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Jul 17, 2018 11:39AM
Faslodex is not a cytoxic chemo, so there should be no reason to hold it if your Mom is in a weakened state. It is an anti-hormonal, and to the best of my knowledge, has no cardio-pulmonary contraindications. It's gentle stuff.
It sounds like the big problem right now is your Mom's pulmonary condition. Judging from what you have written, it is either pneumonia, lung mets, or a pulmonary embolism. It sounds like your Doc is going with a pneumonia diagnosis, as he is prescribing antibiotics. But, have you discussed a possible clot scenario? Do ask, as if she is clotty, she will need to be on a blood thinner.
Sometimes the liver can enlarge enough, due to mets, that the diaphragm will be blocked, and your Mom will feel like she can't get a full breath. This liver enlargement could also explain her lack of appetite, as it is crowding her digestive system, so she might feel full after just a few bites. She might also need some supportive oxygen, till the lung issues are improved. It will relieve her anxiety caused by air hunger.
I have lived/am living through all these scenarios, with the exception of lung mets. It is very important that she remain on treatment, as the Faslodex takes some time to get going, and your Mom doesn't have spare time, right now.
Get a second opinion, if you feel they are writing her off due to her age and fragility.
You need to get in there and be a HUGE pain in the rear for her. It might not feel comfortable, but needs must.
Keep us posted.
ER/PR+, HER2-, Grade 3. Stage 4, July 2012. Currently on Gemzar/Carboplatin
5/2006, IDC, 4cm, Stage IIB, Grade 3, 4/12 nodes, ER+/PR+, HER2-
3/2012, IDC, Stage IV, 4/12 nodes, ER+/PR+, HER2-
6/28/2012 Taxol (paclitaxel)
6/5/2013 Faslodex (fulvestrant)
7/1/2014 Xeloda (capecitabine)
8/14/2015 Femara (letrozole)
1/31/2016 Halaven (eribulin)
11/1/2016 Halaven (eribulin)
Carboplatin (Paraplatin), Gemzar (gemcitabine)