Post Treatment Phlegm

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I am caring for my ex-husband who was dx'd back in Nov. of '07 w/a large 11 cm left lung tumor. (He just turned 45 y.o.) He had very aggressive treatment of etopiside/cistoplatin and concurrent radiation therapy (33 sessions) and finished at the end of April. He was told that the treatment was successful and that he was basically cancer-free for now. He then had 15 PCI treatments in June. Once the initial fatigue wore off from the PCI he had about 2 weeks of feeling pretty good in late July. (He has other medical conditions going on that have been exacerbated from the chemo/rad and that is another issue.)

My main question is.....is it normal to continue to cough/vomit up bright yellow (flourescent looking) sputum every morning? He has continued to do this throughout treatment and it doesn't seem to be getting any better. We tell his oncologist every time we see him that he is still doing this but he doesn't say anything about it being normal or not. He did have a bout of mild pneumonia in early August and was put on antibiotics and his lungs now seem to be clear. Chest X-rays have been taken and other than the damage from radiation everything looks okay. I don't get it.

He also has vague but persistent pain behind his left shoulder blade that x-rays have not shown to be anything. It obviously gets worse when he coughs. Has anyone else experienced this? Is it normal? I don't know whether I should be worried or not or whether I should be getting pushy with the doc. Please give me some insight. It's been a very long year and we keep hearing that he will start to feel better but it's just not happening.

Thanks,

Sunrey

4 replies

Does he have COPD? The phlegm could be from that. If the x-rays don't show anything, the shoulder blade pain could be muscular, aggravated by the cough, or it could be post-radiation discomfort. If the oncologist won't address these issues, talk to his primary care provider for more advice.

No, there has been no dx of COPD made and the assumption, at this point, is that the pain is muscular.

Hi, Sunrey,
Wow! You have both been through so much. Let me shed a little light on my story and you can do with it as you wish.
I am a SCLC patient dx'd in 1/08 went through chemo, radiation, PCI, and told "cancer free." Started with a pain in my right shoulder area and thought it was my port--had it removed--and the pain got worse. To make a long story short, I had an MRI w/ contrast on 8/21/08 and found out there was a tumor on C-7 and METS to my liver. Well, I had another port installed, 10 more rad treatments to kill that sucker and I'm fighting this beast again!
Should you get pushy? Hell YES!!! You go girl!!! It's small cell and this stuff is super aggressive!!
Good luck--I'll be praying for you both!
JSC

Dear JSC,

God Bless you. This really is a tough ride isn't it? I am also worry about brain mets because they were never able to do an MRI on his brain because of shunt that he has in place in one of his eyes (glaucoma/burst retina). They were afraid of frying the shunt or having the shunt move because they don't have the medical records to know what the shunt is made of and the surgery was extremely painful so he chose not to have it done.

He is still very fatigued and appeared to have some kind of mini-seizure a couple of weeks ago, but he hasn't had any other symptoms yet to assume brain mets.

Anyway, another dark, dreary New England winter is upon us and I can tell you that I am not looking forward to it. I will keep the faith and hope and will do my best to advocate for him.

Thank you so much and I wish you all the best. Fight on!

Sunrey

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