Worst possible day today. Hmm. I think I said that before, so guess I was wrong.
Diagnosis: Stage Four - Pancreatic Adenocarcinoma with metastisization to the liver. (As the oncologist put it - it's the Patrick Swayze as opposed to the Steve Jobs)
Prognosis: Incurable. With chemo he might have two years. Maybe within that time more treatments are uncovered.
However, he is currently not in condition to receive chemotherapy. He is too sick, and weak. He has poor pain management, has started throwing up - once yesterday and once this morning before we left for the appointment. It took about ten minutes for him to finish being sick to leave for the appointment, it takes about ten minutes to drive there, another five to get the wheelchair and get him upstairs and he managed to sit for about another ten in the wheelchair before saying he needed a gurney; had to lie down. So out of bed for 35 minutes did him in for the day. To start chemo, she wants him to be up and functional for about half the day. He is currently bedridden.
The oncologist sent us down to emergency for triage and re-admittance. Further testing to determine what is going on. If this is a situation where poor pain management is leading to nausea is leading to anxiety and back again, then he has agreed to narcotic pain relief and they will adjust his anti-nausea meds to try and get him stable. Then if we can get his appetite back and get some food into him maybe he can get strong enough for chemo. That is the hope.
If this is the cancer taking over - his prognosis is weeks to a short number of months.
He had a morphine drip in the ER and slept for the afternoon. He woke around 5 and was starting to feel the pain coming back so they switched to I believe she said hydromorphone but not quite sure that was right. In any case - stronger at a lower dose but also longer lasting. I had to pick DD up from work at 6 and he said to just go home for the night and get some rest - he'd be asleep also. Still waiting for him to be moved up to a room - currently in ER still. He was pretty upset. Said when he woke up "well, I'm fu***d" I told him to take tonight to be pissed and cry and get out all the toxic energy he's entitled to feel but that won't help him - dump it all. Tomorrow we fight. He needs to eat, gain strength, sleep and be ready for chemo.
I've just told the kids.