Tips for Mom Just diagnosed stage 4

Hello everyone, sorry to share that I have experienced hard news recently as My mom (80) was just diagnosed with stage 4 squamous non-small cell lung cancer (NSCLC), with cancer in 4 spots in her lungs. Her treatment plan from Fred Hutch Cancer Clinic is:

**•**	***Pembrolizumab (Keytruda)*** *— immunotherapy, given IV*  
**•**	***Carboplatin*** *— chemo, given IV*  
**•**	***Abraxane (nab-paclitaxel)*** *— chemo, given IV*

Schedule: for the first 4 cycles (21 days each), she gets Abraxane on days 1, 8, and 15, plus carboplatin and pembrolizumab both on day 1. After that (cycle 5 onward), it’s just pembrolizumab alone every 3 weeks as maintenance.

A few relevant factors: she’s 80, has COPD, and already has some peripheral neuropathy going in. Anyone who’s been through this combo (or cared for someone who has) — what helped you most with fatigue, neuropathy, nausea, or just getting through the first few months?

Any tips on what you wish you’d known going in?

Thank you in Advance!

Posted Jul 23, 2026, 5:08 AM UTC

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