Written off

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My mum is 88 and had her follow up appointment with her consultant this week, let me give you some history, 1st appointment was after a positive fit test, first doctor said not worried about this result your on blood thinners, regarding the diarrhoea I can give you some meds to take go home, mum refused and asked for further tests, 2nd consultant fabulous CT showed what they believe to be a small tumour on the left hand side of the bowel contained fully in the bowel, sent for further tests as CT scan showed potentially cancer else where, all further tests negative.

When we saw the 3rd consultant he asked mum if she knew why she was here, asked about her self care, did she live alone, was she physically active, what help did she have, mum answered all his questions and he said to her, right Joyce we believe you have bowel cancer, we haven't done the camera test but the CT scan shows a small contained tumour in your left hand bowel, we think if we operate you wont come out of hospital or if you do you will have to go into a care home at this point mum went into meltdown and advised she didn't want surgery etc.

I asked for staging of the cancer he said we haven't done a bowel camera scan but from the CT scan its contained and looks small, he never offered mum surgery, explained the cancer or what any potential outcomes could be good or bad, just scared her to death so mum didn't ask for surgery.

I asked what next and he said palliative care team will be in touch and referral back to GP, no further scans I asked what happens if it blocks the bowel well at that point we would operate and potentially a stoma bag fitted, asked for prognosis unable to give as not sure how long cancer has been there.

My questions are 1. if they haven't performed the final camera check how are we sure what stage the cancer is at 2. Regardless of her age surely they should have explained the surgery and their reasons for not offering it my mum 3. Scare tactics telling someone that they will lose their independence when they don't actually know how she would come out of the operation and not giving mum full information on the surgery so she can make an informed decision how is this right 4. No offer of drugs to potentially stem the growth of the tumour is this normal 5. no follow up scans just told if you get unwell go back to your gp? does any of this seem right and what can I do next.

I just feel like she's been written off because of her age and no treatment options were discussed or advised why they couldn't do them, i have never had a consult like it and now im so confused as to what if anything I can do now.

My mum has no idea what the future may bring with this and I can't tell her how bad it could become as at the minute she has no symptoms other than lose bowels so she isn't worried, she has no experience of seeing someone with cancer or understanding of where this potentially could take her. It's like they have decided that she will die before the cancer takes her but what if she doesn't there just going to let the cancer spread and develop when at the minute it could be removed please help.

  • Dear ,

    Welcome to the Online Community, we hope you find it a safe and supportive space. My name is Fiona and I’m one of the Cancer Information Nurse Specialists here on the Macmillan Support Line. I’m sorry to read about your Mum’s recent diagnosis, it must be a worrying time for you.

    Here at the Support Line we are independent from the NHS and don’t have access to medical records so we can’t give personalised information, we are only able to give general information and support but I will try to answer your query for you.

    Treatment decision is not made by an individual, but by a multi-disciplinary team of professionals. They look at the scan results and all other tests as well as the person’s functional status before coming to a decision.

    Having said that, we would always expect that there is a discussion about potential treatment options, their benefits and their risks, with time in the consultation for your mum and you to be able to ask questions and clarify your understanding.

    We know from studies that have been done that older people, with a cancer diagnosis, are not being offered optimal treatment for a variety of reasons. The British Geriatric Society has published a report on this and is encouraging the use of a Comprehensive Geriatric Assessment to assess the risks of treatment. Age should not be the sole deciding factor on treatment decisions but many other aspects of their health and abilities should be assessed.

    You might feel that you would like to have another discussion with the Consultant about the decision, this can be arranged through the secretary or your Mum’s GP. If you are unhappy with the decision or the manner in which it was delivered you can discuss this with the hospital Patient Advice and Liaison Service (PALS).

    You may feel that you would like to seek a second opinion to ensure that the best approach for you Mum has been decided. Your Mum’s GP can arrange this for you if you’d like to go ahead.

    Supporting someone you love with cancer can be very difficult so please do take time to look after yourself. You’re welcome to give us a call to talk about what’s happening over the phone with one of the nurses on our Support Line. We often find that we can help people more after doing this as it allows us to ask questions about your individual situation.

    I hope this information helps to guide you.

    Best wishes,

    Fiona S

    Cancer Information Nurse Specialist

    Ref: FS/RH