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Colon Cancer

mbamike

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What are the symptoms, expected behaviors and/or characteristics of a 64-year-old male who was diagnosed with colon cancer two years ago and is neither taking medication nor undergoing any type of treatment for the disease? The decision to not seek treatment is his choice. He said it will only get him another year at best.

He is a highly educated man. He holds a Ph.D. in counseling and had his own private practice for 20 years when he retired. Now, he seems content to be a store clerk at small retail shops around town.

I have observed that he has lost weight. His size 34 waist jeans are baggy on him. So, I'm guessing he should be wearing a 32 waist. He is 6'0" tall and weighs 180 pounds.

I have observed he doesn't have much of an appetite. Some days he can eat little to nothing at all. He told me that food doesn't taste the same since his car accident. About a year ago, he was rear-ended and sustained a broken leg, broken arm, bruised kidney, bruised liver and jarring of other organs.

I spent the entire week with him last week. The first four days were fabulous! It was like we picked up where we left it a year and a half ago when we were together the first time. He could keep neither his hands off me nor his hard cock out of my ass. He fucked me four or five times a day depending on my work schedule. I was glad to go to work because my ass was extremely sore.

Then about the fifth day, I came in and he was sitting on the edge of the bed crying. He kept saying "I don't want to die, I don't want to die!" This is when he told me about the colon cancer. He said he was in stage four.

I was able to calm him down and told him that I was there for him no matter what. He told me that he will not put me through that. This is the first time we had a discussion that we could not come to an agreement. So, we decided to table the topic to another time.

Later that evening, we went out to dinner. He insists always on paying the bill regardless of how much fuss I make. This time, his credit card was rejected. He turned to me for help to which I was more than happy to give. This set him off again!

He started ranting about how his ex-partner has been screwing him over and trying to steal money from him. He has taken out a warrant on the ex-partner because the ex-partner forged his signature on some legal documents. A check from his ex-partner was supposed to have cleared earlier that day.

He got very little sleep that night. He worried over that check until he made himself physically sick. He was in and out of the bathroom all night long.

He was sick all day the next day. His mood changed for the worst. I wanted and tried to comfort him, but nothing I did helped. He can give care and support, but he is terrible at accepting care and support.

The sixth day was worst than the previous day. It was like me being in the same room caused him stress. I decided I should pack my bags and leave so he could have some space. We talked later and we were in agreement that he needed some space for him to figure out his life.

I kissed him good-bye and told him I loved him the next day. This was this past Sunday.

One more thing, this guy lost his beautiful two-story home back in November when the wildfires were raging through Gatlinburg. His home was one of more than 2700 structures to burn down during those fires. So, he has to deal with that issue also. He is currently living in a hotel for which the insurance company is paying.

I am deeply concerned for this guy. This is our second time around together. Like I said, the first four days were fabulous! He took me over to his burned down home so I could grieve. I never could get the courage to drive there myself. We had some great times in that house!

Then, he introduced me to his grandchildren and his daughter-in-law. He did not do this the first time we were together. So, I was thinking he is stepping up his game. Then, he had the meltdown.
 
Well first, is he not undergoing treatment because he's doing something alternative/holistic? Or do his doctors have him on a 'watchful waiting' protocol?

If colonoscopy found an isolated polyp (adenoma) with some cancer or pre-cancerous ('villous') growth that was confined to the colon lining (mucosa) and did not extend down to the base, then he'd probably have his colonoscopy screening advanced from every decade to every year or so. These biopsies are at once diagnostic and curative. Mind you this is not an uncommon finding in the 60+ population. You wouldn't want to subject an otherwise healthy patient to the trauma/risks associated with a hemi-colectomy and subsquent re-attachment - the likelihood of them dying from the surgeries is higher than from a recurrence of the cancer.

Adjustment disorders/depression are common with any cancer diagnosis. Plus in this case it has been compounded with what sounds like a close-call motor vehicle accident. Obviously a former psychotherapist should know this. It sounds like your therapist friend needs a therapist himself.
 
I am astounded that someone with his level of education would choose the route he chose.

Some of the other cancers (liver, pancreatic, etc) -- I would understand; however...

Colon cancer is so preventable -- and successfully treatable.

Sorry to hear this..
 
Hmmm. There wasn't a question in the original post. Are you just venting about the week's events or are you wanting advice?
 
Of course the other thing I'd like to know about the accident is if there was any head trauma (concussion) associated with it. If so, that is far more likely to be a source of labile moods.
 
It appears that the doctor has adviced him that it is uncurable, probably metastasized. Is so, his decision to forgo radiation, surgery etc is a rational decision. His remaining months will be more comfortable, even if they are shorter. You can help him enjoy the timeq he has remaining and to be prepared for the end. All humans eventually die, no one excapes, and it is the accepance of that fact which makes it easier to face.
 
Hmmm. There wasn't a question in the original post. Are you just venting about the week's events or are you wanting advice?

What are the symptoms, expected behaviors and/or characteristics of a 64-year-old male who was diagnosed with colon cancer two years ago and is neither taking medication nor undergoing any type of treatment for the disease?
 
What are the symptoms, expected behaviors and/or characteristics of a 64-year-old male who was diagnosed with colon cancer two years ago and is neither taking medication nor undergoing any type of treatment for the disease?
There's two key pieces of information in your original post.

The first key is he described his colon cancer as "stage 4". That means that the cancer has spread to at least one other organ. Much of the symptoms are going to depend on which organs are affected by the spread of the cancer. It also means that even if he were to seek treatment at this late stage, the changes for his long-term survival are much less than an earlier stage of cancer.

The other key piece of information is his emotional state. On one hand, it seems like he has made a decision not to seek treatment. On the other hand, he's still in the anger/bargaining phase of the grieving process.

In general, the signs and symptoms of colon cancer are general bowel dysfunction- alternating cycles of constipation and diarrhea, possible blood loss in the stool with mild secondary anemia and bloating/discomfort. As I mentioned before, other systems are going to depend on where else the cancer has spread.
 
Well first, is he not undergoing treatment because he's doing something alternative/holistic? Or do his doctors have him on a 'watchful waiting' protocol?

I don't know. There are a great number of herbal and vitamin bottles all over the bathroom sink counter.



It sounds like your therapist friend needs a therapist himself.

I agree wholeheartedly!


Of course the other thing I'd like to know about the accident is if there was any head trauma (concussion) associated with it. If so, that is far more likely to be a source of labile moods.

He has not mentioned any head trauma. Just broken bones, bruised kidney, bruised liver, and jarred organs. Food does not taste the same to him since the accident.


It appears that the doctor has adviced him that it is uncurable, probably metastasized. Is so, his decision to forgo radiation, surgery etc is a rational decision. His remaining months will be more comfortable, even if they are shorter. You can help him enjoy the timeq he has remaining and to be prepared for the end. All humans eventually die, no one excapes, and it is the accepance of that fact which makes it easier to face.

He told me he has at most two years left.
 
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