Mum palliative colorectal cancer - no more scans

Briefly my mum was diagnosed with bowel cancer back in 2014, they operated and it was a success. She had a stoma and after a year they reversed this as she was all clear. 

Anyway, back in oct 16 she was is agony, she was still under consultant and one day it was so awful she had taken loads of painkillers and was very woozy. I contacted her consultant and demanded he see her, I went with her to the appointment and he examined her, told her it was nothing sinister, just scar tissue and sent her away with numbing cream. 

Jump to January 17, the pain hadn't improved, they just upped the pain relief. She had a routine app with the consultant and before she left she lost bladder control. She told him this when they got there and he panicked, sent her for full scan. That's when they discovered the cancer, now in her peritoneal and sacrum. She started chemo and radiotherapy that week. We were told it was advanced and incurable. No one could operate. They gave her 12 months. 

Then at an appointment the oncologist said he had contacted a surgeon who might be interested. He decided he could help mum, he aimed to remove the sacrum and tumour. No guarantees but worth a try. Mum had the op, it was extensive as was recovery, he thought he got it but again we received bad news a few months later after a scan showed it was back. 

Mum has had chemo, radiotherapy, a blood clot, so many infections and hospital stays, the last being after christmas this year which was borderline sepsis and we nearly lost her. They took the decision to stop treatment. She's been amazing. 

Since stopping chemo though back in Feb time we feel deserted. They are refusing to scan her as they say it will only stress her. They've indicated she will get through summer but unlikely the end of the year but very non committal. The only person she sees now is her GP. We've been in contact with Macmillan but not even had a visit. We've had someone out from severn hospice once. The district nurse came a couple of times but that's it. I feel she's really unsupported, i don't know where all this 'care' is? No one seems interested, we are handling things ourselves. Through the district nurse mum has a carer come in to get her washed each day but they know nothing about her condition really, nice enough but not cancer specific. They say they generally just pop to see older people. 

Am I missing something, I feel quite angry, my mums gp just ups her morphine and says that's all she can do and thats the nature of her illness. She now on 90mg morphine a day plus oramorph. Is that a high dose? I'd just like an idea of where we are in this? No one seems interested in the hell we are going through. I don't know what else I can do. My wonderful mum is dying and I feel totally in the dark. Shes only 60, it's hard to get through the days sometimes. 

  • Hi I’m not really sure if I can offer any answers but wanted to share my story. 

     

    In April 2018 I was diagnosed with colorectal cancer, very quickly I had a course of chemoradiotherapy followed by surgery to remove the tumour- I was told it was successful. The tumour was removed along with surrounding tissue but clear margins were achieved. As a result of the surgery I have a stoma. I then went on to have a 6 month course of weekly adjuvant chemotherapy. On 17th June 2019 I was discharged into the 5 year recovery program- obviously I have celebrated and enjoyed a family holiday with my husband and children age 2 and 7. 

     

    Everything changed on 20th July 2019 my leg went numb and I was struggling to walk, I saw a GP who sent me to A&E and I haven’t been out of hospital since - I am currently writing  this from a bed in a hospice-. The cancer is shown from scans to have spread to my adrenal glands, lymph nodes in pelvis and around aorta, and it has also infiltrated the muscles in my pelvis /hip resulting in the numb leg that doesn’t want to move much. Last week I completed a five fraction course of radiotherapy. To my horror they have said I may still be here at Christmas but not confident on a year. I am 37 and at present only being offered palliative care. I will be having an outpatient appointment in approx 2 weeks to discuss possible chemo and or antibiotic treatment. They have said I am really going to have to choose between quality of life and the fact my cancer is deemed aggressive and unresponsive.

     

    indo not want to give up the fight yet, I’ve been fighting for the past 19months I can’t give up now! 

     

    Like me I said my story is very similar I don’t have answers but just want you to know your mum isn’t alone! 

  • Hello Elizabeth58. I am sorry to hear about your lovely mother's diagnosis. Unfortunately, doctors no longer want to perform scans because your mother is now in hospice which means that she will no longer pursue treatment but instead remain comfortable until her passing. Yes, it's true unfortunately that more scans or any hospitalizations will be more stressful on your mom especially when it's not needed because she will no longer seek treatment. Hospice will most likely get more involved when they feel that your mother needs it however if yhere is anything that you need for your mom such as medication, medical supplies, etc. then ask them for it. As far as the morphine, 90mg seems rather high however if your mother tolerates it well and it's doctor's orders then she should be okay however if it seems to be too much, please advise the nurse and/ or doctor. Morphine helps with breathing as well as pain so as long as your mom is not in pain or suffering then she should be fine. Again, I'm sorry that you and your family are going through this. Keep mom comfortable, take pictures and videos, share memories, massage her or just hold her hand, play soft music, and tell her how much you love her.

  • I'm so sorry to hear your story, I thought my mum was young but compared to you.... I'm 39, that's a tough thing to be going through. 

  • Hi, thank you. I was in a bad way about mum when I posted. I know she's cared for, it's just this awful not knowing exactly where about she is in this awful journey. 

    Her morphine does seem high but shes been in so much pain they have to keep upping it. Shes so tired too which I guess is result of the morphine. 

    I just feel so helpless, I can't do anything. Shes always led a healthy life, it's so unfair. 

  • I completely understand, my dear. You are rightfully experiencing a range of emotions and you will continue to do so even after her passing. You are absolutely correct, it is a very helpless feeling but somehow deep down, you have to trust and believe that the Lord has a plan. I don't mean to get into religion especially if you're not a believer however I believe that we are all God's children, and he will call us all back eventually. I don't believe he will allow your mother to suffer as it can always be worse. I know that it doesn't seem fair especially at your young age but it could always be worse! Be thankful for the time you had with mom. Put your hands on her and pray for her... there's no right or wrong way to pray. You will always honor your lovely mother by living with the values that she has instilled in you. Know that your mother will NEVER leave you. She will always be with you in spirit. As hard as it may seem, let her know that it's okay for her to let go and be with the Lord, and that everything will be okay (so that she can go peacefully and not worry about any unfinished business). Although I wasn't sure, I assured my dad that everything would be okay and that he could let go, and that I'd take care of everyone. Truthfully, I wanted him to stay forever! I'm not married nor do I have kids therefore part of me felt like my dad still needed to be here for life's milestones BUT deep down, I felt like I had already served my purpose as his daughter, and which was to care for him at the end of life. It is truly an honor to care for your parent. As they say, it will not be easy but it'll be worth it. Until you meet again!

  • Good morning, 

    Thank you for your reply, I'm not at all religious but my mum believes. The actions are same regardless, care for them, love them and do whatever you can. 

    Shes been in a lot of pain the last 24hours, morphine isn't doing its job. Shes currently asleep, I fear things are progressing. 

  • I'm sorry and I am sad with you this morning. Everything will be okay. Although your mom seems to be asleep, gently speak or whisper into her ear as she can still hear you. Hold her hand as she can still feel you. Leave nothing unsaid. Try not to cry too much infront of her as you want her to know and believe that it is truly okay because it will be. Know that you are not alone. I know you are not a believer but I truly believe that once your mom leaves this earth, she will be new and whole again. No more illness, pain or suffering. She will rejoice with other loved ones in the Lord's glory! I ask the Lord to give you more strength because I already gather that you are very courageous just by being at your mother's side every step of the way. You are truly a blessing to her.

  • Hi Elizabeth,

     

    I am so sorry to hear about your circumstances. My father was diagnosed with lung cancer and given 3 months to live. He lived in Jamaica so the first plan of action was to bring him to the UK I contacted the home office who said they would help  but when my dad said no I went to work the next dau and was sent home and the flood gates finally opened. Macmillians phone services really helped me get my emotions in check-building a wall of steel that my dad need to see-he was a big man and when I finlly saw him he was tiny, he had been so scared but began to acept.

    The doctors had recommended on 2 rounds of radiotheraphy for palative care my dad didn't really want that a times he was 87n but more importantly he knew what I couldn't comprehend he was very sick and dying. After the radioteraphy  we only ever had month hospital visits in hindsight were a total waste of time and could of been done over the phone. It seems with hindsigh that he should have remained at home with his family resting, undisrupted in those lasts months had we have known now that there was nothing else to be done, and anything we did do or try caused discomfort and little if any relief. Personally dad never wanted any treatment either-me and my sister we wanted him to have whatever sounded like would give him comfort-we knew he would not get better. Hindsight is a wonderful thing, this was our first personal experience and we did our best with it. I they knew by outter signsnthat dad was coming to end stage as they called it. Sorry have no words of wisdom or comfort just sharing, sending love and try mcmaillans phone line as support for you to help your support your mum. They helped me stay so strong but I could not call them whilst in jamaica due to a mix up with my phone provider I could have killed them but forgiveness is the way.

  • Good news- I’m home, however I now understand what you mean about feeling abandoned with the lack of ‘care’.

    whilst in hospital the support I was getting was amazing cannot fault it one bit. The staff there are a breath of fresh air basically all patients have cancer and everyone is going through a s**t time, but that is put in the back burner and they treat you as a human, they are happy to have a giggle, discuss Love Island, Huge Jackman and tell you about funny things going on elsewhere on the ward. Transfer to the hospice where I was told everyone was lovely and would help me get home and manage my pain - none of that happened. I was stuck in a dismal room on my own, no one came to chat, if you had visitors they didn’t come anywhere near your room - where as hospital staff got to know your family, Everyone looked at you with a sorry, sad face , there just wasn’t anything up lifting at all. I then get discharged with 7 days worth of some meds, 2 months worth of others and a random schedule  of how to take the medication which didn’t match my hospital schedule at all. I really regret agreeing to go to the hospice as a stepping stone for home it has done nothing for my mood nor has it made me feel cared for. Every time someone died at the hospice they put the unit on ‘lockdown’ where they shut your room door and told you not to leave until they said you could. - Very prison like!! 

    I have told my family, and they agree, that I don’t want any further involvement with the hospice. 

     

    On discharge from the hospice I have basically been sent in my way with a bag of medication and nothing else, no telephone numbers for where to seek help, nothing for future support or care. Definitely a feeling of abandonment! So like you we are doing this ourselves. With regards to Macmillan no contact at all, I really don’t know what they do other than lure people into hosting coffee mornings to raise money, but what do they spend this money on, having had cancer for over 18 months I’m yet to work that out, same when my Grandad was I’ll a few years ago, nothing. 

    Too many families are caring for loved ones with little support, I cannot imagine what it would be like if I didn’t have my mum and husband caring for me. Your mum is super lucky to have you caring for her. I frightens me to think about what people do when they have no one! 

  • Sorry to hear abut your situation my dad hated the hospice too and never wanted to go back-he felt they just didn't doo anything that we could do at home. I was looking after my dad in rural West Indies so no phone, no care to drive to doctor not that onewas near by anyway-the consultant did give me her card which was useful. I do know the feeling of being alone with a handful of medicines and a loved on. Sending love, Take care x