What to expect? that is a hard one as everyone is different and their responses will be different. GBM's are anything but good. The positive is that the brain doesn't feel pain. Kevin's tumour was quite advanced and large when diagnosed. He was a new man after his first op and we had a lovely Christmas and 4 weeks in between op and rad/chemo. Most patients cope really well with the treatments. for Kevin they didn't work though. His dx was16 Nov 2012, second op 15Jun 2012, chemo iv (nil side effects) . From his 2nd op, the MRI showed a new smaller tumour in front temporal lobe. There is a protocol so it seems that they won't do any other ops or treatments without a 4week break. the chemo iv had no effect on the new tumor but seemed to stop the 1st tumor from re growing. He had the small tumor op (3rd op) 26Sept. hat year, Was due to have more chemo or sterotactic radiation. Specialists to decide. Before that he took his first seizure 26Oct. In hospital 6days. the MRI showed that the front temp tumor had grown. I couldn't believe the scan when I saw it. We tried Avastin. For Kevin while it was "treatable" he had hope. I overheard him say to one of his mates. "I don't think this will work." He knew. While having the Avastin, he took another seizure and was hospitalized pending assessment. He took a massive seizure on the Mon night, did not regain consciousness and died Wed morning.
Sorry for the not good news storey.
However, throughout that year Kevin was blown away by the love and kindness he received from family and friends. We were showered with love.
The main side effects for Kevin was tiredness. As the year progressed he became tireder easier. He gradually lost interest in things he enjoyed like crosswords, listening to the radio, reading the paper. I watched his shed layers until he was happy simply sitting with me in the "treehouse" (back verandah) enjoing the sun, rain, trees, birds and the sky. He completely shed anything artificial as he slowly became part of a spirit. it was lovely to watch and we enjoyed just being rather than doing. While you have some energy, do what you can.
Asphagia was caused by the seizures and was very frustrating for him. It took me 1 hour one time to work out he wanted his radio. I had explained to him about Asphagia and once he understood it, we could have a bit of a laugh. Although one time he told me that "I had become dumb since he got home."
Brain cancer can also mimick dementia, so be prepared to enter his reality. I have the privilege of working as a massage therapist with dementia px. It made it a bit easier for me.
We considered ourselves lucky to have warning and could spend time together re connecting and loving each other.
It was very difficult at night times. He could be difficult then. There were toileting issues, so pull up padded pants became the go. Eventually a wheelchair was needed. It made it easier for me to get him to the bedroom. during the day he didn't need it.
Having said that, when Kevin was having his radiation, we met a man with GBM who walked around like nothing wrong with him, very friendly, looked great and he had just hit 3 years. Who knows????
Wishing you all the luck....
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