My Father-in-law refuses cancer treatment

My father in Law has been diagnosed with skin cancer. He is categorically refusing to have treatment. He showed his arm to the nurse when he had his flu jab who showed it to his GP. The GP called him and arranged an appointment to see him. He said it was skin cancer. My FIL said he didn't want treatment. The Doctor made an appointment without his knowledge or agreement and when the appointment letter arrived he went back to the surgery to reitterate that he did bot wanrt treatment/ He lost his wife to breast cancer three years ago and is stilln absolutely devastated. /hHe has two grown up sons and 2 grandchildren. I beleive in personal choice, but I think he is being selfish. He says he will arrange it so his sons don't have to care for him, but it will still affect them badly.

  • Hi

    Welcome to the CC forums. I'm sorry you're having so much stress right now.

    I'm surprised you father in laws GP has told him he has skin cancer without actually having the skin/lesion tested properly. ( I recently went through such testing and my own GP was very casual about what may or may not be going on until it was properly tested and although she was obviously concerned she certainly didn't tell me I had cancer) Luckily for me there was nothing to be concerned about. 

    I can't speak for what's going on in your father in laws head. Perhaps having lost his wife to cancer he's unwilling to put himself through the treatments? Perhaps he feels that he would burden to his family? Or perhaps he's just so shocked and afraid that he's decided to bury his head in the sand and do nothing.

    I hope you're all able to chat to him in a non confrontational way so as not to get his back up and manage to get this sorted one way or another. Perhaps even a chat with his GP about your concerns? The GP won't be able to discuss your father in laws health issues but it might be helpful if he gets an I sight into his mindset.

    Netty

  • I am not a doctor or medical worker. 

    Your father in law is within his rights to refuse treatment, but wouldn't he like to know what treatment he's refusing?  There are different types of skin cancer, some more dangerous than others and he might need just minor surgery.  It is also possible that the skin problem isn't cancer at all.

    Perhaps you could persuade him to go along simply to know where he stands: whether treatment is necessary, what treatment is recommended, prognosis with and without treatment.  Then, armed with this information, he can make a rational decision about what he wants to do next. 

  • Thank you both. I think it is more a case of him having given up on life, sees it as his time, his way out and wants to let nature take  its course. He simply doesn't want to live anymore. My husband thinks if he could die tomorrow he would. His whole world was his wife, they didn't have any other friends and didn't really interact much with family. They had been married nearly 50 years. The Dr arranged for tests at the hospital to find out exactly what  is going on but my father in law is absolutely not interested. I don't think it is the treatment itself he is afraid of. He has just given up on life. It is a shame. He could at least see what his options are but he absolutely refuses. His wife was just as stubborn and refused treatment also.

  • Hi

    Welcome to the forum though sorryfor the reason behind you joining the community. This is such a hard time for all the family. Like Netty (hi old friend) I am really surprised that a GP would confirm skin or any other kind of cancer without any testing (unless this particular Dr has specialised knowledge tests would be necessary for an exact diagosis so that relevant treatment could be discussed).  I am wondering if through your father in law's grief  he has become a little lost and confused. Unless your father in law gives his permission for his medical notes to be discussed with you this is going to be a very sensitive issue.

    From a personal viewpoint my Dad chose not to persue treatment (different cancer) but he did listen first to advice and then chose to ignore it.  He told me no one else had the right to decide how he wanted to live his life.  My Mum and myself  respected his wishes knowing it would make no difference to argue with him and he never regreted his decision so we are at peace that we supported him throughout. My Dad left behind a wife, daughter, grandchildren and friends who will all remember him with love and are forever grateful for the time spent with him.

    I hope you and your family can find the strength to travel this particular journey and the forum is always open if you would like to chat here.  Jules54

  • Hi,

    I must agree with those who have already said it would be unusual for a GP to make a diagnosis based on a visual check only. In fact it would be so unusual to be unprofessioal and irresponsible. A more likely scenario is that the GP said that it could be cancer and this could only be confirmed by a biopsy but your father in law either misheard or jumped to the wrong conclusion. 

    My concern would be over him saying he'll arrange things so his sons won't have to lok after him. Has he explained exactly what he meant by this? Sorry to ask.

    Best wishes

    Dave

     

     

  • You are probably right about the Dr suggesting it could be skin cancer band arranged tests to find out rather than diagnosing himself or herself may have just heard the words skin cancer and didn't really fully listen. The problem is I am getting all this second hand via my husband. I do respect his wishes but wish he would at least go for the initial tests just to see where he stands which is what I would go, no question so I know what I am up against. Again I don't know exactly what he means by saying his sons won't have to look after him, I suppose he means employing help. However it is not as simple as that, will be more expensive than he probably reslises and his sons will still be affected. We want to support him and not just fight against him but at least get a proper diagnosis from the hospital, it doesn't mean he can't still refuse treatment. He won't though and I find that infuriating.

  • Both my father and my husband have had skin cancer and both had very positive outcomes from their treatment.

    My father (in his early eighties at the time) had skin cancer in his ear. He went daily to the hospital for about 3 - 4 weeks for a treatment which consisted of if I remember correctly radioactive wheat being packed into his ear for a few minutes. No side effects and in and out the hospital in no time each day and then able to continue the rest of the day as normal. Now a very sprightly 91 year old with an active social life ( plenty of meals out, holidays and now a much younger girlfriend on his arm!) and no reoccurance of the cancer.

    My husband had a more aggressive skin cancer - a malignant melonoma which had grown quite deep into his leg. He was operated on and the melanoma removed with a fair bit of flesh around it. He came out of hospital the evening of the operation. Within a few weeks he was back to normal life with no further treatment just regular checkups. That was over 10 years ago and he has had no reoccurance of the skin cancer since.

    Skin cancer treatment need not be invasive and can have no side effects ( as in my Dads case) and even more serious cases can be successfully treated ( as in my husbands).

    The problem though as you so rightly put it is his attitude to it. This must be so frustrating for you as it possibly could be treated very easily and successfully, but until he agrees to have further tests to find out what is needed you can't do anything.

    If he won't do it for himself your best hope might be to try and get him to do it for someone else that he cares about such as his grandchildren.

    A friend refused to give up smoking until his then 10 year old daughter told him that she wanted him to live long enough to see her grow up. He said he couldn't light a cigarette without thinking of her saying that and gave up shortly afterwards - and is still smoke free to this day.

    Maybe if your father in law could be persuaded that his grandchildren need a Grandad around for a long while yet that could be key to him accepting help.

    Whatever happens I wish you and your father in law the best.

    Rachel

     

  • Thank you so very much Rachel, I am so glad you had good outcomes and I wish you and your family well. My father in Law is 70 and is young. He likes going out for bike rides, is otherwise very fit and healthy. My husband visits him every week and he come round for Sunday lunch from time to time and his other son visits several times a month, his grandchildren are 18 and 16 and he has a lot to live for. However, I suppose he is the one who has to wake up in an empty bed, spends most days and evenings by himself- he's never been one for friends and only he knows what that is really like. I have suggested to my husband that he tells his Dad that we will respect whatever decision he makes, but to at least go for that first initial appointment and that he should go with him but my husband says his Dad sees it as "What will be will be, whatever happens, happens." So that is it, people have to be responsible for their own decisions, there is nothing more I can do. My husband's side of the family are so different to mine, mine would never hesitate to seek and get treatment. It annoys me because so many people are fighting their cancer with every ounce of their being, while others just give up, especially as skin cancer (we don't even know what kind) can be one of the more easily treatable cancers, particularly if it is caught early, but I have to remember that is me talking, not him, it's his life, not mine and as my Mum says "There's nothing worse than a stubborn ***". So there we are.
  • Hello there, I am not a medical professional at all but it seems your father in law needs treatment for depression before anything else. It sounds like he is hoping it IS cancer and that it will kill him as he has given up all hope of ever finding happiness again. Maybe trying to persuade him to get help for his depression would be a better place to start than to confirm his lesions are cancerous. Strange as it may seem, he may not want the disappointment of being told it ISN’T cancer. I hope that you or your husband are able to persuade him to take the first step. Maybe searching on the internet for a forum about depression would bring someone forward with advice about the best way to get him the right treatment for depression/bereavement and then tackling his possible skin cancer. Best wishes. Paul
  • Hello, I think you have absolutely hit the nail on the head there Paul. He definitely wantes to die and hopes this cancer is his way out. This time of year is particularly hard for him, as he can't get out and about so much with his bike and so on with the dark evenings and those evenings must seem to go on forever. Also, it coincides with the time of year that his wife died. Getting him to seek help for his potential depression seems even more insurmountable, but good idea about checking out depression and bereavement forums. Thank you.