Pancreatic cancer stage 4: Mom moved to palliative care

Posted by amy @asugent, Jan 1, 2023

For those following my story… my mom’s surgeon said no to removing Mets from ovary and bladder. Because my mom only has one kidney and due to cancer in the peritoneal area, she’s not a candidate. We’re in shock and I have panic attacks just thinking about what’s to come. Chemo didn’t work to shrink the tumor and I think they’re going to try radiation next. I know palliative care isn’t hospice, but what can we expect? My mom lives alone, but has a great support system where she is. I’ve offered to live together and she’s thinking about it. The thought of losing my mom is unbearable, but maybe now that the fight is over there will be some measure of peace. Anyone have info on what to expect from palliative care?

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@asugent

Plot twist! My mom just got back from her oncology appointment. Her oncologist was OUTRAGED that the peritoneal surgeon told her she was not eligible for surgery because there was "most likely cancer in the peritoneal we cannot see on a CT scan." That surgeon was young and arrogant and started my mom on palliative care. However, her radiologist sang a different tune. He thought he could get this with 5 weeks/each day of radiation to the affected area and "buy her more time." We were happy about that. Then today the oncologist said she should NOT be on palliative care because "we are not there yet." He thinks between more rounds of chemo plus radiation and perhaps some "clean up" surgery, they can give her a handful of years. He also mentioned that in five years he thought immunotherapy could turn this cancer on its head! (Again, just his thoughts on the matter). So, the oncologist wants my mom to see a different surgeon and actually apologized for my mom having gone through what she did. Again, we realize the odds now that this has come back. But we're also remaining cautiously optimistic that she can get a handful of years, if not more. Again, we know things can always take a turn for the worse. We're no strangers to the roller coaster.

Wow, what a whirlwind of emotions. One day they have my mom for dead and the next they give her hope! My head is spinning, and I am not sure I know what to believe anymore with one doctor saying one thing, and 2 other docs saying something completely different. But I will choose hope. I am sure there will be more updates to come, but I wanted to share some positive news for all those who may need it today. Love to all....

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It seems like the emotional roller coaster is a rough ride. When I read your sister's story, I know this could very well be me at some point. Thank you for continuing to share your story and the emotions you have been experience. I am learning a lot from it.

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@asugent

I am sorry you are going through this too. It's just the worst and I hate that any of us are on this site having to talk about such awful and scary things. Your sister sounds like a true warrior, fighting until the end! I hope she finds peace soon and is out of pain. I hope the same for your and your family as well.

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Talking about the scary stuff I believe is helpful. I am learning so much from these discussions. I don't think the doctors want to scare people with these stories, but to me as a patient, I find these stories very helpful. Thank you for sharing your story

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@gardenlady1116

You and your sister know your mom the best and she seems to be asking for you to advocate for her. She probably finds it difficult to deal with the doctors directly, especially if she perceives that they are suggesting care.

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It seems that she is the biggest factor . No one thinks she should be doing anything at age 85? My family ancestors typically lived until late in their 90s. She is healthy except for this mass . I just feel like I’m not doing anything . Just waiting . I don’t see many posts here about people her age and what they are doing. Should I be taking her somewhere else for another opinion? This is so stressful .

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2nd opinion could give some peace of mind. I found going to a pancreatic center of excellence was very helpful, you can have confidence in the information that you get. From my perspective, I first had chemo for breast cancer in 2001. At that time I was able to work and take care of myself and my family. This time I am 69, I feel like chemo is a lot tougher on my body. I am able to do less, although I do have my good days. It was very stressful initially when I was diagnosed in 2001 when my doctors did not agree on my treatment and I sought a second opinion and decided on a course of treatment. I think the uncertainty about what the right thing to do was very stressful. Hope you can connect with someone who can give insights into how persons in their 80s handle chemo and can get a highly expert 2nd opinion

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We did go fur second opinion and he said chemo then Radiation. But would probably make her sick . We did the radiation .I’m just so confused.

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There is no “cure” and her age seems to be a huge factor . Would be interested to know if anyone else who was in their 80s had this diagnosis
And what they did ?

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@proparalegal

There is no “cure” and her age seems to be a huge factor . Would be interested to know if anyone else who was in their 80s had this diagnosis
And what they did ?

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I’m 82 and was originally diagnosed with Stage 1B borderline resectable. I had five chemo treatments with the first two making me so sick I was hospitalized. The oncologist changed my chemo to to oxcipalantin, iretocin and fulfirinix and although I felt bad was able to tolerate. Then I had SBRT radiation, five treatments two a week to create a margin between the tumor and a blood vessel that the tumor was leaning on. Then I went for surgery to get the Whipple and hopefully get a few years to live. The surgeon got in and found that I had carcinomatosis and that tiny tumors were all over my peritonium! None had shown up on PET scan nor CT scans. He took six inches of my intestine and created a bypass around my pancreas so that I would be able to digest food in the future. He did not do the Whipple and said I had six to eight months. I feel good and I’m in God’s hands now. He did the surgery robotically and I had quick healing. I have chosen not to have chemo since it would only add four months to my life and those would be miserable. I’m praying that God will perform a miracle, but for now I’m enjoying feeling good and living a normal life for the time that God gives me.

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God bless you and stop the pain you might be having. My friend is 65 and has a pancreatic cancer which has also spread to her liver. She is not doing chemo and is going through very difficult days. Cannot eat because pain is terrible. I live abroad and cannot be with her. Wish I could be next to her holding her hand.

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@mdbray

I’m 82 and was originally diagnosed with Stage 1B borderline resectable. I had five chemo treatments with the first two making me so sick I was hospitalized. The oncologist changed my chemo to to oxcipalantin, iretocin and fulfirinix and although I felt bad was able to tolerate. Then I had SBRT radiation, five treatments two a week to create a margin between the tumor and a blood vessel that the tumor was leaning on. Then I went for surgery to get the Whipple and hopefully get a few years to live. The surgeon got in and found that I had carcinomatosis and that tiny tumors were all over my peritonium! None had shown up on PET scan nor CT scans. He took six inches of my intestine and created a bypass around my pancreas so that I would be able to digest food in the future. He did not do the Whipple and said I had six to eight months. I feel good and I’m in God’s hands now. He did the surgery robotically and I had quick healing. I have chosen not to have chemo since it would only add four months to my life and those would be miserable. I’m praying that God will perform a miracle, but for now I’m enjoying feeling good and living a normal life for the time that God gives me.

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Thank you for you response. I’m thinking that palliative care is probably best for my mom . I don’t think she could withstand all of that . That being said I think I’m ok with her decision . I wish you the best .

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@proparalegal

Thank you for you response. I’m thinking that palliative care is probably best for my mom . I don’t think she could withstand all of that . That being said I think I’m ok with her decision . I wish you the best .

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@proparalegal how are you and your mom doing?

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