• no treatment recommended

    Asked by Connie1950 on Saturday, February 23, 2013

    no treatment recommended

    My mother has been bleeding internally and constant diarhrea. She was hospitalized for blood transfusion and a colonopspy. Dr who did test said the tumor burst into a cavity and sealed itself and was colon cancer. Dr. said he would not recommend surgery, chemo, or radiation. My mother is 82 and a diabetic. She was discharged, told to carry on as usual unless she needed another transfusion. Should we have got an opinion from a cancer dr. We have no idea what to expect.

    8 Answers from the Community

    8 answers
    • Nomadicme's Avatar

      Getting an oncologists opinion is a great idea, an established oncologist might not be so afraid to treat and/or offer more options.

      over 3 years ago
    • geekling's Avatar


      over 3 years ago
    • Peroll's Avatar

      Yes you should get a second opinion and a better explanation of why this Dr recommrended no further treatment. You and your mother have a right to an explanation of why a Dr recomendeds any type of treatment or no treatment at all. The explanation should be one that you both can understand. n You also need to know if the internal bleeding had stopped, if not immediately seek a Dr that will stop it and tell you what can be done to control the diarrhea. I use both over the counter and perscrioption antidiarrheal to control diarrhea from my treatment but you need to make sure that it is safe in your mother's case. Good Luck and let us know if you need any more help.

      over 3 years ago
    • alivenwell's Avatar

      Maybe a more thorough report was written up by this doctor that can be sent to an oncologist's office asap. There may be detail that has been left out of communicating with you. In any case, I'd definitely seek another opinion of an oncologist. Something sounds weird there.

      over 3 years ago
    • AlizaMLS's Avatar

      Dear Connie,

      A 2nd and sometimes 3rd opinion (especially if insurance will pay) never hurts. An oncologist (with records from the gastroenterologist who did the colonoscopy) would probably be the best choice to tell you how your mom's treatment should proceed. There are several variables in your mom's case. One is that she's not in perfect health (i.e., a diabetic), another is that she's 82. I don't know the protocols for the usual type of chemotherapy (I'm a Medical Librarian, different than being a nurse, physician or Medic), but chemo can be particularly rough sometimes on an older person. These may have been the factors that went into the first doc's reasoning. I'd recommend a 2nd opinion - if it was my mom, I'd do it. This way you have a choice.

      Warm wishes,

      over 3 years ago
    • Clyde's Avatar

      Get a second opinion and make it clear to the doc that you want to understand what is going on, not just be advised of what to do or not do. Don't be afraid to be agressive if necessary to get complete answers.

      over 3 years ago
    • CAS1's Avatar

      Please make sure you are at the best Cancer Center you can find. You must find an ONC ( Oncologist) who is a specialist in colon cancer.

      Make sure you request copies of all material including any pathology reports, medical tests on a DVD disk and any and all blood work etc. Don't take No for an answer. Make a binder and always get copies of everything.

      Now about treatment. There are numerous targeted drugs that are much easier on the system than Chemo but even Chemo is diffrent with everyone. But at 82 year sold your Mother, after being told of all of her options, should be the one to decide what treatment she would like to have NOT the Doctor deciding what she will have.

      Right now we have immunotherapies that are curing people..Yes, albeit a small number but they are curing some people and we have targeted treatment prolonging lives by years..Please look into your options you have them.

      over 3 years ago
    • AlizaMLS's Avatar

      Dear Connie,

      As I've said several times on WhatNext, it's helpful to get a consensus from different people on the site-it permits you to see things from different perspectives at a time when you may feel too overwhelmed and and then you can get a sense after hearing from us (patients with all types of cancer who have gone through our own experiences [and even sometimes as caregivers as well] and some medical professionalswhat we'd do in a given situation). Besides a BC patient, I'm a (retired) Medical Librarian.

      I see that one of the members of the group told you to let your mother decide. That is a good decision, provided that your 82 year old mom isn't: 1) too overwhelmed (by being too elderly & frail. 2) has enough insurance to cover all her options (so she doesn't end up in a nursing home against her will to live out her days) and 3) will lose out her property (unwittingly) because an ElderCare attorney has not been consulted.

      I empathize with what you're going through. Before I had BC, I was a caregiver to both my late father who had CLL and died 3 years ago after a 6 year illness and my late mom who died a year and a half ago from a Cerebral Hemorrhage (brought on a Dementia [not Alzheimer's]). She was verging on requiring Nursing Home care at the time of her Cerebral Hemorrhage (becoming a danger to herself because she'd starting not to recognize us (her family) nor follow instructions. If she'd entered a Nursing Home, she/we'd have lost everything (her Home and estate, plus we'd have been practically living at the Nursing Home in shifts to make sure she was properly treated (she'd been in rehab before so I know about this). Fate intervened. She was lucky because she never wanted to live out her days that way when she was lucid.

      This is tough stuff and not for the faint of heart. Definitely get an opinion from an established oncologist, but ask yourself also whether your 82 y o mom has the mental/emotional stamina to deal with the rigors of chemo or whether palliative care may be a more comfortable and suitable alternative, difficult as it may be for you.

      I'm not meaning to stir the pot for you-merely make you consider what's truly in your Mom's best interests. Also, not meaning to be crass, just sensible, if you haven't yet done so, it's probably an good time to consult an ElderCare attorney. Practical issues must be faced if they have not been until now, and at the least, your Mom needs to have a will, living will, and Health Care proxy in place.

      Wishing you serenity and only the best,

      over 3 years ago

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