Decision Making for Late Stage Cancer: A Personal Perspective

When considering the decision to pursue treatment for late-stage cancer, especially for those over the age of 70, emotions run deep. While personal circumstances and values play a significant role, it's essential to approach this decision thoughtfully and seek comprehensive information.

Personal Reflections: Age, Treatment, and Quality of Life

A poignant conversation recently brought to light the differing views on late-stage cancer treatment. When asked, 'Would you seek treatment if diagnosed with late-stage cancer and over the age of 70?', the resounding response was 'No.' Ownership of a passport and a zest for travel, yet the desire to embrace life's last chapters as they come. There is a prevailing sentiment that much to live for, especially with no grandchildren on the horizon and not a close relationship with children, makes the pursuit of aggressive treatment less compelling.

Understanding the Complexity of Late Stage Cancer

It's crucial to remember that the decision to treat late-stage cancer is highly personalized and should be made in conjunction with healthcare professionals. The diagnosis of 'late stage cancer' is not a binary or straightforward categorization; it encompasses a wide array of types, stages, and individual circumstances. The best course of action can vary significantly, depending on the specific diagnosis, the patient's overall health, and personal values. Here are some critical factors to consider:

Cancer Type and Stages: Different types of cancer progress at different rates and respond to treatments in unique ways. Understanding the specifics of the diagnosis is fundamental.

Treatment Options: From surgery to chemotherapy and radiation, each option carries a different set of risks and benefits. The decision should take into account the patient's health and the potential quality of life with and without treatment.

Prognosis: The likelihood of survival and recovery is a vital consideration. A detailed discussion with a healthcare provider can provide a clearer picture.

Treatment Side Effects: The effectiveness of treatment must be weighed against the potential side effects, which can impact quality of life.

Treatment Goals: Treatment can be either to cure or to palliate. Palliative care aims to improve the quality of life, while curative treatments are designed to eliminate the cancer.

It's important to note that the goal of treatment is not solely to extend life but to ensure a dignified and comfortable life for the patient, as desired by the individual.

A Personal Story: The Choice Between Aggressive Treatment and Palliative Care

The personal choice of a 99-year-old mother, who opted against aggressive treatment for late-stage colorectal cancer, illustrates the stark reality of complex medical decisions. Despite the potentially devastating prognosis, her chosen path brought a rich quality of life in her remaining years.

Her decision was deeply heartfelt and reflective of her desire to honor her final days through meaningful activities. Despite her advanced age, she continued to enjoy life to the fullest, taking every opportunity to travel and participate in activities that brought joy and satisfaction to her days.

Frequent Facetime calls maintained a connection between my sister and me, and her Canadian home. Even as she navigated intense pain from the late-stage illness, her conversations remained bright and cheerful. Her choices underscored her belief in living each moment fully, a legacy that continues to inspire and teach those who knew her.

Her grace and wisdom were profound, and she taught through her actions that the true wealth lies in the quality of moments spent. Whether it was solving crossword puzzles or instilling the values of education and good manners, she passed on these gifts with her own hands.

She leaves behind more than just a physical presence but a profound legacy of wisdom, charm, and kindness. Her story serves as a stark reminder of the importance of valuing time and approaching health decisions holistically, considering every aspect of life and dignity.

Ultimately, decisions around late-stage cancer treatment are deeply personal, and while this example is just one of many, it illustrates the vast spectrum of choices and the profound impact of these choices on both the individual and their families.