Good evening everyone, sorry this is long.
Things have been going quite smoothly with my brothers treatment until yesterday. He got some encouraging news on Tuesday with his ten second telephone review, he continues to respond well to chemo. He mentioned to the oncologist that he’s having terrible trouble with his eyes and nose running constantly, the oncologist said he would speak to GP and get eye drops prescribed. He went to hospital for pre chemo bloods yesterday. At some point he mentioned that he had quite a sore mouth, no one seemed particularly bothered about it and he came home.
He later got a call telling him to come back to hospital so they could have a look. He was doing something and said no I’m not coming. He was then told “ well you have to because the doctor says” he dug his heels in and said I am not coming. The nurse than said well we can’t give you your treatment tomorrow. He says fair enough bye then. Today he has been issued with an ultimatum from his oncologist that went something like this…. If you don’t let us look at your mouth then you aren’t getting any more treatment! Of course this is his perception of the conversation which he has taken very badly, he feels like he is being treated like a child and has no faith in the team now. I absolutely know he’s not an angel, I think he had just reached his limit of what he could tolerate yesterday. I have tried to view this as objectively as I can and told him that they can’t prescribe any treatment that could potentially be harming him. The other side of me thinks where the hell has everyone’s common sense gone? To allow this to escalate this far is unnecessary. Why didn’t someone just take a bloody minute to think why is this man who is courteous, polite and thankful for everything reacting like this? My own opinion on this is that no one even knows anything about him as a person, thanks to the fact that he has only had telephone appointments since his diagnosis in September. I really wish he would go somewhere else for his treatment. No one wins when the relationship between the patient and team has broken down. I have talked him down this afternoon, he has been to let them look at him, and he’s having his treatment tomorrow. They explained that they were concerned about sepsis, if they had explained this to him yesterday, then all this extra stress and upset could have been avoided. Oh to make matters worse, he rang his go to ask if the oncologist had e mailed him about eye drops….. guess what no he hasn’t. He’s not happy at all. I am trying to hold it together.
Communication is everything really and I don’t blame him for getting weary . They could have had a look when he was there and like you said the practice has been drastically altered due to covid . Although some aspects like that could have been improved upon . A better explanation and maybe involving him in asking would it be possible to return due to their concerns etc .
Good news on him continuing to respond and very well done . You really have stood in the gap and pulled both sides together on so many occasions. What a fantastic human being you are but it does get tiring when you feel they are not working with you .
Not sure issuing ultimatums really is helpful in fostering a therapeutic relationship. . So much autonomy is removed due to the dependency on the process anyway . You try your best to restore what control they do have and respect that .
On many occasions I have been so grateful my mum’s treatment was pre covid . I really do feel for people over the last two years .
Hope you are doing ok yourself .
Court
Helpline Number 0808 808 0000
Hi Court
yes I am fine but as you said, very weary of dealing with it all. I have been back at work since January and I am slowly getting my mojo back. My brother is finding things very tough at the moment, it’s his 60th birthday this month, and we should be celebrating. He just isn’t interested in doing that. His mental health is deteriorating but the things that help maintain good mental health like exercise and healthy diet have gone out of the window. He eats rubbish and he will be lucky if he does 200 steps per day. I can’t even get him to go for some fresh air. He did manage to cut the grass in his garden over a 2 day period so I’m counting that as as some exercise and fresh air…. Small wins.
Hi Lozberry
It really does take it out of you but I am glad to hear you are back at work .
It is tough regarding the mental health aspect . So hard to encourage him when he is feeling so overwhelmed. There is only so much anyone can do and you certainly do all you can .
It was a good effort with his garden for sure and you can only hope he picks up a bit of he won’t get help for that aspect .
One step forward .
Take care ,
Courtv
Helpline Number 0808 808 0000
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