husband has bladder cancer that metastasized to liver lungs urethrea. Chemo cleared up lungs and urethrea but liver is worse.  Currently undergoing more chemo with taxol this time.  This is his week off chemo and his pain is worse than before...does this mean the cancer is getting worse.  He went for a cat scan last week and we will get the results on tues
Hello Welcome to Chat Doctor Sorry to hear about condition of your husband. He seems to have advanced disease which has spread to many organs. It is a good thing that he has responded to first line chemotherapy because his disease in lung and urethra is clear. He was started in second line chemotherapy with taxon because liver lesion was not responding.  The CAT scan will give you answer regarding what is response of taxon in liver. Apart from that it is equally important for him to be free from pain. Patients like him who have advanced stage disease need good palliative care. It is treatment of problems patient is facing like pain, nausea, vomitting etc. This treatment is more important to improve quality of life of patient. There are many pain medicine available and doctor can prescribe him appropriate medication in adequate dose so that he becomes pain free. Please discuss with your oncologist or palliative care specialist regarding this. Regards