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    <title>CancerCompass Message Board: A not so good best case scenario</title>
    <description>CancerCompass message board discussion started by skirky on 2/23/2008</description>
    <link>http://www.cancercompass.com/message-board/message/all,21249,0.htm</link>
    <pubDate>Tue, 07 Oct 2008 00:00:00 GMT</pubDate>
    <lastBuildDate>Tue, 07 Oct 2008 00:00:00 GMT</lastBuildDate>
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      <title>A not so good best case scenario</title>
      <description>My husband who was diagnosed with metastatic rectal cancer in September last year, has been struggling with a small bowel obstruction for about 7 weeks now (has an ileostomy).&amp;nbsp; He has no quality of life (pain, vomiting &amp;amp; distension).&amp;nbsp; He has lost a great deal of weight and is now below 50 kilos, has little energy and looks dreadful.Tomorrow he is having surgery.&amp;nbsp; The surgeons &amp;quot;best case scenario&amp;quot; is that they will be able to resect the small bowel without complications, then two weeks of recovery, with him coming home on a normal diet.&amp;nbsp; After his wound has healed they expect him to start on chemotherapy.&amp;nbsp; All this with a view to an extra six months with us!And that&amp;#39;s the &amp;#39;best case&amp;#39; scenario.If there are complications, if he can&amp;#39;t handle food, if he isn&amp;#39;t deemed ft enough for chemo - then how long - less than six months.I know he has to have this surgery.&amp;nbsp; If he doesn&amp;#39;t then we lose him faster and he has no chance of coming home first.I always knew this was a possibility, on diagnoses we were told one to two years.&amp;nbsp; And this &amp;#39;best case&amp;#39; scenario means he&amp;#39;ll have made it just&amp;nbsp;to one year.&amp;nbsp; i guess hope and optimism can lead to dissapointment.Now i&amp;#39;m facing widowhood, lonliness and single motherhood much sooner than i had hoped.&amp;nbsp; And just how am i supposed to manage a career as well!&amp;nbsp;</description>
      <author>skirky</author>
      <pubDate>Sat, 23 Feb 2008 00:00:00 GMT</pubDate>
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      <title>RE: A not so good best case scenario</title>
      <description>Remember that you might get the best case scenario.&amp;nbsp; I was diagnosed with Stage IV colo-rectal cancer in December 2005.&amp;nbsp; Since that time I have had three surgeries- colon and liver tumor resection, ileostomy reversal, and subsequent liver resection, been hospitalized three times for small bowel obstructions, had chemo-embolization and Radio frequency ablation and been hospitalized four other times for various problems.&amp;nbsp; I am currently on chemotherapy and am doing well.&amp;nbsp; I have no idea how long my future will be but today I feel ok and am able to spend it with my family.&amp;nbsp; I will fight to get as many good todays as I can. Bowel obstructions were among the most painful complications that I have had.&amp;nbsp; Hopefully your husband will respond well to the surgery and be given an unspecified number of good todays to spend with his family.&amp;nbsp; All my best wishes are being sent your way.</description>
      <author>Sallyw48</author>
      <pubDate>Mon, 25 Feb 2008 00:00:00 GMT</pubDate>
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      <title>RE: A not so good best case scenario</title>
      <description>I know that this is very trying on you and your family.&amp;nbsp; My mother has recently been diagnosed with Rectal and Vaginal Cancer.&amp;nbsp; Surgery, however is not an option for her.&amp;nbsp; I know that you have alot of questions and just feel the need to know &amp;quot;why, and how...and how long&amp;quot; over and over just as I do.&amp;nbsp; I could not imagine your posistion, but hang in there the best that you can.&amp;nbsp; Take care of yourself as well along your journey.&amp;nbsp; Your children are going to need you in the months and years to come.&amp;nbsp; I will remember your family in my prayers.&amp;nbsp; It helps me to know that someone else (many, many people) face the same fears and trials that I am going through.&amp;nbsp; I would love to hear from you and see how your husband is doing.&amp;nbsp; Best Wishes,Lisa </description>
      <author>Believe08</author>
      <pubDate>Thu, 28 Feb 2008 00:00:00 GMT</pubDate>
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      <title>RE: A not so good best case scenario</title>
      <description>I know what you are talking about... I had a total of 4 abdominal surgeries last summer because of bowel obstruction.&amp;nbsp;&amp;nbsp; I was in the hospital for 3.5 months andI was hooked up to a TPN for the better part of 5 months.&amp;nbsp; My last surgery was August 1st, it was successful and I was on chemo by the end of the month (although I wasn&amp;#39;t able to eat fairly well for 2-3 months after that).Hopefully, they will be able to start him on chemo 4-6 weeks after his surgery.&amp;nbsp; They started me on&amp;nbsp; a limited dose and worked up from there.&amp;nbsp; Now I am on the full dose of Fullfox. </description>
      <author>ArizonaAndy</author>
      <pubDate>Fri, 29 Feb 2008 00:00:00 GMT</pubDate>
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      <title>RE: A not so good best case scenario</title>
      <description>Thank you so much for your prayers.My husband has undergone his surgery now and has been transferred to a hospital closer to home.&amp;nbsp; The recovery has gone reasonably well, in that it has resulted in&amp;nbsp;the problem of the bowel obstruction being resolved, however due to massive fluid retention my husband was still unable to eat until a few days ago - when they drained 4 litres of fluid&amp;nbsp;from his abdomen.Since the drain he has eaten well, however, today he is unwell again with nausea and sweats.&amp;nbsp;I am fearful that it is a sign that the fluid is building up again.It is my understanding that the presence of&amp;nbsp;fluid retention like this results in a much shorter prognosis.&amp;nbsp; I&amp;#39;m struggling today - he&amp;#39;s been in hospital for six weeks now and i&amp;#39;m really feeling like a widow already!&amp;nbsp; The only difference is that my husband is still alive and I&amp;#39;d love to spend all my time with him - but i can&amp;#39;t because I need to look after my kids and kids and hospitals don&amp;#39;t really mix all that well.</description>
      <author>skirky</author>
      <pubDate>Sun, 09 Mar 2008 00:00:00 GMT</pubDate>
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      <title>RE: A not so good best case scenario</title>
      <description>&amp;nbsp;On 2/23/2008 skirky wrote:My husband who was diagnosed with metastatic rectal cancer in September last year, has been struggling with a small bowel obstruction for about 7 weeks now (has an ileostomy).&amp;nbsp; He has no quality of life (pain, vomiting &amp;amp; distension).&amp;nbsp; He has lost a great deal of weight and is now below 50 kilos, has little energy and looks dreadful.Tomorrow he is having surgery.&amp;nbsp; The surgeons &amp;quot;best case scenario&amp;quot; is that they will be able to resect the small bowel without complications, then two weeks of recovery, with him coming home on a normal diet.&amp;nbsp; After his wound has healed they expect him to start on chemotherapy.&amp;nbsp; All this with a view to an extra six months with us!And that&amp;#39;s the &amp;#39;best case&amp;#39; scenario.If there are complications, if he can&amp;#39;t handle food, if he isn&amp;#39;t deemed ft enough for chemo - then how long - less than six months.I know he has to have this surgery.&amp;nbsp; If he doesn&amp;#39;t then we lose him faster and he has no chance of coming home first.I always knew this was a possibility, on diagnoses we were told one to two years.&amp;nbsp; And this &amp;#39;best case&amp;#39; scenario means he&amp;#39;ll have made it just&amp;nbsp;to one year.&amp;nbsp; i guess hope and optimism can lead to dissapointment.Now i&amp;#39;m facing widowhood, lonliness and single motherhood much sooner than i had hoped.&amp;nbsp; And just how am i supposed to manage a career as well!&amp;nbsp;I am sorry to hear about what is going on with you and your family, and sorry for myself which is so close to what you are going through.&amp;nbsp; My husband was diagnosed with Stage 4 rectal cancer last Feb.&amp;nbsp; He has bravely gone through 3 surgeries (one was a total flop on the lung!), radiation and chemo.&amp;nbsp; We were all hopeful until his last surgery which he was supposed to have the last known tumor removed from his lung.&amp;nbsp; During recovery, 3 more nodules grew in his lung and became inoperable.&amp;nbsp; He started chemo just last week and found that the 5FU is inducing heart attack symptoms and he had to stop it right away.&amp;nbsp; I have 4 kids under 13 and a full-time job.&amp;nbsp; The oncologist sounded grim when describing the situation to me. He does not want support from anyone and is near giving up and refuse even to discuss about options.&amp;nbsp; I hang in there but is hard.&amp;nbsp; Every morning I wake up to the reality of fighting another day.&amp;nbsp; There is not at moment I don&amp;#39;t think about what else I can do, what if something happens, how do handle my kids&amp;#39; emotions and how do I carry on?God blessCecilia</description>
      <author>cecgrove</author>
      <pubDate>Thu, 01 May 2008 00:00:00 GMT</pubDate>
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