It is not sure which cancer is the original source. My mother had experienced pain for 2 weeks(beginning of July), We went to see her primary doctor who thought it might be diverticulitus(she already had been diagnosed with diverticulosis). She was prescribed medication but after 3 days, she was still experiencing abdominal pain so we had a cat scan done of her stomach. Her doctor called me and told me it was cancer and we should consider pallitive care/hospice. My sisters and I met with her and she explained the catscan indicated gall bladder/colon cancer. We did a blood test which indicated she had extremely high Alt/Ash levels. It did not indicate which was the original source of the cancer. She recommended us seeing a gastroentologist for a 2nd opinion. 4 days later we went to see him and he showed us the picture of the catscan. There is a huge tumor in the gallbladder which has invaded into the colon. My mother has not had a bowel movement for the past week so we are thinking there might be some blockage. She has gotten sick a few times and feels much better after but I am concerned there are no bowel movements. We have used Miralax and stool softeners but think is a sign of a bigger problem. We are going to see the onocologist that we had worked with for my father two years ago. An;y suggestions for me or questions I should ask the onocologist or other treatments I should look into? I become very frustrated when doctors look at her age and automatically assume it is a death sentence. All treatments should be presented so that is why I want to hear from anyone about their experiences or suggestions with this cancer.
How old is your Mom?
What is her general health?
and the most important one of all..
What does she think of the diagnosis and the options presented?
If your Mom is 60 years YOUNG and in great health other than the diverticulitis then maybe she is a good candidate for surgery.
If your Mom is 80 years OLD and in poor health and has other medical conditions (dementia for example) she is a poor candidate for surgery.
If your Mom is not wanting surgery given the options ant the possibility or a colostomy and rehab after surgery and the follow up treatments then she is a poor candidate for the surgery.
This is if she is qualified to make the decision to have surgery in the first place. If she is not of sound mind then her POA for health care needs to step up and make the difficult decisions.
Personally unless the cancer is in the early stages and unless I could be assured of a good outcome I would opt to not have surgery. I would select Hospice care and enjoy what time I had left.
This is time to put your feelings aside and help make a decision that is best for your Mom, with her input if possible.
Make sure that she has all the documents necessary for Health Care, Finances, Will, Trust and whatever else is necessary. It might be a good time to contact a lawyer that knows Elder Law just to make sure that things are done correctly.
At some point the conversation of a DNR will come up. There is a newer form called a POLST that is more detailed than a DNR and it is worth looking into.
Tough times ahead, I feel for you and your family.
We have an appointment Tuesday for his cardiologist & lab tech. I need to find out if the insurance company will approve the replacement at his age and, if not, what signs to watch for & what to expect.
My dad is not ready to leave this world, so anything that doesn't support his desires would be heart-breaking.
If the pacer is changed, his physician will have him put in the hospital for the procedure because of his advanced age.
I have been his sole caregiver for most of 6 years, with some aid added in the last year.
My thoughts and prayers are with you and for the decisions that lie ahead.
1. You need a report from your oncologist. Chemo, surgery or another option. Your primary care physician knows what shape your mother is in, and whether or not she'd be able to handle those options. Her PC and Oncologist will confer. Of course, she should have the final say in treatment options or hospice care, unless she's not mentally competent to make the decisions. That's where you and your sisters come in.
Hospice care is no longer a death certificate. You can get palliative care with hospice, get better and go home. You're not condemned to giving up emergency care if you need it. Hospice can call an ambulance and send you off to the hospital for treatment for, say, pneumonia. You can have home hospice care. The physician does have to say there's a good likelihood of death within 6 months, but as I said, that's not the final word.
Good luck and God's peace to you and your family.
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