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Chemo not working

User
Posted 30 May 2015 at 17:56
Paul

thanks for linking that for Rachel to find that was really kind of you as I probably woud have taken ages to work out how!

Rachel I will just say that this really was Mick's way of coping and then I just made sure I followed his wishes. Yor Dad may have a completely different outlook see what Janet replied on my thread, her husband dealt with it completely differently as did Fiona'S partner Neil. If you need to chat you can always PM me I usually sign in every day at some point, trying to help others is really my way of coping too.

Possibly some really tough times ahead Rachel so make sure you look after yourself and your Mum too.

I will be thinking of you

xx

Mo

User
Posted 01 Jun 2015 at 16:45

Well confusion would be a complete understatement!!

 

I spoke to my mum yesterday who said that Dad was having a really bad day.  He had just about managed to stagger from his bed to the sofa and then had not moved.  He slept all day due to having lots of painkillers because of the continued pains in his leg.  She also dropped into conversation that we was finally discharged from hospital last Friday, he was given some paperwork to take with him.  Included in the paperwork was some type of scan report from his recent CT.  It stated that the disease had significantly progressed, so were of course, expecting the worst at his appointment with his Onco today.  Mum was lined up with her list of questions, ready to ask if there is anything else in the treatment cupboard and if not what this will mean for him etc.  She was dreading being told that he only had a certain amount of time left.

 

However, I had a quick call from her as they were coming out of the hospital today saying that everything is positive and that the consultant wants him to carry on with the chemo and that they will do another CT scan in August.  Obviously, this is just the most amazing news and as soon as I came off the phone from mum, I  just burst into happy, relieved tears.

 

Since calming down a little, I have begun to wonder what is going on.  If the cancer is getting worse then why are they continuing with the chemo.  Does that mean it's helping some mets and not others??  Still no firm explanation about the pains in his leg though, just something he has to put up with by the sounds of it.  The last guess was that a tumour was touching a nerve.  As I said, yesterday was a terrible day for him and today was the complete opposite, walking around, eating normally etc.

 

In conclusion, I can only imagine that this is extremely good news, albeit very unexpected.  

 

Rachel

 

ps - Thanks to Mo & Paul for pointing me in the right direction regarding the Elephants,  it was very informative and incredibly emotional.  Thank you so much for sharing your very heartfelt feelings.

 

User
Posted 01 Jun 2015 at 18:38

Rachel - no problem. Glad to help.

I cannot comment on your dad, as I have no experience in that field, but what sounded awful this morning sounds more uplifting now. Look after yourself.

Paul

Stay Calm And Carry On.
User
Posted 01 Jun 2015 at 18:50

Up lifting news Rachel, what ever is happening has made you feel good. http://community.prostatecanceruk.org/editors/tiny_mce/plugins/emoticons/img/smiley-smile.gif

BFN

Julie X

 

NEVER LAUGH AT A LIVE DRAGON
User
Posted 01 Jun 2015 at 19:56
Rachel

if the Oncologist thinks the chemo is at least slowing things down and if your Dad is well enough to keep on with it then that is good. A lot of the decisions now are about balancing treatment with quality of life . I would still be asking about pain medication, has your Dad been prescribed something called Lyrica or one of the pain killers that work on suppressing nerve pain? the Macmillan nurse should know about this. If it is nerve compression then Lyrica should help with that.

Keep all the information to hand on Spinal cord compression too, if your Dad shows any signs of that then follow the guidance in the leaflet you should have been given for chemo. in the traffic light scheme of things any symptom of this should be checked out immediately.

I am not wanting to be alarmist or to frighten you at all but I would feel terrible if you did not know what to look out for as an SCC can be very serious if not treated quickly.

most common symptoms...

severe leg or back pain

weakness in limbs or legs giving way

inability to urinate

inability to defacate

raised temperature or fever

difficulty swallowing

there are others but these are the most common. It usually starts with one and then other symptoms follow sometimes quite quickly afterwards.

thinking of you

best wishes to you all

xx

Mo

User
Posted 02 Jun 2015 at 17:52

And so the confusion continues!

 

Such a good day yesterday for dad.  He was up, walking around (with only 1 stick) and really happy in himself, obviously helped along by the good news that the chemo was going to continue.

 

However, today was a different day again.  He couldn't even get out of bed.  It was too painful to sit up and took a good 10-15 mins for my mum to help him to the bathroom for the toilet.  He has a lot of swelling from his hip down to his toes in his right leg and apparently a mass in his right buttock.

 

The hospice doctor went to see them today, had a good look at him, (which was more than the Onco did yesterday) and said that he thought Dad had an infection.  Mum was packed off to collect the antibiotics and they were told that if he is not better by tomorrow, then they should contact him again, so we shall wait and see what tomorrow brings.

 

 

User
Posted 03 Jun 2015 at 09:59
Rachel

I hope the antibiotics are kicking in and that you all have a better day today.

Do post and let us know how your Dad is soon.

xx

Mo

User
Posted 04 Jun 2015 at 12:57

Hi again everyone

 

Dad has now been on the antibiotics for a couple of days and as yet, no change at all with how he is feeling.  Mum has rung the hospice again today to see about getting a bed for him for a few days in order that they can hopefully get his pain under control.  Unfortunately, there are no beds available, they are going to review his case in the morning and contact mum again, so we will wait and see.  There's a lot of waiting and seeing on these journeys aren't there!!

 

Rachel

 

User
Posted 04 Jun 2015 at 18:32
Rachel

Don't give up hope that the anti biotics are not working, they may need some reinforcing with a second one. If there is no bed available at the hospice today things can change quite quickly, lots of patients only come in for short term help just like your Dad. Also sometimes it is a question of how many gents vs ladies are bring cared for if it has small wards rather than individual rooms.

Do they have hospice at home provision as that might give another option to have the pain management specialist or palliative care consultant come to visit.?

Yes there is always a lot of waiting for just about everything it can be frustrating.

Thinking of you all

Xx

Mo

User
Posted 04 Jun 2015 at 21:08
Rachel

Mo is right, the antibiotics could be working, maybe it takes a little longer when one is already poorly. I sincerely hope the hospice can accommodate dad and I'm sure they will do their very best. It's very good to hear that the hospice doctor came out, that's better than the GP for this situation.

Thinking of you.

Lots of love

Allison xx

User
Posted 05 Jun 2015 at 09:19

Thanks again everyone for your kind and supportive words, they are very much appreciated.

 

Spoke to mum this morning, she has managed to get Dad into the hospice later today so they can help with his pain relief.  I would like a little information from anyone that has been in this situation as I don't really know what I should be hoping for.  Is it different medication they give him in the hospice that he can't have at home and if this is the case, does it mean that when he comes out of the hospice, he will be back in pain again?  Or is it a case, that they give him something that he can continue with at home?  Is it also something that maybe they can give him that can get him back on his feet again or is the only way to dull the pain, to make him sleepy?

 

Or am I just being very naïve about the whole thing??

Any information or advice would be very much appreciated.

 

Thank you

Rachel

 

User
Posted 05 Jun 2015 at 09:55

No I don't think you are being naive but I do think that you might find it helpful to talk to the staff at the hospice and get an understanding of what is in store.

The hospice staff will try not necessarily different meds to the GP, but will mess around with the combinations to find the best balance between pain control and zonkedness. Once they get the best balance, the patient would usually come home with a prescription or with a care plan for nurses to administer it at home, etc. It is not always possible to eradicate the pain completely - sometimes the hospice stay will only be for 3 or 4 days and a med that hasn't been tried before does the trick nicely.

This time at the hospice is important for you and mum as well - there will be a social worker or counsellor that can help with the emotional side of this stage that you are going in to, and if you haven't already done so, this is the right time to talk to an adviser there about any financial support that your parents may be entitled to now.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 05 Jun 2015 at 12:27
Rachel

To add to Lyn's really helpful post, I have never heard of a legally prescribed pain medication that cannot be given or taken at home.

The hospice may try new drugs like fentanyl which can be given via a patch that lasts for a few days it is often better tolerated than morphine. There are drugs like Lyrica which work for nerve or spasmodic pain there are so many different ones fir different needs the list is endless and they can be given in combination too. If a syringe driver is needed this can be set up and even they can be used at home they are replenished and monitored by hospice at home or a similar provider. As Lyn has said getting the balance right usually takes a couple of days sometimes a little longer.

Try and take full advantage of the professional help that is available there for all of you. I know the palliative care consultants at the hospice I volunteer at are fabulous they make time for everyone who needs their help and support. Indeed all the nurses and support staff do too.

There may be things the occupational health specialist there can suggest to make your Dad much more comfortable at home.

There might be a physio who can work with Dad to get him more mobile or to see if he needs special pillows to elevate his bad leg.

Most hospices take pride in the food they serve and often they will make things for you at a very reasonable price if you want to have a meal with your Dad. It also means less work for you or your Mum.

Most important of all you and your Mum need some "you" time so try and take advantage of the full time care Dad will have in the coming days.

Thinking of you and sending hugs

Xx

Mo

User
Posted 07 Jun 2015 at 12:37

Dad was admitted into the hospice on Friday afternoon and was spoken to a lovely doctor and a couple of nurses that were very kind to him and made him feel comfortable about being there.

 

They upped his pain relief and he spent most of the day sleeping.  Unfortunately at the times I was awake , he was still in a lot of pain.  So much so, that another doctor has decided that he needs to have further investigations on the cause of his pain.  They mentioned that they plan for him to have some more scans and xrays.  Obviously I hope they find the cause of the pain so that they can deal with it, but it is annoying that he has been in so much pain for so long before they  have actually decided to do something, something that the hospital has failed to do as yet!!  He was very unwell yesterday and it took 2 nurses to get him out of bed to get to the bathroom.

It's very confusing as to why some days the pain is unbearable and painkillers don't touch it and other days he can be relatively comfortable and walking about.  There was mention of a possible fracture to his hip bone but I would like to think that this is not the case, the fact that he has been left so long but we shall have to wait and see when the scans and xrays and done.

Mum planned to go over and have Sunday lunch with him today so she was hoping to hear that he was feeling better.  At last, some good news, he phoned her to ask her to bring his sun hat over so that they could have their lunch out in the garden.  When she phoned me to tell me that, I put the phone down and burst into tears, but happy tears this time!!  So glad that he still having some good days :-)

User
Posted 07 Jun 2015 at 14:59
I'm picturing him and mum sitting in the sunshine right now, fingers crossed he remains comfortable today's and they get to the bottom of the cause of the pain.

Lots of love

Allison xx

User
Posted 11 Jun 2015 at 18:33

Good news at last.  The hospice have been brilliant.  Not only have they got his pain pretty much under control as he is today having his 5th good day in a row, but they have also arranged for him to spend the day in hospital today having a huge cyst drained.  This is now the reason for them thinking that his leg has been so swollen and painful.  He his back in the hospice tonight with a drain still in, so let's hope this is what the problem has been all along and that he will feel much better soon.

 

Thank you everyone that has commented on this thread.  You have all really helped me through some very tough times.  I am now starting to feel more positive and am so relieved that dad is not in too much pain now.  Hopefully they might start talking about him going back home soon.

Rachel

 

User
Posted 11 Jun 2015 at 18:45

So pleased to see your update Rachel - I hope he is home soon

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 11 Jun 2015 at 22:06
This is so much better news that I had expected, I'm thrilled to bits to read it. I'm so glad someone has taken the effort to really look at what's going on. Hugs to you and your family, it has been a tough old time for you all.

Lots of love

Allison

User
Posted 11 Jun 2015 at 22:12
Rachel big hugs and happy smiles I am so pleased your dad's first stay at the hospice has helped so much.

I hope you get him home real soon.

Xxx

Mo

User
Posted 14 Jul 2015 at 15:32

Hi again.

 

I haven't been on for a while but am extremely pleased to say that since I was last on, the day that Dad had the cyst in his hip drained, he has made a full recovery.  Within a couple of days of having it drained, he was able to get out of bed and walk around (with supports).  Since then he has gone from strength to strength and is now walking around completely unaided. 

 

Myself, my family and my brother all went to visit him and mum for the weekend over Father's Day which was lovely.  It was so great to see him back to being happy and relaxed again, not that he ever gave him being strong and positive.

 

He had a follow up appointment yesterday with the Hospice doctor who was also very pleased with him, although did tell him for showing off walking about unaided!!  He has to keep using his stick in case of any falls.  He just wanted to show the doctor what an amazing recovery he has made.  It would appear that Dad was quite an unusual case and had an infection that they had not come across before.  So very impressed with the hospice, not so much with the hospital though :-(

 

Anyway, as things stand, although it's now been a couple of months, he is off to the hospital again tomorrow for his bloods, in preparation for his next round of chemo, so fingers crossed.

 

As I said before on my last post, thank you to everyone that helped me get through those very difficult weeks, it was so very much appreciated. 

 

Rachel

 

 
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