MRI shows a ‘marked improvement’ and responding to treatment

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My husband is now 9 months since his gbm4 was excised. He suffered a stroke but was managing in a wheelchair until November when he developed severe back pain and has been in bed ever since. I spoke to the pain management nurse this evening and she read to me the comments regarding his mri scan from December prior to a telephone consultation on Thursday with his neurosurgeon. 

The report says there has been a marked improvement in the tumour and he is responding to treatment yet he is in pain, very confused, his heart rate is 100+ bpm and is only able to get on to his commode with the help of two carers and myself. 

He takes dexomethasone each morning-2mg- and other than pain relief and meds to help him poo, he doesn’t have any other treatment. As a family we notice changes eg his voice has altered, he is very emotional.

is this him getting worse or is he going to show some improvement?

  • Hi Jacqui79,

    I am so sorry to hear your husband is so poorly. 

    My husband was given stronger cortisone when he was in more pain or had less movement in his arm and leg. 

    2mg  dexamethasone sounds quite low. The Dr and palliative cares nurses would up the dose to 12mg, then 8mg and downwards when he was bad 

    . He had to take Septrin as his defences were lower and he was on cortisone for several months 

    It helped the pain but does make you more emotional so he didn't like them but I see in retrospect it kept some symptoms at bay. 

    I had an older friend who had more experience of cancer and she said whatever happens a person with cancer should not need to suffer pain as there is medication to help.

    Can you get any home visit from the Dr or nurse so they can advise?

    I think it's all so complex as there is the tumour and surrounding area which if swollen also complicates so could be a reason why your husband isn't visibly any better even though they say the tumour is responding

    I hope you can get some home medical visit soon for more support as I am just commenting from  our experience and I am. not a Dr.

    (Details of my husband's illness experience are in my profile.) 

  • Hi Jacqui70

    sorry to hear about all that you are going through. Your husband's CNS or doctor would be the one best placed to advise on how this are going. Everyone here is unique and these tumours impact people in so many different ways.

    My husband was diagnosed with his GBM4 in Sept 2020 and things remained fairly stable until Sept this year when a new growth area was identified. When we saw the oncologist in Nov, it was actually two new active tumour areas plus two potential areas. I asked him what I needed to watch out for and he said  fatigue and physical weakness on the one side (in my husband's case the right) plus the usual nausea, headaches and seizures.

    if you can't speak to the CNS perhaps you can reach out via your GP for further guidance. There is also the Ask an Expert section on here and the helpline for further support.

    Hope you get some reassurances soon. This is a scary emotional rollercoaster ride.

    Please take care of yourself too here. 

    love n hugs

    Wee Me xx

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

  • Thank you. You’re right. This whole situation is complex and relentless. 

  • Thank you. I will contact the helpline tomorrow and hopefully they can explain the contradiction  between the scan and how he is feeling