Fatigue or depression?

That is wonderful news that your husband has improved since starting the chemo treatments. He sounds like a true warrior in fighting all the way. It would be near impossible to not feel depressed at times during an ordeal like both of you have been through. The important thing is that he is able to pull himself out of it and start again, and he has you as a great support partner.

And being someone who deals with chronic fatigue, I can say that the feeling of sheer exhaustion sometimes feels like depression because there just isn't energy left to do anything else. I also go to Vanderbilt for my post-surgery followups and I have been very happy with the care I receive. I wish both of you the very best as you go forward.

I have been reading the posts and wanted to add my two cents and welcome you to our community.

First of all know that I have seen a great deal of chemo and while not a doctor but can tell you as a survivor a bit about going through it. One thing to remember is that it progressively wears on you not only physically but mentally as well. I don't imagine anyone navigates cancer without facing depression at some point or the other.
Another is the fact that chemo suppress's the immune system. I was very alarmed when you said he had bed sores. Infection can be very dangerous and open sores are a very real concern in this case.

Please with a capital P talk to your health care team tomorrow. Let them know what is going on. Most people do not realize that they are doing themselves a disservice during chemo by keeping a stiff upper lip. Your team has to know what the side effects are. If they lose someone to infection or a blood clot from inactivity due to fatigue it defeats the purpose now doesn't it?

There are things that can be done. When I was in chemotherapy I had a social worker who kept tabs on me to make sure I was not having any practical or emotional issues that might effect my treatment. I also had a physicians assistant and could have had palliative care to help with side effects if needed. I had a dietitian who help make sure my diet supported my treatments. A support team is important to what you are trying to achieve. Some places offer them some places you have to ask.

I know that you may not wish to have others in your home but a visiting nurse service, physical therapy or even temporary hospice might really be the key to making this work better. More chemo isn't going to make him any peppier. The more eyes you have on the situation the better especially if they are experienced eyes. They may be able to suggest little things that make a big difference.

I hope that you don't feel I am being to forceful in my opinions but I am worried and know that with the right help this could be easier for you not to mention for your husband. I can feel your love and concern for him he is very lucky to have you in his corner.