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Just diagnosed with pleural mesothelioma - what should I do first?

Caregiver · · 168 views Expert Answer
My husband was diagnosed with pleural mesothelioma two weeks ago after months of shortness of breath and chest pain. We are completely overwhelmed and don't know where to start. He worked in construction for 30 years and was exposed to asbestos in older buildings.

What were the first steps you took after diagnosis? Should we be looking for a specialist right away, or is our local oncologist okay to start with? Any advice on what questions to ask the doctor would be really helpful.

We're in Texas if that matters for finding doctors.

9 Replies

Medical Best Answer
Linda, first I want to say how sorry I am for what you and your husband are going through. The early days after diagnosis are overwhelming, and what you're feeling makes total sense.

Here are the most important first steps:

1. Get a second opinion from a mesothelioma specialist. General oncologists see maybe 1-2 cases in their career. Specialists see hundreds. MD Anderson in Houston, Baylor St. Luke's, and Memorial Hermann all have mesothelioma programs, and you're in Texas so that's accessible.

2. Request a copy of the pathology report and bring it to the specialist. The cell type (epithelioid, sarcomatoid, or biphasic) significantly affects treatment options.

3. Ask about clinical trials. Many of the most promising treatments are available through trials, and Texas has several active ones.

4. Don't make treatment decisions until you've seen a specialist. A few weeks to get a second opinion will not change the outcome, but it could change the treatment plan significantly.

You're not alone in this. This community is here for you.
17 found this helpful
Patient
Sorry if this was asked before but I'm kinda in the same boat as your husband, just got diagnosed myself a couple months ago. I was an electrician, worked in old buildings with all that asbestos insulation on the wires and pipes, didn't even think about it back then.

What I did was ask my regular doctor to send me to a mesothelioma specialist, not just a regular cancer doctor. That made a big difference I think. The specialist knew way more about what to expect and the different treatment options. Don't get me wrong, your local oncologist probably knows their stuff but a specialist just gets it, you know?

One thing I wish I'd done sooner is write down all my questions before the appointments cause when you're sitting there scared you kinda forget what you wanted to ask. I also brought my wife to take notes cause honestly I wasn't really hearing everything the doctor said at first.

I'm still trying to figure out alot of this myself so I can't say I'm the best person to ask, but I'm really grateful for all the help people on here have given me. Your husband's lucky he's got you guys looking out for him.
2 found this helpful
Family
Hey Linda, I'm so sorry you're both going through this. Joe got diagnosed back in September and honestly those first few weeks were such a blur. I remember just feeling like we were drowning in information and decisions all at once.

Frank and Jennifer are spot on about the specialist thing. We made that same mistake at first thinking our regular oncologist could handle it, but then we switched to someone who really specializes in mesothelioma and it made such a difference. They know the latest treatment options and what actually works best for this specific cancer. It's kind of like the difference between a general substitute teacher and someone who really knows their subject, you know?

One thing I wish we'd done sooner, start keeping a detailed notebook of everything. All his symptoms, what makes them better or worse, all the test results, medication side effects, everything. When you're dealing with doctors appointments and new treatments it's so easy to forget what you talked about last week.

Also don't feel bad about looking into your options beyond just treatment. There are resources and people who can help with other stuff too. We weren't thinking about any of that at first but it actually mattered.

How is your husband doing with the shortness of breath right now? And are you guys able to get to a mesothelioma center or is that tricky from where you are in Texas?
Veteran
Got diagnosed back in June M., had my pleurectomy in August and I'm doing alright. First thing, get yourself to a mesothelioma specialist, not just a regular oncologist. There's a difference and it matters. Your local doc can refer you or you can call the VA hospital if he's eligible, they know this stuff inside and out.

Questions to ask, what stage, what's the treatment plan looking like, what's his actual prognosis with that specific plan. Don't let them dance around it. You need straight answers. Also ask about clinical trials because new stuff comes up all the time and sometimes it's better than standard treatment.

Texas has some good centers. I'd start making calls this week, don't wait around. The sooner you get moving the better you feel mentally even if nothing changes medically. Sitting still just eats at you.

One more thing, your husband's gonna need support but he's also gonna get stubborn about it. Construction guy like that, probably doesn't want to be a burden. Let him know that's just how it is now and he needs to deal with it. We all do eventually.

You're doing the right things asking questions. Stick with it.
3 found this helpful
Family
My father-in-law was just diagnosed in May so we're pretty early in this too. Frank's right about finding a specialist. We spent the first few weeks doing research and honestly that made a huge difference in how we felt going into appointments.
1 found this helpful
Family
Like Frank said, a specialist really does make a difference, Joe's oncologist was helpful but once we got him to someone who focuses specifically on mesothelioma, it felt like we finally had someone who really understood what we were dealing with. And don't feel bad about being overwhelmed right now, that's completely normal... just take it one step at a time, you know?
Patient
Yeah, so Linda, I'm gonna be straight with you. Get that specialist, don't mess around with just a regular oncologist. I made that mistake at first, thought my local guy could handle it, but once I got to someone who really knew mesothelioma inside and out it was like night and day. They caught stuff the first doc missed.

Like Frank said, there's a real difference. A mesothelioma specialist has seen the engine under the hood, you know? They know which treatment options actually work and which ones are just gonna waste your time.

One thing nobody told me, write down questions BEFORE you go in. I'd sit there like an idiot forgetting half the stuff I wanted to ask cause I was nervous. Also ask about clinical trials early, don't wait. And don't be shy about asking for second opinions, third opinions, whatever. This isn't the time to be polite about it.

Your husband's got this. I'm stage 1, had my surgery back in February and bouncing back okay. Early catch like that means you got options.
Family
yeah get Joe on that specialist train asap, regular oncologists just don't have the mesothelioma chops... we learned that the hard way and kind of wasted some time early on that we wish we hadn't.
Caregiver
Did your oncologist eventually refer you to a mesothelioma specialist, or did you have to find one yourself? We're trying to figure out if we should push our doctor or just start searching on our own. Time feels really important right now and I don't want to waste any of it.

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