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Reply by KathCull_admin
17 Aug 2016, 4:31 PM

Hello everyone,
Kimmy I am not sure how things are for you, your mother and family right now - a few weeks can bring much change. You werer asking about more information and I wondered if you had seen the article  When death is near - the title may seem harsh but it may give you information you find helpful.

Mollee - I am hoping you have family and friends to support you - for me the first few months were a fog.

Take care
Katherine 
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Reply by Kimmy61
17 Aug 2016, 5:07 PM

Thanks Kathcull. Pretty much everything is the same with mom, except she decided that she wanted to try walking again. She needs help getting up off of couch and instead of using wheelchair, we walk to bathroom. I hold her arm and she does quite well. She has actually gained about 10 pounds! I'm guessing weight gain is from zero exercise and increased appetite from steroids. So far these are still the only changes. she still feels good. No pain at all and still no seizures. I have noticed that she is becoming more forgetful. i am going to check out the reading you suggested. 
Thanks for caring 😊 
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Reply by TiredDaughter
21 Aug 2016, 10:40 PM

Dear Kimmy,
My mother seems to be a few months "ahead" of yours, and since I also struggled to get any information on what to expect - maybe you'll find our experience helpful.

 

Her prognosis back in February was "a couple of months", then "a few months" when she was moved from the hospice to the longer term palliative care in April. The form for EI Compassionate care benefits was signed by the radiation oncologist on February 26th, "a significant risk of death within 26 weeks (6 month)". That "deadline" is less than a week from today...

 

The only pain she suffers from on and off is in her back - seems to be getting worse after she's up for more than 3 hrs in the wheelchair (her right side is paralyzed, and she wasn't standing up even on her remaining "good" left leg for more than 4 months - we use lift & harness to transfer her to the chair and back to bed) The assumption (my daughter's and mine, the doctor didn't seem to have an opinion that he wanted to share) is it's because her muscles are getting weaker to support her weight (that she also gained, like your mother, as she eats more than she ever did because of steroids - and doesn't move)

 

She had two infections that were treated by antibiotics, and an occasional heartburn, toothache or headache (that she used to have when she was healthy) - the nurses just give her Tylenol for those.

 

Overall, she stopped watching tv (just an occasional movie when we visit and pick it) and reading, just sleeps a lot and eats (chews very slowly and sometimes forgets to swallow, so it takes more than an hour to feed her) A couple weeks ago all of a sudden she "forgot" how to smoke. We were joking in the beginning that usually "smoking kills" - but it was keeping her alive (as she had to get in the wheelchair to go outside) Don't ask me about getting her dressed and out in February and March, rain or hail or snowstorm - lucky for her I'm also a smoker, so could relate (my daughter said she'd just put me on the patch lol)

 

She stopped asking for a cigarette at first. Or even if she did, she'd just hold it and roll it in her fingers. As her left hand is shaking a lot lately, we were worried that she might burn herself, so would try to hold it for her, and put it in her mouth. And she would just bite it - and won't inhale... And now her back pain is back - and she doesn't want to get up to go outside anymore (before she'd go for a cigarette despite the pain)

 

I remember reading "The signs that death is near" articles and thinking that stopping smoking would be the one sure sign for my mom. But, then again, she wasn't a heavy smoker before (only smoked a few cigarettes a day since I remember her), so we'll see...

 

She didn't have the surgery (her main tumour is too deep and close to the brainstem and others are small and scattered, so we were told right after the diagnosis that it's inoperable) and chemotherapy, only ten session of full brain radiation. We don't know how much of her memory loss is because of the tumour - and how much is the side-effect of the treatment. Some days she's more alert, on others barely says a word. Sometimes she mixes up my daughter and me (i was puzzled when she said to me, "Too bad your mom isn't here" - and then my daughter told me that she often calls her with my name) She remembers the faces (for example, recognizes the nurses when we meet them outside), but can't memorize the names. I heard her mumbling to herself after repeating the name of a new person, "I'll forget anyway.." - almost made me cry...

 

I went through the difficult stage of wanting to yell at her or shake her or do something - anything! - to get her "snap out of it!", to see that my mother is still in there somewhere... and then hating myself when she'd give me an innocent "I don't understand what you want from me" baby look... Reading a book about a woman with dementia helped to overcome it.

 

First few months it was hard to believe that only back in January she was living on her own, smart and independent. We celebrated her 69th birthday on April 27th - at the hospital...

 

And no, also no seizures yet - but we did suspect she might be having mini-seizures when her foot is twitching and she goes even more blank than usually... And I thought that she's having "the rattle of death" when she started "snoring" while awake (especially when eating) - it was weeks ago, and she's "Still alive" (her favorite reply when somebody asks how's she :))

 

A virtual hug from me to you, stay strong - and enjoy what you can...

 

 

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Reply by Mollee
24 Aug 2016, 12:21 AM

Dear Katherine,

I am struggling each day without my Dave. I had my birthday, my first without him. He would always make a big deal about it and would celebrate it for a week!  I have incredible family and friends they knew this and stretched it out. I miss him terribly and I am having a hard time accepting he is gone. Even though it has almost been 2 months, what I can remember seems very unreal. I have been talking to a therapist, he tells me everything I feel is acceptable and to take my time grieving. I just want to wake up from this nightmare. 

Mollee 
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Reply by Kimmy61
25 Aug 2016, 12:31 AM

Tired daughter, thanks so much for sharing. Your mom's journey is very similar to my mother's. If my mother ever forgets she smokes, then I definitely know something is going on!!!! She smokes one after another!!! I have to stay in the bedroom with door shut tight and I have to keep all of my belongings in there too😀. Very interesting that you mention her foot twitching. I noticed my mother's doing that while she was sleeping. Please keep me posted on any significant changes. 

And Mollee, I am so sorry for your loss.  
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Reply by TiredDaughter
03 Sep 2016, 2:31 AM

Kimmy, we're there: https://www.caring.com/articles/signs-of-death (my mom stopped eating). On Tuesday I had a dream about her, went to see her before work - and found her heavily drugged (she was in more pain lately, so the doctor prescribed her stronger pain meds that knocked her out for almost 12 hours) I stayed till lunch, bought the food she liked in a nearby burrito place, but struggled to wake her up. She ate just a little bit, still half asleep, and when I asked, "Do you want me to leave you alone?" (Seeing how she struggles to chew and swallow), whispered "Yes" - and went back to sleep the moment I lowered the back of the bed.

On Thursday they didn't give her the meds, but she still slept a lot and was mostly unresponsive (the caregiver was there every day and was reporting that mom sleeps and barely eats) This morning (Friday) I got a call from the nurse who knows me well (she was one of the first ones whom we met there - can't believe it's been 4.5 months...) and told me the update: my mom can't swallow, so they did a suction to remove the accumulated fluids and are switching her to soft food diet. No more water, either, only thickened liquids. 

The caregiver was there for lunch. Texted me that my mom woke up, smiled, answered a few questions in a very weak voice, and went back to sleep. I came about 5 and stayed for more than two hours - she didn't wake up, even when the nurse gave her a shot and we changed her. She moaned a bit when we turned her, and her eyes were half opened, but you could tell she didn't see or hear us. And went back to sleep and snoring right after. I talked with her, held her hand - she didn't squeeze it back (as usually) even when was getting a shot. 

So today she didn't drink or eat the whole day, and I remembered those articles that I read earlier - so was ready to just be there (the first question from both my husband and daughter was if they're gonna force-feed her or let her die from hunger :)) I don't know how long from here, but luckily it's a long weekend (as I found it very hard to function at work this week), my daughter and I will go there every day, taking turns - and maybe will catch an awake moment or two... When the caregiver asked me how I was, I said "Sad, but ready." She was with my mom for the whole summer and grew to love her. But at this point it's a torture for all of us - even mom's roommate says it hurts her to see mom like this (and I feel sorry for her, too - as she sees what's next for her...)

Sorry, Molly, for hogging your thread - if it happened to my husband, I would be devastated... With parents at least it's "normal" that they die before children - and still hard... can only imagine your pain...
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Reply by Kimmy61
03 Sep 2016, 3:30 AM

Tired daughter, thanks again for keeping me informed. Wow, so it sounds like things started for your mother right after six months. It sounds like she is close To the end. So sad, but I know what you mean, sad but ready. We can never be prepared for this but we can know when it's time. I pray that she goes soon. I pray for all of you and your family. 💕🙏🏻🍀
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Reply by JennJilks
04 Sep 2016, 12:03 AM

Please let your daughter know that this is the normal trajectory for dying.
They aren't able to digest food, as the body begins to shut down. You cannot force feed someone in this stage of death. That would be cruel. They body isn't carying out its normal functions and cannot diget food, cannot process it, or eliminate waste.
You are doing everything right.
This is exactly how my parents passed, and many of my hospice clients.
Take care. 
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Reply by TiredDaughter
04 Sep 2016, 1:02 AM

Kimmy, this morning they put mom on oxygen and are giving her atropine regularly so she won't feel like drowning We spent half a day there, she didn't wake up, didn't even flinch when the nurse gave het a shot. Her breathing improved and she was snoring softly, looking peaceful. I brought my husband and mother-in-law for a bit so they can say their good-byes...

JennJilks, I did, sent my daughter the same articles that I read, and she talked to the nurses today and they explained passive vs active dying to her. The funny thing is she's the second year medical school student, guess they didn't study it yet... It's the first experience with death for all of us, except for a cat whom my husband kept trying to save until I begged him to just let the poor animal die. Guess some people are just better with accepting the inevitable than others...

Besides, I'm the only somewhat spiritual one in the family, and do believe that my mom will not just disappear, and feel a connection with her - as she did with me when I was little (my grandma couldn't believe how my mom knew that I got rushed to the hospital at night with acute appendicitis when she wasn't there, but she just did... as I knew that something changed on Tuesday when I had a dream about her, so rushed to the hospital... And she answered yes to my question if she wants me to leave her alone... One thing I was more afraid than anything - to have regrets after she died, when it's too late, that I didn't do something... Now I understand that in this situation not doing anything is the best one can do...)
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Reply by JennJilks
04 Sep 2016, 1:34 AM

That's the hard part, isn't it?
It is all destined, and you can only do the best you can with the information you have at the time. No regrets! All the best. 
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