So, of course, Mom wanted to know options:
- A hysterectomy - surgical removal of the uterus and ovaries - not a viable option for a woman her age who had just suffered a mild heart attack.
- Just leave it be as it is - it may grow slowly or it may be an aggressive form of cancer (we'll know Monday which kind it is) - symptoms may be mild as they are now, or there may be heavier bleeding and discomfort.
- A targeted series of radiation treatments - three or four times - targeted directly at the tumor - not to eliminate it, but to "keep it at bay", not growing any larger.
The doctor also discussed DNR and DNI directives with Mom (do not resuscitate and do not intubate) - that they needed to be updated so that Millstream Commons staff and family know her wishes - let's say they/we find her on the floor or unconscious...then what?
Finally, she talked to Mom (and us) very frankly about locating a hospice - particularly if the results are serious. She said that hospice care is very good, not only for a patient dealing with end-of-life issues, but also for family members. For a patient, it helps remove or alleviate the fear of death. For family members it allows for the discussion of end-of-life issues.
Mom took this all in very rationally - says that at this point she will leave it alone. The doctor said that could be her desire now, but not to worry about changing her mind. Mom agreed to update her DNR and DNI directives. As to the hospice, both Sue and I feel that this is premature (Sue says that there is a good hospice unit in Faribault, if that time comes).
So, what do I feel about all of this? It sort of feels unreal...I cannot imagine my Mom not being around...she is my best friend (next to Bob) and offers me a listening heart and unconditional love. I want for her not to suffer and to spend her last days/months/years in a respectful and dignified manner - as a matriarch deserves. It's difficult to see her start slipping...God be with her on this journey.