What to expect at first appointment?

FormerMember
FormerMember
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Hi,

I'm not diagnosed with anything yet, but have been urgently referred to Maxillofacial surgery with suspected cancer.  My appointment is on 11th.  

I was referred because I've had a swollen tongue which gets quite painful with use, and has changed my bite so my back teeth don't sit together anymore unless I force them to.  No one took much notice and both GP and dentist told me I'm stressed and grinding my teeth so I've been dealing with it like that for a year.  This week, it was aching and sore in a different way (base of my tongue RHS), and this time had a good look right at the back in the mirror and found a big purple bruise.  I called the surgery and brought in to see a different GP, and now have the referral. 

As you can imagine I'm beside myself with worry.  Looking at the symptoms - I've been complaining about ear pain, and lots of other weird symptoms for ages, so it's definitely a possibility. 

I'm autistic and I don't cope well with uncertainty, for me, knowing facts and likelihood's even of bad stuff is much better than not knowing, so it would be really helpful to me to have some idea of what might happen at the appointment, and also what might happen afterwards if something is found.  

The thing that's worrying me most (more than the potential diagnosis/prognosis) is that I'm self employed and in large amounts of debt due to COVID, so worried that just as it's possible to start getting on top of things again, I'll be out of action, and I won't be able to earn any money.  Things are already so tough, I worry we may lose our home :(

So any idea of a realistic expectation of how long until I could be back at work again should the diagnosis be cancer would be helpful so I can start getting my head around it. I now work online with clients so nothing manual or anything.  

Thanks Slight smile


  • FormerMember
    FormerMember in reply to FormerMember

    Definitely ask if you can have someone with you. My consultant was happy for my wife to attend the main session with me - the one where I had my diagnosis confirmed and treatment plan outlined. It was invaluable as she did pick up things I missed. This was in January so peak covid so do check.

  • FormerMember
    FormerMember in reply to RadioactiveRaz

    Thanks Hazel, hopefully it's nothing, and the big symptoms I have - swollen tongue and purple bruising - don't seem to be standard symptoms (from what I can google) so that's a good sign.  Really hoping that they do try and find out what it is instead if it's not. x

  • FormerMember
    FormerMember in reply to FormerMember

    Thanks Freejay, I'm actually thinking I'll go alone.  I think I'll cope better with the stress without having to think about someone else.

  • FormerMember
    FormerMember in reply to LindaWT

    Thanks Linda, just impatient to get to it now!  The wait is excruciating you're right...  hope that they give me some answers whatever it is.  It's good to be amongst people who understand, thanks x

  • Hi Leigh P21

    I have had all tests including a biopsy just in last 2 weeks- They were very  challenging for me as I have anxiety - big style in a medical setting - but the staff were very understanding and really helped -

    My choice was to ask my wife to come with me - it made evrything much easier for me and was a real help - There was no problems re Covid and having someone with you - They have recommended I take my wife for meeting.  

    Also - if you are a bit stressed the other person can gather and remember more information, they can help you check in - find your way where to go etc - it was a godsend for me.  But we are all different - whatever suits you is best

    Good luck with it

    Steve

    Steve

  • FormerMember
    FormerMember

    HI everyone,

    I had my urgent cancer appointment today.  I'm really surprised by what happened.  I was seen by someone who must have been maxillofacial but basically I came in and sat in the dentist chair and she asked me a little bit about what I've experienced.  She then spent about 10 minutes talking about how stress affects the jaw and tongue.  

    At this point I haven't even had my mask off.  She did do some checks on my jaw movements and looked inside my mouth (but like a dentist would. no scope or anything).  No endoscope. no checking of glands, nothing.  

    She said something about how if you spot something it's easy to worry yourself about it and become really focused on it. I told her it's the opposite for me, I've been struggling for a year with this issue, and was surprised and worried by the referral but pleased to perhaps find some answers. 

    When she did examine me she spent most of the time looking at my teeth and jaw and told ,me she couldn't see the bruise the GP had seen (2 weeks ago so maybe healed?) 

    In the end I just burst into tears, all the stress getting here on an urgent referral and the worry and then not even being checked for anything.  Worst case scenario for me. 

    I did keep trying to push her and ask does stress cause problems with swallowing, slurred speech, etc. and that I didn't think this was stress.  

    In the end she said she would schedule a scan (I think MRI) which will happen in 3 weeks or so, so I'm hoping that if there's anything there it'll show up.  

    I'm just so confused now, 

  • Try not to stress.
    I know that’s difficult. I’m a retired vet. I knew the swelling at the back of my tongue was a SCC before I went to GP. The Maxfac consultant looked with a scope and said he couldn’t really see anything but normal circumvallate papillae. 

    He scheduled an MRI which found it. 
    If there is anything there the MRI will show it. 
    Just chase up the scan if the appointment doesn’t come soon. 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

    Community Champion badge
  • FormerMember
    FormerMember in reply to Beesuit

    Hi Dani, 

    Thanks for responding to me and I'm sorry I didn't reply sooner - I got a call fro the MRI booking people the next morning and have my MRI booked for tomorrow (Weds).  The woman booking the scan was very apologetic that it wasn't any sooner!  So I guess they did put it through as urgent.  I've been trying to stay distracted with other things, and it's kind of helped! 

  • Good luck. It’s a very noisy scan and it does take a while so wear something comfortable and warm. You’ll get contrast so make sure you are nice and hydrated so that your veins are easily found. Let us know how you get on xx

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

    Community Champion badge
  • FormerMember
    FormerMember in reply to Beesuit

    Thanks Dani, I've had a couple of head MRI's before, and weirdly I find the noise relaxing! Usually fall asleep...