Hello,
My husband was re-diagnosed late April this year with stage IV bladder cancer metastatic which involved one kidney, several lympnodes and numberous tumors in both lungs. Like yourself this was all "way to fast." After the biopsy first to the kidneys then the lungs, the pathologist's report confirmed that the cancer orginated in the bladder. The only option presented was chemotherapy, introduced every monday for three weeks and one week off. If my memory serves me correctly (I'm glad I'm typing this so I can recollect), the first infusion was carboplatin and gemzar, the second week same. When we returned for the third treatment his blood platlets were to low to receive treatment, subsequently delaying infusion that week. We returned the following week, the day after Memorial Holiday and was introduced without (mind you) being informed that his medication was being changed to Cisplatin, and Gemzar which took the better part of all day to receive. By Thursday the same week, he developed pain in first the left leg, and then the right leg starting from groin area that traveled down to his toes.
Well we got through the weekend and the pain appear to have subsided and he started feeling better but then it was time for another treatment. Tuesday, we asked for a cain to assist with walking, this time we were given gemzar with took all of an hour total but before we could get out the door of the Hospital (VA) his leg started hurting again. The pain stopped long enough for us to sit down to eat lunch at O'Nami's (San Diego) returned home and... I'll be dam, I thought that I would lay down before going in to work, already late and while he was taking off his clothing the pain resurfaced full force and what I witnessed I have not doubt in my mind was a level "10" very excruciating pain. This was at 3pm and this man wasn't able to sleep until 11pm that night. He described this paint as a charlie horse that continued to worsen without relief. After numberous trips (4) to E.R. a MRI, and a Sonogram which resulted being undiagnosed. Continually being sent home with Vicodin which brought no relief whatsoever. I've never seen a grown man cry as much as I have seen my husband and has spent countless nights (one month to be exact) unable to sleep comfortably without being awaken by the pain. Finally, finally after calling his doctor one morning verbalizing my discuss with the care he was receiving regarding pain did his oncologist decide to admit.
He was admitted on Wednesday, a CT Scan was performed on Thursday and surgery scheduled for Friday. Friday came and from the results of another scan or x-ray they noticed a scar on his heart and thought that maybe he suffered a heart attack recently. If you can imagine increased our fear and did delay the surgery for the blood clot that was found in in groin area. That weekend he dealt with the pain and was scheduled for surgery that Monday early...well, I called him from work at 1pm and he was still laying there in pain. After work I returned to the hospital to find him in ICU, he told me that "The doctor's" came into his room to get him (how fortunate is he) and rolled into surgery. However, he was suppose to receive a bypass where the clot was, instead they opted to just clean it out. He continued to experience pain which is typical after surgery and they could finally hear blood flowing through his right foot..a good sign.
However on Tuesday, he received a new nurse and called me at work to report that he was told by this nurse that if he didn't allow her to put in another IV that he would be sent to hospice where he could just lay there to die. Blah, blah, blah...of course when I got there we had a very nice conversation about believing a patient when there asked what level of pain their experiencing and whether or not it's believable. He was sent home on Wednesday in pain, which only got increasingly worse instead of no pain. He described this pain as needles and pins being put through his toes continually without relief. 6/25/07 just shy of a week since the surgery a visit to his oncologist, he was prescribed 10mgs of Methadone and 2mg of Diluadid...yippee! This works as long as he takes it before it wears off, but the downside of it is the potential of being very dependent, he has low blood pressure, shortness of breath, appears dizzy and disoriented. At least he is not in pain and has been able to sleep during the night for the most part?
He is weighing the benefits of chemotherapy, since the CT scan only shown minimal progress for the most part the tumors are stable and there wasn't any word on his kidney's or lympnodes. When I asked, his doctor's reply was "I'm not concerned with that." His focus is on his lungs and he gave my husband a prognosis of maybe four months give or take. His oncologist has even said that even if he did see an improvement that usually it's short lived. His outlook doesn't appear good and I would like for him to at least live whatever amount of time he has left on this earth to be pain, fatigue, depression, and side effects from chemotherapy...free. He asks for my opinion often regarding should he continue with chemotherapy, understandably he is not ready to die. My response is that it's his decision and I will support him because I don't want to say stop or continue when the possibly exists that the results may not be favorable. All of this is difficult.
Good luck and let's keep in touch.
Talldoll