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Post by Baseballmom23 on Sept 14, 2021 1:42:22 GMT
(((hugs))) You and Gary remain in my prayers
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Post by littlemama on Sept 14, 2021 1:44:49 GMT
You've gotten some good information from tinydogmafia. Our experience with my stepdad in hospice was that they kept him comfortable- it was no longer important to have him on blood pressure or diabetes meds at that point. Something that may help is to have a friend be present at the next few appointments. They can help listen and take notes for you, so you arent as overwhelmed with what you are hearing. Im so sorry you are going through this. My prayers are with you as you navigate this time.
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Post by papersilly on Sept 14, 2021 1:54:16 GMT
Neither my mother nor my father had any medications stopped ( or started ) by hospice. That was all determined by their regular doctors and the hospice personnel just carried out the orders given. I’m so sorry your going thru all of this This was the way it was with my mom too. I remember taking a gallon bag full of her meds and disposing of them at the pharmacy. Then hospice replaced all those meds with the exact same meds but this time, they were all free and covered and delivered by hospice. They just kept on with the medication routine. On some level, I think maintaining this routine kept my mom's mind at ease. I think if they had stopped them, the change in routine would have panicked her into thinking that death was imminent and that we had given up. Although we all knew the inevitable, hope was the last thing to die.
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Post by quinlove on Sept 14, 2021 1:58:58 GMT
Oh Bergdorfblonde. I sincerely hope that you can feel all the love and support we are sending to you. Huge hugs and love. ❤️
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zella
Pearl Clutcher
Posts: 3,884
Jul 7, 2014 19:36:30 GMT
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Post by zella on Sept 14, 2021 2:08:54 GMT
I'm so sorry, hon. No, I don't think this was out of line, and to be honest, she's correct. Cancer doctors tend to prescribe what might lengthen life, but they often don't think about quality of life. My sister was actually killed by the chemo, rather than the brain tumor, and she might have had a few more good weeks without the chemo. Hospice is all about making the best of what time is left, and I am honestly a huge proponent of it. They aim to control pain; they do often stop many meds. For example, if you know your time is limited to weeks, what does it matter if your cholesterol is high? Or your blood pressure? Hospice is just about keeping the patient comfortable and they also should offer some services to loved ones.
If I can help in any way, you know how to contact me. Know you and Gary are in my thoughts a lot.
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Post by LavenderLayoutLady on Sept 14, 2021 2:17:57 GMT
@bergdorfblonde You've been given lots of good advice.
I just want you to know that I am so very proud of you. You are a pillar of strength for Gary (whether you feel that way or not right now).
You have so much new information to digest right now. And decisions to help make. You are doing remarkably well during an incredibly difficult time.
I will continue to keep you & Gary in my thoughts.
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kate
Drama Llama
Posts: 5,597
Location: The city that doesn't sleep
Site Supporter
Jun 26, 2014 3:30:05 GMT
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Post by kate on Sept 14, 2021 2:20:23 GMT
Sending hugs, prayers, and every good wish.
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Post by hookturnian on Sept 14, 2021 3:05:04 GMT
I’m sorry I read what you said about the pharmacist at the end of your post and got confused. If your brother who is a doctor is on board that makes me feel a little better. But bring up your concerns with him and see how he suggests you handle the next conversation. It sounds like you, Moffitt and hospice all need to be in on the same conversation so everyone is on the same page. Thanks so much, Jen. I agree! Hospice immediately got in touch with Moffitt/Oncologist. She's hard to get ahold of. She's also hard to get answers from. Her goal was to try to do these 2 chemo rounds and then assess if they impacted him. I'm sure she doesn't want to deviate from that unless Gary is having a bad time of it post-chemo. Right now it'll be up to Gary if he wants to stop chemo and just focus on staying at home with hospice. Hopefully we'll get to do that 3 way conversation within those 2 weeks.
One more thing: We DID opt to use hospice as Gary's primary care, since our own PCP is terrible. That was an easy decision. Giving up on Moffitt is a much tougher decision.
((Hugs)) to you both. Is it possible for your brother to dial in to the discussion and advocate for you guys? In my experience, doctors are not as good at communication as they think they are, when speaking to non-medical people. Perhaps if you brief your brother on your concerns and what you want to know, he can listen in on the conversation and ask the correct medical questions to get answers for you. I'm not saying that you are not able to do it yourself, just that doctors sometimes think they are being clear, when they are not.
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Post by AussieMeg on Sept 14, 2021 3:05:46 GMT
I'm so sorry about all that you and Gary are going through. I hope that the social worker is able to explain things a bit better to you when you eventually get to see them. It all sounds so confusing, and I'm sure it's adding to your burden at the moment.
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Post by stampnscrap1128 on Sept 14, 2021 3:30:12 GMT
What others said about hospice follows pretty much my experience with hospice last February and March. It was so confusing, so agonizing to make these decisions. So many complications and what if's. My husband was on hospice for about 5 or 6 weeks before he passed away. All said and done, I have to admit going to the hospice we chose was the best decision we could have made. Jared passed away very peacefully in his sleep, in no pain. I feel like I got a lot of support from the hospice and actually plan to contact them soon about how to get through the holidays (I did go to their 6 week session of grief support and found it helpful).
I wish I could do something to help prevent you from going through this agony. Just know that I and so many Peas here have been in a similar journey and we are here to help you. The journey does not end after our loved one is gone. We will stay with you on this journey as we have stayed with each other here (one reason I love 2Peas Refugees so much).
Please try to rest tonight. Easier said than done I know. We are surrounding you two with love and care.
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scrapngranny
Pearl Clutcher
Only slightly senile
Posts: 4,859
Jun 25, 2014 23:21:30 GMT
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Post by scrapngranny on Sept 14, 2021 3:42:57 GMT
I had Hospice for my dad. They were very open and honest. They did not sugar coat the situation. They prefer if all treatments have ended. Their goal is patient comfort and its hard to do that if he is still receiving possible painful treatments. They focused on having good days not necessarily more days.
It’s tough. There is no getting around it. They are there for you and other family members also. They will answer all your questions honestly to the best of their ability.
They are very experienced with pain management and were able to give dad something to keep him calm, but not knock him out, so he was able to spend quality time with friends and family.
I can’t say enough about the care dad was given. I’m sorry you are going through this tough journey.
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Deleted
Posts: 0
Nov 24, 2024 1:57:07 GMT
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Post by Deleted on Sept 14, 2021 4:40:31 GMT
I can not comment on the hospice part but I just want to reach through our screens and give you a big tight hug. Know that you are both in my thoughts daily and I pray for comfort and clarity for you both. ❤
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seaexplore
Prolific Pea
Posts: 8,878
Apr 25, 2015 23:57:30 GMT
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Post by seaexplore on Sept 14, 2021 5:07:22 GMT
@bergdorfblonde my heart hurts so much for you right now. I think of you and Gary daily and send love to you both.
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Post by SAHM wannabe on Sept 14, 2021 5:51:31 GMT
I’m so sorry. I wish you and Gary strength and comfort.
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Jili
Pearl Clutcher
SLPea
Posts: 4,366
Jun 26, 2014 1:26:48 GMT
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Post by Jili on Sept 14, 2021 5:57:44 GMT
I'm so sorry, bergdorfblonde. This is all so much to process. I am thinking of you and your dh in this very challenging time.
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Post by gillyp on Sept 14, 2021 8:16:30 GMT
I have nothing of any significance to add other than my continued support and warmest thoughts to you both. I admire you greatly @bergdorfblonde for holding it together when your mind and heart must be in constant free fall.
I wonder if your friend who brought pizza would be willing to be with you during your next meeting? Her support and recent experiences may help steer the conversation to give you answers to questions you don’t even realise you have.
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Post by gar on Sept 14, 2021 8:25:37 GMT
I'm so sorry for what you're having to deal with.
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Deleted
Posts: 0
Nov 24, 2024 1:57:07 GMT
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Post by Deleted on Sept 14, 2021 9:59:03 GMT
I know you have so much to sort out and time is not on your side ,it probably feels like a whirlwind and decisions need to be made.
I know this will sound impossible because there is so much to do but in the middle of all this turmoil and heartache that you are going through if you can take some time out and just sit and be together. Even if it just for an hour or so, block the whole world out. Just concentrate on the two of you.
This is something I wish I could have done differently when my Mum was dying. So much of my time was spent trying to organise better care for her and battling with the hospital that precious moments just to sit and be with her were lost.
Sending you both lots of hugs.
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Deleted
Posts: 0
Nov 24, 2024 1:57:07 GMT
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Post by Deleted on Sept 14, 2021 10:27:28 GMT
I'm so sorry for what you are going through at the moment @bergdorfblonde it must be so overwhelming dealing with so many different people .Sending gentle (((hugs))) and strength to you.
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Deleted
Posts: 0
Nov 24, 2024 1:57:07 GMT
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Post by Deleted on Sept 14, 2021 10:39:23 GMT
First...my heart absolutely BREAKS for you having to go through this. I am sooooo sorry.
Second, I wanted to chime in on my experience dealing with cancer and loved ones. My dad discovered his liver cancer very late and there wasn't even time for chemo or anything. I cared for him until the last few days until we brought hospice in. For all my days, I will say a prayer of blessing for the nurse that was with us. She would make people leave the room at times so I could have special one on one time with him. I was actually not there when he passed because I was at the pharmacy getting his pain meds refilled. As soon as I came back, the hospice nurse made everyone leave so that I could have some time with him even after he had passed. She was so comforting and told me how peacefully he passed. She said and did things for me that I didn't even know I needed at the time. Hospice workers (for me) are just angels on Earth. I cannot sing their praises enough.
My grandmother had several boughts of cancer. The last one was throat cancer. I had a frank conversation with her about how she wanted to treat it. I told her that the question to be answered was did she want quality of life or quantity. Her children were pissed with me that I was so frank, but I was actually her medical POA (long story). In the end, she opted to go with the aggressive chemo/radiation treatment. IT WAS HELL. She couldn't eat/swallow/drink/taste and ended up having a stomach pump put in. She had her voicebox removed to remove a tumor. The cancer came back and spread quickly to her lungs, sinuses and brain. Her last year of life was just an absolutely hell on earth. She did spend her last week in the hospital hospice. When she passed, I was thankful that she no longer suffered.
I imagine that you feel like you are on a speeding train that is so loud you can't even think or get your wits about you. I mean, that is how I felt in both those situations as I was their primary caregiver. There are hard questions you must ask and that is why I told you about the above. I had two very different situations. I made some wonderful memories with my father in the few weeks that we had. He was able to eat and laugh and go places. I also made some sweet memories with my grandmother in the the year we went through her treatment. She was able to see my DD that was born in the midst of her treatment. She actually delayed her tumor removal surgery so that I could give birth to DD and she could see her. Only you and Gary know how to answer these questions. I agree with the Pea that asked if you had someone with medical knowledge to help with outside opinions.
It's just a shit journey. No two ways about it. TOTAL SHIT! My heart really hurts for you and Gary...and just your whole family. I am so sorry. Just know that you WILL get through whatever happens. You are not alone....even though we are on the internet, there is a whole Pea army here to support you and lift you up.
All my love to you and Gary.
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Deleted
Posts: 0
Nov 24, 2024 1:57:07 GMT
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Post by Deleted on Sept 14, 2021 10:40:38 GMT
I know you have so much to sort out and time is not on your side ,it probably feels like a whirlwind and decisions need to be made. I know this will sound impossible because there is so much to do but in the middle of all this turmoil and heartache that you are going through if you can take some time out and just sit and be together. Even if it just for an hour or so, block the whole world out. Just concentrate on the two of you. This is something I wish I could have done differently when my Mum was dying. So much of my time was spent trying to organise better care for her and battling with the hospital that precious moments just to sit and be with her were lost. Sending you both lots of hugs. Sooooooo much this! So much this.
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Post by koontz on Sept 14, 2021 11:12:16 GMT
I am so sorry to hear this. You are in my thoughts.
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Post by supersoda on Sept 14, 2021 11:35:59 GMT
I’m so sorry.
Unfortunately, I have a lot of experience with hospice and it’s always been made clear that hospice is palliative care and not treatment and meds were dialed back to only those that would bring comfort. It sounds like this wasn’t really discussed with both of you before starting hospice care.
It is a very difficult and deeply personal decision to stop treatment and and prepare for the end of life. Hospice care was recommended to my mother for many months before she decided to stop treatment and begin hospice care because she just wasn’t ready to make that decision yet. It was a little different for my mother-in-law, who was simply out of treatment options. We did find hospice to be a very positive experience but we always knew going in exactly what we were looking at.
It seems like you weren’t fully informed and a really difficult situation has been made worse. I hope that you both can find peace and comfort as you navigate through this.
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Post by Bridget in MD on Sept 14, 2021 11:50:32 GMT
I know you have so much to sort out and time is not on your side ,it probably feels like a whirlwind and decisions need to be made. I know this will sound impossible because there is so much to do but in the middle of all this turmoil and heartache that you are going through if you can take some time out and just sit and be together. Even if it just for an hour or so, block the whole world out. Just concentrate on the two of you. This is something I wish I could have done differently when my Mum was dying. So much of my time was spent trying to organise better care for her and battling with the hospital that precious moments just to sit and be with her were lost. Sending you both lots of hugs. This is lovely and the perfect thing to say. Sending my thoughts and love to you too.
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SweetieBsMom
Pearl Clutcher
Posts: 4,785
Jun 25, 2014 19:55:12 GMT
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Post by SweetieBsMom on Sept 14, 2021 11:56:31 GMT
9/13 update from this thread: Regarding Hospice: Gary signed up last night and they began coming today. The intake guy (I think he's an RN) was very pleasant and personable. We made it clear that Gary was going in 3 weeks for another round of 3-day chemo. He said he'd put it in his notes, and if Moffitt's oncologist wanted to do more scans, we'd have to let them know ahead of time. Fine....... Sounded all great. A chaplain came today and Gary appreciated it greatly. Then his head nurse from his team came for a long visit. She was quite frank and it was all a bit too upsetting. She said that he should think about even doing any more chemo or going to Moffitt since his prognosis was dire. She said it takes too much out of patients and in the long run it shortens their life. UPSETTING. We have full faith in Moffitt and really wanted to see if this chemo and the next round would shrink the tumors and give him a bit more time. If not, we'd re-think Moffitt. My question to all of you people who have hospice experience: Was it that frank and upsetting to you??? They've cut out almost all of DH's meds except for a few. They added stronger pain meds, which I understand. They did explain a lot of the benefits of their hospice, but said they'd do chemo or treatment on their own if needed. They won't have a lot of the meds and things that Moffitt has to offer though. Moffitt has oncologists in each department. Hospice has a very experienced oncologist but it scares me a lot. It's as though we're saying that we give up and we're just asking them to make Gary comfortable. It ALMOST sounds like they want him to enjoy life as much as he can and not worry about "more time". That scares me. When our pharmacist (who is a wonderful friend and extremely knowledgeable guy!!) asked about refilling Gary's monthly meds, I informed him about all of his meds that were stopped and he was shocked. That alone gives me pause. Any thoughts?? When DH entered hospice was upsetting to me. I kept it together during the meeting but then reading thru the book they left me I LOST IT. When DH entered hospice, all his meds were handled by hospice but I don't know if I'm reading wrong, our hospice wouldn't do any treatment for him. DH's cancer had spread from his lungs to his brain and there was a discussion about chemo/radiation but he ultimately decided he didn't want to spend what time he had left fighting a losing battle going in/out of the hospital when it wouldn't have made a difference. Hospice didn't stop his meds though. That seems weird to me. He was still on all the same meds he was on when he was going to Dana-Farber, all the meds he needed to be comfortable, none of the meds were treatment related. The one thing that did happen is that DH had to go into the hospital and when you go into the hospital, hospice stops, then when you return home, you start it again. I think that happened once. You and Gary are in my thoughts and prayers. Cancer sucks.
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Post by tomocus on Sept 14, 2021 12:30:27 GMT
I know you have so much to sort out and time is not on your side ,it probably feels like a whirlwind and decisions need to be made. I know this will sound impossible because there is so much to do but in the middle of all this turmoil and heartache that you are going through if you can take some time out and just sit and be together. Even if it just for an hour or so, block the whole world out. Just concentrate on the two of you. This is something I wish I could have done differently when my Mum was dying. So much of my time was spent trying to organise better care for her and battling with the hospital that precious moments just to sit and be with her were lost. Sending you both lots of hugs.
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Post by tomocus on Sept 14, 2021 12:31:32 GMT
I know you have so much to sort out and time is not on your side ,it probably feels like a whirlwind and decisions need to be made. I know this will sound impossible because there is so much to do but in the middle of all this turmoil and heartache that you are going through if you can take some time out and just sit and be together. Even if it just for an hour or so, block the whole world out. Just concentrate on the two of you. This is something I wish I could have done differently when my Mum was dying. So much of my time was spent trying to organise better care for her and battling with the hospital that precious moments just to sit and be with her were lost. Sending you both lots of hugs.
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Post by tomocus on Sept 14, 2021 12:45:01 GMT
I don't know if I did this correctly, but I was trying to quote what Lettuce said.
My husband of 51 1/2 yrs (we were actually together 60 yrs as we have been together since we were 13) passed away 03/25/2021 of Kidney Cancer that went to the lung and then to the brain, after beating it back for the last 5 years.
My biggest regret is at the end when we called in Hospice, I still wore my "Caregiver" hat. I was so concerned and worried and scared and I really thought he would pull out and amaze the doctors once again. I think about it every day still. I wish I had just let Hospice be the "Caregiver" and that I sat with him more and just held his hand and told him how much I loved him and our wonderful life together. I sat with him and told him all these things and held his hand, but I wish I had stayed in that chair beside him instead of checking the charts and questioning the Hospice workers to make sure they were taking care of him the way he should be taken care of. They are trained professionals or you would not have them there.
My wish for you is that you just sit down beside him and hold his hand and keep telling him how much you love him.
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Post by KelleeM on Sept 14, 2021 13:24:53 GMT
I know you have so much to sort out and time is not on your side ,it probably feels like a whirlwind and decisions need to be made. I know this will sound impossible because there is so much to do but in the middle of all this turmoil and heartache that you are going through if you can take some time out and just sit and be together. Even if it just for an hour or so, block the whole world out. Just concentrate on the two of you. This is something I wish I could have done differently when my Mum was dying. So much of my time was spent trying to organise better care for her and battling with the hospital that precious moments just to sit and be with her were lost. Sending you both lots of hugs. Sooooooo much this! So much this. This bears repeating 1000 times. I wish someone had suggested this when my husband was in his last days. I got time about an hour before he died and by then he was struggling so hard to breathe that he couldn’t really talk. I have so many regrets about that time.
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Post by rymeswithpurple on Sept 14, 2021 14:22:20 GMT
Whenever my mother in law went into hospice, they stopped chemo and other treatments (by that point, she had exhausted every possible approved treatment, and was even trying non-approved things [at the hospital, of course]), but were just keeping her comfortable. Her last days were heart-breaking. She passed away early morning the day after we had seen her the night before, and had been in hospice for less than a week. I'm glad she is no longer in pain. I wouldn't wish what she went through on my worst enemy. She was only 58.
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