Billy Jo told me several times what I was thinking the past few days was weighing heavily on her mind as well. I'm not really a believer in karma or "jinxes", but I'm hoping I didn't jinx everything. She swears I didn't. The string of good days has come to a screeching halt. The oncology nurse was correct that no way should Billy Jo be out of hospice, and today has reaffirmed that, in case I didn't believe her.
Billy Jo woke up about 11:30 and I heard the shower running like usual. She came down and was very pale. She told me she had vomited up some bile while in the shower. That wasn't all. Her abdomen was very swollen and hard as a rock. She was in a lot of pain. I gave her a zofran and then a dilaudid. An hour passed and the pain was still at a 10, so I called hospice. They directed me to give her another dilaudid an a xanax, and a Reglan pill in awhile. He'd call back in an hour to reassess. She passed out during that hour, and when the return call came, she was down to a 7. The swelling really hadn't gone anywhere though. I explained her last hospital stay to him and what ended her up in hospice - diffuse carcinomatosis. He explained that what was likely going on is something called Acities, an accumulation of fluid in the peritoneal cavity. The peritoneal cavity is the sac that surrounds the abdomen. It is common to occur in some types of late stage cancers, including ovarian. It can only be expected to get worse. From some google searching it appears they may be able to perform a procedure to drain the fluid to alleviate discomfort, but it will come back.
A hospice nurse is making a special trip out tomorrow, unless we can't control the pain today. Right now she's awake and at a 6, decorating a pumpkin with our friend, Tracy...