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Radium 223 - the highs and the lows

User
Posted 07 Nov 2017 at 23:48

Horrible to have the worry that being in the hospital could make him more poorly! Let us know what the onco says tomorrow - we are thinking about you x

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard
User
Posted 08 Nov 2017 at 08:06
Thinking of you both x
User
Posted 08 Nov 2017 at 09:19

Thinking of you both.

Ido4

User
Posted 08 Nov 2017 at 18:54
Don’t know why but I felt a strong urge to drop in tonight I suppose old habits die hard , I am so sorry to read this Linda .
Please send my thoughts and a smiley face to David and tell him I am thinking of him.
BFN
Julie X
NEVER LAUGH AT A LIVE DRAGON
User
Posted 08 Nov 2017 at 21:14
Oh gosh, I felt a srpteong urge to drop in tonight too. I do hope that our Col is ok Linda. You are both in my thoughts xxxx

Love Devonmaid xx
User
Posted 09 Nov 2017 at 13:23

Thanks you all for your kind words, good wishes and support. David is still in hospital. No sign of norovirus thank goodness. But no sign of much improvement either. He's still on oxygen and IV antibiotics. There's seems to be a plan to review things tomorrow and maybe let him out in the next couple of days. We'll see. I don't think there's much more they can do in the hospital. They still don't know why he's so weak and breathless as apart from the slight crackle and the shadow caused by some infection, they can't see or hear anything serious in the lungs.

We had a session with the onco and agreed that, unless and until he improves considerably, he is simply not strong enough for further radium 223. So that's suspended. The same applies to any other treatment options. The onco says that, while he's so weak, anything she might try would probably make things worse.

So we're hoping that things improve over the next few days. If they don't, we're probably looking at palliative care only and no further treatment - effectively handing over to the hospice team and the GP. I think this rocky road is getting shorter........

User
Posted 09 Nov 2017 at 15:13



Have been thinking about you this morning - so sorry that David's not feeling any better and that they aren't sure what to do to assist. It must be so hard dealing with the sudden possibility of no further treatment but I'll keep all my bits crossed that the antibiotics start to kick in and that his strength improves. Sending lots of hugs and hopes for a cheerier tomorrow.


Love


Ruth xxx


 




User
Posted 09 Nov 2017 at 15:32
Sorry to hear David isn't improving yet. Thinking about you both.

Ido4

User
Posted 09 Nov 2017 at 20:41

So sorry to hear this latest update. Just hope things improve soon. Sending best wishes and hope for the best.

User
Posted 09 Nov 2017 at 22:00
Pass on my best wishes to David.... hoping he has a good night tonight.

Kind Regards

Clare
User
Posted 11 Nov 2017 at 13:09

So gutted to read how I’ll David is at the moment. Hoping that he has improved? Holding you both in my thoughts.
Mel x

User
Posted 12 Nov 2017 at 12:48
Keeping all my fingers crossed for David and hoping he improves xxx
Debbie xxx
User
Posted 12 Nov 2017 at 16:43

I don’t know where I am at the moment. Sometimes crying, sometimes near to tears, mostly trying to carry on as normal – going to the gym, shopping, getting out for a game of croquet, for example. People up at the croquet club and here where we live were asking after him and I told them the truth (which probably didn’t make their day).


Yesterday David was the worst I’ve ever seen – confused, semi-conscious, eating very little and then only if spoon fed. Sats very low and the nurses were concerned – got the doctors to see him and switched from the nasal tubes to a mask. I honestly feared that he might be near the end and got little sleep. This morning I called the Hospicecare support line and asking when and if they might get involved. The nurse I spoke to advised asking about getting the Enhanced Palliative Care Team from the hospice (based at RD&E) involved if I thought it was needed.


But today when I went in he was brighter and sitting in a chair – not massively brighter but definitely more compos mentis although still very weak. Conversation is an effort. The mask was gone and he was back on the nasal tubes. And he was eating more – he ate half the lunch that they brought and unaided. The nurses had given him a shower, which made him feel better. He had been seen by the consultant yesterday. The upshot is that he has been switched to stronger antibiotics to combat the pneumonia and has had 3 IV doses so far. If these work, they expect to see results by tomorrow. If they don’t, I fear there’s not a lot left in the medical box of tricks – David did say that he suspected some of what they said was what they thought he wanted to hear, not necessarily the absolute reality of the situation. They’ve also upped the pain control medication – increasing the Zomorph and supplementing with Oromoph and paracetomol as and when needed. His BP was low and they may stop the Amlodipine. When I left today (at about 1.00pm) he was back in bed, comfortable and ready for a nap. I’m going see him tomorrow – hopefully the medical team will have assessed the situation and we’ll have a better idea of where we are.

Edited by member 12 Nov 2017 at 17:42  | Reason: Not specified

User
Posted 12 Nov 2017 at 17:17

Linda,

I am so sorry to hear that he is so under the weather but I am so hoping and praying he comes through.

Kindest regards and very best wishes to you and David

Dave

"Incurable cancer does not mean it is untreatable and does not mean it is terminal either"
User
Posted 12 Nov 2017 at 17:56

Sounds like your David is a very brave man ,

Barry

User
Posted 12 Nov 2017 at 19:05
Hi Linda
I hope David continues to improve please pass on my best wishes
Si
Don't deny the diagnosis; try to defy the verdict
User
Posted 12 Nov 2017 at 23:57

Hi Linda


My heart goes out to you both. Must be so difficult to carry on as normal when David is so low and things are so up in the air. But so pleased to hear that David was able to get out of bed and eat some food today. Fingers and toes crossed for a repeat performance tomorrow. And hope the hospice team get involved - they made such a difference to our stress levels, and, for a long time, to our sense of hope.


Will be thinking of you - hope you both get some sleep tonight and that tomorrow brings good news. Much love.


Ruth xxx


 


 

User
Posted 13 Nov 2017 at 08:20

Just sending love
Mx

User
Posted 13 Nov 2017 at 17:03

I thought David was a little better today until I saw him try to move. Even the getting to the side of the bed to transfer to the chair was not possible without help. Sats are still only maintained while on oxygen and they prefer him to use the commode (which he does not like) rather than try to get to the toilet. But mentally it’s all still there. The doctors arrived on their rounds while I was there and he had a list of written questions for them. He was really trying to find out where we are in the treatment process and when will it be palliative care only. There were, unsurprisingly, no definitive answers but my summary is:

The bloods don’t yet indicate that the new Auntie B’s are having any effect but they say the bloods can lag behind what’s really happening and he does seem more mentally alert and able to converse.

They want to give the stronger Auntie B’s a couple more days. After that they say the microbiologists may be able to come up with something, but to me it sounds as if straws are being clutched at.

He doesn’t seem to be having any undue pain – so the meds seem to be effective there. But he's clearly feeling some discomfort in the back and the nights are worse with no distractions to take the mind off what’s going on.

And the immobility is taking it’s toll – whether it’s lying in bed or sitting in a chair, after a while he needs to change position and relieve the pressure, although there is no sign of pressure sores. Also worse at night I would guess.

He is eating – usually a third or a half of what’s put in front of him. And the
plumbing, with the help of Laxido, seems to be OK, although reflecting the reduced input.

I’m feeling a bit helpless. I go in every day. A gentle back rub or back scratch seems to be really comforting.

User
Posted 13 Nov 2017 at 17:51

Sending love and hugs at what must be a very difficult time. Take care.

 
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