Hi @Lisa2, Sorry to hear that you are not coping with your chemo treatment. Short answer Don't give up! Ask for alternatives. Your situation? It is interesting that you had radical resection rather than total gastrectomy. I assume that your gastro-oesophageal junction (GEJ) must have been cancer free and worth saving to minimise negative flow up your oesophagus. Is this correct? What are the details of your treatment protocol? My situation Sampling during my initial diagnostic gastroscopy found cancer cells predominantly in the upper portion of my stomach and extending along the lesser curvature. The need to remove my GEJ meant that it would be less problematic for me long-term to 'simply' remove my entire stomach. My treatment protocol involved: pre-surgery chemo (cisplatin, epirubicin, capecitabine (CEX)) - 3 cycles total gastrectomy - no remaining cancer cells found (first series of chemo did its work) and there was no evidence of the cancer having spread to lymph nodes or other organs post-surgery chemo (oxsliplstin, epirubicin, capecitabine) - 3 cycles Notes: The change from cisplatin to oxaliplatin was made because the cisplatin was causing severe tinnitus and likely to result in deafness. I only had 2 cycles of oxaliplatin because of the extreme pain experienced during the transfusions. Other than as mentioned in the 2 notes above, I managed to get through chemo quite unscathed. I did suffer from chemotherapy induced peripheral neuropathy, but that was managed by the wearing of gloves and warm socks plus avoiding cold drinks. I still (2 years later) have peripheral neuropathy and have to avoid the car's A/C blowing directly onto my hands or feet, but I can hold my drink (ie, literally and not figuratively). I still suffer from diarrhoea on a regular (pardon the pun) basis, but that is now part of my new "norm". The new plumbing of my intestinal tract has bedded in and I now eat fairly normal meals with serving size about 50% of pre-surgery. Recommendation Doctors don't prescribe these toxins to us out of spite - the chemo is meant to help us in the long run. So have a D&M discussion with your oncologist about your side effects to the chemo. There may be other options that will be equally effective that your body is better able to tolerate. You won't know if you don't ask. Hugs and best wishes to you, Rick
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