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onethatcares

(16,167 posts)
Fri Sep 19, 2014, 09:02 PM Sep 2014

I don't know where else to go

three weeks ago my wife was diagnosed with bilary duct cancer and the surgeons have already done a liver embolisation to cause the other side of her liver to grow prior to surgery. Presently she has insurance and a job but I need to know what to do to try to protect where we've lived for the past thirty years.

on wednesday she goes in to have a chemo port installed

to put it bluntly, I'm scared shitless and don't know who to talk to or who to discuss these things with

any help or direction would be greatly appreciated.

Thanks in advance.

17 replies = new reply since forum marked as read
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I don't know where else to go (Original Post) onethatcares Sep 2014 OP
You are sure in a tough situation! As is your wife. CaliforniaPeggy Sep 2014 #1
I am so sorry about your wife's illness... YvonneCa Sep 2014 #2
I'm so sorry you and your wife are going through this. My first suggestion would Nay Sep 2014 #3
thanks so very much for everything onethatcares Sep 2014 #4
DU is a great place to vent... YvonneCa Sep 2014 #5
This forum is a great start but I encourage you to look for specific ... slipslidingaway Sep 2014 #6
I've been looking at the American Cancer site onethatcares Sep 2014 #7
When I was first diagnosed... YvonneCa Sep 2014 #8
our sons are onethatcares Sep 2014 #9
Is there any chance she would qualify for.... YvonneCa Sep 2014 #11
presently, of all things onethatcares Sep 2014 #12
It is tough, but sometimes support comes from unlikely places ... slipslidingaway Sep 2014 #13
thank you onethatcares Sep 2014 #14
I needed to tell you this onethatcares Sep 2014 #16
So happy to hear you found a site ... slipslidingaway Sep 2014 #17
I am sorry to hear this Ruby the Liberal Sep 2014 #10
You're in my thoughts. You both are. Solly Mack Sep 2014 #15

CaliforniaPeggy

(149,595 posts)
1. You are sure in a tough situation! As is your wife.
Fri Sep 19, 2014, 09:21 PM
Sep 2014

It seems to me that you're in the right place by posting here in Cancer Support.

I don't really know how to advise you, since I've not experienced your sort of situation, but believe me when I tell you that I am so very sorry to hear about it.

I hope others will chime in, who do know how to advise or direct you.

I am very sure you're not alone.

Please take care of yourself and your wife...

YvonneCa

(10,117 posts)
2. I am so sorry about your wife's illness...
Fri Sep 19, 2014, 10:00 PM
Sep 2014

...and all you are going through. I am no expert, but I would offer two suggestions. First...you need a support system for yourself in order to support her. That could be a family member if one is available. Or it could be a support group through the medical system you use.

I hope you will reach out because often people in these support groups really understand what you are going through because they have lived it. They may point you to resources that can help.

Second...prioritize. My experience taught me to weed out and eliminate things from my life that added stress or were unnecessary. Sometimes that means delegating tasks to others so that you can focus on your wife. If you have family around ask for support. People usually want to help, they just need to know how.

Good luck to you. I will keep you and you wife on my thoughts and prayers.

Nay

(12,051 posts)
3. I'm so sorry you and your wife are going through this. My first suggestion would
Sat Sep 20, 2014, 01:20 AM
Sep 2014

be to call the hospital and see if they have a "patient advocate" or "patient ombudsman." This person helps the patient and family navigate all the stuff that will be happening.

Contact her workplace and talk to HR; there may be a person designated to help very sick employees and their families through the insurance process and the sick day/short-term disability/long-term disability issues. When I had breast cancer, the insurance woman at my workplace was a godsend. I was a wreck, I was still coming in to work as I was getting radiation, and she was the kindest person -- if I forgot some paperwork, she'd call and remind me.

As someone said above, ditch all unimportant stuff.

If you are familiar with Excel spreadsheets, start making one for your wife's appointments, surgeries, etc. Record the date, doctor/hospital, type of doc (oncologist, radiologist), type of visit (liver surgery, radiation, chemo, etc.), and notes on what was said/what happened at the visit. The ombudsman at my hospital suggested at the very beginning that I keep a spreadsheet and keep it updated, because I would never remember what happened when. She was right. My spreadsheet has been invaluable in tracking my appts. so I would get the optimal care I needed. I still keep a spreadsheet of all my dr appts. If you aren't into Excel, buy a sturdy notebook and record the info in there. Just be religious about keeping it up to date. Take it with you to all her appts.

As far as protecting your home, is there some reason you are worried? Has something happened? Do you feel the bills will be too big to pay? Remember that you can declare medical bankruptcy if you need to, and they cannot take your house or car.

onethatcares

(16,167 posts)
4. thanks so very much for everything
Sat Sep 20, 2014, 06:25 AM
Sep 2014

It's hard to put into words just how much a life changes on the words, "We found a carcinoma"

My wife, after diagnosis, wasn't prescribed any anti anxiety meds so we ended up with two stays in the hospital due to her stress level feeding on itself. Finally, I had her surgeon issue a script and that has relieved a bit of her tension.

We've been married almost 45 years and thought we were going to make it to retirement and be able to do some things, we are both under medicare age and as I said, she still has a job and insurance. The advice to talk to the insurance people at her work is greatly appreciated. She's been handling that, kind of keeping me out of it. I guess I have to tell her that there can't be any private conversations about this..

She still doesn't have an oncologist, the surgeons that are going to do the operations are top notch and teach this type of surgery, the rest is still in limbo.

If this is disjointed I hope you understand. I really need somewhere to vent, DU seems to be there for that in more ways than one.

slipslidingaway

(21,210 posts)
6. This forum is a great start but I encourage you to look for specific ...
Sat Sep 20, 2014, 08:14 PM
Sep 2014

sites for your wife's diagnosis. They have been invaluable for me and I thank each person who has been willing to share their experiences.

The port can make things so much easier and certain types of chemo can only be given via a central line, the health care professionals are rather adept in placing the line.

As others have noted it is very helpful to have someone who can support you and your wife, many times people do not know how to help, but you only need one or two strong leaders to rally support from others. As my sis says these are the people you want in your lifeboat, their number can be small, one is sufficient. They just need to support you so you can have the energy to support your wife.

Sending you strength and best wishes in this journey.



onethatcares

(16,167 posts)
7. I've been looking at the American Cancer site
Sat Sep 20, 2014, 08:48 PM
Sep 2014

and have found that the survival rate for 5 years is 15%. My wife knows the same. We have no family here in Florida anymore and our kids are in Texas and Arkansas. Our friend total is minimal and there are none that I know that have any fortitude, boy that was a hard thing to realize.

Where I work, I'm just the maintenance guy, where she works, she's just an admin clerk. Neither of us have developed after work relationships with anyone.

Do you have any idea where I should look for the supportive person(s)? I'm at a loss.

YvonneCa

(10,117 posts)
8. When I was first diagnosed...
Sat Sep 20, 2014, 10:37 PM
Sep 2014

Last edited Sat Sep 20, 2014, 11:08 PM - Edit history (1)

...I was very scared. I did not want to tell family until I was ready, especially my children. I thought it might ruin vacations planned, work schedules, etc. Someone told me that I just needed to trust them enough to handle it. They were right. My kids did fine and were a wonderful source of support.

How old are your children? They may be who you need to lean on...

Edited to add link to support site: http://gildasclubsouthflorida.org/cancer_support

onethatcares

(16,167 posts)
9. our sons are
Sun Sep 21, 2014, 12:46 AM
Sep 2014

40 & 44. They are aware of the diagnosis. The older one is having a harder time dealing with it than the younger.

My problem is trying to help my wife with her pain and the scheduling of appointments, and being a help to her while still

trying to keep my job and hold on.

I'm in west central florida and all the support groups meet during the day which makes things very very hard to get to.

YvonneCa

(10,117 posts)
11. Is there any chance she would qualify for....
Sun Sep 21, 2014, 02:57 PM
Sep 2014

....SS disability benefits? That could help with income.

People at the link I sent might know how to do that but I would start by calling SS tomorrow. I'm wondering if she might be eligible for some amount of in home care...which would help you to get to work. Or do your sons have time or other family that could come to Florida to help? Even temporarily could give you time to learn about other resources.

And...with what you have said...you may need to talk to her doctors about hospice support. I know that hurts but if she needs it it would support you both.

onethatcares

(16,167 posts)
12. presently, of all things
Sun Sep 21, 2014, 03:35 PM
Sep 2014

she's going to go back to work tomorrow. Of all things, she doesn't want to use her PDOs unless she has to.

If she does use the 80 hours of PDO, she can then go on short term disability, which we hope will lead to long term

disability payments. The FMLA is in place but only to be used in short amounts, not a short term disability platform.

We haven't discussed anything about hospice, it seems like such a final matter.

thank you so much for the replies,

slipslidingaway

(21,210 posts)
13. It is tough, but sometimes support comes from unlikely places ...
Mon Sep 22, 2014, 05:24 PM
Sep 2014

a friend of a family member appeared and gave us great support, so you just never know

Support can also come from people online that you do not know, those going through a similar situation. A search came up with this site and there is a discussion group at the link, it might help or it might not, but worth a shot.

http://cholangiocarcinoma.org/punbb/

Sometimes the statistics are based on older treatments and advances are being made daily, I hope that will be the case for your wife.







onethatcares

(16,167 posts)
14. thank you
Mon Sep 22, 2014, 05:48 PM
Sep 2014

we were just sitting here discussing the things in our life.

thanks for what you just posted, I have to get back to her now.

onethatcares

(16,167 posts)
16. I needed to tell you this
Tue Sep 23, 2014, 02:35 PM
Sep 2014

whoever you are, I love you.

I've been on the cholangiocarcinoma site most of the afternoon trying to find things to help her and it's the most complete

site I've seen for information concerning treatments, nutrition, and care.

You have made a friend for life.

slipslidingaway

(21,210 posts)
17. So happy to hear you found a site ...
Tue Sep 23, 2014, 04:51 PM
Sep 2014

that speaks to your current situation. Online sites for a particular disease can be very helpful ... they were for me.

Just remember that the numbers could be outdated when they speak of percentages and you never know if you are in the lower percentage or higher percentage, no reason your wife cannot be one of those in the higher survival rate.

Remain vigilant and optimistic as much as possible.

You have made my day.




Ruby the Liberal

(26,219 posts)
10. I am sorry to hear this
Sun Sep 21, 2014, 09:34 AM
Sep 2014

Please ask the surgeon's office if the medical center employs Nurse Navigators. They are medical project managers who help coordinate appointments, help with questions you don't know to ask, and help with support. One was assigned to me on the day of my diagnosis as part of the treatment plan and she was a godsend in helping keep me organized.

I would be very surprised if there weren't cancer support groups available where she will be getting chemo (and rads?). The challenge might be in the timing - they may only meet during hours when you are at work or need to be home with your wife. Wishing you both the best outcome.

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