Bilirubin and ascites questions again…
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October 7, 2010 at 5:02 am #42613ironbarkMember
I hear what you’re saying about the emotions Emily,
I returned to work after having four weeks off, and Dad’s diagnosis came two days before my planned annual leave. I went back to work on Monday, and tried to keep myself occupied enough that I didn’t think, but when I walked through the door on Tuesday I just broke down into a blubbering mess. I have been given another three and a half weeks off, which will cover Dad’s surgery and some recovery time, and can extend if I need to.
I am very lucky in one way that I work at a major hospital (not the one that Dad is in though), and my colleagues are aware of Dad’s diagnosis – partly because he came into the emergency department over the weekend and needed to be transferred to the specialist hospital, and partly because I’ve told them. My workmates are extremely supportive, but I find that when they try to be kind and are nice to me I immediately cry, so avoiding that contact would have been much easier.
My husband has a mental illness and hasn’t been as much support as I’ve needed due to his own issues.Like you my Dad is my world. My mother left when I was six years old and Dad brought me up. We’ve been through some really difficult times together, and his second wife was the bitch from hell. Dad has a son to his second wife, who has schitzophrenia, so he also has issues to deal with.
My husband and I have three adult sons, who are wonderful, but I see my role as their mother to be one of support for them, not for them to support me – even though they do.
I’m off to get some counselling on Saturday. I just feel that I need someone to vent to, and to get some strategies to manage my feelings a bit, because I’ve never felt like this before.
You just feel as though someone keeps pulling the rug out from under you, only to replace it and then rip it out again.It would probably be a safe thing to avoid anything that made me cry, or upset me, but I think in the long run that would be a mistake. I have given myself permission to grieve.
That doesn’t mean that I have given up hope, or that I have written Dad off. What it means is that I have accepted that it’s Ok to feel this way and that it is normal to feel this screwed up when something this stressful happens.
I have also recognised that I need to look after myself before I can do justice to caring for my father.It’s very hard to find positives in a diagnosis like this, but for our own sanity we need to look for them. Eg. Dad was able to eat half his ice cream today, he’s drained over a litre of bile – better out than in, I’ve got time off work so that I can spend some quality time with him when it matters.
Keep on posting Emily, we might not have ALL the answers but we DO understand where you’re coming from.
Take care
LesleyOctober 7, 2010 at 1:30 am #42612devastateddaughterSpectatorHI everyone,
Yes I am pretty caught up with all the numbers. The reason is that my mom was initially diagnosed with unknown primary cancer and given Taxol/CArboplatin. She had an amazing response but her oncologist was a complete zero and said after 6 treatments we need a break and change cocktails.
4 months later he started her on Gemcitabine/Oxaliplatin. Since he thought it may be cholangiocarcinoma based on pathology presuming and the lesions in the liver from the scan. SHe did not respond well to this treatment and after only one cycle he said no more chemo and I’m sorry there’s nothing we can do. Basically go home and die.
So this was in September, we changed oncologist after that meeting (obviously). The new oncologist said that he does not understand why the old onc didn’t continue the taxol/carbo since she was responding well and her bloods and platelets and all were doing fine.
He scheduled for her chemo to start that week and the day before we had to go to the ER with pain and jaundice and that is when we found out she had a blockage and got the stent.
So yes, it’s been a pretty crazy ride this past month and so that is why I am so desperate to start chemo since her disease is spreading at a very quick rate and I know she had a good response in February so hopefully we can have the same. So at this point as my screen name says yes I am desperate to hear and feel that she will be okay and that we can spend christmas together
My mom means the world to me. My parents were divorced and it has always been just my brother, my mom and myself. We are tight. Very tight. SHe is my mom, friend, sister, soulmate, basically she is everything to me and I just cannot imagine my life without her. I don’t even wanna think about that. I have taken time off work now because I just am not functional these days.
I hope things get better….soon….I really hope!
Marion- My mom’s infection is better so now we wait for the bilirubin and swelling.
Gavin- They are giving her diuretics but it is not helping really. They did an ultrasound and there is a bit of liquid but not enough to justify draining yet..
Lesley- I do have alot of people around me who would like to help but I have kind of closed the door to them. I just can’t talk with anyone, other than this forum, it’s too difficult for me right now, am too emotional.
Thank you for taking the time,
EmilyOctober 6, 2010 at 10:03 pm #42611ironbarkMemberHi there,
I’m also a devistated daughter who is just starting the cc journey with my Dad.I have noticed many of your posts seem to be desperately seeking some sort of reassurance that Mum is going to recover and get better. I don’t know your Mum’s individual case, so can’t comment either way, but I do wonder what support you have outside this forum.
As with any medical condition there are some predicatble paths that a disease will take, and then there are the directions that are different in each case. Your Mother’s medical team will be best placed to answer the questions about the individual case that pertain to Mum.
The previous posts are correct by pointing out that chemo when bile levels in the blood are too high would not be a good move, but try not to get too focussed on the numbers, that is the doctors job.
Don’t make the mistake of missing out on good quality time with your Mum because you are becoming too focussed on this. Ask heaps of questions for sure, offer suggestions yes, but above all take care of yourself so that you can be there for Mum when she needs you.I’m going off for some counselling in a couple of days, I don’t know if it will work, I know it wont cure my Dad, but I’m hoping that it will give me the strength to cope with another week of this torture.
Hugs to you
LesleyOctober 6, 2010 at 9:20 pm #42610gavinModeratorHi Devasteddaughter,
I am sorry to hear about your mum. As Marion says, chemo right now will harm your mum. My dad was in the same situation and what his onc said to him was that as the bili levels were too high, the chemo drugs would not be able to leave the body and would then cause him harm as they would stay in his body.
How long has your mum been on diuretics for for her swelling? And have your mums doctors talked with you about draining the fluid from her abdomen, a paracentises? Perhaps this is something that is worth talking about with your mums doctors?
My best wishes to you and your mum,
Gavin
October 6, 2010 at 5:53 am #42609marionsModeratorDear devasteddaughter. At this point Chemotherapy will harm your Mom. She will need to get better first. Is your Mom responding to the antibiotics? Are you in touch with the doctor because, you should be given some explanations. I assume that the tending physicians are familiar with this cancer? Also I am wondering whether another family member is there for you. I am crossing my fingers for tomorrow to be a better day and am sending all my best wishes your way.
MarionOctober 6, 2010 at 1:38 am #4128devastateddaughterSpectatorMy mom had a stent placed about 2 weeks ago. Her bilirubin was 270 than on sunday it was 105. Monday it increased to 112 and yesterday it was 135. Today it is 121. My mom is in desperate need of chemo and she is being hospitalized till they can give her the first treatment. But the doctor says it has to be below 100 the bilirubin????Will this happen in the near futur??? What is your experience on this? How long can it take??
ALso, she is really swollen still…Her abdomen legs all the way down until her ankles. I’m afraid that this is a bad sign? They have been giving her diuretics but it has not made a difference. WHat needs to be done? Will the chemo fix this? Or a type of food or drink??anything???
thnak you for your help all!!!
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