Our expert says:
Its more dificult, isn't it, when such major decsions arrive in emergency situations, without much time to think them through or to seek all the information and opinions you might want, and when they are presented as a choice between, frankly, something bad and something worse.
Having worked with people in such situations, I think it is important to work in a way that deals as well as possible with all aspects of the complex problems. There is a relatively new medical speciality ( I was involved in its early formation days ) now called Palliative Medicine, which deals with the art and science of controlling all the symptoms of advanced illness, rather than only concentrating on issues of survival, dealing with quality of life, rather than only quantity. Where such expertise is available in SA, it would be potentially through the Cancer Association or through your nearest Hospice program.
I wonder, for instance, whether he is receiving morphine or similar strong painkillers ( which are so often needed after such major surgery ) - but they can make someone drowsy, and may reduce appetite.
And though in some situations Cilift might help, properly skilled counselling would be needed to help him adjust to having a radically changed body, and to each of the current physical and other problems. He needs and deserves more than a merely chemical solution.
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