Mum not doing well

Hi all,

I've been naughty and followed the forums for some time now and never posted, but the chats I see go on between everyone has always given me a sense of strength and peace knowing its not just our family dealing with this horrible disease. I now feel ready to post and share our story of what we are going through (sorry its taken so long).

My Mum in Law's cancer (I call her Mum coz she is and she is amazing) came back last May 2017 as mestatic bone (in her shoulder) and lung. 

She was first diagnosed with breast cancer 3 years ago and had an operation to remove the large tumour at that time (they removed her left breast and 22 nodes under her left arm). We hoped that woudl be it but it has returned as explained above and is terminal so only paliative treatment can be given.  

Her radiotherapy on the bone cancer shrunk the tumor a little last year and even shrunk the lung tumors a littl but she did suffer nerve damage to the left arm.  She never bounced back to 'same old Mum' after that and since then has been house bound and not able to get upstairs.  She is weak and can't walk for long without a stick or walking frame. 

Both sites however have started growing aggressibly again.  She was not responsive to chemo when her breast cancer was initially diagnosed 3 years ago so this time round she did a CARIS test.  Her oncologist found that only two types of chemo could potentially work on Mum in slowing the tumor growth (Irinotecan or Platunim) and he opted for Irinotecan, as he felt it would have less side effects on her in her weakened state.  

Her first round of chemo did not go well and she was hospitalised for 2 days due to severe diarrhea, fever and adverse liver function readings.  She has opted for a second try of the same chemo drug but the dosage has been reduced by 25%.  I guess now we wait and see how her body copes with this one.

We all want to stay positive and hope this trearment will be effective, but I guess you always have in the back of your mind the nagging question you daren't say out loud 'will she have a good quality of life this way'. I really hope she does.

Has anyone else had Irinotecan for these types of metestatic camcers and were they effective and if so are they still or is it short lived.  I kow I must sound cold but the family is trying to prepare for the best and worse case scenarios and ensure she has the right things in place for both outcomes.  All we want to do is ensure her time left (be it short or long) is happy, as healthy as it can be, and worth it for her with lots of lovely memories for her and the family that we can keep always.

Thanks all for reading,

ShKe 

  • A warm welcome to Cancer Chat ShKe

    It's nice to know you have been following us from a distance and I am pleased that you have found strength in reading our members' posts. Please don't apologize for taking a while to post we all feel ready at different times. It's great to have you here and I hope that it helped you to write things down and share your story with us.

    You seem to be very close to your mum in law it's lovely to hear that she is a real mum for you and that you are such a supportive family. I am so sorry to hear that she didn't react very well to her first round of chemotherapy and that she ended up being hospitalized. I hope that reducing the dosage by 25% will have a good effect on her and that she suffers fewer adverse side effects. As you say it is now a question of waiting and seeing how it affects her this time.  

    You may be interested in reading our website information on Irinotecan here. It includes details of side effects commonly encountered. Severe diarrhoea which your mum suffered from is a frequent side effect and they mention that in the event of diarrhoea within 24 hours of having treatment, if any of side effects get severe or there are signs of infection, including a temperature above 38C it is important to contact your mum's doctor or nurse. Fingers crossed though it doesn't happen again.

    Hopefully you will hear from some of our members' experiences with Irinotecan. One of our lovely members, [@OnlyoneWinnie]‍  springs to my mind as she mentioned recently on this thread that her husband was receiving Irinotecan as palliative chemotherapy. 

    What a lovely family to be wanting to be there for her and surround her with happy memories. I am sure that she really appreciates everything you are doing for her at the moment as well as your presence and efforts to give her as much quality of life as possible.

    Best wishes,

    Lucie, Cancer Chat Moderator

     

  • Hi Lucie,

    Thank you so much for your reply and great support and advice.  I'll update my Mum's progress as we go along and read up on your suggestions.

    Best wishes and regards,

    ShKe