Well since I last wrote things got a lot worse. He has been generally deteriorating for about a week. His oxygen was going down and he was feeling really tired. On Monday he was coughing a lot, his sats had really dropped and he was feeling really drained. I phoned the cancer centre and asked if he should come in. When they heard what his sats were they said he was too ill to come to them and we had to phone 999 so they could take him to A&E. I phoned them and then got in the car and drove back.
On the way back I had a gut feeling that he was going to die that night.
I arrived at A&E and was relieved to see him looking better than I expected but still very ill. He had a chest X-ray which showed an infection and they changed him to far stronger IV antibiotics.
At about 2.30 they moved him to the acute medical ward. It was horrific there. He was moved next to someone who had his whole family standing round them and looked close to death. The man was shouting and repeating things and his light was on. A horrible place to have to spend the night. By the time we left at 3.45 they still hasn't even come to check him in. We went home and got some sleep.
When we went in in the morning he was ok. Clearly very drowsy but talking a bit and not terribly different. They sent him for a ct scan which confirmed a pulmonary embolism though thankfully only a small one, and also that the infection was pneumonia.
By that afternoon he had started to deteriorate. His temperature was high (38.4) and his pulse was 125. They started to panic a bit and I heard the nurse saying to the doctor "shall we move him to the other side"- which I later discovered to be intensive care. The doctor said that as his BP was ok they could leave him for a while and just monitor him. His mews score was 8.
They gave him paracetamol and a fan to bring down his temperature which started to work. His pulse remained high though.
I went to the corridor and cried and cried then saw his nurse on the way back. I asked her whether they saw people recover when they were in a similar situation to dad. She said they did and she wasn't too worried. She said it was a typical pneumonia presentation but that his antibiotics were strong so he should start to respond to them. This relieved me so much. They then came to say he was being moved to another ward once they had a bed free. It could be any ward in the hospital depending on which ward had a free bed the soonest.
We went home at about 11 at dads request as he wanted to try and sleep. He said he'd text once he'd moved.
At one in the morning I got a text saying he'd moved to ward 113 then at 5 in the morning I got a text from him saying to come in as soon as I woke up. I then got a text a few minutes later saying not to rush in and just to come later.
I arrived at 7.30 that morning and he was so upset and stressed. A doctor had been in in the night and told him that his cancer was incurable and he was dying and had stopped his fluids and antibiotics and said to call his family in. She'd then come in not long after and apologised and said she was wrong and had spoken to a nurse and didn't realise that his sats were always that bad. She then said it didn't matter about us coming in and they'd continue with the treatment.
We spoke about it and he was really upset about it but being very logical and mentally seemed fine. It was just me and him all morning and we had a lovely morning chatting he said some lovely things to me and said how he lived for me and Natalie and how he couldn't believe the love i'd shown him in how much I'd done for him since he's been ill. A lovely nurse called steve was looking after him and he was chatting away to him and was just normal. His breathing was normal for him and the whole morning was fine.
I went out at just after lunchtime to go to the toilet and when I came back he was in the bathroom and he was a deathly white colour. He'd gone to the bathroom to wash himself and hadn't taken oxygen with him. He got into bed and was fighting for breath and fell asleep.
A while later Neda came and she was so shocked to see him. I was trying to reassure her that he'd been fine and was just very tired from going to the bathroom. It soon though became clear that he wasn't improving and we called the nurse in. He checked him over and confirmed that he was getting worse. Time passed in a blur, afshin and Alison came and we found ourselves in a meeting with the doctor and nurse who explained the severity of the situation m: his lungs were trying to cope with copd, cancer, a clot and pneumonia and that each one of those things was life threatening. The doctor asked me what I thought his cancer prognosis was. I said possibly a year at best after chemo for six months. He said he couldn't see at all that he would survival the six months of chemo. We put a DNR in place and agreed to continue active treatment for now. They said they'd spoken to ICU and they wouldn't accept him as they thought his condition was incurable.
We went back and sat with him praying that the antibiotics would work and hoping for a miracle.
Natalie mum and nana came and though none of them saw him they sat in the dining room on the ward. At one point dad perked up and so I went and got Natalie and they were able to have a nice few minutes together and to say that they loved each other. She left then. Mum stayed at the hospital with me until 12.30 and I kept popping into her for little talks or for a walk.
Me and Neda stayed with him all night. She pushed three chairs together to make a bed. I slept on the chair next to him and we mostly had a good night he slept for most of it and seemed mostly comfortable. Afshin stayed also until 5 in the morning and then left. He stayed in another room though.