from diagnosis & some hope heading for the end in 7 months

In the spring I joined this forum when my husband got his cancer diagnosis. Initially only multiple large tumours in the liver were found, but after a biopsy the oncologists decided to label it CUP (unknown primary), with likely origin in the lung - despite no trace of tumours seen in the lung in several scans.

We had no choice but to go ahead with their suggestion of GemCarbo chemo. Stopped after two rounds, no success. Immunotherapy with Tecentriq for two rounds, but a devastating updatecame from oncologist after a scan at the end of August - blood test results getting worse and tumours growing -, so it was stopped as well.

No medical trials available, no further treatment available, less than three months to live - that was the message we got on 23 September. Basically "go home and die". Want ascites drained? "Oh no, we don't arrange that, talk to your GP."

Well, after struggling through a weekend and a GP appointment we managed to get my husband into hospital last Monday. By Thursday morning he had finally been moved from the Combined Asessment Unit into a ward and they started draining. Low sodium levels are now monitored by the doctors, results of a head CT scan still pending. During his time in hospital he has deteriorated a lot, barely able to speak, loss of balance, no appetite anymore, trouble concentrating. He even needs the nurse to help him dial a number on his mobile and is sure the doctor told him he has no more than two weeks left.

I am not allowed to visit: a rise of Covid-cases in our area has stopped all but "essential visits" to hospitals since early September. According to their website, exceptions are allowed for "patients during their last weeks"... well, if that doesn't appply to us, when will it apply??? Website also says that "virtual visits" can be arranged and hospitals can set up zoom calls. Nope, not possible, hospital doesn't have technology to support this. There isn't even a ward phone that they can take to patients' beds. So how do people cope in there if they did not bring a mobile in?

At the moment I incredibly angry. Angry at the hospital. Angry at all schoolchildren who run around at lunch times, people who can't get enough of socialising, people who say "we have to learn to live with the virus". Do people even realise what's happening at hospitals? Yesterday I emailed our MSP about the discrepancy between website wording and reality; maybe it will leave others in a better position.

But besides being angry I am just sad and scared that I won't be allowed to see my husband again before he dies at the hospital. Alone. Convinced everyone just lied to him.

  • Hi 

    I am so sorry to read your story and to know your husband is alone. I would suggest a couple of options for you to explore if the consultant and/or nursing staff are not helping you.  Find out who the Director of Nursing is for the hospital and make contact with them directly and secondly ask if there is a palliative care team for the hospital . There should be a palliative care lead consultant and possibly a nurse specialist. You can ask about support to visit and ultimately support to transfer your husband to a hospice where I believe you will be better supported to have time together. 
    I am receiving palliative care and hopefully I have good amount of time before I become terminal but I know I don't want to be alone at that time. I am luckily well supported by McMillan nurse and I have had assessment and met with hospice nurse some time ago. 
    I am thinking about you both

     

  • Thanks. You certainly have a few good points there.

    The oncologist referred our case to the hospice (and the district nurse). Both referrals have been irrelevant for now because my husband can't get out of hospital until there's some significant improvement.

    Hospice would be a tricky thing: his preference would be to be at home and have them check up on him, so we can have maximum time together. Also, our hospice has Covid-rules stating that any visitor's temperature must not be above 37.4C to be allowed in. For some unknown reason my temperature on our thermometer at home will fluctuate between 36.5C and 38.2C. Put it down to menopause. But it means I would have to dose myself up to the eyeballs in paracetamol or throw an ice bucket over my head. And even then I would only be allowed in for an hour twice a day.

    Hopefully if/when you have to sort out similar issues, the general panic will have subsided.

    I'm hoping for another talk with the doctors on Monday the latest, to see what's going on with this "2 weeks" estimate. Maybe I can sort out a transfer to hospice. And I'll offer to stay on site and not leave the room until the end, if that calms their infection worries somehow.

  • Update: I was finally allowed to visit yesterday. Key thing was the hospital is obviously keen to free up the bed, so the doctor asked me on Monday whether I thought we could manage at home. I said "well how am I supposed to judge if I haven't seen him for a week and he supposedly has deteriorated, but I can't tell by how much?" That seemed to do the trick. Husband definitely perked up when he saw me.

    So, it's bad but not as bad as I had feared. He does much better in person than trying to use a mobile. Needs help to move between bed and chair. Eats & drinks but very slowly. Easily tired, but I was there for two hours and he only nodded off once for a few minutes.

    I've decided we can manage at home, if the hospital sorts out carers - they said they'll go for 4 times a day & 2 carers. Fast-tracked because there's limited time left. Had an initial talk with a nurse to plan what equipment they can provide.

    I asked my husband if he wants to continue to try getting some treatment through private healthcare... he said, yes definitely, so I emailed several consultants today, some as far as 350 miles away. So far they're all declining to take it on, saying it's too advanced. But... I spotted something in recent blood tests: apparently the ALP value which was shooting up two weeks ago to nearly 1,200 was down to 975 last Monday. We did start something slightly off-the-beaten-track for about 10 days before he went into hospital... maybe, just maybe our experiment was starting to kick in???

    Hopefully he gets home in the next few days - we'll keep trying.