Can I vent?

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This is tough isn't it?

I know that everyone on here has so much on their plate right now that it feels wrong to go off on one, I'm only the carer and not even the one with cancer, there are so many of you far more up against it than me. But if I don't at least type it out I think I'm going to burst!

My girlfriend has glioblastoma. I met her last August 2022. She was in an abusive relationship and I tried to help her out of it after she took a beating which left her bleeding from the ears. She and her 4 small children moved in with me in January 2023 as her abusive partner was continuing to menace her and the police were all but useless at enforcing the restraining order. Sorry if that sounds like too information but its important context.

She had painful headaches since January which we assumed were a result of the bleeding on the brain but it was not until May that she was finally sent for scans. These revealed what turned out to be glioblastoma adjacent to the lesioned area. We don't know, and probably never will, whether there is a connection between the GBM and the lesion. In any case, it made the tumour inoperable and since her general health was declining fast they decided immediately to take her on a very aggressive clinical trial of brachytherapy - radioactive seeds implanted around the tumour which would be active for 4 months before being absorbed into the body.

This was an incredibly painful treatment - she described it as having mice gnawing at her brain 24x7 for months. It also produced a lot of side effects and generally debilitated her. She had to leave her job as a result. During this time the doctors encouraged her to be admitted to hospital for sedation as the pain was intolerable - but tolerate it she did and by the end of summer it appeared that it might have worked. Although the treatment wrecked her overall health, by the end of September it did appear to have obliterated the tumour.

That lasted until the end of October when a further scan suggested that the tumour was still there. it wasn't clear whether it was the original tumour still receding or a regrowth and she should have another scan at the end of October to clarify the situation.

But the machine broke and they had to cancel her appointment. They promised to call her back by mid November to get her in for the scan. They did call, but only to tell her that the date for her next scan is 23rd December. This is the Spanish health system by the way, which is normally brilliant, but to be honest I think they are out of options and just playing for time while prioritising other patients that might have more going for them.

She is brilliant, in all this time she has never once had a "why me?" moment or felt sorry for herself, she just gets on with it. The irony of her getting brain cancer is that she is exceptionally intelligent, was a child maths prodigy and has all kinds of academic interests as well as working as a civil guard. She says her cognitive abilities are suffering but that still puts her way ahead of most of us mortals. It's me that's not handling it well.

I've taken on her kids and the care of her horses, while trying to hold down my job and keep everything running at home. I've had to spend less time with my own kids and had to cancel trips back to the UK to visit my family, including this Christmas as she has no extended family to help look after her or her children. And the reality is that she has had absolutely no treatment since the brachytherapy operation in June. Since then only medication to control the pain (unsuccessfully) and the blood pressure.

They also haven't given her any prognosis. I have the sense that the clinical trial means they are in uncharted waters and still don't know if the residual radiation will continue to keep the tumour at bay. But in the meantime the wait for clarity is insufferable. The headaches and loss of health continue and we suspect that the tumour has already bounced back but at the moment we won't get that answer until Christmas day. In the meantime the future is on hold and every day seems like treading water in an ocean of darkness - not knowing which way to swim to find land. It feels so selfish to want to see the future when everything points to hers being cut short. What a horrible disease.

Wishing the best to everyone else going through this.

  • Hi again

    Was thinking, Pades is home help in Cataluña provided by the seguridad social Not sure where you are based in Spain as may have a different name. 

    The health service is good for cancer, they try a few things, my husband also got Avastin for a while which is not provided on the NHS.. As my husband was older he didn't get put on a clinical trial.

    When you reach palliative care it's game over, and you can see less interest but you can be at that stage for a while. 

    I think it's up to us to look at the practical side as our partners are suffering mentally and physically just to carry on and if denying helps them then everyone finds their own way and we can just support them. I saw a consultant who said people who are accepting handle the illness better but in our case we didn't really get to that stage. 

    Your girlfriend is so lucky to have found you..

    I would recommend you ask for all the help you can  via her Dr and social services so it's in place for later, so just as a safeguard. Your girlfriend should be fine with that.

    Take care of yourself and hope you can really make the best of these days together 

  • Hey! 

    Gosh, you really have a huge amount in your plate. 

    It is really really tough when you want to be practical and start making important plans but your partner is maybe in a bit of denial. I just want to say that I think you’re doing the right thing in making sensible arrangements and thinking about what will happen when she’s no longer here… I hope you don’t feel like you’re doing anything wrong at all. 

    My mum really struggled with making important changes such as removing my dads bank access when he started acting a bit erratic… she felt like she was taking away the last of his independence and she felt guilty…  but the bottom line is that you have to be realistic. 

    Sorry I can’t offer more advice than this, but I think you’re doing an absolutely incredible job. Take it a day at a time… 

    Grace 

  • Ah that may be why it doesn't ring a bell, it looks like it is a Cataluña based service. I am currently living in Toledo, though have spent the past 20 odd years in Madrid. My experience so far has been that in the hospitals everything works brilliantly but when it comes to care in the community there is more of an expectation of family support in Spain than in the UK. I'm sure social services will be able to help, especially as there are kids involved - I have just been putting that off as there is still a bit of denial that we have a problem.

    Thanks for your kind comments, really appreciated.

  • Thank you Grace, that's really tough having to do what your mum had to, removing bank access - but I can see how that kind of thing can become necessary. In my case she is having a lot of heavy mood swings, one day she can be really up and the next day at rock bottom. I'm not sure which I dread more - there are usually a lot of Amazon deliveries arriving on the day after the up days!

    I'm grateful for your comments. I think we all find ourselves in very unfamiliar territory when we go through this and never sure if we're doing the right thing. Its so helpful to get the perspective of people that have already been through it. As the carer you do feel guilty about having to make hard decisions on behalf of someone in denial - but you are right, you have to be realistic especially when the other person might not be able to see the reality.