My Dad currently 89, noticed some blood in his wee about a year ago. Doctor sent him off to specialists and cut a long story short they also found he had an aneurysm so possibly not a good idea to operate.
Fast forward 12-18m and he has now twice been to hospital for deranged bloods, he had a transfusion the first time not sure what they did this time but they tried to insert a catheter on a local but this failed. Below when it says “family” it wasnt me or my brother but his elderly wife (not my mum) and her daughter in law.
the document he came home with said:
Clinical Summary
Mr my dad presented to the hospital with deranged bloods taken at sm local Hospital by the renal team
PM: Bladder cancer, known R hydronephrosis, CKD, large AAA
On admission,eGFR 10(20) creatinine 409 (240), magnesium <0.2, Calcium 1.51, Hb 85
Asymptomatic of all symptoms. still passing some urine naturally
US renal showed extensive bilateral hydronephrosis
Reviewed by urology - Mr “my dad” declined nephrostomies, urology informed him this would mean for palliative care Converstation with Mr “my dad” and his family, informed them that he likely has weeks only to live, although as he is passing urine this may not be accurate. Mr “my dad” had thought he would still have 2-3 years remaining
Referral made to local palliative care hospice for follow up at home
Unfortunately due to workload palliative team unable to review as an inpatient
Magnesium replaced intravenously
Advised Mr “my dad” not for routine blood tests unless symptomatic and able to treat underlying cause of symptoms such as hyperkalaemia
Reviewed by therapies team prior to discharge
so i get why he doesn't want to risk further invasive surgery, but is it right they will not help him further as they have been doing before? Currently he is at home and baring going to the toilet often he is in amazing shape and spirits. He says he is not ready to chuck in the towel… any thoughts or advice would be massively appreciated.
