Hi all. Long time lurker, infrequent poster here. Been on this cancer train for over 4 years now and for the most part been very lucky to have a relatively normal life.
I have a scan this week to see if 3 cycles of pembrolizumab has made any change to my extremely rare type of skin cancer. It’s a complete shot in the dark and based on one paper my consultant found about a response in my cancer. I’m lucky to have private insurance through which I managed to get funding to pay for these cycle but anything further is not guaranteed and dependant on the outcome of this scan. My consultant says that it can take some time for a response and things can seem to get worse before they get better so it could well be too soon to know one way or another. If I’m not able to secure more funding I don’t know what my next options are as there is no approved treatment for my cancer.
ive had no side effects at all to the treatment which is good albeit disconcerting. I think I’ve started to get a bit of a tight chest and a very slight cough but it’s so light it could just be in my head because of the upcoming scan. What makes the scanxiety worse is that I think I also have a tender spot on my left collarbone and possibly a swollen lymph node. I say think because it’s not completely obvious and is probably not helped by me prodding myself too much. The paranoia about the collarbone stems from an mri I had last August. The consultant at the time said nothing but in the report that i was sent afterwards I saw a sentence on a possible lesion on the collarbone but was very small and not conclusive. Because I was scared finding out anything further I’ve never asked about it and taken the stance that they would tell me if it was something I needed to know.
Another complicating factor is that the insurance that I am dependant on right now which I get through work, has expired and I am responsible for the renewal and this is still in progress. Partly because of my ongoing claim, premiums have rocketed this year. We’re using a broker to negotiate with the insurer but until that’s concluded they will not authorise any further treatment regardless of my Scan.
The timing of these events happening together is so unbelievably stressful. I manage to hold things together pretty well to everyone around me but inside I am absolutely terrified about the week ahead and can’t stop thinking about all the what if scenarios at the same time as prodding around my Collarbone.
Want this week to be over so i know the results from this next scan but at the same time really don’t want to know because I have no idea what follows afterwards.
Ouch, a lot to deal with, I hope you can have some time to switch off the scanxiety for a bit. Im routing for you (Im on the same drug Pembrolizumab). I’m hoping just saying things out loud on here makes things feel a little better, you seem to be reasoning through things well, we all know that feeling off it could be but might not be, I don’t really want to think about it but I can’t help it time. I hope things go well for you and that things just fall into place. Please let us know as a reply to this thread how you get on. I’m hoping your consultant can help secure something for you to help.
Take care KT
Hi Elysian, Waiting on results is one of the worst things. Your mind starts to play tricks on you, and every ache or pain seems to feel worse than before and your mind thinks all sort of things. It is annoying if you read something on the reports etc your Consultant hasn't even mentioned, like your shoulder. However if you trust your Oncologist then you have to trust that it wasn't mentioned because in his opinion it was not worth mentioning. There is always lots of ifs and buts and if we try to concentrate on them, we would drive ourself mad!
I hope your results are positive and your consultant has a plan for your continued treatment! As KT said please let us know how you get on, it is good you don't have to wait long for your results!
Love Annette x
Quick update - so scan was “disappointing” - growth in existing nodules and mediastinal nodes are up (which explains slight cough) but this could be an immune response so consultant thinks it’s too early to definitively know if treatment is working and wants to do 3 more cycles. Thankfully though she couldn’t feel anything around my collarbone and there was nothing in the scan there so that bit was definitely all in my head.
so back to the begging bowl for money for more treatment. We’ve just concluded the insurance renewal and decided to switch to bupa. This makes me slightly more confident as I am told bupa are easier to deal with and more consultant led in decisions such as these.
It’s all rather draining so will most likely spend the day wallowing in self pity in the knowledge that I’ll almost certainly feel better about things tomorrow
Thanks Norberry. It was kind of what I expected to hear and it is a relief to know my head has been playing tricks on me. The new nodes in my chest are concerning - it could be more cancer but it could also be a response to the treatment so there's still a chink of hope there to cling on to.
I've had a lovely long wallow in a nice hot bath so that's helped!
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