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Medical Forum / Diseases and Disorders / Cancer / January 2004

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jmmtf@wideopenwest.com - 06 Jan 2004 18:38 GMT
Hi,
my name is joe.My wife has cervical cancer. Her oncologist said
sergery wasnt an option because of its location and it was in the
upper part of the vagina.
She had chemo and radiation for six weeks and she was cleared of
cancer.That was until Feb.2003.It came back.It is now in a different
part of the cervix and also on many lymph nodes from her knee up to
her neck,on her left side.They tried a research chemo and it didnt
help.They said it was time to have Hospice help out. I called the
James Cancer Hospital In Columbus OH.They also did a chemo
protocal.That didnt help.They also said there wasnt anything else to
try.

In the begining Michelle didnt have any pain or anything that would
indicate that she was sick.Myself and our two young daughters (age 8
and 4)didnt have any problems with moms cancer.
For the last couple months,she has severe pain and is now with
Hospice.She takes oxycontin and diladid along with neourontin and
laxitives.She sleeps alot and we bought a wheel chair for when we have
to go out.
Last week the nurse was out to see her and ever since Ive become
sad,worried and scared.To go along with her cancer problem my
workplace for over 14 years closed.I took her for a blood transfusion
and when we left the hospital I turned in front of another car and
totaled our Chevy Venture van.We now get around in my 1983 Buick
Century.
We have had a lot of friends and our church help with Christmas.The
kids had a lot of presants to open.The week of New Years,I started
getting depressed and sometimes I tear up in front of her and the
kids.I called my Dr.and he gave me some xanex (spelling?).It only
makes me feel tired.I want to be able to stay awake so I can keep my
family somewhat normal.The Dr. wants to see both of us today.I think
he is going to tell me to see another Dr.(like he always does)or try
other meds.

I thought I would start here to see if anybody that has gone through
this HELL could offer me some advise.I cant seem to find the answer.
I love my family very much.I realise it will probably be just the
three of us soon.
Thank you,
joe
Sharon - 06 Jan 2004 18:11 GMT
Hi Joe,  Sorry to hear about your wife's cancer and her condition.  And I am
also sorry to hear that the children and you have to experience this.  It is
hard for the caregiver.  Your depression and confusion are perfectly normal
feelings, under the circumstances.  I do not know how your hospice is run,
but where my summer home is, I have had a great deal of experience with
hospice.  They saved my life, I believe.  When my husband was ill and when
he passed away, they gave me the support that I needed to get through that
tough time.  They had support groups for caregivers and grief support
groups.  All of this was free of charge, which was a blessing to me.

I am now in my winter home in AZ, where my uncle is very active in hospice.
He volunteers his services taking people who are alone to appointments.  Of
course, he gets more involved than that, as most hospice volunteers do.  I
think that hospice volunteers should have a monument put up somewhere for
them.  They are a blessing.

--
Take Care,  Sharon Lane
http://www.rare-cancer.org
jmmtf@wideopenwest.com - 07 Jan 2004 16:23 GMT
> Hi Joe,  Sorry to hear about your wife's cancer and her condition.  And I am
> also sorry to hear that the children and you have to experience this.  It is
[quoted text clipped - 11 lines]
> think that hospice volunteers should have a monument put up somewhere for
> them.  They are a blessing.

Hi Sharon
The Hospice nurse is comming today to check on Michelle.Michelle has
told over the phone that Im starting to feel depressed.She will get in
touch with Rick,The social worker.He has been out to see me a couple
times,but I was doing ok at that time.I hope he has a plan for me to
start to feel better.
Thanks, Joe
Alayne - 06 Jan 2004 21:11 GMT
> Hi,
> my name is joe.My wife has cervical cancer. Her oncologist said
[quoted text clipped - 37 lines]
> Thank you,
> joe

Hello Joe,

I have just read your message and my heart goes out to you.  There are a lot
of people on this NG that have been in similar situations to yourself and
are very willing to give you their support (I recently lost my husband to a
brain tumour and also have two young children).

Yes, it feels like Hell for you right now but your wife is in the right
place, hospice care is truly brilliant, the staff are amazing and will do
all that is possible for your wife as well as yourself and your two
children.  There will be a number of services available to you all from
their and once your initial emotions have stablised, please take full
advantage of them.

Do you have any other form of support ie. family close by that can also
offer you support?  This newsgroup is here for you Joe and we will help you
in any way that we can, you will go through a variety of emotions, steady
yourself with them, accept them and you will soon pass through them.

Hugs to you for now.

Alayne
jmmtf@wideopenwest.com - 07 Jan 2004 16:16 GMT
> Hello Joe,
>
[quoted text clipped - 18 lines]
>
> Alayne

 Hi Alayn,
My Mom is close by and she is the person that I turn to when I bottom
out.She is a wonderful person.She brings Michelle and myself communion
every morning.
It doesnt take much for her to start crying too. I dont like to upset
her a lot so I try to be strong most of the time.I try to build up
courage to talk to a priest in town.He married us and also baptiezd
both of our girls.I just cant seem to call him or go to the rectory.I
will one day soon.

Thanks,
Joe
J - 06 Jan 2004 23:00 GMT
> We have had a lot of friends and our church help with Christmas.The kids
> had a lot of presants to open.The week of New Years,I started getting
[quoted text clipped - 4 lines]
> he is going to tell me to see another Dr.(like he always does)or try
> other meds.

Hello joe, I'm terribly sorry to hear about your wife, Michelle and the
other problems you've been experiencing.
I've not lost a partner to cancer but I try to make myself useful here to
others (patients or caregivers).
Caregiving is hard enough for the partner and especially given your wife's
prognosis and especially after Christmas.
Many people have depression so under your circumstances it's perfectly
understandable.

Xanax http://www.rxlist.com/cgi/generic/alpraz_cp.htm is a benzo that many
use to "fall asleep", it's an anti-anxiety and it says "Clinically, all
benzodiazepines cause a dose-related central nervous system depressant
activity varying from mild impairment of task performance to hypnosis".  I
know some people who take it during the day, but they don't have to be
functional and awake, because usually one is not supposed to drive and are
expected to go to bed soon after taking it. So if you're taking some of
those during the day, no wonder you're tired.

So perhaps the idea of taking two meds (the anti-anxiety at night) and
perhaps a low dose of antidepressant (in the a.m. and/or at night). Your
doctor may have some suggestions but everyone reacts differently so you'll
have to go with what he suggests and hope that it will be a good
combination for you.  I would guess that you don't want anything with too
much sedative effect, so you can wake up if you're needed during the
night, yet enough to help with the depression.

You are not alone joe, there's currently two female caregivers on this
newsgroup in similar situations. (perhaps even more reading but not
posting).  We've had numerous other male caregivers for their partners
too. (just not at the moment if I recall correctly or they're reading
only).

From time to time you may need a break too from the caregiving, so draw on
Church, friends, family to housesit while you either get a snooze or get
away for a bit.   Make lists of what might help you (in case any of them
offer). Let them know (ask) if you can use help but set your limits so
someone doesn't try to "take over" the household, yet you get some relief
from all the responsibilities which are currently on you.

Post anytime joe, we'll be here for you.
J
jmmtf@wideopenwest.com - 07 Jan 2004 16:48 GMT
> Hello joe, I'm terribly sorry to hear about your wife, Michelle and the
> other problems you've been experiencing.
[quoted text clipped - 37 lines]
> Post anytime joe, we'll be here for you.
> J

Hi J

I have read a lot of your posts and admire the time you give to this
NG.
I went to the Dr. yesterday and he did change my meds.He took me off
xanax.
I have been taking 100 mg. of elivil at bedtime to help me sleep.He
wants to break it up. 25mg.in the morning,25mg in the evening and 50mg
at bed time.He also gave me a presription for Aterax if I have anxiety
day or night.
Today Im feeling a little better.
Michelle did get a little upset with me because I said I wouldnt find
a job until she was able to stay awake or have someone watch
Theresa,our 4 year old.
She told me the only reason she takes a nap is because I tell her to.
I told her I couldnt start a new job and wonder if things were ok at
home.I mentioned one of our neighbor friends and my mom would either
come over or pick Theresa up for a couple hours so she could get some
rest.She said she was ok....  Michelle lost her mother when she was
7.Her mom was epileptic and had a seizer in the bathtub and drowned.I
think since Michelle never had a mom,she wants to do everything for
our kids herself.She is a strong woman and I do admire her for that.I
wish she wasnt so stubborn sometimes.

Thanks,
Joe
J - 07 Jan 2004 20:08 GMT
> I have read a lot of your posts and admire the time you give to thisNG.
> I went to the Dr. yesterday and he did change my meds.He took me off xanax.
[quoted text clipped - 13 lines]
> she wants to do everything for our kids herself.She is a strong woman and I do
> admire her for that.I wish she wasnt so stubborn sometimes.

Hi Joe,
Thank you for your kind words.

I'm glad the medication is helping. Watch that it doesn't make you too groggy to
drive. Some complain of dry mouth and constipation with Elavil, so watch for
that. (many of those I know who take it, only take it before sleep, that's why I
mention the grogginess).

If she's sleeping a lot and napping, then she must need it. Cancer-related
fatique is common. It just is. I don't expect that will get better, rather worse
as tiime goes by.

I assume Michelle is concerned about the financials?
Only you, Michelle and palliative can sort out if Michelle is well enough to
take care of the kids while you are away.
Seems to me it's going to be difficult for you to accept employment at this
time.  Perhaps you'll be able to start job-searching after you've had a chance
to see how your meds are working and then decide at the time of a job offer,
depending on how Michelle is doing, whether you can accept it at that time.  If
that occurs, I would simply call neighbour or your mom and ask them to stop in
as if they were just visiting ( no hint of prearrangement) and stay with
Michelle and the kids for a few hours, while you're out job-searching. Perhaps
you'd get lucky and they would  do a few house chores for you also (without
asking them)?

In the meantime, maybe Michelle would be comforted somewhat if you could start
searching the newspapers employment ads and maybe working on an updated CV
(resume) or write the details down and find an expert to make one up for you.
There's an example here http://www.free-resume-tips.com/resumetips/curriclm.html

Of course I know there are some/many jobs that require pounding the pavement and
going door to door OR in specialized areas of jobs, require targeting just
specific industries.  I'm trying to find a way for you to still "work at"
finding work (to keep Michelle happy) and the process will help keep your mind
dwelling on Michelle's illness yet allow you to be home for the most part.
Sometimes just working on a CV at home, helps a person focus on where they will
start looking if/when they are able.

If Michelle hasn't inquired:
If your illness becomes prolonged, you may be eligible for Social Security
Disability. Contact the local/regional office of the Social Security
Administration for further information about Social Security Disability. Social
Security Online is located at http://www.ssa.gov/  .

You're doing good Joe, keep in touch with us, as you are able.
J
Daffman - 07 Jan 2004 01:16 GMT
Hi Joe,

Take every day a moment at a time.  As for your wife, be there to love her
and let her know you will be there for your children when the time comes.  J
is right when he says there are a couple of us going through similiar
situations.  My boyfriend/common-law is currently in the palliative care
program.  At the moment, I am taking care of him at home.  It isn't easy by
any means, and it hurts everytime he has a bad day, hour or even moment.
It is hard for you to see her through this, please know that we understand
some of the things you are going through.  We will be here to help you
through this.  There are many people on here that truly care.
If you feel like crying, let it out, it is alright.  If your wife feels like
crying, be there with her, if she wants you too, and if you feel the need,
cry with her too.  It is alright.
As I said in a previous post, there are angels in this world who only appear
when our lives seem to be at their worst.  Your friends and church
parishoners seem to be those angels.  Draw from their strength, they will be
there to help.  Even if you need someone to take the children out for ice
cream on a particularily bad day for Michelle, ask someone for help.
If your wife is still able, and would like to try, there are organizations
that can help with a special trip for you, michelle and the girls.  This may
provide some time to make a few memories that can help the girls as well as
yourself through a time when Michelle is no longer there.  A little
searching is required but they are out there, even more so in the United
States.
One of the things a friend of our did was contact the Empire Theatre's.  Pat
wanted to go see lord of the rings, but because of his Oxygen and wires and
injections, he couldn't go to a regular veiwing.  our friend arranged a
private viewing courtesy of the theatre.  many places will help out.  If
there is someplace special you would like ot take Michelle, ask a friend to
do the leg work, and if Michelle agrees, give that friend permission to
disclose some of the personal information surrounding your situation.  Most
people have a heart, they will help in any way they can.

Here is one site that I have found.....
The Dream Foundation grants wishes to adults 18-

65 years of age whose life expectancy is one year or

less and whose limited resources leave them unable

to realize such dreams for themselves. Potential

recipients are encouraged to make realistic requests

that fulfill a wish from the heart. To request a

dream, potential recipients can complete a Dream

Request Form at www.dreamfoundation.org. To

receive an application by mail, call (805) 564-2131

or write to the Dream Foundation, 621 Chapala

Street, Suite D, Santa Barbara, CA 93101.

http://www.community.officedepot.com/docs/dfbroch.pdf

There is the website so you can  look up more information.  Take it one
moment at a time.  When things get rough, talk about your memories together,
and talk about your fears.  Michelle wants to be as supportive to you as you
are being to her.  As well, definetly talk to you doctor about those meds.
There are lots of different meds out there, he will be able to help you
through the pros and cons of them for your situation.  We will always be
here for listen.  Just let us know when you need us.

Salisha
jmmtf@wideopenwest.com - 23 Jan 2004 03:07 GMT
Hi,
I just wanted to update everybody about my wife,Michelle.
After a few weeks of trying to talk her into going to the Hospice
Center to get her pain under control,she agreed to go last night.
Her left leg has had a lot of pain and then her right leg gave out and
she fell down.Yesterday she had to slide down the steps when she woke
up in the morning.I told her she had to go because the kids and I love
her too much to see her in that condition.She said ok,and within a few
hours they had a bed ready for her.
Its called the Kobacker House.Its more like a nice hotel than a
hospital.
Once she was there she seemed to be at ease.

Before she was with Hospice,her oncologist prescibed Methadone.It was
working good until she had her last chemo treatment.Then her
oncologist prescribed OxyContin.Up until yesterday,she was taking 6-
80mg tablets a day and Dilaudid for break through pain.She was still
having a level 6 pain.
Today they switched back to Methadone and they feel confident that
after they find out what the right dose is in the next 48 hours she
will feel much better.
They also want to increase the Neorontin and Elevil.
She has a new doctor that is with Hospice and he asked if she ever
took steroids to help shrink the tumors.The only time she did was the
night before her chemo treatments and a couple days after.He seemed
bothered by the fact that all the other pain management doctors and
oncologists never tried them for a longer period of time.He didnt say
at this time he would try them.
The lady from Hospice,that helps with the children was at the house
today.She paints with the kids and other art projects.I talked with
her for a while before she left.I said,Michelle never gets depressed
or scared.Its all I can do sometimes to keep from breaking down or
"freaking out'.
She said Michelle has talked to her about death and leaving a husband
and two small daughters.She just wants to be able to enjoy the time
she has left.Michelle mentiond that she might want to video tape her
wishing the kids a happy birthday for every year until they turn
18.The nurse said she would do it with Michelle to make it easier for
me and that I could look forward to seeing them also.

Thanks,
Joe
Alayne - 23 Jan 2004 08:02 GMT
> Hi,
> I just wanted to update everybody about my wife,Michelle.
[quoted text clipped - 38 lines]
> Thanks,
> Joe

Hi Joe,

I am sorry to read that you are in such an awful situation right now.
Michelle going to a hospice is a good move.  We all want to care for our
partners at home but sometimes despite our best intentions we cannot offer
our loved ones all that they really need.  In a  hospice they will be able
to relieve Michelle's symptoms much better than in the community, they will
be able to discuss her fears with others there without having to burden you.
It will also be very good respite for both you and your children.  When my
late husband was in a hospice (he had a GBM brain tumour), my children loved
the place to bits and were thoroughly spoiled there by the staff.  It was
like a home from home but with some of the stress relieved.

My husband was on steroids (Dexamethasone) and we found them to be a very
good medication, they relieved the pressure in his head, which consequently
relieved some pain, and they also gave him an added "zing" to his step.

I think that a video is an excellent idea, it will be something for you and
you children to treasure.  It was to be used as part of an open day for the
hospice, and I often watch it now.  We have many photographs of Tony but
there is nothing like hearing a voice again.

I wish you and your family well now Joe.

<Hugs>

Alayne
Daffman - 23 Jan 2004 13:39 GMT
Hi Joe,

It is best to get her pain under control and help her to enjoy her time with
you and the girls.  Like Alayne's husband, my boyfriend is also an
Dexamethasone, for relief from the cancer turmours in his lungs.  It has
helped for the past 3 months, however, he finds if hard because he feels
that taking an *upper* when all of his other meds make him sleepy is silly.
However, he knows that he has benefited from them because he ran out for a
two day period before a doctor's appointment and felt miserable.  Now he is
hope and we are providing the hospice care at home with the help of a nurse
who visits 3 times per week for about a half hour at a time.  As well, his
doctor has been home to visit and will come every week from her on in.  She
said that he is almost maxed out on his meds that we can give him at home
but he is still comfortable so she is not willing to have him uprooted from
home until he chooses or until we  are unable to keep him comfortable.  Our
main concern is comfort.  I am sure you understand that, because of your
wife.  It is sometimes much  harder to watch the patient in pain than to be
in the pain.  We don't know how bad it is or what else we can do.  Michelle
being in the hospice will make it easier on all of you and you can get the
much needed support.  Find someone that you feel comfortable with, and let
it out, it will make you feel better.  When Pat was in the hospital, I
talked with one of the social workers.  After a real hard cry, I felt
stronger and was better able to take care of the situation at hand.  I am
not saying that I haven't cried since, just at that time, it made that  day
easier to get through because she listened to me rant.  Sometimes it is
easier to have someone listen to you cry and rant than to do it in private.
I think you may need to let it out.
Michelle is more at ease because she knows that she will have some relief
from pain and that you will have some relief from seeing the stain on her.
As for pain control. There are many combinations that they can give in
hospital that are not possible to give at home.  I am sure she will get the
relief she needs.  Hospice workers do not like to see a pain threshold over
2 or 3.  and ideally that want the pain to be at 0 on a scale of 0-10.  They
will work hard for Michelle, the staff in hospice are a special type of
people.  You and your family will find the care very helpful and fulfilling
for her final days.
We are here if you need us.  Take Care
Salisha
 
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