Letters to Sue
and her answers 2

updated:2000.06.29
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thymoma.de

I do have my opinion - we are what we eat. I do trink Lapacho tea because someones are telling that it is boosting our immune system. Whose are "someones" - I have used the Internet as an source of information in this matter. Lapacho tea have a long history. They say that it has been discovered by American Indians thousands of years ago. Even so I am not expecting any miracle. But I have to tell you, I believe that it does make me feel well. I do also eat local berries. Especially there is one local berry which contains vitamines in many kind. People are telling that it is good to eat those berries. Local wild berries contains remarkable amount of good ingredients because of the northern summer. Summertime is short and then we have lot of sunlight. Only one piece of very small local berry ( it does not have english name because it is located only in Scandinavia) - size like a bean - has same amount of C-vitamin as seven oranges. It also contains many other more important vitamines and other things. A tea spone of this berryjuice in a day is my dose.
This is only my intuitive comprehension - combination of Lapacho tea and northern berries are good for my health. On the other hand I have information that probably half of thymoma patients are a live after a five years of the note of this illness. When cancer illness is concerned this means that thymoma prognosis is relatively good. Pessimistic part of me is yelling - it is the very same that what I do drink! Positive me is telling that food is important for all of us - take a look what you eat and drink! I do drink Lapacho tea becouse I have a wich to spend as much time as possible with our son. I hope that he will remember me later in his life. I am here because of him!
One doctor gave me an good advice. She sayed that it is allowed to take your own time and start to live and be a little more selfish. She sayed that Thymoma as any other serious illness is all-inclusive situation and therefore all the possible energy, mental and physical, should be used for recovery. To be even more selfish - it was very easy to do! (My wife agrees that too). Nursing has been taken care of in Finland. Basicly it is allmost free (except of expensive medicines) and quality of treatments are ok. Ofcourse as any other thing it is not absolute but at least people who needs help and care will be treated. I do pay aprx. 1000 DEM / year and after that all will be free. Number of examinations, surgery, time in the hospital and final radiation treatment did not cost me more than that. Now I understant why we have to pay so much taxes.
Yes. I am still working. At the moment I am working only two weeks in a month. I will start to work like the others after this summer depending the situation of this illness. Thymoma did change my life a lot. Time to time the human life on earth looks me very purposeless. Why I did have to live over fourty years to find out how great the life can be? I have used my time too much for looking after the so called "better" future. At the same time I have been blind for beauty and love near by. Yoy did ask about easter. In the easter we did have few holidays. Easter is does not have so big importance in our family. Therefore we did not especially celebrate it. If we will recover, we will recover for what? A.A.

Things to do at Wal-Mart while the spouse is taking his/her sweet time shopping.
1. Get the boxes of condoms & randomly put them in peoples carts when they are not looking.
2. Set all the alarm clocks to go off at 10 minute intervals.
3. Make a trail of orange juice on the floor to the restrooms.
4. Walk up to an employee and tell him/her in an official tone, "I think we have a code 3 in housewares," and see what happens.
5. Turn all the radios to a polka station, then turn them all off and turn the volumes to 10.
6. Challenge other customers to duel with tubes of gift wrap.
7. Put M&M's on layaway.
8. Move "CAUTION_WET FLOOR" signs to carpet areas.
9. Set up a tent in the camping department; tell others you'll only invite them if they bring pillows from the bedding department.
10. When someone asks if they can help you, begin to cry and ask "Why won't you people leave me alone?".
11. Look right into the security camera and use it as a mirror while you pick your nose.
12. Take up an entire aisle in toys by setting up a full scale battlefield with G.I.Joes and X_Men.
13. While handling guns in the hunting department ask the clerk if he knows where the anti-depressants are.
14. Switch signs on the men's and women's bathrooms.
15. Dart around suspiciously while humming the theme from "Mission Impossible".
16. Set up a "Valet Parking" sign out front.
17. In the auto department practice your Madonna look using different size funnels.
18. Hide in the clothing rack and when people browse through say "PICK ME! PICK ME!!!!!!".
19. When an announcement comes overthe loud speaker assume the fetal position an scream "NO!NO! It's those voices again".
20. Go to the food court, get a soft drink, tell them you don't get out much and would they put one of those little umbrellas in it.
21. Go into the fitting room and yell real loud.... "Hey we're out of toilet paper in here!". I can't understand why Millie won't take me to Wal-Mart anymore.

This is a response to a question about thymoma and it's relationship to myasthenia gravis. Question: I am being treated for myasthinia gravis (MG). Although I do not have any evidence of cancer, I was wondering if you could further explain-in laymens terms-the relationship between thymectomy and alleviation of MG symptoms. Thank you in advance. J

Answer
Kenneth Blank, MD and John Han-Chih Chang, MD, Editorial Assistants for Oncolink, respond:
Thank you for your question. The thymus is an organ which is not entirely understood. It is part of the immune system and provides an environment for T-cells to mature before release into the circulation. Several types of cancers and tumors can arise in the thymus including carcinoids, lymphomas, germ cell tumors, thymomas, thymic carcinoma and thymolipomas. The most common tumor among these is a thymoma. Approximately one-half of patients with a thymoma have symptoms similar to myasthenia gravis such as double vision, ptosis (droopy eyelid) and fatigue. Other autoimmune diseases such as lupus, ulcerative colitis, rheumatoid arthritis and scleroderma are occasionally seen in patients with thymomas. Myasthenia gravis occurs infrequently in the population in general occurring in ~1 in 75,000. The disease is caused by antibodies to the acetylcholine receptor which prevent the normal transmission of signals from nerves to muscles- hence, patients get muscle weakness manifested as fatigue. Treatment may be pharmacological, thymectomy, radiation therapy or a combination thereof. Fifteen percent of patients with myasthenia gravis who undergo surgery to have the thymus removed in order to alleviate the symptoms are found to have thymomas. If the thymoma is stage I- which means it is completely encapsulated and completely excised- no further treatment is necessary. However, if the thymoma is invasive or not entirely removed, adjuvant therapy with radiation, chemotherapy or both are often recommended.


Dear Sue: I believe RADS is the amount of radiation. She received up to 5000, and then took a break for evaluation. She would have continued on with a higher dose, higher than anyone had received for this (I believe 6000). But, as I mentioned, surgery became an option once the tumor shrank down from the radiation. When my sister saw her surgeon in Baltimore, at Hopkins just last week, he told her he never thought it would be operable, but here we are. As a matter of fact, she went home this past weekend! She is tired and a bit weak. She is also anemic, but all of this can be remedied. The important thing is that she has been treated at Hopkins in the best possible way. What an incredible medical institution it is. My sister's malignant thymoma was complicated by the fact that she had vena cava syndrome along with it. The tumor was pressing on her vena cava artery, thereby backing up the blood to her head, neck and shoulders. The bruising on her chest was from the vessels breaking as the blood was trying to find its way somewhere. My sister is 57 years old. I'm in Atlanta, she is in Florida. My reason for writing about this is to encourage cancer patients to get a second reading on their pathology. Had we not done that, I have no doubt that my sister would have died - probably from the complications of the vena cava syndrome because the tumor would not have shrunken off of the artery with the chemotherapy that was given. It wasn't the treatment of choice for this. Radiation was the way to go - and we were lucky - the radiation worked so well that she was able to have the surgery. When my sister was finally diagnoised with "whatever they thought it was" in Florida, our family sprung into action. We read some books in the oncology department of the hospital down there which were absolutely fantastic. I will get the names of them and let you know. The author of these books gave us incredible insight as to being a patient advocate and making sure that you take the right steps once you are told you have cancer - I will try to find them and give you the name of them. . Each of us was active in finding out everything we could. We knew that first and foremost, we needed the second reading on the pathology. After we got that, and it differed from the diagnosis in Florida, we knew we had to get her up to Hopkins as soon as possible. Unfortunately, between the time they diagnosed her in Florida and we got the pathology report back from Hopkins, the Florida doctor went ahead and put her through chemotherapy based on their diagnosis. Needless to say it wasn't the right protocal for this and she is still dealing with the repercussions of this treatment (her hair is only just starting to come back). As I said, we got her up to Hopkins, and they told her it was inoperable, and that radiation was the way to go with this. She had the bulk of her radiation, and then was evaluated. Miraculously, the tumor shrank, and not only that, but it moved off the vena cava! The surgeon said he never thought it would be operable, but here we were - planning the major surgery (cracking the chest bone and going in and removing the beast). The surgery was performed on September 9th and it was a success. The doctor was able to remove it, and the radiation oncologist implanted Iodine 125 seeds in her chest to take care of any microscopic cells left behind. My sister is now home in Florida. Very tired, but doing alright. This will take a long time to recover from, but she is here, and we will have her for many years. I credit Johns Hopkins and their incredibly talented and brilliant doctors. They are remarkable in their knowledge and compassion. Sincerely, Joan

My sister Jan had a remarkable recovery from malignant thymoma with vena cava syndrome. I will write you her story in the near future - I just can't do it justice right now. Suffice it to say that she is a walking miracle considering that she was originally misdiagnosed in Florida and given the wrong protocal for this. She was properly diagnosed at Johns Hopkins Hospital in Baltimore, Maryland, USA (after we physically mailed the biopsy slides to them ourselves) - and the team of doctors there literally saved her life. At first, Johns Hopkins Hospital felt it was inoperable, but after weeks of radiation therapy, it shrunk not only to a smaller size, but off the vena cava! The doctors were amazed at how she reacted to their radiation therapy! They were able to operate, totally remove it in less than 2 1/2 hours, and consider her cured. Johns Hopkins is an incredible hospital - the number one research hospital in the U.S. They are familiar with this - and know how to treat it. My sister was very lucky. Her illness started in the fall of 1998, and by June 1999, she was feeling very bad due to the vena cava syndrome. Her face was swolen, and she looked like a chipmunk. She had gone to doctor after doctor in Florida, and no one did the proper testing to see what this was. Finally she was hospitalized in Florida after they saw the mass on an x-ray. They biopsied the mass, misdiagnosed it, and gave her chemotherapy - which was not what she needed. They were just not familiar with this - it is rare. We were able to get her into Johns Hopkins after 2 weeks in the hospital in Florida. When she arrived, her strength was gone due to the chemotherapy. It took weeks for them to stabilize her, and then they started her radiation treatments. God Bless Dr. Asrari - her radiation oncologist. She is phenomenal. In September she was operated on by Dr. Heitmiller, an absolutely incredible surgeon at Hopkins and one of the top surgeons in the country, if not the world. Her team of doctors was remarkable! Jan went home to Florida in November, and she is back at work. She gets tired easier than she used to, but she is doing very well. She had to remember to keep doing her breathing exercises, since the radiation therapy did affect her lungs. She had a terrible time at first, with anemia, and had to have blood transfusions to get her strength back. If I have one thing to say to anyone when someone in their family, or a friend is threatened with an illness such as this, it would be BE SURE TO HAVE A PATIENT ADVOCATE - someone who can stand up for you and see that the right things are done when you are in no position to fight for yourself! Had it not been for our family and the stand we took to get her out of Florida and up to Johns Hopkins Hospital in Baltimore, I know that she would not be with us today. Once we got to Johns Hopkins, we breathed a sigh of relief because we knew she was in the right place! I will write again soon. Sincerely, Joan - Atlanta, Georgia

My sister Jan is doing very well. Her malignant thymoma (with vena cava syndrome) was removed last September. Prior to the surgery at Johns Hopkins, she had aggressive radiation therapy to shrink it. Surgery was not an option when she first went there, but God bless this radiation oncologist - Dr. Asrari - she knew exactly what to do. The radiation worked and did its job, and then the surgeon, Dr. Heitmiller (surprised by the phenomenal success of the radiation), took it out in less than 2 hours and the radiation seeds were planted to catch any microscopic cancer cells which may have been missed. To see her today, is to see a miracle. She does get tired at times, but she is back to work, walking, and living her life. Her's was an interesting case, since she was misdiagnosed prior to going to Hopkins. She had chemotherapy in Florida, which did nothing but debilitate her. Once she recovered from the mistreatment, Hopkins was able to get her on the right track and save her life. All of her symptoms started with head and neck swelling (from the vena cava syndrome - most likely a clot in the vena cava) which turned up this malignant thymoma. As you know, this was quite a journey. Our family was there 100%, and we know that were it not for our aggressive support and questioning, my sister wouldn't be here today. Patient advocacy is paramount to a proper diagnose and treatment. We took over where Jan wasn't strong enough to fight. We insisted on a second opinion from a major hospital (Johns Hopkins is one of the best, if not THE best research hospital in the world) on the biopsy slides, and this was the turning point. We credit Johns Hopkins in Baltimore, Maryland for doing what was necessary to to save Jan's life. Joan C.

 

Sue, My mom was recently diagnosed with a cancerous thymus gland. According to the info provided on your webpage, it appears to be Stage III or IVa. It sounds like you two have similar exposure. I did not allow the doctor to remove the thymoma around her diaphram or where it would impact her vocal cords because of the real threat that she would not survive the surgery. So, they anticipate that they only got 90% of the thymoma out. We really need some guidance about how malignant thymomas are treated. We are in San Antonio, Texas. We are looking for the most experienced oncologists to refer the oncologists here to. Any ideas? Any help you could give would be appreciated. Thank you. Danielle Hargrove, pdhargrove@compuserve.com

Answer:
thanks for your e-mail. I have been to San Antonio myself. Ah, the riverwalk ....... Let me give you some names, adresses where you could refer your doctors to. Okay, there is the Anderson cancer hospital in Houston, TX ( that might be the closest to your home) I haven't heard from anyone who had a personal experience with the stuff down in Houston, but I came across their knowledge about thymoma when I surfed the net. You might want to check out them anyway. Danielle, as you might have seen on my home page I added a form for all thymoma patients. One of the questions where about were to go for treatment: And here are one of the answer what I received so far. ( I just send out the form a few days ago, so it might take some time before they are completed) But the MGH hospital is mentioned by other thymoma patients as well so I think you should go ahead and give them a call.
8.)Where were you treated (name the hospital with the full adress ) Massachsetts General Hospital, 55 Fruit Street, Boston, MA 02114
9.) Can you recommend your doctor?Yes, both my oncologist Dr. Thomas Lynch and thorasic surgeon Dr. Cameron Wright both of Massachusetts General Hospital.
As soon as I get more information I let you know and I would apreciate if you take the time and start to answer the form, also. It also might be a helpful tip if you start your own medical file about the surgery and treatment from your mother. Collect as much information as possible and don't be shy. If YOU do not understand what is going on than let the doctors explain it a second or even 3. time. As I understand you, you're a kind of advocat for your mother and because of this function it;s necessary and rightful for you to know and understand what's going on. Good luck to you and your mother and please keep me posted. Bye Sue

Thank you so much for your kind words and support. My mom is doing great. She is recovering well from her surgery. She will begin radiation treatment in about 1-2 weeks. The oncologist wants to see how she responds to that first before she tries/starts chemotherapy. I believe she is in stage 4a. As soon as she can get back in front of her computer, I will make sure she can communicate with you and others directly. Thanks everyone. Danielle

 

I just wrote a long note but it got lost in the translator. I was operated for Cancer of the Thymus with metatisis to the right lung in Jan.l987 I preferred no follow-up treatment since there was not a protacol that had been used frequently at that time. When the diagnosis of Malignant Thymoma was verified by a second pathological conference, I did take two chemo treatments with cisplatinum etc. I asked that the treatments be discontinued and I did not have any radiation. I was sixty years old at the time, the recovery from surgery was unremarkable. After a few months I went back to work as a nurse and continued to work for five years. The scans taken through the years have not shown any spread to other organs. However, at the time of surgery the surgeon told me he was not able to find some of the lung lesions which had shown of scans prior to surgery, so I knew that some was left. The follow-up scans of the lungs have shown a slow progression of the size and location of further spread. I have used Oxygen for the last six years and have continued with an active life including several trips to Italy . I am now 72 and am slowing down but have never had pain only shortness of breath , perhaps the resection of the right lung at the time of surgery has contributed to this. Be good to yourself and feel free to ask any follow up questions I might be useful for
Catherine.

 

Hi Sue, Hope your doing well! Hope your Easter was nice. It was nice to celebrate it with family, friends, and plenty of Italian food. Weather wise is was terrible. Sounds like the same weather you had on Sunday. It was rainy, cold and miserable . What can you do! Any ways, I am having trouble with my blood again. My doctors have dropped the dosage of the predisone (medication I take for my bone marrow to function) and my hemocrit is down ,I needed 2 pints of blood. I went yesterday to the hospital to have it done. I asked my nurse if there is ever any thymoma patients that want to talk about their situation etc I would like to be in contact. My nurse checked with other nurses and there was a thymoma patient in the room right next door to me she was receiving her chemo treatment and I was receiving blood. Unfortunately, we never made contact she was too nauseated from the chemo and was sleeping. I did give her nurse my telephone and e-mail address and once she is well maybe she will be in touch. Her nurse gave me a "purple tie" pin the woman's friends made them and call them the "Malignant thymoma awareness pin". In fact, I was reading the "question and answer"section of Thymoma Info from your site and happen to notice an e-mail from a woman "Carolyn" regarding her 30 year old friend Michelle with thymoma. Well guess what Michelle is the woman that was right next door to me at the Massachusetts General Hospital. She has the same doctor as me. She is from New Hampshire I hope she comes in contact with me. I would love to chat with her. I also sent her nurse your web site address and asked her to pass it along to other thymoma patients. (I hope that is okay with you?). There is not many of us with thymoma so knowledge is power. Your web site has been great! It is helpful to read about others with the same illness. Many thanks to you and your husband Jo. God Bless you and your husband! Maddy

 

Hello, Thank you very much for the information I did get from your home pages. They did a dianose for malignant thymoma on September 1999 and I had surgery on November 15 1999. My thymoma is (was) at stage III. While waiting the beginning of the radiation treatment your experiences helped me to understand what to expect. Now, two months after 55 Gr treatment and 5 months after the surgery, I feel relatively good. Thanks for the very sophisticated and advanced medical care and hospitals in Finland. I am still a live! I did left some parts of the past life behind. Now the time has a different significance as it use to have. Yes, I did say goodbye for the materialistic success. Now a days I do love these minutes and moments very much. The best I know is to be able to play with our son. I am using Pau'd Arco tea (known also as Lapacho) daily. Have you heard about it? At the moment it looks that it will be registered as an medicine in the near future. In Finland this tea will be available and for in sale only in official pharmacies. At the moment it is available allmost all the shops and super markets. With best rgds Arto Autio

Answer:
Hi Arto, thanks for your mail regarding thymoma. It's great that you're feeling fine. I do know lapacho tea, but I don't drink it. You can buy it in germany in health-food stores. What for to you drink it???? Does it stimulate (boost) your immune system???? I received this tea once as a gift when I returned from the hospital, but by that time I was not in the mood to drink any "strange" teas but today I have a different attitude and would like to know more about it. Could you do me a favour and answer my query???? I have 20 questions on my home page and if every patient would answer these questions we could learn a lot about thymoma and the treatment from this illness. How is your health care system in finland??? I have no idea how it works and what it covers. I would like to learn about this. Do you take any additional vitamins or do you get any shots ( like mistel) How often to go have your check ups Do you work again??? I hope you had a nice easter. By the way, how do you celebrate easter in finland?? Bye Sue and I'm sorry that it took me so long to get back.

 

Hello Sue, I am interested in learning more about your illness, and what you went through before you could write about it in the past tense. I, too, have a malignant invasive thymoma, and have been through chemotherapy, radiation treatment, and surgery. The surgeons were unable to remove all of the tumour. Currently, I am awaiting their determination for the next stage of my treatment. Any uplifting thoughts would be welcome. Geoff Price

Answer:
Hi Geoff, I'm sorry to hear about your health problems. I started my homepage about 6 months after my diagnosis. By the time I felt the need to "talk" to other patients with , hopefully, similar experience. But 3 years ago, there where only a few thymoma patients on the net and it was difficult to get connected. Especially with a rare type of cncer like thymoma I think that knowledge and information is one of the keys for recovery and gaining back your health. I used the last 3 years to recover slowly but steady. It wasn't the easiest time of my life, even if I had no recurrence so far ( knock on wood). I don't know how old are you but I was a couple weeks short of my 37. birthday and that is usually not the time in everyones life to think about a deadly disease like cancer. Fortunatelly my husband was able to spend a lot of time with me and gave me all the support in the world. The illness changed our whole relationsship. before I was strong and through the cancer I detected my own weakness. It was very hard for me to accept my changes. Especially the fatique was difficult. I had times when I was tired all the time and just normal procedures like grocery shopping made me very tired. I know now that this is a perfect normal reaction from the body. It has to slow down and rest as much as possible to save the energy for the heeling process. So if you feel tired, accept it and rest and try to "hear" what your body " says". Don't be embarrased or ashamed if you react different than you used to do. maybe you can join a cancer support group in your area. You won't find a person with the same type of cancer but you will find other people you might have been in a similar situation and at least you'll feel understood. Talk to your wife about your feelings and your changes and your needs. We had to learn a whole different behaviour in our relationsship, which was not easy. I was not used to talk about my feelings and my needs a lot and when I was ill I expected my husband just to know what I need. I know now that this is just nonsense. He was no mind reading person - in fact he was scared as I was scared and we both had to find a way to cope with this. Dear Geoff, I would love to keep in touch with you. If you're able ( or your wife) please try to fil out the form on my homepage. Additional information about your age, where you're treated, whats your main trouble ........ would help me to give you more specific help and would help other new patients who might be in a similar situation. tell me if you're comfortable with your physician and your treatment. And last but not least write me whenever you like. I made it my "job' to work on this homepage and I try to collect as much knowdlege about this disease as possible. Just recently I got response from finland. So far I'm connected with people in India, germany, US,netherlands and now also finland. Do you believe in prayers? Do you have a family with children?? Do you have any kind of support from family or friends?? Dear Anne and Geoff I wish you a pleasant weekend and I hope you answer soon. Bye Sue Sorry that my answer took so long. I just came back to germany and I needed a few days for myself to settle down and cope with the jetleg.

 

Dear Jeanne, I think that it's very nice of you, that you want to stay in touch with this terminal ill woman. She'll need every support what she can get. In fact I think each of us should stay in touch with other cancer patients and help him or her through rough times. I wrote my resently deseased girl friend for 1 1/2 year and this friendsship was very rewarding for me. I knew I could make a difference in her life and that makes me feel good and I learned from her to have a different look at death and survival from cancer patients. I'm out of the country for two weeks but as soon as I'm back I will e-mail you again. take care. Sue

 

Joe, About 50% of all patients who have had a thymoma have myasthenia gravis. This is a disorder that causes muscle weakness the can be specific or generalized. Has Sue been evaluated by a neurologist? There are a few simple tests that are diagnostic. She mentions continued fatigue in her web article. I developed this disorder and treatment has helped me a lot. Please pass along my message to Sue. Thank You, Daniel
Joe, Exacerbation of the myasthenia gravis following surgery has left me very tired. Basically, I am very tired making it very difficult to respond to email. I will try to answer the survey, but it may be a while. Take Care, Daniel

 

Dear Sue: We are thankful that you are recovering well. We are only six months into my husband's bout with thymoma. We are discouraged. When his thymoma was found, he felt perfectly healthy. He had slipped on some wet flooring and fell and the doctor felt it best to take a chest x-ray. There was a mediastinal tumor and a tumor in his left lower lung. The doctor's first impression was lung cancer, but then they performed surgery and found it to be a thymoma with small tumors, too numerable to count, studding his pericardium, aorta and left lung. They did not remove the thymoma, only biopsied what they could. A week after surgery, he was having chemotherapy - adriamycin, vincristine, doxyrubicin and cysplatin. Because the cancer was so widespread, radiation was not an option. The goal of the chemo was to shrink the tumors to where they could be removed surgically. After six rounds of chemo, the doctor told us that although the tumors had shrunk some, they had not shrunk enough to justify continued chemo and surgery was not an option because of the extent of the disease. What we can't seem to get the doctors to do is to give us an answer as to how long he will live and what will the signs that he will feel that tell us that the end is near. I have not been able to find anything on prognosis for stage IVB. In a nutshell, that is our story. Thanks for keeping your web page updated. Dawn and Scotty

Answer:
Hi Dawn & Scotty, I'm sorry to hear about your health problems. Currently I'm only with one pateint in touch who has thymoma stage 4B, too. He is a 15 year old boy from former Yugoslawia. He receives his treatment in Germany. I will look for answers about your questions but the research might take a few days. Meanwhile it would be helpful for me to get some additional information from you. 1.) How old are you, Scotty? 2.) Do you have any additional health risk, any other kind of disease? 3.) Where did you receive your treatment? 4.) Did you get a second opinon? 5.) Do you receive , currently, any kind of treatment? 6.) How are you feeling? ( are you in pain, do you have trouble with side effects from previous treatment?) I surfed tonight through the net and came up with a few links and maybe helpful information for you. Thoughts from CTCA Dear Dawn and Scotty, I do understand your wish to know how long Scotty might have to live, but I guess most of the doctors are just not prepared enough for this kind of talk to a patient. Death is in our society still a topic what most of the people avoid under any circumstances and doctors are no big exception. Death let them feel their limitation in treating every patient sucessfully. Unfortunatelly the statistics are not very informative about thymoma. You can get every kind of information on breast cancer. My girl friend died 3 years ago and her prognosis was a life expectancy from 3 years after the cancer was detected. She did after 2 years and 11 months and one week. But the data about breast cancer are very accurate and up to date right now, where as thymoma is a rare type of cancer and we still have to be thankful to find even an more or less experienced doctor. Keep in touch and I will try my best to get more information for you. Sue

Dear Sue: Age: 47 Perfectly healthy, at one time had hypertension, but lost some weight (on purpose) and no longer taking antihypertensives. Cancer treated at Cancer and Hematology Centers of West Michigan. Second and third opinion from University of Michigan and University of Indiana. Currently receiving no treatment for cancer. Taking lasix and potassium due to some residual edema from the chemotherapy. Currently feeling very well. Two months without chemotherapy at this point. Remaining side effects are nerve damage to fingertips which has not resolved. Still have some pain from the thoracotomy, but the doctor said that may never go away because of the nerve damage from the surgery. Thank you for your kind letter. It helps talking with someone who knows what it is like to deal with a rare cancer that there is little or no information on. Scotty and Dawn

Answer:
Hi Scotty and Dawn, I hope you to had a pleasant weekend. During my resent research I came across the page from amazon.com I had read probably every german book from Elisabeth Kuebler-Ross. She is a german writer and an american immegrant. She is the most sophisticated, honest and knowledgeable person on the topic death and dying. She has interviewed a lot of dying person, about their feelings and about the way they think about death. Just awaiting or fearing or even wishing to be close to the end. if you have a local bookstore where you get the chance to have a look at the books before you buy them this author might be a very good start. I like about her, her honesty. She is not the type to sugarcoat everythink, which I appreciate. Check it out and let me know what you think about it. Sue

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