6-8 weekly review- how does it work?

  • 6 replies
  • 85 subscribers
  • 661 views

Hi everyone!
I completed my treatment last year ( mid Aug) & got a ‘complete response’ in December. I had undergone chemoradiation for tonsillar cancer ( T3N0M0 ). 

l had my first review subsequent to the examination in Dec;  9 weeks later. I have been told l will be reviewed 6-8 weekly for 2 years & then over wider intervals for a period of 5 years in total. Tbh, l was quite annoyed when l was given a date for the 1st review which would have been 12 weeks later. I complained & it was moved - still out of the 6-8 week window but l accepted it. The consultant was v clear about what l could expect - ie 6 weekly reviews, but it doesn’t seem to work very well. My CNS has told me to let her know within 2 weeks of when an appt should arrive so she can chase it if necessary. l have reflected on this & it seems crazy- v difficult to plan anything and lead a life which is not being constantly defined by having been treated for cancer. Any advice gladly received… It also strikes me that if these reviews are not kept to time, it amounts to yet another NHS hidden waiting list, which is indefensible…l am v reluctant to bring this up with my CNS who is lovely but so overworked that l can hear the fatigue in her voice on the rare occasions  we have ever spoken…. 

  • Hi Woodey. All you can do is take your CNS’s offer of contacting her 

    Such is the parlous state of our NHS all we can do is try our hardest. 
    We used to be able to set out a complaint via PALS and very often something would come of it but even that seems out of the window these days. 
    Plod on and keep pushing. You’ve been treated now you have to take your recovery into your own hands. Good luck. 

    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
  • Hi Dani

    Completely agree, (sadly). I had already decided to keep pushing. I felt a bit guilty about complaining in the 1st instance ( had to check with my husband - he is better at standing back & being objective ). I do feel that while l have a voice & now feel fit l should do/say something when l see the system is failing - if not for me then for others coming into it. It’s too hard when you are receiving the treatment because you feel tired & ‘shitty’ almost all the time… Thanks for your encouraging words. 

  • Hi Woody. As we’ve all found out in these past years we have to be proactive. Year 2  some bean counter at my trust decided  I was ok and didn’t need to be seen. Ummmm I soon sorted that out. Please take up her offer. 
    My cns has been brill even the consultant rang me at home to apologise. Now I’m past the magic  5 years both have said I know my body if I’ve any concerns I’ve to contact them and not via gp.

    If it helps I occasionally went over the stated time period   In conjunction with consultant and oncologist I continued to spend 2 month in Spain twice a year and I booked flights etc in advance as long as I agreed if an appointment came through I would cancel it if I knew I was away in good time which I did  by middle of year 2 I was in every 3 months which made life easier then the last 2   years every  6 Months  . As consultants have always said I would now before they scope if I had any major issues and to contact them  I also agreed if I was abroad and felt I needed to see then I would fly home luckily I didn’t.They said they would work round me not me round them as I had a life to live  I was very lucky in that respect  

    The current thinking  is at some point HPV head and neck patients will nit be seen as regularly. Both Dani and I a few years ago took part in a trial called pet neck2  which is an app designed for patients to reports their own observations etc  some hospitals are now trialing it live  

    hops this helps

    Hazel x

    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/

  • Former Member
    Former Member

    Hi Woodey

    T2N1M0 HPV+ tonsil cancer....CRT finished June 2023 (NHS Scotland)

    After clear PET/CT scan in September I was informed that I would be reviewed every twelve weeks for 2 years then every 26 weeks for a further 3 years....then all being well.... discharged

    My oncology support teams have been nothing less than fantastic.

    Peter

  • The current thinking  is at some point HPV head and neck patients will nit be seen as regularly. Both Dani and I a few years ago took part in a trial called pet neck2  which is an app designed for patients to reports their own observations etc  some hospitals are now trialing it live  

      

    Hazel is talking about the Petneck2 trial. This is putting low risk patients on self monitoring but ONLY after a PET at a year. Monitoring up to that would remain as normal 

    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
  • Hi Hazel & Peter

    That’s really helpful - thank you, both! I forgot to say my cancer was also HPV +. Interestingly, l was thinking that perhaps the post treatment period could give rise to more paranoia than the treatment phase... I did not struggle to take one day at a time during treatment but know l want to get on with a new life & what l’d like call  a better version of myself going forward… ( this is not me being self-deprecating) just l know that the process has changed my view of the world & for the better. So many helpful perspectives, which is why this site is so fantastic !