Desperate for advice/support. Please read
Hi ladies,
I know this is long but please read to the finish, this is just awful about my mom...
It's been some time since my last post on my mom's condition, the last time I had time to post here was while she was in a rehab hospital after suffering a massive stroke. While in that hospital she was diagnosed with IBC. We first saw the "rash" in late June 09.. She is now, thank God, at home with me and my family.. I am her only child and her only caregiver and she is by far the best friend I have ever known.
She is still paralyzed on her right side, she still cant communicate with me the way we used to (she has aphasia) but we still find a way to laugh together, and of course, cry together.. At times I feel awful because I get so overwhelmed that all I want to do is cry and then I know that worries her.
A stroke is a terrible terrible thing, and so is IBC, and the two of them together is beyond words for me.. Her oncologist cant do anything to help her because of the stroke and the side effects of chemos is another stroke, her body is just too weak from having the stroke.. When I bathe her in the mornings I am sickened by what I see, not because of the gross factor, but because it makes me sick to my stomach to know how much pain she is in over this awful beast. I dont know what to do to help her, the tumors are now coming out and are draining either a pus like substance or bleeding like crazy.. All the doctor is doing is giving her pain meds, which I totally understand and know she need's but what about all these open sores/tumor.. I'm trying so hard to keep this hid from my 6yr old daughter because I dont want to scare her. The IBC is spreading from the left breast up to her neck, down towards her stomach, onto the other breast and down the left side and around to her back and my mom looks at me with 'the look' of how much longer will I live like this, well I dont know and the doc wont give us any answers towards that either, all she will tell my mom is no one know's and some people only live a few months without treatment to a year or longer without treatment.. I cant stand the thought of losing my mom so I hate to even think about that point, but honestly, I sometime's try to put myself in her shoes and can see why she feel's the way she does.. She is a very strong christian woman with incredible faith and has never been afraid of dying but I also see fear in her eyes when she looks at the cancer. I think one of the worst things about IBC/without treatment is the actual 'visual' aspect you get.. With other cancer's you know you have it but you dont actually see it spreading and with my mom's we see it everyday somewhere else.. It's simply terrible..
The itching is also causing her tremendous discomfort, we've tried hydrocortisone, polysporin, the both combined, and at the moment I am using neosporin just praying that nothing get's infected. Her oncologist has said there really isn't anything else topically that can be done. But Im hoping that someone here may know of something else that can help us out... Radiation is out of the question because she's already had rads in those area's and yes we've had a 2nd and a 3rd oppinion, all in agreement given my mom's condition.. How much can one person endure.. I feel so so bad for my mom and I am so very scared and feel alone.. Please ladies, if anyone can offer advice or support please do so, I really need help..
Thank you all and God bless
Lisa
Comments
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Oh sweetheart! My prayers are with you and so hoping you can get the help you need. Does she qualify for home health care to give you a break? Because she has open sores (wounds) nurses should be the one at your home to give her care. I have a doctorate in geriatric healthcare and have worked from in home CNA up to very high levels in the field of gerontology. Does her docs office have an agency to hook you up with. Is it time for 'respite care' or time to place her in a nursing home for awhile again? I just went thru this with my own Mom and I was her hospice caregiver at Sentera Nursing Home (a very small, intimate and beautiful place.) My mom passed after an agonizing death and I now have BC. I encourage you to start digging for all resources and do whatever you need to do to get a break for you. Your Mom will be cared for if you can pull the right team together. I am sending prayers that this will happen for you and for her. It does sound as though you are supporting her 'end of life issues' and if she has strong faith, does she have strong group of Christain women who can come and sit with her and read the Bible. You'all cannot be alone with this. Also, make sure that some of her 'outbreak" is not a skin candida infection. A doc will need to diagnose it but the itching is horrific but it must be treated properly. Does she have a priest who can help? Do what you can to marshall all of the resources. She should even be getting some kind of in-home rehab to communciate her wishes (like being able to write.) My prayers are with you and hoping you can get in home support. ((((SOFT HUGS))))) to you and you Mom, SV
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My heart aches for you. I lost my mom in July to IBC and reading your post brings me back. I think you really need some help or access to some resources. Being that you are from a larger city I would think that there is a breast health center that specializes in breast cancer? They should be able to point you in the right direction. Also, have you spoken with hospice? Pain management is their specialty. If treatment is no longer an option you should be able to use their services. They will also be able to give respite care and give you a break which I know you desperately need. I just want to reach out and give you a big, long hug. I know that sick to the stomach feeling you are talking about, god do I know it. Please reach out for some help. You will be surprised to know how many fantastic organizations are out there. Please feel free to PM me if you want, sometimes it helps to talk with someone who has been there.
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I am so sorry to hear about this, I can't even imagine! My mother passed at 51 when I was 29 in Nov 2008. She was ill for a while with MS and developed a rare pneumonia. I flew down and olny had to endure it for 3 days before she passed. I don't know how I would even begin to handle what you're going through, you really are a survivor!
If the wounds are open I would really be concerned about infection when considering putting anything on it. It sounds as if they're oozing? I would be inclined to think a good anti inflammatory would help a little. Something more than just ibuprofen for naproxin. Pus is really injested tissue, caused by the inflammatory response. See if the doc/hospice/respite... whatever situation she is in... can give her something good. Is she on a steroid? I am not a medical professional so I don't know what she can/can't take with a stroke. But if topical steroids (you mentioned cortisone) isn't helping maybe some oral steroids will? They are used to treat all kinds of inflammatory autoimmune diseases.
I think the best cream for yeast is Nystatin. I love it... works for everything. If the doc suggest candida, inquire about Nystatin. As for nausea, the only thing that worked for me while pregnant was goold ole' ginger root. I purchased it from natural foods at the grocery store in root form, cut it up and boiled it. It worked wonders! My second favorite is emetrol... I give it to my three year old for sour stomache and it's very gentle.
I feel so empathetic for what you're going through. What a horrific turn of events! I know what you're saying about your mom being your best friend, I miss my mother so much, I still want to call her all the time.
My daughter reminds me soooo much of my mother lol! It's very bitter sweet, like pay back for all the things I put my mom through and the best love I've ever known all at the same time. I know you will always cherish everything about her... you're very lucky to have each other! Good luck to you!!!!!
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Hi Ladies,
I honestly dont know what I would do without this site and the people on it.. You are all amazing and have helped me more than you could know.. I just wanted to let you know that we go see my mom's oncologist today and I have written down everything suggested here to take with me.. Her primary doc did put her on a strong antibiotic laat week to see if the skin mets were infected, I have noticed a little change, not as many oozing sores now so hopefully that will start to clear up all of them.. I will post as soon as I can (probably this evening) to let you know how things go today..
Thank you again, so very much ((((Hugs))))
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I'll be thinking of you both and hoping for GOOD NEWS
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Hi everyone,
I hope everyone here is having a wonderful Friday and that it will be a great weekend to follow...
I wanted to let everyone here know what my mom's oncologist said earlier this week.. She looked at my mom's chest and said to my mom "wow, that must be awfully painful". You think?
She has been a very good doctor to my mom but sometime's I really question if she know's as much about IBC as she claims..
Bonnie, I told her about that cream that you posted from FloridaLady, the Aldara, and she looked at my like I was crazy, told us that it wouldn't help my mom's problem, and I told her "well the information came from another woman who is suffering the skin mets of IBC" and she just said "oh, well you will need to let the surgeon handle the wound care issues and she can tell you more about it"... So now we are waiting to get an appt with the surgeon, not for surgery, but for the surgeon to handle the wounds.. Does this sound right?
Also, when I asked her about my mom's blood work she told me the results weren't back yet, which I thought was strange because we always get there 2 hours before the appt so that the labs are back when we actually see the doc. She told me all she had backwas the kidney function test which was fine, then said she would print that off for me and then said Oh I will print this too, well I stuck the 3 papers in my purse not looking at them until I got home, and it was ALL of my mom's bloodwork, Im guessing that she didn't want to say the results of some of the labs out of fear of making my mom feel bad, some of the bloodwork was low.. I'm not sure what they are though.. I have a copy of the bloodwork if anyone here could help me with that..
Also, for the other's that posted advice, thank you so much.. The doctor has never mentioned Hospice as of yet, I think she doesn't want my mom to worry, and I've never asked her cause I dont want to ask her in front of my mom.. Even though she's had the severe stroke she is still VERY aware of what's going on.. That part of her mind is still intact.. And a nursing home is out, I want her here with me, I wouldn't/couldn't put her in a home to save my life.. Yes, it's hard taking care of her, it has taken it's toll for sure, I'd be lying to say anything different, but this is my best friend ladies and I want her with me until she has to leave me.. Hospice would definitely be a help and I am going to call the oncology nurse and see when they think that might be something we need to mention to my mom.. I'm sure by her next appt if not sooner. I really dont think she has much time left.. She has started sleeping the majority of the day, she's not eating very much, has a cough, trouble breathing, which leads me to think it's maybe in her lungs. and she's holding her stomach a lot saying owwee. They increased her oxycontin the 20mg's and percocet for breakthrough pain..Oh and she will be staying on Bactrim long term to keep infection at bay..
They did get us a wound care nurse, she came on wednesday and showed me a lot and left some supplies. she also said they she would do some research to see what else she can come up with..
Well thank you all again and if anyone can help me with understanding the blood work I would so appreciate it.. I will update with more idea's as the wound care nurse/doctors give them to me.
~Have a great weekend~
Lisa
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Blondy what questions do you have about her bloods work?
Please talk to your mom's neurologist - does she qualify for inpatient rehab? Does he feel she is too weak for chemo? If she really is - do try and get a 2nd opinion asap but I would strongly consider hospice care - she needs to be made more comfortable and you need help and support.
If she is on oxycontin and percocet she may be overmedicated if she is sleeping with decreased appetite and belly pain she is probably very constipated - if she on laxatives and stool softeners?
If she is coughing and has difficulty breathing she may be developing pneumonia from the pain meds and immobility - please consider just calling 911 and getting her into a hospital - let them put the whole thing in perspective.She deserves to live - and die if its her time - pain free with dignity - you need help - please insist on it.
Take solace in the fact that you are doing everything you can. Prayers are coming your way!
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Hi Lisa,
I have been checking my email to see if you have written and I was getting a bit concerned but I am glad to have found that you are still posting here. I am also glad to see that you are asking the right questions and are on top of things for your mom. I think Concernedsis might have a good point. Whenever my mom was having it rough we would admit her into the hospital and within a day or two they would have her back in tip top shape. They take care of the issues until they are resolved or at least under control. Do you think your mom would be ok with that? Still thinking of you here and take care of yourself.
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Concerned,
Thank you for your reply and concern,
My mom had inpatient rehab and OT/PT came to the house for about 4 months after the stoke, but they've done all they can do from the stroke. She's had 2 different neurologist and with the IBC getting so bad they kind of agree'd that making her do any more rehab wouldn't be wise. Her oncologist said that the side effect's of chemo could possibly make her have another stroke by 75%. Basically said that if we tried chemo we might have her for a few days V/S without chemo could be a few month's or longer, This was back in September 09 we were told that. I did seek the opinion of two other oncologist and they both agree'd with her oncologist.
As far as her meds, I dont really think she is over medicated, she takes the oxycontin twice a day, morning and at bedtime, the percocet she only takes if she need's it, today has only been one pill since she's gotten up.. Her bowels are moving normal. And although she pretty much lost her right side, I do get her up from the bed and into a chair, she also walks (with mine and my husbands help) to get to her potty and little steps around the house daily so she isn't sitting all day.. The Doc doesn't seem to think it's spread to her lungs, she sais that they sound clear to her, Im only guessing from what I've noticed lately. Seem's to be getting a little worse every couple days. So I did put a call in to the nurse to see about the hospice.. I would never ever want her to suffer.. I try my best to keep things as normal as possible for her, she was an extremely outgoing woman, strong willed, never complained, and never met a person she didn't like. She is an angel on earth in my eyes. I've never met anyone like her, and I'm not just saying that cause she's my mom. She really is one of a kind. That's why I try to let her live life as she would have before she had the stroke, I take her everywhere I go, well I try to, It's getting more difficult now because she doesn't want to go as much anymore. My 6yr old daughter sits in her lap and loves on her and since she's in kindergarten she 'helps' my mom try to remember how to do simple things as she's learning them, it really is cute..
I know this is more than you asked for, I just felt like sharing some thought's I guess.. It make's me feel better to remember myself how she used to be and how awful this really is. By the way she just turned 59yrs young.. We never thought in a million years that all this would happen, it really is true when you hear that saying "You just dont know what tomorrow is going to bring". Treasure every single moment with those you love.. I know I sure am
The blood work that I had questions about and their revelence to the cancer are:
Glucose is high (I know that the sugar) - 135
BILI is low - 0.1
Protein is high - 9.3
WBC is low - 3.4 (10*3/ul)
HGB is low - 10.9 g/dl
HCT is low - 33.2%
RDW is high - 22.4%
MPV is low - 7.4 FL
Then at the bottom of the last page it says "GFR MDRD Non Af Amer - old value 63, new value 52
The rest of her blood work fall within the normal zones..
Thank you again so so much
Lisa
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well my mom had the same condition and the smell was the worst part and having to see on a daily basis what was happening to her body was hard for a 19yr old. we did get nurses to help but the pain and changing her dressing was hard.I was glad when it was over very hard to see and knowing she was dying and their was nothing else I could do but try to make hhr comfortable when pain meds wasnt working anymore u do the best u can and pray cause you'll need it oh by theway my mom was 42dx passed @43 which dr said that was worst cause her body was still trying to fight off cancer and it went to her other breast neck and throughout her whole body entire chestwall was cancer.my prayers r with u and your family.
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Yulanda,
I am so sorry to hear about your mom and what you had to endure at such a young age. Yes the smell get's to me too, sometime's it's all I can do while bathing her not to let her see how I have to turn my head or walk out of the room a minute just to gather my composer again. My mom's is all over as well and literally watching it spread is horriffic to say the least. I would have never known this type of cancer existed had my mom not gotten it. So many women dont know about it and my mom is very adament about 'showing' her breast cancer to friends and family (the women) so if they ever get a rash or redness or anything that feels wrong, to go see a Dr.. She want's to show the women what could happen. I admire her for that, amongst so many other things.
Thank you for your prayer's. I am so grateful for this site and the women on it. Amazing bunch of women..
Lisa
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Lisa, I do so admire that you are taking care of your mom the way you are. what a wonderful daughter you are. the best you can do at this stage is what you are doing, keep her active as possible, keep her clean and pain free as possible, knowing she is loved. So thankful she is a christian because she has a home in heaven already waiting for her. This is the perfect time for hospice, they are wonderful and will come when you need them. Celebrate her life and enjoy all you can. Sending out prayers for your mom and your whole family. we are here for you when you need to talk. gentle hugs. sherry
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Justablondy
No worries venting that is what we are all here for plus information from those who have gone before us on this journey. I have learned alot from the boards that have helped my sister.
None of those labs are terribly concerning - mom may be a little anemic. That would be indicated by the Hct and Hgb and RDW - it could explain some of her fatigue. She doesnt show signs of any active bleeding does she? Black stools, bleeding gums, etc ?The low white count needs to be compared to her normal - if the differential isnt wacky - they will likely just keep an eye on it. It could be from infection, side effects of meds or a number of other things. The sugar if nonfasting isnt terribly useful again a trend would be needed but could be a sign of diabetes, a side effect from meds like steroids etc. High sugar can make wounds not heal real well but the number is not that high. The MPV is not helpful (size of platelets) without the platelet count. The GFR business is just how they calculate kidney stuff and sounds like they changed their values - doubtful anything to do with mom;s numbers. As always discuss specific concerns with your doctor as obviously this isnt medical advice.
My mom and I are very close and I hear your pain. You keep doing what you are doing and be her advocate and her support and leave the rest in God's hands. If its her time, its not ours to say. I will pray for you both.
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