Metastastic Lung cancer to the Brain

Hi everyone. Our mum was diagnosed with stage 3 lung cancer late December. January stage 4 with metastatic cancer to the brain. In February mum was put through very risky surgey to remove the brain tumour. Because she has severe COPD on top of the lung cancer and only 30% lung cancer it was very risky because of her breathing faculties. But the neurological team were fantastic and managed to remove the tumour very quickly. Mum healed really well and recovered very quickly. Then we had lockdown and COVID in March. By April Mum was having the same symptoms as before with the brain tumour, headaches, dizziness, confusion. So another MRI was taken and Mums brain tumour had come back. Because of the covid situation it was too risky for lung surgery and chemotherapy. She didn’t however have two lots of radiotherapy. We are all so tired. This year has been an emotional rollercoaster to say the least. Mums condition worsened 2 weeks ago on her 60th birthday and she was very unstable with breathing, extra chest pain, we saw a huge decline in her mobility and she was having panic attacks in the night. She  was struggling to take her medication and kept trying to change her doses and things and was struggling to eat and drink. We were told mum had weeks left. Then we needed more help so she was admitted for respite care in a hospice. Since being at the hospice. Mum has recovered well. She is able to move around more, no panic attacks, been eating and drinking, and pain Is under control. She is still smoking and up until being admitted into hospice care drinking vodka when we are not there. We are really concerned about her safety now as we have been told she will be discharged soon. This week she has been showing more dementia like symptoms, confusion, anger outburts, wandering, irrational thoughts, inability to make decisions and she just doesn’t seem like our mum. I’m very concerned that the hospice seem to think that it isn’t safe to discharge her Into a new home on her own, with carers only visiting twice a day because corn majority of this year she hasn’t needed the constant daily help of all of us. The stress, exhaustion, emotion of it all Is really starting Rob get to me. I have two children under 5 and my brother hasn’t 4 children and sister 2 small children too. We have been lucky to have been furloughed to help. But that can’t happen in the coming weeks ahead abs we willing need to go back to work and we have childcare issues also. I am really worried about her safety. I also do not know really what to expect over the coming weeks as we have seen quite a lot of deterioration weekly. This week it’s a mental deterioration. She forgot her Date of birth, didn’t recognise me or the sound of her mother’s voice. Obviously now there is no treatment available there is only going to be more deterioration. Does anybody have more experience of this?  

  • Hi Sungazing,

     

    Firstly I'm really sorry to hear about your mum, I understand how hard it is.

     

    I'm unsure how much things have changed reg palliative treatments since my dad passed away in June 2010. I just wanted to tell you what our experience was like in the hope it may help.

    My dad was diagnosed with Non Small Cell Lung Cancer with Brain Mets in March 2009, he survived 15 months. We found that as time progressed, much like your mum, he experienced a lot of problems with his mobility, memory etc. It got to a point that some days he recognised us and others he didn't. He went in to a hospice in February 09 as the Macmillan nurses suspected he didn't have long left. However he didn't "die quickly enough" so to speak, so was discharged back home. The amount of care he needed was too much for me and my brother to do e.g through the night. So we contacted Marie Curie and they were absolutely amazing, they arranged for a nurse to come every night and stay until 7am. It may be worth speaking with them to see if the could provide help with your mum.

    If there's anything you would like to ask, I'm more than happy to try and help.

    Take care

    Nicola

  • Hi Nicola, 

    Thank you for your response. I was beginning to feel alone in feeling how I do. I’m so sorry to hear you lost your Dad. But I am so happy you had Marie Curie. That’s great! I asked our pallative team about Marie Curie nurses and apparently it’s not a service available in our area. Previous to mum being admitted to the hospic Mum was having a lot of panic attacks and struggling with pain and sleep during the night. She asked the pallative nurses for someone to sit with her at night but we were told it wouldn’t be a possibility. We found mum less than 2 weeks ago with sticky morphine spilt everywhere and all of her inhalers stuck to it and her panicking she couldn’t breathe. My brother and I fear she would of died then if we hadn’t of got to her. Deterioration is happening week by week. This past week it’s been Moreno mentally. In the space of the week Mum didn’t recognise me, or the sound of her mums voice on the phone, didn’t know who one of her close friends was, forgot her passcode for her phone (which she is always on and it’s her date of birth) she told me the hospice staff were having  party at 4am in the morning and giving her diazepam. Now she has given permission to other people to speak to the hospice about her health without our consent. Now she is saying she is going back to this bungalow and she’s is saying she will be alright and the hospice I feel are fobbing us off and saying she isn’t of full mental capacity... we think they just want her out. We have also seen a lot of personality changes where by mum isn’t quite aggressive with me and speaks to me like I’m still a child and orders me about. I can’t take itv anymore. But I’m fearful of her wellbeing. My brother and I feel like we can’t care for her anymore. But she is so excited to be going to this bungalow. We have social services involved now and they say they will give her a lifeline and pendant and i feel like we need to get her assessed mentally as I don’t be thinkthe doctors at the hospice are? It’s  so hard as my mum has got lots of her friends involved too which kinda makes a web for my brother and I too untangle in a way too.