The Big C! RIP Kim, see pg. 218

I’ve been reading from the beginning of the thread but haven’t posted before. Kim, have you talked to the oncologist about any other options, hopefully one that won’t have such side effects? I went to cancer.org, searched colon cancer and found this:

Most people with stage IV cancer will get chemo and/or targeted therapies to control the cancer. Some of the most commonly used regimens include:

  • FOLFOX: leucovorin, 5-FU, and oxaliplatin (Eloxatin)
  • FOLFIRI: leucovorin, 5-FU, and irinotecan (Camptosar)
  • CAPEOX or CAPOX : capecitabine (Xeloda) and oxaliplatin
  • FOLFOXIRI: leucovorin, 5-FU, oxaliplatin, and irinotecan
  • One of the above combinations plus either a drug that targets VEGF, (bevacizumab [Avastin], ziv-aflibercept [Zaltrap], or ramucirumab [Cyramza]), or a drug that targets EGFR (cetuximab [Erbitux] or panitumumab [Vectibix])
  • 5-FU and leucovorin, with or without a targeted drug
  • Capecitabine, with or without a targeted drug
  • Irinotecan, with or without a targeted drug
  • Cetuximab alone
  • Panitumumab alone
  • Regorafenib (Stivarga) alone
  • Trifluridine and tipiracil (Lonsurf)
I'm a pharmacist but I'm not super familiar with chemo side effects. To my knowledge though, monoclonal antibody drugs are usually well tolerated, those are the ones ending in -mab.

Hugs to you no matter what path you take.

1 Like

Did my long post really go poof? Will wait a bit before reposting.

I’ll try again now. Kim, did you talk to the oncologist about other chemo options? I went to cancer.org, looked up colon cancer and found this:

Most people with stage IV cancer will get chemo and/or targeted therapies to control the cancer. Some of the most commonly used regimens include:

  • FOLFOX: leucovorin, 5-FU, and oxaliplatin (Eloxatin)
  • FOLFIRI: leucovorin, 5-FU, and irinotecan (Camptosar)
  • CAPEOX or CAPOX : capecitabine (Xeloda) and oxaliplatin
  • FOLFOXIRI: leucovorin, 5-FU, oxaliplatin, and irinotecan
  • One of the above combinations plus either a drug that targets VEGF, (bevacizumab [Avastin], ziv-aflibercept [Zaltrap], or ramucirumab [Cyramza]), or a drug that targets EGFR (cetuximab [Erbitux] or panitumumab [Vectibix])
  • 5-FU and leucovorin, with or without a targeted drug
  • Capecitabine, with or without a targeted drug
  • Irinotecan, with or without a targeted drug
  • Cetuximab alone
  • Panitumumab alone
  • Regorafenib (Stivarga) alone
  • Trifluridine and tipiracil (Lonsurf)
I'm a pharmacist but not super familiar with chemo side effects. I believe the monoclonal antibody drugs have low side effects though, those are the ones ending in -mab.

Hugs to you whatever path you take.

2 Likes

What goes around, comes around…it may take awhile but it always does.

Good things happen to good people, thank you for being you.

2 Likes

Zu Zu is “the bomb”!

3 Likes

when it comes to BLT’s she’s not.

7 Likes

Only you know what you want, what risks you want to take, what direction you want your life to take.

Maybe we don’t agree or accept your choice but we all support the choice you are making for yourself (or at least I hope so :slight_smile: ).

I wish I lived closer to be there in person when you needed something. Know we’re all there in spirit (in case you couldn’t tell :wink: ).

{{Kim}}

2 Likes

Here is to the simple perfect pleasures in life, perfect coffee being one of them.
You’re a classy lady, xx

3 Likes

Kim, my work world is about community newspapers. Used to be, a community was a geographic area. It usually had a newspaper that told the stories about one’s neighbors. People cared about people they knew from the neighborhood, their church, their kids’ schools, who got the blue ribbon for tomatoes at the county fair.

The interwebz changed much of that. We were able to make a community around a commonality of interests. The COTH forum is a perfect example: we share a love of horses and have made a community around them, even though we’re geographically dispersed. This thread is one of the finest examples around about how a commonality of interests reached back to the original understanding of community - people caring about people.

We’ve pulled together to try to support you, just as we would have come over to drop off a casserole or mow your lawn.

7 Likes

Kim, get the books “We are not forgotten” and “We do not die” by george Anderson. .I promise you, they will lift your spirit and give you comfort. Everyone I’ve given them to has said that they really helped them be comforted.

3 Likes

I know!!! And you are all simply AMAZING!!! I do not think I ever felt so cared about!!:sadsmile::yes:

1 Like

Thank you Jetsmom I will look for it!! :slight_smile:

Well rainy Wed. Good because it was getting a bit dry.
Dex wear off let down. I can take another one this afternoon. I am going to make an appointment with my primary care doc, who is great, and very down to earth. Ask him what he thinks about continuing on the dex.
This morning, I remember that I have this rotten disease.
I have frozen all the goodies that were sent, I have to be super careful about what I eat and how much.
And and for the record, Senecott S is Potent. yikes, I only took one last night, and well, Like giving a horse a good oiling!
Oh boy. I try to only eat 2 meals, I eat a good breakfast and then something for lunch /Dinner around 4.
Friday is Farmers market day around here. And I am going on the great Tomato and fresh veggie hunt.
I really hope I have not forgotten to mention anyone that has sent me such wonderful things.
If this was not virtual, I would have my doorbell ringing and my counters filled up and friends over to visit and drink coffee, chat, mow, weed. whatever.
Stryder, that is something that is very sadly amiss today in the internet age. But COTH is a huge exception, and I am so thankful for you all. Off to make some breakfast.

4 Likes

Just a random thought, I wonder when I am gone, if this thread will make it to the archives?
Not that I want or need the recognition, but it is such a shining example of how people are still so caring and supportive, and also maybe that people will read it and think, Yea, I am going to get the TEST.

6 Likes

Yep, she bombed on trying to improve the classic BLT. :lol:

But has made up for it with perfect coffee and her penchant for genuine kindness! :yes:

6 Likes

I’ve been reading along but not posting much. However, I encourage you to take advantage of hospice at home if it’s available in your area. It’s not just for the last few days. My dad has been on it for six months and the people have been wonderful!!! He’s actually feeling lots better.

5 Likes

Thanks Indys mom, But not in the budget.
I have a plan in place I think. But time will tell. Thank you for thinking of me. :?)

Hospice and the human help of doctors, nurses, counselors, volunteers, etc. and any supplies they provide to you, hospital beds, bedding, hospital pads and gowns and medications, all that, here, there is no charge for any of it?

People with means give donations to hospice, but hospice itself is paid for by the non-profits or government services that run those.
Many obituaries request any donations please to the relevant hospice that helped the deceased.

Have you checked with them in your location?
They may be like here, no charge to the patient at all.
At least that is the way it was here, years ago, when we used their services.

6 Likes

Kim, I found this:
https://www.midmichigan.org/locations/profile/?id=2850

And as Bluey said, they collect if possible, but many people do not pay. We did in-home hospice, but could have gone the in-patient route if I couldn’t have been able to manage. I go to grief counseling at the hospice facility. It’s a beautiful, restful place, and everyone is wonderful.

Just something to think about.

7 Likes

I’ve said this before, but definitely think twice about hospice- we had a VERY bad experience, and a few remaining lives of regret.

I think you are aways from this talk though!!! Important to always have thoughts and plans, but not for COTHers to decide! Your choice only.

Just curious- have you had a bucket list? I have things on my list, but never seem to have the time or money:-(

That was so sweet of scm1959. You are my new sleuthing hero and I bow down to your intrepetude. I thought I was decent at googling but cothers put me to shame!!!

Kim, I hope your regular doc says it’s ok to stay on the dex. I dont like taking a lot of medicine but there’s no point being miserable if it helps. Good days are a blessing.

3 Likes