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Making the most of it

User
Posted 20 Feb 2019 at 21:37

K

Belated happy birthday wishes for Monday and some extra big hugs to cheer you up.

Thanks Chris

User
Posted 20 Feb 2019 at 21:48

Sending love, Kentish.  Forgive the brevity - setting off for the hospital so I can calm him down again when he wakes up and wants to know why is is there, again.  I'm with you in the tears.

 

DM - so good to see your message, was worrying about how you were.  I am the mouthpiece, but only allowed under strict instructions about what I can say.  Usual line is don't tell doctors too much, don't be too eager, etc.  At the moment it is don't tell anyone how nauseous he is all day.

 

In between the awfulness of the last week I did get him to hold my hand and walk with me in our minds along the edge of the Wirral and look across to Wales.  Let's be grateful for that.

 

 

User
Posted 20 Feb 2019 at 22:10

Thank you Chris, very much appreciated. Xx

Teacups, oh my lovely, that's heartbreaking. Is he taking anything for the nausea, I'm afraid I use the POA to override N on the palliative meds. I go and ask the nurse to bring his pain meds without telling him. I asked the pain management team to come and review it and would have agreed to it even if N had said no. N makes the decisions regarding intervention (nephrostomies etc) but when he is in so much pain I don't think he is able to sometimes.

N is pleased today that the increased dose has made him more comfortable but often drifts off while talking to me. Quite disconcerting to watch his eyes roll up mid sentence. 

One of the nurses quipped "he goes straight to sleep when you arrive" I take it as a compliment that I make him feel safe and relaxed so he can sleep.

I do hope your oh can be made more comfortable than he is at the moment. The Almost Human consultant asked me yesterday in the corridor if I was OK as I seemed quite down (understatement!) All I could say was that it is incredibly difficult to watch someone in pain and be unable to help make it any better.

All I can do is sit with him, so I'll do that. And make coffees, very small ones now he's  back on restricted fluids. 

I hope today brings something better. Sending you love and hugs.xxxx

User
Posted 20 Feb 2019 at 22:40

Kentish

John is on a 25mg Fentnyl patch, its made such a difference to his pain, its topped up with oramorph as and when, less needed since the Enzalutimide as that has clearly worked. Happy birthday for Monday, so sorry you are feeling low, its not surprising really, I'm ok on a dose of Sertraline, it really helps me cope. I struggled on for years then accepted medical help. We are going away for our short trip for John’s 70th birthday which happens this weekend, i still cannot believe it. My prayers have been answered even though I don’t really believe. i asked for four years and have been given more than eight. 

Teacups, my heart goes put to you, you are so brave and a womderful wife. What a band of women we are. I for one am proud of us,

love to you both and all of those suffering 

Devonmaid xxxx

 

User
Posted 20 Feb 2019 at 23:40

Originally Posted by: Online Community Member

What a band of women we are. I for one am proud of us,

love to you both and all of those suffering 

Devonmaid xxxx

 

I think we are all very proud of you.

Thanks Chris

Edited by member 20 Feb 2019 at 23:41  | Reason: Not specified

User
Posted 21 Feb 2019 at 00:51

Pleased to to report a much better morning.  And thank heavens, it would want to be.  Yes, nausea meds now taken.  Much more logical thought and conversations possible.  

I do take over the decision making sometimes, Kentish. Yesterday was one of those days when my strong willed man needed to feel in control.  If he was still as bad today I was going to over rule him.

 

DM - so good to hear the Enzo is working.  And to hear about the 70th and the weekend plans.  Have a wonderful weekend.

Love to us all.

User
Posted 21 Feb 2019 at 07:18
Thanks Devonmaid,

Glad oh is feeling an improvement. Enzo clinic is Monday, same time as the nephrostomies, this would be the 4th postponement. I went down to the clinic to tell them that the nephrostomies have been arranged for the same time. I asked if there was any way someone could come up to the ward and go through the "new patient" assessment with him as it is beginning to feel like he is never going to get far enough to even try to start the Enzo. I have left it with the lovely receptionist in the day unit, I'm hoping they are going to have found a way when I pop back in later.

Even if he's not fit enough to take it now, at least they can keep checking his bloods in case he is in a couple of weeks.

Teacups, glad it's a little bit better. It's so easy to feel like we have no control, I can only imagine how our oh's feel about it.

User
Posted 23 Feb 2019 at 22:00
Things just see-sawing at the moment, when one thing improves something else deteriorates.

Pain well under control but dreadful constipation as a consequence. 2 enemas and 4 satchets of movicol later and I can't change him fast enough.

Sodium meds started but awful nausea almost straight away so injectable anti sickness drugs given and all other oral meds stopped.

I had to come home as the kids are back from their ski trips and needed greeting, oh rang me from hospital and cried but didn't want me to go back. I rang the ward and asked if someone could go and sit with him for a little while. I despair that we'll never leave.

I think someone must have spoken to the mean consultant as we have seen him 3 times this week and he has been lovely to oh. A real change in approach, I'm so relieved as when I saw him come onto the ward my stomach churned, if I feel like that I wonder how oh feels about him?

Disappointed with the clinics approach to new meds, still insisting oh has to go and have a new patient meeting. It's a pointless exercise, if they do a blood test and he's well enough to take them he may improve enough to go to a clinic, without them he is only going to deteriorate further so will never go to the clinic in the first place to be able to improve.

In his current state of nausea he wouldn't take them anyway but it would be nice to have the option wouldn't it?

Kids have had a fabulous time away and have lots of stories (someone skied into a house!)to share with us. I'm going early in the morning and kids are on standby to visit when N is feeling well enough to listen.

User
Posted 23 Feb 2019 at 23:30

Nice to hear that someone was brave enough to speak up to the miserable consultant, maybe the nice doctor that gor upset, about time I’d say. sorry that things are so up and down, more down than up by the sounds of it. I will admit to you that John’s digestion is our major concern, it is currently causing almost all of his daily issues, except the complete and utter exhaustion and sadly, the return of pain in the hips (not liking that at all). John veers constantly between constipation and the runs, nothing in between, often he is a nice yellow colour, but if he can go to the loo he returns to pink. He is nowhere near N’s situation but it is a daily trial. I have noticed that the oedema is back too, makes me concerned that the Enza might be short lived. Pain also now quite severe in the shoulders and neck, hoping its not anything but will find out on March 4th our next onco visit. 

meanwhile, the 70th birthday went wel, today, a visit to Rick Stein in Marlborough for the two of us. A delightful day.

Enjoy the kids stories, lovely to have them home, cuddles if allowed. Tomorrow is a new day.

love and hugs Devonmaid xxxxx

User
Posted 23 Feb 2019 at 23:56

Oh dear, is there room on that see saw for all three of us?  We are still in hospital, but working on getting him home.  He will be much more settled in familiar surroundings where people aren't telling him what to do. Seeing them distressed is so damn hard, isn't it. Now on a syringe driver, so pain better, but even sitting up a little in bed for the first attempt at a shave yesterday was hard.

Hope N gets to enjoy all the stories from the skiing.  We are getting updates from the 18 year old granddaughter who is on her first tour of Europe and that is providing some much needed distraction.  DM - the weekend sounds fabulous, so glad you got to do it.  But sorry to hear the worry in the rest of your news.

User
Posted 24 Feb 2019 at 07:17
Dear DM and Teacups,

Sorry to hear your oh's are struggling too. You can both share the seesaw with me if you like, let's see if we can get it to stop crashing up and down and instead gently rock!!

Sending big hugs your way, I hope for all of us, today is better than yesterday.xxxx

User
Posted 24 Feb 2019 at 18:34
Dagnammit, N too nauseous to take any meds at all, put on a drip for the day and given anti sickness meds. Now got the trots, must have changed him a dozen times, thank goodness for proshield spray and lotion for keeping skin from getting sore.

N has decided he's having a medication holiday and will go back to restricted fluids, thoroughly fed up and now wanting to get to the hospice.

Nephrostomy removal tomorrow, if there aren't any emergencies that bump him off the list. Hoping to get out by Wednesday if the sodium level is an acceptable level.

User
Posted 25 Feb 2019 at 21:56
Nephrostomies removed without issue, yay. Eating and drinking well ( albeit only 1.5 ltr) and stopped pooping for England.

No beds at the hospice today, maybe tomorrow or Wednesday. Otherwise he wants to come home and go into the hospice from home for a while. He doesn't want to stay in hospital any more which is a positive frame of mind to be in.

Very frail, kids came in and were a bit shocked but regaled us with tales of crashes and awesomeness on the slopes, very entertaining and more stories to come tomorrow when they visit again.xx

User
Posted 26 Feb 2019 at 05:22

I'm enjoying all the positives in your post.  Hope the hospice bed comes up and you can transfer smoothly.  

We are home, which is good in many ways, and worrying in others.  I need to organise more care, and that seems to harder here than it is where you are.  But at least tonight we are sleeping in beds side by side in the loungeroom, and looking out on our trees.

User
Posted 26 Feb 2019 at 20:06

Got out of bed, whoop whoop. Sat in the chair while I remade his bed. Eaten 3 meals and generally had a good day. No beds so just waiting. Left him planning what he is going to try tomorrow,  sitting in the wheelchair and having a look at the rest of the ward if he can.

Taken down for a ct scan first thing this morning, onco had requested it in January when we saw him and they rang us on Friday to arrange N coming in for itπŸ˜‚πŸ˜‚πŸ˜‚ I said he's upstairs and been here for 3 weeks!  Oh my days, our world of modern technology is sometimes not very efficient.....anyhow, another thing ticked off for onco to get a baseline if N ever makes it onto Enzo.

Absolutely shattered now, and trying to squash down the horrible thoughts of wondering how long this little high will last. Given N's track record I can't help but be scared. I've just got to not let it be the loudest voice.

User
Posted 27 Feb 2019 at 21:19
Teacups, I hope being home is going ok and that you've managed to get some more support. It sounds lovely to be sleeping next to one another. I really miss being together, I sleep really badly, finding myself sprawling all over the bed and awake at 4am wondering if it's time to get up...I'm so tired I can't think straight but don't seem to be able to sleep any better.

N is not sleeping on and off all day like he was, and managed to stand up for a couple of minutes using his walking frame. No beds yet but feeling positive about how stable he is. Sodium back up to 130 which makes a big difference and hb stabilised at 75 and climbing slowly each day.

N has the goal of the next clinic in mind. Rescheduled for mid March, he's aiming to be able to tolerate sitting in the wheelchair so he can attend this. Having trouble maintaining his blood pressure because of the low fluid intake, averaging at around 99/65, which leaves him feeling quite lightheaded when he sits on the side of the bed with his feet on the floor. Not sure what can be done to improve this.

Back to not pooping, docs think it was the co-amoxiclav giving N the trots and stopped it after 3 days, N has probably got another uti as he spiked a temperature 2 days in a row. Back onto the movicol to get things moving sooner rather than later, N doesn't want to do any more enemas if he can avoid it.

I can't believe 4 weeks have passed since N was admitted this time, the days just disappear even though we don't do anything!

User
Posted 28 Feb 2019 at 10:46

I could have sworn I typed a reply this afternoon - but obviously managed not to post it.  I too can't believe that it is 4 weeks since N went into hospital.  But I bet at times it seems way longer than that.

Our see saw does seem to be rocking more gently just at the minute, doesn't it.  Pleased to see some more good news in your post.  Standing, even for a short time, is a big achievement.  And more alert is great.  We have celebrated the consumption of half a banana yesterday, and today half a piece of toast and half a banana!

The last few days have been a whirlwind, some support kicking in, visits from community nurses, care service providers, OT and on it goes.  Exhausting and mentally challenging.  But today was on the whole a much better day than we've had for a while.  And yes, feels much more comfortable sleeping in close proximity.  Although I am discovering that our spare single bed which we've pushed next to the hospital bed, could really do with a new mattress 😁

User
Posted 28 Feb 2019 at 20:59

πŸ˜„Teacups, the same goes for the fold up foam bed I am using when N comes home. I am obviously to fat for it as when I lay on the most worn part in the middle I am touching the floor!!!

I think eating is the biggest indicator of how well our oh's feel.  I never push N to eat, just suggest things he might fancy and hope he'll want something...anything. it was a Belgian bun this morning for breakfast, he remembered the hospital shop sells them, he only had a third but it's better than nothing. By this evening he had livened up and had veg hotpot and syrup sponge from the hospital canteen. The dietician has given him free reign of the canteen as well as ward meals (they are quite limited and after 4 weeks a little repetitive! ) so he has ordered chips every dayπŸ˜….

A little magic this morning, urology consultant asked when N's oncolgy review is, I said in a couple of weeks and he said why can't the oncologist see N on the ward. I replied I had asked the clinic to do this and that we had to postpone every week because of one thing or another and onco had rescheduled clinic for 3 weeks time which coincides with review. Urologist went away and arranged for onco to come to the ward tomorrow to review N!! I can't quite believe it, I did ask why as I feel there is perhaps some not very good news from the ct/bone/Mri scans but he just said "we'll it makes sense doesn't it rather than N having to come back in again, he's here now and can be reviewed. It seems silly not to do it while he's here."

So onco will come to see N tomorrow, I am a little (lot) worried about it. N and I talked about the possibility of it not being good news, really difficult to face now he's feeling so much better, I'm hoping that he'll at least offer N the chance to try the Enzo regardless of the state of affairs.

 

User
Posted 28 Feb 2019 at 22:50

Hi Kentish,

So glad that today was a good day. 

Fingers and toes crossed for tomorrow. Thank goodness for commo sense from your urologist. 

Love and hugs,

Vicky x

PS A yam yam is a person from the Black Country πŸ‘πŸ»

Broken crayons still colour 

User
Posted 01 Mar 2019 at 09:20

I think the problem with my bed is the opposite of yours, Kentish - doesn't seem to have much give in it at all.  Another quite good day here, phew.

As the urology consultant said, it does make sense for the review to happen while you are there.  So crossing everything that it goes well.  But I bet your brain is in overdrive.

 
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