Post Treatment ..What now ?

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Hi I’ve been commenting on some posts and thought I’d introduce myself ..Married to John age 65 who was diagnosed last August with Oesophageal cancer ..Initially assessed at T3 N1 M0 but after surgery reassessed at T2 N0 M0 ..We’ve just come through thirteen months of gruelling diagnostics and treatment ..The diagnostics themselves took six months (long story) followed by seven months of treatment in total consisting of Four pre surgery FLOT chemo sessions which he came through with no complications but it was tough going with the side effects.This worked very well in reducing the bulk of his tumour so he was reassessed for a Two part minimally invasive oesophagectomy surgery which took place on 14 th December ..Eight hours in theatre ..three days in the critical care unit and home after eight days ..No major complications so we consider him fortunate in that respect ..Six weeks recovery and then he was scheduled for four adjuvant FLOT chemo sessions ..John completed two but then it was halted as John’s body started to show the strain ..he also developed a particularly nasty lung  infection two days after the second session ..so taking this as a sign of Enough was Enough ! both he and his oncologist agreed to discontinue with the remaining two adjuvant chemo sessions to avoid any further detrimental affects to his long term recovery..So treatment ended mid March …It’s been a rollercoaster of a ride to say the least and despite a pretty much straightforward treatment process the past thirteen months have taken their toll on John physically and psychologically despite him being a very fit man prior to his illness .. although it has to be said the substantial weight loss and the debilitating symptoms from the OC during the long diagnostic process played a large part in his downward spiral for a time ..I think that was a worse experience for him than the actual treatment ! ..John is now hopefully cancer free ..but he isn’t treatment issue free and it will take time and determination to adapt to a new normal…It’s a unique experience to each individual ...Our GP described it as a massive life experience to go through and our hearts go out to all fellow sufferers.. as it truly is ! ..So now we’re at the stage where he will be monitored over the next five years ..every three months for the first year ! .After a lengthy time dealing with hospitals ..appointments ..treatments etc ..it’s a very strange place to find yourself in ..On one hand you’re feeling very grateful for everything that has been done for you  and feel relieved it’s all over but on the other hand you’re left feeling ..’What now??’  ..Of course days are taken up with John’s new eating regime .. (A full time job in itself weighing up portion control and balancing fats and sugars in food in an attempt to avoid the dreaded  ‘Dumping episodes’ !! ) along side his medication routine and exercise to build up his muscle wastage from the weight loss ..He still has a JEJ feeding line to help with nutritional assistance but it’s only used when we feel he needs a top up if he’s had an ‘off eating day’ …. On top of looking after two dogs and running a home !.. Phew! …They say health comes first and of course it does but trying to keep some sense of normality whilst going through this experience is without doubt hard work ! ..We have five adult children and twelve grandchildren who have been a great support throughout everything though and they help whenever  they can !
Apologies for the long introduction but this is just a short version of our story ..If I went into detail it would be very lengthy indeed ..I’ve found this forum both very helpful and informative..It really is good to express your feelings and talk .. Sincerely wishing you all the very best in your own unique experiences…..Never give up hope x

  • Hi

    Thank you for posting.  This is life changing.  I'm just finishing off the post operative chemo and days when I have more energy I'm also thinking about the future. I think I'll take time I think to process this for ourselves and for our loved ones. I'm aware that i need to find a new relationship with my body. I'm looking at how i want to work and what i want from life. These are big things to consider and at the same time there's the dreaded cloud of it possibly coming back. I feel like I'll be holding my breath for the next 2 years.

    I'm just aware that the directions our lives take are based on many consistent small choices. For now I'm just focused on small wins  as my body recovers,  I'm planning a little holiday with my family and I have some new work projects I'm thinking about. Of course also being in the garden and many massages..this is my phase 1 of recovery.

    I think we all need to give ourselves a little time to process these new versions of ourselves. 

    Take care and give yourself a moment to just be. Its been really rough this journey no matter how fortunate we may feel that we/loved ones have a chance at a cure.

  • Hi 

    I had my last post op chemo in the middle of March so I am at the same stage as John.  The surgery is no doubt life changing and challenging to live with.  However we have made it through and to be told that we are cancer free is amazing.  

    I am 50 years old so need to go back to work but for now I am concentrating on recovering first.  I am walking my dogs again, looking after the house, cooking, gardening etc.  I also have a great family who have visited and called regularly which really helps.  

    I was warned by others of the ‘what now’ when treatment ends for the cancer and advised to do things I enjoy which have been on hold.  So I have written a list and have a holiday next week, a massage booked in, I have been clothes shopping as I have nothing that fits anymore and started to venture out to visit friends and relatives rather than them always coming to me.  I think that for me it’s important to do something I enjoy everyday and really appreciate this life I have now.  

    I try not to get to hung up on food I do eat regularly on a normal day but if I am concerned about dumping when I am out I might miss a meal.  I’m not saying it’s right for everyone but I am not going to let the op stop me doing things. 

  • Hi .Good  to hear you’re recovering well ..We’re doing exactly the same and just going with the flow hoping eventually all comes good ..Unfortunately all the things my husband loved doing aren’t possible for  him at the moment ....Playing golf ..Fell walking ..football etc ..He was a very active man for his age ..We walk everyday and try to push it a bit further but his energy levels are low and he has a lot of muscle wastage on his legs and arms to build up yet ..It’s early days and I’m sure in months to come he’ll improve ..I think the rest from all the treatment is helping ..as you know it’s exhausting…I’ve booked a week in the Lake District in May ..Safe to say fell walking will be off the itinerary but he will be in surroundings that he loves and I’m sure it will help ..Onwards and Upwards ! 

  • What a lovely good news story. Thanks for sharing. I'm right at the beginning of the journey. Looking forward to being where you are now. 

    Take care and give my regards to your husband for his continued recovery.