My mum has recently been diagnosed with lung cancer, with brain and renal mets. She’s 73 and lives at home alone. I live 100 miles away. She was expecting to have radiotherapy on the two brain tumours last week in Liverpool but unfortunately as further tumours have been found on MRI, this was cancelled. She now needs to consider full brain radiotherapy. Her local hospital in wales can do this. Chemo is also available to treat the other cancers elsewhere renal, lung and possibly pelvis). Her first oncology appointment at her local hospital is tomorrow and I’d really like to get myself prepared with what questions I need to ask. My main concern is - knowing that this is terminal, is quality of life going to be compromised? The treatment may extend her life a short time but are the side effects going to be unbearable for her.
she’s been struggling to swallow for the last 2weeks due to oral thrush. It’s been horrendous for her. She’s lost weight. Whilst this is now improving, she’s starting to feel pain around her back/shoulders. She has tramadol which she’s doubled the dose and is trying to hold off taking oromorph, but it’s only a matter of time before she’ll need it.
in terms of local support for her, I’ve been off work this week to help get things in place. She’s now under the care of the palliative care team and has been referred to the hospice for day therapy.
even though I’ve worked for the NHS for 30 years, it’s really difficult being on this side. It feels like there’s an orchestra without a conductor. Everyone playing their instrument, but no one pulling it together to make it good.
Hi and a warm welcome to the Online Community and to Carers. Full brain radiotherapy can tend to have distressing side effects, I don't imagine they would want your mum to be alone. If your mum decides to go ahead with the treatment, it would be a good idea to contact the hospice to see if she could be in there for a while when you can't be there, depending on the side effects. 'Pulling it together', yes, so many people say this and it must be so frustrating. Unfortunately it's likely to be down to you to do what you can. Please do call the helpline if you need to chat, on 0808 808 0000 and speak to one of our experts.
As to whether 'the side effects are going to be unbearable'; I doubt anyone could answer this. This leaflet is about the side effects, which, as it says, can make the symptoms worse after treatment for a few weeks. You would certainly want to know what support the hospital will put in place for your mum's recovery period and, as you've worked for the NHS so long, you will know about PALS; they can be very helpful with information on what support is available in your mum's area. Please let me know if you'd like any more information.
Thinking of you,
LoobyLou
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