How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick, MD Your Own Question

Dr. Rick, MD
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 8068
Experience:  20+ years as a doctor. Internal Medicine Internship in NYC
48069651
Type Your Medical Question Here...
Dr. Rick, MD is online now
A new question is answered every 9 seconds

I have a close friend who has recently been diagnosed with

Resolved Question:

I have a close friend who has recently been diagnosed with stomach cancer...he went to a gastro bypass surgeon who promptly removed his stomach and attached his eusophagus to his small intestine to serve as a stomach. They sent him home without palative care and no feeding tube...he was told he needed to graze on food all day long but it is very painful for him to eat and he has gone from 160lbs to 120 in about a month. This particular doctor now wants to do another upper GI and see if he can have a feeding tube. What should we be doing at this point? I want to take him to a cancer facility that handles all avenues of this including mind and emotional. Please advise.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Rick, MD replied 1 year ago.

RickMD :

I am online and happy to help you with your question today.

Customer:

Thank you I am at my wits end and do not know what to do.

RickMD :

when was your friends surgery?

Customer:

2 months ago approximately

RickMD :

I agree with you -- it would be better if he was "tucked into" a comprehensive post operative treatment center that helps him, his family and loved ones, to know what is going on step by step

RickMD :

While weight loss is not unusual after a surgery like your friend has had, from what you have posted, it does seem like he could be made more of an active part of his recovery plan.

RickMD :

As you already mentioned, a large cancer center has just this sort of plan already in place....

RickMD :

What large city is your friend located in/near and how far could he travel for treatment?

Customer:

Yes I agree but my main concern and I have been constantly suggesting to get a feeding tube in him...shouldn't he have come home with one. He is so weak now he can hardly eat and all he is concerned about is his pain meds.

RickMD :

Many times a feeding tube is not placed at the time of the initial surgery so as to allow healing, especially if the patient can eat or get nutrition via other means such as IV

Customer:

We live in the Florida Keys and right now he is so weak it might not be in his best interest to travel very far. His surgeon is in Miami so he has gone there a couple times.

RickMD :

The University of Miami, Sylvester Cancer treatment center is one of the best in the world. If I was in his shoes, that is where I would gol

RickMD :

go.

RickMD :

Here is their webpage:

RickMD :

Ooops...

RickMD :

http://sylvester.org/

RickMD :

Does this make sense to you?

Customer:

Thank you I will look into that...is there anything that I can do to get him to eat? Will I be able to talk with you in the future for further instruction?

RickMD :

With his small stomach size he will have to eat a little bit at a time. I would try high calorie foods that he likes, such as milk shakes, brownies, and other healthy foods of course....

RickMD :

Your question shows why having access to a nutrition expert is so important for your friend right now.

RickMD :

Yes. Even after you give me positive feedback for this conversation you can come back and request "DrRick" and I will be happy to help you again.

RickMD :

I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. And please let me know if the rating system gives you any troubles.

Thanks in advance,

Dr. Rick MD FACS

Customer:

Will a cancer center take over the care since he already had the surgery and they are not starting from the beginning with him? I have never dealt with this before and am so concerned that we may not be getting him the best care.

RickMD :

Yes. They would be happy to take over his care. There is no reason for you to be concerned about that at all.

Customer:

Thank you you have been a great help.

RickMD :

My pleasure. Please give my best to your friend. Have a good evening.

Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 8068
Experience: 20+ years as a doctor. Internal Medicine Internship in NYC
Dr. Rick, MD and other Medical Specialists are ready to help you
Expert:  Dr. Rick, MD replied 1 year ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions