Feeling so much guilt over mum’s passing

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Hey everyone,

my mum was diagnosed with SCLC 5 months ago and she unfortunately passed away over the weekend. Her cancer initially responded to the chemotherapy really well and she got through her treatment without any serious side effects. However, once she started immunotherapy her health started going downhill pretty quickly. Over the course of a month she started throwing up every day, picking up infection after infection and sleeping constantly. She got to a point where she was basically bed bound and would only wake up to either throw up or take her medication. It was heartbreaking to see her deteriorate so quickly after having such a successful start to her treatment. Going from having little family days out to her spending all day in bed was a difficult but mostly expected transition. It’s just that none of us expected we would hit that point as quickly as we did  

She ended up being hospitalised after a really scary night that ended with an ambulance call. There we found out that the cancer was growing again and not responding to the immunotherapy at all. Her condition only continued deteriorating while hospitalised, and they eventually made the decision to stop her treatment and focus on keeping her comfortable. Her wishes were made very clear from the start and that was that she wanted to be home, so arrangements started being made. My sister and I rushed out of the hospital early that day to move furniture at home to make space for the hospital bed as she couldn’t be discharged until that was in place. While we were making those arrangements, we got the call to come back in immediately because she deteriorated even further. 

We were asked to make a very difficult decision in the hospital that day. The doctors told us that moving her in the condition she was in could cause a lot of stress to her body and possibly prevent her from making it home. We had to decide whether to go against her wishes and keep her comfortable in hospital, or go with her wishes and run the risk of losing her before she made it home. We eventually decided to keep her there but knowing we went against her wishes is such a difficult thing to come to terms with. We couldn’t talk to her about it either because she was mostly unresponsive by that point. I just keep breaking because I feel like I let her down for not doing what she wanted. I wouldn’t have forgiven myself if she passed in transit but that’s more about my feelings and not hers. Everything just went downhill so quickly and so unexpectedly that none of us had any real time to think about things. I don’t really know how to deal with it all

Sorry for the long dump of text. 

  • I'm so sorry to hear of your loss, please accept my condolences.

    I had to reply, because I understand how you feel about going against your mum's wishes.

    There were things that my dad didn't want, but ultimately we have to do what's best for them and can only be advised and guided by medical staff.

    Nobody would want their loved one to die while in transit,  that would have been more harrowing  I suspect. 

    My dad died in a hospice on 6 October.  It's his funeral tomorrow. 

    He wanted to be in the hospice,  we'd discussed it all, but during his last couple of days he was desperate to go home. That wasn't possible,  but I felt so wicked telling him he couldn't.  As it was,  dad was mostly unresponsive for his last two days, and probably wasn't aware of where he was.

    Sorry, I'm rambling!

    1. Just wanted to say that you did what was best for your mum, and she'll know that. X
  • We're currently in a very similar position. I spoke to a nurse today because I'm now having doubts that he's going to survive long enough to get him home next week. He was stable when the decision was made to take him home. 

    She said that whatever happens is okay, and said that his comfort is all that matters. I think the worst thing about being a patient in hospital is the constant disturbances and a lot of people don't get rest in hospital.

    But since my dad is longer getting treatment I've already noticed how much more peaceful he is. You did what was the option at the time. 

  • It sounds like you and your sister did everything you could to honor her wishes and keep her comfortable, even when faced with impossible decisions. The love and care you showed her in those last moments is clear, and I'm sure she knew how much you were there for her.