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I live next to my in-laws, and I was near the point of filing for divorce in the fall over enmeshment. Instead, I divorced the situation and have put distance between myself, his family, and responsibilities that ought to belong to his siblings instead of me. His mother has been sick from pancreatic cancer for 4.5 years. The chemo has taken its toll. In October, she was told to stop since lesions had grown. Because then she had gone a month without chemo, they allowed her to try it again. Sometimes she can’t get it due to her labs, but now it’s been more consistent, and she will have a scan in a week to see the effect it’s had on the cancer. She has fallen and my husband had to leave at 11pm one night, couldn’t get off the toilet, etc. Very weak, frail, needs diapers, slurring words, etc. One of his siblings said she wanted to shield her grown kids (grandkids) from this because they had studies. That made me upset. Well, my kids live next to it! We can’t! My daughter said she wished it was all over with. Living in the shadows of this negativity has taken its toll on my kids. My husband is the helper. We have four kids, ages 8-13. My husband knows I regret living next to them, but it’s too late now. I told my daughter it was okay to wish it was over with. The kids have seen a lot, and I know other kids go through this stuff, but I wish we had distance. I am also mad at doctors. The chemo will never end. There is no finish line other than death, and it’s clearly making it all worse. She is at least using a walker now. Most don’t think it’ll be a long lasting problem because of the cancer type, but it’s been 5 years. It’s so depressing being so involved in it. I personally don’t get why doctors would continue to give chemo against their own advice to her. I am just waiting for more bad things to happen. I would understand if it were going to cure her. I’ve said enough. It’s been depressing and I feel like her illness has been our main focus.

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Bingocat, as we all talked about before, just say no. If your husband wants to go over and clean their house, himself, you can't stop him. But say ABSOLUTELY NOT to your children doing it. Your father-in-law can pay for someone to do it. Or one or more of the extended family members can pay for the housecleaning as a Christmas gift. But stand your ground and protect your children from being exploited. Doing an errand here and there for grandparents is one thing. This kind of demand, though, which you've said before that your husband expects, is too much.
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Reply to MG8522
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My husband passed from liver cancer in 2016. He was switched to palliative care the second day he was admitted to the hospital. The doctor on call told me that he would suggest getting rid of all life saving measures; the IV, and other fluids and insertions that were probably uncomfortable at this point. Finally, I agreed and he passed peacefully four hours later. Sometimes, these extra measures may buy a little time, but it is extending a painful existence not only for the loved one but for all involved. It is called anticipatory grief.

Almost five years living with pancreatic cancer is a miracle within itself. My mom was diagnosed in 1988 and died five months later.

I know it's hard for all of you. I don't have any words of wisdom to help ease your pain.
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Bingocat Dec 19, 2025
I’m so very sorry, and thank you!
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And, oh great, norovirus, flu A and Covid are rampant right now and your husband wants to bring all of the festering germ pots called people over for Christmas? Hey, hon, let him do it because if she gets Flu A that might just be her quick ticket out of here.

My aunt died from pulmonary fibrosis while insisting to the end she wasn’t dying. She died and her opinion didn’t matter about that.

DO NOT ruin your children’s Christmas by making them clean up old lady dying from cancer urine. I can’t think of anything worse for them and it shows how messed up this is— what this journey is doing to your husband.

Plus, excrement from poison chemo drugs? He has really lost the plot.

I promise you it’s all ending soon. 5 years is about as long as she can go. She is at the end.
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Reply to southernwave
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My mother refused chemo when she was told she would be on it until she died. Without it, death came in a month instead of six months, but it was quick with no pain until the end (and then the morphine stopped it anyway). Has your MIL been offered that choice?
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My FIL lasted 2 years with PC. He was on aggressive treatment and the effects of chemo were awful. Everything is 20/20 in hindsight but it was his decision to get treated up until the cancer overwhelmed him.

A friend of mine was in remission for 4.5 yrs and then it came back with a vengence and took her. She again decided to fight, to no avail. Your MIL has her reasons to soldiering on. It's not our job to judge it, just to decide our involvement which it seems you have done. Please don't miss this opportunity to allow your kids to learn wisdom and grow emotionally from this first-hand experience with their Grandma. After my 3 sons (in their teens) helped with my in-laws they had a lot more compassion for people in general and elders specifically. It also gave them a glimpse of what it might be like for me and my husband (their parents).

Exposing kids to the realities of suffering and death doesn't always scar them for the worse. How did people survive it "back in the day"? IMHO it made people stronger. I don't blame you for wanting it to be over as it is excruciating to helplessly watch people suffer. May you gain wisdom and peace in your heart through this experience.
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notgoodenough Dec 19, 2025
Sometimes, the patient isn't fighting so much for themselves as they are for their family.

My mother told me it was one of the hardest conversations she had to have with me, to tell me she was tired of fighting and was ready to let go. She was afraid of what my reaction would be. When I told her I fully understood what she was feeling, and would ultimately support whatever decision she made, she opted to end all life prolonging treatments.

It was kind of ironic with my mom, because I never voiced an opinion for her to fight on "no matter what". But it made her nervous to approach me and express her desire to let go.

Bingocat, has anyone in your husband's family had a real conversation with her as to whether or not SHE wants to continue treatment? An honest conversation where she can express HER wishes and not focus on what she thinks her family might want her to do? It's a terribly hard conversation to have on both sides, but maybe it would be helpful to your husband's mom and family. Because if she is under the impression that they are pushing her, even subtly so, to continue treatment that is making her existence miserable, it might help to let her express HER wishes without guilt or recriminations.
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I’m assuming that you are not in the room with the doctor to actually hear the discussions with MIL.
So you don’t really know what the doc says or how he presents her options . Sounds like MIL may be near the end of getting any chemo offered .

A few months before my father died , when his cancer came back with a vengeance the oncologist told us he could only offer palliative care , no more chemo , radiation , or immunotherapy.
I did not realize that my father wasn’t sure what palliative care meant . Dad did not ask the doctor any questions.
I was driving Dad back home and he asked me what it meant . He wasn’t surprised , I think he did know , it was just he had to process it .
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Reply to waytomisery
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Well, if she is alive with pancreatic (you will have looked this cancer up and know the GRIM statistics, and the absolute miracle of having lived almost 5 years with it, right?) then she has done very WELL with chemo. You are, of course, correct that chemo can and often does, in the end and with fragility, literally KILL.

However, all that said, you really did once step back and stay out of this. And I would highly suggest that you continue to do this. Surely it is clear now that whether chemo kills her, or whether her pancreatic cancer kills her, she IS dying.
You are also aware that she wishes to continue this fight despite it being recommended that it is hopeless and is robbing her of quality of life.
However, that is ENTIRELY HER OWN CHOICE.
As to hubby, it is HIS CHOICE in how to proceed as well.

So basically, you didn't ask us a question here, and that's good, because there is no answer. Rather there IS an answer. Your MIL is dying of Pancreatic Cancer, and of the side effects of the chemo used to give her more time. You will never have an answer as to which took her life, but one will, and that will be very soon. Meanwhile, follow the WISE WISE PATH you already chose, which is staying out of it. If you are able to offer sympathy or comfort to hubby or ex hubby if that's where it is going, then do so.

As an RN I have chosen, in this my second bout with breast cancer, just what I will take and what I won't. Chemo is off the list. I will die, if that's where this is headed, but I won't do chemo. It's a personal choice and that's what it has to be. When I first had cancer in my 40s, four decades ago, I DID do chemo. That was personal choice at that time, for that age, and again--personal choice. The opinions of others, honestly, at such times, are only confusion, and are not needed or wanted unless they are asked.

Wishing you good luck. All of this is particularly difficult in holiday seasons when the onus and burden is on us to "be happy" and to "make merry".
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Reply to AlvaDeer
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Certainly cannot blame you for your feelings in this. The denial of what’s inevitable for us all is unreal, yet many choose endless rounds of horrific treatments to avoid what’s coming for us all. Sometimes it’s worth it and sometimes not. My son has a significant birth defect and lifelong health issues. We went to a conference for his condition several years back, there were family and professional sessions, I chose many of the professional sessions as I’d heard most all the family info many times. Anyway, one of the professional sessions was on “good death” There was much talk of the fantasy doctors maintain of the good death where a patient peacefully slips away vs the reality of the “bad death” caused by a combination of doctor’s entrenched training to save lives and patients, sometimes with their families demanding everything possible be done, long after it’s advisable. They talked about how most doctors avoid being completely honest with patients about the truth of impending death as taking away hope is seen as cruel and too uncomfortable to do. I remember the graphic they showed of the “good death” showing an elderly lady in her own bed, sleeping calmly, family holding her hands, then the graphic of the “bad death” where an entire team surrounded a patient with equipment, meds, paddles, bright lights, family in the background looking stunned and terrified. It made a huge impact on my thoughts.
I’m glad you’ve backed off in this. My only advice is to try to do so further, divorce your emotions as well, don’t encourage or ask for updates, don’t have your children hear anything or have them visit. Protecting yourself is never wrong and I wish you peace
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Bingocat Dec 19, 2025
Thank you! Those are all good thoughts to explore. We’ve already seen her take a nasty fall a year ago— breaks, stitches, etc. I think something like that is likely to kill her before the cancer does. She only recently started using her walker because of the most recent fall. She was grabbing onto other people’s cars to walk into places.
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Oh yeah, she is end stage and probably doesn’t have much longer to go. oncologists are notorious for going as long as the patient wants to go.

I have one friend who is an oncologist and he will do that but he will also tell them there is a time to live and a time to die and they are dying so they really need to think about the quality of life. He has zero issues with telling people they are dying because they are.

Hang in there. It might happen very quickly when no one is expecting it.
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Reply to southernwave
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If the doctors' say the chemo is no longer effective, and is only harming her, they should be able to stop it. Sounds like it is time for hospice to be brought into the situation.
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