New here - my mum

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Hi all,

im so glad to have found this space and thank you so much for all that you each contribute.

I wish I could say I’m coming in with a positive story. However my mum is currently at home in a hospital bed under palliative care.

she called us in July and said she had all of the markers for bowel cancer. After months of tests and worry… we saw her instantly lose her appetite and drop stones of weight… eventually she was told it was a large tumour in her colon with lesions on her liver. Her words to us were that this was totally curable and they weren’t concerned with her liver.

treatment plan was one round of chemo to shrink the tumour and then surgery.

she has only ever managed one session of chemo due to how weak she is. She’s been on steroids for most of the past 6 months.

in early January she needed a blood transfusion. A couple of weeks later she began having excruciating pain in her groin. She was rushed to hospital where they drained an abscess and then remained in for over two weeks.

Prior to her hospital stay she wouldn’t let any of us (myself and two younger brother) ask any questions or offer any support. She went to appointments on her own and delivered snippets of information as and when so I really don’t know many of the details other than what I have shared.

her husband called me to say that her oncologist had “pulled sole strings” to arrange a hospital bed to be delivered I home and three care visits per day so that she could go home. She kept saying she couldn’t recover in hospital.

She came home a week ago. I was there to welcome her and made her room as lovely as I could. She was so happy to be home and kept saying how comfy the bed was (she’s entirely bed bound and can’t readjust her own position due to how weak she is).

Her husband asked me to look through the medicine bag that came home with her. I laid it all out and then started reading the instructions. That’s when I found her discharge summary.

DVT, fractured fibula, fractured metatarsal, metastatic bowel cancer with liver mets. Sepsis.

The note read: CT scan showed progression of cancer. Discussed with (my mum) & husband and agreed discharge to home for palliative care. No further treatment.

This was such a shock despite being able to see how unwell she clearly was. Now even a week later my brothers and I still don’t have a clear picture on her cancer situation, whether it ever actually was treatable in the first place and now the wound from her abscess drain is severely infected and the hospice nurse called me last night to prepare me that if the antibiotics don’t work they will want to discuss management of symptoms.

o asked mums husband to ask the oncology team to xall Me. He later called and said they had called him and without a signed consent (which mum isn’t fit for) they can’t speak to me. They then went on to tell him that they will bring her in in 2-3 weeks and plan for chemo to Improve her quality of life and extend it “drastically”. Which just sounds ludicrous to me when she hasn’t yet been fot enough for more than one session of chemo and that’s why we’re in this situation. It felt like they gave him false hope. They also said they will send in a physio within the next 7 days to start getting her back on her feet - she’s in bed with sepsis and can’t even hold her own head up.

This is for sure the hardest joirney of my life. And while of course she’s my mum…. It’s been made all the harder by the complete lack of information she was willing to share. Now she wants me to take the reins because her husband only hears what he wants to hear - and I can’t support her as I don’t have written consent.

Is any of what I’ve shared above remotely typical? Her chances of surviving this infection are slim. And… her and her husband are oblivious to the outcome we appear to be rapidly approaching. I know that hope is helpful and I don’t want to make it scarier or more painful, but I feel like I’m going crazy with the circles we are spinning in.

All I can do is focus on this infection and if she recovers from that then start to try to piece it together beyond that point. The nurse asked mum if she was to get any more poorly would she want to be taken back to hospital and she said “No”.

I realise this is a long long read so thank you if you got this far and I’ve place a lot of trust in auto correct as the text is so tiny I can barely see it as I type.

  • Hi fbd79

    Im so sorry to read this, it sounds like you are in a very very hard position. How old is your mum?

    From Reading your post it sounds as though your mum either didnt understand the gravity of her situation or she has been trying to protect you from the truth by under reporting the actual situation which leads you to the awful position you are now in. 

    If she is that determined for you to take the reins then somehow you need to get that written consent... does it need a witness? can someone visit the house? can she give verbal consent to her GP over the phone? 

    I hope your mum gets over her infection hurdle, so you can try to ut some things in place.

    do you know how she got the fractured fibula and metatarsal?? from a fall or something else??

    Thinking of you x

  • Hi Parky,

    Thank you so much. We have no idea on the fractures other than she had a fall a few months ago. Nobody has even mentioned it and when I asked her husband he had no idea…. Although I have to remind him daily of things that carers or nurses have said…

    mum is 68. Honestly it’s really not looking good. Given how weak she is, and how unsuccessful the chemo plan was… I really feel that if the infection is what takes her it may be saving her from more suffering. Undergoing treatment to prolong her life when there is no hope for a cure will not be her route of choice.

    We are hopeful that the hospice can prove to be a source of information. They only needed her verbal consent which she gave. Ultimately, until the infection and sepsis are cleared… it probably doesn’t even matter at this stage.

    I will want to know for my own futter what her full diagnosis was. 

    If mum is more wakeful when I arrive today I will ask her again about hospital admission preferences. She doesn’t even remember that nurse coming and yesterday was extremely confused.

    It’s like I’m desensitised to all of this right now. The fact that I can type all of this without breaking down is just surreal.

    one step at a time. However I am finding the charade of “recovery” a bit crazy making so I left mums early yesterday for a bit of a break.

    grateful to have found this space to let it all out.

    Laura x

  • Also can’t recall if I stated that mum was clear from the get go that if there was a timescale involved - she didn’t want to know.

  • Whilst 68 isnt very old, it sounds like there are many factors involved so I think you have a very realistic outlook and you will possibly need it.

    Sometimes desensitisation is a good coping mechanism and when the time is right the emotional wave will hit,  but for now look at it as the best way to  enable you to be strong for your mum.  Don't buy into the charade for yourself but maybe thats what your mum and her partner need to cope? xx

  • So many factors. I am ready for her to be free from all of this. Whatever that needs to look like.

  • Hi  

    Its so hard to say when you don’t know the full picture. I have seen my mum pretty poorly but she has come round again and I have seen what chemo can achieve from a palliative point of view but it sounds as though you just don’t know what point in the journey you are at with your mum and I feel for you both .

    My mum has currently just had multiple fractures identified up her spine , pelvis and ribs . Think it occurred last summer but this is the first scan to reveal the full extent . She suddenly was in terrible pain and could hardly move . Even positioning her in bed with strong pain relief was troublesome . Nine months later and we are seeing big improvements. She has been able to mobilise better . Still needs pain relief and sleeping the wrong way can be an issue

    The culprit was osteoporosis and a bit of a fall but nothing too dramatic at the time to cause the sudden volume of damage .

     I would make sure I am around for any conversations with GP , nurses etc . Have you got power of attorney set up for her ? If she lacks capacity you could see about getting it set up quickly . Our helpline staff could tell you better about it but it lets you be more involved in the process . Her husband can be named too .

    0808 808 0000

    take care ,

    Court 

    Helpline Number 0808 808 0000

  • Thank you Court. No power of attorney. Mum is mostly sleeping but has odd moments of lucidity. I really don’t know if she’d go for it or not. Our main aim is not to put her into distress.

    Every day has been a nightmare for her this past week. When she first came home she was so happy to be home but then the sepsis kicked in.

    she took two days of anti biotics but then started to vomit after taking them. She had two days off from them until last night the hospice nurse placed a SC line and could administer anti sickness meds and more pain relief. She has taken an anti b this morning but who knows.

    She is asleep 90% of the day now. Until yesterday when she was awake she was crying out in pain. It’s just horrendous.

    I’m taking the day off today. She had a more comfortable night but right now we have all been prepared for the inevitable. They said we would know by Friday which was this was going to go. I will go for the nurses appointment. She was lovely and very direct with mum which I think is needed right now.

    My goal if I can catch a moment of lucidity again is to verify her wishes for hospital etc. she said no but she has changed her mind on a lot of things that she has previously said no to this week and I don’t want to guess.

    Feeling very cautious to post all of this as it sounds like a horror story. 

  • Hi fbd79

    Don’t feel cautious about posting anything this is a place to talk freely without upsetting loved ones and it’s where you can get support from others 

    I read that you feel it’s surreal and that you can’t believe that you can write the words. That struck a chord in me. I was in a similar place to you years ago when my son was in a life threatening/ changing RTA. It was horrific plus I had to keep all my family updated 

    I was on autopilot. My friends said they couldn’t believe I was functioning the way I did 

    Well I had to and as long as he was around I’d be right there 

    Dark days, six months later I had him home and he was on a wheelchair it was getting close to his birthday and I broke down in floods of tears. I remember my hubby saying what’s the tears about but I couldn’t stop.

    Sending you a hug xxxxx

    Ann
     ‍Art

  • hi FBD78 - this is absolutely the place to let vent.  We've all got our stories and understand. Sending positive vibes.  X.

    Kath
    "don't think about tomorrow"

  • Hi all. 

    uodate here - it’s my mums final few hours of life Disappointed

    im sat with her and just in disbelief at how we got here.

    so grateful for your replies here, for the local hospice and that she’s at home with us beside her xxx