You explained this AMAZING thank you. The doctors i havd talked to only gave a fast explanation and i was lost and scard untill i found your video. Again thank doctors who tell you, about this procedure with all do respect do not go in detail like you just did,hopefully one day they will take just a few mins to explane like you have and the patients would be happy,,,and feel safe.
Hi user, So glad this has helped calm your nerves. But I'm sorry that you have to know about pleural effusions. If you have questions don't hesitate to ask questions here or on our site forum. cancergrace.org/forum Take care,
Fantastic explanation! Thank you for this! It will be shared with my family so they have a much better understanding of the procedure my step-father just had. Amazing, you made this 8 years ago and it's still extremely beneficial and helping so many, I'm sure. 🙏🏼
The idea of the visceral and parietal pleura is that the lung can expand in the thorax and the two pleurae can move against each other. If now on has pleuradesis, does that mean that the expansion of the lung is then attached to the excursion of the thorax? Wouldnt that cause some type of restrictive ventilation?
Unfortunately yes and yes. But it is a solution to a bad situation that you can live with.. It's once and done if it works as opposed to possible repeated need for thoracentesis.
can i ask,, if talc from snorting pills is a death sentence, wouldn't talc here be the same death sentence? or is talc from snorting pills actually not as bad as some say...there is no real answer on line, i need help, im so worried and scared. How do I check my lungs for possible damage from snorting pills?
Hi, I'm sorry to hear you've had pleurodesis twice. Hearing from others with 1st hand experience is such a great help when you're looking for info and support.
It sounds like the pleural cavity, and the correspondence between both the visceral and parietal pleura are crucial to the mechanical respiration process. I've been struggling to find the answer to this: how is this process altered in a chemical pleurodesis? Doesn't this essentially eliminate the pleural space? Wouldn't this alter our breathing, how are the lungs still able to expand at this point? Any info will be appreciated, thanks!
Sarah; A really good question. Did you find an answer to your question? I believe my pulmonary doctor will be recommending this procedure, for my multiple pleural effusions, due to lung cancer.
An xray can see air space in 2 dimensions. A CT can get a better look because it will give a 3 dimension view which can pick us pockets where fluid can hide, called loculated pleural effusion. Sometimes the lung doesn't completely expand but is clear enough to breathe well enough for most daily tasks.
Dr, My father is having metastatic ca pancreatic cancer with pleural effusion. After the third chemo he had difficulty in breathing many times. The doctors have placed an bilateral ICD pipe, but in 15 days both ICD was blocked from inside and again doctors have placed new ICDs pipe. If this one is also get blocked, they are suggesting to undergo pleurodesis surgery. Is there any other alternatives to manage pleural effusion efficiently. Please suggest...
Hi Texas, I'm sorry your father is going through this. I'm not a doctor, I'm on GRACE's social media team, a teacher, and a well informed lung cancer caregiver. The best treatment for PE is to treat the reason for the pleural effusion (cancer). If the drainage tubes aren't working then pleurodesis may be an option. The most important part of the procedure is to make sure the doctor is well experienced, someone who does this every day like an interventional pulmonologist who treats only cancer. The lungs must be able to completely expand for the procedure to work. Best of luck
Exact thing happened to my mother-in-law.her pleural fluid results came as malignant pleural effusion (adenocarcinoma),but there are no tumors or mass on her lungs(we did CT scan,X ray, ultrasound). if you know more please let me know.we are in very depressing condition.please..
@@nailafarooq376 I am sorry to hear that. My mother in law's right lung has full of plural fluid which doctors drained using pipe method. That fluid filled and became thicker, Her right lung is collapsed,she is surviving only on left lung,but she is fine, my husband taking her to chemo every three weeks. You can't even tell she is a patient,she is completely normal.bu the way she has stage 4 non small cell lung(adenocarcinoma) cancer. I know that you and your family members going through hell coz we did. Everything will be okay. She will get better but it takes time and patience., P.S- it looks like white or yollowish growth in the lung they are small tumors growing in bunches.
@@VASISHTA. thanks you 4 ur prayers..need them so bad ..my mother has chronic issues,diabetes,asthma shes little over weight has cardio issues too hows ure mother in law managing chemo ive heard its too painful does urs have other health issues too?
My mother has the same fluid in lungs Doctors have inserted tube for fluid to pass But it is not stopping daily approx 250 to 300ml fluid come out from it. She has lung cancer. What can be done to stop this fluid?
Medical and radiation oncologists may treat the underlying cancer with chemotherapy, immunotherapy, targeted therapy, and/or radiation to prevent the fluid from accumulating. A pulmonologist or thoracic surgeon will work with your oncology team to discuss other treatments available to remove the fluid and/or prevent it from re-accumulating to keep you breathing well. Your healthcare providers will work together to treat the cancer and your symptoms. Here is a list of links on the subject. Let us know if you have further questions. cancergrace.org/tagging/pleural-effusion Best of luck,
@@CancergraceOrg I want to know that 650 to 750ml of fluid is comming daily from drain in lungs and Doctors are unable to use talcum powder due to this is there any way to minimize that fluid so they can do this process.
@dharmendrajat007 treating the cause of the effusion is the only way to minimize the build-up. Alternatively, an indwelling catheter such as a pleurex catheter can be worn for extended use. It should not cause pain.
@@CancergraceOrg For how long cathater can be worn. She is taking Geftinib tablet but the thing is she is having fuild of red color and it there any thing which can help her in recovering. Her age is 56 and right now having complain of Diarrhea.
An indwelling catheter can be worn for as long as there is fluid that needs draining regularly. It is normal to have blood in the fluid of a malignant pleural effusion. It's important to let her onc team know of new or worsening symptoms like bloody effusions and diarrhea. They can suggest or prescribe something to help with diarrhea. If the rest of her cancer is progressing it may be appropriate for her to take tagrisso.
My mother has stage 4 lung cancer with tumor and with moderate maligant pleural effusion in left lung...with no other distant metastasis site..its only in left lung and spreading in throat.. What are the chances of curative treatment...or only pallative care is best way to proceed
Hi Ravi, I'm very sorry your mother is going through this. Unfortunately, nsclc with malignant pleural effusions are most often not curable. That doesn't mean that the cancer isn't treatable. Palliative care is comfort care. It's different than hospice in that hospice care is comfort care without anti-cancer treatment while palliative care is comfort care with or without anti-cancer treatment. Please join us in our CancerGrace site forum if you have more questions or would like to share info and experience. cancergrace.org/forum/active
![[UNCUT] ฝันรักห้วงนิทรา | EP.9 (3/4)](http://i.ytimg.com/vi/ikd1tEhXbp8/mqdefault.jpg)
Love the way you simplified this procedure 😍
Well-done; this is a comprehensive explanation. Thank you for sharing your knowledge.
You explained this AMAZING thank you. The doctors i havd talked to only gave a fast explanation and i was lost and scard untill i found your video. Again thank doctors who tell you, about this procedure with all do respect do not go in detail like you just did,hopefully one day they will take just a few mins to explane like you have and the patients would be happy,,,and feel safe.
Love your explanation and your energy
great explanation, your amazing
Very beautifully and clearly explained presentation! Thank you for making me understand better! Thank you so much from Malaysia 🇲🇾 7/8/2019
explained so well and detailed. thank you doctor.
Glad to be helpful!
So thankful for this video. It calmed my nerves.
Hi user, So glad this has helped calm your nerves. But I'm sorry that you have to know about pleural effusions. If you have questions don't hesitate to ask questions here or on our site forum. cancergrace.org/forum
Take care,
Fantastic explanation! Thank you for this! It will be shared with my family so they have a much better understanding of the procedure my step-father just had. Amazing, you made this 8 years ago and it's still extremely beneficial and helping so many, I'm sure. 🙏🏼
I'm glad you found this video helpful. I wish there had been advances in the last 8 years. I hope your step father feels better soon.
really helpful! thank you!
thank you so much.
Thanks
Good to share and learn. Very educacional, thanks for your background
So nice of you to say. We want anyone to have this knowledge so they can make informed decisions.
I am from Indonesia..DR Jed Gorden is my friend..i am hardly to contact him.
I guided him in Flores in 1989.he visited my village in Sadha Laja,Ngada,Flores.
The idea of the visceral and parietal pleura is that the lung can expand in the thorax and the two pleurae can move against each other. If now on has pleuradesis, does that mean that the expansion of the lung is then attached to the excursion of the thorax? Wouldnt that cause some type of restrictive ventilation?
Unfortunately yes and yes. But it is a solution to a bad situation that you can live with.. It's once and done if it works as opposed to possible repeated need for thoracentesis.
can i ask,, if talc from snorting pills is a death sentence, wouldn't talc here be the same death sentence? or is talc from snorting pills actually not as bad as some say...there is no real answer on line, i need help, im so worried and scared. How do I check my lungs for possible damage from snorting pills?
Snorting pills will bring talc inside the lungs. Pleurodesis places talc outside of the lungs so they are different.
I’ve had this operation twice
Your video is excellent
Hi, I'm sorry to hear you've had pleurodesis twice. Hearing from others with 1st hand experience is such a great help when you're looking for info and support.
It sounds like the pleural cavity, and the correspondence between both the visceral and parietal pleura are crucial to the mechanical respiration process. I've been struggling to find the answer to this: how is this process altered in a chemical pleurodesis? Doesn't this essentially eliminate the pleural space? Wouldn't this alter our breathing, how are the lungs still able to expand at this point? Any info will be appreciated, thanks!
Hi Sarah -- for questions please visit our forums at cancergrace.org/forum/q-and-a-ask-us/new-questions
Sarah;
A really good question. Did you find an answer to your question? I believe my pulmonary doctor will be recommending this procedure, for my multiple pleural effusions, due to lung cancer.
Ronald Wolf hey are you okay?
How does one gauge one’s lungs’ ability to fully expand after the pleural space is eliminated?
An xray can see air space in 2 dimensions. A CT can get a better look because it will give a 3 dimension view which can pick us pockets where fluid can hide, called loculated pleural effusion.
Sometimes the lung doesn't completely expand but is clear enough to breathe well enough for most daily tasks.
Dr,
My father is having metastatic ca pancreatic cancer with pleural effusion. After the third chemo he had difficulty in breathing many times. The doctors have placed an bilateral ICD pipe, but in 15 days both ICD was blocked from inside and again doctors have placed new ICDs pipe. If this one is also get blocked, they are suggesting to undergo pleurodesis surgery. Is there any other alternatives to manage pleural effusion efficiently.
Please suggest...
Hi Texas, I'm sorry your father is going through this. I'm not a doctor, I'm on GRACE's social media team, a teacher, and a well informed lung cancer caregiver. The best treatment for PE is to treat the reason for the pleural effusion (cancer). If the drainage tubes aren't working then pleurodesis may be an option. The most important part of the procedure is to make sure the doctor is well experienced, someone who does this every day like an interventional pulmonologist who treats only cancer. The lungs must be able to completely expand for the procedure to work. Best of luck
what about when the lab test in fluid show cancer. Cancer cells in the fluid but no tumors or anything in the lungs.
Exact thing happened to my mother-in-law.her pleural fluid results came as malignant pleural effusion (adenocarcinoma),but there are no tumors or mass on her lungs(we did CT scan,X ray, ultrasound). if you know more please let me know.we are in very depressing condition.please..
I'm going through this. Please let me know if you find out
@@VASISHTA. any update? my mother's case is same pls reply
@@nailafarooq376 I am sorry to hear that. My mother in law's right lung has full of plural fluid which doctors drained using pipe method. That fluid filled and became thicker, Her right lung is collapsed,she is surviving only on left lung,but she is fine, my husband taking her to chemo every three weeks. You can't even tell she is a patient,she is completely normal.bu the way she has stage 4 non small cell lung(adenocarcinoma) cancer. I know that you and your family members going through hell coz we did. Everything will be okay. She will get better but it takes time and patience.,
P.S- it looks like white or yollowish growth in the lung they are small tumors growing in bunches.
@@VASISHTA. thanks you 4 ur prayers..need them so bad ..my mother has chronic issues,diabetes,asthma shes little over weight has cardio issues too hows ure mother in law managing chemo ive heard its too painful does urs have other health issues too?
My mother has the same fluid in lungs
Doctors have inserted tube for fluid to pass
But it is not stopping daily approx 250 to 300ml fluid come out from it.
She has lung cancer.
What can be done to stop this fluid?
Medical and radiation oncologists may treat the underlying cancer with chemotherapy, immunotherapy, targeted therapy, and/or radiation to prevent the fluid from accumulating. A pulmonologist or thoracic surgeon will work with your oncology team to discuss other treatments available to remove the fluid and/or prevent it from re-accumulating to keep you breathing well. Your healthcare providers will work together to treat the cancer and your symptoms. Here is a list of links on the subject. Let us know if you have further questions. cancergrace.org/tagging/pleural-effusion
Best of luck,
@@CancergraceOrg I want to know that 650 to 750ml of fluid is comming daily from drain in lungs and Doctors are unable to use talcum powder due to this is there any way to minimize that fluid so they can do this process.
@dharmendrajat007 treating the cause of the effusion is the only way to minimize the build-up. Alternatively, an indwelling catheter such as a pleurex catheter can be worn for extended use. It should not cause pain.
@@CancergraceOrg For how long cathater can be worn. She is taking Geftinib tablet but the thing is she is having fuild of red color and it there any thing which can help her in recovering. Her age is 56 and right now having complain of Diarrhea.
An indwelling catheter can be worn for as long as there is fluid that needs draining regularly. It is normal to have blood in the fluid of a malignant pleural effusion.
It's important to let her onc team know of new or worsening symptoms like bloody effusions and diarrhea. They can suggest or prescribe something to help with diarrhea.
If the rest of her cancer is progressing it may be appropriate for her to take tagrisso.
My mother has stage 4 lung cancer with tumor and with moderate maligant pleural effusion in left lung...with no other distant metastasis site..its only in left lung and spreading in throat..
What are the chances of curative treatment...or only pallative care is best way to proceed
Hi Ravi, I'm very sorry your mother is going through this. Unfortunately, nsclc with malignant pleural effusions are most often not curable. That doesn't mean that the cancer isn't treatable. Palliative care is comfort care. It's different than hospice in that hospice care is comfort care without anti-cancer treatment while palliative care is comfort care with or without anti-cancer treatment. Please join us in our CancerGrace site forum if you have more questions or would like to share info and experience. cancergrace.org/forum/active
@@CancergraceOrg thanks for responding..
Is there any clinical trial undergoing in india for MPE ,where we can participate
@@raviaryatube from a search on clinicaltrials.gov I don't see any but that is a U.S. based site so may not have all the info on India.
Keep up the good work doctors..you both are amazing..
Bhai apki maa kaisi hai ab?