Update - nearly 2 years in

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Just an update really.  My husband is now nearly 2 years on from his GBM4 diagnosis, since Jan 24 things have been getting more difficult. Physically he is doing ok and still walks the dog daily but cognitively its much worse.  His short term memory has pretty much gone and he cant remember what he needs to do each day.  I have got 2 whiteboards, one in the kitchen & another next to the bed detailing times for tablets etc.  I went back to work sept 23 and this was working well as I was mostly at home.  I had noticed around may time that he was getting more agitated when I had to go into the office or be somewhere else.  I took all of August off and this was when I noticed a real change and just had bad things were getting.  We went to Croatia which I was very apprehensive about anyway but I knew he really wanted to go, it was awful.  He was completely disorientated and angry for most of the week.  We did  things but it was very challenging,  he doesn’t really remember the holiday either, even when I show him photos Frowning2 On one of the days in august I needed to go into work for the day, I left him his list but when our son went round at 2pm he was still in  bed, hadn’t taken the dog and was being quite rude to our son refusing to get up etc.  This also happened when I took my 13 year old away for a few nights, he had a total meltdown all the time I was away making it very difficult for everyone.  Having spoken to the neuro psycologist it seems that he has developed a fear of being without me around. This makes life very hard, if I want to go out hes accusing me of seeing other people or not caring, tells me I treat him badly etc. all very hurtful.

 

Anyway I knew that he couldn’t be left on his own and even though I work from home it was going to be unmanageable for me. He needs prompting for everything from showering to getting the dog ready etc.  He can no longer make decisions and just says he will do whatever I tell him (although when I do he doesn’t listen!) I have just taken a career break, I know I am lucky to be able to do this but I already feel lost and like I am losing everything.  My youngest son has just turned 13 and is being a typical teenager so all that to navigate too! 

 

At the last scan they thought it showed slight progression so changed from TMZ to lomoustine,  when we went for the 2nd round last month they couldn’t issue it as his platelets were too low, they’ve only just got back up so they are reissuing it this week. 

Since all of the personality changes we have been referred to palliative care in our local area (his treatment has so far been under another trust) we have seen the macmillan nurse and the macmillan consultant and we are now talking to them about the medication.  Hes on 4mg dex (upped from 0.5) and still on keppa, both these things don’t help with his moods so he also has pregogablin(?) this definitely seems to be helping as hes not so angry but still has outbursts.  His appetite is crazy, I cant stop him eating!  If its not in the house he orders it or goes on so much that I give in and go and get him whatever he wants! Mostly pies and icecream unfortunately. I try at breakfast to get him to have porridge, fruit etc.  he is putting weight on at a rapid rate and I know he will hate it when his clothes don’t fit,  he was a keen runner and always looked after himself so its all very different to how he was in so many ways. 

 

Although we now have a lot of professional support and I have friends and family I feel so very lonely.  I looked at him yesterday just repeating himself and just sobbed, he was a senior manager with huge responsibility, extremely articulate and always on the ball.  Now he doesn’t even remember stuff from 5 minutes ago and cant even work out what the plan is for the day no matter how basic that is.  Its breaking my heart.  Last night we had a leak in the roof so I had to get someone out, they’ve come back today to sort it out (not what I need but it has to be fixed!) he is totally confused as to whats going on Frowning2

 

The kids & his dad don’t know the extent of his illness, they know he has a brain tumour and its serious but not the prognosis.  The consultant last time said 6-9 months although I am sure my husband is in denial as he talks about years ahead.  I know we will have to have those conversations soon and I am hoping macmillan can help with what to say etc as I am sure he will try and down play things.  We never wanted to know a prognosis and I would rather not give the kids a timescale as they are so often wrong.

 

Sorry if this is all a bit disjointed, and well done if you’ve managed to get to the end!    

  • It is soul destroying to watch the symptoms of this heart breaking diagnosis. I completely understand how lonely you feel, there may be other people around you but the grief and exhaustion feels overwhelming. My husband lived 17 months after his diagnosis, his cognitive function fluctuated but he was still fundamentally the same person and it was only in the final few weeks that it deteriorated. I know that I was lucky in that respect but watching the person you love go through this is so difficult.  The guilt of wanting it to end verses not want to loose them is all consuming. 

    You are doing an amazing job, I think that the conversation with your kids will happen, take all the Macmillan help you can get. Hold on to the small memories. 

    Sulubee

  • oh Jobo, I just want to reach out give you a hug. So much of what you said resonated with me. It all sounds so similar in many ways to how G was. It's so hard seeing the changes in them. There was no reasoning with G for the last few months of his life. 

    I also understand what you mean in relation to timescales. We were initially told G had 12-15 months and in the end that proved to be 38months and one day.  Having an inaccurate timescale can be soul destroying but I'd be careful of trying to hide the seriousness of this from your kids and father-in-law. You know the situation best and what they can cope with hearing but I've always found honesty was best, even if it is hard to hear, especially considering the changes you're seeing. Kids especially Google so don't be surprised if they already half know.

    Please remember that this group is here for you. We get it. If there's anything I can answer for you, please ask. I worked from home up until the week before G passed away so I get the work challenges too.

    Please also recognise that you are doing an incredible job - everyone on this journey is - in very difficult circumstances. 

    sending you love and light and hugs and strength.

    love n hugs

    Wee Me xx

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

  • I'm so sorry Jobo, it's so cruel.

    Glad to hear you've got the support from the Macmillan folks. Don't forget to take care of yourself too. Try and take breaks when you can and hopefully you've got friends or family that can provide emotional support because you're dealing with a hell of a lot. 

    To echo WeeMe, you're not alone and this group is here whenever you need to share with people who have been there and can properly empathise just how bloody difficult this is.

    Sending hugs

    Chris

  • Your story seems very similar to mine although I'm not so far down the road.My husband (56yr) was diagnosed in May 2023 so 17 months,of all the things I notice it's the short term memory and personality.

    We were in the pub today and was chatting and he was saying he's never been given a long term prognosis (time frame), I've lost count of how many times I've explained to him we have, whether that's denial or memory or both.

    At the moment he works but sometimes I wonder how as at times as he can't seem to figure out very simple things such as altering apps on phone and yet somehow he can work on multi million work projects.

    We are obviously lucky at the moment that he can work and to the untrained eye would appear everything is fine where that really isn't the case.

    On the note of steroids it made my husband quite grumpy and he wouldn't stop eating although he doesn't seem to put on any weight, he's not on them at the moment.

    He has a meeting with a consultant next week, he's latest scan showed slight changes so will see.

    Your not alone Jobo 

  • Thank you :)  we are now under the local team so have a lot of support from macmillan which is good.  I have gone from trying to make memories to just taking those small moments in time like going out for lunch when we can.  Its hard as he rarely remembers what we do :( & I want my memories to be good ones.  So sorry you've been through this too. xx

  • Thank you so much, I've been reading your story and what an amazing job you did.  It definitely sounds very similar in terms of physical and mental changes.  I definitely feel like hes getting worse with his memory and he repeats the same thing a lot!  I feel that the time is right to tell the kids more and also his dad but I think he is in denial and thinks he will be able to beat it.  I am hoping that the macmillan nurses will be able to help us with this. He is so stubborn!  

    This morning a friend of his came over and was telling us he is going on holiday to Vietnam, my husband said why can't I do that?! I an go away and do things like that! Honestly he cant find his way back from the loo when we go out!  Anyway suffice to say we wont be attempting going abroad again!  

    Thank you for the hug, its most appreciated :) 

    XX

  • Thank you.  Sometimes it just feels overwhelming doesn't it? I am trying to just take it a week at a time if I can.  Family and friends are great but as you say no one really understands unless they have experienced it and just how all consuming it is.  I honestly feel like I am living with a different person which really makes me so sad.  I am trying to make some time for myself, just having a bath and getting half an hour definitely helps.  I sometimes just feel like I am living in groundhog day!  

    Thanks again, I appreciate it xx

  • Hi 

    Yes definite parallels!  I was 51 and my husband was 57 when he had his seizure and was diagnosed.  I think I kind of mentally prepared for looking after his physically but the moods and personality changes seemed to come out of nowhere!  We went through a horrible few months where I was at breaking point, they've changed some of his medication which seems to have stabilised things a bit thankfully as he really wasn't nice to be around at all, accusing me of all sorts!  Your husband is doing well to still be at work, I can totally relate to being different with other people too, he seems to save his moodiness for me! 

    Good luck with the consultant appointment, fingers crossed for you.

    Hugs 

    xx

  • Oh Jobo, looks like we're on a very similar course of events. First visit back to get bloods this week, so we'll see how the platelets count is.

    The personality change really seems to be the hardest thing to deal with that's for sure.

    We made the decision in the summer holidays to tell our 9 & 10 yo kids what the (eventual) outcome will be without giving a timeline, a lot of tears that night for sure, but they then couldn't do enough for their mummy once it was all out in the open. It helped that they didn't need to go back to school the next day though.

    Unfortunately my wife is the stubborn type who doesn't seem to want the help - I get that given the independence side of things must feel like a rug being pulled from beneath her with the immediate loss of driving, mobility issues, word switching and general frustration & upset each and every day, but I sure wish she'd be a bit more open to help!

  • It's very difficult with the independence thing...my husband keeps getting moment's when he thinks he will get his licence back and I have to remind him it will be after treatment and maybe not at all.

    I also found when my husband was initially on steroids after he was first diagnosed which made him stubborn and moody,he isn't on them at all now and he's moods improved dramatically.

    Hug x