Brother has terminal bowel cancer

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Hi everyone, apologies in advance for what will be a long post. I’m new here. My brother was diagnosed in March with terminal bowel cancer and as he is single I’m his next of kin and carer.  It’s been a bit of a roller coaster ride as everyone going through cancer says, but I’m struggling to take it all in, so hope you don’t mind if I offload a bit on here. 

My brother is 69 and has been a fit and healthy person all of his life and even a couple of weeks before the diagnosis he was moving railway sleepers around in my garden single handed. In mid February he started to feel breathless and looked the colour of putty. He had an annual review due with the nurse at the GP surgery and booked a call in with the GP just before it to mention the other symptoms. The GP told him he’d get the nurse to take some extra bloods and would send him up to A&E for a chest x-ray.  When we got to A&E they were horrified at the GP and promptly kept him in for four days. He was severely anaemic, so received a blood transfusion and an iron infusion.  He also had a camera down into his stomach which at the time they said was clear.  He was released on the Thursday and was called in on the following Sunday for a colonoscopy.  I was called after the procedure and asked to come and collect him.  When I arrived at the hospital they asked me to come through to the room he was in and the doctor would come and speak to us. I knew then it wasn’t good news.  The ‘room’ was a store cupboard and there was my poor brother sitting amongst boxes of PPE items waiting for a doctor to come and speak to us. 

When the doctor arrived he told us that he had found something and that he was 99% certain it was cancer.  We were sent off home with a Macmillan leaflet and news that things would ‘move fast now’. We then met with the consultant on the following Friday who told us that the tumour was in the colon, it had spread to the wall of the stomach, there are nodules on his liver and his lymph glands are enlarged. Surgery is not an option but he would hand us over to the oncologist who would look to give him chemo.

the following Friday we met with the oncologist who pulled no punches and said, we can do three things

1. Nothing, in which case you may live to summer

2. Give you medium chemo

3. Give you aggressive chemo.

as the cancer is aggressive form, he suggested he go for the aggressive chemo, but he emphasised that he was treating my brother and not the cancer as the cancer is going to win.

talk about punch to the stomach. I know that they can’t sugar coat things but this was like being hit by a train. 

My brother has gone foe the aggressive chemo, and his first session was five weeks ago- it went really well, no real side affects and I was feeling quite good about it. The second session was a different ball game. He’d barely been home two hours and his temperature was over 38, so after calling the helpline we took him back into A&E and he was in for another three days. They couldn’t find infection, so thought it was a reaction to the chemo.  Since then his bowel movements have become frequent to say the least and he moves between tablets to relieve constipation and tablets to relieve diarrhoea.  His energy levels are all over and he’s gone from being a very active person to one who just sits in a chair and watches tv or sleeps. The oncologist had said the chemo was to give him a better quality of life, but at the moment I don’t see any improvement at all.

He’s back into today for session three and it’s already over running, and when I called him to check he was ok he told me there’s too much to tell me on the phone, so of course I’m now panicking that something’s wrong.

I’m trying hard to find positives in all of this and I must admit I’m struggling. I’m feeling guilty if I try to do anything on a personal level re my own life and it’s hard to switch off if I do.  The oncologist wants to do another scan after four session instead of six (which was before the reaction to number two) and I’m dreading the result of that.

life at the moment seems to be like a pin ball machine being pushed from one decision to another and ones which feel totally out of our control.

Im sorry for such a long post, thanks for reading this far. 

  • Hi 

    Welcome to the forum ! I am glad you came here and connected with us . Your health and coping mechanisms matter and the more you take care of yourself the better position you will be in to assist your brother .

    Your post could have been written by myself twelve years ago . My mum and I were re landscaping her garden and pushing wheelbarrows of stones around . Unknown to us she had a bowel tumour which had spread to her liver ! The surgeon gently broke the news to us in a compassionate manner but the meeting with her first oncologist was completely dismantling. Brutal to be honest ! Her first was a none starter but the second knocked her for six ! However third and four were more manageable. You can read her full story by clicking on my user name ! The whole bracing yourself for more bad news is understandable but it could just be issues within the unit .

    We too got similar analogies of winning battles but losing  wars ! However we preferred to consider it a chronic condition which now required input from her team to sustain her  despite a difficult diagnosis. My mum largely dismissed prognosis as it did not sit too well with her frame of reference but was open to working with her team and focusing on her well being . This was a better fit for her !

    Was there a shortage of consulting rooms ? I know things are different just now in the NHS but that sounds desperate ! Poor guy !

    One thing to remember chemo can be adjusted if it intolerable. His team will assist him . The other thing I learnt about my mum’s first oncologist who she did in fact grow to like . Although he was abrupt he was also quite good at his job and managed her medication well ! He is now in pharmaceutical companies heading up trial ! We are counting on him !! 
    We also trusted him when he said their was significant shrinkage as we knew he did not sugarcoat anything !! Saying that the oncologist she had laterally was full of compassion and wise clinical decisions so I think that’s easier on the patient in my humble opinion.

    You really do need to give yourself full permission to enjoy aspects of your own life in the  knowledge he has your total support and love ! Otherwise it becomes difficult to sustain.

    I remember well the feeling of bewilderment and wondering what wrong concern we turned up as my dad had a stroke two weeks before my mum’s surprise diagnosis and my kids were small . I moved them in for six months ! I just want to encourage you to think about taking it on a daily based . I used to get up in the morning and think what was required of me today ! Not tomorrow as I knew I would burn out quickly !

    I also just want to say we are here for you . We also have carer groups of that’s any use to you but you might find the information here about chemo beneficial and help you be prepared for some of the issues your brother might encounter.

    Coming here helped me draw strength and support . I hope it does the same for you .

    Court 

    Helpline Number 0808 808 0000

  • Hi Court,

    thank you so much for that lovely response, it’s helped me more than you’ll know.  He’s home from chemo now and they decided to give him one of the courses over three hours instead of two to see if that would help with his reaction, so fingers crossed.

    I’m not sure about the meeting room when we were given his results and it’s not a complaint against any of the team as they couldn’t be any better, it’s so sad that our wonderful NHS is so strapped for cash that this is what they have to resort to.

    ill be sure to come on here regularly and I hope if at all possible I can be of help to anyone who need it.

    thanks

    Rubyroo14

  • Great to hear he is home . My mum got a slower infusion too and it does help !

    Another one done and hopefully shrinking the tumours already !

    The NHS has been pressed from all sides for sure this year . 
    Glad it helped you and feel free to join in any time you need .

    Take care ,

    Court 

    Helpline Number 0808 808 0000