Talking Frankly about Living with Advanced Cancer

Are you living with advanced cancer (sometimes referred to as stage 4 or metastatic cancer)?
This discussion is a safe space where you can connect with others to talk about the realities of living with limited time. It's not easy to find people who understand what it is like. For many reasons, you may not feel comfortable talking about your thoughts and emotions with friends or family. Perhaps you are alone. Even if you are surrounded by people who support you, you may experience intense loneliness.

Connect is a place where honest conversation can safely take place. You can speak frankly and be heard without judgement. I invite you to share your reality facing death and living now.

Interested in more discussions like this? Go to the Cancer Support Group.

@gingerw

@IndianaScott Like you and @burrkay I have gotten all my papers together, back in 2015 when my rare kidney disease diagnosis was given. Each day is another one of gratitude. I filled out a 5 Wishes booklet to indicate my desires, and even wrote my own obituary. Funeral plans made and paid for, and that is included in packet. While it is such a sensitive subject for so many to address, my approach was to extend my kindness to others and make things as gentle as possible for them, thinking what I would like to know if in their shoes (because I have been!). And don't forget to annually or semi-annually review everything if there are changes.
Ginger

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Good to hear @gingerw I will never forget our daughter whispering to me in the funeral home 'I am so glad we know exactly what Mom wanted. Can you imagine having to question ourselves with every decision?'

Enjoy your Friday!

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@IndianaScott

Good point @burrkay My father created what he called his 'Just In Case' book. It was a three-ring binder with all this type of information in it. I copied that idea and added a few modern touches, which my dad never had to worry about, such as passwords that might be needed, what accounts are autopay, where all my electronic photos are backed up, etc.

I, too, gave a copy to each of our adult children along with a copy of my POAs, et. and have a copy in our home (where they know where it is) so they can have unfettered access to it since it also includes my last wishes. Plus this way I have one copy easily accessible,which I can update as passwords change, accounts close, companies change names, etc.

I agree --- great to be able to share here on Connect!

Strength, courage, and peace!

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@IndianaScott Like you and @burrkay I have gotten all my papers together, back in 2015 when my rare kidney disease diagnosis was given. Each day is another one of gratitude. I filled out a 5 Wishes booklet to indicate my desires, and even wrote my own obituary. Funeral plans made and paid for, and that is included in packet. While it is such a sensitive subject for so many to address, my approach was to extend my kindness to others and make things as gentle as possible for them, thinking what I would like to know if in their shoes (because I have been!). And don't forget to annually or semi-annually review everything if there are changes.
Ginger

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@lbern you'll find some helpful tips about using Connect, with instructions and pictures here: https://connect.mayoclinic.org/get-started-on-connect/
If you have any questions about navigating the site or figuring out how it works, send me a message using this form: https://connect.mayoclinic.org/contact-a-community-moderator/

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@lbern

@IndianaScott thanks for helping me learn all kinds of things, including how the discussion board works. Where would I see the electronic note you mentioned? thanks again

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Good morning, @lbern Sorry I missed that step! If you go to your account (top of your page where the circle (or picture) is hit the down arrow and a menu opens. Select Account Settings. Scroll down to Email Notifications and pick what you'd like to get notified of from each category.

I hope this is clear....if not let me know and I can try again!

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@IndianaScott

Hi @lbern The @ sign followed by screen name provides the person mentioned with an electronic note saying they have been mentioned in a post. It is helpful especially when someone asks a question so the post doesn't get missed and a question unanswered or acknowledged.

Thank you for the kind words. I understand your husband's feelings! These issues/concerns, etc. are some of the tough stuff in life! My wife and I had several fits and starts with addressing them until we finally dug in and attacked them. Luckily we have a daughter who was relentless on the importance of getting our wishes in written form since she is an attorney. But it still wasn't easy for sure!

One side benefit to being well prepared was it allowed me to avoid a whole lot of arguing when it came to end of life decisions and issues. Sure, extended family often disagreed with actions taken, but their complaints were faint compared to the fact I knew what it was my wife wanted and could tell/show them.

Kind of funny in a way story. All of a sudden, out of the blue, my wife asked me to get a pencil and paper to write down her ideas for her Celebration of Life, which she wanted to be held in our home. Once we were done with that she asked me to get another sheet of paper. I asked 'what for?' She said 'I am going to give you the list of who I want invited to my Celebration.' I replied 'Uhhhh, honey, one does not usually invite folks to a service like this -- rather it is open to all.' She looked me in the eye and said "Scott, I do not want anyone in our home who did not give a sh*t about me when I was alive, in our livingroom blowing smoke up your a*s telling you how much they cared about me after I am dead.' We both shared a good laugh and then she dictated the names!

Different strokes for different folks as they say! 🙂

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@IndianaScott thanks for helping me learn all kinds of things, including how the discussion board works. Where would I see the electronic note you mentioned? thanks again

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@burrkay

@ibern and @IndianaScott
As for “end of life” preparation, assuming the usual legal “mumbo jumbo” has been done, most of us overlook the obvious.
A friend who lost her husband unexpectedly, came up with a “Survivors List”. It helps account for those obvious day to day things that we take for granted; but fail to think what those left behind will encounter once we are gone. If your spouse pays the bills, where are the records kept? Put it in the list! What are the utility shut off requirements for winter? Add to the list! Who to contact for the yard care? Add to the list...etc., etc.,
We have done a pretty comprehensive “Survivors List” and placed a copy in our safe deposit box at the bank, provided a copy for our kids and our financial planner and lawyer.
If you would like a redacted generic list, let me know and I will be happy to put one together and send it.
Best of luck to all of us who are dealing with serious health issues...thank God we found Mayo Connect where we can share our anxieties and experiences with others!

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Good point @burrkay My father created what he called his 'Just In Case' book. It was a three-ring binder with all this type of information in it. I copied that idea and added a few modern touches, which my dad never had to worry about, such as passwords that might be needed, what accounts are autopay, where all my electronic photos are backed up, etc.

I, too, gave a copy to each of our adult children along with a copy of my POAs, et. and have a copy in our home (where they know where it is) so they can have unfettered access to it since it also includes my last wishes. Plus this way I have one copy easily accessible,which I can update as passwords change, accounts close, companies change names, etc.

I agree --- great to be able to share here on Connect!

Strength, courage, and peace!

REPLY

@ibern and @IndianaScott
As for “end of life” preparation, assuming the usual legal “mumbo jumbo” has been done, most of us overlook the obvious.
A friend who lost her husband unexpectedly, came up with a “Survivors List”. It helps account for those obvious day to day things that we take for granted; but fail to think what those left behind will encounter once we are gone. If your spouse pays the bills, where are the records kept? Put it in the list! What are the utility shut off requirements for winter? Add to the list! Who to contact for the yard care? Add to the list...etc., etc.,
We have done a pretty comprehensive “Survivors List” and placed a copy in our safe deposit box at the bank, provided a copy for our kids and our financial planner and lawyer.
If you would like a redacted generic list, let me know and I will be happy to put one together and send it.
Best of luck to all of us who are dealing with serious health issues...thank God we found Mayo Connect where we can share our anxieties and experiences with others!

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@lbern

I also wanted to convey how beautiful your wife is -especially beauty from the inside that shows through her eyes and smile. These losses are so profound and I wonder how to help my husband prepare...

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Thanks @lbern I married WAY above my pay grade for sure! No doubt about it! I wish that photo had been in color since she had gorgeous green eyes. Side bonus -- she was 100% Italian and could cook up a major league storm plus her grandfather made wine in his basement! Oh, I was a lucky fellow!

I so wish there was some help I could give about helping prepare. Luckily my wife and I were partners in our marriage so we both did most everything, so the handoff of duties during her illness was simpler than say for my mom when my dad passed away and she had never done any bill paying, insurance, etc. etc. That made the transition for her all the more challenging.

I'll do some thinking on this one and again I say thank you for the kind words about my wife.

Strength, courage, and peace!

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@lbern

thank you again @IndianaScott. First I have to say that I don't understand what the @name is all about, but I see you used it in your reply so I'm thinking I should try to do the same. Why do people use the @name? I'm obviously learning how to use this discussion board.... I've read your posts before and they are always so helpful. I hope to get my husband to start reading some, but since I'm still getting chemo, he is wonderfully hopeful, & reluctant to spend time at this point thinking about the end, but I worry about the toll this is taking on him....thank you for your responses and thoughts, they are very helpful to feel someone relates to my concerns

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Hi @lbern The @ sign followed by screen name provides the person mentioned with an electronic note saying they have been mentioned in a post. It is helpful especially when someone asks a question so the post doesn't get missed and a question unanswered or acknowledged.

Thank you for the kind words. I understand your husband's feelings! These issues/concerns, etc. are some of the tough stuff in life! My wife and I had several fits and starts with addressing them until we finally dug in and attacked them. Luckily we have a daughter who was relentless on the importance of getting our wishes in written form since she is an attorney. But it still wasn't easy for sure!

One side benefit to being well prepared was it allowed me to avoid a whole lot of arguing when it came to end of life decisions and issues. Sure, extended family often disagreed with actions taken, but their complaints were faint compared to the fact I knew what it was my wife wanted and could tell/show them.

Kind of funny in a way story. All of a sudden, out of the blue, my wife asked me to get a pencil and paper to write down her ideas for her Celebration of Life, which she wanted to be held in our home. Once we were done with that she asked me to get another sheet of paper. I asked 'what for?' She said 'I am going to give you the list of who I want invited to my Celebration.' I replied 'Uhhhh, honey, one does not usually invite folks to a service like this -- rather it is open to all.' She looked me in the eye and said "Scott, I do not want anyone in our home who did not give a sh*t about me when I was alive, in our livingroom blowing smoke up your a*s telling you how much they cared about me after I am dead.' We both shared a good laugh and then she dictated the names!

Different strokes for different folks as they say! 🙂

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@IndianaScott

I hear you @lbern My wife was in her 40s when she was diagnosed with her cancer. Your feelings/thoughts are many of the same ones she voiced to me. Most of her energy was needed to fight her illness, but when she felt 'up' she did do a few things that helped when she was gone. They didn't necessary remove her sadness, but she did feel some positivity from them. Writing down her wishes and arrangements was an immense help. Discussing and implementing needed changes to our wills, etc. also helped her. She reached out to a few folks she wanted to make amends with, while at the same time remaining comfortable ignoring several others who she was content to 'leave sleeping dogs lie' as she put it to me. She also gave a few gifts to family members. I must say she beamed every time she saw them with her gifted item on or when it was spoken about. This also cemented how important the item was to the person she gave it to.

She also bought a small lighted sign for us. We kept it by her bedside and often she'd hit the button on top to light it up and to reassure her she was doing what she could that day/at that time. You can see it here -- I now have it in a cabinet and often find myself giving it a tap on and again!

Wish I had something more concrete to offer...keep up the good fight!

Strength, courage, and peace!

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I also wanted to convey how beautiful your wife is -especially beauty from the inside that shows through her eyes and smile. These losses are so profound and I wonder how to help my husband prepare...

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