Mixed scan results

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On Monday I had a lung CT to check out my tumors, since I am feeling OK. The doc said it's still bad news - there is cancer there that we can't treat effectively, and it is still growing - has doubled in size over the last 4 months or so. But there is also good news - the growth has been much, much slower than he was expecting, based on how fast it grew the few months prior.

I'll take it! Of course I'd hoped it had stopped completely and I was Stable Mabel, and even better would have been if it had magically disappeared. But the upshot is that I have more time than we originally thought, and I'll take it! I think the doc back in June really thought I was going to go downhill fast, though he hedged his bet because he knows how hard it is to predict (he told me at the previous appt that I probably had "weeks, months, maybe a year"). Good for him, for knowing his limitations.

I saw my GP yesterday and she said I look much better than I had the month prior, which is awesome. We also paid some attention to the other, non-cancer related medical issues I have (like I have a hyperactive thyroid, she got labs for that). I think we weren't worrying about those issues so much before, because we thought death was fairly imminent. 

And we agreed that it is not time for hospice yet. In June they had been encouraging it, I believe now because they thought I was going to go quickly. I guess in their experience people generally resist hospice because they feel like it's giving up. I've already faced reality - I will be dying sooner than I want and will do hospice when it's time - so that's not the issue for me. I don't know how hospice works for you guys, but in the US it's almost always in the home, and there are rules that go along with it - no life prolonging treatment is allowed, and the hospice medical team becomes your primary/only medical team. So if I started now I wouldn't be able to see my cancer medical team for scans, and I wouldn't be able to see my GP, whom I love. You know, before I came face to face with dying, hospice seemed like a beautiful idea. It made sense that you got a dedicated team of people specialized in helping your and your family through the dying process. But I have developed a strong relationship with my cancer medical team, especially my doctor, physician's assistant, and nurse. I have seen them regularly since 2016, they have seen my son grow from a baby to a little boy, they have met my family members when they came with me to appointments, they have done all they could to make sure I was as comfortable as I could be and had as long and good a life as possible. I trust them. I feel like they are family, and it is weird to think about not seeing them again. Like we've been on this journey together (very much overused analogy in cancer, but apt here), and as we get close to the end, they drop out. I do think it's a good thing to do hospice, but hadn't considered that aspect of it all.

Love to all...

PatriciaV

  • Thanks for the update. Every additional unexpected day is something precious and I hope you have many more special days to come.Heart

  • I don't know how it compares to the UK, but I can understand that you are not ready for that change. Keep on doing what you are doing whilst it is working for you! You may not be Stable Mable, but you are feeling ok and that is good.

    Love and best wishes 

    Sarah 

  • Well goodish news and if the growth keeps slowing then that would be even better.  Glad you are now getting longer than expected enjoy that extra time 


    Richard

    be safe, be nice, be you 

  • Thanks all. I will definitely enjoy the extra time! We are planning a camping trip in mid-October, some travel for Thanksgiving (end of November), and I'm even starting to think about Christmas.

    Patricia

  • Hello Patricia. I know what you mean about sticking with your team. I feel the same about mine. They literally brought me back from the brink and got me back home - to have a period of stability that surprised everybody - given my rubbish 'prognosis'. I feel great affection towards them all.  I had the palliative care team hovering around me in hospital, waving their Respect forms at me and sending various doctors to 'have a chat' with me to get me to sign them. And, during a morphine haze I actually did sign them. That evening, one of my surgeons came and begged me to reverse my decision. They wanted to do another surgery and if anything happened whilst I was in theatre, my signing the form would have tied their hands. So I got them to tear it up and remove it from the system.

    Since then the GP tried to get me to sign up again, but as soon as I became 'Stable Mabel' he dropped the idea and hasn't mentioned it again. I'm glad I was able to give more thought about it later, when I wasn't drugged up and had more time to consider what it actually meant. Do you have similar forms over there?

    I hope you manage to have many more happy memories and make plans for the coming festive months.  Rainie x

  • Hi Rainie,

    Hm, that doesn't sound good at all, like they were forcing something on you. We have things similar to the respect form (I had to look it up), but they are usually more one-sided, ie the patient just records what they want to have done or not have done, without any reference to the current medical situation. My wife and I have "living wills", which are legal documents delineating some of that. And I gave a copy to our hospital. I need to look at them again though. There are also DNR (do not resuscitate) orders, where you ask a doc to put in an order (like an order for any medical procedure) that no one is to resuscitate you at the facility where you get treatment.

    Aren't you supposed to be able to record your wishes on the respect form? Or is it all just agreeing to what the doctor recommends?

    When I met with my cancer team after my big bad infection episode in April-May, when they told me the scan showed more growth and there was no longer any effective treatment, the doc made a point to tell me that basically there would be no point to being on a ventilator in the ICU, on life support, now (like I had been in April/May). I was kind of taken aback, but I think what he was saying was that the infection I had in April-May was something I could recover from, but my cancer I won't, so if my cancer gets bad enough that I need life support, I probably wouldn't want it. And maybe he was saying that even if I was sick with something else treatable, the cancer was going to kill me soon anyway so I would be resuscitated just to go through the dying process. I don't want that.

    I don't know, it's got to be hard for them, because I think a majority of their patients probably put off things like the respect form and signing up for hospice, and it results in unnecessary suffering. So they want to get the patients on board. For me, the social worker was pushing hospice a bit too hard. I wish she would have laid out the pluses and minuses, like they do with treatments, and let me decide. If I started feeling worse, instead of better as I ended up doing, I would have moved on hospice.

    Patricia