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The End is Nigh
As we finished 2013, we looked forward to 2014 and had
the hope that it will be a better one than the previous year. I hope so too,
as none of us have been left untouched by sickness, disease or ill-health at
some stage in our lives.
However, there are those amongst us, for whom New Year 2014 is possibly the
last one they will celebrate. How should those people living with terminal
cancer approach 2014? I prefer to call the situation ‘living’ with a
terminal cancer, rather than ‘dying’ from a terminal cancer. There is a
significant difference, and much more than looking at life through my
rose-colored glasses.
So you have just found out you have terminal cancer. What can you do? The
first thing is to sit down and take stock of your circumstances. All of us
know that the piece of string called “life” eventually comes to an end - but
we don’t know when. The only difference with you, is that your doctor has
actually told you that your length of “life” string is due to run out.
Now whilst the immediate thought is always “How do I beat this?” there are
many factors you have to consider in the time ahead, and one of the main
ones is called ‘The Quality of Life’.
It is natural for a person with advanced cancer to feel many emotions
including anger, fear, and sadness. Just as you may need time to adjust to
this new phase of your life, your family and friends may also need time to
adjust to these new circumstances as well. Once you have been given the
diagnosis, the onus is now on you to find out as much as you can about your
particular cancer. Talk with your treating doctors, and get information from
reliable internet sites. Note I say “reliable” sites. There are always
plenty of sites ready to sell you snake oil. However, I do suggest you read
everything and become the world expert on your own condition. But don’t buy
snake oil.
Now back to Quality of Life. Now is the time to manage your symptoms. Your
quality of life is better if your symptoms are under control. Talk to your
doctors about the best way for you to manage your symptoms. Analgesics (pain
killers) are important, and there are many with different capabilities. With
some of the patch technologies, the pain relief is almost as good as
injections. There’s a lot better than paracetamol.
Do not be afraid to ask your doctors to fully explain any proposed
treatment. Getting an extra two months of life, but at the cost of the
Quality of Life, may not be worth having. Always keep that in mind. Quality
of (the remaining) life is everything. You do not want to spend those
‘extra’ two months in an ICU recovering from major surgery.
Please make your wishes known as well. Making the decision to stop active
cancer treatments can be a hard choice for a person with cancer and their
family. These are personal choices. If you are faced with making these
decisions, talk with your family and doctors about your wishes and explore
all of your options. You are still able to make decisions about your life to
the extent that you desire. Just keep saying that mantra “Quality of Life”,
that is the key to everything at this stage. Don’t forget it!
You should also consider creating a ‘Living Will’ or giving specific
instructions on what your wishes are as your cancer progresses. This process
helps make your end-of-life wishes and desires known to family, friends, and
your doctors and can help ensure that your wishes are honored. I personally
believe this is a most important step.
Sorry if the column this week sounds a little deep and dark, but it can give
assistance to those who feel as if all their options have gone. There are
always options. Even deciding not to continue with various therapies is an
option. From my personal point of view, I have taken note of the old phrase
“You can’t take it with you,” and consequently I have decided I’m not going.
That’s another option!
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