So today we couldn't do round 4 of Docetaxol. There was no doctor at the day ward so we are not sure what the reason was. Something was wrong with the bloods. The nurse said "liver is up so the professor wants to hold off", whatever that means.
We saw the palliative care doctor, though, who is looking after Paul because of some unrelated abdominal pain. When Paul mentioned that his pain has gotten a lot worse lately, and when he pointed to where he feels the pain, she suspected that it was the left lope of the liver that was giving him this pain. When we remarked that Paul has been having this pain for 50 years, she didn't respond, but she insisted that he would be admitted as soon as possible. An hour later we got the call from the nurse saying that a bed was free tomorrow. We have to be there before lunchtime.
Paul's pain medication, which is MST Continuous, will be changed to Methadone now. On one hand, this seems like a good idea to us because, as you know, we have been wanting to try Methadone for a long time to enhance the effects of the Chemo. However, I do feel that the decision to admit him immediately and to change his medication so drastically is too rushed. My husband only has a half-functioning liver anyway and Methadone is broken down first and foremost by the liver, so it might be a lot to take on for an already only half-working liver. And why so fast?
I am very confused about it. My husband seems to be quite passive about it all. I don't know what he is feeling deep down, but he certainly doesn't seem to worry as much. For him there is only one thing right now and that is to get this pain sorted out.
Will keep you posted.