Mum recently diagnosed

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Hello everyone, my Mum has recently joined the club that nobody wants to be in. She started having problems swallowing food back in December (never thought to tell anyone!) by the end of February it had got worse so she went to the Doctors and they put her on the 2 week pathway for a gastroscopy. We were all hoping it was perhaps just reflux, a hernia or oesophagitis but sadly they found 3cm tumour in her oesophagus. Things moved quite quickly, she had a CT scan, and biopsies (squamous cell) and they believe the cancer is contained in the oesophagus and treatment would be curative. She's since had the PET scan and they are still talking surgery so one assumes that didn't show anything else up either. She went in to have the Endoscopic Ultrasound yesterday but unfortunately they couldn't get past the tumour to do what they needed to do so think she's got to have another PET or CT scan instead, did anyone else have this problem? I'm not entirely sure what this test was for?

Mum is 67, they have said surgery will depend on her overall health, unfortunately she is unable to do the CPEX test because she fractured her hip in 2021 and cant sit on a bike so they have done a echocardiogram and I'm taking her for a lung function test this afternoon. She's quite well in herself but I do worry that her lack of mobility will have had a detrimental effect on her overall health. She's due to have the pre surgery keyhole surgery on the 23rd and have a feeding tube fitted at the same time. We're still waiting for an appointment with the Oncologist to get a full treatment plan, everything is kind of if's and buts at the moment whilst they finish off these tests.

Mum lives alone so I asked her to come and live with me when she starts treatment so I can be around to help her with whatever she needs, fortunately I work from home so this is possible, it will be fun I have 2 dogs (who are not the easiest) and she has one of her own so its going to be fairly full on but I am determined to make it work. I've turned my spare room into a bedroom for her, put a TV in there, will sort a little mini fridge, tea coffee maker so she has her own space and doesn't have to get up or do anything if she's not feeling up to it.

I think the fear is the not knowing what to expect, they've said its a big surgery which in itself is quite frightening, we don't know much about the chemo, how it might make her feel, I'm sure I don't have to tell any of you that there is a fair amount of anticipatory anxiety of what lies ahead. At the moment I'm just saying to Mum this is the trade off, its probably going to be 9-12 months of sh*t but many more years of life to enjoy on the other side of it. We normally have a girly holiday just her and I every summer in the Isle of Wight (we'd booked for this year but I fear we may be cancelling as she'll likely still be in the midst of treatment) so I'm encouraging her to think of the fun we have and that next year we'll be up to our usual antics.

I've read through a number of posts in this forum and I have to say they really gave me a boost, its good to hear the positive stories and outcomes and people still living their lives throughout treatment, so thank you all for that. I'd be keen to hear if there is anything I can do to really help Mum through this period, other than ensuring her spirits are kept high and being on call night and day, any practical advice, things that might make her life easier, things that might bring her joy or enjoyment through this rough time ahead? Also has anybody had much experience of the Royal Surrey County Hospital in Guildford, as that is where Mum will be having her treatment?

Thank you for reading this far, I didn't mean to write war and peace.

  • No doubt this is a major operation.  I had 5 chemo sessions and 25 radio therapy sessions which wiped me out

      I had to build my stamina up before they could operate

     I am 14 months post op and.getting there very slowly.  I still get very tired and there are still things I cannot do. I had to spend 10 days in hospital 2 months after the op with clots on the lung I am 74 now. Big trial for me tomorrow.  I am going into Liverpool to see a show and have a meal

    Thoughts are with your mum

    I have two wonderful sons who helped me through as I too live on my own

     I owe a lot to the wonderful staff at Clatterbridge and the Royal Hospital Liverpool.  And also to Warrington hospital where I was also treated post op. If you have any questions I will try to help.

  • It’s always a shock and the waiting for test results and a plan is really hard. I can’t comment medically but suggest you use MacMillan, cancer research or OPA for your information. Lots of info on chemo side effects etc as well as on this forum which is so helpful and supportive. My husband is having an oesophagectomy on Wednesday and I’m not sure how I would have coped without all the extra info from members here. Wishing your mum the very best in her treatment plan. She is so lucky to have you with her. 
    Geraldine xx

  • Hi Susieannah I am also 67 diagnosed oct last year, had to have feeding tube fitted and endoscopy could not get past the tumour, four sessions of FLOT as mine is adenocarinoma coped with the chemo ok, and after second cycle was able to eat ! I am now day 17 post op, op went well was home on day 7 and recovering well although I am prone to do too much which I pay for but I get frustrated when I can’t do things awaiting appointment with consultant on Thursday to see if I will need another lot of chemo ! I I was treated in Bristol and they are fantastic I have full faith in them we are so lucky to have this wonderful NHS. It’s a long old journey but your mom sounds very lucky to have you to support her. Tricia x

  • Hi Susieannah. As you will have no doubt read on this site there are lots of different stories from us all and lots of variance as to the types and effects of the treatment. You will get the best advice from those who have followed a similar treatment path to you mum so keep feeding her update into the forum. Sounds encouraging that they regard your mum's situation as curative. Just to give you an idea of possible outcomes I am over two years since initial diagnosis followed by extensive radiotherapy/chemotherapy and then the Ivor Lewis op. in July 23 and I will shortly be 82. I am currently out in France enjoying life so I have been very fortunate. I wish you and your mum the very best with the journey ahead. 

  • I am doing my 4 x FLOT sessions at the Royal Surrey in Guildford ready for surgery. I did however ask for a referral to the Royal Marsden but your experience may be different. I don’t have a problem eating so that’s not an issue Linda x

  • Hi Linda, I'm sorry to hear you are dealing with this too. Was there a reason you asked to be referred to Royal Marsden? So far we have find Royal Surrey to be very good (to be honest we were just so relieved we weren't going to be under East Surrey Hospitals care) everything just seems to take such a long time when you're anxious, she had her original gastroscopy on the 17th March but we've still not really sat down with a consultant with a definitive course of action, I guess they are waiting on the heart and lung tests before they can give us one, I'm hoping over the next week we might get a more certain plan in place. How have you found the FLOT so far? Mum asked me earlier if people experience hair loss but I've not seen much on the forum about it. x

  • Sorry to say yes you get hair loss with FLOT but as your mom has squamous cell she may have a different chemo with radiotherapy !! X

  • They offer you a cold cap which helps prevent hair loss

  • Not with FLOT Frowning2

  • There were several little things that all added up and so lost confidence in them. You will probably have a different experience so don’t go by me. Yes my hair started falling out after the 2nd FLOT cycle. I had my 3rd on today and seem to be adding to my side effects but everyone is different. I just need to get over the 4th and last on for now Linda X

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