Take lots of deep breaths, my mom was diagnosed nov 2006 with breast cancer in the liver, and in many other places now. The stress was unbelievable.
I will say the first several months after diagnosis for me were the worst. I was up and down, and all over the place. I didn't know how long mom was going to be alive, and well we still don't but I have a different outlook on life now.
At first I was stuck on the fact of all the things mom would miss. Well, now I concentrate on things mom can do, and things mom can experience now with me. Think about the present and not the future.
From my experience I can say please get a second opinion from a specialist. If liver cancer is the primary cancer, request a second opinion from a nationaly ranked hospital, even if that means driving a couple hours or further. If you don't feel comfortable w/ the onc then find another one, or if your gut is off, doesn't answer all your questions or whatever get a better doctor. You can get the second opinion somewhere else and still get that treatment at your local onc.
Make sure to get copies from your oncologists office of all the cancer markers that are important for liver cancer. (In breast cancer there are several, I'm assuming there are cancer markers, special indicators of the type in liver cancer too). Depending on the type certain chemos, or other drugs are used and more likely to work. Do your own research, find yourself a online support group. If your dad is stage 4, then look for a cancer site which is specifically for stage 4 people. The treatment options, and strategies are different.
If your dad is stage 4, then you can apply for social security for disability. I believe you don't get an actual payment for either 3-6 months after the diagnosis. To make the process go quicker, get all the records yourself from the onc office, make a copy for yourself, and then give them a copy w/ all the info to the SS people. If your dad is doing chemo, or not feeling well. They can do a phone interview, and then they send you some more stuff to fill out, and then someone else can drop it all off.
What little I know about liver cancer. Remember my moms cancer is breast cancer in the liver.
My mom's liver looks like swish cheese spread with cancer. So mom was not a candidate for several of the procedures I'll mention.
Some of these procedures limit the number and size of tumors.
Radio frequency ablation (RFA). this is a link, with some quick info, definitely not the most detailed info.
http://www.cc.nih.gov/drd/rfa/faq.html
My cousin is a resident at a hospital and mentioned something about
transarterial chemoembolization. I found a article titled.
Liver Metastases: Neoadjuvant Downsizing with Transarterial Chemoembolization before Laser-Induced Thermotherapy1
During normal chemo, generally if its stage iv, they put a port in, and administer the chemo thru the port. The above they insert the chemo directly into an artery in the heart that feeds the liver. More chemo goes to the liver directly, then some of the cancer shrinks (hopefully). Then the tumors are (hopefully) smaller or less in number. From the article, doing the chemo first improved overal suvival time.
There are also specialists that cyro (freeze) the cancer.
Do your research, bring a list of all the questions w/ you to the doctors office. You may be over whelmed and quickly forget all the information.
I goto mom's onc appointments because its kind of overwhelming for my parents. They do not take notes, and then do not remember everything that is said. On the couple of occasions I haven't gone, i had to wait for the next visit to find out exactly what was going on, things get fuzzy when the person is on lots of pain meds.
All the terms, diagnosis, medicines, chemo drugs, its a lot to get confused.
Your dad may soon be on lots of medicines. What has worked great for my mom. I created a spreadsheet. It has the name of the medicine, what time of day she takes it, how many times a day she takes it.
Then it has spaces after it with the number of times she takes it, where she writes in the time she took the medicine. There is also a column for what the drug does. This helps mom and dad. Dad didn't know what lots of the meds were for, and as things have gone on, with the amount of pain control she is on, sometimes she gets fuzzy and help is needed.
With liver cancer, your dad may be feeling nasiated when eating some foods, plus chemo can upset the entire GI tract. He may be non-symptomatic here or not.
Eating bland foods, no spices, black pepper, avoiding fatty and high fat foods can cause problems for my mom, also eliminating cittres fruits, tomatoe based foods.
Best wishes and lots of hugs.
Connie