What advice would be helpful for someone with myeloma and kidney failure who has stopped treatment due to lack of improvement and poor quality of life?
This is a deeply personal and difficult situation, and your friend's feelings are completely valid. After four months without improvement, it makes sense that he's Show Full Answer
What advice would be helpful for someone with myeloma and kidney failure who has stopped treatment due to lack of improvement and poor quality of life?
This is a deeply personal and difficult situation, and your friend's feelings are completely valid. After four months without improvement, it makes sense that he's questioning whether to continue.
A few things worth considering: His feelings matter. The decision to continue or stop treatment ultimately belongs to him. Some people choose to keep trying treatments, while others decide that comfort and quality of life come first. Neither choice is wrong.
An honest conversation with his doctor is key. He should ask his doctor directly:
- Why does the doctor believe continuing treatment is worthwhile?
- What specific markers or signs suggest there could still be improvement?
- What are realistic expectations going forward?
A second opinion is always an option. Another specialist may offer a fresh perspective on whether a different treatment approach could help.
Palliative care is a real and valid path. This type of care focuses on managing symptoms and improving comfort and quality of life — it's not giving up, it's choosing to live as well as possible.
Kidney function and myeloma are closely linked. When myeloma is better controlled, kidney function often improves. However, if treatments aren't working after four months, that's important information too.
Encourage your friend to have an open, honest conversation with his care team about what he truly wants. His voice in this process matters enormously.
June 12