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Sandiemac
Posts: 69
Joined: Tue May 10, 2016 11:27 am

Re: Stephen's Story

Postby Sandiemac » Thu Oct 27, 2016 9:14 am

Hello Ladies

It's been a terrible week.

Last Wednesday night/Thursday morning Stephen had terrible diarrhoea, vomiting and falling over.
We were due for radiotherapy at 11.45 so I rang and got it changed to late afternoon, and by that time he was feeling able to get up and go. Friday was OK.

I went out for a short time on Saturday afternoon, leaving him in bed, and came back to find him lying on the floor unable to get to the bed to drag himself up, having vomited and soiled himself.
By this time we had noticed that his urine was getting stronger. He spent much of Sunday in bed, with me sitting on the bed beside him reading the papers and chatting.

On Monday morning I rang our trial nurse before we were due to set off for RT and she arranged for us to see our doctor after his usual weekly blood test. The bloods showed that he was jaundiced (which of course we suspected). They assumed the stent had failed or was blocked. There was also the possibility of a urine infection. He was admitted on Monday evening and put on drips. Had a CT scan on Tuesday and yesterday we were told the cancer had spread to the liver. His platelet levels were such that they couldn't do anything about the stent. That is happening this afternoon.

Another doctor we have seen several times told Stephen that the family get-together we have planned
for 27th November should perhaps be treated as Christmas Day! Fortunately one of our sons turned up unexpectedly during visiting hours so a quiet time sitting in the day room with him whilst Steve napped was very helpful for me. I can't stop crying.

PCUK Nurse Jeni
Posts: 1085
Joined: Mon Jun 14, 2010 1:30 pm

Re: Stephen's Story

Postby PCUK Nurse Jeni » Thu Oct 27, 2016 9:49 am

Hello Sandie,

Sorry to hear about all the recent developments with Stephen.

It does sound like such a stressful time.

I hope that the stent is replaced this afternoon as planned - is there a plan for further chemo for Stephen?

Please do not hesitate to contact us should you need to.

Kind regards,

Jeni.
Jeni Jones
Pancreatic Cancer Specialist Nurse
Support Team
Pancreatic Cancer UK
email: support@pancreaticcancer.org.uk
support line: 0808 801 0707

Marmalade

Re: Stephen's Story

Postby Marmalade » Thu Oct 27, 2016 2:28 pm

Dearest Sandie,

What a ghastly time you are both having. The fear is the worst thing, not knowing and not being able to control what is happening or if anything can be done about it. You mustn't get too down too early, the roller coaster is at work and if the stent is done he will feel a bit better and some of his symptoms will be resolved. If he is not strong enough then drugs and other treatments can also help make him more comfortable.

As to the spread, that news has brought all the diagnosis worries back and it must feel like it did at the outset again. You cry my lovely if you want, its a horrible, horrible situation and a disease with a horrible prognosis. It's hard not be down hearted at times but you only have to read on here to know that you may still have more time than anyone predicts and that the time can be good. Try and focus on getting over this hump and Stephen more comfortable, it will make you feel better and then reassess your priorities if you want to. I think the doctor could have used different words but sometimes there are no words that would not hurt. Why not plan to enjoy every single day you have together irrespective of the number, planning for the worst and hoping for the best is one way of seeing it or just saying we are not going to put off anything we enjoy. Louis wanted a party at 10.30 on a Monday morning so we gathered up neighbours and friends, made party food and had one. Don't wait for a get together, just keep having them for as long as we are all around because none of us know what will befall us. Carpe Diem!

We will all be here thinking about you and willing Stephen better very soon, those of us who are inclined will also be praying that you both have the strength to weather the setback.

Much love, M xx
Last edited by Marmalade on Thu Oct 27, 2016 10:02 pm, edited 1 time in total.

sandraW
Posts: 1039
Joined: Thu Oct 31, 2013 5:38 pm

Re: Stephen's Story

Postby sandraW » Thu Oct 27, 2016 2:47 pm

Hi Sandie,
Just to let you know I am thinking of you and Stephen, and hoping as Marmalade says he is starting to feel a little better.
This horrible sneaky disease is insidious, its there in the background waiting to strike, just make the most of every day my love, and hopefully your will have lots more good days together, sending you love and strength, take care sandrax xx

Marmalade

Re: Stephen's Story

Postby Marmalade » Fri Oct 28, 2016 5:47 pm

Hi Sandie,

Just letting you know we are here and thinking of you both and hoping Stephen is more comfortable. PW can't connect just yet as she is moving house but sends her love too.

M xx

Veema
Posts: 503
Joined: Mon Feb 02, 2015 5:35 pm

Re: Stephen's Story

Postby Veema » Sat Oct 29, 2016 1:05 pm

Oh, what a blow...I can totally understand the need to cry...it really does take you back to that fear we all felt at the initial diagnosis, not knowing what the future holds.

Hopefully he'll have his stent in now and the jaundice symptoms will start to get better and treatment can continue. Nige always said that the time he was jaundiced was the worst he ever felt throughout the whole disease.

Much love and a huge virtual hug.

Vx

Sandiemac
Posts: 69
Joined: Tue May 10, 2016 11:27 am

Re: Stephen's Story

Postby Sandiemac » Sat Oct 29, 2016 8:05 pm

Thank you all for your words and hugs. It's so good to know you are there.

Well no truer word was spoken than calling this whole process a roller coaster. Every day we were told something different at the hospital and yesterday I was actually in the room when the ultrasound was done. This showed the stent was NOT blocked but of course it may have been a few
days earlier, or it may have been some infection which the doses of antibiotics have shifted. His
bilirubin is going down and his urine is lighter in colour.

He will be discussed at the MDT meeting on Monday morning and I expect to have something concrete in the afternoon from the doc, or else! They have even started backtracking on whether the liver is involved!

Whatever the result, at least I don't feel as bad as I did on Thursday. I am expecting the worst
and hoping for some good news.

Justamo
Posts: 468
Joined: Sun Sep 04, 2016 10:38 pm

Re: Stephen's Story

Postby Justamo » Sat Oct 29, 2016 9:52 pm

Make space on that roller coaster Sandiemac, we're on board with you.

Peter got as far as donning gown and stockings for the operating theatre when the op was cancelled. They have carried out so many 'procedures' without result, and every time we hold our breaths and expect some definite news - and then it all fizzles out. I think it would almost be easier to get bad news than no news - I know that sounds a bit silly, but you go through such torment every time. And then when the medics seem to contradict each other you simply don't know which way to turn. Peter's surgeon, Mr Bogeyman, did a complete about-turn at one stage and now I don't trust anything he says. The only sensible thing he has done so far is to refer us to an Oncologist. That's next Friday.

Peter struggled with jaundice too, and felt completely wretched. I'm glad Stephen's symptoms are lessening and that he's more comfortable. I'll be thinking of you on Monday afternoon and think you are wise to 'expect the worst but hope for the best'.

Kind thoughts,
Love Mo

Dandygal76
Posts: 762
Joined: Sat Mar 12, 2016 9:49 am

Re: Stephen's Story

Postby Dandygal76 » Mon Oct 31, 2016 11:03 am

Hey lovely... if you are still in a fighting mood I will come on here as per my usual fighting spirit. Please do ignore everything I say if it is not what you require. From my limited experience of PC the greatest imminent risk does not always appear to be the cancer itself but to be from infection and you can have infection without high WBC and fever. I do believe that the doctors can put everything down to PC and roll out said lines of ... 'two weeks' 'it is the PC and nothing can be done' and in your case 'have Christmas early'. They could well be right and there is nothing that can be done but I have been on this bit of the roller coaster with a few people now who have come out the other side of this in spite of being told it is the end.

To be clear, I am not saying the doctors are wrong at all... I do not see what they are seeing but I have a 'go to' toolkit now and it is a fight to get them to remotely budge to anything not in their prescribed policy. If my dad is in this position I will put the onus on them to prove it is the PC and not an infection (as long as PC is not obviously so advanced). So, as to my toolkit...

1) broad spectrum antibiotics are a must and from the start (you may have to fight hospital protocols for this)
2) make sure they take a full blood count and not just LFT
3) they should also take cultures for both blood, bile and urine - 2 people I know now had infections identified by this but it had to be insisted on.
4) if you get a positive culture then they need to target the treatment (not just broad spectrum antibiotics, even if there are improvements).

Resist them withdrawing fluids until all of the above is secure and they are proven correct.

We need to start fighting back on perceptions around this illness and they need to prove it is definitely PC causing the problem rather than the symptom of increased infection being the problem.

I know it is a fine line on the guidance on here about giving medical advice but everything I have stated must go through a medical professional and so Stephen is properly protected. These are basic and non invasive checks that I believe should be part of the standard protocol of care for PC cases.

I hope Stephen is doing better. Just trust your instincts... if it doesn't feel like it is the the PC in your head then go with that. The most important thing is that you both feel comfortable with your decisions around this.. I know I am bore saying this again (and I will keep saying it throughout our time on here).... informed choices all the way.

xx

Marmalade

Re: Stephen's Story

Postby Marmalade » Wed Nov 02, 2016 11:10 pm

Hi Sandie,

Just dropping by to say hi and hope Stephen is still improving, you are able to relax a bit and that someone has been able to throw some light on what is going on.

Thinking of you often,

M xxx

Sandiemac
Posts: 69
Joined: Tue May 10, 2016 11:27 am

Re: Stephen's Story

Postby Sandiemac » Thu Nov 03, 2016 1:05 pm

Hello everyone.

So....he is home! The consultant had a chat with us after the MDT meeting and the radiographer says there is a possibility the specks/marks on the liver could be abcesses due to the infection. However, his general condition was such that they would send him home with 2 more weeks of antibiotics, see Dr M in 2 weeks (and this has subsequently transpired to be at the local hospital so no trekking to Oxford) and then a scan 2 weeks after that when his innards should have calmed down after the 18 does of radiotherapy.

So for the first time for ages he is only on one set of tablets, and indigestion tablets as needed.
He is still lacking in energy but today feels better than yesterday and we plan to go out for a short time this afternoon. He is fretting he needs to get me a birthday card! We have a jaunt to London for a masonic lunch next Wednesday which he is very much looking forward to. Easiest journey possible - park by the station door - taxi to venue - taxi back to station - so fingers crossed.
I have stood down son in Portugal for now as he was fretting on whether to get on a plane. He and his family are due for a visit from the 24th so that's something to look forward to. The roller coaster is heading up!

sandraW
Posts: 1039
Joined: Thu Oct 31, 2013 5:38 pm

Re: Stephen's Story

Postby sandraW » Thu Nov 03, 2016 1:56 pm

Hi Sandra,
That's great news that he is home and starting to feel better too.
Its good to have something to look forward to, like your lunch next week, and that journey sounds a breeze, should be really relaxing for you both.
Fingers crossed for good news on the liver specks too, take care and enjoy your time with your son when he arrives, love sandrax xx

Marmalade

Re: Stephen's Story

Postby Marmalade » Thu Nov 03, 2016 10:02 pm

Very pleased to hear Stephen is home and feeling better and hope that you are also feeling relieved enough to relax and enjoy a few days out.

Big loves M xx

Sandiemac
Posts: 69
Joined: Tue May 10, 2016 11:27 am

Re: Stephen's Story

Postby Sandiemac » Thu Dec 15, 2016 12:31 pm

I've been quiet for a few weeks, despite lurking on the site on a daily basis keeping up with everyone's news, as there has been nothing to report. However, the CT scan duly took place and we had an appointment to see Dr M today for the results. Instead, he 'phoned to say no need to come in - he could tell us it had NOT progressed to the liver and the tumour had not changed in size. Another scan in 3 months! Another ride on the rollercoaster but this time up! Apart from telling us the tumour had decreased it couldn't be better news and we are of course delighted and relieved.

I very much hope this gives hope to other sufferers and that it is an indication that all he went through in the summer was worth it.

Every good wish to you all. Sandie x

Dandygal76
Posts: 762
Joined: Sat Mar 12, 2016 9:49 am

Re: Stephen's Story

Postby Dandygal76 » Thu Dec 15, 2016 12:58 pm

That is great news. Now you can have a lovely and relaxed proper Christmas. I am so pleased for you all. We are currently waiting on trial Dr to e.mail dad's yesterday scan results through at any time today. It is a painful wait. X
Last edited by Dandygal76 on Thu Dec 15, 2016 4:06 pm, edited 1 time in total.