Scantastic!

2 minute read time.

Good news today at J's scan results appointment. There has been significant reduction in the size of all of his tumours. Some in the chest and neck have just about gone. The one in his abdomen is still the biggest but it has reduced appropriately in size. There are no new areas of the disease. His back is the same, but the consultant said that was to be expected because the disease can leave abnormalities...

...If I'm sounding a bit vague here towards the end, it is because as usual things were fairly chaotic with our dear consultant. Its a shame to have to complain on such an auspicious day, but it really wasnt a very good do.

For a start he was an hour late. J should have been in at 9.20. At 9.15 his consultant was seen sprinting into his office. The packed waiting room all laughed. J and i were sure he would be second in. He wasn't. He was 4th and it was 10.15 when he finally got in.

Then the consultant, who was clearly flustered and in a rush, asked J if he had had a CT scan yet! "Erm yes, that's why we are here." Right rummage rummage through the emails and there is the report, so he opens it up and we all three read it together for the first time! I did not like this. I want him to know before us. What if it was bad news? I didn't like it at all. He really rushed through it too, and spent most of the time showing J the pictures on the screen, comparing the 2 scans. I suppose that was quite interesting, but it wasn't easy for us two to make anything out. I would have preferred to spend more time on the words.

Then before we knew it he was ushering us out of the office. I did manage to ask him about the missing stomach drug last time and he looked fairly horrified and said john should have had it. I told him what the nurse had said that it was because he was on a lower dose of the steroid and he just looked confused, so I don't even know if J was supposed to have been on a lower dose of the steroid. He said if there are any other things wrong like that we have to ring his secretary, rather than asking on the ward. This is all well and good but me and J have to know there is something wrong first to ask.

I've given it some thought and have decided to email him to ask if he can send us a list of exactly what J should have in his pack and what dosage. I think I might also ask if he could send the CT report so that we can read it properly. Wonder if this is allowed? We normally only find out what's what 3 weeks later when he sends J's GP a letter telling her more coherently what we've discussed at appointments...

Dear oh dear. But good news today, and hopefully just 62.5 more days to go!

Anonymous
  • FormerMember
    FormerMember
    Excellent news about the scan I'm so pleased for you both. I know what you mean about the appointments though we went yesterday after asking if M could have his bloods early and go back for his appointment time and be seen fairly close to time, all that worked well but he hadn't had a full blood count done so more waiting for a blood test and then waiting by the phone to see if they were ok! Not good enough really. I would ask for a full list of drugs and the report or at least the bits you need to know and you are so right the consultants need to be aware before you go in. Take care xxx
  • FormerMember
    FormerMember

    I'm appalled at your consultant's lack of preparation and general disregard of the proper way to treat patients.  We can forgive them being late - I have never, never had an appointment on time - as we have no idea of the pressures they're under, but the very least he could have done was to read the scan report before you walked into the room.  As you say, if the news had been bad, he should have been prepared.  I am thrilled for you that the news was good, of course, but it should have been delivered in a more appropriate manner.  You have every right to ask for the CT scan report.  Seeing the scan on the screen, for a layperson, is next to useless - it's just a lot of grey shadows, isn't it?  I always ask for a copy of the report, and my consultant goes through it with me, explaining the difficult words, and drawing diagrams of what the report is showing. I then go home and put the numbers on a graph so I have a visual representation of how much or how little my lumps have grown since last time.   I was given bad news 2 weeks ago.  My clinical nurse specialist (CNS) clearly knew the scan result before we showed up, and so presumably did the consultant.  They brought my appointment forward a week, explained exactly what was going on and the implications, what they wanted to do about it and why, and we were given as much time as we needed to ask questions and mull it all over.  That's good practice.  Would that they were all like that.  And of course you should have a list of all the medication J is supposed to be on.  How can you possibly keep track otherwise.  The secretary may not be the best person for this - do you have a CNS you can check with re the drugs?

  • FormerMember
    FormerMember

    Thanks so much for getting back to me you two. It's really helpful to know how it should be. That's how we  feel it should be but we didn't know if we had unrealistic ideas.

    He doesn't even have a Clinical Nurse Specialist. There's a name in his book but J has never met her or had any contact with her. the consultant is always on his own at appointments,

    We don't know where to go with it. We don't want to complain, but we want to have faith in the consultant, and the only way we can do that is if he seems in control of himself and the situation. We both dread to think what the really important appointment at the end of the chemo will be like...