Hi all, I haven’t been on this site for a while as I took some time out to reflect and come to terms with the situation. My sister was discharged from hospital in August following her bowel perforation. She went to stay with a good friend in the hope of recuperating and gaining some strength. The fistula which occurred following the emergency surgery has not healed and her small bowel had a lot of diffuse cancer deposits. Unfortunately the cancer has progressed and she is now terminal. She is unable to keep food down, vomiting shortly after attempting to eat anything sometimes four or five times a day as her bowel is now frozen and unable to process food. As a consequence she has lost a lot of weight and her energy levels are almost non existent which means she has no real quality of life. I feel desperately sad for her and wishing things could change. She has spent a few nights in Hospice but even with a syringe driver her sickness could not be controlled and after 5 nights she opted to return home. We are now looking at options around end of life care, however this is proving difficult as she does not want to know how long she may have and is firmly of the belief that if she can get the sickness under control she will be able to recover and have more time. It is very hard for us to manage her expectations and reality with what we know and can actually see. Her consultant told me “weeks to months” a few weeks ago and things have deteriorated a lot in the last three weeks alone. It is now just a matter of time.