How do we figure prognosis?

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My brother has Non-Hodgkins Lymphoma diagnosed last Dec over the Holidays.
I am new to this site but I have been active on the Lung Cancer site as a 7 year survivor of that cancer.

But this is not about me. It is about my brother. My brother has had CHOP-R treatment and has had a rough time of it. After the 2nd round, he got shingles all over. Yes, they told us it was all over and yes, he did have the shingles vaccine before starting treatment. He and his wife live in Phoenix and we live in Indiana. His wife has not wanted us to visit as it would make her too nervous. My mom lives here with us and she worries so much about my brother, too. HIs wife takes excellent care of him, she has taken over all of the household responsibilities that he used to do. He is just so fatigued!

He had PET and other scans on Monday and on July 1st, he was supposed to find out if he was going to get radiation or more chemo, or was finished.
But, the tumors had not changed (and maybe had grown, I'm not sure exactly).

So, they put him in the hospital the same day and started a new treatment called RICE. They are going to keep him in the hospital for a few days and then they will repeat this in 3 weeks and then he will be in remission.

The plan then is to prepare him for an autologous bone marrow to be done in August.

Now, we all know this is very serious, but yesterday my older sister called from CA and was talking to our mom and she told my mom that she doesn't think that my brother will make it. Of course, after that my mom started to cry and believe that my sister is right. She is afraid she will never get to see him again. It took me a long time to reason with my mom and explain that my brother has a good chance. (If for any reason, we think the situation is dire, we will get her there!)

My brother is 62 yr old and was basically in good health before this. In fact, he was going to go back to work part time after he had retired and was getting a physical when the enlarged lymph node was found under his arm.

My sister-in law says she has heard of alot of people who have had this treatment and are doing well today. She has been keeping in touch with the local Lymphoma support group and has kept current with all the information that she can.

My question is how can I really reassure my mom about this or is my sister right? Do you think that my sil is protecting us and not telling us the real truths here. She e-mails us all the time and sends the same email to all of us sisters so I don't know how the older one is privvy to info that we are not.

Is there anyone who has had similar experience?
What can I say to my mom?

Thanks to all for your help.
Rita

2 replies

Hi Rita,
I'm sorry to hear about your brother and know he is going through a tough time. Lymphoma as most cancers come in different stages and types. Some respond to chemo and some don't do as well. I had 8 treatments of the R-CHOP. I did great after 2 and then slowed progress and had to have 6 more treatments. They were talking transplant but my body finally toward then end began to respond. This chemo regimen is tough. The RICE regimen is also aggressive to help stop the bulky disease growth. The autologous stem cell transplants are a great way to halt the disease and put you into remission. I have several lymphoma friends who have gone this route. It's not easy but they have all said well worth it in the end. There are several websites with lots of information for you. One of my favorites is Greg Dafoe's. He gives you lots of information in terms you can understand. His site is www.nhlcyberfamily.org and then there is www.leukemia-lymphoma.org (the leukemia and lymphoma society). They have great discussion boards from patients and family members. Another site is www.lymphomation.org and is has good information for you. I hope these sites help you to gain some knowledge for you brother. I have my "lymphoma family" to lean on and they have been great. Some at my support group have been in pretty advanced situations and have done well with the transplants. There are lots of new meds out there too to help with the chemo nausea. Emend worked wonders for me and Marinol is great too for the nausea and loss of appetite. My prayers are with you and your family.
Joy

Hi Joy,
Thank you for the info. It helps. Your comments help, also. My brother is fighting and has finished his first course of RICE. He is home now and is eating better than he has in awhile. He had a rough time in the hospital during the treatment, but doesn't remember the worst of it. That is not all bad. His wife was with him all the time thru it.
Thanks for your words of encouragement.
Rita

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