Prostate cancer & Edema

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mavitmisa
New Member


Date Joined Jan 2011
Total Posts : 3
   Posted 1/22/2011 8:27 AM (GMT -6)   
Good morning all.  I am new to this site and so far find it helpful. 
 
I am posting regarding my father (70 yrs old).  He has advanced prostate cancer.  He is in terrible pain, edema in his lower extremities and week.  He is on the fent patch and loritab.  He will refuses to take the moriphene as he does not like the way it makes him feel.  He can still shower, dress, ect.. himself.  However yesterday he was in so much pain in his back and belly (cancer has spread to other areas)  he was pale and walking very slow.  His legs are heavy, but he says he will ask when he needs help and dosen't want us "hooving" over him.  The dr. told ME around x-mas time that he had 2-4 at best 6mos. left. Tumers in abdomen are slowly cutting  the iliac artery.   I am just at a loss on what to do to help.  I hate the unknown and want to know what stages to expect.  Obv. I know the outcome..  Any thoughts??  cry confused
Thanks

clocknut
Veteran Member


Date Joined Sep 2010
Total Posts : 2666
   Posted 1/22/2011 9:10 AM (GMT -6)   
Good morning, and I'm sorry to hear about your father. There are guys on this site who can definitely give you a lot of perspective on your father's condition. I don't know enough about the late stages of cancer to do that but wanted to express my condolences to you. Sometimes things are a bit slower here on the site on the weekend, but we have some very knowledgeable people who can give you some of the answers you're looking for. Your father sounds like a man with a strong will and a real fighter. Blessings to him, to you, and to all your family, and may you all find the strength to deal with this.
Age 65
Dx in June 2010.
PSA gradually rising for 3 years to 6.2
Biopsy confirmed cancer in 6 of 12 cores, all on left side
Gleason 7 (3 + 4)
Bone scan, CT scan, rib x-rays negative.
DaVinci 8/20/10
Negative margins; negative seminal vesicles
5 brothers, ages 52-67 ; I'm the only one with PCa
Continence OK after 7 weeks. ED continues.
PSA 1/3/10: 0.01

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/22/2011 9:12 AM (GMT -6)   
Welcome to HW and I am so sorry for the reason you must post.

Having been thru my Dad's rapid progression of Stage 4 Lung Cancer, I can offer this insight: My Dad was given 4 months to live at diagnosis. Dad progressed slowly, as yours is, from full mobility to losing that ability in gradual stages. He just slowly lost the ability and strength to do for himself. It was really accelerated in his last week, as the cancer quickly spread to his brain and affected that. He was alert and 'with us' up to about 3 days before the end. He went into a coma and passed quietly. He remained at home and was well taken care of in that environment.

Now then, the most valuable thing we found to ease his passing was the use of a good Hospice program. If your Dad isn't already in one, he should consider it. Once diagnosed as terminal, there's no valid reason that he can't be moved to their service. I know that with my Dad and Mom, both of which had hospice, this one thing made their last days more comfortable and much more pain free. They are able to design pain control with the patients wishes of maintaining their sense of not being drugged and such, like your Dad is expressing now. Hospice also provides personal care with bathing, shaving, encouragement chaplain services and such. They are the go-between in getting medicines and equipment, removing so much of the worry and such with accommodating a terminal patients needs. As it progresses, both my parents was much more willing to accept pain control measures. Most cancer deaths are by slowly losing strength, losing the desire to interact with those around them, more turning inward as they face their death. I think that's our body and souls way of dealing with it. That was my experience with it and my opinion only.

Since you know that your Dad is leaving you, you and the rest of the family can acknowledge the reality of it and help Dad make the best plans and have the best possible end of life care to make his passing one of peace and with dignity. That's all any of us can hope for.

Again, so sorry for your having to join us. Know that you are welcome at any time, for info, advice, or just a shoulder to cry one or some place to release pent-up anger and fear.
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 01/11-.09
ED-total-Bimix 30cc

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/22/2011 11:30 AM (GMT -6)   
Sorry you need to be here, and sorry about the advanced state of your Father. James, above, is quite correct, I back what he is suggesting about quality hospice care. They can make the transition ahead, not only easier for your dad, but also for your family, and they are better prepared to deal with advanced pain management.

Please keep us well posted.

David
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

mavitmisa
New Member


Date Joined Jan 2011
Total Posts : 3
   Posted 1/22/2011 8:00 PM (GMT -6)   
Thanks for the comments. My dad doesn't feel he is ready for hospice yet, however he and my mom have met w/them..

mavitmisa
New Member


Date Joined Jan 2011
Total Posts : 3
   Posted 1/30/2011 12:36 PM (GMT -6)   
Hi,

Again thank you for your postings. Dad now has lymphedma now too. He has an appt for cat scans ect, this week to see whats going on. We ALL know the end result, but he wants to have the tests done anyways so I guess at this point whatever makes him happy. I hate to see the pain he is in. My father is a very proud man and told us all he wants business as usual! Very hard to do when you see him so thin and ect... He is having a very difficult time as he is losing his independence and has to rely on mom and others for just some things. This makes him very ornery. I guess I can't blame him though.



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