Started chemo for pancreatic cancer and already want to quit
My sister started her 1st round of chemo on October 25th, had very bad side effects and does not want to continue it, I'm not sure I want her to suffer so much just to add a little extra time of being miserable most of the time, please help somebody.
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Thanks for checking back in with the group, @tnt69. I so appreciate the concern you have for your sister, and I can understand how difficult it must be to watch her go through this process.
From some of the previous posts, you have seen how there is medications and other help available for some of the chemo-related side effects. Have you, or your sister, asked her doctors for any help with these symptoms?
Hi, I read your post and had some questions, my mom is starting Chemo next week, she is 83 years old and the Dr. did not stage her pancreatic cancer because she also has a mass in her kidney. We are trying to get everything ready for her first treatment and wanted to get advice on what worked best as far as cleaning up if she has vomiting and diarrhea. Any helpful suggestions as my Dad 85 will be her main caregiver and we will support them on the weekends unless one of us kids needs to come over and help care for her full time. We live about 2 hours away.
I'm not @margefromwi, but here are some ideas. Re nausea and vomiting, make sure that your mom has prescriptions for medication and knows how to take them. I was prescribed Zofran and Compazine, which I was told I could alternate every four hours, and also dexamethasone. I have always kept a trash can with a plastic liner bag near me in case I suddenly got sick. The bag can be bundled up and thrown out without much mess. I also kept a roll of paper towels nearby.
Re diarrhea, I keep adult pullups on hand and wear them when I feel dicey. You didn't mention what meds your mom will be getting. I don't know anything about the Gemzar/Abraxane regimen, but with modified Folfirinox, the irinotecan will cause diarrhea. (The med's nickname is "I ran to the can.") I get atropine during chemo and was prescribed Lomotil and Imodium to alternate for diarrhea, so again, make sure she has medications and knows how to take them. You might want to get some baby wipes for easy cleanup.
I hope that helps. Good luck to your parents and your family! I hope all goes well.
Thank you for your reply, that helps, I didn't think about putting a trash bag in the puke bucket but will do that, we will ask her about the pullups. We are having a family meeting this weekend to go over everything and get the house ready.
Her treatment is nab-paclitaxel/gemcitabine, the Dr. said because of her age she needed a milder chemo.
I thought of some other things. Fluids will be important if she has diarrhea and/or vomiting. I have always stayed with water, but others on this board have consumed electrolyte drinks and other beverages with success. Also, you may find that her appetite and food tastes vary daily or even hourly. At first, I drove my husband nuts trying to keep up with "Hey, this sounds good" or "I don't want that." We had all kinds of weird food in the kitchen! You might stock the kitchen this weekend and help your parents set up online grocery ordering. Finally, we have covered the couch I sit on with a waterproof mattress cover for any accidents. I haven't had any, but it's a good precaution.
thank you, any advice is much appreciated.
we talk to the oncologist on Tuesday, but from the sounds of others in the group she will still be sick from what it sounds like,there is no chemo miracle drug for side effects, it sounds to me like chemo is very difficult on people and she is already so weak, I'm scared the chemo might be to hard on her and I don't think her body can take it, she has only had 1round of chemo and we were all very concerned that she wasn't gonna live through it. I can't find any information or numbers on the people that pass away from direct chemo being the cause of death, I'm just lost on everything right now, because if the chemo ended up causing her death I would feel guilty the rest of my life for taking her into continueing it , I don't understand why there are not stats on chemo deaths? the right decision needs to be made and it's hard for me to push her to do something that I am not entirely sure is he right thing to do
I also was a stage IV diagnosis; several Mets to my liver. I know this is hard to watch.
My suggestion is to encourage her at least until you have had 3-4 CA19-9 readings (sometimes they go up before they fall) and until her next scans.
I have done quite a lot of chemo; including what she is on. Is she at a pancreatic center of excellence? The doctor should be able to provide comfort meds for her symptoms. Also please help her focus on protein when she can eat or drink. It doesn’t have to be meat! My chemo days have become President table so I plan to be “off the radar” for those days.
There is a great nutrition seminar virtually in November from a noted Dietician. I will try to pull the link and post it
Stay strong for her; try to get her walking outside when you can! Fresh air, some deep breathing, and HOPE from other survivors and loved ones is key!!!! Xoxo
Palliative care might be helpful. I know that at some clinics, palliative care is synonymous with hospice, which means stopping treatment. However, at my clinic, I was referred to palliative immediately upon diagnosis. My palliative MD deals with comfort and symptom control, such as loss of appetite and stomach acid. He'll do pain control if/when I need it. He knows my oncologist and stays in touch with him. We also learned yesterday that the practice also has a four-bed infusion unit for patients who need fluids or control meds for pain and nausea. This is separate from the chemo infusion unit and immediately accessible during weekdays rather than requiring an appointment in advance. You might inquire about palliative care for your mom.
Hello
This is a great website to all connect. My cousin Maryann has been on gem/abrax and then folfirinox for the past 2 years. In the beginning she could not tolerate the chemo every single week so the oncologist is administering the drug every 2 weeks. Now she is doing much better. Only is sick for about 1 or 2 days so she has quality of life and is still working a few days a week. Keep positive and advocate for yourself
Sincerely Susan