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So , today I went back to ENT to get my final biopsy results .  Last visit,  one week ago , I was told my diagnosis was Cancer SCC to soft palate but they were checking to see if deeper tissue was affected .  So they tell me to just turn up next Tuesday .  I didnt feel too comfortable just turning up when I know how busy ENT is so chased a CNS nurse on the absurdity of just tipping up with no timing . CNS nurse emailed me and said okay , you are booked now at 10am ( i got this timing yesterday , the day before)  .  So , we arrive today at 9:45 am at 11:30 we are still waiting and watch about 15 patients come and go , many arriving far later than us .  My chap goes to complain and a nurse appears and says you are next , five more patients still go in ahead of us .. at 12 noon we get called in , 2hrs 15 minutes waiting 

After all this , I get the news that my biopsy result is still not back but they are treating it (for now) as the most common Squamous Cell of the soft palate .  Consultant asks how I am , I say not good , my biopsy wound is still open , she takes a look and “yikes that looks sore” Tell her I have been like this since 2 days after biopsy - I have eaten properly for weeks and my anxiety is off scale 

I tell the consultant  that I am frustrated that all plans mentioned last week have not happened , no PET scan date , no dental check , no mask date etc since my visit last week . CNS nurse (who is lovely) leaves and gets me a dental check booked straight after and promises she will chase on the PET scan for me. (Time will tell) 

After dental check , it turns out I have two teeth that need removal before therapy ( I am told this is getting off lightly) extractions will be done tomorrow ( oh joy) but one item off the check list. 

For now I am waiting on PET scan date , mask fitting , blood tests needed 3 days before PEG surgery and most importantly my final darn Biopsy results .  They told me to come in to ENT next Tues for result but again , no set time at the moment so I suggest to them , can you not just call me and if things are worse then provisionally  book me a slot to discuss changes , which would be surgery to soft palate (not ideal but little options if deep tissue affected) 

So far , I have attended ENT twice post biopsy surgery each a week apart for my biopsy result and each time they are not  back .. this scares me ! I know they have confirmed Cancer but my treatment cogs are jammed and the method of operation seems chaotic leaving me in total semi limbo . 

My biopsy surgery will be 4 weeks ago come Monday Weary

Tired, deflated and confidence plummeting 

Jo

  • Hi Jo

    I can understand why you are getting frustrated. It all seems a little disjointed doesn't it. Have they told you that further surgery depends on the results of the in depth biopsy?

    The planing CT you get when you have your mask made will delineate the treatment area so you shouldn't worry about anything being missed. The PET/CT is to check for metastasis and see how many, if any, lymph nodes are affected

    I didn't have surgery as I had no nodal spread but my tongue tumour was likely to big to surgically remove and there was no TORS available, but my wait between biopsy results and first RT was 8 weeks and I'm still here and well.

    Keep at your CNS every few days and hang on in there

    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

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  • Hi Jo

    What a frustrating day for you, all that waiting around. I would have been really annoyed watching all those people who came after me going through before me and then not getting any clear answers. 2 hours is such a long time to wait.

    Hang in there as things will finally come together. Hope the teeth extractions go well. Once things are in place I’m sure things will go more smoothly.

    Best wishes

    Lyn

    Sophie66

  • Hi Jo. Oh dear as Dani says keep onto c n s  e every other  day from being put on pathway to first day if treatment I was 63 days a day over what then was classed as acceptable ,since covid sadly those dates have stretched .The treatment plan will be tailored exclusively to you once  you’ve  pet Ct scan everything ties up together.As for teeth I was lucky but do know quite a few who has 8 teeth out if that’s any consolation. 
    keep ranting on here we never judge as we’ve all been there 

    Hugs Hazel

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now  6 years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help

    2 videos I’ve been involved with raising awareness of HNC and HPV cancers 

    https://www.instagram.com/merckhealthcare/reel/DBs8Y0niJ8N/

  • Hi Jo

    All seems a bit haphazard - no wonder you're so frustrated.

    As suggested, definitely keep in touch with your CNS regularly.  They're a great point of contact and usually pretty efficient at chasing things up and answering questions.

    Good luck with the teeth today.

    Linda x

  • Hi Jo

    Yes I've been there with biopsy results not ready and a "just turn up".  In my case it was because the consultant sent them back for another look see as they did not believe the results (no sign of cancer) and the appointment was post the morning MDT and they wanted to fit me in ASAP.  It is frustrating but generally there is a good reason for the apparent "confusion".  However, if it is just down to poor administration there is really no excuse.

    As others have said, keep in contact with the CNS.  In the past I have also rung and spoken to my consultant's secretary when I've been asked to come in in a specific timeframe and the booking clerk has no slots available.  It is amazing what a secretary can do when they know their consultant wished to see me on a specific date and the admin can't accommodate it.

    Deep breath and fingers crossed for you.

    Peter
    See my profile for more details of my convoluted journey
  • Thank you Linda , teeth extraction done.. a few stitches and back on soup x but it wasn't as bad as I thought it would be .. 

    Jo

  • Thank you Peter, I know , I feel like I am being selfish now, in the scheme of things I am one of many many more cancer patients that the NHS has to deal with .. 

    I will give my CNS a little nudge tomorrow , but I wont bombard her 

    Jo 

  • teeth extraction done.. a few stitches and back on soup x but it wasn't as bad as I thought it would be .

    Glad it went well. I had a wisdom tooth out after RT in hospital and they are really good at whipping them out fairly painlessly. 
    Now rest up and spoil yourself. 

    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
  • Thanks Hazel,, yes I will be patient and pester them if it is too quiet but I wont let myself get lost in the system.. 

    Teeth done and dusted and was not as bad as I thought , though I have more stitches to contend with and I am back on soup.. which is a bummer as I had only just managed to get back on to solid food after biopsy . Lets hope extraction wounds heal quick  as  my solid food days are of course numbered .. 

    Jo

    x

  • Thank you Lyn ,, yes at the time it was getting a little too ridiculous.  Even the Macmillan nurse noticed we had been there all morning and raised some questions.  My worry is that I experience the same next Tuesday when they want me  back again for the result.. I would much rather a phone call to be honest and I did mention this option.. if things have altered I can then look at going back in to discuss.. 

    Extractions done and dusted.. One (old root canal)  was being a stubborn brut and took some shifting so a little sore there and stitched up now ... hardest thing is going back to soup, after three weeks of soup and finally  getting back on solids 5 days ago.. It feels like the proverbial carrot scenario  lol 

    Jo

    x