I fixed some oatmeal which she ate comfortably and it stayed with her. I worked from home and Mary spent most of the day sleeping from the double hit of Oxy and her fentanyl patch. She started to perk up about 5PM and ate an apple with cheese. Well, the rest of the story is that nothing she ate or drank other than the morning oatmeal stayed with her. Frankly, I am starting to worry about dehydration: Even a cup of tea and later, a glass of warm milk, didn't stay with her.
Part of this problem could be that we did the patch switch on Monday evening. Usually, the first day is sleepy town day because the fentanyl appears a bit stronger on the first day. This was different in that she also had back pain that broke through the fentanyl-Celebrex painkillers. In fact, she said the back pain was not only in her back, but also shooting along the rib or ribs on her right side. That extra pain is the reason she took the Oxycodon.
Now, Mary had good days on Sunday and on Monday. Heck, on Monday she even did laundry while I was at work. It could be that she simply overdid it with the household tasks she tackled on Monday and the back is protesting from the extra activity. Hence, the extra pain. If that is true, then we have to figure out what is causing the pain in the first place. When that is taken care of, we then can get Mary off the narcotics and she'll be in a lot better shape. We know her digestive system and narcotics are simply not compatible. To minimize the pain, she has to put up with the digestive disorder. Its a damned if you do, damned if you don't situation for her. Really tough.
The next step is Friday's MRI. In the meantime, I will discuss with Mary placing a call to the oncologist just to have a discussion about the intensity of this pain. Perhaps they might have another path that would lead to resolution.
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