you reading all these post of people who are stage 4 and yet they are all doing well and winning their battles. This is going to be you one day soon where you will be posting how they told you six months and boy how they were wrong....

    Marty
    Where in Ca are you?
  • plh4gail
    plh4gail Member Posts: 1,238 Member
    Choices, option's, path's
    Everyone else's comments say it all, the only thing I can do is agree. This is such a great group for you to be a part of. Use their advice, thoughts, experiences to help make the best decision's for your life. This is your life and your situation, there are different possibilities and path's it can take. Let the choices be yours.

    Take care and be strong, Gail
  • lisa42
    lisa42 Member Posts: 3,625 Member
    hello
    Hi,

    I'm sorry you're in the situation you're in but, just saying, there are many of us who have kept going long past the "expiration date" given to us by our doctors! Read the recent post by Sundanceh (Craig)- he said his doctor told him back in 2007 he wouldn't live to see another Christmas & he's still going! My oncologist told me he doesn't like to give a prognosis like that & only does reluctantly when patients ask him. Even then, he says he tells the patients that prognosis is based on statistics and experience with patients in similar situations, but that no one knows what will happen & loves it when patients keep going long past what was originally said. So, don't forget that!!

    Hang in there with the chemo- may I pray for you?

    Hugs,
    Lisa
  • sfmarie
    sfmarie Member Posts: 602
    Second opinions
    Marty-

    I am not sure where in California you live. I would suggest looking for second, third and fourth opinions. Find a doctor that won't be pessimistic but will fight with you as long as you want to fight. There are options out there and you want to explore and find all of them!

    Do not give up. You have two kids that do still need you!
  • Martyr
    Martyr Member Posts: 8
    Nana b said:

    Marty
    Where in Ca are you?

    Chico

    Chico
  • Martyr
    Martyr Member Posts: 8
    sfmarie said:

    Second opinions
    Marty-

    I am not sure where in California you live. I would suggest looking for second, third and fourth opinions. Find a doctor that won't be pessimistic but will fight with you as long as you want to fight. There are options out there and you want to explore and find all of them!

    Do not give up. You have two kids that do still need you!

    Well I had 6 liters of fluid
    Well I had 6 liters of fluid drained from my abdomen on Wednesday. The doctor threw Irinotecan in with the Erbitux and I'm waiting to see what happens. My son comes home today and I'm heading to pick him up from the airport in Sacrament. My daughter flew in two days ago. They are trying so hard to cope. This is so tough.