Pancreas cancer is one of the deadliest forms of cancer. Surgery,
chemotherapy, and radiation treatments are only helpful in stage-1
and stage-2 diagnosis of this disease. Sadly, there is little hope
for diagnosing this cancer at an earlier stage, for there is no
current pre-screening test for this disease. Although Johns Hopkins
is currently working on developing a test, there is still no test to
screen for this type of cancer.
A patient who is diagnosed with stage-3 or stage-4 pancreatic
cancer is almost always faced with a terminal diagnosis. Stage-3
means that the cancer has spread to the lymphatic system. Stage-4
cancer means that the cancer has not only spread to the lymph nodes,
but also to an organ that is distant from the pancreas.
When a loved one has this type of cancer, we are faced with a myriad
of emotions. We love them, and do not want to lose them. The cancer
victim, of course, wants to do everything that they can to live. The
tragic thing about opting for chemotherapy and other treatments when
faced with stage-4 diagnosis is the decrease in the quality of life.
Often, these procedures are futile. In far too many cases, the
person struggling with pancreas cancer only becomes sicker from
these treatments. Of course, this is a very personal choice. Every
person diagnosed with pancreas cancer must weigh the pros and cons,
and make the decision best suited for them.
Doctors are quick to give hope, and often slow to give a
prognosis. Be wary of this when you are dealing with your doctor.
Too often, a patient is given false hope that they have much longer
to live than is realistic. Of course, being human, we often hear
what we want to hear. I know that keeping hope alive is important
for the person that is battling pancreas cancer, but the patient
must also be willing to deal with the dire circumstances of this
deadly illness. So too must the family be willing to face the
impending death of someone that they love.
There is a very delicate balance that must be met. The cancer
patient must keep their hope alive, while asking their physician
some very important questions that can help them prepare to deal
with this disease. Here are just a few of the most important
questions that any patient dealing with pancreas cancer should ask
their physician.
1. Has my cancer spread beyond the pancreas?
2. What stage of pancreas cancer do I have?
3. Are there treatment options available to me?
4. Do you recommend treatment?
5. How will these treatments decrease my quality of life?
6. What are my chances of survival?
7. What is my prognosis?
These are very difficult questions for anyone to ask a physician.
These are very important questions that need to be answered early in
your battle with pancreas cancer, though.
Many families and patients alike go through a stage of denial and
disbelief. Following this stage, they are often filled with anger
and rage. Be patient with him or her. Remember that they need your
love. Dealing with the very real probability of death can help both
the cancer sufferer and the family members move past the
circumstances, and find a much deeper love and comfort. Dealing with
death is painful, and accompanied by guilt.
The person who is dying is faced not only with death, but also
the terrifying idea of leaving those people that he or she loves
dearly. The loved one is dealing with survivor's guilt, which often
makes the person pose the question, "Why can't it be me dying?" Both
of these responses are quite normal. It is ok to cry. You must get
your feelings of grief out now, not hold them in until it is even
harder to deal with these ugly feelings.
Of course, it is always acceptable to talk to the patient about
these things. Although, many of us find this very difficult, this is
a time that can help you become much closer to your loved one. This
is a time that you will treasure. This is a time that is often
filled with love and closeness. Remember that the cancer patient
thrives on hugs and loving words. Be sure to use this opportunity to
bring your family closer.
Many times it is comforting for the dying to share their wishes
with their loved ones. This, many times, can be very uncomfortable
for us family members. When your loved one tells you what they want
done with their belongings, what they want to wear when they die, or
even, who they want to give their eulogy, we tend to shush them and
quiet them quickly. Try to refrain from doing this. A person faced
with death must express these things. It makes them feel a kind of
power in their otherwise powerless situation.
Remember that there is help for you out there. If you are having
trouble dealing with your own or a family member's diagnosis, there
are places to turn. Johns Hopkins has a wonderful site on the
Internet, offering chat and many other free grief services. Hospice
is another wonderful resource. There is a Hospice in nearly every
community in the United States. Be sure to check with your local
hospital.
You can find grief counselors, therapy groups, and other
resources for pancreas patients and family members in your local
yellow pages. Be sure to look up the following words: grief,
therapy, psychologists, Hospice, or cancer. Good luck to you and
your family. Hopefully, this article made you find a little sliver
of peace and tranquility.