Seeing the big man

1 minute read time.

Pat had his appointment yesterday with the Director of Oncology Dr Kapur.   He was very nice. He explained things very well and said that normally Pat would be a candidate for surgery, but that no surgeon would touch him, (his words), because the risk of surgery was higher than the risk with the tumour. This is because of the Heart and Diabetes.The only time surgery would be considered is as a emergency if the bowel becomes obstructed. This does happen occasionally. He said that the injections take a while to work because the tumour has grown slowly over some years and it takes a while to stop it from being so active. It is the small Liver Carcinoid secondary that is giving all the nausea symptoms.

He felt sure that Pat would feel a lot better in a few months time. This gave us hope as he really isn’t too good at the moment. The injections are the only treatment that can be offered in the circumstances.

The plan is that he will see Pat every 6 months and scan him again. Pat will also continue to go to the Paget to have the injections and see Dr Denedde there in between times. It was a lovely centre and the staff were very friendly. We feel we know where we stand at last. We both felt rather nervous as the appointment came out of the blue, but are feeling relieved today. He has advised Pat to keep a diary of what he eats so that he can identify certain foods that make him feel ill and avoid them. He is certainly being closely monitored and we can't fault our treatment.

It's an uncertain journey and he is not too good at the moment. Our lives are really restricted to being mainly at home but we do get out a little on the good days. This month has not been quite so good as the last but we have to be patient.


Anonymous
  • FormerMember
    FormerMember

    HI, Pat, i have been reading your blog when i can, i don't come on this site very often, as this is a rare cancer and there are not many people with it on this site. I would just like to say i have carcinoid cancer and at the moment all the treatment i have is the sandostatin lar injections every three weeks, i have been on them now for four years . It takes a few to get used to them and to feel any difference . I have had surgery to remove tumors in my small bowel and on my ovaries, now i have it in my liver and lymph nodes, most of the time i am ok and to look at me you would never know and hey its been six years since i was first told , Carcnoid is usually slow growing , I will keep reading your blog and wish you all the best .

     

    Julie 

  • FormerMember
    FormerMember

    Hi Nic and Jullie.

    Thank you so much for your replies. It is very encouraging Julie to hear your story. I did wonder if it has ever been mentioned to you that there could be a genetic factor with these tumours. Just curious. Hope you don't mind. 

    We now have an appointment in a combined clinic in June with the big man again and another eminent lady who is also an expert in Diabetes.  The Octreotide injections plus the tumour activity are pushing his sugar levels rather high, so this was very good news that they are going to monitor this. He is being so well looked after.

    Thanks again for all the support. 

    Panda.

  • FormerMember
    FormerMember

    Hi, Panda, i have always been told that this type of cancer can not be passed on through family, as having two daughters and now two grandaughters i was really worried, also my father died when he was 56yrs old from stomach cancer and i thought at first it could have come from my fathers side of the family , but i have been told no. The injections can cause sugar levels to go high, so its a good job they are monitor this.

    Carcinoid tumours are sometimes called  Neuroendocrine Tumours (NETS), so if you come across a doctor that has never heard of Carcinoid say Neuroendocrine instead , it seems to be the new name now. It might help.

     A ll the best Julie

  • FormerMember
    FormerMember

    Hi Julie,

    Thank you so much for coming back about the hereditary link.  Very reassuring.

    I am familiar with the term Neuro Endocrine and only use the term Carcinoid as it was said to us at diagnosis. It is old fashioned and our consultants use the term NETS.

    I am quite relieved about the Diabetic monitoring as Pat's sugars are very high and this can have long term implications. He already has a Diabetic Neuropathy which has caused numbness in both his feet and poor skin condition so we have to monitor that carefully.

    I hope you continue to progress well with your treatment Julie. I will keep updating this blog as we go along. The beauty of this site is that is brings together people with all kinds of Cancer for mutual support.

    Take care, 

    Panda.