My 84 year old father was diagnosed in May 2016 with a high grade urothelial bladder cancer. It wasn't metastatic, but in the muscle...not so sure now. Because of prior radiation treatments (over 30) for prostate cancer 6 years ago, his only option was chemo (carboplatin w/ gemcitavine). A urostomy was done due to an obstruction. The chemo was very harsh on my dad and set him back...dropping his blood count & platelets numerous times requiring blood transfusions & platelets. After completing treatment, the tumor had not shrunk & urostomy remained. He was also diagnosed with Trigeminal nerve pain in his face but managing with pain meds/steroids for this as well. He seemed to be declining quickly so we moved him from palliative care to hospice to help manage the pain. They have been a wonderful help to my mom as she cares for him at home. A few weeks after putting my dad on hospice, he started regaining strength, started eating again, gained weight & felt like he was coming back to life. He did not go outside the house, but felt like riding his stationary bike. A few days ago, my dad started bleeding every time he urinates. It's appears to be bright red with some clots. Lots of it. Although my dad still looks good in color, I don't know how long he can lose this much blood and continue feeling good. I'm fearful that things will be changing soon. It seems that the docs/hospice are not likely to order additional testing/labs/imaging at this point. It is so unsettling as I want to make sure that my dad is getting the best care for his health and not just make assumptions. There is a slight possibility that it could be kidney stones and/or infection. Can someone please tell me if this is part of the progression of advanced bladder cancer? What should we be expecting in the coming days and are we nearing the end of this journey? I would be grateful for any information that you might be able to provide. I know his life is in God's hands so that is comforting during these times of uncertainty.