<s>[INST] a friend currently battling what started out as colon cancer has spread to the liver and lung. She recently has suffered from walking pneumonia and anemia. She has been getting shots for the anemia before she can start chemo again. She started a new chemo due to the cancer showing up more in her lung. Is all of this a sign of her body starting to deterioate? [/INST] Welcome to Healthcare Magic... As your friend has colon cancer that has spread to the lungs and liver it is an advanced stage... However chemotherapy can provide remarkable effects on the tumor.. So we have to wait for her to become fit for chemotherapy with control of pneumonia and improvement of anemia and assess response to the chemotherapy... Hope and pray for good response </s>