Wow, that's really sad with such low visible tumor count and volume on the lungs. People
have dealt successfully with far worse liver and lung combinations. Just not with standard practices, the average Joe, or Dr. No.
She needs to take immediate steps to preserve the low count. Most crucially, what marker information and panels does she have? e.g. CEA, CA199, AFP, and ALP, GGT, LDH, CBC [WBC, monocytes, lymphocytes, platelets], ESR, hsCRP, ferritin, cerruloplasmin (once and occasionally), 25 OH vitamin D (once and occasionally). These are all DIY lab orders, as needed. We found that chemistry to match the markers helps preserve and expand options. Importantly, we kept potent chemistries on the mets during the run up to surgeries, including even chemo close in before surgery, and after - none of it "standard practice". Not this 3-6 weeks off stuff (different chemistry and changes though, no Avastin).
Real supernutritional chemistry makes markers/panels move, repair lesions and body parts, without as many restrictions or side effects.
This is an example that should often resolve with an aggressive multimodal, more technical approach than "standard care". For us, this has included expanded blood monitoring, multiple chemistry steps, and surgeries. However, I keep an eye out for other treatment options too.
Our general order of battle:
1. Do the expanded
bloodwork2. Add chemistries to the daily chemo (no excuses, like surgery or illness if done best).
3. Repeat 1 and 2 as frequently as necessary to see improvements, whether 10 days, 2-3 weeks.
4. Line up a surgical or other localized treatment (world class radiation, RFA etc ) for complete local removal in an area
with the minimum residual trauma and inflammation possible. Surgery usually preferred.
5. Repeat 1-4 as needed,
6. Find drs that will help you, blow off insurance when necessary (lack of speed kills), shop costs and quality