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Home › Lifestyle › Health › Support for families dealing with cancer and other serious illnesses (Part II)

Support for families dealing with cancer and other serious illnesses (Part II)

Started by Angela Wright · · 👁 310 views · 3.6K replies

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Participants Angela WrightTaylor Jackson14Edward Grant3stormytinker4restlessowl3Rachel Wood27silvercanyon7goldencrane3neonheron32Gregory Stewart4Brandon Lopez6copperbison4driftingsurfer14feralsurfer72Sandra Carter50Linda Patel21Maria Hughes67Nicholas MyersLisa Lopez75Bradley Scott2Kyle Lee7velvetmoose9Nancy Leemelloworca6 …
ruggedfox11 ruggedfox11 Active Member
239 messages
joined Feb 2017
#1981 ·
He just got his follow-up blood work back

Creatinine (47; min is 64),
erythrocytes (3.82; min is 4.34), hemoglobin (117, min is 138), hematocrit (0.36; min is 0.415)
They're all low—and honestly, by a fair margin too. :-/

RDW (15.6; 9-15)
Basophil granulocytes (1.1%; 0-1%) out of 9.1 leukocytes are elevated

Plus, there's a positive indicator for macrocytosis and hypochromia

Does this look okay to you guys, or should I be worried?

What can we do to help get those levels up? I'm talking about improving his blood quality specifically.

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Angela Wright Angela Wright RegularOP
731 messages
joined Feb 2007
#1982 ·
shadowfalcon21 said:How am I supposed to know if his condition is actually stable when he hasn't even seen a doctor? All I can tell you is that his vision has taken a massive hit over the last year. It’s a family effort to look after him—my mom, my brother, me, and my dad (in that order, since we all take turns working). We make sure he's reasonably well cared for, but honestly, I think he could be doing better, especially considering he's getting up there in years.

Look, as much as it pains me to admit it, we can't exactly host guests at our house anymore. He can get pretty unpleasant depending on how he interprets things in his own head. He understands bits and pieces of what we say, but only slightly—I’d describe his mental state as being akin to a five-year-old. He can feed himself if someone prepares the food, and he can handle using the bathroom on his own.

I agree with that point. But I truly believe that stage can be worked through.

Per month?

Yes, monthly. It really depends on the quality of care provided by the facility and the patient's specific needs. You're looking at a minimum of $2333 per month for someone who is bedridden, and maybe $4,000-$1667 for someone who is mobile.
In my opinion, the family needs to sit down and have a brutally honest conversation about everything. No one outside of your immediate circle can tell you what the smartest move is or what works best for everyone involved. Generally speaking, the gold standard—the recommendation most experts would give—is to organize proper care within the family home so everything runs smoothly. Of course, that isn't always a realistic option, but that's a whole different ballgame.
It seems to me that things have just snowballed for you guys over the years. There wasn't a long-term plan, nobody sat down to coordinate, time slipped away, and now you're burnt out and stuck in this spot... it's a tough situation to be in.
You should look into caregiver status for one of the family members, since those legal provisions exist now. That extra financial support might give you enough breathing room to reorganize your lives.
Angela Wright Angela Wright RegularOP
731 messages
joined Feb 2007
#1983 ·
ruggedfox11 said:He just got his follow-up blood work back.

Creatinine (47; min is 64),
erythrocytes (3.82; min is 4.34), hemoglobin (117, min is 138), hematocrit (0.36; min is 0.415)
are low—and I mean significantly low :-/

RDW (15.6; 9-15)
Basophils (1.1%; 0-1%) out of 9.1 leukocytes are slightly elevated

Plus there's a "+" sign next to macrocytosis and hypochromia

Is this okay or not?

How can we fix these low levels, specifically the blood stuff?

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He’s anemic with low iron reserves.
That could stem from internal bleeding somewhere.
As far as white blood cells go, it's honestly better to be slightly high than dangerously low.
The current numbers aren't ideal, but they aren't a total catastrophe either.
ruggedfox11 ruggedfox11 Active Member
239 messages
joined Feb 2017
#1984 ·
Angela Wright said:He is anemic with low iron reserves.
That could potentially be due to some kind of internal bleeding.
As far as white blood cell counts go, it’s actually better if they are slightly elevated rather than too low.
The current situation isn't exactly ideal—it's a bit concerning—but I wouldn't say it's a catastrophe just yet.

So, how can we get his iron levels up?

His levels started dropping little by little right at the start of therapy. I have this nagging memory—though I might be mistaken here—that for patients undergoing chemotherapy, getting those iron numbers back up often requires a transfusion; I really hope I'm remembering that incorrectly.

What about vitamins or B12?

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electriccobra17 electriccobra17 Newcomer
8 messages
joined Nov 2007
#1985 ·
Rachel Williams said:Nobody’s really ready for this stuff... it is what it is, and we just have to dig in and deal with it

🙏🙏🙏

I can't exactly opt out of this life and sign up for a different one—we're stuck right where we are, so let's just roll with it


👍
Angela Wright Angela Wright RegularOP
731 messages
joined Feb 2007
#1986 ·
ruggedfox11 said:How can they boost his iron levels?

His levels started dropping bit by bit right at the start of the treatment. I seem to recall—though I might be mistaken—that when people are undergoing chemotherapy, you can really only get those iron numbers up through a transfusion. I truly hope I'm wrong about that.

What about vitamins or B12?

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To be honest, I'm not entirely sure if they can fix it with oral iron supplements or if a transfusion is the only way to go. You'll have to check with the doctor. One thing is certain: there are acceptable threshold values given the circumstances, but the oncologists will be the ones who know best.
Ashley Reed98 Ashley Reed98 Member
11 messages
joined Mar 2012
#1987 ·
Rachel Williams said:No one is ever truly ready—it’s just not how it works. Neither those who are suffering nor those of us standing by them are ever asked if we feel prepared or capable of handling it... it simply is what it is, and we have to brace ourselves and face it head-on if we don't want things to get even harder for our loved ones. Our own feelings aren't the priority here.

That is exactly right 👍. You have to stay strong and somehow find the grit to keep going. For instance, this month marks five months since I lost my boyfriend. To be honest, I don't even know when that feeling of emptiness will pass. I don't know how I managed to navigate through all of it, either. Even while he was still alive, I found myself constantly wondering what lay ahead. Once the diagnosis hit, I was terrified of what would happen when he became immobile or helpless, and eventually, the crushing thought of life without him. On the other hand—he was such an incredibly positive, optimistic soul—which gave me this flicker of hope that maybe, just maybe, he could pull through this fight. None of us ever let him see us cry or show any sign of weakness, but then again, he was that way too, so I suppose that influenced how we all acted. I was by his side constantly (thankfully, I didn't have a job at the time), and his family was always there as well, so he was never alone. Despite everything, we actually had a beautiful year together. We went everywhere together; I accompanied him to radiation sessions, and we endured chemo together—he actually tolerated it quite well, so we didn't deal with many major complications.

When the reality set in—when they discovered the cancer had returned—it was a massive shock. He didn't want to see me or even take a call, which, looking back, I completely understood. Once he started the radiation and chemo again, it was as if he had settled into this deep sense of optimism. He never once spoke about how he was feeling mentally or what was racing through his mind. It wasn't until they stopped the Temozolomide and switched him to IV chemo that he finally told me the truth: he was terrified of how this was all going to end. And it didn't end well; he didn't make it to the second cycle of IV treatment. He was gone almost overnight.

Unfortunately, we can't control everything in our lives. It is incredibly difficult when you find yourself in a situation like this. But those of us who are healthy must find the strength for our loved ones—I don't know where it comes from, but we have to find it. I have a sister who has been completely paralyzed following an accident; we've been caring for her at home for 17 years now (she's 41). I can't even bear the thought of putting her in some facility; we know how much being home with us means to her. She can't speak, but she finds ways to show us exactly what she's feeling.

As for me, I am slowly moving forward. I started a new job, so I stay busy, but I still think of him a hundred times a day. Everything still reminds me of him, and I still have his number saved in my iPhone. I have this strange sensation, as if he's still out there somewhere—it's all very surreal.

After he passed, I spent a lot of time reading through this thread, and it really helped me. It felt a little easier to breathe knowing I wasn't alone in these experiences. I only have one close friend I can talk to openly and just break down with, so having this community has been a huge help.
Keith Sanders6 Keith Sanders6 Newcomer
1 message
joined Jul 2013
#1988 ·
ruggedfox11 said:I have to admit, I really admire everyone who actually knows how to handle this kind of heavy illness... I try to "stay strong," but it’s just not working for me; I feel like I'm literally falling apart—the crying spells are getting more frequent, I can't stop running through these horrific death scenarios in my head, the insomnia, the pure dread... I catch myself wondering if it would have been better for my husband to stay with his ex, who's living in Germany now—maybe then he'd be with her and maybe the treatment would even be better... This is just terrifying. Every time he makes a sound, I jump. He's naturally high-strung, and up until now, I could just tune out his nervous outbursts, but now everything gets to me... Honestly, I just want to pack my bags and run away so I don't have to witness all this agony he's going through...
I know I sound terrible, but that's just how I feel right now

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ruggedfox11,

stop focusing on yourself and what you think about who he should or shouldn't be with. Stop building these visions of death in your mind and start focusing on life. He needs you to be steady and strong—to be his support through the good times and the absolute worst... It's your job to follow his lead, and when he falls, you help him back up. But listen, this isn't *your* cross to bear, it's his. He carries it. You just need to help him lift it. So strengthen your resolve—because crying definitely isn't going to help.

I'm saying this because a friend helped me out exactly this way. When my child got sick with an autoimmune disease, I spent three months just weeping and asking "why me?" I was a total wreck and couldn't be of any help to anyone. Then she snapped me out of it with one single sentence: stop crying, this is his burden and you have to help him carry it. That hit me hard.
Angela Wright Angela Wright RegularOP
731 messages
joined Feb 2007
#1989 ·
Emily Martinez61 said:ruggedfox11,

stop obsessing over yourself and your own opinions on who he should or shouldn't be with. Stop spinning these dark mental movies about death and start focusing on actually living. What he needs from you is someone steady and unshakable—a pillar of support through the good times and the absolute worst. It’s your job to walk alongside him while he carries his cross, and when he stumbles, you help him get back up. But remember, that weight isn't yours to carry; it's his. He's the one bearing it. Your role is simply to help him lift it. So, go build some muscle, because crying certainly won't help you do that.

I'm saying this because a friend once pulled me out of the trenches. When my kid was diagnosed with an autoimmune disease, I spent three months straight just weeping and asking "why us?" I was a total wreck and completely useless to anyone. Then she hit me with one single sentence: stop crying, that's his burden to bear and you need to help him carry it. That snapped me out of it instantly.

It’s a relief to see someone else posting this kind of perspective here instead of just me. Sometimes I worry I'm being too harsh, but the reality is exactly what you described. This is primarily about the fate of the person carrying the cross. We often let our own selfishness make things harder by making the struggle about ourselves—thinking, "it's so hard because *he's* suffering and I might lose him." You have to mentally reframe things if you want to handle this healthily. Sure, go vent to a friend to blow off steam, but never make the illness more difficult than it already is. The diagnosis itself is heavy enough without us adding to the load.
What works for me is grit and extreme rationalization during tough times. I try not to look any further ahead than what I'm cooking for lunch tomorrow. I just deal with the situation as it unfolds.

Thanks for posting this ☺
ruggedfox11 ruggedfox11 Active Member
239 messages
joined Feb 2017
#1990 ·
I’ve been stronger than him through all of this—much stronger—but honestly, no one has ever been able to look at my face or judge my actions and truly understand the absolute storm raging inside my head.

Angela Wright, you aren't being cruel; I’ve read quite a few of your posts. You're direct, clear, and you don't sugarcoat things.

Keith Sanders6, this is all entirely new territory for me. It's this overwhelming sense of helplessness and hopelessness—having absolutely no idea what tomorrow looks like, how we'll manage, or why any of this is happening. I can't seem to shake these thoughts. A hundred times a day, my mind spirals into "what if" scenarios and "how will this end." If I could, I would just take his crisis upon myself—to shoulder the burden instead of standing by as a mere bystander, feeling like I have zero influence over anything, and possessing no control at all, not even over myself, which feels like it's slipping through my fingers.

Not long ago, one of my favorite professors—after fighting the exact same type of cancer as my husband—took her own life by jumping from a building.

Last night, I had a dream that he went in for a follow-up CT scan... and that it showed the tumor hadn't moved an inch. I don't even want to describe the state I was in when I woke up...

I feel like I've reached my limit with everyone constantly needing me to be their rock. With all the dear people I've lost—from close friends to family members—I never really had the chance to grieve or prepare for the worst, because I always had to be someone else's pillar of strength. And now, here I am again...
Robin Diaz4 Robin Diaz4 Active Member
62 messages
joined Jun 2006
#1991 ·
ruggedfox11, I know exactly how you feel; it’s almost like you’re reading my mind. I’ve definitely tried to pull myself together, though. Today, I found myself practically hovering over my dad, nagging him to eat like he was some stubborn toddler. He’s always been incredibly picky, and let’s be honest, hospital food is notoriously terrible, even when we bring him his favorites from home. Despite our best efforts, he just keeps losing weight. It isn't necessarily the treatment itself causing the decline; that's just who he's always been. He’s been thin as a rail for as long as I can remember, and I’m honestly terrified that this current stretch might finally take its toll on him...

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ruggedfox11 ruggedfox11 Active Member
239 messages
joined Feb 2017
#1992 ·
Robin Diaz4 said:ruggedfox11, I know exactly how you feel—it honestly feels like I wrote those words myself. But I’ve managed to get things somewhat under control. Today, I was practically chasing my dad around, trying to force him to eat like he was some stubborn toddler. He’s always been such a picky eater, and we all know how lackluster hospital food can be, so we try to bring him things from home. Even then, he just keeps losing weight. It isn't necessarily the therapy itself causing it, he's just built that way. He’s been thin as a rail for as long as I can remember, and I’m just terrified that this current stretch might finally take its toll...

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I'll get it together; I'm just still trying to wrap my head around everything. I have to.

I have a bad feeling about this—my dad dropped from 265 lbs down to 185 lbs.

He only starts eating once he gets back home, though, to be fair, he actually is capable of eating.

Maybe ask the doctor at the hospital if they can prescribe some Ensure or Boost, or whatever nutritional supplements they carry—those things are lifesavers. Some of them have as many calories as a full meal, and since they're prescribed, he'd be entitled to them.

How is he holding up after the chemo?

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Robin Diaz4 Robin Diaz4 Active Member
62 messages
joined Jun 2006
#1993 ·
He’s getting the offer, but there's just no way he'll take it; he says the whole thing is absolutely revolting.

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Robin Diaz4 Robin Diaz4 Active Member
62 messages
joined Jun 2006
#1994 ·
Honestly, from where I’m sitting, he looks perfectly fine. If I didn't already know the diagnosis, I wouldn't have suspected a thing...

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ruggedfox11 ruggedfox11 Active Member
239 messages
joined Feb 2017
#1995 ·
Robin Diaz4 said:Honestly, he looks perfectly fine to me—I mean, if I didn't already know the diagnosis, I wouldn't have suspected a thing...

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That is wonderful news! Mine was exactly the same after the first round. Even my doctor seemed surprised, noting that it’s a really positive sign that the treatment is actually working.
As for the Ensure... just make sure he gets it down. Keeping his Kilaza up is absolutely vital right now.
Rachel Williams Rachel Williams Member
10 messages
joined Apr 2017
#1996 ·
ruggedfox11 said:I had a dream last night. I was performing a follow-up CT scan, watching those gray shadows flicker across the monitor, only to see that the tumor hadn't moved an inch. It was still right there. Exactly where it was before. Honestly? I won't even attempt to describe the way I woke up.

I feel compelled to address this, though I’ll be careful not to jinx things—we certainly don't want that tumor moving an inch. In fact, we should probably be grateful for its current stillness. Isn't that the strange paradox here? As long as it stays put, it's fine. As long as no new metastases appear, we're doing alright. It is one of those peculiar, heavy illnesses where "progress" is measured by the total absence of change. If nothing improves, you're winning. Does that sound backwards? Perhaps. But in this reality, stability is the only victory we get. 🙂

Our patients require us to be at our best—physically sound and mentally resilient. How else can we expect to provide them with the care they deserve? 🙂

Chrissy, let’s be honest: Supportan and all those other brands are absolutely revolting. Is there even a point in trying them? If I had to pick the lesser of two evils, maybe a chocolate or coffee protein shake could pass, but even then, they aren't exactly "good." They're just slightly less nauseating than the rest. 😁 When you're stuck in a hospital, you don't exactly have much say in the matter regarding your care or the treatment plan. You just take what they give you. But once Dad is back home and you're looking at ordering supplies from CVS or Walgreens, you finally regain some control. At that point, you can always tell them exactly which combination of medications or supplies you want to go with. 🙂
Laura Cox5 Laura Cox5 Active Member
53 messages
joined May 2015
#1997 ·
Robin Diaz4 said:He’ll get it eventually, but he won't, honestly—he just says it grosses him out.

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Look, I woke up having dropped like 80 pounds, and basically lived on shakes for a while. Vanilla was gross, chocolate was just okay, but those banana ones in the cartons? Man, those were the winner. Avoid the ones in the plastic bottles though, they didn't sit right with me at all. Give 'em a shot if you need to.
Rachel Williams maybe, but I realized my guests were totally just putting on an act for me. One would be laughing while the other just sat there dead silent, both of them pretending everything was fine, and I just ended up nodding along because, well, you know how doctors always say, "everyone reacts differently."
Day 1384 since my stroke.
Rachel Williams Rachel Williams Member
10 messages
joined Apr 2017
#1998 ·
Larry Scott43 said: Rachel Williams might be right, but I felt like my visitors were just putting on an act. One would laugh while the other sat there in silence. They all played along, pretending everything was fine, and honestly, I find myself agreeing with that vague medical cliché: "it’s different for everyone."
Day 1384 since my stroke.

👍 🙂

Someone mentioned earlier about not being fake, which I took for granted... obviously our inner circles know us best. I can't even pretend to be someone else when I'm on the phone with my mom, let alone in person. We really need to put in the actual work ourselves if we want to truly help those we love. Real support means showing up authentically, not just playing a part.
Robin Diaz4 Robin Diaz4 Active Member
62 messages
joined Jun 2006
#1999 ·
I already told him straight up: it’s just medicine like any other, and he needs to suck it up and deal with it. But no, apparently I haven't been persistent enough. Fine. I guess I’ll just keep nagging him until every last drop is gone.

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ruggedfox11 ruggedfox11 Active Member
239 messages
joined Feb 2017
#2000 ·
I’ve noticed that his facial skin seems quite a bit darker compared to the rest of his body—almost like he’s sporting a permanent sunburn or a deep tan. Has anyone else dealt with this? Is it something I should actually be worried about?

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