CPET test

  • 5 replies
  • 54 subscribers
  • 300 views

Hi mum had her CPET today. It didnt go well. She is a fit 76 year old. She goes to a trainer twice a week and does light weights as well. She is slim and can walk really well without getting breathless. She really struggled with the bike and the test had to be abandoned. She asked if she could use a treadmill instead as she can easily do that but they said no. Her trainer who has worked with her for a few years now wrote a report about her fitness levels but the hospital wouldn't accept it. Her consultant requested the CPET to assess her fitness before a decision on surgery for her cancer could go ahead. 

She struggled with the bike as it was too high and couldn't be adjusted and due to her knee replacements and spondylitis in the spine it was difficult. 

We are feeling frustrated today. Now we have to wait for a decision based on what we feel was an unfair assessment. 

We were wondering if anyone else has experienced this scenario what was your outcome in the end? 

Many thanks

  • Hi  

    I’m Anne, one of the Community Champions here on the Online Community and, although I'm not a member of this group, I noticed that your post hadn't had any replies yet. Responding to you will 'bump' it back to the top of the discussion list again.

    While you're waiting for replies, it would be great if you could put something about your mum's diagnosis and proposed treatment into your profile as it really helps others when replying to you and also when looking for someone on a similar pathway. It also means that you don't have to keep repeating yourself. To do this click on your username and then select 'Profile'. You can amend it at any time and if you're not sure what to write you can take a look at mine by clicking on my username.

    Community Champion Badge

     "Never regret a day in your life, good days give you happiness, bad days give you experience"

  • Hi thank you for your response. I have now updated my profile.Slight smile

  • Hi Pebbles. Sorry  to hear the problems your mum is having with her preop testing. I have experience of the testing but not of test failure. I feel that the only way you are going to resolve this is by pursuing it with the surgical consultant in a face to face meeting. Only then will you get the full frank discussion needed on the risks of your mum undergoing the operation. Her contact nurse practitioner should be able to set up this appointment for you.  

  • Sorry to hear your mom is struggling with the exercise bike ! I have one at home which I use on a regular basis but I struggle with my legs and knees long before I’m out of breath ! Fortunately my pre op test was very simple walk up a corridor and get up and down from a chair for 30 seconds ! Thank goodness it didn’t involve a bike I hope your meeting goes well and something can be sorted Tricia x

  • Dear Pebbles 

    I am not convinced I had a fair assessment with regards to fitness for surgery especially when I read some accounts on this forum.

    I was on a surgical pathway. Completed the PEX test achieving 130% of the CV capability for a 67 year old woman.  Continued on the surgical pathway for a laparoscopy - which was clear.  Then told I was not fit for surgery in the view of an anaesthetist due to pre-existing  medical conditions. Sleep apnea being a red flag although after the laparoscopic examination general anaesthetic they had observed me in a high dependency unit and there was nothing remarkable about my recovery.  The other red flag being cardio vascular disease - but my PEX suggests otherwise.

    It is my opinion that the  MDT not only wasted valuable NHS resources in following a surgical pathway when my full medical history was known to them at the beginning they also delayed the start of alternative non-surgical treatment. Which is a cause of great anxiety. The oncologist I then saw agrees with me and has said changes are going to be made so that patients who are not eligible for surgery are identified by the MDT at the start in a one stop shop. I believe this happens in some NHS Trusts.

    I do not know if my experience helps you in anyway. Other than I share your angst that the seemingly scientific assessment of fitness may be unfair in some cases. 

    Best regards