Cancer diagnosis

Query. My brother in law has been treated for skin cancer for the last year and a half. He was initially told he needed 8 rounds of chemotherapy but was only able to have three due to complications. He then had radium for awhile. Prior to Christmas 2017 the doctor found that it had spread to his lung and once again he started a new chemotherapy treatment. Complications set in very quickly and he was admitted to hospital on New Year's Day. Since his admission he had had fluid drained from his lung, there is an issue with his spleen and he has had sepsis. On Wednesday last the doctor tried to administer another round of chemo and my brother in law had a very bad reaction to it. He had scans and his consultant oncologist told him on Thursday last that he had between a week and 10 days to live. We were all invited to the hospital to visit with him and we were told that he may be coming home last Monday under palliative care. Since then confusion has been the order of the day. We have now been told that the oncologist might be 2% incorrect in his diagnosis. That if the hospital can stabilise his present condition that he may be allowed home this Friday but would need to return to hospital for further chemo treatments. The family are completely stressed out as his diagnosis last week was very definite and we were all making preparations to help out but now it's chaos. Could anyone shed any light on this current situation?

  • Hi there dicey... if I were you, I'd write down everything l was confused about and call his oncology team, and ask for clarification... they are the only ones that can answer that question ... I can quite understand how confused you all feel ... if they don't get back to you keep phoning (politey but firmly) till you get the info... Chrissie....

  • Hello Dicey,

    I have been asked by one of the moderators to provide some advice.  I am sorry to hear about your brother in law’s situation, I can appreciate this is a difficult situation for the family. 

    Unfortunately no one, not even the doctors involved in his care, can give a definitive prognosis (outlook).  This is because no one can predict exactly how long someone affected by cancer will live.  It is also understandable that different specialist doctors may have slightly different views. Also if he is to have chemotherapy and it shrinks or stabilises the cancer it may extend life, but I am sorry to say no one can be sure for how long that may be.  

    I realise this can be a difficult and uncertain time so I hope the ward team have involved your brother in law and family about the plan for his discharge.  The main aim of which is to ensure his safety and comfort.  You mention palliative care, so he may be or been referred to  a team of specialist nurses and doctors.  They provide expert symptom control and support and can be very valuable when planning discharge.  Community palliative care teams ( as well as community nurses and GP’s) can also provide support to people at home.  Macmillan has some information about caring for someone at home on their website, you might find this useful to read, click here to see it. 

    I hope this has been helpful. Please do get back to us if you have any more questions or call us on 0808 800 4040. We are here from Monday to Friday, 9am to 5pm.

    Take care

    Caroline