Dear Mimagli: I sympathize with you about the difficulties you describe, which
are obviously very challenging. As an oncologist who has guided many patients
through treatment of anal cancer, I have two things I'd like to say. First,
while every person's response and tolerance to chemo and radiation is unique,
what you describe sounds unusual for someone who is so early in the treatment
process. If you have not already done so, I encourage you to speak with your
medical and radiation oncologists about your difficulties and ask what more they
can do to help you. Second, the good news is that response rates to treatment
for anal cancer can often be excellent and longlasting. Obviously, I don't know
the details of your cancer stage or type, your treatment protocol, or your
medical history. But I can say that it is important to take heart, and do all
you can to move forward safely and successfully with your treatment. Please feel
free to let me know if you have any additional questions or if I can be of
further assistance.