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Does all chemo emit radiation, or does a patient need to have chemo and radiation to be a danger to loved ones? More specifically, does a caregiver of someone on chemo need to use caution when cleaning, washing laundry etc?
My LO is having chemo for metastatic prostate cancer, but says he is not having radiation...and therefore we don't need to make ay adjustments to caregiving for him, however, the book his cancer center sent home is very specific about precautions needing to be taken.
He is independent but lives with us. Unfortunately, we are not privy ( or invited) to attend appointments or be provided any info other than what he shares with us. He handed me the booklet when he started chemo, and when I brought up the precautions and questioned it, he said that didn't pertain to him.....but everyone else I know who has either had chemo or has been a caregiver for someone on chemo tells me we do need to be careful. I'm at a loss and feeling a bit resentful that he could be lying to us ( he has lied in the past).

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You read the book and obviously it is telling you the opposite of what your loved one is telling you.

"If possible, patients should use a separate toilet from others in the home. Always wash hands with soap and water after using the toilet. Caregivers must wear gloves when handling the patients' blood, urine, stool, or emesis. Dispose of the gloves after each use and wash your hands."

So yes you do need to take some precautions. If he can't be honest with you and refuses to allow you to speak with the doctors treating him then I would rethink continuing to be his caregiver and have him placed in a facility if possible. This is especially true since in your profile it states he has incontinence so you will need to take those precautions in handling his urine and feces.
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TXmomof3 Sep 9, 2024
Thank you, that is almost verbatim what the book from MD Anderson says.

And yes, elderly parent. We moved him with us when we moved to Houston last year so we could support him and not make him die alone in the state we all moved from ( he would have had no family left there). Best option at the time, and the allure of being treated by one of the top cancer treatment centers in the country was enough for us to think it was the right decision. I didn't know or expect to be lied to as much as we have.
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It’s possible both are true: he gave you the booklet, which for now is the best information you have, but it’s also possible it doesn’t pertain to him. Depends on the chemotherapy, and the booklet sounds like “one size fits all”. Those precautions are also “standard precautions “that would apply in a healthcare setting.to handling blood, emesis, stool, etc., even if there was no chemotherapy involved.

You could ask him to get a letter from his oncologist regarding what the proper chemo precautions are specific to him, otherwise you’ll have to go with the booklet.
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Chemo does not emit radiation, nor is a person who undergoes radiation radioactive.

Chemo is, however, routinely immunosuppressive, so it is best for patients’ sake that they use separate bathrooms, don’t share dishes, and so forth so as to minimize spread of your germs to them.

As to the other way around? Sure, if they get Covid or flu they could transmit it to you.
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sp196902 Sep 9, 2024
Not true and this is why the OP needs to ask the doctor directly but father won't give her access. I suppose she can call the office and ask about the chemo he is taking and not give his name and they might tell her that way.
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From the MD Anderson website:

10 things to avoid while receiving chemotherapy

7. Caregivers should take precautions when doing laundry and cleaning
Depending on your living situation, you may need to change your household cleaning habits during cancer treatment, too.

“If someone else is doing your laundry, and you’re receiving chemotherapy, they should put on gloves before touching your soiled clothes or linens,” Hassan says. “The same goes for chemotherapy at home. If a caregiver is handling your pills, they should be using gloves. Otherwise, they run the risk of absorbing the medications themselves.”

https://www.mdanderson.org/cancerwise/10-things-to-avoid-while-receiving-chemotherapy.h00-159615489.html
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sp196902 Sep 9, 2024
....
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Another link with info about chemo and precautions to take:

Chemotherapy safety at home
https://www.cancerresearchuk.org/about-cancer/treatment/chemotherapy/chemotherapy-safety-at-home
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Yes, if he is on chemo you need to SPECIFICALLY be careful of the things the booklet tells you. This is mostly a matter of precautions taken in the elimination of body wastes, but you need to read and familiarize yourself with everything in the booklet.

As a retired RN I am concerned about his confusion.
You need to contact his doctor's office and tell them about this, making it clear that as family members you need to fully understand all precautions. As the MD to arrange to meet with both him and you since he seems so confused about his treatment plan and precautions.

Do know that this communication needs to be between your loved ones, his medical team and the family. A Forum of strangers cannot advise on these crucial steps.
I wish you the very best, both of you.
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TXmomof3 Sep 9, 2024
Good points, and understood.

Unfortunately, he is just independent enough to schedule his appointments and attend them solo. We've asked him if we can attend a visit, give him a ride, take him to the biopsies (he is also enrolled in a trial) and he always tells us no. Our hands feel tied. I do know his oncologists name, but she can not speak to me since he has not given permission. I have left messages for her, with the only response being that she can not discuss patients without consent. He does not give consent.
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There are medication treatments that effect hormone production & are not classed as 'chemo' drugs.

?? Maybe he is undertaking this type of treatment?

#1. What medications is he on?
(A quick google search should let you know the drug use).

If he cannot remember the medication names, he could simply show you the packets, right?

Or is he purposely withholding this information?

#2. If so, why? What reason does he give?

Privacy? His independance?

Does he understand WHY you need to know his medication names?

If you explain again, make it crystal clear why you need to know (the household safety) & he still is obstructive.. well...

#3. Hard Chat Time.
If he cannot work WITH the household, he may need to find a new household would be my thinking. Extreme, yes but my home my rules.

Hopefully there is a minor reason that can be worked through & steps made to better communication.

Update us if it helps you.
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TXmomof3 Sep 10, 2024
His chemo is intravenous at the clinic. he goes every 3 weeks, and is also enrolled in a study, in which he gets a separate drug via IV the same day as chemo. He was on Lupron long ago, and then Xtandi (orally) which I knew about...but the ones he goes in to get, we have no info other than what he shares. He does not know the names of it, and we've asked for him to have his Doctor write out a note he can bring home that confirms what he is telling us (ie. no need for precautions). Again, I've reached out to his provider, and because of patient privacy, she can not discuss what he's on. I guess it is time for the hard talk option. I never expected to be in this position of doubting a loved one.
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