Different Hospital Consultant?

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hi I’m new to the forum, my husband was diagnosed with stage 1 prostate cancer this time last year,  the Consultant at the hospital was very blasé at the time, and told my husband that his other ailments ( heart problems) would likely kill him before his cancer would ( his words! )  he said he’d recommend an active watch and wait, with PSI tests every six months.  He had a bone scan which showed no cancer in the bones. Well he has only had one test in the year and it was raised again from the previous one, so the hospital organised another MRI scan, this showed that the tumour in the prostate had grown.  Yesterday he had another appointment with the consultant, who I have to say, was unacceptable in his manner.  His first conversation was I don’t think I have met you before! When we said he had, he said he couldn’t see anything in the notes to say so, and it must’ve been another consultant!  We said no it was him and it was around this time last year! So he proceeded to look through his online notes and eventually came across his report! So then he said it could be the time to start radiotherapy or hormone treatment but he wanted to have another bone scan done first to see if there was any further changes. So we are waiting another bone scan appointment.  We were wondering if it is possible to change the consultant that we have been assigned to, or even the hospital? What would be the procedure to do this, if at all? The consultant doesn’t I still any confidence in us, he is unkempt in appearance, and very vague. I personally do not want him to be the person in charge of my husbands treatment.  Could you please advise?  Many thanks! 

  • Hi Pumacat

    Thanks for contacting Macmillan Cancer Support and welcome to the online community.

    I’m so sorry to hear about everything that’s been going on. It sounds as though you’ve both had a very difficult and stressful time so it’s understandable that you want to change Consultant.

    Firstly, it’s important to find out if there is another Consultant on the team. You can find this out via the Clinical Nurse Specialist or secretary. If there isn’t another Consultant, you could ask for a second opinion.

    There are different ways to ask for a second opinion.  Either through your husband’s current Consultant or through his GP.  Asking for a second opinion is not a legal right, but most doctors will be happy to refer. 

    When your husband is referred for a second opinion at a different hospital, his medical information will be sent to the new Consultant. This will include any scans and test results.

    If needed, the new Consultant can ask for information from the original doctor and hospital. Waiting for a second opinion may mean that your husband’s treatment is delayed as it can take time for this information to be received and then reviewed by the new Consultant, especially if this is at a different hospital trust. 

    After your husband has had the second opinion, if he wants to be treated under the second doctor, this will need to be formally agreed and arranged with them. 

    If you find it difficult for your husband to get a referral for a second opinion, you may be able to get help from patient advice services. In England, you can contact the Patient Advice and Liaison Service (PALS)

    We have an online prostate cancer group. Support from others going through similar experiences can make such a difference to you both at this difficult time.

    Prostate cancer UK also offer peer support that your husband may find beneficial.

    There is further information and support available through our family and friends group.

    As well as the online support at Macmillan, Maggie’s also offer some emotional advice and online courses that can help anyone affected with cancer.

    I hope this helps.

    Please don’t hesitate to get back in touch if you have any more questions.

    Annemarie

    Cancer Information Nurse Specialist 

    Ref:JD