August 2012
Hi Terese.
I am in two minds as well - a heart attack (or something similar)so it is over and done then she does not suffer over such a long time The isolation not being able to talk between us is my biggest frustration (caused by the location of her tumour over the communication /speak area of her brain so the same issues may not be for your husband) and - then I do not want her to go. Presently I am clearer now than 2 days ago the intensity and occurrence of my grief has lessened - well it has for where she is now at with this stage
I have asked that she is not resuscitated (I was asked when the paper work for her admittance to hospital just in case she has further seizures it’s something we talked of before and it’s what she wants)
Hi hammy
Thank you for your thoughts and prayers.
Hi Peanutz
Lorraine has in so many ways is ahead of me. Despite what she is going through (or what I perceive) she has followed and practiced a Course in Miracles which had sustained her after the death of her son, it has given her a way for life and a foundation
I have a different direction and use Vipassina Meditation and sustains me in much the same manner as Lorraine. I tend to be lazy and not practice. The last 3 days I have practiced and starting to find some foundation again. Having a spiritual direction (a spiritual direction that will work for you) can give some peace and a way of coping - it’s never easy you still have to work at it.
With some further reflection what Lorraine has and is showing me will be the most valuable experience of intimacy It is a privilege she is giving to me to be with her
In my life I have found it difficult to accept offers of help it’s easier to give and not be indebted to another. Lorraine's sister lectured me on seeking and asking others for help. It matters for Lorraine’s as well something I have started to allow (like meditating at a fellow mediator friends place for the last 3 nights on way home from hospital0 it also helps others to be involved in Lorraine's death and to be closer/bond
Hi again Carolien (friend - almost old friend after this journey - well so it seems with our respective partners dying and thank you for your invaluable support to me and with practicable insights as death nears)
Another thing to look out for - bed sores
I have been initiated into wiping of her bum - after defecating (never been to good with defecation I generally gag) noticed that she had some bruising around anus area, got concerned and talked to nurse she said that it’s the cheeks rubbing together and the sweet from being in bed for long periods. This is physically a delicate area especially after her previous issues with constipation.
Peace to all
Geoff
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July 2012
Operation 3 Feb 2012
radiation then continuation of chemo till Dec 2011
Jan 2012 start of Avastin trial - after 4 months of tumour reduction, tumour relarges now with a smaller secondary tumour End of the Avastin now start of stage 2 trial - she has now has Carboplatin
about 6 weeks ago
Lolly has been to oncologist Tuesday. She is now off Carboplatin, her
lession has grown the lession & tumour have both
grown from 13x34x28 to 16x40x21 (lession) and the secondary tumour from 5x4 to 6x6 mm over the last 2 months. They grow adjacent to each other
Her treatment is now just pain management and steroids.
Oncologist believes that operation is not feasible and the surgeon has confirmed the same.
The tumour wins.
There is not much time left..... believe its a few months (maybe longer) no one knows - all is best guess
Lorraine's current state:-
She is tired and wobbly at times feeble and shake. She
can get out still, but needs someone with her to steady & ensure she is OK. She rarely answers her phone
Loss of communication - she tries to talk and most of what she says I
dont understand ....this part is hard, she ends giving up trying to say what she wants - & sometimes making a joke that I don’t hear - she will
eventually withdraw from me into some inner world of waiting
I had the first experience of feeding her tonight she picked up on
the ice cream bit and fed herself with an upside down
spoon...interesting - pays no attention whatsoever when I suggest that
she could right it...then who am I .. she managed although in a
somewhat unorthodox way....oh well I am just a male in this
relationship who am I to be so upsome................bah .women
I have a network of close people who I talk to
I recognise that I need to talk with various people - as one person
can get overwhelmed with the onsor/t intensity of grief. I am familar with how it can oscilate and turn things to blackness - I watched Lorraine go through years of it after the death of her son (due to heroine overdose) I found him the next day motlted and blue -had to tell Lorraine of his death. That experience especially the second year was so black/intense- then I did not cope shut down -our relationship dwindled for some time
With Lorraine ....when a new chapter begins of her progress to death - I have an ititial intense grief for the first day or so then it eases
over the next few days to some sort of normality ....this is its
rhythm/ my rhythm, well at present anyway.
2 weeks ago
Friday
Speaking with the coordinator since -said that the chemo was still affecting Lolly's blood platens (?)(I think that is the correct spelling) so there could be some increase in energy
Sunday was the day that she seemed to change... staying in bed till 11.30 washed out almost greyish
Although a friend saw her on Saturday and thought she had deteriorated
over the previous last week.
I did not think that she would get up out
of bed on Tuesday to see the oncologist - I am guessing but I think
there maybe a fair amount of mental fortitude for her to energise
herself.
I am concerned of her pain (mainly lower back into LHS below her
hip/bowel area I can not get a better description) The registrar did a
physical check said it appeared to be unrelated to chemo or tumour -
so may improve but if it gets worse ...then to do checking
Talked with a good friend she said that Lorraine has done her
grieving earlier. Funeral organised a year ago.
I look at myself - feel a mess at times while
Lorraine seems accepted/resigned to her death she appears to be
handling it so much better than me (well at times anyway)
That aspect helped me gained some insite and stability
I have sent a email out to Lorraine's closest people sibblings and
friends. Some will start coming
Today Lorraine is basically OKish although looks bored with not been able to do things have her daughter up on Sunday and another friend Saturday
I have no issues with recognising the tumour and the stuff that it causes I see Lorraine or my perception of her - its witnessing the slow decline of her (so now i am constantly re-assessing my definition of her as her mind fades away) the loss of her cognition of what is around her and the isolation she has (even though I try to include her in what is going on)
We talked she concerned heard/acknowledged/recognised my feelings/grief and she smiled a soft smile......... its OK .......................its what is
Went to see the chamber magistrate today (Lorraine is classified as severly impaired cognitively) He would not sign for the power of attonery and the other form to make choices for her medical issues - so now got to go through the tribunial So issues of banks and now to deal with further issues of the tribunial............. this stripped off my 'protection layer' and my undering grief has been present....now easing off
Friday Night
Lorraine had multiple siezure - down down her right side. Lasted 20-30 minutes..... of various intensities 2 low 2 strong (my opinion)
Siezure was the first time, the first experience...... scarey to see her so vunerable to the attack, ambulance and regional hospital (we are on Mid North Coast)
CV scan shows no brain bleed so not a stroke emergency ward doctor spoke of getting a MRI scan 9on reflection probably little use)
She now is on strong dose Dex (steroid)- 8 mg in the morning and again at night + the anti siezure medication
Saturady
Most of today I was at the hosptal I am with Lorraine again tomorrow.
Today she was mostly asleep with occassional short awakings to look aound and gaze. At various times I felt as though she was not aware of me/ who I was Other times she has the gentlest smiles.....its almost a spirtual experience (well for me)
6 pm tonight she appeared to have more energy - was able to feed herself with her left hand (her right hand she was able to just move to scratch her nose better than this morning her arm was 'dead')
I hope to get her out of the hospital asap - however with Lorraine's physical deteriation I need to have the pallative care ready and I may need a lifter amoungst other equipment to manage her at home - to be determiend
Presently I am tired from an extreme emotional day and lost sleep.
Sunday
Lorraine still has very limited use on RHS and speech is very gargled but better than yesterday
fed her the regional supplied hospital food (so much better than the RPA food that is/was dished out after her operation Feb 2011- who ever looks after the contract should be infused wth an assortment of chemo drugs .....please note no other issues with the RPA, all staff excellent)
Had Lolly's daughter, granddaughter and grand kids all on Sunday although in one big group...... if she survives for a while they can individually see her
Monday (today)
saw ward doctor give 2 weeks to a few months before she will die, it hard to tell recommends anyone to come to do so now.
Have called her close sister to come from overseas. She is arriving Thursday.
See the Occupational therapist tomorrow for equipment & new oncologist (we have ben transferred to be closer to home so need so contact)
3 nights ago the multiple siezures happened ........it feels so long ago........................................ its some disassociated memory
Life has changed
Geoff
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June 2012
Hi Nat Terese
Oncologist believes the Avastin does not necessary cause the Gliosarcoma but could be a remainder of that type of cell within the tumour (after the Avastin has attached the other cells) The cause of the Gliosarcoma is unknown
Re Lorraine and the Carboplatin - her reactions to it are so not so bad (to date). A friend we made while in hospital did not tolerate the Carboplatin well, she died 4 weeks ago group.
Hugs Geoff
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June 2012
Hi Nat Terese
Lorraine's tumour resulted her cognitive power, speech and memory have decreased. Her mobility is declining she is getting frail wobbly on bad days, tires easily, watching to ensure she does not fall She gets highly frustrated with not communicating (and me trying to coprehend) As yet she is to start her Dec (steriods)that should reduce swelling and counter some of the adverse effects, otherwise good most of the time. See what adverse effects from the second round of the Carboplatin brings tomorrow.
Hugs
Geoff
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June 2012
Hi Terese & Nat
The secondary growth with Lorraine is possibly the start of a possible GS tumour??? Lorraine has her carboplastin infusion this Tuesday hopefully we may have some contact with the oncologist (he is not booked for this round)
Terese - it seems that your husband is not in the 15% that are effected by the GS tumour so that is great Hope the Avastin continous well for him and you.
Hugs Nat & Terese
Geoff
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June 2012
Nat and any others interested
Just came across this site for the trial of Avastin gives some insight into the effectiveness (min 2.3 months extra time) and a side effect with possible GS tumour
"(GS is a rare variant of GBM that has gliomatous and sarcomatous features, and most are primary tumors. Secondary GSs are usually diagnosed at surgery for previously resected and irradiated GBM and "have a greater propensity for extracranial metastases," Dr. Yang said. In addition, "there are some reports suggesting that the outcome of gliosarcoma is worse than glioblastoma.)"
http://www.medscape.com/viewarticle/762970
There are some other related topics on GBM also on this site, so more reading
some furtehr extracts from this site below of the Avastin trial
"results were presented here at the 80th Annual Scientific Meeting of the American Association of Neurological Surgeons
Bevacizumab for GBM Linked to More Secondary Gliosarcomas......
the incidence of secondary GS was 15.4% (6 of 39 patients), compared with 0.6% among patients who had not received it (2 of 312)......
Overall Survival Times
Treatment
Survival Duration After Initial Diagnosis (mo)
Bevacizumab, secondary GS
16.1
No bevacizumab, secondary GS
19.2
Bevacizumab, no secondary GS
18.5
No bevacizumab, no secondary GS
13.8
Looking just at the effect of bevacizumab on survival time after initial diagnosis, Dr. Yang said patients who received the drug "had an overall survival a little over 18 months, and patients who did not receive bevacizumab had average survival of approximately 14 months" (P = .117). He concluded that "bevacizumab did not appear to be correlated significantly with overall survival."
There was an initial survival advantage of receiving bevacizumab, but at about 20 months, the Kaplan-Meier survival curve fell off sharply for the bevacizumab group."
You will have to join to accesss the site. Its free and mainly for medical people but allows for others (i.e. us) to join.
Hugs to all for the challenges this crappy cancer inflicts on our partners, wives, friends, mothers, fathers, sons, daughters and ourselves
Geoff
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June 2012
Hi Nat and Terese
I am a bit confused s to where your partner is with the posts dated 11/06/12 and 14/06/12?
But based on your post dated thurs 14/06/2012, my partner had a similar experience, she has been on the Avastin trail with the original tumour contained, but now has a new tumour growth. She is now off the Avastin after 4 months and has started taking Carboplastin (chemo drug) 4 weeks ago. My research indicated the Avastin has a average 3.8-4.2 months effectiveness, so she gained this extra time with a reasonable quality of life.
Geoff
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May 2012
Hi Nat
Re loosing - yes its one step closer to her death, then its my grief and all that implies to me
spoke again to the oncologist today to get clarity on the outcome - best guess is the drug should increase her life from 2 to 12 months (providing she does not adversely react to the chemo drug) and her quality of life should be better than without it. My bent is that its a appropriate way to go - However the final decision is for Lorraine and I try to be aware of not colouring her mind with my sway, of presenting a unbiased view (i have to read to her,constantly repeat what was said what I said, try to unravel any confusion, try to understand what she says - she talks and words are different to what she wants to say, sometimes she is not aware of what she said...she grows closer to a dementure like state)
She is the one to endure the chemo drug and it is her life. Presently she has reasonable cognition on a good day during good minutes, the future will bring its changes and I will make those type of decisions for her, for us and for me.
She is a remarkable woman pre and post this tumour she has the knowledge that she is loosing her conscious mind, her decision making, making sense of the world and how she approaches what has been presented. During confusion and forgetfulness she will struggle and gets frustrated for a short period, moves on.
Despite her tumour she is more with the present than I, and more detached from the outcome. I flounder at times, although (so far) able to move through my emotions, and rammble
She is my teacher.
And I wonder of my journey into this lurking world
Hugs for your journey
Geoff
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May 2012
Hi Peanutz
The spot sounds suspicous so probablely the following is not something you wish to hear
Lorraine had an MRI scan yesterday morning then later saw the oncologist. The results from the scan is the tumour is contained however there is a new small growth and explains some further deteriation she has experienced with fatigue, cognition, memory and talking. Basically the effectiveness of the trial drug she has been on Avastin is now limited. The oncologist recommended entering into stage 2 of the trial which involves taking a chemo drug carboplatin. Pending a computer selection process this taking of carboplatin could be taken with or without Avastin There are some adverse effects from carboplatin, so whether it is worth loosing what quality of life is left for her to gain some more time.....
She is considering options and whether to travel this road
This is getting to the real scary part
Emotionally I had a extreme rollercoaster of the last two days - its been magnified by another woman who we were getting to know and like in the same trial she died on Sunday
Then today in a daze I get booked for speeding
Hope your spot works out to be just a blip or fades away
Hugs and love for your journey and all else who may read this
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