The 68 year old man, after being diagnosed with lung cancer, refused treatment and wanted to eat and

Mondo Social Updated on 2024-01-30

Grandpa Li always likes to smoke, and some time ago he had symptoms of coughing, which tortured him to lose several pounds, and then the cough never got better, so he went to the nearby respiratory hospital for examination under the leadership of his family.

Unfortunately, after the examination, Grandpa Li was diagnosed with advanced lung cancer, and there was liver metastasis, and the doctor who treated Grandpa Li suggested: "At this age, it is best to do chemotherapy first, and then surgery", after listening to the doctor's advice, Grandpa Li rejected the doctor's suggestion with a peaceful face.

Grandpa Li said that he is in his 68s this year, and he feels that he has basically spent most of his life, and that he has enjoyed watching his grandchildren grow up, and that it is better to return to the countryside to live comfortably than to go for those painful chemotherapy treatments.

He said to his family very calmly: "I think I have lived long enough, it doesn't matter if I die, if there is anything good to eat and drink, I can get some to eat, I want to eat now." ”

Grandpa Li's grandson is very filial, learned of his grandfather's idea and quickly rushed to the hospital, since he was a child, grandpa took him to grow up, the relationship is extremely close, as a young man who has learned about science and technology, he thinks that Grandpa Li should accept **, because** can prolong life.

However, Grandpa Li obviously has his own plans this time, he said to his grandson: "Chemotherapy ** will let me live for a year and a half more, and I will die in the end, without chemotherapy** At least I don't have to lie in bed like a cripple, and I will have some dignity in the future."

Speaking of this, everyone can't say anything anymore, so they can only take Grandpa Li home and accompany him to eat, drink and have fun every day, while Grandpa Li began to bask in the sun every day, listen to **, read books, and enjoy every simple and beautiful moment.

It's also strange to say that since Grandpa Li came home, the condition has not progressed particularly fast, and he has no particularly uncomfortable symptoms, so far, Grandpa Li is still alive and well.

According to statistics, the 5-year survival rate of patients with advanced lung cancer is not more than 1%, and the natural survival life is still 9-6 months, not to mention an elderly person in his sixties and seventies.

In our country, everyone is paying attention to the word "filial piety", whether you are rich or powerful, as long as you are not filial, then you will definitely be drowned with spittle, which also leads to many people dare not be unfilial, dare not recite the name of unfilial piety, so there are many elderly people suffering from cancer, family members will try their best to give **, regardless of the old people's thoughts, is worried about being said that they are not filial.

And such an act itself is unfilial.

Clinically, doctors have seen many elderly people suffering from cancer, some are positive, some are not active, the life expectancy of the active elderly is not very long, the life expectancy of the non-active elderly is not necessarily very short, and the active elderly have to suffer great pain.

First, cancer pain.

Cancer pain is a mountain that elderly cancer patients cannot cross, and as they age, their physical functions gradually decline, including those of the nervous system and immune system. This makes older people more sensitive to the perception of pain and also reduces their tolerance to pain.

Normally, older people often suffer from multiple chronic diseases at the same time, such as high blood pressure, diabetes, heart disease, etc., which themselves cause or worsen pain. The interplay between cancer and other diseases may cause pain to feel more pronounced.

There is also the problem of the cancer cells themselves, which are abnormal cells, which can cause direct damage to the surrounding tissues and nerves through continuous proliferation and invasion, resulting in stimulation of nerve fibers and abnormal enhancement of the pain conduction process. In addition, the tumor can compress or block the surrounding blood vessels and nerves, causing the sensation of pain to worsen.

Therefore, the cancer pain in the elderly will actually be many times worse.

Second, it is difficult to resist the damage caused by chemotherapy.

With age, the physical function of the elderly gradually declines, including the weakening of the metabolism and detoxification ability of organs such as liver and kidney, and the decline of immune system function. This makes older people relatively less tolerant of chemotherapy drugs and more prone to the occurrence of ***

There are also elderly people who often have heart disease, high blood pressure, diabetes, etc. These diseases themselves may have already led to impairment of some organ function, and the *** of chemotherapy drugs may create a further burden on these organs, increasing the risk of ** and the incidence of adverse reactions.

Moreover, the metabolism and excretion of drugs in the elderly will change, the clearance rate of drugs in the body may be slowed, and the accumulation of drug concentrations may increase, thus increasing the risk of occurrence.

Therefore, relatively speaking, chemotherapy for the elderly will be greater, and the damage to the body will be greater, which is also the reason why elderly cancer patients are positive but not necessarily a good thing.

Third, there is not always a way to recover.

If the damage caused in the ** process can be recovered, it is actually not a big problem, the problem is that the elderly cannot recover their own injuries after treatment.

First of all, there is the issue of ageThe physical functions of the elderly gradually decline, including weakened immune system function and organ function decline. These physiological changes may make older cancer patients recover more slowly during the post-event process.

Second, for cancer patients who require surgery**, increasing age may lead to less tolerable surgery, increased surgical risk, and a more difficult recovery process。Moreover, elderly cancer patients may be more likely to experience nausea, vomiting, fatigue, loss of appetite, etc., when receiving chemotherapy and radiotherapy, which will affect the patient's physical condition and progress.

The key is to feel sad in the heart, elderly cancer patients may face more psychological pressure and anxiety in the process of facing the disease, and these psychological factors will also affect the effect.

Therefore, the core factors for elderly cancer patients to actively participate in cancer**, and the final effect is not necessarily good, many elderly people are very smart and know that instead of suffering, it is better to go home to recuperate and spend their old age in secret.

However, such situations should still be positive

As a doctor, in fact, when there is no hope at all, I still want the patient to get better, so if the elderly cancer patients are in this state, they can be positive.

First, cancer was diagnosed early.

The risk of cancer in the elderly increases with age, so it is very important to detect and diagnose cancer early, early diagnosis can make it easier to control the spread of cancer and improve the rate and survival, for example, an elderly person is only early lung cancer, the prognosis is also good, you can't let the elderly go home and wait for death, such a situation must be positive.

Second, the type of cancer.

The type of cancer that older people develop may not be the same as younger people. Some types of cancer are more common in the elderly, such as prostate cancer, breast cancer, colorectal cancer, etc., these cancers usually have a better prognosis and ** effect, in the face of these cancers, the elderly must be encouraged to be active, the probability of survival is too great, and it is irresponsible to take leniency.

Thirdly, the health of the elderly allows

Elderly cancer patients may have declined in physical function, but if the patient's physical condition is still very tough, it should be actively carried out**, doctors usually evaluate the feasibility of ** according to the patient's health status and choose the appropriate **plan, can bear **, there is hope for continuing to live.

Fourth, the patient's desire is strong.

Older patients have personal wishes and values, some older people may be more willing to be positive**, while others may be more inclined to accept conservatism ** or palliative **, for older people who want to be positive**, doctors have no reason to object.

In short, the elderly suffer from cancer, it depends on the severity of the cancer and the patient's desire to survive, if the situation is particularly serious and the desire to survive is very low, then it is not impossible to let the elderly go back to recuperate, it is necessary to be flexible, and it is not necessary to force the elderly to accept **.

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