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Stage IV cancer? Incurable? Roll up, roll up, this thread is for you!

998 replies

mowly77 · 05/08/2023 17:46

I’m expecting tumbleweed. But I’ve jumped over from the lovely supportive threads I’ve been on for general cancer - latest one here-

https://www.mumsnet.com/talk/general_health/4863468-cancer-support-thread-89-the-best-thread-that-no-one-wants-to-be-on?reply=128175880

to see if there’s any interest in a separate thread. I often feel like such a derailing buzzkill on the general cancer threads as there are so many shapes, sizes, flavours of cancer & so many different issues when you’re being treated to be cured as opposed to being treated palliatively.

And those of us unlucky enough to be incurable, and let’s face it, dead, sooner rather than later from this insidious disease, have our own concerns and darknesses. And admin. And hopefully some good days. Please, please let there be more good days.

Help, advice, dark humour and support are the aims. There are wonderful people on the cancer support threads & I often feel guilty for trauma-dumpling my tales of woe on it, to those dealing with their own, but different, bullshit.

Anyway —- come on in, the door is open. All I have to offer today are tales of woe about NHS incompetence & updates on the state of my bowels.

Here’s ‘my story’ - my bullshit story I wish wasn’t true but here we are. Please share yours if you would like.

estrogen+ BC diagnosed age 36, v aggressive, 3 tumours, 2 very large. Right mastectomy. No lymph node involvement. 5 miserable months of old school FEC poison. Then diagnosed BRCA2+. Left risk reducing mastectomy. Then crickets from the NHS. No one told me NED but indeed I had none. So for 11 years I love my life.

I give birth in 2018 to my DD, conceived via IVF, as my reproductive capabilities did not survive the FEC. Had my ovaries removed shortly after as per advice for BRCA2 patients . THEY DIDN’T BOTHER TO FURNISH ME WITH ANY ADVICE ABOUT HOW TO DEAL WITH SUDDEN SURGICAL MENOPAUSE WITH NO HRT THOUGH. And a baby in the mix! I’m still v cross about that.

Right when I wasn’t expecting it, when I thought I had ‘beaten’ the ten year survival rates (hahhhha, that fucker came back. After much faffing from utterly shitballs hospital trust finally diagnosed metastatic, stage 4, incurable, spread in my lungs, pleura and sternum. This was March 2022 when my daughter was 3.5

I’ve since had 15 rounds of Paclitaxel (first 3 months some shrinkage; last 3 months total failure, back where started) & then managed to get moved to Royal Marsden in London with great effort as my oncologist was so bad, so rude & she made my life a misery. I started on the ‘gentler’ regime of Palbociclib & Letrozole and whilst I was battling horrible side effects from those I had a 6 month run of clear scans and I was finally getting to grips with the treatment. Then the other shoe dropped and the bastard cancer is growing again. I’m still on Palbo & Letrozole while they test my blood for an enzyme that will determine if I can move on to Capecitabine. Which I’m terrified of! Better the devil you know.

In the meantime I’m in America with my family (who all live here) trying and failing to communicate with the NHS over email to see if I can fly home earlier than scheduled so they can see me quicker and get me on Cape asap because I’m really not doing well.

I can have a ‘good’ day if I’m dosed up to the eyeballs on Oramorph but it’s all quite exhausting & I’ve had to temporarily come off it to relieve my insane constipation and stomach issues. So now I’ve been on bed for two days. BUT it’s not all bad. I’ve been to see the Barbie since I’ve been here & been to the local pool with DD a few times & enjoyed sitting on the porch listening to the cicadas. It’s boiling hot too so am getting a break from the rain.

I’d love to hear your stories, tales of woes, worries, advice. Anything at all you want to say in this safe supportive space. There’s just so much in the mix for this stage of bastard cancer.

Page 3 | Cancer Support Thread 89 - the best thread that no one wants to be on. | Mumsnet

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Thinblueglass · 23/09/2023 03:04

All the pre trial tests are taken…now just the wait to see if I have passed. If okay then the first Enhertu will be Wednesday. I still have a baseline eyesight check scheduled for Tuesday, that is solely for monitoring and not a prerequisite.

Feeling a lot less stressed now as there is no more I can do to influence the outcome and the chest infection is well and truly clearing up.

Overall not very active though, but am up and about every day, if only to do the washing etc.

LuciaPillson · 24/09/2023 09:38

@Thinblueglass best of luck to you.

staggering into thread, distributing hugs, cups of tea and doughnuts, (or healthier snacks if you really insist) staggering out again 😁

mowly77 · 25/09/2023 08:33

Good news @Thinblueglass let us know how you get on.

takes a doughnut and cup of tea, staggers back to bed

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TwigTheWonderKid · 25/09/2023 09:51

@mowly77 how are you feeling? Is the palliative care nurse coming today?

mowly77 · 25/09/2023 11:32

Hi @TwigTheWonderKid ! I'm feeling quite a bit better & sitting in bed attempting to do some work today. But that's because I haven't taken any of the f***ing Cape since Thursday ... but my cancer pain is weird and bad & has moved to my right shoulder/arm somehow?? I've been off treatment now for 6 weeks so I'm sure it's having fun.

I've been taking Lansoprazole for 4 days now so I'm hoping it's kicked in and YES the palliative care nurse is coming later today so I really hope she can help me with suggestions for taking Cape & better pain relief. I seem to be impervious to oral morphine now which is worrying, & all 90mg of Coedeine in one day did was make me more constipated so that's a worry.

How are you on this bright Monday?

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TwigTheWonderKid · 25/09/2023 18:44

Had my bloods done and brief oncologist chat ahead of tomorrow's Oxaliplatin infusion. They are going for 3 hours again this time and a 20% reduction in the dose to hopefully reduce the side effects.

I've been feeling so well this week ( my week off Cape) so not looking forward to getting back on the side effects roller coaster but it's got to be done.

Am also missing DS1 who has now been at uni for a week. I was fine when we dropped him off but the house is too quiet without him and I'm missing his huge hugs.

@mowly77 was the palliative care nurse any help?

LuciaPillson · 26/09/2023 07:07

@mowly77 Would the oncologist authorise a lower dose of Cape perhaps that you could more easily manage or is that even a possible thing with the tablets? I really hope the nurse can help with pain relief. Thinking about you.

@TwigTheWonderKid How have you managed with the oxaliplatin? I'm in a way thankful to be off it at the moment as the cold sensitivity made everything so very difficult. I was warned it can cause throat spasm and respiratory distress which I found really scary although the worst I experienced was pins and needles but I was careful and was always on a low dose... but found it so hard to prepare food, get drinks of water and so on and on when nothing can be cold. Also, going out in long cold winters. I've been binging on ice cream since they took me off it! Which isn't good for me but ah well.

TwigTheWonderKid · 26/09/2023 07:46

@LuciaPillson I've had some horrible immediate side effects (double vision and foot spasms) but otherwise it's been ok-ish, so far. I have got gloves stuck to the front of the fridge to remind me to use them, I keep lots of cans of drink at room temperature and mix cold water with water from the kettle. I can usually eat ice cream by week 2. I suspect it will get harder now it's getting colder (I was surprised to get the pins and needles after touching the wooden bannisters the other day) but luckily I have lots of gloves and my best friend is knitting me some arm warmers.

mowly77 · 26/09/2023 16:25

Ah yikes guys that cold sensitivity sounds awful, so many unexpected and awful side effects we all seem to have to try to live with it’s almost comical

and I’m sorry about missing your DS Twig that must be quite the adjustment

yes hospice nurse was v lovely and helpful & she’s going to switch my morphine to oxycodone (a change is as a good as a … I dunno, loads more apparently) & ask GP for some other meds too. The Cape was already reduced by onc from 1800x2 to 1500x2 … the only way through is … through. So I took just one dose yesterday; I’m aiming for the two today but I psychosomatically feel burny. I tried to distract myself with work but it was so boring I fell asleep

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TwigTheWonderKid · 27/09/2023 02:31

Had a much better day today. Was sat next to someone I used to know when I was a school governor so we had a lovely chat, such a nice distraction.

I asked for a second dose of Lorazepam towards the end of the infusion and I think it helped. No double vision and no foot spasms although I was totally wiped out and walking like a drunken sailor.

Just woken up with a throat full of my dinner so have taken a double for of Lansoprazole and am now sitting up catching up on the Archers.

mowly77 · 29/09/2023 11:04

I’m also catching up on The Archers right now Twig! It’s finally getting good again. Good to hear infusion was a bit better, sometimes a nice bit of drunken-sailor lorazepam is relaxing… as well as a chat.

I’m also mainlining Lansoprazole as awful heartburn, nausea, no appetite, vomiting and existential despair that I can’t get Cape in me. I’ve lost 4kg 🫤 Having read some people’s experiences on the FB Stage IV Xeloda group I’ve decided to titrate myself up. I just cannot get 3,000 a day in me starting from zero. No one’s helping me so I’ve taken matters into my own hands.

Got Marsden on Monday but I’m changing that to a phone appointment. Both DH and DD have colds so guess who now has another ailment straight on my cancer-riddled chest?

Anyway what’s everyone’s exciting weekend plans???!!!

turns over in bed, puts a new Archers Omnibus on, groans a bit

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LuciaPillson · 29/09/2023 13:03

@mowly77 Well my exciting weekend plan is always to tidy and clean up my flat but even when I put loads of work into this it is never either tidy or clean. Rather dispiriting it is. Why is every dish I own dirty despite me swearing that I will never leave dishes for so long? Why.

Could you ring the oncologist's office and tell a nurse or someone how hard it is for you to take the Cape, and see if they have anything to recommend? I feel you shouldn't be struggling with it all alone, they should be monitoring how you're coping with it surely? Forgive me if this has been tried or won't work. I just hate to think of you wrestling with this with no medical support. And it's causing weight loss too, honestly someone should be paying attention.

@TwigTheWonderKid Glad you got through your infusion ok-ishly and can concentrate on the important things like the Archers!

mowly77 · 29/09/2023 14:21

I know what you mean @LuciaPillson but it's just the way it is with the NHS. Joined-up care is a bit of a postcode lottery. I will speak to onc on Monday & of course he will be concerned, but all he will say/do is take me off Cape & switch me to an IV chemo option; & I don't want that so I've had to pre-empt him by coming up with my own plan & keeping detailed notes about it. There's no nurse or anyone else at Marsden who is able to put the effort & resources into monitoring me, the best sort of continuous care is via the hospice who did call again today to ask how I was getting on with new switch of opioid (I'm not, the pissing pharmacy still hasn't got its act together to actually get it in stock for me).

And as the hospice nurse explained to me, even though heartburn is really common there's not many drugs to treat it so they only way I will know if I can take Cape is ... to take it, alongside the heartburn drugs. She's right, I understand that. The onc should also be able to tell me what's the lowest therapeutic dose of Cape for my height/weight so that could help. As 1,500 X 2 a day is still too much atm. Bleurrrgh yeah, it doesn't sound right I agree but I think this is a really common experience for cancer patients in the UK, especially Stage IV cancer patients.

In other news I've just lost my cool & send a pointed meme and SHARP WORDS to my neighbour who actually laughed and said 'but you look fine!' when in response to the typical English 'how are you?' I said 'quite shit.'

It was the first time I have left my bed in DAYS! I went to get some sushi as I really wanted some yesterday. I don't today much but it's really sunny so I thought I could leave the house for a change. He's got the final brunt of so, so many people telling me I look good / fine / well when in fact I FEEL LIKE ABSOLUTE SHITE ALL THE TIME AND HOW I LOOK DOESN'T COME INTO IT.

Now I have to throw my phone in the sea in mortification.

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mowly77 · 29/09/2023 14:25

Here's the meme if anyone else would also like to mortify liberate themselves by telling off unthinking neighbours, relatives, friends or strangers!

Stage IV cancer? Incurable? Roll up, roll up, this thread is for you!
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mowly77 · 29/09/2023 14:28

All I can say is: if a man could do a Tinkly Mumsnet Laugh™he was doing one.

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HerbalRefreshmentt · 29/09/2023 19:57

Slogged through another week, hip doing better and I finally saw the Super Specialist second opinion who confirmed rads but not where I was expecting (but makes sense). Another box ticked, another week down. I even walked 5200 steps yesterday, got lost in Marylebone and achieved the stairs at Baker Street in ok fashion. A few hours in my work chair this afternoon though and Im eyeing the morphine bottle. If only I could sleep more than five hours a night I could deal with this better. Should have the final plan in two weeks and hopefully be radiated in three.

I called Kingston to change my NHS pulmonary consult two month follow up thinking it would be a few months to a new appt (no big deal) but next available appt was in May! They also messed up the CT scan and scheduled it for three weeks after the consult so both would have effectively been useless had I kept the dates. So I dunno, Marsden seem confident they can keep an eye on it through my normal scans but I kinda want to talk to a lung person about things like - the covid vaccine, whats the deal? and does this Eliquis make me fatigued? You got anything better? Hate taking all these drugs.

Goal for the weekend is to get out a bit in the sun and walk/pole to some brunch and be out where there's music and there's people (and they're young and alive... well, maybe not but hey, had to finish the lyric line even though I detest the Smiths!). And finally make this stuffed aubergine dish I found that looks good but we dont really eat those in this house so I've been putting it off.

I really hope you can find a solution with cape soon, @mowly77 - Ive seen some people titrate up on different drugs, I wish the oncologists would be more flexible!

@AGreatUsername how are you doing with everything?

TwigTheWonderKid · 29/09/2023 22:23

@mowly77 so sorry you are feeling utterly rubbish. Which anti-sickness meds have you got?

mowly77 · 30/09/2023 07:09

Metoclopramide from the hospice, mainly because it helps empty contents of stomach faster so should help with heartburn (she says awake at 6.30 with horrific burning). For actual nausea nothing else has ever worked, or causes constipation, apart from my medical cannabis prescription, 10/10 thoroughly recommend. It doesn’t cure it totally but it definitely works to a fairly large degree.

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AGreatUsername · 30/09/2023 09:18

Hi @HerbalRefreshmentt

I am meh. Just waiting. Forever waiting. I did have a call with my oncologist yesterday who assured me she is looking at trials not because there are no conventional options, but because targeted therapy may be the best option for my annoyingly rare cancer. She did laughingly say well it’s very unusual for ovarian cancers to progress via lymph only. I told her I was sick and bloody tired of being the odd one out. Very rare cancer with amazingly low odds anyway given my history, “never seen before” behaviour of CA125 and now “very unusual” progression to neck nodes. Although she did say the PET wasn’t 100% it was cancer, as the uptake was mild/moderate. That could be because mine is grade1 so not as hungry as higher grades. Or it could even be caused by something non cancer but she is highly sceptical of that idea.

I am going in Tuesday to have bloods taken for TARGET who will look for any genetic flaws in the cancer DNA and then scour all available U.K. trials. She has also requested a whole raft of mutation testing on my original tumours but that will take months. I have my private consultation at the Marsden on the 10th, I’m worried about the financial implications. I must self fund as I live in Wales. I just hope she recommends something and I can get that locally!

LuciaPillson · 01/10/2023 13:32

Googled "you don't look sick" memes, a lot aren't very good but got a little smile out of "and you don't look stupid but looks can be deceiving" and "are you accusing me of faking my disability or are you asking what concealer I use?"

Not apropos of anything but I feel I could design a whole course about what not to do to people who depend on mobility devices. Yeesh.

@HerbalRefreshmentt What is the stuffed aubergine dish?

TwigTheWonderKid · 05/10/2023 21:59

How are we all doing?

I've had a funny old week. I'm on day 9 of my 2 weeks of Cape. Apart from some hip pain and insomnia I'm feeling physically better that I have since July but mentally I'm all over the place.

WrenNatsworthy · 05/10/2023 23:30

Hi everyone,
It's been a while. Last week I had an appointment with a nurse at my local hospice and felt reassured that they have my back. They offer lots of stuff some now and some further down the line.
The next day I had a telephone appointment with my oncologist and I got more clarification. Basically my lung tumours aren't suitable for ablation because there are multiple. He agreed to make a referral to an Ocular Melanoma specialist in Liverpool who may have access to new trials. Not heard anything yet.
So at the moment no scans, no treatment and I have to go on how I feel.
I've just been sleeping a lot. No idea what's causing that. Hoping the mets are growing slowly. Hoping the liver mets are still shrinking. Hoping no mets have popped up anywhere else.

Thinking of you all.
Am also an Archers fan

ROB!!!!!!!

WrenNatsworthy · 05/10/2023 23:32

Thanks for the meme @mowly77 it's brilliant l.
The amount of times I get told how well I look when I feel like shit. I'm not thin and I've never lost any hair because chemotherapy doesn't work on Ocular Melanoma.

mowly77 · 06/10/2023 01:52

I’m doing SHIT. Monday started my week off from cape so that should have been good, right? NO. I’ve been in bed all week yet again with a bad cold. Hospice wanted to send me to A&E. NO. It’s nearly gone now but I’m in terrible shape. Can’t walk around the house without extreme breathlessness. Feel like I’m half-dead already. Everyday I think ‘this will be the day I feel better, this will be the day I leave the house!’ NO.

yea @TwigTheWonderKid as well as the nausea, loss of appetite, vomiting & extreme XXL heartburn, cape also made me super-emotional last week. Couldn’t stop crying. Still can’t. Herbal mentioned it was a side-effect! One of those secret ones oncologists don’t tell you about & when you tell them they make the pikachu face & clearly don’t believe you, you silly little woman.

I’m so bored I cut my hair with the kitchen scissors tonight. No way am I going to spend £££ at the hairdressers when I could bet it’ll all be falling out again in 6 months because I’ll have to try IV chemo next or … just give up. The full outcome of the haircut will only be revealed in daylight tomorrow. If it’s bad who cares not like I can go anywhere aghhhhhh I’ve lost my mind as well as my physical health.

hi @WrenNatsworthy seems like a mixed bag for you but not unbearable? yes at least The Archers is good. ROB!!!!!! indeed

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LuciaPillson · 06/10/2023 03:15

Raining again tonight. We had a weirdly great summer with rain mostly overnight, and sunny days so lots of green grass but bright weather, low humidity most of the time so my breathing was ok and I could get out. Very unusual all of this! So I've been able to do quite a bit of walking with my walker. Now we've been having very warm weather in early October. It can't hold for long but I'm enjoying it while it lasts. I got a new duvet and duvet cover today thanks to a family member who kindly drove me to the shop so I'm all set for when it turns cooler.

@TwigTheWonderKid Glad you are feeling well physically. What if anything do you find helps with the emotional/mental stuff? For me it's I guess getting out when possible, shopping, and keeping busy so my brain doesn't have time to think, but of course nothing works all the time.

@WrenNatsworthy Oh it's good that the hospice has a lot to offer, I hope that feels at least as though there's some comfort/support there. I have a palliative doc and that word always gives me shivers yet I'm glad she's there, a very sweet Irish woman.

@mowly77 Hugs. I hope the breathlessness starts to improve as the cold goes away. I have asthma and I know how shit it is when you can't breathe properly. Take it very easy with what you do if you can. Do you have any mobility device like a cane or wheeled walker you can use in the house? Difficult with stairs though I realise. Sorry about the emotional stuff... it's hard... at least you know you're still kicking when you can say (or shout?) NO to things.

I always cut my own hair and it's due for a cut now... I have devised a cunning yet ridiculous way of doing it where I cover myself in a bin liner with holes for head and arms and sit on my bedroom floor in front of the mirrored closet door and slice away with my best scissors! That way I won't feel faint whilst standing, I may look insane but there's no-one around to laugh.... female pattern baldness plus chemo have made me pretty thin on top but I still have hair, horrid though it tends to look. But I don't go to many places, wear a hat for shopping and otherwise am at the cancer hospital, one place where surely it's acceptable to have shit hair!