kimmie
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kimmieSpectator
Thanks Lainy. You are such a supportive person to so many on this website, and truly an inspiration. The word “grace” comes to mind whenever I read your posts.
Hospice offers complimentary one-on-one and group counseling to families of patients up to a year after the death of their loved one. I have a message in to them already. I’m not a fan of taking medication on a regular basis, especially with some of the side effects I read about for anti-anxiety meds. But the risks may outweigh the benefits at this point.
And I guess there’s some truth to your comment, “Everyone you are talking to does not fully understand…” Unless they’ve lost a parent or someone close, maybe they DO think I should be getting over it now. It’s just that I would imagine if a close friend of mine lost her mother, and she was extremely close to her mother, that I would be doing all I could for her. I had so much support during Mom’s time on hospice – meals, childcare, yardwork, etc. – but it’s gone.
I guess I’m angry, and I would really like to be angry AT someone. But there’s really no one to be angry at, no one to blame. It is what it is, and time will lessen the raw grief I am feeling.
kimmieSpectatorPeggy, I am sorry what you are going through. We just lost my Mom to CC last month. She was on home hospice at my sister’s house, and my sister is a home hospice nurse. So she dealt with many of the same things you are feeling. When to take the “nurse hat” off and put on the “daughter hat.” I agree with what others have said. Though my mother never had jandice or other blockage issues, that seems like an easy and fairly non-invasive palliative measure. But the “quality vs. quantity” decisions are always hard.
Bazel – did your Mom have dementia when your father was battling CC? My father has vascular dementia, I guess you’d call it the middle stages. He has great long term memory, short term not great at all. Lately he’s “forgetting” more about personal hygiene, to eat 3 meals, etc. All through my mother’s time on hospice he kept forgetting why she was at my sister’s house and kept asking when he could take her home, when would she start feeling better, etc. It was torture to tell him almost daily that Mom has cancer and won’t be able to come home. Now we’re trying to talk him in to moving in with me and/or my sister. He is aware of his dementia and memory loss, and is able to verbalize how difficult that is for him. He has always been very independent and extremely intelligent, as his doctor said that kind of person makes it even more difficult to deal with losing their independence.
kimmieSpectatorCongratulations Jim, what a great outcome to your ordeal.
I’m waving to you from just across the Bay Bridge in Annapolis – where on the shore are you? My husband commutes to Chestertown each day, he loves the drive and what a great little town.
kimmieSpectatorMichelle – similar lives, huh? My kids are 9 and 11, my sister’s are 4 and 7.
How wonderful that your kids had dreams already. Look at it this way – children aren’t bogged down with all the stresses that we are. Your boys’ minds were free and open to accept a visit from your Dad in their dreams. I think that’s wonderful.
I feel like sometimes I make myself forget, so I can operate on autopilot and function. But I’ll be walking through the grocery and wonder, “Can people see it? Can they tell the pain I have inside when they walk past me?”
Hang in there. Let’s stay in touch with each other!
Hugs,
KimkimmieSpectatorSo before falling asleep last night, I was begging Mom to come to me in my dreams. And she sort of did, but the funny thing is the dream was more about reassuring Dad.
We were at my sister’s house for a holiday. There were a bunch of women in the kitchen, including Mom, cooking and doing dishes. She looked pretty much exactly like she did in the beautiful portrait we had at the funeral home next to her closed casket, except she was wearing a red turtle neck and black vest. We had a bar set up in the family room (which overlooks the kitchen), where people were lined up placing food orders, including my Dad. He was very childlike in his demeanor, and I was telling him, “See Dad, see Mom over there?” And she smiled at him and kept drying dishes. Then I told him, “Mom is fine. See? She’s keeping an eye on you, don’t worry.”
That was it. I don’t want to read too much into it. Certainly I could’ve WILLED myself to have that dream, or my subconscious mind, so desperate for a visit from her, caused the dream. But whatever, it was still a nice dream.
kimmieSpectatorHaldol was a big help for my Mom too. HUGS for you Lainy. I know although this is such a tough ordeal, you would not trade this time for anything. Write down the stuff he’s saying… My sister and I were Mom’s main caregivers when she was on home hospice. We kept a notebook where we tracked everything (meds, meals, poops, etc.) so we’d know what happened while the other was gone. I started writing down the stuff Mom was saying in her sleep or in her half-conscious state. Things like “I’m almost ready”, “Daddy”, etc. It’s a comfort to read them now. We talked to her a lot too – hospice was a big believer that people getting closer to death can still hear you. My Mother was very afraid of death, so we were often saying things to her like it’s OK to let go, we’re here for each other, you raised us right and we’ll take care of each other, Dad will be OK, etc.
kimmieSpectatorI sent my request the day you posted this. Today I received an email from them that said in part,
“Thank you very much for your email. We are grateful for the feedback that we have received from you as well as the many others who have contacted us from the Cholangiocarcinoma Foundation community.
“We have contacted the Cholangiocarcinoma Foundation directly with
information about becoming part of the Resources section of our site,
and we hope to hear back from them shortly.”kimmieSpectatorIf I remember right, cisplatin is pretty rough on the kidneys, so the gave my mom lots of IV fluids at each chemo (she also got gemzar) and told her to drink 64oz of water a day all throughout the chemo portion of her treatment to flush the kidneys. I also remember her cheeks becoming red at every chemo, not sure if she ever had a fever though. Always had a headache that first night. The neupogen made her joints and bones sore, almost flu-like feelings, especially her legs and spine. They recommended Claritin to help with that, I don’t know why but it did help.
kimmieSpectatorHi Jemima,
My mother received gemzar and cisplatin last year for over 4 months. I can’t remember which it was (my big binder where I write everything down is at my sister’s right now), but I know they reduced one of the two drugs. The reason was not so much the side effects, but that her white blood count was going TOO low, like almost zero. They reduced the one drug for the remaining chemo treatments, and gave her Neupogen shots after each infusion to amp up her WBC count.
Her chemo side effects were: a headache that began 6 hours after chemo ended which lasted for about 24 hours, nausea for about 3 days post-chemo, and hair thinning but not hair loss.
I’m assuming your Mom gets blood work every week – have her counts been too low? Not sure if that’s why your Mom’s docs have adjusted her chemo drug dosages.
I can tell you that my Mom was considered “in remission” when the chemo ended last December, and she was healthy for 6 wonderful months after that.
kimmieSpectatorHi Rick – I’m mainly a lurker here, but I read all of your updates. I am SO GLAD to hear the CA19-9 rise is probably due to the therasphere treament. YAY! I love to read those words: cell death.
Now you can look forward to your vacation with no more freaking out about tumor markers!
kimmieSpectatorclaude1 – all I can say is I am SO with you. We’re in almost the same situation with my Mom, except that it looks like she has less time than your Dad. Her recurrence was diagnosed in late June, and after 1 round of gemzar it wasn’t doing a thing. She’s on home hospice now at my sister’s house, where I spend as much time as I can, including one or two overnights a week to give my sister a break. My Dad, who has vascular dementia, has also moved in with my sister.
I have so many of the same feelings as you do. Some days I’m actually ok, other days I’m not sure I can function as a normal person. My heart literally hurts when I think about the future. Someone recently posted that after their loss, they defined time with “before Mom died” and “after Mom died.” I am already thinking like that, as well as “before Mom got sick.”
I find that I will have a rough day, and once the hubby and children are in bed I have a super-long cry, sobbing on the couch. Then I feel some relief, go to bed, and am usually good without another pity party for another week or so. Most nights are tough though, that’s when my brain goes into high gear.
Like Pam said, we’re really trying to make memories now. With all the visitors she gets, I just sit in the next room and listen – so many of them talk about the old times, and I’ve heard lots of stories that are new to me. And Mom seems to realize the importance of stories – she’s retold the story of how she and my Dad met almost 50 years ago, stuff like that. We also talk about and listen to music, old favorites and songs that make us remember a certain trip or time period or funny story.
Do you like to write? This may sound wrong to some, but I’ve been working on Mom’s eulogy for quite awhile. My Mom’s already requested that each of her three children speak at her funeral. I wanted to do her proud, make it good, and really say all I think she’d want to be said. I started with just a list of memories, adding to it as something popped into my head. It’s been hard, but I also find it extremely cathartic. But that’s just me, writing is an outlet for me. I reread it often, usually adding to it, and smile at so many of the memories. I mentioned it to my Mom and she asked to read it. I’m sure she’ll edit it with her red pen!
“Anticipatory grief” – I had no idea it had a name. Though I’m sad to hear it doesn’t really prepare us for the actual grief that is to come. Hard to imagine feeling worse sometimes.
kimmieSpectatorHugs and prayers to Teddy and Lainy, to Kris… to everyone affected by CC.
We are ALL ABOUT paper products these days, both at my sister’s where Mom is on hospice, and here at my own house when I’m here. My 11 and 9 year olds give me a really hard time – “We’re putting too much in the landfills MOM!” I say wouldn’t you rather we spend more time together instead of me spending time washing dishes? Heck, I buy the cheapy-cheap paper plates anyway, not even wax-coated. They probably break down after one good rainstorm.
kimmieSpectatorGlad to hear the visitors aren’t causing too much disruption! Did you leave some cleaning supplies out in obvious places, maybe one of the visitors would get the hint and help out by doing some cleaning? LOL!
I’m glad to hear Teddy still has enough energy for the visits and to get out once in awhile. (That’s been hard for my Mom, as she really doesn’t have enough energy to even walk. She was going so stir crazy that yesterday she asked to ride along with my sister when she went to the pharmacy, and just sat in the car.)
I grew up with musicals, thanks to my Mom’s love for them, her whole family actually. Guys & Dolls, South Pacific, Sound of Music, etc. I love Fiddler too – “If I were a rich man, yadadeeda…”
kimmieSpectatorHeather,
It’s amazing, I never knew until last year (why would I?) that the liver is the only organ that can regenerate itself. Like Mom and I always said, like a lizard’s tail!
This cancer is so rare and every case is so different. They recommended for my Mom’s case that she have chemo after recovering from the resection, in case there were microscopic cancer cells still in her liver that the surgeon couldn’t have seen during surgery. She started about 6 weeks after surgery on a combo of Gemzar and Cisplatin. The side effects weren’t too bad, just some nausea and hair thinning. (She was actually quite PO’d that she didn’t lose weight, since she was overweight before all this started!) The side effects were managed very well with anti-nausea meds via IV during each chemo session. She ended chemo last December, and we found out Christmas Eve that there was no sign of the cancer anywhere and she was considered “in remission.” What a Christmas it was.
Every case is so different, as I said it’s so rare. Hers did come back, diagnosed in June. But there are so many success stories on these boards, and so many long-term survivors – in some cases many years. The way I look at it, it all comes down to constantly educating yourself on advancements, reading and researching, being an advocate for your family member, and not giving up hope or losing faith. Even now, with my Mom on hospice, I still hold a glimmer of hope, no matter how small. Even if she can’t be cured, that God will grant her plenty of time, and that the time she has will be comfortable and joy-filled, surrounded by family.
I hope you don’t mind me posting this – based on your reply and your user name, you might love this. It’s a quote from Gloria Gaither that I keep coming back to time again during this journey: “God walks with us. He scoops us up in His arms or simply sits with us in silent strength until we cannot avoid the awesome recognition that yes, even now, He is there.” May you feel his silent strength!
kimmieSpectatorThanks Lainy and Amy. I sort of feel guilty even complaining. It’s not ME that has terminal cholangiocarcinoma, feeling weak and having nausea and sometimes feeling really confused. And it’s not ME that has dementia and is so confused all the time.
About once a week I have these little pity parties all by myself, get a good cry out that night once everyone is in bed, and am good for another week or so.
My dear sweet friend and neighbor brought me a big bag of goodies from Whole Foods – sushi, gruyere cheese, fresh bread, hummus, a ready-to-cook meatloaf, fresh asparagus, a slice of carrot cake, cookies for the kids, and a bouquet of sunflowers. Then my dear husband walked in about a half hour later from work with a fifth of gin and diet tonic. So there are things and people (and distilleries) to be thankful for too!
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