My dad's high grade diffuse b cell lymphoma

FormerMember
FormerMember
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Hi everyone,

my dad is 70 years old and has recently been diagnosed with ' high grade non-hodgkins diffuse b cell lymphoma'.  He also has schizophrenia and anxiety and depression and lives alone.  He doesn't want to go to any support groups and is a virtual recluse. He has been referred to a palliative care nurse and a macmillan nurse and also has a CPN.  My brother see's him once a week and is his paid carer.   He was told by the consultant that there is only a possibility that chemo would work and my dad refuses this treatment as he says it is a 'shot in the dark' and that he 'does not want toxins pumped into my body'.  Unfortunately he has friends that had a lot of side effects from chemotherapy and thus refuses treatment.  

As far as we know, there are no tumours and he thinks it is confined to the lymph gland, that has recently been removed. The consultant told him that he has a year to live if he doesn't have chemo.  However, the GP has said it is slow growing and he may well have a lot longer than that.  He dosn't know how much treatment he would need and for how long as he wouldn't discuss the options.  

I live 300 miles away from my dad and am a single parent to 2 young children, thus I can't spend time with him like I would like to.  

I am attending a lymphoma support group next mth and would like to hear other people's stories, positive and negative and different treatment options so that I can get a better idea of the condition, although I realise that everyone has a different journey.  

Thank you so much x

  • Well done finding us, I will leave it open for some of the others to come along and give you some help as you have seen what I told you on your other post in the Carers Only Group xx

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • Hi, and welcome I had dlbc stage 4b ten years ago, I had 8 rounds of chemo its Called RCHOP21 and is given via a cannula directly into the blood as DLBC is a blood cancer that's why treatment is needed as taking the node away does not clear the body of the cancer. Think of it as a liquid cancer as opposed to what most people know which is solid tumour cancers, the lymphoma can pop up anywhere the blood goes so hence the treatment.

    70 is not old to receive treatment and some people do suffer with some side effects, but not everyone does and fatigue is the main one rather than sickness as the drugs these days manage that well.

    So the will be no tumours the may be enlarged lymph nodes or extra nodal masses when it grows elsewhere in the body so it may be someone needs to explain lymphoma to him so he understands it different. As for how aggressive it is the pathologist should be able to give an indication but dlbc is seen as a faster growing type and if the GP is saying its slow growing I would ask why he thinks that and if your dad has not seen a haematologist he needs to and based on what I understand I would say the consultant is closer to being right rather than the GP, but the is a but, no one can ever say how long a cancer patient has as each person is different and their disease is unique to them.

    Its your dads decision at the end of the day but the is every chance treatment will cure him, 10 years ago the stats said I had only a 29% chance of making 5 years and here I am 10 years down the road and the stats are now say over 50% of people will make 5 years and the stats are always 5 years out of date. So his diagnosis is no death sentence. 

    Hence the advice for him to talk to a haematologist as they are blood cancer specialists and will be able to explain this and more to him.

    here are some links to help you understand the disease.

    https://bloodwise.org.uk/info-support/blood-cancer

    https://lymphoma-action.org.uk/types-lymphoma-non-hodgkin-lymphoma/diffuse-large-b-cell-lymphoma

    the last one is fro a small charity that specialises in lymphoma.

    any questions just ask

    John 

    we all know this is a roller coaster ride, where we ride blind, never knowing where the highs and lows are
  • Good morning from a rather damp Inverness and I see some great information and support from John.

    Most of the folks on this group will most likely not have the first hand experience with regards to how to deal with your dad. But as John says, blood cancer treatment is rather different from other cancers like prostate, bowel etc so your dad's mental picture of what this could be like has been tainted by 'other' folks stories.

    Talking with a Haematologists would help, ensuring that they understand the issues your dad is having. As with John, I have meet many folks in their 70s who have went through treatment and are doing great.

    Keep thinking this through, you may want to put a post to our Nurse Team in our ‘Ask an Expert’ section as they may have some suggestions as to how you can move this in a positive way.

    ((hugs))

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • FormerMember
    FormerMember in reply to johnr

    Hi John,

    thank you so much for this information.  I am also going to speak to a Macmillan nurse via the support line and go to a lymphoma support group in Sept.  My dad doesn't go online and won't go to a support group, but he has support of the Macmillan nurse and palliative care nurse and GP.  He has had a consultation from a haematologist but as he has refused treatment, he has been disharged from that team.  

    I am printing off yours and the Highlander's excellent advice and experience as I appreciate that people living with a condition take notice of their peers more than family, friends or even experts on alot of occasions.  It is you that are going through it at the same time afterall.  Mental health conditions put a damper on everything as people think the negative of everything and like the Highlander says, it is in my dad's mind that he has a barrier to having treatment and the anxiety prevents him trying it and the depression makes him feel like giving up.  

    I agree that these days the drug treatments have come on in leaps and bounds.  My aunt aged 73 has had terminal lung cancer for 2 years, however the treatment is giving her alot longer time of being healthy and spending time with her family and she is still positive and enjoying life.

    The websites are great too, thank you so much and I expect your family are so proud of you.

    Best wishes,

    Nena 

  • FormerMember
    FormerMember in reply to Thehighlander

    Thank you so much for your help.  Please see my reply to John.  I am printing off your replies and posting them to my dad.  I will keep in touch to keep you posted as to any developments with my dad's decisions (fingers crossed)

    xx

  • FormerMember
    FormerMember in reply to Thehighlander

    Thank you so much for your help.  Please see my reply to John.  I am printing off your replies and posting them to my dad.  I will keep in touch to keep you posted as to any developments with my dad's decisions (fingers crossed)

    xx

  • FormerMember
    FormerMember

    Hi,  nmp.

    i was diagnosed with Diffuse large B-cell lymphoma stage 4 ( there is no stage 5) on 29th November 2018 at 60. I have had so many health problems and serious infections that my 21 day R-Chop cycle was more like one does here on 4weeks later or 5 or 6 or even 7. We endured and instead of 6 rounds l ended up having 8. I lost my hair but it will grow it has already started! I had no other side effects except for fatigue Which literally flawed me at times. I won’t deny it was hard as l have pre-existing health problems but with the support of a great team of nurses,an amazing haematologist I am pleased to say after a pet scan on 6 th and l got a call on the 12 August 2019 to say l have absolutely no Lymphoma not one little lymph node is enlarged. There is a fly in my ointment they found a nose in my lung but it is not metastasis it is something that has appeared within 12 weeks between two pet scans. If it is cancer it will be very early stage and we can nip it in the bud! I have family children grandchildren a mum who gardens at 83 l have no intention of just sitting back and letting what happens happen. Ask your dad to Fight as today they can kill the bugger with amazing drugs that can and often doo give you a second chance and for me that is something worth fighting for! 

    I hope your dad is as lucky as I am and comes through this. 

    Hugs

    Sue 

  • Hi Sue, great update and congratulations on the clear scan.

    After my second Stem Cell Transplant I had a node appear in my lung but it was checked out and is all ok so let’s look for your node to be ok.

    I do like your outlook and you aim to overtake your mum. My mum is just about to turn 90, still in her own house and yes, still does the garden.

    If we don’t plan to succeed we plan to fail xx

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • FormerMember
    FormerMember in reply to Thehighlander

    Thanks Highlander, wow your mum sounds amazing just like mine they don’t seem to make em that way anymore! Me? I am a fighter, stubborn and determined. If l say l will, l will I have plans, my garden needs to be dealt with it’s in total disarray. The sun and rain have provided a breeding ground for giant nettles and sticky buds! My apples need harvesting and the tree pruning. So yes l have every intention in following in my mums foot steps. I do believe if we set goals plan for the future invest in it we are more determined to get there! I will deal with whatever comes next in the same way l have done all my life head on, gather information educate myself and go for gold! One thing is for sure Cancer WILL NOT DEFINE me. l am Sue a mum, sister, aunt, widow and friend. Xxx

  • Totally agree, these 80/90 somethings are amazing and the mould was broken.

    We will go down to see her today, stay overnight and come home tomorrow - it’s a 5hr round trip but it’s along the Moray Coastline so most likely see all the Dolphins and stop at Cullen for the best Cullen Skink ever...... you may have to Google that one lol.

    We have part of Culloden Forest over our back fence so it a fight to keep it from encroaching into our garden but on the whole we are keeping it under control........ the great thing is we do have deer coming past every week so the granddaughters love it.

    We can actually walk from the back of our house though the forest and arrive on the very atmospheric Culloden Battlefield where the famous 1746 battle happened. 

    Just last night my wife was making a comment that our kitchen is now 20 years old so I see a project coming round the corner.

    Take care and keep on keeping on.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

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