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Can anyone advise - My Dad

User
Posted 15 Feb 2016 at 22:33

Hi there, I'm new to this site and I'm so worried about my Dad.  He's 85 years old and was diagnosed with prostate cancer in May last year, following a bout of bleeding and pain in his prostate.  His psa was around 60 at that time I think, and he had a CT and bone scan, which showed the cancer had already spread to his lymph nodes and was in most of his bones.  He started on 3 monthly hormone injections and this brought the psa down to 0.1 in October, but this began to rise back up to 8 at his check up in December.  Up till 2 months ago, Dad was ever so active, walking a couple of miles each day, driving, gardening etc, but around mid December he started to feel really tired and this got worse over next 6 weeks - he was diagnosed with a chest infection which did not respond to antibiotics, anaemia, he was very constipated, very confused, had no appetite, was vomiting and was so breathless, weak and frail he could barely walk a few steps with pain in his side.

We managed to get an appointment with an Oncologist that week and Dad's blood tests showed poor kidney function, so he was admitted to hospital.  He was also treated for pneumonia and put on a catheter as he was not emptying his bladder properly and his kidney function began to improve.  There was no  blockage in the kidneys as the Doctor suspected.  After a couple of days, Dad's urine bag started to go red as he is passing a lot of blood - he has had 5 sessions of radiotherapy to try to stop the bleeding and had two lots of irrigation lasting 3-5 days, neither of which appear to have worked.  He feels really weak, depressed and frail and the bleeding has got worse and the blood darker than ever, containing clots.  He's had a couple of blood top ups, which seem to help, but when his catheter was removed he was in agony, sounds like spasms and they had to put it back in.  He's been in hospital for nearly 5 weeks now and is desperate to come home.  

Tomorrow the Urology team are going to perform some sort of 'procedure' - not sure what it is exactly, but he'll be having a general anaesthetic and he's hoping they can stop the bleeding.  We don't really know what to expect going forward - the Oncologist said his psa levels were not too high which sounded like good news, but that was nearly 5 weeks ago and he doesn't seem to be getting much better.

Does anyone know what might be causing all this bleeding and what might be happening here?  Any words of advise would be appreciated.

Thanks

User
Posted 16 Feb 2016 at 08:55

Hello Sue and welcome to this site.

I cannot answer your question as I don't have the knowledge and experience but there will be others who do.

When a new member puts a post on there is an initial delay while it is being moderated so please don't think you are being ignored, I'm sure now that I have "bumped" you up the list somebody will see it and answer you.

I do know that hormone therapy causes tiredness but then your dad has a number of other problems too.

Be patient and somebody will be along to help you

All the best
Sandra

Edited by member 16 Feb 2016 at 08:56  | Reason: Not specified

We can't control the winds - but we can adjust our sails
User
Posted 16 Feb 2016 at 15:57

Hi sue
Hello from me dont have the answers for
Have you spoken with the specialist PCa nurses

Regards
Nidge

run long and prosper

'pooh how do you spell love'

'piglet you dont spell love -you just feel it'

User
Posted 16 Feb 2016 at 16:29

Sorry Sue - questions rather than answers ....

1) have they stopped the hormone treatment?
2) is he on an oncology ward, a urology ward or general surgical?
3) if on urology or surgical ward, do you know that the doctors are liaising with the oncologist? Assume nothing :-(
4) has a new scan been done recently? Has there been any suggestion that the cancer may have gone to his soft organs?
5) are the ward staff talking as if the bleeding is to do with the prostate cancer or do they think it is completely unrelated? If you don't know, it would probably be a good idea to be on the ward at doctor's round time so that you can ask some questions - they may be telling dad all the details and assuming he can pass it all on to you whereas when you have been in hospital for weeks, it can be quite difficult remembering what has or has not been said.

One more thought - it seems that dad was doing okay until this was thrown in as a complication. Had you had any conversations with dad about what he would or would not want in the end stages? Not any easy conversation to have but very much easier to have it sooner rather than later. You say that dad is desperate to come home - are all the arrangements in place for him to be cared for at home once the bleeding is sorted out? Does he live alone? It might be a good time to ask about services like Macmillan, the district nurses or your local hospice outreach service. Sometimes the person is ready to come home but has to delay while all these things are sorted out so probably worth making noises now rather than once he is on the mend.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 17 Feb 2016 at 17:50

Hi Lyn, they've stopped hormone treatment for now. He's on an Oncology ward but sees Oncologist and Urology Team. Yesterday Dad had further cystoscopy with diathermy which consultant said cleared out debris trimmed it back and he removed clots. He also said the cancer was in the bladder and the bladder is not in good shape.


Dads hoping the bleeding will now stop and he can come home maybe next week if we can get district nurse and carers in place (he lives on his own), but if there's one thing we've learned its to expect the unexpected. Whenever we think we know what's happening it all changes again.

We've not had any 'end stage' type conversations, nobody has said we are near that point so I don't know when is the right time and also it's so hard to broach. Just don't know what to expect.

User
Posted 17 Feb 2016 at 18:14

Yes it is difficult to know what to do for the best sometimes. I am very upfront about these things so had conversations with all the parents & in-laws long before we needed to. I just said 'can we talk about this now rather than later?' and got on with it. Perhaps in your circumstances, once dad is home you could say 'phew - that was terrible and thank God you are back home. But now you're better please can you tell me what you would like to happen if you got really ill? Would you like to be at home, in hospital or in a hospice? Would you want me cleaning your bum or a professional?'

You could try a different approach - I have written down what I want and then shown it to my children, husband and dad - it was easy then to ask dad whether he had changed his mind at all since our last conversation. You know your family best, of course, and are best placed to judge whether a conversation about death would be too shocking - I just found myself in a situation where my brother died and no-one had any clue about his preferences, I swore I would never be in that situation again. Undoubtedly, it is a harder question when someone is very ill than when they are reasonably well.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 17 Feb 2016 at 18:29

Hi Sue, sorry to hear of your dads situation which I am sure if there are any tech/medical queries on here there will be a couple of people that will help you(one of them being Lyn) .

As far as a conversation about end stage etc and what he might want, there will never be a good time but maybe bringing it into a chat and act like you are throwing it in the ring to open it up as a impulsive sort of talk. It must be hard for you and I am sure it is for him as well but little bits at a time may be good for mental preparation and you never know he may find it a relief to open up to you. Do you have other siblings or is it all on your shoulders?

Remember to write down any questions you have to ask his medical team and also write the answers so you can recall them later.

I hope he can come home soon and recover a bit of strength.

Best wishes, Chris/Woody

Life seems different upside down, take another viewpoint

User
Posted 19 Feb 2016 at 07:11

Thanks so much, will def have that conversation when things improve and he comes home.

For now yesterday was another bad day - Dad was in a lot of abdominal pain, which may be faecal impaction (think that's what I was told) which may be from radiotherapy a few weeks back. Enemas and frequent movicol not helping and more worrying catheter has gone from pink back to very dark red.

Dads really low and not interested in anything, although staff don't seem too worried. Well today's another day....

User
Posted 19 Feb 2016 at 07:50
Hi Sue.

I just wanted you to know your in my thoughts and would like to send a virtual hug.

So much of the posts are as we all want .... full of medical information we are often wanting to be sponges and draw in the information which is all new terminology and new abreviations which everyone knows when they are used to it all.

It sounds all so quick and scary for you. Try to talk to as many people as you can but always know you can take the information from people and then make your own choices.

Your Dad may live alone but he obviously has a major plus, he has your support which will be priceless.

I don't have medical information to share and I hope you get all you need.

It's hard to stay strong but you are in a new world so consider each day one step at a time.

Debs

Edited by member 19 Feb 2016 at 07:52  | Reason: Not specified

User
Posted 19 Feb 2016 at 08:30

hi sue
can not add anything just wanted to let you know I am standing by your side if you get my drift
regards
nidge

run long and prosper

'pooh how do you spell love'

'piglet you dont spell love -you just feel it'

User
Posted 19 Feb 2016 at 11:04

I don't think the end stage is always obvious. One day my father-in-law was at home and well, the next he just stopped eating and drinking. When he went into hospital, they said his organs were all stopping one by one. I tried to talk to the doctor about end-of-life decisions and the care pathway but was told I was being silly and we weren't at that stage yet so I nipped to the supermarket. He died just before I got back.

I leave nothing unsaid. It is good to try to get your dad to talk about future plans, nice things to do next week or his garden in the summer or just the joy of being back at home in his own bed. But maybe better to be sure that you have told him all the things that are in your heart rather than have regrets later.

I hope he has a better day today

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 23 Feb 2016 at 05:06

Thank you so much for your kind comments. Last few days have not been good and after the op Dads bowels stopped working and he had faecal impaction, has been treated with enemas etc. Over the weekend he got really deaf and confused, was so weak and a bit drowsy - he seemed to have taken a huge step backwards.

Today Dads consultant gas come to see me and told me that Dads kidney function is very poor and we are looking at end of life now. He expects Dad will sleep more over next few days and eventually pass away.

I think I'm in shock right now, this time last week we were making plans for him to come home and everything seemed so positive.

User
Posted 23 Feb 2016 at 09:32

Hi Sue,

 

Similar to you, my partner was in hospital, assumed would come home but he deteriorated quickly after a stent operation and died in hospital. You never know how this damn disease will pan out or what complications will arise. Tell your Dad how much you love him, even if he is sedated and keep telling him ! I send my love and thoughts to you.

 

Fiona. xx

User
Posted 23 Feb 2016 at 09:36

Ah Sue, I am very sad for you as once those words are said,it seems to make it so final.

Just be there for him Sue, even if he doesn't appear to be taking anything in.
When my mother was dying at home, the nurse who was a long time family friend, said to carry on talking to her and telling her what we needed to say because, even though she was in a coma, there was a good chance she could still hear us.

I'm thinking of you

We can't control the winds - but we can adjust our sails
User
Posted 03 Mar 2016 at 07:15
Thinking of you. I am so sorry to hear how quickly things had changed. Prayers for strength to all of you.

Debbie

User
Posted 28 Mar 2016 at 23:22

Sue, I am so sorry to hear the news about your dad - I hope that his final days were peaceful and as pain-free as possible. In the days and weeks to come, there will be so much to organise and arrange - it is hard to remember to look after yourself in the midst of everything. Take care,
Lyn x

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 29 Mar 2016 at 06:00

Sue, so sad that your father has gone please accept my condolences.

Regards Chris/Woody

Life seems different upside down, take another viewpoint

User
Posted 29 Mar 2016 at 07:31
S

So sorry to hear of your loss, remember the happy times and take care of yourself.

Thanks Chris

User
Posted 29 Mar 2016 at 07:36
Really sorry re your father. Please accept my condolences and I hope that you'll all cherish the memories that you have of him.

Look after yourself and take care.

John

User
Posted 29 Mar 2016 at 13:25

So sorry I missed the progress of this post Sue. Sending you our wishes and love and strength.
Chris

User
Posted 29 Mar 2016 at 13:32

Sending my condolences, Regards,

Fiona.

User
Posted 29 Mar 2016 at 16:29
Sue

I am so sorry to hear of your Dad's passing, he will be at rest now. One day at a time for you and soon you will be able to look back on happy memories of your Dad's long life.

My condolences to you and your family

xx

Mo

User
Posted 29 Mar 2016 at 18:09

I'm so sorry for your loss Sue.

Thinking of you all

Sandra

We can't control the winds - but we can adjust our sails
User
Posted 29 Mar 2016 at 18:34
Sue

I am very sorry to read your news and send my condolences to you and your family.

Kevan

User
Posted 29 Mar 2016 at 19:05
Dear sue,

I would just like to add my sincere condolences for you and your family. Although I never replied on your post I did read it and felt your pain.

BFN

Julie X

NEVER LAUGH AT A LIVE DRAGON
 
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