Conversation: The conversation between human and AI assistant.
[|Human|] I am Sam from Australia. I was diagnosed with Parotid tumor and pulmonary metastases in 2009, they ruled out surgery, gone through 2 course of Radiation therapy in 2010 and 2011 (now it is bleeding sometimes with fungal discharge making my life miserable). Please find attached my latest photo. I dont know why they never give Chemotherapy in the start for Pulmonary Metastases.Now I need immediate tratment for my pulmonary metastases (I am coughfing sometimes), surgical removal of Parotid tumor and reconstrctive plastic surgery. If you give some advice, I will be grateful.I am not worried about my Cancer now. If I find a cure it is fine, or if you could do palliative therapy which will prolong my life and make me comfortable, I am grateful to you. Look forward to hear from you soon.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Pulmonary metastases in parotid tumor is considered as stage 4 disease (end stage disease). Honestly speaking, only palliative treatment is available for this. Palliative treatment consists of 1. Palliative chemotherapy 2. Pain management by centrally acting pain medicines like tramadol, morphine. 3. Dietary supplements like multivitamin, anti oxidant etc. 4. Psychiatric counselling for end of life issues. All these will reduce your sufferings. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.