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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Differentiate Between An Emergency And Treating The Pain In Cancer?

My mom is in stage 4 lung cancer with metastates to her brain. Her pain has become bad and they gave us an "emergency kit for the future, as she approaches death. How do u know the difference between "an emergency" and treating the pain she is currently feeling
Mon, 8 Dec 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
End stage lung cancer with brain metastases carry very bad prognosis.
In her case emergency should be considered when
1. She becomes unconscious and not responding to pain or verbal command.
2. She is drowsy and not following command.
3. Her chest movements are diminished and hardly taking 1-2 deep breaths like gasping.
4. If you can not feel pulse on both arms.
Above mentioned conditions are considered as emergency and death can happen at any moment.
And when she is telling pain with out above mentioned conditions than you van give her pain killers.
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How To Differentiate Between An Emergency And Treating The Pain In Cancer?

Thanks for your question on HCM. I can understand your situation and problem. End stage lung cancer with brain metastases carry very bad prognosis. In her case emergency should be considered when 1. She becomes unconscious and not responding to pain or verbal command. 2. She is drowsy and not following command. 3. Her chest movements are diminished and hardly taking 1-2 deep breaths like gasping. 4. If you can not feel pulse on both arms. Above mentioned conditions are considered as emergency and death can happen at any moment. And when she is telling pain with out above mentioned conditions than you van give her pain killers.