r/cancer Jul 18 '25

Patient Officially Dying

Hi,

I haven’t posted on here since last year, but my prognosis has gotten much worse and I was just told today that I’m officially out of options. So I’d like to just vent a little bit.

The tumors grew so much these past two weeks that they caused a pericardial effusion, and my oncologist said I’ve reached the end of the road. I can try more chemo, or I can live out however long I have left just managing my symptoms until I eventually stop breathing or my heart stops beating. I’m not scared of death, but I am sad that I’ll leave my loved ones behind and there’ll be stuff I miss out on. I have such bad FOMO especially since treatment has kept me from being at so many events and doing normal young adult things. It’s really annoying to have to make this choice.

I don’t know what to do, I’m leaning on stopping treatment but I’m scared of the pain that might come from that. This sucks. But I’m also tired of constantly suffering only to keep getting sicker, so maybe it’s a good thing. It’s just very demoralizing to hear that you’re going to die and there’s nothing anyone can do to help you.

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u/OTF98121 Acute Myeloid Leukemia Jul 18 '25 edited Jul 19 '25

I’m in the same position. I have less than a year left, maybe as little as 3 months. I’m not doing any more treatment because it will only prolong my life by a few months, but it will drop my blood counts to zero and I don’t want to be isolated in effort to avoid catching some illness. I’m choosing quality over quantity. I’m also 52f, and although 52 is still on the young side, I’m at a good stopping place. I’m single, and I’ve raised my son to adulthood. I’ve experienced a lot, and I’m glad that I won’t have to die alone when I’m elderly or watch my loved ones precede me in death.

I’ve known that I’m out of options for the past 3 months now, and I’ve come to terms with it. I quit my job and I’ve got plenty of savings to allow me to do whatever I want. I’ve been spending my time making sure my estate is in order, seeing various close friends or family 3-4x a week, throwing myself a “death party” at a venue with an open bar/open mic to see all of my people including acquaintances and distant family (it was a really fun party and had a great turnout!), eating/drinking anything I want - now I can drink alcohol after being sober through my entire treatment. I also had a lot of food restrictions that I’ve thrown out the window. When I’m home alone, I enjoy myself with weed edibles and sink into a good movie with my cat on my lap.

Knowing my death is around the corner has given me a lot of freedom and peace. I see freedom in the ability to break all of my own rules within reason. I’m at peace because I no longer feel fear over our toxic politics in the US, the scary future of AI, or climate change (though I still recycle as much as I can).

This news is really fresh for you and it’ll take some time to get past the feeling of denial and/or depression. I’m sorry you’re experiencing this. It really puts everything into perspective, doesn’t it? Please try to surround yourself with loved ones. I find it to be most comforting and the best use of my time.

Feel free to DM me if you want or need to vent/chat/whatever.

Edit: when I mentioned I feel freedom to break my own rules, I meant that I sleep in until noon, let my house get messy, watch as many terrible movies as I please while eating an entire pint of ice cream. That kind of stuff.

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u/5an53ba5t1an Jul 31 '25

I love the idea of a death party. Last year at 41 I threw myself a party as it gave me the opportunity to thank everyone, and I plan on doing it again this year. I’m near the end of treatment options, and when that happens, I think I’ll follow your lead. Thank you for commenting on it.

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u/OTF98121 Acute Myeloid Leukemia Jul 31 '25

First, I’m so sorry that you’re going through this too. Second, I’m so flattered that you’re taking my lead!

Tonight is a weed edible and movie night. I find “Amy’s F’ it List” to be very inspiring. It’s exactly what I meant by feeling the “terminal freedom”. I think you might like it 😊

Edit: “Amy ‘s F’ it List” is on Prime.

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u/5an53ba5t1an Jul 31 '25

Thank you! In return, I’ll share a book (recommend on audible) recommendation: the five invitations by Frank Ostaseski. I initially heard about it in an interview with Frank on the podcast “secular Buddhism”—found this podcast and episode not long after I was diagnosed metastatic and I was curious to know what Buddhism had to say about death… What I found in his interview with Frank and in listening to Frank’s book was just therapeutic as the medicine I take or the actual therapy I engage in. Can’t recommend enough (and no it’s not preachy—Frank was the cofounder of a hospice center in SF and his stories have brought me comfort and perspective). Stay strong! 💪

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u/OTF98121 Acute Myeloid Leukemia Jul 31 '25

Oooh, so that’s right up my alley because I’ve been watching / reading about death too. I’m just starting a book called “The In-Between” by Hadley Vlahos, RN. She’s a hospice nurse and the book is all about her observations of patients when they are actively dying.