How do i help?

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This is going to sound like a weird start but my wife, Lucy, was diagnosed with osteoarthritis in her hip and spine Spring last year. We have medical insurance so after a short period, she had surgery to replace her hip in June. All went well and we were attending hospital for a second steroid injection for her spine when, under the very bright, very white lights of the waiting room, we spotted that she had gone yellow. You’re getting the relevance for this forum now, I guess.

To cut a long story short, she had a Whipple procedure in November to remove a pancreatic tumour and is due to start GemCap chemo next week.

The reason for my post is I need to know how best I can help her on this shitty journey. I know there’s a concept of “toxic positivity”but having a positive frame of mind helps the chances of surviving.i don’t know where the balance is, so I know I’m getting it wrong most times.

She was slim before the op but she’s still losing weight. Chemotherapy is not going to help that, but she needs fuel to fight. However, she has less stomach than she used to have and she feels full on less food than she used to.

I am a naturally restrained person. I don’t talk about my feelings but every now and then someone asks me how I’m doing and, frankly, I hate it. They ask, and I have to think about how the love of my life has, even with all this treatment, a 25% chance of not seeing 2026, or a 50% chance of dying within 5 years (Google is not your friend in there circumstances). This is mostly the only time when I struggle to keep it together and speaking becomes difficult.

I know that we have to look forward to the chemotherapy finishing and to plan positive things. I know that it is one day at a time, too. I just don’t know how to balance being ‘the rock” for Lucy to lean on with helping her with what she actually needs. She is anxious about the chemotherapy and getting more down each day. Objectively, she knows that this is so she should gran every thing the doctors advise, but objectivity is difficult when subjectively you’re bricking it about having cancer, you’re tired all the time, and you’re facing the unknown side effects of being deliberately poisoned for the next six months.

  • Hi  

    Welcome to our community, I am Steve one of the community champions here, my experience with cancer being through my wife who has Leiomyosarcoma.

    Many carers I think will recognize a lot of what you have written, I wonder however if we reversed your statistic and said the is a 50% chance of not dying within 5 years might thinks look a little bit easier. Many cancer statistics stop at 5 years because after that it become more difficult to distinguish between people dying because of cancer or dying of all the other things that might get us. 

    Janice has had two lots of chemotherapy, the first was partially successful in knocking back the cancer but cause other problems and so had to be stopped halfway through the course. After those problems were fixed however the second round of chemotherapy rendered her cancer stable and so we have been living with cancer now for over 10 years - certainly better than the alternative.

    For me what really helped was a living with less stress course. I was getting very good about worrying about a future I could not control but could imagine all sorts of disasters and it stopped be appreciating what we have. The conscious breathing exercises were great when life decides to throw us another curveball but also good for helping me relax and get some sleep.

    The second chemo Janice had was really positive with little in the way of side effects. Perhaps the trickiest part was often getting the needle in for the drip. 

    One of the positive things about the range of chemotherapy drugs is how well some of them focus on the cancer cells as much as it might impact ofher things the cancer cells get it worse.

    Do post on here whenever and remember if it helps you can talk to someone on the helpline - I have certainly mostly cried at them in the past.

    <<hugs>>

    Steve

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  • Hi  

    I have also not yet worked out the best way to navigate all this and mostly feel like I’m doing a pretty rubbish job so not sure I have any great advice! My husband was diagnosed with locally advanced rectal cancer in May last year and has been through radiotherapy and chemotherapy and will have a major operation to remove rectum, prostate and bladder next month.

    We are the opposite way around (maybe it’s a more male vs female approach?) he has always been the more positive one, prefers to not think about the future and get on with life as best he can as though none of this is happening. I on the other hand am struggling with depression and terrified of being left as a single mum to navigate both my own and my kids grief (they are 5 and 8 years old).

    The one thing I would say is that I think me and my husband have struggled with our own relationship during his treatment because we have such different ways of dealing with the situation. We didn’t talk much about emotions or the future, just the day to day logistics of hospital appointments. I’ve bottled everything up because I didn’t want to upset him and have tried to just take on as much as feasible at home to give him the time to focus on his own health. But ultimately I don’t know if this has been helpful for either of us. Keeping routines, hobbies and everyday life as normal as possible is good but try to find time to talk and listen to each other. It’s good to try and remain positive that whatever treatment you are going through will work and hold on to the fact that the goal is for this to be curative. But I also think there is a need for everyone to have the opportunity to process their emotions and rant, vent or just cry sometimes. Like you I have a tendency to look at the survival stats and we definitely don’t discuss those in our house… The kids still have no idea that daddy could die.

    On a more positive note, everyone is obviously different but overall I would say chemo was not as bad as we feared for my husband. The side effects were mostly manageable and definitely talk to your team about any side effects that are troubling her because there is usually something they can give you to help. For my husband the tiredness and after a while brain fog were the main things but he took naps when needed and even managed to keep working with somewhat reduced hours (and effectiveness!) throughout. It’s something I’ve read a lot and was definitely true in my husbands case - doing a little exercise even just going for a walk can help reduce the tiredness, even if all you feel like doing is going back to bed so that’s worth a try too.

    Good luck and hope things work out for you.