I think he was trying to type IV and it came out as '1v' !!
I must say, I do think he should force his docs to be a lot less 'disinterested'!!! That doesn't sound very good of them. Now, it could be that, if they are oncologists, and 'only' (!) concerned about the cancer, they are not that fussed about side effects.
I wonder whether the drug company itself would be more helpful, as they, of course, have a vested interest in maximising the overall success of the drugs.
I didn't realise, I must say, that ibuprufen 'encouraged' bleeding - I know aspirin does. What about paracetomol? I'm not sure what other 'general painkillers' there are around, apart from heading into opiate territory (codeine etc) and that may be far too much for something like this.
May be the best is to consult a palliative care expert, rather than an oncologist? Nurses, too, often are very good at all the 'patient management' issues, far more than the docs.
Al the best - Julie