marginalia.org - marginalia.org

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On September 3rd, my dad died due to a very agressive and rare cancer of the kidney called collecting-duct carcinoma just six weeks after first experiencing symptoms. This was nine months to the day after my mom died from metastasized breast cancer two years after her initial diagnosis.

I've learned a lot from witnessing their deaths.

I learned that when someone is in the last stages of cancer, pain management is at two levels, a base amount of pain killer, and a supplemental medication - hydromorphone in my experience - that is given for breakthrough pain. Hydromorphone, commonly called hydromorph, is administered via a butterfly IV in the upper arm area, which will be clearly labelled as there is likely another IV on the opposite arm for other drugs - sedatives, or anti-seizure medication that becomes necessary when there are metastasi

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