Trying to deal with a recent terminal diagnosis for my amazing dad. How on earth do I navigate this?

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I guess this a place none of us want to be. 

I’m sat in my garden crying trying to process recent information of my dad having a terminal prognosis of adeinocarcinoma egfr exon 19 deletion. 

It first started a couple of years ago and he was the first UK person on a global Astra Zenica trial. He was an absolute trouper and managed chemo and a partial lobectomy well. He was on osimertinib and we’ve had an amazing couple of years going on holidays and my dad playing bowls that he loves. Just perfect. 

Until the cancer returned and spread to nodes in his pleura. By Wednesday we need to decide if he wants to go on a clinical trial with Dato-DXd or just gave chemo. So much to get my head around and it has been made clear we can get treatment but it’s palliative care now. 

There is so much going on and I realise how many people are fighting their own battles, or supporting loved ones going through this. 

In summary I think it boils down to 3 questions: 

1. Has anyone got experience of Dato-DXd? Am keen to hear as it feels a risk v reward time and I don’t want my dad to unduly suffer

2. How do you help someone best deal with a terminal prognosis and get best quality of life? 

3. How on earth do people cope with all this anxiety, overthinking and just feeling overwhelmed by the future? I’m questioning everything I’ve planned, whether I need to give up my job, what the timeline looks like (it’s likely 6-12 months unless my dad responds well). Does anyone else feel guilty, worried, lost in how to best navigate thus uncertainty? 


Thanks to anyone who reads this. I know so many are having a tough time. I hope by sharing experiences we can support each other and, in turn, our loved ones. 

  • Hi  

    Welcome to our community, I hope you find it both informative and supportive.

    Sorry I have nothing to share on your first point since my wife's cancer is very different as she has Leiomyosarcoma 

    With my wife's cancer something I found out was about looking after myself if I wanted to be in the best position to look after Janice. Something that really helped me was a living with less stress course with Maggies in that it helped me to live more in the here and now rather that worrying about a black future that I had no control over. One quote I quite like on that front is "Worrying doesn't take away tomorrow's troubles; it takes away today's peace." — Randy Armstrong

    Another element in the course was on conscious breathing, this I found useful when life decides to throw us another curve ball but also in helping me relax and get some sleep. 

    <<hugs>>

    Steve

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  • Thanks for responding Steve.

    i really appreciate it and that quote is powerful and something I need to remind myself of. 

    I will look into that course. 

    Wishing you and your wife well, 

    Jayne 

  • Hello Jayne,

    I am currently navigating a middle stage of all the emotions (we've almost drained our treatment options for my mom and her health is declining but we still have some stuff we can try so I'm trying to be hopeful). We got the diagnosis a year and a half ago and it's been an up and down experience ever since. As I am reading more and more posts in here I recognise a lot of the emotions that I went through and that seems to help. Currently battling anticipational grief.

    In the earlier stages of this whole thing we used to read a book that really helped us both. It's a cliche for sure but if it doesn't help at least it won't do any harm. The book is by Louise Hay - "You can heal your life". 

    Please do share if you've found a way to cope with the feelings at home. Unfortunately we can't go outside anymore and I'm the primary carer for my mom so I have to learn to self-soothe better by myself.

    I wish you all the best with your dad. I hope treatment works better than anticipated and he is a free man of all this.

    Rada