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I can't believe that in 3 weeks I have watched my mom become this sick, frail, suffering woman. She was so strong for so long. I posted a couple of weeks ago (or one week ago?) about her being overmedicated. Well, she was hospitalized for 3 days and then sent home. She started to become clearer, but now we realize it only lasts for a bit, and then the fogginess comes back. She mumbles and doesn't make sense most of the time, but you can tell she knows she's not making sense because she'll keep trying to correct herself.
We learned at the hospital that she was severely constipated. It's no wonder being that she was on pain pills for 2 weeks straight. She has been curled up in a fetal position moaning and talking about the pain. We assumed it was gas. When we went to see the oncologist I finally put her in a wheelchair because she's lost so much muscle she can barely stand up anymore. When he examined her he tapped her body and she said that her hips and lower spine hurt, NOT her stomach. This was new news for my aunt and I because we really thought she just needed to go to the bathroom. He calmly said that this could be atrophy setting in to her muscles from the lack of movement for 3 weeks, OR it could be the cancer that was found on her spine and pelvic bone back in January. He said we needed another PET scan since she hadn't had one in over a year.
But that appointment with him was Monday and it's now Thursday. He had us get her on some anti-seizure medication as well as some strong laxatives. And ordered AIM for her (Advanced Illness Management) -- it's basically a home nursing care service. He also ordered physical therapy to help her regain her strength in her legs. But it's like the laxatives all set in at once and for the past 3 days, her quality of life has become so poor. She can't use the restroom alone, can't dress herself, is constantly needing the restroom so she needs someone there 24/7. I stayed the other night and we were in the restroom ALL night long. Changing her clothes, washing laundry, etc. I finally have disposable undergarments now.
I look at her and I'm petrified and I feel like I'm walking around in someone else's life. She has lost 35 lbs, won't eat, is constantly talking about the pain, talks to her deceased mother....and then every once in a while, she'll make some joke about what we're all going through right now. (She has always had the BEST sense of humor and always been so tough). The other day I was saying to my aunt while we stood in Mom's bedroom, that maybe the home care nursing service could help her with an enema, she opened one eye to look at me and said, "You're going to do WHAT with me?" I kind of giggled and said, "No Mom, not ME, I was talking about the nurse." She said, "GOOD! Because I have to draw the line somewhere!.....Oh this is getting fun.......isn't it?" Then dropped her head back on the pillow. We all started laughing.
When we were in the hospital we had a very handsome male nurse. He was about 6'5", 35 years old, with the body of a model. My 2 aunts, my mom and I were all huddled in her little ER room. He came in and every time he'd talk to us and then leave, we'd all glance at one another, raising eyebrows and giggling. We all agreed he was pretty. =)
So when he said he was going to start an IV, I mentioned that she has a port. He said, "Oh good, that makes things easier for us....So, let me get some things here and when I return I'll access your port."
As he walked out Mom sits up and whispers in a low, sexy voice just for us to hear, "You're going to access my WHAT?" She had the biggest grin on her face. We were all hysterical until he walked back in. Then we all hushed and acted as though nothing had happened.
But those moments are fewer and fewer. The pain has increased and we're so lost with what to do. The pain pills caused the discomfort of constipation, but now she appears to have real pain, she has no control of her body, she can't walk, she won't eat.....and I feel so desperate and so helpless.
My aunt and I managed to get her to her PET scan appointment today but MAN, was that hard. She kept complaining of the upset stomach and kept asking for the restroom. By the time I'd get her in, it was too late. The technician was waiting for us....{{{big long exhale}}}}. I think the most comfortable part for her was when he finally got her up on the bed, wrapped her in blankets, secured the strap around her and told her she could go to sleep for 30 minutes.
Even with her frazzled mind most of the time, I did catch something she mumbled when I was talking with the technician about the procedure and her discomfort level. He was saying we could reschedule because of how upset her stomach was. But I knew her oncologist was waiting on these results to make the next move. So, while we were talking, I heard my mom say under her breath, "...why are we doing this anyways....we already know what they're going to find....." But she was leaning over and no one else heard her but me.
I'm not the same person I was 3 weeks ago. That has all changed. I have sunk into chronic depression and can barely find my way around at this point. I have 2 young daughters, a 21-year step-son and a husband who are all just watching me fall apart. Not to mention my mom's nieces, cousins, sisters and her 96-year-old father. I work and am currently in a teaching credential program. I spend every moment I can up the street with my mom at Grandpa's house. People tell me how sorry they are, how they don't know how I do it all. They say I'm handling this all with so much grace and that I am her rock.
But I always think, do I have a choice? And wouldn't YOU do the same? This IS what we do for those we love. We don't give up, we don't say 'I'm sorry but I can't' -- we do whatever it takes to preserve our mother's or father's or husband's or wife's dignity. We don't flinch or blink an eye. We don't put ourselves first, we sacrifice and sacrifice so that we can eliminate their pain, take away any suffering we can, make them smile when we know they don't want to....and we do everything we can not to fall apart in front of them. We love them with everything we can.
I walk around now with constant flow of tears on my cheeks. It never stops. And I'm an adult education teacher for ESL students. They may not speak English, but they know tears. Tears are universal. They see my pain and even though they can't communicate with me, so often, they come up and just touch my arm or hug me. The other day I was teaching a lesson and smiling while I talked......with tears rolling down my face. I'm raw all the time. I'm just shocked that people walk around this earth in this kind of pain and still survive. I can't believe other people have been through this pain and survived. This pain is unreal.
Whewwww. Thank you for letting me get this out there. This board really is therapy.
_________________ *PROFILE PIC: Mom and I at my cousin's wedding, 2004.
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3/07 59-yr-young Mom developed chronic cough & flu symptoms. SOB. Can't keep meals down. Dx with pneumonia & bronchitis. Antibiotics aren't working.
5/8/07 Mom DEMANDED chest xray. Large white mass on left lung.
5/10/07 Thorecentesis. Pleural effusion.
5/11/07 CT scan. Left lung showed 80% filled.
5/24/07 Bronchoscopy found cancer cells.
6/5/07 PET scan
6/7/07 Dx Adrenocarcinoma, NSCLC Stage IV, nods found in left lobe, pluera, lymph, adrenal glands.
6/14/07 1st carbo/gemzar. A little nausea. Not so bad. =)
6/21/07 Gemzar. No side effects.
6/22 - 6/27 Feeling better, breathing easier.
6/28/07 VERY tired, no energy. Blood counts VERY low. Plat down to 27. WBC low.
7/5/07 All counts WAY UP! Platelets back to 385!!
7/16/07 Fever. Blood work ordered.
7/17/07 MRI, x-ray AND blood work.
7/19/07 Blood transfusion
7/20 Fever 103 / ER Admitted & stayed in hosp. MRI was CLEAR! Potassium, protein very low. Absess found around tumor in left lobe. Hospitalized 11 days!
8/10/07 Changed to new oncologist. Got to know him in the hospital and he's local. We LIKE him A LOT!
8/23 Back on chemo. Carbo/Gemzar.
9/5 Went in for port but all counts too low. Mom feels GREAT! Spunky & normal energy! Dr.s are amazed!
9/10/07 Port implant proceudre
9/15/07 Port seems to have infection. Redness, swelling.
9/27/07 Received chemo through port.
9/28/07 Blood transfusion. Red blood cells too low yesterday.
10/18/07 Lower dose of Gemzar only. Tumor is responding WELL to chemo!
10/19/07 Rcvd. Nuelesta shot for white blood cells.
10/18/07 Completed 6th cycle of chemo.
10/25 Blood work shows very low platelets (again)
10/26 Platlet transfussion & CT scan to reassess. Oncologist calls and says original tumor has shrunk DRASTICALLY. Good news short lived....also found a blood clot in lung.
10/27 ER visit - Starts Coumadin
11/1/07 5 cycles completed of gemzar/carbo. Time to stop chemo.
11/12/07 Pulmonary says Mom is very healthy. Looks great.
2/07 Life has almost returned to normal...latest CT scan shows that cancer is almost undetectable. Breathing is practically normal aside from little wheezing from a cold. Mom is working out, walking & back at the gym. Our trip to Jamaica is coming up in May 08!
May 08 -- Mom, her sister, her niece, myself, my 2 young daughters all go to JAMAICA to visit our family home & cousins. Had the time of our lives! I left the island first & promised her....we're coming back next year!
June 08 -- CT scan shows a little growth in original tumor. (Original tumor was 5cm..reduced to 11mm after chemo....now is at 13mm) Dr. wants to wait until PET scan & then start chemo again in August.
August 08 *Officially in remission. No treatment suggested.
Jan 09 -- CT scan shows spots on spine and pelvic bone.
Jan 22-09 -- Bone scan results discussed with onc. Spots are cancerous cell activity on spine and pelvic bone.
Jan - Apr 09 - 5 cycles of Carbo/Taxol -- Waiting for Blue Cross to approve Avastin.
June 09 Genetech is providing Avastin for FREE. Starts Avastin.
June-July 09 - Headaches. Jolts of pain in head.
7/7 - MRI, shows multiple brain mets
7/15 - meet with radiologist. WBR starts tomorrow. The plan is 22 treatments. Mom starts taking Decadron for fluid retention which might be the cause of headaches.
8/15- finished radiation, no side effects other than burning on scalp.
Sept 09 - Still has strong headaches. Put o Decadron steroid for headaches.
Sept 09 - Another MRI ordered because of headaches. MRI shows shrinking of tumors.
9/30- Finished Decadron. Starts Hydromorphone for pain. Every 4 hours for headaches.
10/8 - Very confused. Has difficulty forming sentences. No short-term memory.
10/10 - 10/12 - Hallucinating, delusional, talking to no one, staring at ceiling. Onc says could be brain swelling, overmedicated or tumor growth. Wants MRI. Pulmonary says this is it, asks if I want her in the hospital or home with hospice. I'm not ready for hospice, either is she. I want test results before we talk about hospice!
Taken to ER. Admitted.
10/13 - CT scan, MRI in hospital. Showing clarity again...No pain pills since 12pm 10/12. No coincidence that she's becoming clear again?
10/15 - Released from hospital. Two dr.'s don't agree on prognosis. I'm going with the oncologist who says, there is concern from MRI results, but that we have not given up. New Primary dr. assigned.
10/20 Mom has not completely recovered. Still shows dementia type symptoms. Very confused. Will drink protein shakes and take meds for us, but can't do anything else on her own.
10/26 Mom is mentally not there anymore. It's as if she has suffered brain damage. We don't know why. Appt with onc. MRI shows tumors are stable and cancer in lung, stomach, bone is mutating again, but not spreading quickly. Wants to start Tarceva, but we have to figure out what's going on with her brain.
10/30 Appt with radiologist AND oncologist together. It could be a chemical imbalance. This is not from radiation, but maybe the combination of everything. Prescribed Provigil to improve brain functioning.
11/1 Mom falls out of bed. No muscle. No physical strength. Atrophy has set in. Mom is on Medicare as of today. No more Blue Cross!! Yeah!
11/2 Starts Provigil.
11/3 Mom falls out of bed again. Ordering hospital bed. Need to find home health care. Needs to get her strength back before we start Tarceva.
11/5 - 11/15 Mom admitted to hospital. Pain, chronic constipation, unable to move. Dr.'s run tests to find reason for neurological problems - decide it's brain tumors that have continued growing.
11/15 Mom comes home with hospice
11/28/09 Mom leaves this world, this human life.... to join her sister, brother and mother.
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