Glioblastoma Stage 4 - my aunt's journey

Up until October 2021 I had never heard of Glioblastoma, from the first day I heard of it till this moment it's changed everything.  My aunt (82)  who came to my house every day helped with my 4 kids did all my washing and ironing had a fall on the 18th September. We were on holiday coming home from Cyprus when I was getting frantic calls asking if I'd seen my aunt as she hadn't appeared at mums for dinner.  

A few days earlier I had been watching her on our security cameras instinctively knowing something was wrong, so this call cemented my fears. Fortunately it had been a fall and she couldn't get up, something registered as serious because she had been incredibly fit.  Because of covid an 82 year old lying in a cold house for 8 hours doesn't warrant an ambulance, she was told to stay at home with a cup of tea and biscuit.... 

by the following day I'd got home from Cyprus and was getting her in to A&E for an assessment. She was unable to walk unaided but we thought her lying for 8hours contributed to this. The hospital were very good, she was kept in and put through a series of tests. By the Tuesday (2days in) i asked why she hadn't had a CT scan as she was displaying stroke like symptoms. A young doctor, sent her immediately and called mu with the results. It wasn't good, it looked like 2 tumours in her brain but they were putting her back in for a full body which showed 3cm tumour on her kidney.  After what felt like a lot of time, MRI and kidney biopsy. By early October we were told it was a brain tumour and by 27th October no treatment options and she had possibly 8weeks left to live.  At the time I couldn't believe it, she was so capable mentally although unable to walk or toilet she could still get the conundrum on countdown and have a laugh and joke. It didn't seem real.  

I had a separate call with the consultant as she was coming home to me and I needed to know what was coming to prepare me and to make sure she was safe and comfortable. I'd recommend this and read read read, it was hard to hear and somewhat indigestible but I had to plan for the worst hoping for the best.  A week after she was discharged, early November I decided to take her up North to Aviemore. Everyone thought we were crazy, but she had to get out of the 4 walls, she didn't have long left and what was the worst that would happen, she was dying.  We had a lovely week away but half way through the week I noticed a dramatic change in her.  Before the holiday I believed she'd be here into January at least, by midway through the week I could see Christmas was unlikely. Her speech started to slur and she was very tired, everything had become harder on her. Although she kept a brave face, getting washed dressed hair done makeup on. We kept the routine until it wasn't fair in her anymore, when I realised we were making her look ok for everyone else and it took its toll on her doing it.

By the end of November she was largely bed bound, only having a few trips in her commode to get washed, otherwise it was a bed bath and catheter.  I was very prepared for it,but it was very emotionally tiring seeing her so ill. They speak of this fatigue, speak up don't let it break you.  She had a few good days followed by awful days, her last good day was the 11th December, she was up washed dressed hair done teeth in. This lasted 90minutes sat in her chair before she indicated she wanted in bed again. By this stage she couldn't talk, the mobility in her entire right side affected everything included her tongue. She was also having mini seizures for which she was medicated and this made her not want to try and talk as much. She would try but it was so upsetting for her and for me.  

As her speech diminished her ability to swallow was a struggle, by the 10th December very little of anything was going down.  After she went back to her bed in the Saturday we had assumed she was tired after a family visit. But she slept all day, by Sunday the nurses came and suggested she had a temperature and possibly an infection.  The doctor called asking what I wanted to do, admit her to hospital or medicate with morphine.  She absolutely didn't want to die in the hospital she wanted to be at home with us. So it was the morphine, I'd read enough to know after the morphine is administered it is the end of the end of life care. All nearest and dearest were called and they came. My mum stayed with us and I kept with her all night, sleeping in her room and sitting beside her holding her hand. By the Monday, her breathing became quite erratic and she was no longer unconscious, which I'd read wasn't the optimal situation. I called the palliative care team and they arrived 10mins later to administer some more pain relief. A little while later, she was calm and gently fell asleep for the last time in my arms holding my hand. I told her it was ok to go to sleep I'd be with her the whole time.  

I wouldn't change anything, it was her wish but it was very very hard watching someone you love so much take the last breath knowing they are gone.  It was 3 weeks and 3 days ago and I'm still going through the motions but I promised I'd write this down in a hope it gives comfort.  We are in the middle of a care crisis so we had a lunchtime care visit for 4 weeks, I was ok with that. My aunt didn't feel comfortable with strangers, her brain tumour made her vulnerable and i wanted her to be as comfortable as I could make her. 


It was hard, but I knew what was coming and the physical aspects of caring weren't difficult, I've 4 children more than accustomed to bottom wiping. It was the emotional tiredness that took its toll and more recently realising that while I thought I was prepared for her death I wasn't. I'd played the role of carer detached from family member who's life would be changed forever once my aunt was gone. 

  • Hi Xxrenie,

    My heart goes out to you. My Wife has lived with a grade 4 glioma now for almost 18months. She was treated upon diagnosis and now has daily medication with 3 monthly MRIs. If you met her she looks fine, most of the hair has regrown making the scar on her temple no longer visible. Tiredness is a problem and the fear of the future. We are both 58 with son of 25, he's engaed to be married next year.

    Your post brings home what's around the corner for us. I protect her from this reality as much as I can, we're a team for whatever time we have.

    Try to be strong, its tough I know.

    Tony

  • Hi Tony, 

    I'm so glad your wife is fighting this horrible disease & I hope she has so much time with you all.

    I read a lot of posts about how surprised people were by the end stage reality and that being that hard part, I didn't want my aunt knowing what was happening, I just wanted to create a facade for her, they deserve that. 
    Being able to take care of a loved one is a blessing, having someone take care of you is an even greater one. 

    Take care

    Irene

     

  • Dear Tony,

    I just wanted to reach out. I'm so sorry your dealing with this awful Illness.

    Unfortunatly my dad lost his battle after nearly 4 years on the 15th September he was 62.

    I just want to give some words of comfort to you, because the thought of what's to come can be overwhelmingly Scary.

    Dad was at home, he was drinking coffee 2 Days before he passed away, we cared for him at home and like you we were a team, and also protected him from the reality, he actually lost his short term memory 3 months prior which sounds awful but it actually saved him from it as he forgot and we didn't tell him again. 
     

    There was no pain, it was pieceful he just slept more and more. we were able to Manage all of his symptoms. Like I say he was able to do most things right up until the end.

    You have hope, hope is what got us through. That's and lots of love. Take each day, thinking of you 

    love Sarah

     

  • Hi Sarah,

    Thank you for the kind words, they mean a lot from someone who's experienced it. Sue, my Wife is petrified of whats round the corner, as am I. But I'm her crutch so need to be calm and strong, thankfully I am and will continue to be for as long as needed.

    Every day is a bonus. We laugh and enjoy life a much as possible. But my heart is broken, it'll never mend.

    Thank you.

    Tony

  • Dear Tony,

    My Mums heart is also Broken and she says hers will never mend.

    You are doing so well, It is hard to put a brave face on these things, you sound like my mum she whole heartedly Commited every second to my Dad and she wouldn't of had it any other way. 

    I am so sorry your wife is so petrified my Dad was also Frightened but he always put a positive twist on things. 
     

    It's such a hard illness to come to terms with and the unknown makes it all so much worse.

    I went to the Dark Many times thinking of what could happen to my Dad and how I would cope, and actually a lot of what I was so worried about happened but we coped and it was okay and not as frightening as I thought.

    Mum and Dad were in their own bubble, and that's where my dad was most happy together listening to their favourite songs and drinking lots of Tea.

    it's okay for you to Crack once in a while it's hard to be the strong one. 
    I am here if you need a shoulder. 

    Kindest Regards Sarah 

  • Thank you Sarah, I'll bear you in mind should I need a shoulder, really appreciate it.

    Tony

  • Hi Sarah,

    My Wife had her 6th MRI today, will get results from Oncologist by 15th March. Sue's health is stable, seems to be tired more at the moment, here now sleeping on the settee. Did the same yesterday. That said she eats well and we manage a walk most days.
    I'm having a tough today so thought I'd say hello. Monday was hard as well. Don't like the lies I have to tell that everything's OK when I know it won't be, can't see an alternative though. Sue doesn't want reality but reassurance, that's what I give, lots of it. But it weighs heavy on me. At times I'm crushed by it. We're moving house soon to be closer to our son in Derbyshire, can't wait it'll make Sue really happy and bring us all close together again. Joe, our son is look forward to it as well.

    Sorry to be a burden, but thank you for listening.

    Tony

  • Dear Tony

     

    you are never a Burden at all. I was actually thinking of your and your wife only recently and wondered how you were getting on. 

    Gosh MRI are a really terrible time, it brings home the reality of what is happening and the wait for results is so hard.

    I completely understand the the heaviness you feel on your shoulders, my Dad also just wanted Reassurance not reality, it weighed on us aswel, but it was the right thing to do for him. Nobody wants the reality of this illness. Your not lieing to her your protecting her, there may be a time when she asks you straight out but you will know what too say. We never told my Dad the truth it was too much for him too bear. 

    I am pleased your wife is eating and you can have a walk, that's nice for you both .  

    How will you deal with her results? Will you shield her if possible from them if you can. 

    We found it hard the more Dad slept but I felt that while he was asleep he wasn't worried, Mum found it quite lonely at times. 
     

    Moving to your son is a really good idea, you will need his support.

    You are her Rock, your doing everything you can too help her get through this and protect her nothing wrong with that. Stay to the light and take each day. I know the Sadness you feel,. I really hope your results are positive and she remains Stable. I will be thinking of you. 
    always here, 

    Sarah