2013년 11월 14일 목요일

Elisa Nusbaum 's blog ::Diagnostic imaging increases among stage IV cancer patients on Medicare




Elisa Nusbaum 's blog ::Diagnostic imaging increases among stage IV cancer patients on Medicare





               My               father               passed               away               in               2003               at               seventy-four               years               of               age               from               lung               cancer.

He               said               many               times               after               his               diagnosis               that               he               could               not               believe               lung               cancer               was               going               to               be               the               reason               for               his               death.

He               found               it               incredibly               hard               to               believe.

I               found               it               hard               to               believe               myself.

Lung               cancer               had               not               been               diagnosed               in               anybody               else               in               his               extended               family.

He               had               smoked,               but               he               had               quit               nearly               thirty               years               earlier.

He               had               also               had               a               heart               attack               when               he               was               forty-eight               years               old,               and               two               open               heart               surgeries               since               then.

He               said               many               times               that               we               would               find               him               some               day               slumped               over               from               a               heart               attack,               and               that               was               what               myself               and               my               siblings               had               always               braced               ourselves               for.

Any               time               we               called               his               house               and               he               didn't               answer,               we               always               went               to               check               on               him               with               a               knot               in               our               stomachs.
               He               passed               away               rather               quickly               compared               to               how               long               he               could               have               suffered.

He               was               diagnosed               and               passed               away               in               a               little               over               three               months.

In               retrospect,               I               have               learned               to               appreciate               his               quick               passing               as               a               blessing.

I               have               witnessed               other               people               who               have               passed               away               from               lung               cancer               since               that               time,               and               the               suffered               much               more               and               much               longer.

Part               of               the               reason               that               he               went               so               quickly               was               that               he               wasn't               diagnosed               until               he               was               already               in               stage               IV.

The               disease               had               already               progressed               enough               at               diagnosis               that               the               cancer               physician               told               him               pursuing               treatment               would               only               prolong               his               life               a               couple               more               months               and               he               wold               be               sick               most               of               that               time.

My               father               decided               to               forgo               any               treatment               and               try               to               enjoy               what               little               time               he               had               left,               which               he               did.

He               was               able               to               see               my               young               son               in               his               first               baseball               game               and               I               have               no               idea               if               he               would               have               been               able               to               do               that               taking               chemotherapy               or               radiation.

He               also               did               some               other               things               that               I'm               not               sure               he               would               not               have               been               able               to               do               if               he               had               been               undergoing               treatment.
               As               the               weeks               passed               and               the               family               took               care               of               him               and               tried               to               make               him               comfortable,               I               had               a               question               that               had               really               started               to               nag               me               that               I               needed               to               ask               him.

I               wondered               how               in               the               world               anybody               could               have               progressed               to               stage               IV               lung               cancer               without               noticing               at               least               a               few               symptoms.

I               knew               I               had               to               ask               him,               but               it               was               awkward               talking               about               the               disease.

However,               I               had               to               know               because               I               thought               one               of               these               days               I               might               be               diagnosed               with               the               same               condition               and               would               like               to               know               what               symptoms               I               should               be               looking               for.

I               was               left               alone               with               him               one               day               when               my               mother               went               to               the               store               and               pharmacy               to               pick               up               some               supplies.

I               asked               him               the               question,               and               the               answer               he               gave               had               never               occurred               to               me.
               He               told               me               that               he               had               indeed               had               symptoms               prior               to               seeking               a               diagnosis.

He               was               becoming               very               short               of               breath               and               was               having               problems               walking               any               great               distance.

He               told               me               he               was               even               having               problems               siting               down               and               bending               over               to               tie               his               shoelaces.

He               would               have               to               sit               up               two               or               three               times               to               just               catch               his               breath.

I               asked               him               why               he               had               he               not               gone               to               see               a               physician               sooner.

He               told               me               that               the               shortness               of               breath               and               weakness               was               the               same               symptoms               he               had               prior               to               having               both               of               his               open               heart               surgeries,               and               he               just               assumed               that               was               again               the               problem.

He               didn't               seek               help               because               he               was               scared               and               did               not               want               to               have               to               go               through               another               open               heart               surgery.

Finally,               it               made               sense               to               me.

What               he               thought               was               symptoms               of               a               heart               problem               had               actually               been               lung               cancer               symptoms.
               Anybody               who               reads               this               and               has               these               symptoms,               or               has               a               parent               with               these               symptoms,               please               see               a               medical               professional               as               soon               as               you               can.

Don't               let               fear               keep               you               from               seeking               medical               attention.

I               know               my               father               had               two               previous               open               heart               surgeries               and               didn't               want               to               go               through               it               again,               but               if               he               would               have               pursued               medical               attention               sooner,               he               might               have               still               been               here               to               enjoy               his               children               and               grandchildren.

We               certainly               still               wish               he               was               here.



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