Glioblastoma stage 4

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Hello, I have joined this group as six weeks ago my husband was diagnosed with glioblastoma stage 4, and our lives have been turned upside down. My husband had Christmas/New Year and his 71st birthday in hospital, and we will have been married 46 years in 2 weeks. He has now been in hospital 4 weeks.

The treatment plan was to do a crainotomy to debulk as much of the tumour, and then radio/chemotherapy when he had recovered post op. Unfortunately he had a bleed a few days after the initial op and then had to have an emergency op to remove a blood clot. We have been told there is nothing more they can do as the cancer has spread to other parts of the brain, so we are looking at palliative care. I don't think my husband realises he is dying. The tumour is affecting his cognitive behaviour and he has lost his peripheral vision in his left eye.

I am now having to look at nursing homes to get the care and support he needs 24/7. He's not able to walk, has to use a sara steady to be taken to the toilet or moved to a chair, and his short term memory is really bad. It is so challenging and upsetting having to repeat myself to explain a nursing home is the best place for him to get the care and support. The information just doesn't seem to be retained, and he talks about coming home.

Has anyone else had the challenge of trying to support your loved one in these circumstances, and when they can't remember what you said the day before. 

What palliative care support have you had?  It is so cruel for my husband and for me and our family.

Has anyone had experience of the Fast Track Continuing Healthcare funding? If yes, can you top up the NHS funds to get a better nursing home?

Thank you 

  • Former Member
    Former Member

    I really feel for you…more so because you have probably given me an insight as to what is ahead for us. After a drawn out cancer pathway only to be told Christmas Eve that the cancer was Neuroendocrine, very rare, and that my husband would be referred to a Centre of Excellence elsewhere, we had his first Specialist MDT today. They now believe the  Neuroendocrine tumour started in bowel and went to liver, the biopsy of which started his change of Cancer team. However, after a fall and subsequent head scan,nthey now believe he has a second type of aggressive cancer as there is a tumour on his left front lobe! This brings me back to the first ordinary cancer team going down the primar lung cancer with mets.(Neuroendocrine doesn’t move into brain). So seems that we have come full circle and once again are waiting for someone/something to do some. Meanwhile he is getting frailer and having the problems just like your husband. 
    This terrible drawn out journe allowed me to research and research. I read one ladies account of her husband’s awful home end of life care and it made me have the dreaded conversation with my other half. We agreed that if it came to it, we would insist on hospice end of life. Presently he has been in the hospice just over two weeks..originally my request for them to sort pain out but now the are looking after him and liaising with te Cancer team. In this horrible situation, his being under hospice care is an absolute Godsend. Don’t know what would have happened without them.

    So, look up our local Palliative care team..many have websites…Download ChatGPT as better than Google when asking a question…the Palliative Care Team can ask for hospice referral and also ask many questions. They helped get Attendance Allowance too. With the help of ChatGPT I now know the ins and outs of CHC and will stand my ground when the time to ask for that comes although I’m hoping that the present Myton Hospice will carry on having my husband. 
    so,message me if you wish….there is so much info out there at a click of a button which can arm you when advocating for your husband. 
    xx

  • Former Member
    Former Member

    Sorry..answer to your top up question..yes, you can top up. According to ChatGPT…the Ai based system..you should state your preferred choice to them. I spoke to our recommended local nursing home a they said the NHS would not meet their fees in full but that we could pay the difference. Told me not to even mention ‘top up’ to the person sorting out CHC request…the home would deal with me direct, even giving me a superior room at same additional costing. 
    As husband was luckily moved back to te hospice after a dreadful 48hrs in the main hospital post his fall, I didn’t have to go for Fast track CHC…but I now know a bit more if I have to. Look on line for places near you and what the offer along with peoples feedback. Be prepared…it helps get wat you want. Don’t be fobbed off. 

  • Hi Shorty

    a warm welcome to the group. So sorry to hear about all that's been going on. Life's too cruel.

    I supported my late husband through the 3 years of his GBM4 journey and can relate all too well to what your have described, especially the cognitive issues and short term memory loss. It is beyond frustrating to be constantly repeating yourself but bear with it. Try to remember that it is the tumour talking and not your husband. 

    G was only 50 when he was diagnosed and 54 when he died so a care home was never an option for home because he was too young.  We were passed off to the local palliative care team 8 months before he died and to be honest, it was the best thing that had happened to us during the journey.  We were put in touch with the local hospice team and the community nurses and I had a local telephone number that I could call 24/7 and know that help was there. That alone lifted a huge weight off my mind as I still had G living at home. 

    I appreciate that age is a factor in your situation but it may still be worthwhile asking to be put in touch with your local hospice to see if they can support with care. The hospice team in our case wrapped their arms around us all and were so supportive. Hospice can also offer support to you eg counselling etc. It also meant that they got to know us a family and when the time came we weren't surrounded by strangers. That made a huge difference to my son and I.

    I have no personal experience of the Fast Track Continuing Healthcare funding but can I suggest that you call the MacMillan helpline as they may be able to assist.

    This is a safe and supportive space so please reach out here anytime. There's always someone about to listen who gets it, someone to hold your hand and to offer a virtual hug when its needed. You're not alone. We've got you.

    It’s always good to talk so please remember that you can also call the Macmillan Support Services on 0808 808 00 00 - most services are open 8am to 8pm, 7 days a week Clicking here to see what is available. This service provides lots of cancer information, emotional support, benefit and financial guidance or just a listening ear.

    for now though I'm sending you a huge virtual hug and lots of patience.

    love n hugs

    Wee Me xx

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • Thank you Wee Me for responding to my message.

    It's been an overwhelming day talking with the discharge team again about nursing home options via the CHC, and to try widening the area for a home, and also consider other options, e.g. care for him at home which I'm not sure I have the mental strength to do. I don’t want him to die at home either as the thought terrifies me with the lasting memory in my safe space.

    I am also trying to speak with the palliative care team which I'm hoping will be tomorrow to get support for my husband and me. I'm not sure if he remembers being told it is palliative care as the doctors can't help anymore. I and my family have been trying to protect him and avoiding the word 'dying' but the nurse in charge of him today felt he should be told but obviously in a delicate way. 

    It sounds like I need to contact our local hospice as well for advice and support.

  • Thank you for your response and useful info. 

    It sounds like you are going through a horrendous journey. Life can be so cruel!

    I'm hoping to speak to the palliative care team tomorrow. May be I need to contact our local hospice for advice and support.

    My daughter uses ChatGPT so I could get her help to ask questions. 

  • Former Member
    Former Member in reply to Shorty

    Get daughter to type in your question and let you have the answer…it is amazing and will send you in the right direction. Good luck tomorrow. 

  • Former Member
    Former Member in reply to Shorty

    My husband never got his cancer staged as the Neuroendocrine MDT said he must have a second aggressive cancer that had gone into front left brain..something not likely to be connected to the Neuroendocrine cancer which they expected to be able to manage. So no staging, no clue as to second cancer, no treatment ..just supportive by the Hospice for whom we are eternally grateful. Although he can’t stay in hospice long term he is being looked after there with so far no discharge discussed. I fear that his time is limited and this is probably why the Hospice are being so accommodating..thank God! The house is a lonely quiet place without him but at least we know he is in the best caring place. x

  • Sending love and light and hugs. Hospice nurses are angels in disguise. I'm sure they're taking the best care of him 

    Wee Me xx

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm