The CT scan from May 2007 showed tumor recurrence in both lungs. He decided to try the EGFR inhibitor Tarceva for 6 weeks. A second CT scan after 6 weeks indicated that his tumors had grown while on Tarceva. After discussing the new CT scan results with his oncologist, he immediately started conventional chemotherapy: carboplatin, taxol, and avastin. He continued the carboplatin/taxol combination for 6 cycles (1 cycle every 3 weeks). The chemo seemed to have halted the growth of his tumors. After 6 cycles of carboplatin/taxol, he continued avastin for 6 months.
When the tumors started to grow again, he began taxotere, a second-line chemotherapy for non-small cell lung carcinomas. He was on taxotere for 2 cycles, and decided to discontinue all treatment while we took a family vacation to Dar (summer 2008).
After returning from Dar, a new CT scan indicated that his tumors had grown (at a slow rate, but there was definite growth). After discussing the results with his oncologist, he decided to start Alimta, another second line therapy for NSCLCs. Alimta worked for a certain period of time and then the CT scans revealed progression.
Atul then started pursuing lung transplant option since he was running out of other treatment options. His condition deteriorated rapidly mid-September. He was airlifted to Cleveland Clinic on October 1, 2009 and was put on a ventilator October 2, 2009.
God blessed the family with the good news of donor lungs availability at 7:30 am on Thursday, October 8. Dr. Ken McCurry, along with his fellow, Dr. Yun provided the good news. Atul had surgery at 1:30 am Friday morning (October 9).
The Shukla family is eternally grateful to Dr. McCurry, Dr. Budev, Dr. Yun, Dr. Benjamin and all the other doctors, nurses and staff at the Cleveland Clinic for the treatment Atul has been receiving. A big thank you and our prayers for the donor and the donor family for the lungs. We are overwhelmed with the help and support we have received from friends and well wishers. We thank all for your prayers and good wishes for Atul's speedy recover.