A little bewildered and puzzled

FormerMember
FormerMember
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Hi All 

I wanted to get a little perspective from the group. I need some other views. I developed sepsis last August and as a result of that it was discovered in the battery of tests and scans that I had stage 4 Uterine Serous Carcinoma. I was offered palliative chemo from Sept to Jan 20, which I responded to far better than I think they thought I would . That ended on the 4/1, my ca had gone down considerable ad. I had no appointment to see them in 6 weeks. I came into an insurance policy and paid to have my biopsy DNA and RNA sequenced, the report was sent to the hospital .  Because lockdown had started I had a telephone call. The consultant told me the result was disappointing and he couldn’t see what targeted therapy would help. A wonderful person on this forum cheered me up as that conversation left me feeling very depressed. In  May I had another appointment and requested bloods as none had been taken since Feb. My cancer markers had gone up but a four weekly appointment t was in place and I had a scan the week before that confirmed there had been some cancer growth but 1 cm .I had asked about a trial in the middle of my chemo and I asked again. I was told ‘ well because of Covid the trials have closed down, and that’s that really at the moment , we could look at another bout of chemo and there is a trial at another hospital. I had also discovered that the first lovely consultant I had seen was a lung and prostate oncologist not a Gynae  oncologist.

I had a phone call from the head of gynae oncology at the other hospital who was at home because a patient had presented with Covid. You have had surgery he said to me ? No I said it was never offered. Radiotherapy , no again never offered.  As for my report of the tumour DNA and RNA. He tells me there is an abnormality that makes it receptive to a targeted therapy, also I need to be seen by a geneticist as if I carry this gene my female relatives need to be screened. He asked where it started I to,d him they said I had a benign tumour on my ovary and a malignant polip. The professor says there are a number of possible treatments we can consider for you if he could get oliparp for me it’s a maintain with drug. If it was uterine cancer they could try and apply on compassionate grounds. He also wanted to talk to the surgeons and the radiologists, but needed to go through all of my medical records to formulate a plan that would work for me and discuss it in the MDT.  I told him I read around my cancer , research papers , he told me patients should do that to keep people like him on his toes. They were there for the patients not the other way round. He go the CNS ruse to ring and check I was ok, she gave me a number and said ring anytime if I left a message they would ring back even if I wanted a chat . I was also provided with the professors secretary’s number. I wept it was the first time I felt I had been taken seriously . I have been asking about theses things for months . So my case is being reviewed an appointment with a geneticist lined up , scan and see the professor in 4 weeks .  However I am in a state of shock and feel quite angry ,am I being really unreasonable ?? Xx

  • FormerMember
    FormerMember

    Hi tamencio I am glad you have seen a different doctor and you have another treatment options.You have the right to be angry.

    Seems like my hospital is the same they didnt offer me anything only IV chemo.But on Wednesday I raised my voice over the phone saying I am not happy and I told them why other people with my cancer have more treatment options then me and I also said I did research and the doctor by the way the 7th one since May 2019 told me I am going to have a scan in 2 week time and we can discuss the treatment options.

    The doctor was right they are here for us not the opposite way.But some doctors forget that.So I am educating myself.Anyway i want to see what brings the scan and the discussion and after I decide if I call my GP to be transferred to another hospital.

    Janet

  • Hi, As you maybe know, I have been taking a break at the moment, trying to get my pain sorted out but do sometimes come here when I'm not asleep, to see how everyone is doing.

    I've just read your post and I'm so pleased you have found a doctor "on your side"! That's fantastic things are eventually moving forward for you. Great you see a specialist and have a scan before you see him next.

    please don't waste your energy being angry, it serves no purpose! Just be thankful you got that important second opinion!

    Good luck! I will be watching THIS SPACE to see what's next for you!!

    Love Annette x

    Yesterday is History, Tomorrow is a Mystery, Today is a Gift!!!
  • FormerMember
    FormerMember

    Hi 

    I read your post with a mounting sense of disbelief and frankly shock. Thank goodness you did your research and thank goodness you are now in the right place to get the right treatment. Of course you are angry and in shock. I would be. You should have been seen a gynae oncology specialist when you were first diagnosed. 

    The question is what to do with that anger. One obvious route is to make an official complaint. But do you have the energy for it? And where would it take you? Would you prefer to put your energy into looking forward? 

    Can I ask - How did the referral to the gynae oncology professor come about? Where was the delay in him seeing you? Was it your first hospital delaying referring you or was it the second hospital delaying in picking up your case? Why were you not sent the report from the genetic sequencing that you had paid for? Someone somewhere dropped the ball and I think you deserve some answers. 

    If they are talking about olaparib as a maintenance treatment that leads me to suspect your DNA sequencing has picked up a BRCA mutation. Am I right? It’s the same gene defect I carry so I know a bit about it.

     If I am right, there may be other options. Olaparib is one of several PARP inhibitors, a class of drugs that is known to be effective in controlling brca related cancers. I was treated with another of these, Rucaparib, supplied under compassionate use. It gave me 15 months of disease control. My consultant applied to all the companies with licences for PARP inhibitors. Others are talazoparib and niraparib.

    These are important and effective drugs that are gaining licenses for treating women with ovarian and breast cancer, with and without brca mutations. It’s becoming clear that a minority of women with high grade serous uterine cancer have molecular markers that mean their cancer is closely related to ovarian cancer. It’s like they have ovarian cancer in the wrong place. A gynae specialist will treat them (us?) as if we have ovarian cancer as far as they are able. Licensing rules make it hard and they have to find workarounds. My consultant has said to me that if my diagnosis was ovarian cancer rather than uterine cancer she’d treat me with a combo of chemo plus immunotherapy. It’s licensed for brca positive women with ovarian cancer but not for brca positive women with USC. It’s very frustrating.  

    The fact that you’ve been referred to genetics to consider the implications for other female family members is good news but opens up a whole other can of worms. I have been through it. Shall we leave that for another day? 

    I think there’s a lot to be said for Annette‘s approach. She’s right. Anger can be a waste of time and energy. But if it’s what you’re feeling, you do need to work through it and come out the other side. I think perhaps it might be worth getting some counselling to consider and work through what your next move should be. As I say, a complaint is one route but do you have the energy and where will it take you? If you decide against it, then you really need to work through the anger so that you can put it to one side and move on. Does that make sense? 

    I realise I’ve asked a lot of questions here. I’m not actually expecting you to answer them all, it’s entirely up to you how much you decide to share here obviously. I asked them really as they are the questions that occur to me. I hope I haven’t jumped to unwarranted conclusions. But I realise I might have done.

    At any rate, thank goodness you’re now in the right hands. Lots of love

  • FormerMember
    FormerMember in reply to anndanv

    Hi Anndanv

    thank you so much for getting back in touch with me when you have so many things going on for yourself. I think I will rephrase the works and say I am just very,  very disappointed Pensive I agree with you that being angry is a waste of energy. I am thankful for my second opinion but have had to push for it myself none of the above was offered by my current hospital. I really hope you get your pain sorted out and thank you for replying xx

  • @Tamencio  Hi and thanks for your reply. It is dreadful that we have to push for answers to questions our Oncoligists should be asking and researching but these days unfortunately you have to be very assertive! I'm so glad you did your research! The problem is many people don't do that or ask for that second opinion we are all entitled to!  

    To be honest, a lot of what  has asked, did go through my mind. Especially the part about counselling & referral to Gyn! I will watch out for your answers, if you choose to write some. In the meantime take care of yourself and you will remain in my thoughts!  

    Love Annette x

    Yesterday is History, Tomorrow is a Mystery, Today is a Gift!!!
  • FormerMember
    FormerMember in reply to FormerMember

    Hi Daloni 

    thnk you for all of the enclosed points and questions that you have raised. You have given me much to think bout and as ever I am grateful for the support.. Will pm you with some of the answers to the questions that you asked. As ever please take care xx