Help!

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Morning everyone from a wet, damp but relatively mild Walton Le Dale. Last year our Sister in Law was diagnosed with pancreatic cancer. She underwent an operation called the Wipple Procedure which basically removes part of the pancreas, bile ducts and gall bladder. This major operation lasts 6-7 hours. She had a recovery period for a few months where she lost weight and her hair and became rather fatigued and frail. For the last 3-4 months she has been undergoing chemotherapy treatment  via a PICC line. This treatment has often been interrupted because of low white cell counts. Her appetite is severely diminished albeit the dieticians advice to build her up with calories- cream, butter etc is being followed. What we are concerned about is her cognitive health. She appears at times very confused and her memory attention is poor. Often in a short conversations she will forget simple details. Her husband and family appear rather oblivious and puts it down to the chemotherapy. We are very worried. Our Sister in law is now 73 and before her diagnosis was fit and active. Has anyone who has had major surgery and/ or chemotherapy experienced the same or had family or friends who experienced cognitive complications? Should we insist her condition is highlighted to her GP or consultant? We would appreciate your comments. Garviv

  • Hi Garviv,I’m sorry to hear about your sister-in-law.I know if I was in your situation I would mention it to the GP or consultant.It may well be chemo brain fog but it won’t hurt to check to make sure nothing else is going on.My late mum had dementia and it was my partner John who first picked up on some differences in mum.Perhaps you could write down any changes you have observed ? Love Jane x

  • Thanks Jane. Good advice. Garviv

  • It must be a worry.It’s upsetting to watch anyone who is struggling with cognitive ability.

  • Hi Garviv and so sorry to hear this. Well done for being willing to tackle what the poor nearest are being ostriches about.

    As I understand it, all general anaesthetics take a toll on the brain. For someone with full function, this won't be noticeable. But if the lady was already without it being apparent, on the edge of enough-brain-left, it could have tipped her into the state you have noticed. Especially such a long one.  Better addressed than left. There may be little to do but some medications can slow the progress of some types of dementia. If you don't ask you won't get, as my dad used to say.

    let us know what happens, best, Denby

  • Thank you so much Denby. You always give great advice. Garviv

  • Hi Garev from a never ending wet Penwortham, I experienced cognitive problems which were worsened during surgery and after chemo, I already had CFS before bladder cancer which affects cognitive impairment with brain fog, after surgery and a 5 week hospital admission was a lot worse with memory, word finding ect, a year later my whole stay is very vague on memory though I was on morphine for 4 weeks, was put on chemo via PICC line but only managed one boute due to infection and sepsis which caused another hospital admission and stopping my chemo treatment, my advice would be talk to the cancer care team as it is known for chemotherapy to cause a side effect called “chemo brain,” a type of brain fog, other treatment such as steroids can also worsen memory, the lack of red blood cells wouldn't be helping either hence the dietary needs for her, also with what she has been through depression and anxiety will of had an affect and can cause brain fog, the cancer care team should be able to transfer her to any department much quicker than the GP, hope this helps a little, best of luck for her.