How to manage/ watch for deterioration

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Hi there. Not new to Macmillan online as originally joined over 10 years ago but new back. My husband has stage 4 kidney cancer and in the interim years I have found a lot of support via a KC specific forum, but as he deteriorates and reaches end of life I am struggling to find anyone that relates there. Hubby has deteriorated a lot over the last year and in April we were told to start getting our finances in order. He didn’t want to know a timeline but our oncologist suggested he may have less than a year. 9 months on there have been ups and downs but the last month has been hard. He has been experiencing frequent nausea and vomiting - he is sick most days (often several times), although this tends to only be bile. He has also developed a worsening chesty cough but I keep checking his temp and no fever which is reassuring - he has a partial collapse of both lungs so the risk of infection is much higher for him. 

I feel like I am living on the edge, constantly worrying about whether his symptoms are to be expected, or if they could indicate he is approaching his final weeks. I have no idea. 

For those that have been through this, what are the worrying signs I need to look out for? He has already lost so much weight, has experienced skin discolouration and fatigue, struggles to get his breath, wheezes and has a varying appetite. With the amount of symptoms he already has I’m worried that I won’t recognise the point at which we don’t have much time. 

So sorry for the vent - I am just despairing over what this year has in store he is only 35 and our daughter will be 4 next month. I appreciate this might be a little morbid, but after 9 months of feeling anxious over every little change I just feel like I need to prepare myself they only way I know how, with knowledge of what is to come. Thanks for listening.

  • Charlotte33,

    You reflect the same back to me.  Thank you for your positive and understanding comments!  Time … like those mornings when I‘ve been up for hours and I never get even a spit of tea until 11:30 or later … 

  • Sometimes it’s just helpful to know you aren’t alone. Tomorrow is a new day…hoping for it to ease a little for us both xx

  • Indeed … I am glad to know that you are listening/reading my posts!  Now tomorrow, a new day … one significant interruption overnight but fairly good night.  I got up, made a pot of tea … then he called, needing several things, all reasonable of course.  I took his temp … still elevated.  I said he needed to take paracetamol.  He refused, saying they made him ill, that he was fine, that he wasn‘t going to see anybody, that he just wanted to get outside for a walk today ….  I left the pills (including paracetamol) at his bedside.  He refused, but eventually when I wasn‘t there, he took all his pills … whew.  Now he is up and has showered himself … a new day, new opportunities ….  Take care, my dear friend.

  • That’s fab, so promising he managed to get up and washed :) and great he took the meds. Hoping the day continues to improve for you x

  • Actually we got out … midday but we were out.  He did not get out of the car or walk.  He drank a little and ate very little.  Unfortunately he was very sick.  He told me to stop, he opened the door to be sick.  As you can imagine, it was all over, over Hingis left side, the car, the seat.  He was so sick, very sad.  So I had to get him home.  He was sick along the way, I had to stop a few times, not necessarily for him to be sick but he needed the car to stop.  It took a while before he could get from car to house.  Then I had to try to settle him, clean, clean the car, tried to minimize any trails and collect soiled clothing, pre-wash/rinse them in shower … well the car needed a bit of cleaning so at least that‘s a plus.  He was sitting on sofa.  Now he has gone to bed.  I just now sat down … to „“relax“?  Still got to get laundry started and ultimately get some food.  I have always had a issue with my weight, chubby little kid … now I‘ve lost weight and I don‘t need to … I am lighter than I can even remember.  I do eat but I think I am burning a lot more energy these days.

  • Oh lovely, that sounds tough. We had a similar day on Christmas Day, he was determined to make the trip in the car to his mums 30mins away but we had to take a bag in the car and he was being sick along the way :( he hasn't left the house since Boxing Day now, apart from going to and from hospital when he was an inpatient. I hope you managed to have a rest last night. We have the district nurse coming today to flush his PICC line, change dressings etc, it will be nice to see a medical professional and get some reassurance. I hope you have a better week. I have been losing weight (and sleep) too, despite still eating. The stress diet is the worst kind xx

  • Thanks for writing!  Your message brightened my morning.  I‘ve had lots of tears and stress before and then starting up again when he got up to go to toilet and fell flat on his face.  It is heartbreaking and disturbing to see him struggle and fail like this.  He is losing control over basic things.  From my selfish standpoint, I wonder how I can manage this; however, thinking of options, there are no viable ones.  I certainly cannot pack him up and send him to some care place.  My husband, ill tempered as he still is, is ever determined to keep on going despite struggles.  He‘s talking of our outing today.  NOW I now to take a car sickness bag with us!!!  It sounds like you are having some tough times … discouraging that he has been housebound for weeks.  I‘m glad to hear that you have some professional help coming by today.  Also, interesting that you too are on stress diet.  Even though I eat, so often my stomach feels so unsettled.

  • Oh that sounds awful. Can you get some help? We have some equipment now (bed, riser recliner chair, commode etc) - it sounds like it might be helpful for you? We also have a carer that comes daily to help with his washing etc - could you look into that? 

    it definitely sounds like a lot of stress on you :( 

  • I hope you don’t mind me jumping in to your conversation. But I wanted to send you my best wishes as I am kind of living the same life as you and know how it feels!

  • I hope you don't mind me jumping in too!

    Sending you all so much love and strength. Having been where you have been, my only advice is to get as much support as possible from various agencies. I couldn't have done it without them as Mum wanted to be at home (Specialist Nurse from the hospice, district nurse, carers, home visits from Mum's doctor, hospice carers at night time). 

    I'm so sorry you are going through this x