Completely Scary Topic: How Do We Die?

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  • blainejennifer
    blainejennifer Member Posts: 1,848
    edited March 2017

    Freya,

    From watching family make the transition, I do think we nest and prepare for the transition. I'm going to Oscar Wilde this phase*.

    And I heard from a nurse friend that there are only 5 available hospice beds in our whole county right now. Mind you, the count can vary quickly, but it ain't reassuring. Home it is, I guess. I don't want to permanently scar the kid, though. Your idea of a prepared room is genius.

    I have no plans to exit soon, but the universe can always have a different agenda.

    Hugs to you, and a stern finger wag to your rebellious liver.


    * "Either this wallpaper goes or I do", said a few weeks before his death.

  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    Oscar Wilde LMAO!!!! thank you for that

  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    hello everyone... can i call you friends, or is that presuming to much?....So today is TWO YEARS since i got my stage 4 DX....It's really amazing that i have had such a good response....and it is so scary that I'm so much closer to getting rid of that wallpaper..lol...all the scans are scheduled...(end of april)...and MO appt set...and ALL yes All i can think about is how is this gonna end...i mean, i know the final end part, its the part just ahead of it that really scares me and keeps me up at night...no matter how logical I am or how many distractions i can create, my mind just returns to "what horrible thing is my body gonna put me thru?....Yikes...whats gonna go first? (that was a question to myself again)..i know, no one knows...Doc said I wasnt very typical and couldnt even guess at my road thru progression....Yikes... whats gonna go last? ...thanks for listening to my lil rant tonite...there are very few people who can really understand this kind of topic, and I"m so thankful that you are out there with empathy for a stranger (altho you seem more understanding than real life friends right now )...BTW, I did go thru all those links re/end of life but right now my questions are just all about me...that personal end...private...you have to go into that unknown alone and that doesnt scare me for some reason (I never said no to an adventure)...its my body that has betrayed me and im pretty sure i know what i did to make it so mad...lol...I just pray that it will release my soul quietly without to much mess and screaming...mostly mess.

  • Freya244117
    Freya244117 Member Posts: 603
    edited March 2017

    Hi Nan, friends is appropriate and feels right to me.

    My husband nursed his teenage son through a brain tumour and he died at home. From his experience, I understand what happens to the mind and body in the final stages. It is the lead up to that stage that is the unknown, and is probably different for each person. I want to be well and active for as long as possible. I don't want to be bedridden for months, that would be my idea of hell and too hard on my husband.

    Our bodies and minds are amazing, and this is also the case in death. As our organs and circulation start to shut down, so does our mind. We will spend more time sleeping and be less aware. Being fully alert in our final days would be too cruel.

    On a practical level, I have purchased adult disposable pants, for the messy stuff towards the end. I have a spare room set up. I wanted our bed and bedroom to have good memories, not be where I died.

    I'm organised, I think I know how it will go.............but like you Nan, I'm scared, I'm not ready, I want more time. I don't want to leave my husband all alone, he needs me.

    HUGS.

  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    freya...how was your doc so sure about your trip? I know your labs tell alot, but to not make it?... Im just wondering if my doc will ever be that honest with me? Did you come right out and ask him?.... Im sorry, I know everything can happen very fast...I guess its silly to think I wont have enough warning dispite that... I hope you're feeling well this week and next too...thank you for your comments

  • Freya244117
    Freya244117 Member Posts: 603
    edited March 2017

    Nan, I have been seeing this MO for 5 years now. During our first meeting she went through what I could expect of her, what she expected of me, how much information did I want to know (apparently some people only want to know the bare minimum). When she asked me what I wanted from her, I told her I needed her to be totally open and honest about my situation at all times. I have so much trust in her, she always does what she says she will. If she says she will call, she does, even if it's 10pm (she knows I'm a night owl).

    She did not expect me to manage more than 1 or 2 cycles of chemo. I am having # 5 tomorrow. My liver function has not improved, but it hasn't got any worse. The good thing is my platelets and neutrophils are holding up. I'm sick but stable if that makes sense. I'm jaundiced, very swollen abdomen, fatigued, and lost a lot of weight. The pain and nausea is being controlled by meds.

    I was shocked at the speed of how things changed. One minute I had bone mets and was doing great, the next thing my liver is failing and my life expectancy was weeks or months if lucky. I think mentally I'm still trying to catch up.

    How are you doing?

  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    freya, is it ok if i stay with you while you go thru this?

  • Freya244117
    Freya244117 Member Posts: 603
    edited March 2017

    Absolutely ok. I'm not that great at expressing myself in words, but I will do my best.

  • Mominator
    Mominator Member Posts: 1,575
    edited March 2017

    Nan and Freya, also Jennifer and Paula, is it OK if I stay with you while you go through this?

    I mentioned on the previous page, I've been involved in hospice three times. I've seen loved one change, slow down, and eventually pass away. It's different for everyone, and yet some parts are the same.

    Hospice was wonderful, and have a lot of resources. I think an open communication with one's doctor also helps. What can I expect in my situation? What are the pros/cons of this treatment? What can we do to alleviate these symptoms?

    Nana was almost 97 and her kidneys were failing. However her heart was already failing first. The doctors in the hospital were so quick to prescribe some things, without looking at the whole picture. One doctor even insisted that we put Nana on dialysis. Her PCP was so good. He wanted to know, "what can I do for Nana? What do you want for Nana?" We said that we wanted her to be comfortable, to enjoy her great-grandchildren while she could, and have a peaceful end. And she did.  

    If you have a worry or concern, ask your doctor.

    Wishing you peace and comfort, and all the best, especially in these difficult circumstances, Madelyn


  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    freya...thank you.....momi...thank you too....its the middle of the night and these eyes dont want to shut....i guess thats ok except im so zoned the next day....sleep in, start all over again...tonight i cant help thinking of an elderly woman on another board...i had so much empathy for her that i tried to gently guide her to getting some medical support...now for some reason i feel like i have been misused...first by people who condemn you for not supporting the persons right and choice not to get any form of help when all you wanted was to help ease some suffering(very respectfully)...and second by the person i was sucked into feeling empathy for, turns out she must be some type of physic vampire cuz as i looked back on posts she has been draining sympathy and compassion from people who are sick weakened and drained themselves for YEARS!.yes for years people have been gently trying to guide her but i guess giving incouragement for her self harm because it is her choice is the PC right thing to do...I'm very saddened that I couldnt see thru that from the start...there were a few that have been trying to support her for years(how i saw it) ...both sides have valid points but we should try to do no harm (negelict to pass on life saving info), and facts dont care about your feelings...another lil late nite rant, thanks for listening....please keep me posted on how you all are feeling...I know it may sound odd but i really do care...please send pm if your private wants to stay that way ....keep shining bright!

  • Freya244117
    Freya244117 Member Posts: 603
    edited March 2017

    This Canadian site has some really good information.

    Nan, I know who you are talking about, and I go from having empathy to wondering if she's a troll. I now just skim past her posts without reading them. She has been on here for years, and that does not look like changing, doesn't mean I have to interact with her. You were being kind, that is never a bad thing. Hugs

  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    freya...thanks...and thanks for the link...really great info and organized perfectly...going to bookmark it so i can read it all..may have DD read it too (she's 25)

  • stagefree
    stagefree Member Posts: 2,780
    edited March 2017

    Hi Jen

    I've been reading all the views and doing some thinking the last few months..

    as much as have my own plans, my fantasy of having a sudden heart attack to transfer me to my next home is so strong that, my main concern nowadays are to have my legs shaved, no more Brasilian vaxing, it hurt like hell! :))

    Have manicure/pedicure with bright nailpolish, have my hair in good condition and have a bit of make up, so that the ones dealing with my body will not be disgusted at basic level.

    I am serious. I know many pass away in their beds, surrounded by loved ones, yet my hope is something more like having coffee with DH somewhere, when I suddenly (yet calmly-working on that, still trying to prepare myself to it) drop dead.

    I had the driving car during the attack fantasy for some time, but now that I no longer drive long-distance, Dying on the way to groceystore is not an ascar-winning scene. Anyway, I dread tubes in my body, machines beeping and the hospital smell. But if be it, I'll prefer the most expensive private one for my last breath.

    I admit I am scared of dying, but lately am curious of what's next as I witness most of my dear friends here having gone before me.

    There are only a few of my long-term BCO sisters left still alive, so it is somehow becoming easier to accept it coming for me at some point.

    Ironic. We seek hope mostly on the boards, don't we? I no longer do that. Have read so much, witnessed so much, that now am at another level now, still occasionaly sharing info & experiences with newbies.

    It's like a child growing to be adult, the longer we stay alive, the more we grow into perception of death. If I didn't have MBC, I'd be running around for my business meetings, planning our next summer holiday and insisting on moving to a much bigger house with 25-year mortgage, I know.

    I am grateful for all that I have had so far, I am a luck lady for sure. From now on each breath is a bonus point.

    Well, guess this sums up my view..

    love

    Ebru

  • blainejennifer
    blainejennifer Member Posts: 1,848
    edited March 2017

    Ebru,

    I'm in the same place. I've been making sure that I'm decently groomed and that the underwear is looking good, just in case. Have you started clearing out drawers yet?

    It would be great to go fast! I just worry about freaking out DS - so maybe little warning would be nice, and then they could all comfort themselves that my death was a blessing and that I'm finally free and all that.

    You are so right: reading these boards has gently learned me that I won't be escaping death. All you have to do is go back about 5 years in some of the threads to know the truth. Most of those ladies aren't here now.

    Joining you in bonus breaths. NB: am totally stealing that catchphrase from you.

    I don't know what is coming next, but don't think that it will be the end. I have had too many odd experiences to think that our corporeal self is all that there is. But, thinking of ectoplasmic oversight is weird, because does that mean that my dead mother can tune in and watch me having a long poo? So many questions!

  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    hi jenn, I'm with you...i dont think the end of my body will be the end of me...no one knows what really happens, I just hope I can keep my wits about me and not go zooming someplace I would rather not be just because of the "pretty" colors or whatever happens to draw my attention. i wonder if I will finally find out all about God? I dont believe any of us humans has got it right about that yet. I dont believe our language even contains words that could come close to describing such a being... they say we are all energy and energy never goes away, it just changes form...wouldnt it be cool if one of us could use our energy to post from beyond to give us all a heads up....its that crazy making unknown again...just cant escape that...waiting to know...i never thought the waiting game attached to this disease would be so difficult...absolutely every aspect involves waiting...I now really believe that patience was the lesson that this lifetime was ment to teach me...not just because of bc....i took care of many loved ones, the toughest was my dad (he would like that),massive stroke at 60, paralized complete left side,stubborn , right off the boat german, needed 24 hour care.such an insult to his manhood not to mention he spent from age 6 to 12 in a russian concentration camp, didnt the bad crap ever stop...he lived the american dream i grew up very middle class which was a lil nicer back then it seemed..Mom passed at 48 from bc..Moved dear mother in law in for her final year with us..stage lV lung...we laughed so hard when flushing that feeding tube, water sprayed the room, then more laughing....till someone peed lol.....oh this late night rambling...it did help clear my head, altho nothing important came out my shoulders feel lighter all the same....be well tonight

  • blainejennifer
    blainejennifer Member Posts: 1,848
    edited March 2017

    Nan,

    Your Dad reminded me of mine. When he was dying from bowel cancer, I had to give him his drinks in a sippy cup. Each and every time his eyes would rage at being treated like a child. When his doctor told him that treatment was no longer effective, and that he'd have a few months to "prepare", he took himself home and was dead in about a week.

    Soon after he died, I had the strongest feeling of him hugging me, and telling me that this was the best way, for him, as he hated being needy. Felt like he was sitting right next to me.

    Reason #158 I don't think we end when we die. :)

  • Dianarose
    Dianarose Member Posts: 2,407
    edited March 2017

    Freya- the same thing happened to me In November as to what is going on with you. One week my blood work was fine then it all went crazy. Liver was failing, platelets dropped to 37, I was yellow as can be. All my red counts were crazy and my heart rate was around 130 most of the time. Blood vessels in my eyes were exploding and I was too weak to walk or talk. MO said we didn't have time to do an echocardiogram but wanted to give me A/C and Taxol to see if we could try to turn things around. She said I probably would not make it through the weekend. I agreed to do it as it was my only hope. I also got the first of five transactions. I think she was shocked when I showed up on Monday. It took several weeks but slowly things started to get better. I must say being that close to death was a strange experience. I wasn't prepared at all. I didn't feel afraid but instead I felt more sadness then I had ever felt. I didn't want to leave my family. I love my life and the people in it. So many people we're praying and I strongly feel God pulled me through because I didn't have the strength to fight. Four weeks ago my blood started to get all crazy again and MO put me back on a weekly dose of A/C and things are getting back to good again. Liver is back to normal. She feels the cancer just keeps getting ahead of us. If platelets and other things look ok on Thursday I will start Ibrance. I will pray that the chemo turns things around for you as it is for me. I know your fears too well. Hugs.... Dian

  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    jen, do you think your dad stopped all eating and drinking? I was checking out some death cafes' that lita has spoken of to see if there were any in my area. ( Lita, if you see this, the gal that runs the DC in my area does training for end of life dulas and advises on at home funerals and green burials. I dont want to sit thru a sales pitch! What do you think? is it worth a 2 hour drive? ) So I came across a ted x talk and a doc all speaking of end of life fasting...it sounds like it would be much more comfortable and be less drawn out...EOL meds are not a problem to get i guess...Im going to do a lil more research on it....a long drawn out hospital stay would drain my familys funds so bad I would fear that they would lose the house...not a peaceful thought.

  • Mominator
    Mominator Member Posts: 1,575
    edited March 2017

    Nan, have you read any of end of life/hospice materials? Lack of appetite is common in terminal illness.

    People don't intentionally fast, but they do lose their appetites as their bodies slow down. The digestive system no long works properly: food isn't completely digested and/or blockages may occur. It becomes uncomfortable to eat and people stop eating.

    http://www.arborhospice.org/we-can-help/nutrition

    This happened with my friend Lori. It was distressing to watch her husband feed her, as she had no appetite and he was forcing the food into her mouth some mornings. (Husband really didn't take the time to read the hospice information. It just sat in a folder on the counter.) Unfortunately, most terminal patients have anorexia, which a loss of appetite and most develop cachexia, which is the loss of weight. Cachexia cannot be reversed nutritionally; even if the number of calories consumed increased, the terminally ill person will continue to lose weight. Her husband seem to feel that if he could keep feeding her, he could keep her with him longer.

    Nana and Ann also lost their appetites. The difference was that no one was force-feeding them.

    Anorexia/loss of appetite is the body's way to keep itself comfortable as the digestive systems slow down.

  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    momin, yes i understand...the ted x was about a professor who had alzeimers ( his wife gave the talk ) He knew his QOL would not improve so he attended his own funeral, said his i love yous and goodbyes while he still could, then he just stopped the food and fluids and loving wife stayed by his side. From what I understand about doing it before your body does...it seems your body wants you to experience the same ease of passing (natural endorphins, less fluid=less death rattle and more comfort in breathing, less going in=less coming out) need to read a lot more about it. found a you tube called "dying well for busy people" that is very interesting but i still cant find the ted x talk about the professor...sorry. . .thank you all for sharing....it seems like I'm missing something...I'll just keep reading till it all makes a lil more sense to me...thanks again (:

  • stagefree
    stagefree Member Posts: 2,780
    edited March 2017

    yes Jen, I sure am getting rid of everything I no longer need and have been rearranging the house for DH & DS for sometime now. Without making them feel it :)

    I had attended the funeral of my ex boss from years ago, with whom we parted on not very good terms at that time. He was unfair to my performance and I lived professional hell, going through serious office mobbing for almost 2 years after which I quit .. yet, when I heard he suddenly passed away in a home accident ( was young), I went to the funeral, stopd by him and told him, I forgave him. Prayed for him. About a week later, I saw a dream him smiling at me and he thanked. This has been the ultimate example for me to believe the soul doesn't die.. at least no harm in believing so.

    I have also been trying to be even more kinder to everyone, cos you know, we do break hearts without noticing.. I don't have many people left surrounding me after having retired, so enjoy the silence, cherish the quality time I have with the few who really care for me.

    I thank God quite a lot each day for having had the chance to realise how lucky I have been so far with tolerable treatment so far and really not plan the next day any more.. go with the flow..

    this past week, I have felt like sharing more on the boards, so I do.. I don't really think too deep about anything any more.

    Tomorrow I'll be meeting MO to sort out the treatment, as TMs skyrockected to 2400+ fingers crossed once again ;)

    Hugs

    Ebru


  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    ebru...how did you quiet your mind?...I've always thought to deep and to far and now..well..its a whole lot worse...not that deep thought is a bad thing and its not bordering on obsession ( I dont have the focus to obsess on any one thing ) meditation blocks everything but that...oh i wish the weather would change...digging in my flowers always helps and we just got snow again... thank you all for being so open..it means so much to me...you will never know just how much...keep shining bright!!

    woody allen quote "I'm not afraid to die, I just dont want to be there when it happens"......

    ebru ,freya, momin, jen keeping all fingers and toes crossed for finding the perfect treatment

  • DC197
    DC197 Member Posts: 371
    edited March 2017

    Hi everyone,

    This is just a post to introduce myself, as it is quite late here in Western NY, and my grandchildren will be coming over tomorrow and I'll need to be awake. My name is Diane, and I was first dx with bc in Sept, 2010. I was originally thought to be early stage, but after surgery with lymph node dissection and an MRI which found a lesion on my spine, I became stage IV de novo. It's funny, 7 years ago I wouldn't even know these terms to describe my disease!

    So, after surgery and radiation, I took anastrozole and zometa for 5 years without much change to my quality of life. I always knew in my heart, though, that I never wanted to have chemo and go through the horrifying treatments that I personally saw many family members and friends go through. I know that I am a bit of an anomaly, and even my oncologist admits that he doesn't have any patients like me.

    In the Fall of 2015, I had a PETCT scan, and, although I wasn't having any pain, cancer had found it's way to many bones in my body and was making a meal of those bones. The biggest concern was the femur in my left leg, so I had the surgery to insert a rod in that leg. My onc advised that my meds had to change, and prescribed Ibrance and letrozole. The Ibrance was at the highest dosage, and I experienced almost all the side effects listed. I was ready to give up entirely, but he changed to a lower dosage that I was able to tolerate. That worked (I thought) for about 14 months when I had the last PET/CT. My intuition told me that something was amiss, but I wasn't prepared when he told me that it was now in my liver.

    That's it for tonight ... gotta get some sleep ... I've enjoyed reading all your posts and "meeting" all of you.

    Diane

  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    hello diane...not much sleep for me tonight...i hope you had a pleasant night in slumberland...I have a 3 1/2 yro grand daughter so i know what you mean by having to be "awake"...they get into the darnest things...DD is always worrying about my brain tumors...cant blame her...Ive been teaching DGD about 911 and roll playing the call re/her bunnie...it gets complicated when dealing with the cell phone...dont want her to just "try it out"...Im sure I can find some tips online. take care and keep shining bright

    diane...I sincerely hope you get the right tx to kick those pesky liver mets ass to some black hole in the far reaches of the universe...( lol, i'm blonde and I just had a nerd moment )

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2017

    Sleepless nights, I will be back to read more. I have been looking around the house..... making quiet plans to clear the path for everyone. Good info here.

    How do we die. My mom dies years ago. On tubes. And one night she went into the coma and slept. Her breathing changed just before she left and it was the most beautiful experience. But to that point had been a hard path for all of us, especially her. She taught me so much of what to do and what not to do. And who she really was.

    Hubby is in denial. I am not. I could live for forty more years. Or four hours. The airways are pressed upon and sometimes there is no air. Lungs at 50%. A lube collapsed since last Autumn. Coughing is frightening. It could be sudden. But the treatment of Ibrance and Letrozone combination is working, just so slowly. I also take help oil raw, CBD / CBDa. Yet I think the pulmonologist has pressed the issue with my dear onc and the subject of chemo infusion or IPT at least will be broached on Wednesday. And I just don't know.

    I do know I need more underwear.


  • blainejennifer
    blainejennifer Member Posts: 1,848
    edited March 2017

    Nan,

    I do think he intentionally stopped eating and drinking. He just wasn't having it. A forceful personality in life and in death.

    This dying thing is a process, isn't it? Reverse birth.

  • Nan812
    Nan812 Member Posts: 289
    edited March 2017

    jen..imagine if someone told you that you were going to be ripped from the only world you have ever known...a place of warmth, comfort, and love... and forced you into a world of shocks to your senses.... where every thing was completely unknown and strange to you....if some one told you this before hand........would we be to scared to even be born?......."reverse birth"

    I told my dad that it was ok if he didnt want to try so hard anymore ( I pushed alot of PT and OT which he always got kicked out of ) and within 24 hours he had a massive heart attack and passed...He had quad by pass surgery 6 months before my mom passed which was 15 yrs before he did...broken heart when my mom got sick I believe....My dad starved as a child and would never have even considered that but I do read that people use that in states without DWDL.

  • Mominator
    Mominator Member Posts: 1,575
    edited April 2018

    I realize that this thread has been inactive for more than a year. A lot has happened. We've lost so many wonderful people in that time. I lost my Mom. 

    I wanted to share this video as it does explain well what happens when we die. 

    Dr. Kathryn Mannix explains why we should all talk about dying. She explains the dying process (the last few days of a person's life). She describes how a patient sleeps more and more, becoming unconscious for longer and longer periods. But when the patient wakes up, they feel as if they've had a really good sleep. So we know that it doesn't feel frightening. She also explains how the breathing slows down, and the sounds a person makes towards the end.

    Please don't be put off by the beginning line, "dying probably isn't as bad as you're expecting." She talking about the process of dying (unconsciousness, breathing slowing, gradual death), is not as painful as people expect. She's not talking about the shortening of lives and sadness from the terrible toll of cancer. 

    https://www.facebook.com/bbc/videos/2185162658165588/

    I hope this gives people comfort. Although I miss my Mom terribly, I do know that she passed peacefully. 
  • Egads007
    Egads007 Member Posts: 1,603
    edited April 2018

    Somewhere in this thread it was suggested that journal writing might be helpful for those left behind. My Dad wrote one during his last 9 months. He died in 1999 from mesothelioma (asbestos induced cancer). I have it and read it regularly. It’s funny, sad, happy and tear jerking, especially at the end. I am SO grateful to have it. I feel less loss when I read it and have the comfort of feeling him help me flip the pages from the peaceful place he’s at now.

    I’ve started a journal for my son. In the event that I should be taken by this bastard of a disease I want to help him flip the pages as I know my dear father does. This book is a precious gift.

  • magdalene51
    magdalene51 Member Posts: 2,214
    edited May 2018

    Mominator, we haven’t formally met, but I have seen your posts in so many threads, always encouraging, lifting up, teaching, and I have admired your wisdom. I’ve never posted on this thread, but had it bookmarked and today went back and read the whole thread from the beginning. So much good information, so many beautiful women who have posted are already gone.

    I’ve become so much more aware the past few months that although the cancer itself may not be progressing, so much damage has been done, not only to my lungs with the mets but to my heart with whatever else is going on - possibly a rare side effect of gemzar, vasculitis. In any case, I’m on a relatively high dose of prednisone until the source of the inflammation is tracked down and a real tx plan can be devised.

    In any case, an angina attack a few weeks ago reminded me that I may not have a lot of warning or time to prepare, or the typical end stage scenario. And now I’m too sick and weak to do any physical preparation. But I suppose, in the end, none of us will know, until we do.

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