Anxiety waiting for immunotherapy response

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I’m feeling anxious tonight after seeing my oncologist today. I’m due my 5th IV infusion of Pembro tomorrow which is going ahead. However my scan results show there looks to have been some progression. She thinks it’s complicated and is still possibly indicating pseudo progressio. I’m not I’ll - in fact feeling a little better than when treatment began. Certainly not in great pain- just occasional abdominal discomfort usually related to after food or when constipated. (My cancer is around peritoneal lining; spread from womb originally and is Serous type)

I just don’t know what to think. Her advice is to keep going and scan again in 6 weeks. If by then there is further progression, we’ll review and possibly start Chemo (which was quickly effective last time, but recurred after 5 months)

You might ask why I’m worried then. I’m sitting here thinking - is it worth it? Is it really going to make a difference? I’m just so mixed up about it all.

anyone else experiencing this anxious confusion?

plus we had hoped to fly off to Tenerife for some sunshine. My oncologist says “I’m not overly enthusiastic about you going” but won’t say don’t go. Now I’m thinking - will I ever go abroad again? I don’t want to be fearful. I want to enjoy the little time I have. But these things are clouding my life right now. 

On a positive note - I start my counselling tomorrow! After a 5-month wait. Turns out the nurses hadn’t done the referral correctly. Psychology had never received it! How can that happen? Anyway, the psychology team were stats when they I complained and within a day they offered me an appointment within the week. Something good is finally happening:)).

  • Thank you so much for your advice.  I will certainly contact the insurance companies, I must admit I was getting fed up with the number of rejections I was getting for insurance, but I did get a couple of quotes one was £1000, and the other £800.  I did give up at that point, by I will contact the ones you mentioned xx

  • Hi Cindy, Shen I was first diagnosed, I phoned over a dozen before I got an actual quote, the others wouldn't even give me one. The first quote I got to go to Spain in Jan/Feb for 4 weeks was £9,000! I said they had to be joking as the whole holiday for two of us was less than half of that. It turns out 24 days was the maximum anyone would insure me for.The rest depended where you were going. I persevered and Eventually we got insurance for 21 days for £327. Worth it for peace of mind! Did you try clicking on the search button with the magnifying glass on left at top of the page, it is worth a look!

    Love Annette x

    Yesterday is History, Tomorrow is a Mystery, Today is a Gift!!!
  • I have had a lot of luck with the company called insurancewith. I have incurable kidney cancer on immunothy and I just got insurance for a 1 week cruise from Southampton for £45. If you phone them their questions are very in-depth and they sometimes say they need to consult the underwriters so the questions may take an hour and you might not get an answer straight away but I have found it very worth the trouble if you have somewhere you want to go

  • I also got insurance for metastatic TNBC very easily and affordably through Insurance With. Very easy experience. An annual policy in my case, which I was easily able to update at nominal cost when my situation worsened. 

  • i think it was after about 3 moths

  • Hi  

    At the moment I'm also having pembrolizumab, before yesterday I had my second one. Two weeks after the first one, I started to have kinda the same symptoms I was having at the beginning of the cancer (cervical cancer) and I'm not sure if this can be from pseudoprogression. My oncologist doesn't think the tumor is growing, she thinks is reaction to the treatment (because my blood test seems fine ), but I'm still gonna have a pet scan next week. I'm very concerned about this..

    Did you have pain or discomfort due to inflammation during your first pembrolizumabs? 

  • Hi  

    May I ask if you have any pain or discomfort due to pseudoprogression?

    I had my first inmuno 4 weeks ago, pembrolizumab also. And 2 weeks after I started to have kinda the same symptoms of the beginning of the cancer, and I'm very concerned about it. I'll have a pet scan next week, but I also wonder if a pet scan can differentiate pseudoprogression from real progression.. 

    Doctor thinks it's reaction to the treatment because on my blood test everything seems fine. Don't know what to think, I'm very scared

  • Hi  

    After (I think) the 3rd pembro, I had a rash across my chest, which was treated with Betamethasone, emollients and antihistamines. Other than that, no symptoms or side effects until I started to feel dehydrated earlier in the day when I was admitted to hospital with the acute kidney injury. However I have never had any obvious symptoms from my cancer so doubt whether pseudo progression would have caused any discomfort in my case. 

  • The no symptom thing is something I find strange.  Apart from a little fatigue which I think mostly comes from stress and not sleeping so well, I’m feeling remarkably well considering.  It’s hard to plough on with harsh treatments knowing they’ll actually make me feel ill.   Final pathology results due on Monday and possibly starting chemo treatment same or next day.  Mets to lung, mediastinum, axilla, pectoral and supraclavicular node, all on right side where I had breast cancer.  Cancer, the gift that keeps on giving!  It’s such a sneaky little B.

  • Hi Ochno, I know it seems strange not having symptoms and thinking about treatment of any kind but surely the time to have treatment, if you need it, is while you are well enough to cope with it and not wait until the symptoms hit!

    Wait until Monday until you get your pathology results and then have a discussion with your oncologist before deciding what to do as you can only make an informed decision once you have ALL the facts! Please let us know how you get on!

    How are you doing GreenCliffLady, Elliekate, and everyone else on this thread?

    Love Annette x

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