Hi. My stepfather was diagnosed with metastatic brain cancer last October. He has had 15 radiation treatments, and will begin his third round of chemo. Last week he had surgery for an Omnivor Reservoir becuase the cancer is now in his spinal fluid. I'm not sure the true origin of the cancer - or the cancer type because my mom doesn't know, but after his first diagnosis, they found a tumer on his adrenal gland, one in his lung, one in his esophagus, along with 15 lesions in his brain. Since his surgery last week, he's quickly getting worse. He now has daily seizures, and falls frequently. Yesterday his blood pressure spiked after a seizure which caused him to have a hard fall and hit his head on the floor. My mother doesn't know what to do - she works full time, and has asked if I can stay with him, but it sounds like to me they need medical help. When should he go to the hospital? What types of home health care are available? What should we / I do? Are these signs of the final stages? I feel so helpless and I'm afraid this is getting very close to the end and I'm very worried for my mother. Any helpful suggestions would be greatly appreciated.