Hi Everyone,
We had the meeting with Dad’s oncologist this morning. She laid out Dad’s options as:
- Chemo once per week for 3 weeks, and then 1 week off, and then repeating indefinitely. She explained that Dad would be in charge, and could stop any time he wanted. This will involve some meds prior to the treatment, along with the appointment once per week, which would end up being about 1 ½ hours all inclusive of taking blood, and the chemo treatment itself. This will be a less aggressive chemo approach, given Dad’s age and prognosis. The doctor also explained that this might give him an extra couple of months, and can be easily tolerated by some. She said that day three of each treatment tends to be the worst, if he does have side effects. The side effects she mentioned are: possible hair loss, nausea, feeling tired, risk of infection….They will, as they always do, take his blood regularly, and watch the white cell count.
- A Pill taken once per week, but they don’t find this very effective, especially with patients that smoked in the past.
- Doing nothing, and living out his life without further treatment.
She also explained Hospice. We all agreed that Dad was not in need of that at present, and she repeated several times that he looked well, which for those who haven’t seen him lately, he does. Hospice is considered “end of life” care, where they make you as comfortable as possible. Once a part of Hospice, you are not longer seeking any treatment like chemo, etc, and you would not call 911 any event having to do with the cancer.
There is also something called palliative care. This seems to be an in between. You can be on palliative care and still be seeing your doctor, receiving chemo treatments, etc. They would work like Hospice as far as providing needed equipment; help with obtaining your medications, etc. Again, none of us present felt the need to start this type of care at this time. This, along with Hospice, can start any time we feel it necessary.
At this point, Dad has elected to try chemo and see how it goes. I am sure he will stop, if he feels any harsh side effects. (He asked us all to vote on the chemo! Like we would actually over rule his wishes!) His doctor stated that the soonest the chemo treatments would start would be at the end of next week, or the following week, starting with an info session first. Mom and Dad will receive a phone call setting the appointments up, so we will keep you posted on that.
All in all, Mom and Dad seemed to take all the news ok. He isn’t experiencing any new side effects of the cancer at this time. (His legs still feel heavy, and he feels this effect the worst in the am, and has a pain that comes and goes in his chest & back around the lung area.) We talked about making sure to make the most of their time, and not just focus on the next treatment, or doctor’s appointment, etc. As you all know, Dad isn’t much of a talker, so he didn’t speak on anything more specific. As I think I have posted in the past, he isn’t someone with any unfinished business to take care of. We will all just try to help him spend what time he has left in whatever manner he wishes. Whether that is watching soccer on TV, sitting outside on their patio area reading a book, going for a run down to the esplanade, etc…..
Hope you all are well
Pat