OP, I'm really sorry to hear about your friend. I watched my wife's mother die a couple years ago, and it was heartbreaking.
What I'm about to say is going to be hard to take, but I don't want you to be blindsided by it as it comes.
Your friend is going to have to make some very hard decisions in the next couple months, and I'd advise you to stay out of them but be supportive. Chief among those will be whether to undergo chemo.
Since the cancer has metastasized, surgical removal or radiation are not likely to do much. I'm oversimplifying a bit, but chemo in almost all its forms is an administration of poison that you hope kills cancer cells a bit faster than healthy ones. (
See here for a good explanation of why cancer is so hard to reverse.) For late stage patients, it will often extend life, but at the price of quality.
If she chooses
hospice care instead of heavy treatment, she will likely be much more comfortable, but may die a little bit sooner. Nearly every oncologist you'd ask would tell you that they'd go straight to hospice if diagnosed with late-stage, likely incurable cancer, as they've seen how hard chemo is on people.
Whatever your friend chooses, the most important thing is that you are supportive of their path, and you do everything you can to make her as comfortable and fulfilled as possible. I know that you want to save her, and you feel that if you work hard enough, fight hard enough, and gather enough money, she'll live. Cancer, frankly, doesn't give a damn how hard you're trying.
@Madwand1
Thank you for that link. Very interesting stuff.
In light of that, as the OP I would like to request steering this thread in a different direction.
If anyone has any experiences to share or knows of any ongoing clinical trials showing promising results treating end stage colorectal cancer, now would be a good opportunity for me to at least conduct some research that I'm sure my friends don't have the time or energy to do at this very moment while dealing with everything else...
I found that link to the Reolysin study particularly intriguing. I'm off to find more stuff like that on my own buy if anyone has some little-known something or other to add information is appreciate and I will be checking back from time to time...
TYTY!
I don't know specific trials, but here's some thoughts on entering a clinical trial to begin with:
1) Regardless of anything I post below, there's only a 50% chance that your friend would go on this particular drug. The "placebo" would be some other established chemotherapy treatment that is likely to actually be more effective than the average clinical trial.
2) There is no guarantee of any kind of effectiveness. That is at the core of why these clinical trials exist. It's one of those funny things, for example, that we've had enormous success reducing tumors in mice, but that many of these promising drugs don't do much to help humans because our physiology is different enough that the cancer behaves different. The result is that many of these trials are unsuccessful.
3) Side effect may be harsh.
All chemo treatments have unpleasant side-effects. Someday in the future, we may view chemo the same way we view leeching now: as a harsh method that doesn't really do much. The drugs that have been approved, though, at least have well-established side-effects and ways to minimize them. A drug in trial is likely to be harder on her than one that's already been approved.
I wish you luck, but most of all I wish you peace. This is going to be a hard process. Please feel free to PM me if you need someone to rant to or scream at. Even the support system needs a support system sometimes.