Partner just diagnosed

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Hi all

New to this group, just been reading some of your posts and comments and sorry to all going through this or supporting someone going through it.

My partner of 17 years was diagnosed with a malignant tumour in distal oesophagus at 40cm extending  to GOJ.."scope was able to pass through without resistance" 

"Stomach normal"

"Duodenum normal"

Since then (endoscopy done 5th November) as well as the biopsies taken on the day, he's had blood tests and a CT scan.

We're going tomorrow (Friday 17th) for an appointment with the specialist following the MDT to find out stage/type/treatment options etc.

This has floored us to be honest. Like everyone I suppose you never think it will happen to you/your family(or you hope it won't).

My partner is 50 years old, fit, he doesn't smoke, he rarely drinks alcohol, he isn't overweight and he doesn't suffer chronic acid reflux.  

The nurse said the tumour is only on one side - I also don't know what it means that the scope was able to pass through without resistance - is that good?

I guess I've joined this group for support and somewhere to talk, ask questions, get support and hopefully give others support in return. My partner has a different way of dealing with things than I have, he's imagining the worse so anything less than that is good news 

I can't let my mind go to worse case scenarios and want to be as positive and optimistic as possible.

I want to be able to support him and our just turned 16 year old son (I also have 2 older children whom my partner has been a stepfather to who are also upset but don't live at home anymore and work/have independent lives) - my partner supported me through around 10 years of ill physical health that affected my mental health as well - he was my rock - I've been much better for 4 years now and I'm working again but still get exhausted easily but know I need to step up now and be a rock for him as he was for me.

But I've no idea what to expect. I know everyone's different and that we'll find out more tomorrow, but Macmillan nurses have mentioned the likelihood of 3 months chemo (going once per fortnight) then operating then 3 months more chemo.

So a few questions:

1. How long does a chemo session last?

2. I know people tolerate it differently but could he be very ill for the whole 2 weeks in-between each treatment?  Is he likely to be off work. We're both similar in the respect of wanting to work to keep busy and distracted - if he's too ill, I just hate the thought of leaving him at home whilst I'm in work.

My employers are being very supportive in terms of being ok about me having time off to go with my partner to key appointments but I'm quite new so won't be able to take time off after his chemo appointments (only started on 4th September - ironically the job I had before was 98% work from home and whilst supposedly full-time, often only had enough work for around 13 hours per week despite often asking if there was anything else I could do - I left due to the isolation of working from home and due to not being busy enough - but now it would have been in some ways, the ideal job in terms of being here - not so much in terms of having too much time to worry etc).

3. If you've had the op and your diagnosis was similar to my partner's (albeit I know we don't know stage and grading etc yet) could you give me some idea of how long post-op he might be poorly? - I want to plan, practically and mentally, for managing to keep everything going and ensuring he can see I'm prepared to do all that's necessary in terms of looking after him, doing all what he usually does in terms of driving our son to and from various activities, sort any shopping, cooking etc out and working so he doesn't have to worry about finances.

4. If you're the person who actually has this diagnosis (or similar) rather than a family member, what do you want from your partner (or close family) in terms of support?

Upon leaving the hospital after the endoscopy with the diagnosis on a print out, it was 2 days later my partner told me he hadn't known what malignant meant after getting the diagnosis until realising from the things I had been saying over the past 2 days.  I felt awful, as though I rather than the endoscopy medical staff, who had given him the diagnosis. This has left me not knowing how informative I should be versus how quiet I should be (I'm more inquisitive than he is, research things thoroughly and ask a lot of questions - but the questions I'd naturally ask, might not be questions he wants to hear the answers to).

Basically any advice anyone can give would be appreciated - apologies for the long introductory post!

  • Hi redandrea71

    Sounds like your partner had a pretty rough time of it but glad they are back on track now.

    I had my last chemo on Nov 7th and my op was Jan 5th so just under 2 months .

    It went really well and they got all the cancer out and the histology report was good as well.

    Eating and drinking a bit of a challenge as they removed my stomach but that will get better in time. The post op chemo starts March 7th same as your partner and it will be 4 more rounds that will hopefully kill off any remaining microscopic cancer cells.

    I will be monitored on a new trial for 3 years so if it comes back they can give me more treatment.

    I really hope your partner's chemo can be finished before your son's exams as the whole process is very stressful and worrying for everyone. I wish you all the very best.

    Best wishes

    Dean

  • Great to hear you are doing so well, both for you and your family but also hearing positive accounts gives hope and optimism!

    Someone has mentioned discussing some trial with my partner, so the trial that's been mentioned to him, might be the same as has been mentioned to you!

    My partners chemo definitely won't be done before our son's exams - his 4th round pre-op ends on 7th March. We've been told he'll then have 6-8 weeks rest before the op (a full stomach removal seems to be the most likely option for him to).

    I'm hoping he'll be admitted for the op around the 24th/25th April so that by the time of our son's first exam on 10th May, he might be about ready to be discharged Fingers crossed all going to plan!

    Do you mind me asking what T Size your tumour was? 

    Hope you get used to the different eating & drinking habits - this will be a learning curve for my partner as well, ironically I'm the one who has the smaller appetite preferring to snack smaller amounts more often whereas my partner used to enjoy large meals, 3-4 rounds of bread, would finish off my leftovers and have a pudding to follow!

    Though right now, I think he'll be happy to just taste something different than the occasional starburst sweets he's chewing for a bit of flavour!

    I don't think my partner asked for the details of the trial that was mentioned to him, but I'll post it on here when I know more - see if it's the same as that mentioned to you.

  • Sorry to hear about your partner Samantha, hope his recovery is getting better!

    Sounds like my partner has the same chemo - he also comes home with a 4th drug on slow release for 24 hours that's removed by a district nurse the following day.

    He's felt a little sick, had a sore mouth, felt dizzy and has had pins and needles in his fingertips but has otherwise been ok with the chemo so far (fingers crossed).

    He did get a gut infection called C-Diff which we don't know if he got as a result of the chemo (as it is linked to chemo) or if he caught in hospital whilst awaiting a feeding line being fitted when he stopped being able to eat or drink when the tumour got too large.

    Hope your partners prognosis is good post-op and post 2nd set of chemo xx

  • Thanks JPM for sharing your experience of Salford Royal - we'd read it's one of Europe's leading hospitals for this kind of cancer & are so grateful we live nearby!

    My partner is under R Chaparala - hopefully he'll be as good as you found Mrs Farooq to be. 

    My partner is set to have either the same operation as your husband had or a full stomach removal (they've said they'll know which one when they explore the effects the first 4 chemo treatments).

    I'm not sure if there's any such thing as "optimal" condition for the operation but from the surgery "school" session we attended my partner can't really do anything else to prep than he was already doing before this happened - he doesn't smoke so doesn't need to quit/cut down; he rarely drank and hasn't since diagnosis, so again doesn't need to cut down, he exercises regularly and his diet was reasonably good (it's limited to the liquid "feeds" he has via the feeding tube now, but he's hardly lost any weight and is a good weight for his height).

    I know recovery is different for everyone, but has your partner returned to work yet (if he worked beforehand that is)? Not working is frustrating my partner - he only stopped due to his job not really being suitable in light of all the equipment needed for the liquid feeds plus his self consciousness about his appearance with the tubes up his nose and stuck to his face - good to hear you're feeling like life is getting back to some normality though! x

  • Hi My husband is now retired ..He turned 66 this month ..He hasn’t worked i since May ‘22 after he collapsed due to weakness from a three stone weight loss during a lengthy 6 month diagnostic process at the Royal Bolton Hospital ( long story !! )  and subsequently required a JEJ feeding line fitted into his duodenum to help with nutritional assistance ..His  tumour was totally blocking the junction between his oesophagus and stomach .This was an absolute godsend  at the time and thank goodness Salford Royal intervened ! He had the JEJ for twelve months in total ..it was very beneficial post surgery too as we could administer top up feeds whilst he was adjusting to his little and often routine ..He’s now regained the majority of his weight loss .

    He had a fitness test prior to the surgery to test the strength of his heart and lungs and he was given a lung expander device and exercises to do three times a day to help strengthen his lungs  ..This helps with the lung inflation after deflation during the surgery .

    Its definitely been life changing for him in a lot of ways ..He has several treatment related issues he’s learning to live with , but that’s just him …He was a very fit and active man prior to all this so it’s been a time of acceptance for him to realise  he’s not the man he was before but life goes on , albeit differently and we’re very grateful for everything that has been done for him .

    regards J 

  • Hello ,

     I am new to this and at much the same stage .

    My experience is that exactly yours as the endoscope didn't meet much resistance- and as it seems that as this type of cancer only shows once our gullet is blocked that I have to repeat " no problem swallowing " to every medic I meet. 

    And at these stages we get a hinge amount of info we aren't prepared for - so accompany your partner to all appts you can and take notes if you can.

    And ask as it's our health - so I eventually asked if my stomach / gullet valve was affected " yes , that's where the cancer is " said the lead surgeon . So I waited 4 weeks to be that bold.

    Chemo - seems very fine tuned and I'm overnight 4 times a fortnight apart starting in a few weeks.
    There is an option of a second night - now that may sound odd as we all want to be home - but if you are having strong side effects being in hosp and getting immediate help is better than being at home and trying to find help.

    on side effects of chemo -my fantastic oncologist said for mouth ulcers bicarbonate of soda in a pint glass in the fridge is a good mouth wash.

    And lastly , love the things you have rather than regret the things you don't x

  • Hi

    My diagnosis was T3 N1 M0 and was near oesophagal junction.

    When it came to the op the surgeon said total gastrectomy (stomach removal) was the best option.

    It all went well with all cancer removed and only 1 of 68 lymph nodes removed had sign of cancer. Histology was good as well meaning no residual cancer so basically the post op chemo Is to just make sure I can hopefully get the all clear

    The trial I have been selected for us called SARONG. It has two groups one of which gives you 2 scans per year for 3 years . Luckily I'm in this group and my surgeon explained it runs for the 3 years as the cancer could come back during this time. So if it does they can provide more treatment. After the 3 years if you are clear the chances of it returning is very low.

    So if it's the same trial you have been offered do it. You only have to fill in a few forms online and if you get into the intensive group like me you will be monitored very well. So if anything does come back they will be able to catch it early which is very important

    Your husband will get some taste back after chemo but yes it's horrible

    Best wishes

    Dean

  • There's definitely a huge amount of information to process (and equipment, medication etc)!

    It can feel overwhelming at times, I've been attending all the appointments when any information is given and making notes as it's easy to forget things after.

    My partner is having his chemo every fortnight x 4 rounds pre-op (3 completed now) FLOT (the initials of each drug).

    He's not staying in overnight though - he's in about 4 hours/ 4.5 hours, then comes home with a bottle going in via his Hickman line for the following 24 hours - then a district nurse comes to remove it and flush the line the next day.

    Maybe it varies depending on area live in, proximity to hospital, age, general health etc.

    He was back in Christies 4 days after his 1st chemo for about 12 days but that was due to the tumour having grown and him no longer being able to eat/drink.

    By the time they realised that was why he couldn't keep anything down it was Friday afternoon so the feeding tube couldn't be put in until the Monday.

    He then caught an infection so was kept in plus had to be trained on how to use the feeding tube for both the nutrients and all medications in liquid form as he couldn't keep any tablets down either.

    But apart from having to go back in over the weekend a couple of weeks ago when our dogs paw pulled the tube out, he hasn't had to stay in.

    It's good knowing how responsive they are though and how quickly they'll admit if needed.

    His team have prescribed him 2 different mouthwashes for the sore mouth and they seem to be helping - good luck with your journey - hope your 1st round (and the rest) goes ok xx