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与疼痛抗衡 2017-2-19

(2017-02-18 23:18:25) 下一个

尽管我的肺科专家医生把去疼药的剂量加大了一倍，背后还是在做疼。夜里醒来几次都难以再入睡，只好再服用了一片去疼片才又睡了三个小时。

周二将去做一次CT，以确定疼痛的确切位置，接着就对疼痛部位做放射治疗。医生说放疗和化疗可以同时进行的。

我现在没有服用可的松了，因为新药的化疗不适宜可的松。这样一来，放射治疗的副作用会不会很大？周三去化疗时要问问医生了。

 

 

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随缘无我 2017-02-22 18:43:59 回复 悄悄话 听说有一种靶向治疗，效果不错的， 请问问医生。 为你加油！
晓青 2017-02-22 08:14:20 回复 悄悄话 为你加油！保重！
MoatCity 2017-02-21 09:30:00 回复 悄悄话 We pray for you, some targeted therapy proved to be very effective, just like miracle.
霞 2017-02-21 08:19:23 回复 悄悄话 回复 'MoatCity' 的评论 : 今天去做了CT，图片今天就拿到了。
结果还要等到明天才能出来。
明天就要去用新药做化疗了，明天看医生怎么说吧。
MoatCity 2017-02-20 12:58:30 回复 悄悄话 回复 '霞' 的评论 : You whole heart (100%) can tolerate 40Gy (4000 cGy) dose, 67% of your hear can tolerate 45Gy, and 33% can tolerate 60Gy. If they design the plan to try to avoid as much heart as possible, you can still take a lot of dose to treat the bone with radiation.
霞 2017-02-20 12:29:20 回复 悄悄话 回复 'MoatCity' 的评论 : 谢谢你的提醒，我会注意的。目前我体力不行，很难锻炼。
我从不抽烟，我丈夫偶尔抽，但很少在我身边抽。工作单位是全部禁止吸烟的。
癌细胞已经扩散到后背的骨头上了，所以疼痛难忍。放疗就是要控制扩散的癌细胞不再f繁衍。
只是疼痛的部位离心脏很近， 恐怕放射治疗会有一定的难度。
MoatCity 2017-02-20 12:01:05 回复 悄悄话 Please don't force yourself to do physical exercise, if tumor spread to spine, your bones will be very brittle, you got to be very careful.
MoatCity 2017-02-20 11:59:22 回复 悄悄话 If your physical condition allows, you should start chemo therapy, which will be more effective in controlling the spread of the tumor to other areas. Radiation therapy can only help with local control, chemo therapy is more systemic. PET-CT scan is critical in finding out if the tumor has gone to other areas.
Reading your blog, feel you are an active, dynamic, energetic person. Sad to learn you got this. Is there a risk factor? Did you ever smoke? or there is a second hand smoke factor in the family? Job-related environment risk factor?
霞 2017-02-20 08:43:31 回复 悄悄话 回复 '亮亮妈妈' 的评论 : 谢谢你的鼓励和支持！我跟着视频做了一些运动，我体力有些跟不上，慢慢来吧。
霞 2017-02-20 08:41:09 回复 悄悄话 回复 '喜鹊' 的评论 : 谢谢你的鼓励！给我增加了信心。
霞 2017-02-20 08:39:27 回复 悄悄话 回复 'MoatCity' 的评论 : 谢谢你的信息，明白了很多！
喜鹊 2017-02-19 16:54:13 回复 悄悄话 霞，加油，一定会好的！
MoatCity 2017-02-19 14:27:59 回复 悄悄话 The side effect from radiation therapy is minimal, and way easier to tolerate than chemo therapy. You already had radiation (brain), and the treatment to spine would be much easier.
MoatCity 2017-02-19 14:21:56 回复 悄悄话 If the tumor has spread to spine, radiation therapy will be needed. MRI would be a better test to find out details (better imaging modality for bone metastasis). The best approach would be to have them prescribe a PET-CT for you. The PET-CT will find out all the areas in your body the tumor has spread to. That is a standard test in the whole systematic workout in the US. You mentioned Stage IV before, a PET-CT scan would be necessary.
亮亮妈妈 2017-02-19 07:32:51 回复 悄悄话 问候霞姐。哪里疼都不好受。与疾病抗战是长期的，不疼的时候抓紧时间休息，在吃上也注意保证营养。为你祷告。希望治疗有效，希望身体哪里也不疼。
给霞姐一个我以前写的伸展锻炼的帖子，做几下也许能感觉舒服些。
http://blog.wenxuecity.com/myblog/7072/201603/717880.html
霞 2017-02-19 05:08:46 回复 悄悄话 谢谢 'cxyz' ，谢谢小声音！有你们为我加油，我会积极争取早日康复的。
cxyz 2017-02-19 04:17:17 回复 悄悄话 为你加油。 保重。
小声音 2017-02-19 00:01:05 回复 悄悄话 祝福霞，希望新的化疗放疗可以控制病情，早日恢复！
为你加油！
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